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Bardocz-Veres Z, Miklós ML, Biró EK, Kántor ÉA, Kántor J, Dudás C, Kerekes-Máthé B. New Perspectives in Overcoming Bulk-Fill Composite Polymerization Shrinkage: The Impact of Curing Mode and Layering. Dent J (Basel) 2024; 12:171. [PMID: 38920872 PMCID: PMC11202601 DOI: 10.3390/dj12060171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2024] [Revised: 05/28/2024] [Accepted: 05/31/2024] [Indexed: 06/27/2024] Open
Abstract
BACKGROUND The purpose of this study was to investigate the effect of different light curing modes on the polymerization shrinkage of a bulk-fill composite and to evaluate the impact of two layering techniques on the cuspal deflection. METHODS Nine different light curing modes were tested on bulk-fill composite samples in aluminum MOD cavities. Intensity, duration, and illumination distance were the factors that changed during the different curing modes. The digital image correlation method was used to visually represent the displacement of carbon particles on the materials' surface caused by shrinkage along both the horizontal and vertical axes. For simulating cuspal deflection, a separate protocol was used, with a bulk and horizontal layering technique. RESULTS The results showed that the largest horizontal displacements were present in the soft start group (6.00 ± 0.82 µm) and in the X-tra power group (5.67 ± 1.21 µm). The smallest horizontal displacements were detected in normal curing modes (4.00 ± 1.58 µm; 4.00 ± 2.68 µm). The largest vertical displacements, at the bottom layer, were present in the normal curing mode group with a 20 s curing time (5.22 ± 1.56 µm), while the smallest vertical displacements were shown in the X-tra power group (2.89 ± 0.60 µm). The observed particle displacements showing the shrinkage of the composite were correlated with the curing mode. The bulk-fill group showed less cuspal deflection than the horizontal layering group did, but the difference was not statistically significant (p = 0.575). CONCLUSIONS Within the limitations of this in vitro study, it can be concluded that lower intensities of curing lights (1200 mW/cm2) may perform better from the point of view of material shrinkage than high and extreme light intensities do. The pulse delay mode might be recommended in the case of bulk-fill materials. The number of layers did not significantly affect the cuspal deflection in the case of the studied composite.
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Affiliation(s)
- Zsuzsanna Bardocz-Veres
- Faculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, 38 Gh. Marinescu Str., 540139 Târgu Mureș, Romania; (Z.B.-V.)
| | - Mátyás Levente Miklós
- Faculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, 38 Gh. Marinescu Str., 540139 Târgu Mureș, Romania; (Z.B.-V.)
| | - Edina-Kata Biró
- Faculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, 38 Gh. Marinescu Str., 540139 Târgu Mureș, Romania; (Z.B.-V.)
| | - Éva Andrea Kántor
- Department of Mechanical Engineering, Faculty of Technical and Human Sciences, Sapientia Hungarian University of Transylvania, Târgu-Mureş, Târgu-Mureş/Corunca, Calea Sighișoarei nr. 2., 540485 Târgu-Mureş, Romania (J.K.)
| | - József Kántor
- Department of Mechanical Engineering, Faculty of Technical and Human Sciences, Sapientia Hungarian University of Transylvania, Târgu-Mureş, Târgu-Mureş/Corunca, Calea Sighișoarei nr. 2., 540485 Târgu-Mureş, Romania (J.K.)
| | - Csaba Dudás
- Faculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, 38 Gh. Marinescu Str., 540139 Târgu Mureș, Romania; (Z.B.-V.)
| | - Bernadette Kerekes-Máthé
- Faculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, 38 Gh. Marinescu Str., 540139 Târgu Mureș, Romania; (Z.B.-V.)
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Szczesio-Wlodarczyk A, Garoushi S, Vallittu P, Bociong K, Lassila L. Polymerization shrinkage stress of contemporary dental composites: Comparison of two measurement methods. Dent Mater J 2024; 43:155-163. [PMID: 38296513 DOI: 10.4012/dmj.2023-192] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/02/2024]
Abstract
The aim of this study was to compare two testing methodologies employed for assessing the polymerization shrinkage stress of dental resin composites. Ten commercial resin composites were investigated (EverX Posterior & Flow; G-ænial Anterior, Posterior, A'CHORD & Universal Injectable; Filtek One Bulk Fill & Universal Restorative; SDR flow+ and Aura Bulk Fill). Photoelastic and contraction forces measurement methods were performed. The slope of the linear trendline and C-factor of specimens were calculated. The shrinkage stress values (range between: 6.4-13.4 MPa) obtained by the photoelastic method were higher for all resin composites than the values obtained by contraction forces measurements (range between 1.2-4.8 MPa). However, there was a strong linear correlation between these methods (r=0.8). The use of both investigated methods revealed important information about the shrinkage behavior of the restorative resin composites.
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Affiliation(s)
| | - Sufyan Garoushi
- Department of Biomaterials Science and Turku Clinical Biomaterials Center-TCBC, Institute of Dentistry, University of Turku
| | - Pekka Vallittu
- Department of Biomaterials Science and Turku Clinical Biomaterials Center-TCBC, Institute of Dentistry, University of Turku
- Wellbeing Services County of South-West Finland
| | - Kinga Bociong
- Department of General Dentistry, Medical University of Lodz
| | - Lippo Lassila
- Department of Biomaterials Science and Turku Clinical Biomaterials Center-TCBC, Institute of Dentistry, University of Turku
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Tsujimoto A, Irie M, Teixeira ECN, Jurado CA, Maruo Y, Nishigawa G, Matsumoto T, Garcia-Godoy F. Relationships between Flexural and Bonding Properties, Marginal Adaptation, and Polymerization Shrinkage in Flowable Composite Restorations for Dental Application. Polymers (Basel) 2021; 13:polym13162613. [PMID: 34451153 PMCID: PMC8398176 DOI: 10.3390/polym13162613] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Revised: 07/24/2021] [Accepted: 07/30/2021] [Indexed: 12/03/2022] Open
Abstract
To evaluate the flexural and bonding properties, marginal adaptation, and polymerization shrinkage in flowable composite restorations and their relationships, four new generation flowable composites, one conventional, and one bulk-fill flowable composite were used in this study. Flexural properties of the composites and shear bond strength to enamel and dentin for flowable restorations were measured immediately and 24 h after polymerization. Marginal adaptation, polymerization shrinkage, and stress were also investigated immediately after polymerization. The flexural properties, and bond strength of the flowable composites to enamel and dentin were much lower immediately after polymerization than at 24 h, regardless of the type of the composite. Polymerization shrinkage and stress varied depending on the material, and bulk-fill flowable composite showed much lower values than the others. The marginal adaptation and polymerization shrinkage of the composites appeared to have a much stronger correlation with a shear bond strength to dentin than to enamel. The weak mechanical properties and bond strengths of flowable composites in the early stage after polymerization must be taken into account when using them in the clinic. In addition, clinicians should be aware that polymerization shrinkage of flowable composites can still lead to the formation of gaps and failure of adaptation to the cavity regardless of the type of composite.
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Affiliation(s)
- Akimasa Tsujimoto
- Department of Operative Dentistry, University of Iowa College of Dentistry, 801 Newton Rd., Iowa City, IA 52242, USA;
- Correspondence: ; Tel.: +1-319-335-7207
| | - Masao Irie
- Department of Biomaterials, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science, 2-5-1, Shikata-cho, Kita-ku, Okayama 700-8525, Japan; (M.I.); (T.M.)
| | | | - Carlos Alberto Jurado
- Woody L. Hunt School of Dental Medicine, Texas Tech University Health Sciences Center El Paso, 5001 El Paso Drive, El Paso, TX 79905, USA;
| | - Yukinori Maruo
- Department of Occulusion and Removable Prothodontics, Okayama University, 2-5-1, Shikata-cho, Kita-ku, Okayama 700-8558, Japan; (Y.M.); (G.N.)
| | - Goro Nishigawa
- Department of Occulusion and Removable Prothodontics, Okayama University, 2-5-1, Shikata-cho, Kita-ku, Okayama 700-8558, Japan; (Y.M.); (G.N.)
| | - Takuya Matsumoto
- Department of Biomaterials, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science, 2-5-1, Shikata-cho, Kita-ku, Okayama 700-8525, Japan; (M.I.); (T.M.)
| | - Franklin Garcia-Godoy
- Department of Biosciene Reserach, University of Tennessee Health Science Center, 875 Union Ave., Memphis, TN 38163, USA;
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