Method to measure the polymerization shrinkage of light-cured composites

Polymerisation Shrinkage Profiling of Dental Composites using Optical Fibre Sensing and their Correlation with Degree of Conversion and Curing Rate

Traditional polymerisation shrinkage (PS) measurement systems measure average PS of dental composites, but the true local PS varies along the length and breadth of the composite. The PS depends on the curing light intensity distribution, resultant degree of conversion (DOC) and the curing rate. In this paper, optical fibre Bragg grating (FBG) sensing based technology is used to measure the linear post-gel PS at multiple locations within dental composite specimens, and is correlated with DOC and curing rate. A commercial dental composite is used, and its post-gel PS and DOC are mapped using embedded fibre Bragg grating sensors at different curing conditions. The distance between the curing lamp and the composite specimen is varied which resulted in different intensity distribution across the specimen. The effect of curing light intensity distribution on PS, curing rate and DOC are investigated for demonstrating a relationship among them. It is demonstrated that FBG sensing method is an effective method to accurately profiling post-gel PS across the specimen.

Effect of the processing cycle on dimensional changes of heat-polymerized denture base resins

Background:

The second processing cycle for adding the artificial teeth to heat-polymerized acrylic resin denture bases may result in dimensional changes of the denture bases. The aim of this study was to evaluate the dimensional changes of the heat-polymerized acrylic resin denture bases with one and two-cycle processing methods.

Materials and Methods:

A metal edentulous maxillary arch was used for making 40 stone casts. Maxillary complete dentures were made with heat-polymerized acrylic resins (Meliodent and Acropars) with one and two stage processing methods (n = 10 for each group). Linear dimensional changes in anteroposterior and mediolateral distances and vertical changes in the first molar region were measured following each processing cycle, using a digital caliper. Mean percentage of the dimensional changes were subjected to two-way analysis of variance and Tukey honest significant difference tests (α = 0.05).

Results:

Postpolymerization contraction occurred in both anteroposterior and mediolateral directions in all studied groups; however, the vertical dimension was increased. Acropars acrylic resin showed the highest dimensional changes and the second processing cycle significantly affected the measured distances (P < 0.05). Meliodent acrylic resin was not significantly influenced by the processing method.

Conclusion:

Reheating of the acrylic resin denture bases for the addition of denture teeth result in linear dimensional changes, which can be clinically significant based on the acrylic resin used.

Comparison of polymerization shrinkage of pattern resins

STATEMENT OF PROBLEMM

The dimensional stability, in particular polymerization shrinkage, of pattern resins affects the accuracy of implant prosthesis fabrication. Recently introduced photopolymerizing pattern resins are easy to use, but their shrinkage needs to be determined and compared with traditional autopolymerizing pattern resins.

PURPOSE

The purpose of the study was to compare the polymerization shrinkage of photopolymerizing pattern resins with autopolymerizing pattern resins.

MATERIAL AND METHODSS

Two autopolymerizing (DuraLay, GC Pattern resin) and 2 photopolymerizing (Primopattern LC Gel, Primopattern LC Paste) pattern resins were tested. The sample size was 10 for each group. Polymerization shrinkage was determined by measuring the change in area dimensions with image analysis. The percentage of volumetric shrinkage was calculated, and the results were statistically analyzed with ANOVA, followed by the Student-Newman-Keuls post hoc test (α=.05).

RESULTS

The volumetric shrinkage values (%; mean ±standard deviation) for GC Pattern Resin were 5.72 ±0.89; for DuraLay, 5.07 ±1.36; for Primopattern LC Gel, 5.42 ±1.83; and for Primopattern LC Paste, 7.43 ±0.62. The volumetric shrinkage of the Primopattern LC Paste was significantly higher than that of the other 3 materials.

CONCLUSIONS

The photopolymerizing pattern resin in gel form (Primopattern LC Gel) had a similar shrinkage value to the autopolymerizing pattern resins (DuraLay and GC Pattern Resin). However, the photopolymerizing pattern resin in paste form (Primopattern LC Paste) shrank significantly more than the other 3 materials tested.

A comparative evaluation of dentinal hypersensitivity and microleakage associated with composite restorations in cavities preconditioned with air abrasion - An ex vivo study

Background and Objective:

Enormous advances have been made in adhesives; however, the problem of post-operative sensitivity has dragged along. Enough literature exists on the effect of air abrasion over bond strength of composites. However, not much is reported on its relation with microleakage and post operative sensitivity. Therefore, the aim of the study was to compare and evaluate dentinal hypersensitivity and microleakage associated with composite restorations in cavities preconditioned with air abrasion.

Study Design:

Fifteen patients were selected for the study who had to undergo extractions of both maxillary first premolars. On each patient, occlusally placed Class V cavities were made using rotary burs on both the premolars. On the right side premolar, restoration was done using total etch technique. On the left side premolar, restoration was done in similar way after preconditioning of the cavity with air abrasion. Sensitivity levels were recorded on a modified visual analogue scale preoperatively and post operatively at 1 week and one month time period. Following extraction, dye penetration test was done and 1 sample each from one group was subjected to Scanning Electron Microscope for evaluation of tooth restoration interface.

Results:

Clinically significant difference was there in post operative sensitivity levels after one month between the two groups. Increase in sensitivity was less in teeth restored after preconditioning with air abrasion. Dye penetration was also less in teeth restored after preconditioning with air abrasion. However, penetration at the gingival wall was more than the occlusal wall in both the groups.

Conclusion:

The study consolidates the fact that microleakage and post operative sensitivity are linked directly. It also proves that air abrasion can help in reducing the post operative sensitivity to a level; however, a larger sample size would be needed to obtain more robust results with stronger validation.

Comparative evaluation of residual monomer content and polymerization shrinkage of a packable composite and an ormocer

Aim:

The aim of this study is to evaluate the residual monomer content and polymerization shrinkage of a packable composite (Surefil) and an ormocer (Admira).

Materials and Methods:

The study was conducted in two parts. In Part I, 10 samples of each material were prepared in a standardized split brass mould, using incremental curing technique. The residual monomer content was measured by observing change in weight before and after Soxhlet Extraction procedure. In part II, the volumetric polymerization shrinkage was calculated by measuring the difference in specific gravities of 10 uncured and 10 cured samples of each material using a modified version of ASTM D-792 method. The data obtained was put to statistical analysis using student's ‘t’ test.

Results:

Part I - The percentage change in weight for Surefil was 0.525% while that for Admira was 0.374%, which was found to be statistically significant. Part II - The volumetric percentage shrinkage for Surefil ranged between 1.04-3.42% and that for Admira between 1.01-2.31%, which was not found to be significant statistically.

Conclusion:

Admira may be considered more biocompatible than Surefil due to the lower residual monomer content in the former; however, both are comparable with regards to their polymerization shrinkage.

Measurement of composite shrinkage using a fibre optic Bragg grating sensor

Fibre Bragg grating is used to determine resin-based composite shrinkage. Two composite resins (Freedom from SDI and Z100 from 3M) were tested to determine the polymerization contraction behaviour. Each sample of resin was prepared with an embedded fibre Bragg grating. A LED activation unit with wavelength from 430 nm to 470 nm (Dabi Atlante) was used for resin polymerization. The wavelength position of the peak in the optical reflection spectra of the sensor was measured. The wavelength shift was related to the shrinkage deformation of the samples. Temperature and strain evolution during the curing phase of the material was monitored. The shrinkage in the longitudinal direction was 0.15 +/- 0.02% for resin Z100 (3M) and 0.06+/-0.01% for Freedom (SDI); two-thirds of shrinkage occurred after the first 50 s of illumination.

Effect of chain modifications on the physicomechanical properties of silsesquioxane-based dental nanocomposites

The objective of this study was to evaluate the physicomechanical properties of a series of polyhedral silsesquioxane (SSQ) methacrylate monomers developed for dental applications. The effect of chain modifications on the properties of the SSQ-based monomers was also evaluated. Physicomechanical properties that are investigated include polymerization shrinkage, degree of conversion, hardness, and modulus. Results obtained were compared with unfilled 1:1 (control) bis-GMA/TEGDMA materials (typical monomers used in dental composites). All samples investigated were cured using 400-500 nm light at 500 mW/cm(2) for 40 s. Shrinkage associated with curing and post-gel reactions for all synthesized SSQ compounds were found to range from (0.04 +/- 0.01)% to (0.33 +/- 0.03)% with degree of conversion ranging from (56.68 +/- 2.81)% to (84.53 +/- 2.62)%. At all time intervals, post-gel shrinkage associated with control was found to be significantly greater than all SSQ compounds. No significant difference in degree of conversion was observed for control, and all SSQ compounds except for SSQ attached with eight equivalents of short-chain methacrylate. Mechanical properties associated with SSQ compounds were found to be significantly lower than control. However, through chain modifications, mechanical properties of SSQ compounds can be improved by approximately 50%.

Volumetric polymerization shrinkage of contemporary composite resins

The polymerization shrinkage of composite resins may affect negatively the clinical outcome of the restoration. Extensive research has been carried out to develop new formulations of composite resins in order to provide good handling characteristics and some dimensional stability during polymerization. The purpose of this study was to analyze, in vitro, the magnitude of the volumetric polymerization shrinkage of 7 contemporary composite resins (Definite, Suprafill, SureFil, Filtek Z250, Fill Magic, Alert, and Solitaire) to determine whether there are differences among these materials. The tests were conducted with precision of 0.1 mg. The volumetric shrinkage was measured by hydrostatic weighing before and after polymerization and calculated by known mathematical equations. One-way ANOVA (á = 0.05) was used to determine statistically significant differences in volumetric shrinkage among the tested composite resins. Suprafill (1.87+/-0.01) and Definite (1.89+/-0.01) shrank significantly less than the other composite resins. SureFil (2.01+/-0.06), Filtek Z250 (1.99+/-0.03), and Fill Magic (2.02+/-0.02) presented intermediate levels of polymerization shrinkage. Alert and Solitaire presented the highest degree of polymerization shrinkage. Knowing the polymerization shrinkage rates of the commercially available composite resins, the dentist would be able to choose between using composite resins with lower polymerization shrinkage rates or adopting technical or operational procedures to minimize the adverse effects deriving from resin contraction during light-activation.

Polymerization shrinkage and hygroscopic expansion of contemporary posterior resin-based filling materials—A comparative study

OBJECTIVES

To investigate the polymerization shrinkage and hygroscopic expansion of contemporary posterior resin-based filling materials.

METHODS

The densities of SureFil (SU), CeramXMono (CM), Clearfil AP-X (CF), Solitaire 2 (SO), TetricEvoCeram (TE), and Filtek P60 (FT) were measured using the Archimedes' principle prior to and 15min after curing for 20, 40 and 60s and after 1h, 24h, 7 d, and 30 d storage at 37 degrees C in water. Volumetric changes (DeltaV) in percent after polymerization and after each storage period in water were calculated from the changes of densities. Water sorption and solubility were determined after 30 d for all specimens and their curing times. Two-way ANOVA was calculated for shrinkage and repeated measures ANOVA was calculated for hygroscopic expansion (p<0.05).

RESULTS

DeltaV depended on filler load but not on curing time (SU approximately -2.0%, CM approximately -2.6%, CF approximately -2.1%, SO approximately -3.3%, TE approximately -1.7%, FT approximately -1.8%). Hygroscopic expansion depended on water sorption and solubility. Except for SU, all materials showed DeltaV approximately +1% after water storage.

CONCLUSION

Polymerization shrinkage depended on the type of resin-based filling material but not on curing time. Shrinkage was not compensated by hygroscopic expansion.

Dimethacrylate based on cycloaliphatic epoxide for dental composite

OBJECTIVES

The aim of this study was to investigate the kinetics and mechanical properties of dimethacrylate monomer based on cycloaliphatic epoxide for dental restorative composite.

METHODS

Dimethacrylate based on cycloaliphatic epoxide (EPCDMA) was copolymeirzed with TEGDMA by varying the curing conditions: monomer composition and light intensity. A real-time near FTIR technique was employed to monitor the double bond conversion and the rate of polymerization. Dynamic mechanical analysis was performed on a dynamic mechanical analyzer, and volume shrinkage of the cured samples was determined by pycnometric method.

RESULTS

The results of kinetics showed that, two peaks of maximum rate of polymerization (Rpmax) occurred when the amount of TEGDMA was more than 30wt%. Increasing the amount of TEGDMA, the final double bond conversion and polymerization shrinkage both increased, while the glass transition temperature (Tg) decreased. All EPCDMA/TEGDMA mixtures had slightly higher storage modulus at body temperature (37 degrees C). When compared with Bis-GMA/TEGDMA (70/30), the EPCDMA/TEGDMA (70/30) system assumed similar reactivity and volume shrinkage but higher Tg.

SIGNIFICANCE

EPCDMA had comparable mechanical properties to those of Bis-GMA.

Volumetric contraction in some tooth-coloured restorative materials

BACKGROUND

Much of the concern about the setting contraction of tooth-coloured restorative materials has been focused on the composite resins. This study investigated setting contraction of a range of glassionomer materials and included, for comparison, products from other groups of restorative materials.

METHODS

A deflecting disk method was used to determine the volumetric contraction of three conventional (non-light cured) glass-ionomer cements (GICs), two restorative, one "lining" consistency and one adhesive/lining consistency resin-modified glass-ionomers (RMGIs), two resin adhesives, three restorative composite resins and two compomers. The influence of powder:liquid ratio on two hand-mixed materials was also examined.

RESULTS

The light-cured materials (including RMGIs) showed substantially greater per cent contraction at 5 minutes than did the three conventional GICs (not light cured) and a substantially greater proportion of the 30-minute contraction had occurred at 5 minutes for these light-cured materials. Their further contraction after 1 hour was generally less than 5 per cent of the 1 hour contraction.

CONCLUSION

Although the conventional GICs contract more slowly in the first 5 minutes, by 30 minutes the current restorative GICs and RMGIs exhibit a volumetric setting contraction that is comparable with the composite resins and compomers and is generally in the range of 2-3 per cent.

Effect of prolonged thermal cycling on microleakage around Class V cavities restored with glass-ceramic inserts with different coefficients of thermal expansion: an in vitro study

PURPOSE

The purpose of this in vitro study was to evaluate microleakage around Class V glass-ceramic restorations of different coefficients of thermal expansion after prolonged thermal cycling.

MATERIALS AND METHODS

One hundred and twenty noncarious extracted human premolars (patient age range 12-20 years) were randomly assigned to three groups. Standard Class V preparations were cut in the buccal surface using customised Cerana burs, size no. 3. Glass-ceramic inserts from two manufacturers (Cerana, Nordiska Dental AB, Helsingborg, Sweden; Beta-Quartz, Hager & Werken GmbH, Duisburg, Germany) were used to restore the cavities and were luted with a hybrid, high-viscous composite (Tetric Ceram, Ivoclar Vivadent, Schaan, Liechtenstein) and a bonding agent (Excite, Ivoclar Vivadent, Schaan, Liechtenstein). A control group, without inserts, was bulk-filled with the same composite used as the luting agent. In accordance with American Dental Association guidelines, half of the preparation was in enamel, half in dentine/cementum and had a mesio-distal width of 3 mm, an occluso-gingival height of 3 mm, and a depth of 2 mm. All margins had butt joints. Sixty teeth, selected at random, were not thermal cycled; the remaining 60 teeth were thermal cycled 4000 times between water baths held at 5 degrees C and 55 degrees C and the specimens prepared and examined for microleakage using 2.0% Procion Red (ICI, Slough, UK) dye, buffered at pH7, as a marker. The results were analysed using the Kruskal-Wallis test (ANOVA) at a 95% significance level.

RESULTS

At the occlusal margins there was no significant difference in microleakage between the three groups (P>0.5) without thermal cycling. After thermal cycling, microleakage at the occlusal margins was significantly less around cavities restored with Cerana glass-ceramic inserts versus Beta-Quartz and Tetric Ceram (P<0.05 in both cases). At the gingival margins, there was no significant difference in microleakge between the groups before thermal cycling (P>0.5). After thermal cycling, there was significantly less microleakage between Cerana inserts and Tetric Ceram (P<0.05). Comparisons between non-thermal cycled and thermal cycled groups showed there was no significant difference with the Cerana inserts (P=0.5590).

CLINICAL IMPLICATIONS

The results indicate that, after thermal cycling, restorations restored with Cerana glass-ceramic inserts, which have a coefficient of thermal expansion approximating to that of enamel, show a decrease in marginal microleakage, compared with Beta-Quartz glass-ceramic inserts and Tetric Ceram resin-based composite material. Restorative materials, which have a coefficient of thermal expansion approximating to that of enamel, would seem to be the materials of choice in reducing the problem of marginal microleakege.

The effect of consistency, specimen geometry and adhesion on the axial polymerization shrinkage measurement of light cured composites

OBJECTIVES

This study investigated the effect of the consistency, specimen geometry and adhesion on the measurements of axial polymerization shrinkage of light cured composite resins using an axial shrinkage-measuring device.

METHODS

Four commercially available composites were examined: an anterior posterior hybrid composite Z100, a posterior packable composite P60 and two flowable composites, Filtek flow and Tetric flow. The axial polymerization shrinkage of the composites was determined using a 'bonded disc method' and 'non-bonded' free shrinkage method at varying C-factors by altering the specimen geometry. These measured axial shrinkages were compared with the free volumetric shrinkages. The consistency of the composites was also compared using a squeeze test.

RESULTS

Using the non-bonded method, the axial shrinkage was approximately one third of the true volumetric shrinkage as a result of isotropic contraction. However, in the bonded disc method, the axial shrinkage increased up to the volumetric shrinkage by anisotropic contraction as the bonded surface increased. The axial shrinkage increased with the increasing C-factor. It approached the true volumetric shrinkage and reached a plateau at near a C-factor of 5-6. However, in flowable composites, a lower level of axial shrinkage was measured by the compensational radial flow.

SIGNIFICANCE

When estimating the volumetric shrinkage from the axial shrinkage measured using the bonded disc method, the C-factor of the specimen should be higher than 5 and the consistency of the composite is also an important factor that needs to be considered.

Marginal accuracy of interim restorations fabricated from four interim autopolymerizing resins

STATEMENT OF PROBLEM

One of the most important requirements for interim restorations is good marginal adaptation. Polymerization shrinkage of interim restorative materials can jeopardize the marginal integrity of interim restorations.

PURPOSE

The purpose of this study was to compare the marginal accuracy of interim restorations made with 4 interim materials.

MATERIAL AND METHODS

A direct technique was used to fabricate 44 interim restorations with 4 materials: Protemp 3 Garant, Trim II, Tempron, and Acropars (n=11). The interim restorations were made on a prepared molar-shaped metal die with a vinyl polysiloxane impression as a matrix. Marginal discrepancy of interim restorations was measured at the midpoint of buccal, palatal, mesial, and distal surfaces of metal die finish line with a microscope at x100 magnification. Comparisons were made with 1-way analysis of variance and the Duncan multiple range test (alpha=.05).

RESULTS

The mean marginal discrepancies of Protemp 3 Garant, Trim II, Tempron, and Acropars were 0.059, 0.063, 0.068, and 0.102 mm, respectively. Acropars exhibited the most marginal discrepancies and was significantly different from the other materials tested (P<.001). However, there were no statistical differences between the other 3 materials tested.

CONCLUSIONS

Interim restorations made from the Bis-GMA and conventional acrylic resins tested produced comparable marginal fit. Acropars demonstrated significant increases in marginal gap size.

Comparison of two video-imaging instruments for measuring volumetric shrinkage of dental resin composites

OBJECTIVES

The purpose of this study was to measure the polymerization shrinkage of three dental resin composites using two commercially available video-imaging devices to determine if the devices produced equivalent results.

METHODS

Small, semi-spherical specimens of a microhybrid (Venus), microfill (Filtek A110), and flowable (Esthet*X Flow) resin composite were manually formed and light activated for 40s using a light-curing unit. The volumetric polymerization shrinkage of fifteen specimens of each brand of resin composite was measured using the AcuVol and the Drop Shape Analysis System model DSA10 Mk2 (DSAS) video-imaging devices. Mean volumetric shrinkage values were calculated for each resin composite and equivalence was evaluated using the two one-sided tests approach. Differences between the means that were less than approximately 5% of the observed shrinkage were considered indicative of clinical equivalence.

RESULTS

Mean volumetric shrinkage values measured for the resin composites were: Venus (AcuVol, 3.07+/-0.07%; DSAS, 2.90+/-0.07%); Filtek A110 (AcuVol, 2.26+/-0.10%; DSAS, 2.25+/-0.09%); and Esthet*X Flow (AcuVol, 5.01+/-0.17%; DSAS, 5.14+/-0.11%). Statistical analysis revealed that the two imaging devices produced equivalent results for Filtek A110 and Esthet*X Flow but not for Venus.

CONCLUSIONS

Video-imaging systems provide an easy method for measuring volumetric shrinkage of resin composites. As with other methods for measuring volumetric shrinkage, however, they are best used to comparatively measure different materials within the same laboratory.

A new method to measure the polymerization shrinkage kinetics of light cured composites

This study was undertaken to develop a new measurement method to determine the initial dynamic volumetric shrinkage of composite resins during polymerization, and to investigate the effect of curing light intensity on the polymerization shrinkage kinetics. The instrument was basically an electromagnetic balance that was constructed with a force transducer using a position sensitive photo detector (PSPD) and a negative feedback servo amplifier. The volumetric change of composites during polymerization was detected continuously as a buoyancy change in distilled water by means of the Archimedes' principle. Using this new instrument, the dynamic patterns of the polymerization shrinkage of seven commercial composite resins were measured. The polymerization shrinkage of the composites was 1.92 approximately 4.05 volume %. The shrinkage of a packable composite was the lowest, and that of a flowable composite was the highest. The maximum rate of polymerization shrinkage increased with increasing light intensity but the peak shrinkage rate time decreased with increasing light intensity. A strong positive relationship was observed between the square root of the light intensity and the maximum shrinkage rate. The shrinkage rate per unit time, dVol%/dt, showed that the instrument can be a valuable research method for investigating the polymerization reaction kinetics. This new shrinkage-measuring instrument has some advantages that it was insensitive to temperature changes and could measure the dynamic volumetric shrinkage in real time without complicated processes. Therefore, it can be used to characterize the shrinkage kinetics in a wide range of commercial and experimental visible-light-cure materials in relation to their composition and chemistry.

Influence of the power density on the kinetics of photopolymerization and properties of dental composites

Polymer shrinkage during photopolymerization of dimethacrylate monomers, used for many years to produce materials for dental restoration, can induce either the formation of tooth-restoration gaps or the production of residual stress depending on the quality of adhesion between tooth and dental composites. In this work, the effect of the power density, used to photopolymerize three commercial dental composites (Fill Magic, Supra Fill, and Z100), on the kinetics of the reaction was investigated to determine processing conditions in which the generation of residual stress would be reduced by allowing polymer chains and macromers to flow before freezing during gelation of the polymer network. The kinetics of photopolymerization of the dental composites was monitored by real-time infrared (FTIR) spectroscopy. Polymer shrinkage and mechanical properties were also investigated by using, respectively, density and microhardness measurements. Results showed that the final conversion (after 200 s), volumetric shrinkage, and microhardness values were not affected by different power densities, mainly because the amount of energy used during photopolymerization was set constant by using different irradiation times. Lower power densities were able to reduce the maximum polymerization rate and delay the formation of a rigid network. Conversion before the formation of the rigid network was also enhanced by using a lower power density. Considering that too premature gelation can lead to residual stress during shrinkage, the results of this work indicated that the use of a lower power density can be effective in terms of delaying the onset of the formation of a rigid network, providing then conditions for macromolecules to flow and relieve stress during shrinkage.

Polymerization shrinkage-strain kinetics of temporary crown and bridge materials

OBJECTIVE

The purpose of this study was to measure the polymerization shrinkage kinetics of four commercially available polymer-based temporary crown and bridge materials, including the effect of ambient temperature.

METHODS

Three dimethacrylate-based materials and one monomethacrylate-based material were investigated. The polymerization shrinkage-strains were measured by using the Bonded-disk method with initial specimen temperature at both 23 and 37 degrees C, with values particularly noted at 5, 10, and 120 min after mixing. Five recordings were taken for each material. The progress of the setting reaction and its temperature-dependence were evaluated by the kinetic curves, and net shrinkage and total shrinkage (inclusive of expansion magnitude) of each material were compared by independent sample t-test and one-way ANOVA.

RESULTS

Most shrinkage occurred in the first 10 min after mixing although there was an early expansion especially with the monomethacylate in the first 5 min. At 120 min, the net shrinkage-strain at 23 and 37 degrees C of the materials used in this test ranged from 3.54 to 4.13%. The fastest setting dimethacrylate-based material and the monomethacrylate-based material showed higher shrinkage-strain than other materials. No significant differences of net shrinkage-strain were found between 23 and 37 degrees C, but higher shrinkage rates were measured at 37 degrees C than at 23 degrees C.

SIGNIFICANCE

The Bonded-disk method is a suitable method for measuring temperature-dependence of shrinkage-strain of polymer-based temporary materials. The dimethacrylate-based materials are preferable to monomethacrylates for temporary restoration as judged by the magnitude of polymerization shrinkage-strain, the majority of which is apparent within 10 min from the start of mixing and may affect the clinical outcome.

The effect of thermocycling on microleakage of several commercially available composite Class V restorations in vitro

STATEMENT OF THE PROBLEM

Microleakage is a major factor contributing to the occurrence of secondary carious lesions around composite restorations.

PURPOSE OF STUDY

This in vitro study investigated the effect of thermocycling on microleakage of several composite Class V restorations.

MATERIAL AND METHODS

One hundred twenty molars were randomly distributed into 6 groups of 20 teeth. Class V preparations were made in the buccal and lingual surfaces of each tooth and restored in bulk by use of 6 composites (Arabesk, Silux-Plus, Solitaire 2, Durafill VS, Charisma, and Renew) according to the manufacturers' recommendations. The teeth were stored in distilled water at room temperature for 24 hours. The teeth in each group were divided randomly into 2 subgroups: (a) thermocycled for 500 cycles between 5 degrees and 55 degrees C with a dwell time of 30 seconds, (b) no thermocycling treatment. All restored teeth were immersed in 1% methylene blue dye for 4 hours and sectioned buccolingually with a diamond wheel. Dye penetration was scored by use of a stereomicroscope at original magnification x4. The generalized linear models statistical analysis was used (alpha=.05).

RESULTS

The preparation margins (enamel/dentin) and thermocycling had a significant effect on microleakage (P=.0351, P<.0001, respectively); the type of material had no significant effect (P=.1689).

CONCLUSIONS

Thermocycling significantly increased the microleakage (P<.0001). The overall microleakage at the enamel margins was significantly less than at the dentinal margins (P=.0351).

Volumetric shrinkage of composites using video-imaging

OBJECTIVE

This study involves investigation of the use of video-imaging for measurement of volumetric shrinkage of composites.

METHODS

Six composites were tested for volumetric shrinkage using video-imaging. The volumetric shrinkage was measured using the single- and multi-view volumetric reconstruction modes. All composites were cured using a VIP(TM) curing light for 40s at 500 mW/cm(2). Dynamic shrinkage was measured using the single-view mode with a red filter placed over the detector opening.

RESULTS

Analysis of the volumetric shrinkage values by a one way ANOVA for each composite showed no difference for the single- and multi-view measurement mode. The shrinkage values determined by video-imaging were compared to those measured for the same composites by mercury dilatometry by one way ANOVA followed by a paired comparison using the Bonferroni method.

CONCLUSION

The video-imaging technique gives reproducible results for volumetric shrinkage of composites comparable to those measured by dilatometry.

Polymerization shrinkage of dental composite resins

Aesthetic materials have always been a priority for the restoration of anterior teeth; increasingly, they have also gained prominence in the restoration of posterior teeth. This has been due to their advantages as an alternative to amalgam. Their drawbacks however, can include poor marginal adaptation, postoperative sensitivity and cuspal movement. These are particularly associated with the polymerization shrinkage accompanying the placement of composite resins. Consequently, a variety of methods have been used for determining the polymerization shrinkage. These range from dilatometer methods, specific gravity methods and deflecting disc systems to optical methods. In this work a unique method for the qualitative analysis of polymerization shrinkage was undertaken. This method utilized a miniature transducer and provided details of the shrinkage from within the material. The results indicated movement of material towards the initiating light, followed by a return movement away from it. The study was expanded to incorporate clinical aspects, whereby the composite resin was in direct contact with dental tissue, as in a restoration. Tests were performed with surface-treated cavity moulds, as in restoration placement, and without surface treatment. Results indicated that the shrinkage was highly dependent upon the region under investigation, as well as on the state of the surface.

Patient preference for light-cured composite bite splint compared to heat-cured acrylic bite splint

BACKGROUND

Heat-cured acrylic has been the most commonly used material for construction of bite splints. Although effective, its processing involves several steps and is time consuming. Furthermore, acrylic splints distort easily if not kept in water when not worn for long periods of time. A newly developed light-cured composite material is now being used for bite splint fabrication. The composite material offers benefits in ease and speed of construction, has minimal warping and distortion, and has proven patient acceptance. The aim of this study was to determine if patient satisfaction with the composite splint was as good as, or preferential to, the acrylic splint.

METHODS

Both a composite and an acrylic bite splint were fabricated for each of 10 patients. The splints were worn alternately on a nightly basis and were adjusted as needed after the first week. After 3 weeks, each patient completed a questionnaire regarding the properties of each splint and any preferences they had in reference to fit, comfort, and other parameters of satisfaction.

RESULTS

All of the patients were able to wear at least one of the splints comfortably. All 10 preferred the composite splint over the acrylic splint, agreeing that it felt more natural and was more comfortable to wear.

CONCLUSIONS

The light-cured composite bite splint is preferable from the patient's perspective to the heat-cured acrylic bite splint. The composite splint is rapidly constructed on the original model, easily seated, and comfortably worn. Other properties of composite material also make it preferable for long-term use. Future studies are necessary to evaluate the functional differences between the composite and acrylic splint.

A predictive formula of the contraction stress in restorative and luting materials attending to free and adhered surfaces, volume and deformation

OBJECTIVES

To find a predictive formula of stress, considering the surfaces (free, adhered) involved, the volume and characteristics of material and the deformation of the measuring system.

MATERIALS AND METHODS

231 samples of five chemically cured restoratives (Silar (SIL, 23), Clearfil F2 (CLE, 39), P10 (P10, 33), Concise (CON, 30), Isopast (ISO, 28)) and four luting (3M Experimental 241 (EXM, 20), Variolink II (VAR, 13), Vitremer LC (VTM, 20) and Dyract Cem (DYR, 25)) materials were allowed to polymerize until they reached a maximum tension (T(max), 25 min) between six pairs (null 5.81, 8.5, 11.26, 12.42, 17.02, 23.14 mm) of polished metallic discs (range of distances: 0.02-5.9 mm) mounted in a tension machine. The deformation of the measuring system was measured for the recorded forces.

RESULTS

A descriptive non-linear formula T(max)=KVol(-3.267)FS(3.283)AS(0.642)Def(0.561) was found that individualizes the material's characteristics (K) that considers volume (Vol), free (FS) and adhered (AS) surfaces and deformation (Def) of the system for each force. This formula renders good correlation (material K (r(2) coefficient)): SIL 0.9998 (0.995), CLE 1.0062 (0.989), P10 1.0224 (0.990), CON 0.9908 (0.992), ISO 0.9648 (0.974), EXM 1.0083 (0.991), VAR 0.9777 (0.996), VTM 0.9925 (0.993), DYR 0.9971 (0.997) between actual T(max) and calculated Tension. There are statistically significant differences (p=0.002) between K values of both (restorative and luting) groups.

SIGNIFICANCE

Predictive parameters have influence in a different way to what is actually considered, if the system is allowed to have deformation, as occurs naturally and volume and material's characteristics are considered.

A simple method for the measurement of polymerization shrinkage in dental composites

OBJECTIVE

In this study a simple non-contact method was developed to measure the polymerization shrinkage of dental composites.

METHODS

A gas pycnometer was used to determine the volumes of specimens prior to and after photopolymerization and from which the total volumetric shrinkage could be determined.

RESULTS

Four commercial composites were studied and were found to have polymerization shrinkages varying from 1.6 to 2.5%. The method was found to be labour efficient and produced reproducible results with a standard deviation of approximately 10%.

SIGNIFICANCE

This method is appropriate for shrinkage measurements where only the total amount shrinkage is required and in particular for the measurement of shrinkage of photocured materials which are sensitive to water absorption.

Consistency in the amount of linear polymerization shrinkage in syringe-type composites

OBJECTIVES

The purpose of this study was to investigate whether the composite resin in a syringe showed a consistent shrinkage through its content. Additionally, the amount of linear shrinkage was compared between materials.

METHODS

Five brands of syringe-type and one brand of carpule-type composite resins were used in this study. To each brand, two to three syringes were assigned. In the carpule-type composite, 15 carpules were used. The linear polymerization shrinkage was measured using a custom-made linometer. In this linometer, the amount of displacement of an aluminum disk, which was caused by the linear shrinkage of composite resin, was recorded by a computer every second for 90 s.

RESULTS

The syringe-type composites showed similar consistencies in the amount of linear shrinkage except one. The linear shrinkage of the carpule-type Tetric Ceram showed more consistency compared with syringe-type composites. The amount of linear polymerization shrinkage varied between materials.

SIGNIFICANCE

This investigation demonstrates that the use of carpule-type composites is recommended instead of syringe-types, because of the consistency in its linear shrinkage. The custom-made linometer provides an effective way to study polymerization shrinkage.

Highly cross-linked networks for dental applications obtained by photocuring of tris[2-(acryloyloxy)ethyl]isocyanurate, 2-ethyl-2-(hydroxymethyl)-1,3-propanediol triacrylate, and pentaerythritol triacrylate

Highly cross-linked networks have been obtained by photoinitiated camphorquinone-amine polymerization of tris[2-(acryloyloxy)ethyl]isocyanurate alone and/or with 2-ethyl-2-(hydroxymethyl)-1,3-propanediol triacrylate or pentaerythritol triacrylate, which can be considered a new class of dental restorative resins. The most effective coinitiators in this system are amines such as ethyl-4-dimethylaminobenzoate, N,N-dimethyl-benzylamine, and 2,4,6-tris(dimethylaminomethyl)phenol. The volume shrinkages of polymerized samples were 8%-13%. The hardness of photocured resins in the presence of an inorganic filler (aluminum/fluoro/silicate glass, Ketac-Fil was slightly less than that of a restorative composite material (Z100 MP).

Polymerization shrinkage of restorative resins using laser and visible light curing

OBJECTIVE

This in vitro investigation compared the amount of linear shrinkage that occurs when a light-cured composite resin is cured with a visible light source, and also with an argon laser.

SUMMARY BACKGROUND DATA

When composite resins are light-cured, they undergo a certain degree of polymerization shrinkage, which can be clinically significant and affect the efficacy of the restoration. A new protocol utilizes laser curing instead of conventional visible light.

METHODS

Two hybrid composite resins were used, Z100 and TPH-Spectrum. Dimensional change was measured in a linear direction, using a calibrated light-microscope. A total of 40 samples of composite resin was tested using two curing lights, and two hybrid composite resins, resulting in four groups of 10 samples (n = 10) each. According to manufacturer instructions, curing time for the laser was 10 sec, and for visible light was 40 sec.

RESULTS

With TPH-Spectrum, the mean shrinkage with visible light was 0.583% compared to that with laser light which was 0.591%. With Z100, the mean shrinkage with visible light was 0.565%, compared to that with laser light which was 0.551%.

CONCLUSIONS

There was no significant difference in amount of shrinkage of hybrid composite resins between using visible light or laser light. There was also no significant difference in shrinkage between the two hybrid composites for either light source.

Influence of humidity on dimensional stability of a range of ion-leachable cements

The dimensional changes of a variety of dental restorative materials, occurring during and after setting, were investigated. The materials were tested under four different environmental conditions: 25 degrees C at laboratory humidity, 25 degrees C at 100% humidity, 37 degrees C at laboratory humidity and 37 degrees C at 100% humidity. Two materials setting by an acid-base reaction were also examined when protected with both a conventional varnish and a low-viscosity light-curable resin. The dimensional changes were recorded continuously using linear variable displacement transducers (LVDTs) over periods of up to 2 h. The materials investigated showed varying magnitudes of dimensional change. The shrinkage of conventional glass-ionomer cements (Fuji II and Opusfil) were the highest at 37 degrees C in air. This was attributed to the highest rate of water loss in the most desiccating environment. The shrinkage observed for the materials which set, even only in part, by a polymerization reaction will probably be due to the water loss and/or polymerization shrinkage. Exposure of these materials to a high-humidity environment reduced the shrinkage because of the swelling associated with water absorption. Application of the varnish and the protective resin over the cement surfaces also reduced shrinkage in Fuji II due to prevention of water exchange. The apparatus used in this study provided a simple and reliable method for measuring linear dimensional change. Data obtained in this study were comparable, where appropriate, to the values found in the literature.