The effect of fiber aspect ratio and volume loading on the flexural properties of flowable dental composite

Bis-EMA/Bis-GMA ratio effects on resin-properties and impregnated fiber-bundles

OBJECTIVES

To evaluate the effect of different ratios of Bis-EMA/Bis-GMA resin mixtures on the inherent viscosity and curing-related properties: including degree of cure (DC%), shrinkage strain, Knoop micro-hardness (KH) and flexural strength of resin-impregnated fiber-bundles.

METHODS

Bis-EMA/Bis-GMA monomers were mixed (by weight) in the following ratios: M1 = 30 %/70 %, M2 = 50 %/50 %, M3 = 70 %/30 %, and M4 = 100 %/0 %. Standard measurements were made of refractive index, viscosity, degree of conversion, shrinkage strain and Knoop hardness (KHN). For 60 % glass fiber-bundles impregnated with 40 % resin, three-point bending test for flexural strength and shrinkage strain were measured. Data were analyzed by One-way ANOVA and Bonferroni post-hoc tests (α = 0.05).

RESULTS

For resin mixtures, increasing Bis-EMA proportion decreased refractive index (p < 0.05), and viscosity (p < 0.05), and increased monomer conversion (DC%), shrinkage strain and KHN (p < 0.05). DC% increased after 1 h for all resin mixtures. The shrinkage strain and flexural strength of resin-impregnated fiber-bundles reduced with increased Bis-EMA.

SIGNIFICANCE

Monomeric mixtures with highest amounts of Bis-EMA showed enhancement in several clinically-relevant properties and polymerization of respective resin-impregnated glass fibers. This makes them potential candidates for impregnating glass fibers in fiber-reinforced restorations.

Surface modifications of short quartz fibers and their influence on the physicochemical properties and in vitro cell viability of dental composites

OBJECTIVE

Although glass fibers are more common, quartz fibers (QFs) are also considered as the ideal reinforcing material in dentistry, due to their superior mechanical strength, high purity, and good photoconductive properties. However, the relatively inert surfaces limit their further applications. Therefore, the aim of this study is to modify the fiber surface properties to improve the interfacial interactions with polymeric resins.

METHODS

In this study, we systematically introduced four different surface modification strategies onto short quartz fibers (SQFs) for the preparation of dental composites. Particularly, the acid etching was a facile way to create mechanical interlocking structures. In addition, the silanization process, the sol-gel treatment, and the polymer grafting were further proposed to increase the surface roughness and the reactive sites. The effect of surface modifications on the fiber surface morphological changes, mechanical properties, water stability, and in vitro cell viability of dental composites were investigated.

RESULTS

Among all surface-modified SQFs, SQFs-POSS (SQFs modified with methacrylate-POSS) exhibited the roughest surface morphology and highest grafting rates compared with other three materials. Furthermore, all these SQFs were applied as reinforcements to make dimethacrylate-based dental resin composites. Of all fillers, SQFs-POSS demonstrated the best reinforcing effect, providing significantly higher improvements of 55.7 %, 114.3 %, and 164.7 % for flexural strength, flexural modulus, and breaking energy, respectively, over those of SQFs-filled composite. The related reinforcing mechanism was further investigated. The SQFs-POSS-filled composite also exhibited the best water stability performance and in vitro cell viability.

SIGNIFICANCE

This work provided valuable insights into the optimization of filler-matrix interaction through fiber surface modifications. Specifically, SQFs-POSS markedly outperformed other formulations in terms of the physicochemical performance and in vitro cytotoxicity, which offers possibilities for developing high-performance dental composites for clinical applications in restorative dentistry.

Properties of model E-glass fiber composites with varying matrix monomer ratios

OBJECTIVE

To evaluate properties of fiber-reinforced-composites (FRC) containing Bis-EMA/UDMA monomers but identical dispersed phase (60% wt BaSi glass power +10% wt E-glass fibre).

METHODS

A control (Group A), monomer mixture comprising 60% Bis-GMA, 30% TEGDMA, and 10% PMMA (typical FRC monomers) was used. The following monomer mass fractions were mixed: 50% bis-GMA plus 50% of different ratios of Bis-EMA+UDMA to produce consistent formulations (Groups B-E) of workable viscosities was also studied. Flexural strength (FS), fracture toughness (KIC), water sorption (SP), solubility (SL) and hygroscopic expansion (HE) were measured. FS and KIC specimens were stored for 1, 7 d, and 30 d in water at 37 °C. SP/SL specimens were water-immersed for 168d, weighed at intervals, then dried for 84 d at 37 °C. To analyze differences in FS, and KIC, a two-way ANOVA and Tukey post-hoc tests (α = 0.05) were conducted. For SP/SL, and HE, one-way ANOVA with subsequent Tukey post-hoc tests (α = 0.05) were utilized.

RESULTS

FS and KIC for groups A, D, E decreased progressively after 1 d. Groups B and C (highest amounts of Bis-EMA) did not decrease significantly. The modified matrix composites performed significantly better than the control group for SP and HE. The control group outperformed the experimental composites only for SL with up to 250% higher SL for group E (6.9 μg/mm) but still below the maximum permissible threshold of 7.5 μg/mm.

SIGNIFICANCE

EXPERIMENTAL: composites with highest amounts of Bis-EMA showed improved hydrolytic stability and overall enhancement in several clinically-relevant properties. This makes them potential candidates for alternative matrices to a semi-interpenetrating network in fiber-reinforced composites.

Degree of conversion and physicomechanical properties of newly developed flowable composite derived from rice husk using urethane dimethacrylate monomer

This study evaluated the use of urethane dimethacrylate (UDMA) as a base monomer to prepare the newly developed flowable composite (FC) using nanohybrid silica derived from rice husk in comparison to bisphenol A-glycidyl methacrylate (Bis-GMA) on the degree of conversion and physicomechanical properties. The different loadings of base monomer to diluent monomer were used at the ratio of 40:60, 50:50, and 60:40. The bonding analysis confirmed the presence of nanohybrid silica in the newly developed FC. Independent t-test revealed a statistically significant increase in the degree of conversion, depth of cure and Vickers hardness of the UDMA-based FC, while surface roughness showed comparable results between the two base monomers. In conclusion, UDMA-based FC demonstrated superior performance with 60%-65% conversions, a significantly higher depth of cure exceeding 1 mm which complies with the Internal Standard of Organization 4049 (ISO 4049), and a substantial increase in Vickers hardness numbers compared to Bis-GMA-based FC, making UDMA a suitable alternative to Bis-GMA as a base monomer in the formulation of this newly developed FC derived from rice husk.

Modifying dental composites to formulate novel methacrylate-based bone cements with improved polymerisation kinetics, and mechanical properties

OBJECTIVES

The aim was to develop bone composites with similar working times, faster polymerisation and higher final conversion in comparison to Cortoss™. Additionally, low shrinkage/heat generation and improved short and longer-term mechanical properties are desirable.

METHODS

Four urethane dimethacrylate based composites were prepared using tri-ethylene-glycol dimethacrylate (TEGDMA) or polypropylene dimethacrylate (PPGDMA) diluent and 0 or 20 wt% fibres in the glass filler particles. FTIR was used to determine reaction kinetics, final degrees of conversions, and polymerisation shrinkage/heat generation at 37 °C. Biaxial flexural strength, Young's modulus and compressive strength were evaluated after 1 or 30 days in water.

RESULTS

Experimental materials all had similar inhibition times to Cortoss™ (140 s) but subsequent maximum polymerisation rate was more than doubled. Average experimental composite final conversion (76%) was higher than that of Cortoss™ (58%) but with less heat generation and shrinkage. Replacement of TEGDMA by PPGDMA gave higher polymerisation rates and conversions while reducing shrinkage. Early and aged flexural strengths of Cortoss™ were 93 and 45 MPa respectively. Corresponding compressive strengths were 164 and 99 MPa. Early and lagged experimental composite flexural strengths were 164-186 and 240-274 MPa whilst compressive strengths were 240-274 MPa and 226-261 MPa. Young's modulus for Cortoss™ was 3.3 and 2.2 GPa at 1 day and 1 month. Experimental material values were 3.4-4.8 and 3.0-4.1 GPa, respectively. PPGDMA and fibres marginally reduced strength but caused greater reduction in modulus. Fibres also made the composites quasi-ductile instead of brittle.

SIGNIFICANCE

The improved setting and higher strengths of the experimental materials compared to Cortoss™, could reduce monomer leakage from the injection site and material fracture, respectively. Lowering modulus may reduce stress shielding whilst quasi-ductile properties may improve fracture tolerance. The modified dental composites could therefore be a promising approach for future bone cements.

Effect of nanofibers as reinforcement on resin-based dental materials: A systematic review of in vitro studies

This systematic review provides an update on the effect of nanofibers as reinforcement on resin-based dental materials. A bibliographic search was conducted in MEDLINEPubMed, Embase, Web of Science, Scopus, BVS (LILACS, BBO e IBECS), Cochrane, LIVIVO, and gray literature (BDTD) to identify relevant articles up to May 2021. In vitro studies that evaluated and compared the mechanical properties of nanofibers resin-based composite materials, were eligible. No publication year or language restriction was applied, and methodological quality was assessed using two methods. In a total of 6100 potentially eligible studies, 81 were selected for full-text analysis and 35 were included for qualitative analysis. Of the 35 included studies, a total of 29 studies evaluated the flexural strength (FS) of the materials. These groups were distinguished according to the resin-based materials tested and nanofiber types. Most of the studies evaluated materials composed of glass fibers and demonstrated higher values of FS when compared to resin-based materials without nanofibers. The incorporation of nanofibers into resin-based dental materials improved the mechanical properties compared to resin-based materials without nanofibers, suggesting better performance of these materials in high-stressbearing application areas. Further clinical studies are required to confirm the efficacy of resin-based materials with nanofibers.

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.

Overviews on the Progress of Flowable Dental Polymeric Composites: Their Composition, Polymerization Process, Flowability and Radiopacity Aspects

A review article has been conducted including the main research results and comments referring to flowable dental polymeric materials. To begin with, the synthesis and composition of this category of composites is discussed, revealing the major components of the commercial products in terms of chemistry and proportion. Later, the polymerization characteristics are unfolded regarding the reaction time and rate, volumetric shrinkage and depth of cure for both photocurable and self-curable composites. To continue, some perspectives of the pre-treatment or accompanying processes that a clinician may follow to enhance the materials' performance are described. Fluidity is certainly associated with the progress of polymerization and the in-depth conversion of monomers to a polymeric network. Last, the aspects of radiopacity and translucency are commented on, showing that all flowable polymeric composites satisfy the radiography rule, while the masking ability depends on the fillers' properties and specimen thickness. The reviewing article is addressed to all field scientists and practitioners dealing with flowable dental composites studies or applications.

Short fiber-reinforced resin-based composites (SFRCs); Current status and future perspectives

One technique for placing of resin-based composite for large posterior cavities is the use of short fiber-reinforced resin-based composite (SFRC) to replace dentin in a biomimetic approach. As endurance under mastication cycles is a significant consideration in the clinical success of resin-based composite posterior restorations, the use of SFRC as a base material may prevent restorative fracture due to the fibers' effectiveness in stopping cracks. This review article specifies the characteristics of SFRC and describes the major underlying mechanisms of short fiber reinforcement for resin-based composite. Insights are further taken from laboratory studies used to define the short fiber-related properties of resin-based composite and the performance of currently available materials, focusing on aspects that are relevant to the reinforcement of resin-based composite. Finally, future standpoints on the development of SFRCs with nano fibers and different resin monomers, and their role in digital dentistry, are discussed.

Glass fiber-reinforced composites in dentistry

Background

Enormous improvements in dental materials’ manufacturing for the aim of producing durable dental materials without compromising the aesthetic properties were developed. One of the approaches that fulfill this aim is the use of reinforcing glass fibers as fillers into dental materials, typically resin polymers, in order to obtain glass fiber-reinforced composites. Glass fiber-reinforced composite offered many advantages to the dental materials though some limitations were recorded in many literature.

Methods

In this review, a study of the glass fibers’ types, factors affecting the properties and the properties of glass fibers reinforced materials was carried out; in addition, research papers that experimentally studied their applications in dentistry were presented.

Conclusion

The success of glass fibers reinforced composites in dentistry depends on glass fibers’ composition, orientation, distribution, amount, length and adhesion; these factors once employed according to the required clinical situation would provide the essential reinforcement to the dental restorations and appliances.

Polymerization Shrinkage of Short Fiber Reinforced Dental Composite Using a Confocal Laser Analysis

The purpose of this study was to investigate the polymerization shrinkage of short fiber reinforced composite (SFRC) using a multicolor confocal displacement laser that can measure the polymerization shrinkage with high accuracy. The three types of SFRCs used in this study were XD (Ever X Flow Dentin), XB (Ever X Flow Bulk), and XP (EverX Posterior). In addition, CF (Clearfil majesty ES Flow) with hybrid type filler was used as a control. The measured values of the final polymerization shrinkage rate and amount of polymerization shrinkage rate when the polymerization shrinkage rate became constant (less than 0.1 µm/s) were approximated for all SFRCs. XP had a large aspect ratio of glass fiber filler and showed a significant difference from XD with a small aspect ratio (p < 0.05). There was no significant difference in the measured value of time when the polymerization contraction reached a constant speed (0.1 µm/s or less) for all SFRCs (p > 0.05). There was no significant difference in the measured values of polymerization shrinkage rate after the polymerization shrinkage reached a constant rate for all SFRCs (p > 0.05). These results show that glass fiber with large aspect ratio can alleviate polymerization shrinkage stress. The polymerization behavior of SFRC was found to be dependent on the amount of glass fiber filler, aspect ratio, and orientation.

Functional fillers for dental resin composites

Dental resin composites (DRCs) are popular materials to repair caries. Although various types of DRCs with different characteristics have been developed, restoration failures still exist. Bulk fracture and secondary caries have been considered as main causes for the failure of composites restoration. To address these problems, various fillers with specific functions have been introduced and studied. Some fillers with specific morphologies such as whisker, fiber, and nanotube, have been used to increase the mechanical properties of DRCs, and other fillers releasing ions such as Ag⁺, Ca²⁺, and F^-, have been used to inhibit the secondary caries. These functional fillers are helpful to improve the performances and lifespan of DRCs. In this article, we firstly introduce the composition and development of DRCs, then review and discuss the functional fillers classified according to their roles in the DRCs, finally give a summary on the current research and predict the trend of future development.

Dimensional stability of short fibre reinforced flowable dental composites

Fibre-reinforced dental composites are proven to have superior mechanical properties in comparison with micro/nano/hybrid filled composites. However, the addition of small quantities of short glass fibres could affect the dimensional stability of the restoration both during initial stages as well as through the life of the restoration. This in-vitro study aims at evaluating the physical properties of short S-Glass reinforced flowable dental composites. Two S-Glass short fibre-particulate reinforced (5 wt% of aspect ratios 50 and 70) and one particulate only reinforced flowable dental composites were prepared with UDMA-TEGDMA based dental monomer systems. Samples were photopolymersied for 60 s and stored in distilled water at 37 °C for 24 h before testing. Depth of cure (through-thickness microhardness), volumetric shrinkage (Archimedes technique), polymerisation stress (cantilever based tensometer), curing exotherm (thermocouple), water sorption and solubility (ISO 4049) and thermal expansion coefficient (dilatometer) were determined. The test results were statistically analysed using one-way ANOVA (p < 0.05). Depth of cure increased by 41%, volumetric shrinkage increased by 8.3%, shrinkage stress increased by 37.6%, exotherm increased by 20.2%, and thermal expansion reduced by 6.4% while water sorption and solubility had a negligible effect with the inclusion of short glass fibres. The study demonstrates that within the same organic resin system and quantity, a small replacement of fillers with short fibres could significantly affect the dimensional stability of the composite system. In conjunction with mechanical properties, this study could help clinicians to gain confidence in fibre reinforced dental composite restorative system.

Direct bilayered biomimetic composite restoration: The effect of a cusp-supporting short fiber-reinforced base design on the chewing fracture resistance and failure mode of molars with or without endodontic treatment

The aim of this study was to assess the chewing fracture resistance of compromised molars restored with direct composite resin (CR) restorations, with and without a short-fiber reinforcing (short-FRC) base. Wide extension of MOD cavities with removed palatal cusps preparations were simulated on 48 extracted maxillary molars. Five groups (n = 12) were designed: 1. control (intact teeth), 2. non-endodontically treated and 3. endodontically treated teeth with direct CR restorations (GC-Posterior), and 4. non-endodontically treated and 5. endodontically treated teeth with direct biomimetic bilayered restorations. Groups 4 and 5 included an anatomically shaped short-FRC base (everX Posterior), covered with a 2 mm CR layer (GC-Posterior). Restorations were subjected to chewing in water (1.5 Hz), with load of 85 N. Specimens were loaded until fracture or to a maximum of 120 000 cycles. Restorations that survived the chewing cycle were submitted to static load test (post-chewing test). The data were statistically analyzed using two-way ANOVA (p = 0.05) and fracture types with the chi-square test (p = 0.05). Fractures were classified into reparable, possibly reparable or non-reparable. All specimens survived the chewing cycle. The chewing fracture resistance of the direct biomimetic restorations prepared on non-endodontically treated teeth (2889 N) was statistically significantly higher than the direct CR counterparts (1966 N) (p = 0.00015), which was not the case for the groups with endodontically treated teeth (p = 0.257). Inclusion of a short-FRC base also influenced the fracture type resulting in most reparable fractures (67-75% versus 25% for biomimetic and CR groups respectively) (p = 0.054). Anatomically shaped i.e. a cusp-supporting design made of short-FRC base (everX Posterior) improved the chewing fracture resistance and fracture manner of compromised molars regardless of whether they were endodontically treated or not.

Selective Atomic-Level Etching on Short S-Glass Fibres to Control Interfacial Properties for Restorative Dental Composites

Interfacial bonding between fibre and matrix is most critical to obtain enhanced mechanical properties of the resulting composites. Here we present a new surface tailoring method of selective wet etching and organosilicon monomers (3-(Trimethoxysilyl) propyl methacrylate, TMSPMA) deposition process on the short S-Glass fibre as a reinforcing material, resulting in increased mechanical retention and strong chemical bonding between glass fibres and polymer resin (a mixture of triethylene glycol dimethacrylate (TEGDMA) and urethane dimethacrylate (UDMA) monomers). The effect of surface modification on fibre matrix interfacial strength was investigated through microdroplet tests. An S-Glass fibre treated with piranha solution (a mixture of H₂O₂ and H₂SO₄) for 24 hours followed by TMSPMA surface silanization shows highest increase up to 39.6% in interfacial shear strength (IFSS), and critical fibre length could be reduced from 916.0 µm to 432.5 µm. We find the optimal surface treatment condition in that the flexural strength of dental composites reinforced by the S-Glass fibres enhanced up to 22.3% compared to the composites without fibre surface treatments. The significant elevation in strength is attributed to changes in the surface roughness of glass fibres at atomic scale, specifically by providing the multiplied spots of the chemical bridge and nano-mechanical interlocking. The findings offer a new strategy for advanced tailoring of short S-Glass fibres to maximise the mechanical properties of biomedical and dental 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.

Characterization of a new fiber-reinforced flowable composite

This study aimed to evaluate certain physical properties including surface wear of a new experimental short fiber-reinforced flowable resin composite (SFRC) in comparison with different commercial flowable bulk fill resin composites (SDR, Tetric EvoFlow Bulk Fill, Filtek Bulk Fill Flowable and Estelite Bulk Fill Flow). The following properties were examined according to ISO standard: flexural strength, flexural modulus, fracture toughness, water sorption, volumetric shrinkage, and depth of cure. Degree of conversion (DC%) was determined by FTIR spectrometry. A wear test was conducted with 15000 chewing cycles using a dual-axis chewing simulator. Wear depth was measured by a three-dimensional (3D) noncontact optical profilometer. Scanning electron microscopy was used to evaluate the microstructure of SFRC. Data were statistically analyzed with analysis of variance ANOVA (p = 0.05). SFRC exhibited the highest fracture toughness (2.8 MPa m^1/2) and flexural strength (146.5 MPa) values (p < 0.05) and the greatest depth of cure (5 mm) and lowest wear depth (18.2 µm) among the flowable bulk fill materials tested. SDR showed the lowest volumetric shrinkage percentage (2.9%), while the other resin composites had comparable volumetric shrinkage values (p > 0.05). The new short fiber-reinforced flowable resin composite differed significantly in its measured fracture toughness compared to the tested flowable bulk fill resin composites.

Mechanical properties and radiopacity of flowable fiber-reinforced composite

The aim was to evaluate the effect of different zirconia discontinuous fiber fractions on radiopacity and other selected properties of glass discontinuous fiber-reinforced flowable composite (Exp-SFRC). Exp-SFRC was prepared by mixing 30 wt% of resin-matrix and 45 wt% of particulate-fillers to 25 wt% of various weight-fractions of E-glass/zirconia discontinuous fiber-fillers (25:0, 20:5, 15:10, 10:15, 0:25 wt%). Flexural strength and fracture toughness were determined for each experimental material. Radiograph of each Exp-SFRC and aluminium step wedge were taken to determine the radiopacity. Degree of conversion and light-transmission were also measured. Scanning electron microscopy was used to evaluate the microstructure of the Exp-SFRC. Analysis of variance (ANOVA) revealed that fractions of E-glass/zirconia discontinuous fiber-fillers had significant effect (p<0.05) on radiopacity and other tested properties of the Exp-SFRCs. Replacing low fraction of E-glass fiber with zirconia fiber-fillers can increase the radiopacity of the fiber-reinforced composite without deteriorating the mechanical properties, although, degree of conversion was decreased.

Original and Repair Bulk Fracture Resistance of Particle Filler and Short Fiber-Reinforced Composites

OBJECTIVE

This study aimed to evaluate the original (OR) and repair (RR) fracture resistance of a semi-interpenetrating polymer network (semi-IPN)-based short fiber-reinforced composite compared to dimethacrylate-based composite materials by means of the V-notch test.

METHODS AND MATERIALS

Circular specimens (5×2 mm) with a centrally machined 90° V-shaped notch were prepared. Four bulk fill (Filtek Bulk Fill, Venus Bulk Fill, TetricEvo Ceram Bulk Fill, SDR), three microfilled hybrid (GC-Anterior, GC-Posterior, Z250), one nanofilled (SupremeXTE), and two short fiber-reinforced (Alert, everX Posterior) composites were selected. EverX Posterior was the semi-IPN material. Specimens (n=12/group) were either dry or water stored for 7 and 30 days, respectively, at 37°C and then loaded in two-point load until fracture. One-half of each tested specimen was used for the repair procedure. Repairing surfaces were diamond-bur ground, etched, and treated with silane containing universal adhesive (Scotchbond Universal) before repair.

RESULTS

Three-way analysis of variance revealed a significant statistical difference between the groups ( p<0.05). The fracture resistance of dry-stored groups was greater than that of water-stored groups. The highest OR was observed for dry-stored Alert (23.4 N/mm), which significantly deteriorated in water (17.4 N/mm) ( p<0.05). The highest RR was observed for everX Posterior (20.0 N/mm), which did not deteriorate in water significantly (19.0 N/mm) ( p>0.05). The everX Posterior preserved the specimens' integrity at the final fracture load (ductile fracture), whereas all other materials fractured into two halves at the interface (adhesive failure).

CONCLUSIONS

The only material that provided enhanced repair strength that was close to the original cohesive strength of the material was everX Posterior. The endurance of repaired restorations can be improved by using semi-IPN-based filling material.

Mechanical properties and fracture behavior of flowable fiber reinforced composite restorations

OBJECTIVE

The aim was to evaluate the effect of short glass-fiber/filler particles proportion on fracture toughness (FT) and flexural strength (FS) of an experimental flowable fiber-reinforced composite (Exp-SFRC) with two methacrylate resin formulations. In addition, we wanted to investigate how the fracture-behavior of composite restorations affected by FT values of SFRC-substructure.

METHODS

Exp-SFRC was prepared by mixing 50wt% of dimethacrylate based resin matrix (bisGMA or UDMA based) to 50wt% of various weight fractions of glass-fiber/particulate filler (0:50, 10:40, 20:30, 30:20, 40:10, 50:0wt%, respectively). FT and FS were determined for each experimental material following standards. Specimens (n=8) were dry stored (37°C for 2 days) before they were tested. Four groups of posterior composite crowns (n=6) composed of different Exp-SFRCs as substructure and surface layer of commercial particulate filler composite were fabricated. Crowns were statically loaded until fracture. Failure modes were visually examined. The results were statistically analysed using ANOVA followed by post hoc Tukey's test.

RESULTS

ANOVA revealed that ratio of glass-fiber/particulate filler had significant effect (p<0.05) on tested mechanical properties of the Exp-SFRC with both monomer systems. Exp-SFRC (50wt%) had significantly higher FT (2.6MPam^1/2) and FS (175.5MPa) (p<0.05) compared to non-reinforced material (1.3MPam^1/2, 123MPa). Failure mode analysis of crown restorations revealed that FT value of the substructure directly influenced the failure mode.

SIGNIFICANCE

This study shows that short glass-fibers can significantly reinforce flowable composite resin and the FT value of SFRC-substructure has prior importance, as it influences the crack arresting mechanism.

Physicochemical properties of discontinuous S2-glass fiber reinforced resin composite

The objective of this study was to investigate several physicochemical properties of an experimental discontinuous S2-glass fiber-reinforced resin composite. The experimental composite was prepared by mixing 10 wt% of discontinuous S2-glass fibers with 27.5 wt% of resin matrix and 62.5 wt% of particulate fillers. Flexural strength (FS) and modulus (FM), fracture toughness (FT), work of fracture (WOF), double bond conversion (DC), Vickers hardness, volume shrinkage (VS) and fiber length distribution were determined. These were compared with two commercial resin composites. The experimental composite showed the highest FS, WOF and FT compared with two control composites. The DC of the experimental composite was comparable with controls. No significant difference was observed in VS between the three tested composites. The use of discontinuous glass fiber fillers with polymer matrix and particulate fillers yielded improved physical properties and substantial improvement was associated with the use of S2-glass fiber.

Trends in restorative composites research: what is in the future?

Clinical trials have identified secondary caries and bulk fracture as the main causes for composite restoration failure. As a measure to avoid frequent reinterventions for restoration replacement, composites with some sort of defense mechanism against biofilm formation and demineralization, as well as materials with lower susceptibility to crack propagation are necessary. Also, the restorative procedure with composites are very time-consuming and technically demanding, particularly concerning the application of the adhesive system. Therefore, together with bulk-fill composites, self-adhesive restorative composites could reduce operator error and chairside time. This literature review describes the current stage of development of remineralizing, antibacterial and self-healing composites. Also, an overview of the research on fiber-reinforced composites and self-adhesive composites, both introduced for clinical use in recent years, is presented.

Advances in polymeric materials for dental applications

This review focuses on the relationship between the structures and properties of various polymers for different applications in dentistry.

Mechanical and structural characterization of discontinuous fiber-reinforced dental resin composite

OBJECTIVES

This study evaluated several fiber- and matrix related factors and investigated different mechanical properties of discontinuous i.e. short fiber-reinforced composite (SFRC) (everX Posterior, eXP). These were compared with three conventional composites, microfilled G-ænial Anterior (GA), nanofilled Supreme XTE (SXTE) and bulk-fill Filtek Bulk-Fill (FBF).

METHODS

Fracture toughness (KIC), flexural strength (FS), flexural modulus (FM), compressive strength (CS), diametral tensile strength (DTS), apparent horizontal shear strength (AHSS) and fracture work (Wf) were determined for each composite (n=8) stored dry or in water. SEM analysis of the fiber diameter (df) (n=6) and orientation (n=6) were performed. The theoretical critical fiber length (lfc) and the aspect ratio (l/d) of SFRC were calculated and the volume fraction of discontinuous fibers (Vf%) and the fiber length (lf) of SFRC were evaluated. The results were statistically analyzed with two-way ANOVA (α=0.05).

RESULTS

The mechanical properties of SFRC (eXP) were generally superior (p<0.05) compared with conventional composites. GA had the highest FM (p>0.05), whereas FBF had the highest AHSS (p<0.05). The fiber related properties Vf%, l/d, lf, lfc and df of eXP were 7.2%, 18-112, 0.3-1.9mm, 0.85-1.09mm and 17μm respectively. SEM results suggested an explanation to several toughening mechanisms provided by the discontinuous fibers, which were shown to arrest crack propagation and enable a ductile fracture. Water exposure weakened the mechanical properties regardless of material type. Wf was unaffected by the water storage.

CONCLUSION

The properties of this high aspect ratio SFRC were dependent on the fiber geometry (length and orientation) and matrix ductility.

CLINICAL SIGNIFICANCE

The simultaneous actions of the toughening mechanisms provided by the short fibers accounted for the enhanced toughness of this SFRC, which toughness value matched the toughness of dentin. Hence, it could yield an inherently uniform distribution of stresses to the hard biological tissues.

Evaluation of the physical properties of dental resin composites using optical fiber sensing technology

OBJECTIVES

The characterization of the physical properties of dental resin composites is fraught with difficulties relating to significant intra and inter test parameter variabilities and is relatively time consuming and expensive. The main aim of this study was to evaluate whether optical fiber Bragg grating (FBG) sensing system may become a viable tool to study dental material characteristics. Of particular focus was the potential for the system to demonstrate a multi parameter all-in-one feature.

METHODS

A miniature FBG was embedded in six different dental resin composites and employed as a sensor to evaluate linear polymerization shrinkage, thermal expansion and water sorption. Six commercially available dental composites with different filler types and volume are evaluated. The tests are repeated with three sets of samples. The curing characteristics and residual strain gradient exhibited by the cured dental composites were also observed and commented.

RESULTS

Among the studied samples, SDR shows lowest polymerization shrinkage, while Beautifil FO3 shows the highest. The results also show clear distinction between particle filler type and fiber reinforcement based composites in their polymerization shrinkage properties. The agreement of the results with existing literatures show that FBG based system provides accurate results. Polymerization shrinkage rate of the samples are also obtained. Thermal expansion of the composites are measured using the FBG sensing method for the first time and is correlated with resin type, volume, filler type and glass transition temperature. The water sorption characteristics of the dental composite are also successfully measured using the FBG sensing method. The high level of repeatability and the low standard deviations shown in the results indicate good reliability with the use of FBG sensors.

SIGNIFICANCE

This study demonstrates how optical fiber technology can provide simple and reliable methods of measuring the critical physical properties of dental composites. In addition due to the embedding and preservation of the sensor within the samples multiple parameters can be tested for with the same sample. These features are expected to greatly assist material science researchers in dentistry as well as other biomedical fields. Of some interest the phenomenon of stress relaxation of dental composite at higher temperature was observed.

Replacement of glass particles by multidirectional short glass fibers in experimental composites: Effects on degree of conversion, mechanical properties and polymerization shrinkage

OBJECTIVE

To test the null hypothesis that the replacement of a small fraction of glass particles with random short glass fibers does not affect degree of conversion (DC), flexural strength (FS), fracture toughness (FT) and post-gel polymerization shrinkage (PS) of experimental composites.

METHODS

Four experimental photocurable composites containing 1 BisGMA:1 TEGDMA (by weight) and 60vol% of fillers were prepared. The reinforcing phase was constituted by barium glass particles (2μm) and 0%, 2.5%, 5.0% or 7.5% of silanated glass fibers (1.4mm in length, 7-13μm in diameter). DC (n=4) was obtained using near-FTIR. FS (n=10) was calculated via biaxial flexural test and FT (n=10) used the "single edge notched beam" method. PS at 5min (n=8) was determined using the strain gage method. Data were analyzed by ANOVA/Tukey test (DC, FS, PS) or Kruskal-Wallis/Dunn's test (FT, alpha: 5% for both tests).

RESULTS

DC was similar among groups (p>0.05). Only the composite containing 5.0% of fibers presented lower FS than the control (p<0.001). FT increased significantly between the control (1.3±0.17MPam(0.5)) and the composites containing either 5.0% (2.7±0.6MPam(0.5)) or 7.5% of fibers (2.8±0.6MPam(0.5), p<0.001). PS in relation to control was significantly reduced at 2.5% fibers (from 0.81±0.13% to 0.57±0.13%) and further reduced between 5.0% and 7.5% (from 0.42±0.12% to 0.23±0.07%, p<0.001).

SIGNIFICANCE

The replacement of a small fraction of filler particles with glass fibers significantly increased fracture toughness and reduced post-gel shrinkage of experimental composites.

Mechanical properties of fiber reinforced restorative composite with two distinguished fiber length distribution

OBJECTIVES

The purpose of this study was to investigate the reinforcing effect of discontinuous glass fiber fillers with different length scales on fracture toughness and flexural properties of dental composite.

MATERIALS AND METHODS

Experimental fiber reinforced composite (Exp-FRC) was prepared by mixing 27wt% of discontinuous E-glass fibers having two different length scales (micrometer and millimeter) with various weight ratios (1:1, 2:1, 1:0 respectively) to the 23wt% of dimethacrylate based resin matrix and then 50wt% of silane treated silica filler were added gradually using high speed mixing machine. As control, commercial FRC and conventional posterior composites were used (everX Posterior, Alert, and Filtek Superme). Fracture toughness, work of fracture, flexural strength, and flexural modulus were determined for each composite material following ISO standards. The specimens (n=6) were dry stored (37°C for 2 days) before they were tested. Scanning electron microscopy was used to evaluate the microstructure of the experimental FRC composites. The results were statistically analyzed using ANOVA followed by post-hoc Tukey׳s test. Level of significance was set at 0.05.

RESULTS

ANOVA revealed that experimental composites reinforced with different fiber length scales (hybrid Exp-FRC) had statistically significantly higher mechanical performance of fracture toughness (4.7MPam(1/2)) and flexural strength (155MPa) (p<0.05) compared to other tested composites.

CONCLUSIONS

The use of different length scales of discontinues fiber fillers (hybrid) with polymer matrix yielded improved mechanical performance compared to commercial FRC and conventional posterior composites.

Physical Properties of an Ag-Doped Bioactive Flowable Composite Resin

The aim of this work was to study the physical and antibacterial properties of a flowable resin composite incorporating a sol-gel derived silver doped bioactive glass (Ag-BGCOMP). The depth of the cure was calculated by measuring the surface micro-hardness for the top and bottom surfaces. The volumetric polymerization shrinkage was measured by recording the linear shrinkage as change in length, while the biaxial flexural strength was studied measuring the load at failure. The antibacterial properties of the samples were tested against Streptococcus mutans (S. mutans) and Lactobacillus casei (L. casei). The measured values were slightly decreased for all tested physical properties compared to those of control group (flowable resin composite without Ag-BG), however enhanced bacteria inhibition was observed for Ag-BGCOMP. Ag-BGCOMP could find an application in low stress-bearing areas as well as in small cavity preparations to decrease secondary caries. This work provides a good foundation for future studies on evaluating the effects of Ag-BG addition into packable composites for applications in larger cavity preparations where enhanced mechanical properties are needed.