An in vitro study of the wear behaviour of dental composites

Prediction of wear of dental composite materials using machine learning algorithms

Since dental materials are worn down over time and eventually need to be replaced. Resin composites are frequently employed as dental restorative materials. By employing the in-vitro test findings of the pin-on-disc tribometer [ASTM G99-04], the goal of this study is to evaluate the capability of three different machine learning (ML) models in analyzing the wear of dental composite materials when immersed in chewable tobacco solution. Four distinct dental composite material samples are used in this investigation, and after being dipped in a chewing tobacco solution for a few days, the samples are taken out and subjected to a wear test. Three different ML models (MLP, KNN, XGBoost) have been chosen for predicting the wear of dental composite specimens. XGBoost ML model yields an R2 value of 0.9996 and it performs noticeably better than the other approaches.

Effect of different ceramic systems on antagonist dental structure by microtomographic analysis

OBJECTIVES

This study aims to identify the two-dimensional and three-dimensional analyses and evaluate the loss of tooth structure in the tooth's different constituent elements and the ceramic antagonist's surface.

METHODS

In this study, three groups (n = 10) represented by different ceramic systems (lithium disilicate [GDis], lithium silicate reinforced with zirconia [GSil], and monolithic zirconia [GZir]) were evaluated. Each group obtained ten ceramic blocks and submitted them to the sintering/crystallization process. To carry out the wear test, healthy mandibular premolars were used as the specimens and the ceramic blocks as antagonists. The premolars were submitted to two-dimensional and three-dimensional analyses using a computerized microtomography (µTC) before and after the wear test. The wear test was performed with 30 N and 300,000 cycles load, with occlusion, laterality, and disocclusion movements.

RESULTS

The statistical analysis comparing the loss of two-dimensional tooth structure showed a statistically significant difference among all groups (p < 0.05). Statistical analysis comparing the percentage of loss of three-dimensional tooth structure showed a statistically significant difference between groups GDis and GSil and between groups GDis and GZir. However, when comparing GSil with GZir, no statistically significant difference was found. The qualitative analysis of the teeth showed that GDis showed considerable enamel loss and dentin exposure, GSil showed enamel wear with flattening the cusp without dentin exposure, and GZir showed minimal enamel wear without dentin exposure. In the qualitative analysis of ceramic antagonists, more significant wear of the ceramic material for GDis was observed, followed by the GSil and GZir groups, respectively.

SIGNIFICANCE

The use of the lithium disilicate should be cautious, restricting it to areas with lower masticatory forces. Areas of higher masticatory forces showed a large amount of antagonist wear, with dentin involvement. This can lead to dentinal hypersensitivity, risk of compromising patients' occlusion, by harming group disocclusion guides, causing pain and temporomandibular disorders.

Unveiling the mechanisms behind surface degradation of dental resin composites in simulated oral environments

Dental resin composites are widely used as restorative materials due to their natural aesthetic and versatile properties. However, there has been limited research on the degradation mechanisms of these composites in gastric acid environments, which would be common in patients with gastroesophageal reflux. This study aims to investigate the degradation behavior of dental composites immersed in simulated oral environments, including acid, saliva, and water. Mechanical and morphological properties of the composites, upon immersion in the simulated environments, were thoroughly examined using hardness testing and SEM imaging. Qualitative analyses of the ions leached from the polymer matrix and fillers were conducted using XPS and ICP-MS. In addition, the thermodynamic stability of the inorganic fillers of the composites in aqueous solutions across a wide range of pH values was theoretically studied through construction of Pourbaix diagrams. This study proposed a mechanism for composite leaching involving interactions between the matrix's hydrophilic groups and the aqueous immersion media, leading to swelling and chemical degradation of the composites. Furthermore, it was demonstrated that filler leaching was followed by ion exchange with Ca and P, resulting in the formation of hard calcified layers on the composite surface. The current findings provide valuable insights into the development of new composite materials with improved durability and resistance to degradation, especially for patients suffering from gastroesophageal reflux.

Design and tribological performance of short S-Glass fibre reinforced biocomposites on the influence of fibre length and concentration

Fibre-reinforced biocomposites usage has gained prominence over the past decade. Although higher fracture toughness was observed when fibres were added to biocomposites, material degradation could occur due to filler and fibre content intolerance in the biocomposite matrix. Optimisation of resin-fibre-filler ratios helps in increasing the tribological performance of high load-bearing applications. However, the tribological performance is less understood due to limited in-vitro studies on the effect of fibre microstructures. A comprehensive investigation of the reciprocating and rotary wear behaviour of different compositions was carried out by varying fibre (0%, 5%, 10% and 15%) to particulate filler (40%, 45%, 50%, and 55%) weight fractions. The investigation aimed to identify the optimal composition of fibre-reinforced biocomposites based on the in-vitro ball-on-disc reciprocating and rotary wear tests in the presence of modified Fusayama solution. The cross-sectional areas of wear tracks were analysed using laser microscopy and scanning electron microscopy techniques to assess the surface morphology and subsurface damage of the wear tracks on biocomposites and the antagonist. The numerical results were statistically analysed using two-way ANOVA followed by a posthoc Tukey's test (p = 0.05). The results showed a combination of adhesive, abrasive and fatigue wear for all the tested Groups. The friction coefficient had a longer transient period for the 5 wt% and 10 wt% Groups. Based on the surface roughness, coefficient of friction, SEMs, specific wear rate, and ease of manufacturing, the threshold limit for fibre loading was found to be 10 wt%. The rotary test had a considerably lower specific wear rate compared to the reciprocating test. Fibre weight fraction was found to be the influencing factor of the abrasive wear behaviour compared to fibre length for the tested Groups.

Study of Wear Phenomenon of a Dental Milling Cutter by Statistical-Mathematical Modeling Based on the Experimental Results

The wear phenomenon of a dental milling cutter is studied based on experimental results and data and validated by statistical–mathematical modeling. The results of the statistical–mathematical modeling by the interpolation of the experimental results (data) regarding the wear of the dental milling cutter analyzed and obtained in the work process are presented in this paper. These results (data) are important because they lead to polynomial functions which by interpolation approximate very well the dependent parameter, specifically the wear process (mass lost due to dental milling cutter wear, m_w), considered in the experimental program. The polynomial interpolation functions are valid, only during the experimental testing range of the dental milling cutter, to describe the wear phenomenon; the extrapolations do not lead to satisfactory results. However, by using a controlled interpolation function with an exponential component, the extrapolation of the results is possible. Therefore, the purpose of this paper is the statistical–mathematical modeling by the interpolation of the experimental results of the mass lost due to dental milling cutter wear, m_w, using the deterministic differential model for the work process of it. Thus, interesting conclusions can be drawn relating to the phenomenon. In support of these statements come the results of the statistical–mathematical modeling by the interpolation of the experimental data obtained in the work process of the dental milling cutters, leading to practical applications, such as the extension of the life of dental milling cutter, useful even for its operation optimization; determination of possible criteria for replacing the worn dental milling cutters; the extension of the life of the materials from which dental milling cutters are built; or the provision of ideas for constructive solutions. Based on the modeling results by interpolation, it was found that the dental milling cutter during the milling operation works with high efficiency (mass loss due to wear is very reduced) in the first 11 h of operation, i.e., about a 10% increase in lifetime. After 11 h of operation, mass loss due to wear of the dental milling cutter increases relatively exponentially; thus, it is recommended that, in the normal way, the dental milling cutter be replaced with a new one to ensure high standards of materials processing.

Quantitative fractography as a novel approach to measure fracture toughness of direct resin composites

Dental resin composites generally fail from small cracks. Large crack techniques are not representative of in vivo failures. Quantitative fractography relies on the observation of small "natural flaws". This study investigates the effect of flaws that occur from fabrication and handling on the measurement of fracture toughness for four different direct resin composites. Microtensile dog-bone shaped specimens for each of four composites were fractured to measure the strength. In addition, we measured crack sizes of the fracture initiating cracks and determined the fracture toughness from these measurements using quantitative fractographic analysis on selected specimens. The characteristic strengths (28-51 MPa) and Weibull moduli (4.9-7.8) were also determined and related to the toughness values (0.5-0.9 MPa m^1/2) obtained. The elastic moduli (5-10 GPa) were measured using an indentation technique that has not been used before for direct resin composites. The indentation technique offers an alternative method for small specimens. Quantitative fractographic analysis offers a useful technique to assess fracture toughness of resin composites from cracks of the same size as observed in practice. The toughness of the direct resin composites results from a balance between the size, number and shape of filler particles and the viscosity of the resin matrix.

Ageing of Dental Composites Based on Methacrylate Resins-A Critical Review of the Causes and Method of Assessment

The paper reviews the environmental factors affecting ageing processes, and the degradation of resins, filler, and the filler-matrix interface. It discusses the current methods of testing materials in vitro. A review of literature was conducted with the main sources being PubMed. ScienceDirect, Mendeley, and Google Scholar were used as other resources. Studies were selected based on relevance, with a preference given to recent research. The ageing process is an inherent element of the use of resin composites in the oral environment, which is very complex and changes dynamically. The hydrolysis of dental resins is accelerated by some substances (enzymes, acids). Bonds formed between coupling agent and inorganic filler are prone to hydrolysis. Methods for prediction of long-term behaviour are not included in composite standards. Given the very complex chemical composition of the oral environment, ageing tests based on water can only provide a limited view of the clinical performance of biomaterial. Systems that can reproduce dynamic changes in stress (thermal cycling, fatigue tests) are better able to mimic clinical conditions and could be extremely valuable in predicting dental composite clinical performance. It is essential to identify procedure to determine the ageing process of dental materials.

Hardness and Wear Resistance of Dental Biomedical Nanomaterials in a Humid Environment with Non-Stationary Temperatures

This study discusses a quantitative fatigue evaluation of polymer-ceramic composites for dental restorations, i.e., commercial material (Filtek Z550) and experimental materials Ex-nano (G), Ex-flow (G). Their evaluation is based on the following descriptors: microhardness, scratch resistance, and sliding wear. In order to reflect factors of environmental degradation conditions, thermal fatigue was simulated with a special computer-controlled device performing algorithms of thermocycling. Specimens intended for the surface strength and wear tests underwent 10⁴ hydrothermal fatigue cycles. Thermocycling was preceded by aging, which meant immersing the specimens in artificial saliva at 37 °C for 30 days. Microhardness tests were performed with the Vickers hardness test method. The scratch test was done with a Rockwell diamond cone indenter. Sliding ball-on-disc friction tests were performed against an alumina ball in the presence of artificial saliva. A direct positive correlation was found between thermocycling fatigue and microhardness. The dominant mechanism of the wear of the experimental composites after thermocycling is the removal of fragments of the materials in the form of flakes from the friction surface (spalling). Hydrothermal fatigue is synergistic with mechanical fatigue.

Resin based restorative dental materials: characteristics and future perspectives

This review article compiles the characteristics of resin based dental composites and an effort is made to point out their future perspectives. Recent research studies along with few earlier articles were studied to compile the synthesis schemes of commonly used monomers, their characteristics in terms of their physical, mechanical and polymerization process with selectivity towards the input parameters of polymerization process. This review covers surface modification processes of various filler particles using silanes, wear behaviour, antimicrobial behaviour along with its testing procedures to develop the fundamental knowledge of various characteristics of resin based composites. In the end of this review, possible areas of further interests are pointed out on the basis of literature review on resin based dental materials.

The Effect of Thermocycling on Surface Layer Properties of Light Cured Polymer Matrix Ceramic Composites (PMCCs) Used in Sliding Friction Pair

This paper discusses the problem of thermocycling effect of light-curing polymer–ceramic composites. Cyclic thermal shocks were simulated in laboratory conditions. As a rule, these loads were supposed to reproduce the actual conditions of biomaterials exploitation. Periodically variable stresses occurring in dental restorations are associated with the wear of cold and hot foods and beverages. They lead to changes in the properties of composites, including the properties of the surface layer. The aim of the work was to assess the impact of cyclic hydrothermal interactions on the properties of the surface layer of composites relevant to the operational quality. Two commercial materials manufactured by the world’s leading producer (3M ESPE)—Filtek Z550, Filtek Flow and two experimental, micro-hybrid and flow type composites marked Ex-mhyb(P) and Ex-flow(P), respectively. All tests were carried out before and after hydro-thermal cycles (flowing water thermocycling). Micro-hardness test using the Vickers method, indentation hardness, and resistance to tribological wear in a ball–disc system in sliding friction conditions were performed. In addition, observations of the surface layer of composites on the SEM (scanning electron microscope) were carried out. It was noticed that semi-liquid composites, containing a smaller amount of filler, retain higher stability of mechanical and tribological properties of the surface layer under cyclic hydro-thermal loads. Coefficient of friction of samples after hydro-thermal cycles increased for micro-hybrid materials and Filtek Flow (FFlow) composite. In the case of Ex-flow(P) material, the coefficient of friction decreased. The microhardness of composites also changed, the variability of this size depended on the type of material. Composites with a higher content of filler particles were characterized by greater variability of microhardness under the influence of thermocycles. The resistance to tribological wear also changed in a similar way. Composites containing higher volume fraction of inorganic filler showed higher tribological wear after thermocycling. The wear resistance of flow composites changed to a lesser extent, after thermocycling increased. The paper also showed that, in real kinematic nodes, the surface layer of light-curing ceramic–polymer composites is exposed to significant non-tribological (erosive, thermal, and chemical) defects that synergize with tribological ones. In slip pairs loaded dynamically, under mixed friction conditions, tribological wear of PMCCs (polymer matrix ceramic composites) is manifested by spalling (spalling of the material flakes, in particular the polymer phase) and pitting (crushing wear caused by wear products, in particular large filler particles or clusters, previously adhesively extracted).

Evaluation of the Degree of Conversion, Residual Monomers and Mechanical Properties of Some Light-Cured Dental Resin Composites

The novelty of this study consists in the formulation and characterization of three experimental dental composites (PM, P14M, P2S) for cervical dental lesion restoration compared to the commercial composites Enamel plus HRi® - En (Micerium S.p.A, Avengo, Ge, Italy), G-ænial Anterior® - Ge, (GC Europe N.V., Leuven, Belgium), Charisma® - Ch (Heraeus Kulzer, Berkshire, UK). The physio-chemical properties were studied, like the degree of conversion and the residual monomers in cured samples using FTIR-ATR (attenuated total reflectance) and HPLC-UV (ultraviolet detection), as well as the evaluation of the mechanical properties of the materials. The null hypothesis was that there would be no differences between experimental and commercial resin composites regarding the evaluated parameters. Statistical analysis revealed that water and saliva storage induced significant modifications of all mechanical parameters after three months for all tested materials, except for a few comparisons for each type of material. Storage medium seemed not to alter the values of mechanical parameters in comparison with the initial ones for: diametral tensile strength (DTS-saliva for Ge and PM, compressive strength (CS)-water for Ch, DTS-water and Young's modulus YM-saliva for P14M and YM-water/ saliva for P2S (p > 0.05). Two of the experimental materials showed less than 1% residual monomers, which sustains good polymerization efficiency. Experimental resin composites have good mechanical properties, which makes them recommendable for the successful use in load-bearing surfaces of posterior teeth.

Two-body wear behavior of human enamel versus monolithic zirconia, lithium disilicate, ceramometal and composite resin

PURPOSE

To investigate and compare the surface roughness (SR), weight and height of monolithic zirconia (MZ), ceramometal (CM), lithium disilicate glass ceramic (LD), composite resin (CR), and their antagonistic human teeth enamel.

MATERIALS AND METHODS

32 disc shaped specimens for the four test materials (n=8) and 32 premolars were prepared and randomly divided. SR, weight and height of the materials and the antagonist enamel were recorded before and after subjecting the specimens to 240,000 wear-cycles (49 N/0.8 Hz/5℃/50℃). SR, height, weight, and digital microscopic qualitative evaluation were measured.

RESULTS

CM (0.23 + 0.08 µm) and LD (0.68 + 0.16 µm) exhibited the least and highest mean difference in the SR, respectively. ANOVA revealed significance (P=.001) between the materials for the SR. Paired T-Test showed significance (P<.05) for the pre- and post-SR for all the materials. For the antagonistic enamel, no significance (P=.987) was found between the groups. However, the pre- and post-SR values of all the enamel groups were significant (P<.05). Wear cycles had significant effect on enamel weight loss against all the materials (P<.05). CR and MZ showed the lowest and highest height loss of 0.14 mm and 0.46 mm, respectively.

CONCLUSION

MZ and CM are more resistant to SR against the enamel than LD and CR. Enamel worn against test materials showed similar SR. Significant variations in SR values for the tested materials (MZ, LD, CM, and CR) against the enamel were found. Wear simulation significantly affected the enamel weight loss against all the materials, and enamel antagonist against MZ and CM showed more height loss.

Recent advances in understanding the fatigue and wear behavior of dental composites and ceramics

Dental composite and ceramic restorative materials are designed to closely mimic the aesthetics and function of natural tooth tissue, and their longevity in the oral environment depends to a large degree on their fatigue and wear properties. The purpose of this review is to highlight some recent advances in our understanding of fatigue and wear mechanisms, and how they contribute to restoration failures in the complex oral environment. Overall, fatigue and wear processes are found to be closely related, with wear of dental ceramic occlusal surfaces providing initiation sites for fatigue failures, and subsurface fatigue crack propagation driving key wear mechanisms for composites, ceramics, and enamel. Furthermore, both fatigue and wear of composite restorations may be important in enabling secondary caries formation, which is the leading cause of composite restoration failures. Overall, developing a mechanistic description of fatigue, wear, and secondary caries formation, along with understanding the interconnectivity of all three processes, are together seen as essential keys to successfully using in vitro studies to predict in vivo outcomes and develop improved dental restorative materials.