Influence of Light-curing Mode on the Mechanical Properties of Dental Resin Nanocomposites

How the Duration and Mode of Photopolymerization Affect the Mechanical Properties of a Dental Composite Resin

Composite materials are the most common materials in use in modern dentistry. Over the years, the methods of photopolymerization of composite materials have been improved with the use of various devices, such as quartz tungsten halogen lamps (QTHs), light-emitting diode units (LEDs), plasma-arc lamps and argon-ion lasers. This study aimed to compare the mechanical properties of a composite material, depending on the time and mode of photopolymerization. One hundred and forty rectangular specimens (25 × 2 × 2 mm) and forty-two disc-shaped samples (5 mm diameter and 2 mm thickness) were prepared from shade A2 Boston composite resin. Samples were cured using the following seven photopolymerization protocols: four fast-cure modes (full power for 3, 5, 10, and 20 s), two pulse-cure modes (5 and 10 shots of 1 s exposures at full power), and one step-cure mode (soft start with a progressive cycle lasting 9 s). Specimens were subjected to a flexural strength test, Vickers microhardness test, and FTIR spectroscopy test. A 2-factor ANOVA and post-hoc tests were carried out to assess the differences in the flexural strength parameter between the tested groups of samples before and after aging. A mixed-model ANOVA was carried out to assess the differences in the Vickers microhardness parameter between the tested groups of samples before and after aging. The lowest values of flexural strength (p < 0.001) and Vickers microhardness (p < 0.001) were obtained for the 3 s mode for the pre- and post-aging groups. The FTIR mapping tests showed a much more homogeneous chemical structure of the composite after 20 s of continuous irradiation, compared to the sample irradiated for 5 s in the continuous mode. The mode and cure time affects the mechanical properties of the composite resin. Appropriate selection of the cure mode and time ensures better mechanical properties of composite resin. This suggests that the survival of dental restorations within the oral cavity could be extended by using longer photopolymerization durations.

Temperature Changes in Composite Materials during Photopolymerization

During polymerization, composite materials cause a temperature rise which may lead to irreversible changes in the dental pulp. The mechanical properties of composite materials depend on a number of factors, such as the composition of the material, the type of polymerization unit, the polymerization mode, and the duration of polymerization. The objective of this study was to assess the temperature rise values and flexural strength of composite materials, as obtained using different modes and times of polymerization. A total of six composite materials were used in the study. Samples of each of the materials were cured using seven polymerization protocols. A CMP-401 digital meter (Sonel, Świdnica, Poland), complete with a type K thermocouple (NiCr-Ni), was used to record the temperature increases during the light curing of the resin composites. Temperature rises were recorded beneath the composite disc in an acrylic matrix. The specimens were tested for flexural strength using a Cometech QC-508M2 testing machine. The lowest results for the increased mean temperature were obtained for Fast-Cure 3 s (39.0 °C), while the highest results were obtained for Fast-Cure 20 s (45.8 °C). The highest average temperature values for all tested protocols were recorded for the Z550 Filtek material. Mean flexural strengths as measured in each test group were higher than the minimum value for composite materials as per the ISO:4049 standard. In the case of deep caries with a thin layer of dentin separating the filling from pulp, a base layer or a short polymerization duration mode is recommended to protect pulp from thermal injury.

Hydro-Thermal Fatigue of Polymer Matrix Composite Biomaterials

This study discusses a quantitative fatigue evaluation of polymer-ceramic composites for dental restorations, i.e., commercial (Filtek Z550) and experimental Ex-nano (G), Ex-flow (G). Their evaluation is based on the following descriptors: mechanical strength, elastic modulus and strain work to fracture. Supposed to reflect factors of environmental degradation conditions, thermal fatigue was simulated with a special computer-controlled device performing algorithms of thermocycling. The specimens intended for the strength test underwent 10⁴ hydro-thermal fatigue cycles. This procedure of thermocycling was preceded by aging, which meant immersing the specimens in artificial saliva at 37 °C for 30 days. The strength tests after aging only and after aging and thermocycles were performed in line with the three-point flexural strength (TFS) test, specified in ISO 4049, and the biaxial flexural strength (BFS) test, specifically piston-on-three-ball in accordance with ISO 6872. Based on the results, it can be stated that composites with higher volume content of inorganic particles after aging only show higher strength than materials with lower filler particle content. For example, the average flexural bending strength of the Ex-flow (G) composite was about 45% lower than the value obtained for the Ex-nano (G) material. The residual strength after thermocycles is significantly lower for the experimental composites, whereas a smaller decrease in strength is recorded for the commercial composites. Decreases in strength were about 4% (Filtek Z550), 43% (Ex-nano (G)), and 29% (Ex-flow (G)) for the BFS test; and about 17% (Filtek Z550), 55% (Ex-nano (G)), 60% (Ex-flow (G)) for the TFS test. The elastic modulus of the experimental composites after only aging is higher (about 42%) than that of the commercial composite, but the elastic modulus of the commercial composite increases significantly after thermocycling. A descriptor known as strain work to fracture turns out to be a good descriptor for evaluating the hydro-thermal fatigue of the tested polymer-ceramic composites.

The effect of dental LED light-curing unit photoactivation mode on 3D surface morphology of dental nanocomposites evaluated by two-dimensional multifractal detrended fluctuation analysis

The objective of this study was to evaluate the effect of two photoactivation modes of dental LED light-curing unit (LCUs) (conventional and "Soft Start" mode) on surface texture parameters of two dental resin-based nanocomposites. LED LCUs were considered as standard light-curing devices in contemporary dental practice. Atomic force microscopy (AFM) was applied to investigate surface morphology on 90 × 90 μm² scanning area through 2D multifractal detrended fluctuation analysis with computational algorithms basis. In order to compare 3D surface roughness at nanometer scale, singularity spectrum f[α] was used which characterize local scale properties of multifractal nature of samples. The results confirmed that larger spectrum width Δα (Δα = α_max - α_min ) of f(α) is associated with non-uniform surface morphology. Moreover, materials whose polymerization was photoactivated by the "soft start" polymerization mode, showed better quality of the surface microstructure with lower values of AFM surface texture parameters.