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Ma X, Zhang X, Huang X, Liu F, He J, Mai S. Performance of low shrinkage Bis-EFMA based bulk-fill dental resin composites. Dent Mater 2024:S0109-5641(24)00182-9. [PMID: 38902144 DOI: 10.1016/j.dental.2024.06.025] [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: 02/16/2024] [Revised: 06/18/2024] [Accepted: 06/18/2024] [Indexed: 06/22/2024]
Abstract
OBJECTIVES The purpose of this study was evaluating the performance of new Bis-EFMA based bulk-fill composites with common methacrylate based composites and commercial dental composites. METHODS The Bis-EFMA monomer was synthesized and the novel Bis-EFMA based bulk-fill composites were prepared. The resin composite samples were co-cultured with human gingival epithelial cells and human dental pulp stem cells to test the biocompatibility. The edge adaptation was observed under a combination of stereoscope and scanning electron microscope. The internal hardness was measured using a Vickers microhardness tester after one-time filling of cavities prepared in extracted teeth. After friction and wear test on the surface of the resin composites, the surface morphology and volume wear of each group were measured by the optical profilometer. The color stability was measured by a colorimeter. RESULTS Direct contact with human gingival epithelial cells and human dental pulp stem cells did not cause significant changes in their growth density and morphology, indicating good biocompatibility of Bis-EFMA group (p > 0.05). The continuous margin proportion of the Bis-EFMA group was as good as commercial bulk-fill composites (p > 0.05). The sectional microhardness results showed that the Bis-EFMA group had the highest microhardness. After the friction and wear test, the volume wear of the Bis-EFMA group was minimal, indicating its good wear resistance and mechanical strength. Color changes in all resin groups after 28 days of immersion were within the clinically acceptable range. SIGNIFICANCE The addition of Bis-EFMA demonstrated excellent biocompatibility, edge adaptation and color stability comparable to commonly used clinical bulk-fill composites, along with preferable mechanical strength, friction and wear resistance. Bis-EFMA based bulk-fill composites have the potential to be employed as a bulk filling material in commercial dental composite applications.
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Affiliation(s)
- Xinyue Ma
- Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China; Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China; Institute of Stomatology, Sun Yat-sen University, Guangzhou, China.
| | - Xiaoqing Zhang
- College of Materials Science and Engineering, South China University of Technology, Guangzhou, China.
| | - Xiangya Huang
- Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China; Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China; Institute of Stomatology, Sun Yat-sen University, Guangzhou, China.
| | - Fang Liu
- College of Materials Science and Engineering, South China University of Technology, Guangzhou, China.
| | - Jingwei He
- College of Materials Science and Engineering, South China University of Technology, Guangzhou, China.
| | - Sui Mai
- Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China; Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China; Institute of Stomatology, Sun Yat-sen University, Guangzhou, China.
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Ağaccıoğlu M, Sirin Karaarslan E, Aytac Bal F, Benli İ. Bond strength comparison of a fiber-reinforced composite resin: Different dentin conditions and preparation techniques. Microsc Res Tech 2024; 87:1250-1261. [PMID: 38339919 DOI: 10.1002/jemt.24515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Revised: 12/31/2023] [Accepted: 02/01/2024] [Indexed: 02/12/2024]
Abstract
This study aimed to compare the bond strength of a fiber-reinforced composite resin with traditional and bulk-fill composite resins under different dentin conditions and preparation techniques. Eighty molar teeth, excluding the mesio-distal half of the occlusal dentin surfaces of each teeth, were isolated with acid-resistant nail varnish and stored in a demineralisation solution (pH 4.5). After mechanical removal of the varnish, the teeth were buried in acrylic resin blocks. In every composite resin group, one-half of the specimens were prepared with a diamond bur and another half with Er: YAG laser. Then, the specimens were divided into four groups of composite resins (Filtek Z250, G-aenial Posterior, SonicFill 2, Ever X Posterior) (n = 10). Shear bond strengths were measured using a universal testing device, and failure types were determined with stereomicroscope images. SEM images were obtained at 1000× magnification. Data were analyzed using a three-way analysis of variance (ANOVA), and Bonferroni correction was used for multiple comparisons (p = .05). Differences in the dentin surface affected the bond strength results (p < .05), whereas there was no significant difference between cavity preparation methods (p > .05). EverX Posterior showed the highest bond strength results. Within the limitations of this study, fiber-reinforced composite resin exhibited successful bond strength results in addition to improved mechanical properties. RESEARCH HIGHLIGHTS: Fiber-reinforced composite had successful bond strength values. Bond strength values of sound dentin groups were higher than those of caries-affected dentin groups. The use of an Er: YAG laser for preparation did not lead to insufficient bond strength results.
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Affiliation(s)
- Merve Ağaccıoğlu
- Department of Restorative Dentistry, Faculty of Dentistry, Bolu Abant Izzet Baysal University, Bolu, Turkey
| | - Emine Sirin Karaarslan
- Department of Restorative Dentistry, Faculty of Dentistry, Tokat Gaziosmanpasa University, Tokat, Turkey
| | - Fatma Aytac Bal
- Department of Restorative Dentistry, Faculty of Dentistry, Biruni University, Istanbul, Turkey
| | - İsmail Benli
- Laboratory Specialist, Sugenomics Biotechnology, Ankara, Turkey
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Saini RS, Binduhayyim RIH, Gurumurthy V, Alshadidi AAF, Aldosari LIN, Okshah A, Kuruniyan MS, Dermawan D, Avetisyan A, Mosaddad SA, Heboyan A. Dental biomaterials redefined: molecular docking and dynamics-driven dental resin composite optimization. BMC Oral Health 2024; 24:557. [PMID: 38735940 PMCID: PMC11089745 DOI: 10.1186/s12903-024-04343-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2023] [Accepted: 05/07/2024] [Indexed: 05/14/2024] Open
Abstract
BACKGROUND Dental resin-based composites are widely recognized for their aesthetic appeal and adhesive properties, which make them integral to modern restorative dentistry. Despite their advantages, adhesion and biomechanical performance challenges persist, necessitating innovative strategies for improvement. This study addressed the challenges associated with adhesion and biomechanical properties in dental resin-based composites by employing molecular docking and dynamics simulation. METHODS Molecular docking assesses the binding energies and provides valuable insights into the interactions between monomers, fillers, and coupling agents. This investigation prioritizes SiO2 and TRIS, considering their consistent influence. Molecular dynamics simulations, executed with the Forcite module and COMPASS II force field, extend the analysis to the mechanical properties of dental composite complexes. The simulations encompassed energy minimization, controlled NVT and NPT ensemble simulations, and equilibration stages. Notably, the molecular dynamics simulations spanned a duration of 50 ns. RESULTS SiO2 and TRIS consistently emerged as influential components, showcasing their versatility in promoting solid interactions. A correlation matrix underscores the significant roles of van der Waals and desolvation energies in determining the overall binding energy. Molecular dynamics simulations provide in-depth insights into the mechanical properties of dental composite complexes. HEMA-SiO2-TRIS excelled in stiffness, BisGMA-SiO2-TRIS prevailed in terms of flexural strength, and EBPADMA-SiO2-TRIS offered a balanced combination of mechanical properties. CONCLUSION These findings provide valuable insights into optimizing dental composites tailored to diverse clinical requirements. While EBPADMA-SiO2-TRIS demonstrates distinct strengths, this study emphasizes the need for further research. Future investigations should validate the computational findings experimentally and assess the material's response to dynamic environmental factors.
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Affiliation(s)
- Ravinder S Saini
- Department of Dental Technology, COAMS, King Khalid University, Abha, Saudi Arabia
| | | | | | | | | | - Abdulmajeed Okshah
- Department of Dental Technology, COAMS, King Khalid University, Abha, Saudi Arabia
| | | | - Doni Dermawan
- Applied Biotechnology, Faculty of Chemistry, Warsaw University of Technology, Warsaw, Poland
| | - Anna Avetisyan
- Department of Therapeutic Stomatology, Faculty of Stomatology, Yerevan State Medical University after Mkhitar Heratsi, Yerevan, Armenia
| | - Seyed Ali Mosaddad
- Department of Research Analytics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India.
- Student Research Committee, School of Dentistry, Shiraz University of Medical Sciences, Qasr-E-Dasht Street, Shiraz, Iran.
| | - Artak Heboyan
- Department of Research Analytics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India.
- Department of Prosthodontics, Faculty of Stomatology, Yerevan State Medical University after Mkhitar Heratsi, Str. Koryun 2, 0025, Yerevan, Armenia.
- Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, North Karegar St, Tehran, Iran.
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Ölçer Us Y, Aydınoğlu A, Erşahan Ş, Erdem Hepşenoğlu Y, Sağır K, Üşümez A. A comparison of the effects of incremental and snowplow techniques on the mechanical properties of composite restorations. Aust Dent J 2024; 69:40-48. [PMID: 37814190 DOI: 10.1111/adj.12982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/15/2023] [Indexed: 10/11/2023]
Abstract
BACKGROUND Glass fibre-reinforced composite (GFRC) has the potential to enhance the mechanical properties of resin-based restorations. Nevertheless, the application technique can influence the cervical margin porosity, potentially reducing the mechanical strength of restorations. METHODS In an in vitro setup, mould specimens underwent six different treatments to assess the effects of snowplow and incremental curing techniques on the properties of GFRC (EverX) and universal resin composite (Filtek). Mechanical properties, namely flexural strength (FS), compressive strength (CS) and Vickers hardness (VH), were evaluated following ISO 4049 standards. Data interpretation utilized the Kruskal-Wallis tests. RESULTS No significant difference emerged across groups for FS. CS in the snowplow method with lesser EverX thickness (SnPl_1) was comparable with only EverX and Filtek (P > 0.05). The CS was reduced in the snowplow technique with greater EverX thickness (SnPl_2) (P < 0.05) and further decreased with the incremental method (P < 0.001). VH results showed that EverX Posterior was consistently softer than Filtek, with specific patterns of hardness variations among different application methods. CONCLUSIONS Applying EverX and Filtek using the snowplow technique delivers superior CS and VH for restorations in contrast to the incremental method. Utilizing the snowplow approach in high-stress areas can make restorations more fracture-resistant.
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Affiliation(s)
- Y Ölçer Us
- Department of Prosthodontics, School of Dental Medicine, Bahçeşehir University, Istanbul, Turkey
| | - A Aydınoğlu
- Department of Metallurgical and Materials Engineering, Yıldız Technical University, Istanbul, Turkey
| | - Ş Erşahan
- Faculty of Dentistry, Department of Endodontics, Istanbul Medipol University, Istanbul, Turkey
| | - Y Erdem Hepşenoğlu
- Faculty of Dentistry, Department of Endodontics, Istanbul Medipol University, Istanbul, Turkey
| | - K Sağır
- Department of Materials Science and Technology, Turkish-German University, Istanbul, Turkey
| | - A Üşümez
- Dentalplus Implantology Clinic, Istanbul, Turkey
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Aram A, Hong H, Song C, Bass M, Platt JA, Chutinan S. Physical Properties and Clinical Performance of Short Fiber Reinforced Resin-based Composite in Posterior Dentition: Systematic Review and Meta-analysis. Oper Dent 2023; 48:E119-E136. [PMID: 37655625 DOI: 10.2341/22-003-lit] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/06/2023] [Indexed: 09/02/2023]
Abstract
OBJECTIVE This study compares the physical properties and clinical performance of short fiber reinforced composites (SFRC) to those of particulate-filled resin-based composites (PFRC) for class I and II direct restorations in permanent dentition. METHODS Systematic review and meta-analysis was conducted using PubMed, Embase (Elsevier), and Dentistry and Oral Sciences Source (EBSCO) databases. The outcomes evaluated were physical properties including flexural strength, flexural modulus, elastic modulus, microhardness, shrinkage, fracture toughness, degree of conversion, and depth of cure. Clinical performance was evaluated with a systematic review. RESULTS The meta-analyses favored SFRC for flexural strength and fracture toughness compared to every PFRC subgroup, with a high quality of evidence. For all other properties, the meta-analyses favored SFRC to overall PFRC, with some non-significant differences with certain PFRC subgroups. The most recent clinical trial showed SFRC performed similarly to PFRC, however older studies suggest inferior surface texture and discoloration of SFRC compared to PFRC. CONCLUSION This study can aid dental professionals in clinical decision making, supporting that SFRC offers improved physical properties, especially fracture resistance and flexural strength, compared to PFRC.
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Affiliation(s)
- A Aram
- Ariana Aram, DMD, Harvard School of Dental Medicine, Boston, MA, USA
| | - H Hong
- Houlin Hong, MPH, Department of Community Health and Social Sciences, CUNY School of Public Health and Health Policy, New York, NY, USA
| | - C Song
- Crystal Song, BS, Harvard School of Dental Medicine, Boston, MA, USA
| | - M Bass
- Michelle Bass, PhD, MSI, AHIP, Pennsylvania Hospital Library, Pennsylvania Hospital, Philadelphia, PA, USA
| | - J A Platt
- Jeffrey A Platt, DDS, MS, Department of Biomedical Sciences and Comprehensive Care, Indiana University School of Dentistry, Indianapolis, IN, USA
| | - S Chutinan
- *Supattriya Chutinan, DDS, MSD, Department of Restorative Dentistry and Biomaterials Science, Harvard School of Dental Medicine, Boston, MA, USA
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Mesallum EE, Abd El Aziz PM, Swelem AA. Performance of bulk-fill versus conventional nanocomposite resin restorations supporting the occlusal rests of removable partial dentures: An in vitro investigation. J Prosthet Dent 2023:S0022-3913(23)00190-7. [PMID: 37100650 DOI: 10.1016/j.prosdent.2023.03.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Revised: 03/27/2023] [Accepted: 03/28/2023] [Indexed: 04/28/2023]
Abstract
STATEMENT OF PROBLEM Placing removable partial denture (RPD) rests on composite resin restorations has long been a debatable issue. Despite developments in composite resins such as nanotechnology and bulk-filling techniques, studies investigating the performance of composite resin restorations when used to support occlusal rests remain scarce. PURPOSE The purpose of this in vitro study was to investigate the performance of bulk-fill versus incremental (conventional) nanocomposite resin restorations when they are used to support RPD rests under functional loading. MATERIAL AND METHODS Thirty-five caries-free intact maxillary molars of similar coronal size were collected and divided into 5 equal groups (n=7): Enamel (Control) group: rest seats prepared entirely in enamel; Class I Incremental group: Class I cavities restored with incrementally placed nanohybrid resin composite resin (Tetric N-Ceram); Class II Incremental group: Mesio-occlusal (MO) Class II cavities restored with Tetric N-Ceram; Class I Bulk-fill group: Class I cavities restored with high-viscosity bulk-fill hybrid resin composite (Tetric N-Ceram Bulk-Fill); and Class II Bulk-fill group: MO Class II cavities restored with Tetric N-Ceram Bulk-Fill. Occlusal rest seats were prepared mesially in all groups, and clasp assemblies were fabricated and cast in cobalt-chromium alloy. Specimens with their clasp assemblies were subjected to thermomechanical cycling using a mechanical cycling machine (250 000 masticatory cycles) and 5000 thermal cycles (5 °C to 50 °C). Surface roughness (Ra) was measured with a contact profilometer before and after cycling. Fracture analysis was done using stereomicroscopy, and margin analysis was done with a scanning electron microscope (SEM) before and after cycling. Statistical analysis of Ra was conducted using ANOVA followed by the Scheffé test for between-group comparison and paired t test for within-group comparison. The Fisher exact probability test was used for fracture analysis. The Mann-Whitney test was used for between-group comparison and Wilcoxon signed rank test for within-group comparison for the SEM images (α=.05). RESULTS Mean Ra increased significantly after cycling in all groups. Significant differences in Ra were found between enamel and all 4 resin groups (P<.001), with no significant differences between incremental and bulk-fill resin groups for both Class I and II specimens (P>.05). No significant differences were found between the 2 resin groups with regard to fracture and margin analysis (P>.05). CONCLUSIONS The surface roughness of enamel was significantly lower than that of both incremental and bulk-fill nanocomposite resins before and after functional loading. Incremental and bulk-fill nanocomposite resins showed comparable performance in terms of surface roughness, fracture behavior, and marginal adaptation.
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Affiliation(s)
- Enas E Mesallum
- Assistant Professor, Oral and Maxillofacial Prosthodontic Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Possy M Abd El Aziz
- Lecturer, Conservative Dentistry, Faculty of Dentistry, Conservative Dentistry Department, Cairo University, Cairo, Egypt
| | - Amal A Swelem
- Professor, Prosthodontic Department, Faculty of Dentistry, Cairo University, Cairo, Egypt.
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Nica I, Nedeff F, Nedeff V, Popa C, Toma ȘL, Agop M, Vasincu D. The Cracking Behavior of Two Dental Composite Materials Validated through Multifractal Analyzes. Int J Mol Sci 2023; 24:ijms24076493. [PMID: 37047465 PMCID: PMC10095466 DOI: 10.3390/ijms24076493] [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: 02/28/2023] [Revised: 03/25/2023] [Accepted: 03/28/2023] [Indexed: 04/14/2023] Open
Abstract
The aim of this in vitro study was to analyze, both experimentally and theoretically, the mechanical behavior of two types of composite materials used in restoring dental integrity. The samples of each composite resin, namely Filtek Supreme XT (3M ESPE, St. Paul, MN, USA) and Filtek Z250 (3M ESPE, St. Paul, MN, USA), were experimentally analyzed by determining their compressive strength and fracture behavior. The fractured fragments of the samples were subjected to surface evaluation by scanning electron microscopy. The compressive stress-compressive strain dependencies revealed stronger cracking of the Filtek Supreme XT composite than Filtek Z250 prior to fracture. Theoretically, the evaluation was made by means of holographic implementations of such types of composite materials. A Hooke-type equation in a differential form is presented, which links the proposed theoretical model with the experimentally obtained data.
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Affiliation(s)
- Irina Nica
- Department of Odontology-Periodontology, Fixed Prosthesis, Faculty of Dental Medicine, Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania
| | - Florin Nedeff
- Department of Environmental Engineering and Mechanical Engineering, Faculty of Engineering, Vasile Alecsandri University of Bacău, 600115 Bacău, Romania
| | - Valentin Nedeff
- Department of Industrial Systems Engineering and Management, Faculty of Engineering, Vasile Alecsandri University of Bacău, 600115 Bacău, Romania
| | - Cristina Popa
- Department of Oral Pathology, Faculty of Dental Medicine, Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania
| | - Ștefan Lucian Toma
- Department of Materials Engineering and Industrial Security, Faculty of Materials Science and Engineering, Gheorghe Asachi Technical University of Iasi, 700050 Iasi, Romania
| | - Maricel Agop
- Department of Physics, Faculty of Machine Manufacturing and Industrial Management, Gheorghe Asachi Technical University of Iasi, 700050 Iasi, Romania
- Academy of Romanian Scientists, 050094 Bucharest, Romania
| | - Decebal Vasincu
- Department of Biophysics, Faculty of Dental Medicine, Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania
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Nagrale A, Nevrekar S, Kawle S, Gawande H, Gupte J, Gaikwad S. Influence of Filler Particle Sizes on the Physical Properties of Bulk-Fill Composites Compared to Conventional Composites. Cureus 2023; 15:e36032. [PMID: 37056541 PMCID: PMC10089640 DOI: 10.7759/cureus.36032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 02/28/2023] [Indexed: 03/13/2023] Open
Abstract
INTRODUCTION Filler size affects how the material is coated and finished, while filler stacking affects how strong the material is, how flexible it is, how resistant it is to wear, and how much it shrinks when it polymerizes. The purpose of this research was to compare micro-hybrid, nano-composite, and bulk-fill composites with respect to their compressive strength, diametric tensile strength, and flexural strength. MATERIALS AND METHODS To organize the samples according to International Organization for Standardization (ISO) 4049 and American Dental Association (ADA) detail number 27, we used a custom-made Teflon mold. A total of 45 samples were used, with 15 samples in each group. The sample was mounted on a state-of-the-art general testing machine to determine its compressive strength and polar rigidity. The 3-point bowing test was used to determine flexural strength. A one-way analysis of variance (ANOVA) was used for quantitative analysis, followed by a post hoc test with a significance level of P < 0.05. RESULTS The Tetric N Ceram Bulk Fill, the Filtek Z350 XT nanocomposite, and the T-Econom micro-hybrid composite all had different levels of flexural and compressive strength. This difference was statistically significant. Nanocomposites have superior compressive and flexural strengths to their counterparts analyzed in the present study. CONCLUSION Nano-composite combines the properties of being strong and looking good. It can be used in both front and back restorations that need to be strong enough to withstand the forces of chewing.
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Ranka S, Rao AS, Shah U, Solanki D, Pawar AM, Reda R, Zanza A, Testarelli L. Comparative Evaluation of Two Different Fiber-Reinforced Composite Materials in Class 1 Post-Endodontic Restorations in Molars-A Randomized Clinical Study. MATERIALS (BASEL, SWITZERLAND) 2022; 15:7858. [PMID: 36363448 PMCID: PMC9658539 DOI: 10.3390/ma15217858] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 10/25/2022] [Accepted: 10/28/2022] [Indexed: 05/27/2023]
Abstract
This study aimed to evaluate and compare two different fiber-reinforced composite materials in class I post-endodontic restoration in molars. A total of 50 patients were randomly assigned into two groups (n = 25 for each group); group A: everX Posterior (packable composite) with a top layer of solareX (nano-hybrid composite) and group B: everX Flow (flowable composite) with a top layer of G-aenial universal injectable (flowable composite). Patients were evaluated immediately after the procedure (baseline), at 6 months, and at 1 year time intervals based on the modified USPHS criteria. The statistical analysis using a chi-square test showed no statistically significant difference in the clinical performance of group A and group B. Clinical performance of the combination of everX Flow with overlying G-aenial universal injectable composite proved to be comparable with everX Posterior with overlying solareX composite as post-endodontic restorations in class I lesions in permanent molars.
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Affiliation(s)
- Suwidhi Ranka
- Department of Conservative Dentistry and Endodontics, KM Shah Dental College & Hospital, Sumandeep Vidyapeeth, Vadodara 391760, India
| | - Ajay Singh Rao
- Department of Conservative Dentistry and Endodontics, KM Shah Dental College & Hospital, Sumandeep Vidyapeeth, Vadodara 391760, India
| | - Unnati Shah
- Department of Conservative Dentistry and Endodontics, KM Shah Dental College & Hospital, Sumandeep Vidyapeeth, Vadodara 391760, India
| | - Dikshit Solanki
- Department of Conservative Dentistry and Endodontics, KM Shah Dental College & Hospital, Sumandeep Vidyapeeth, Vadodara 391760, India
| | - Ajinkya M. Pawar
- Department of Conservative Dentistry and Endodontic, Nair Hospital Dental College, Mumbai 400034, India
| | - Rodolfo Reda
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, Italy
| | - Alessio Zanza
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, Italy
| | - Luca Testarelli
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, Italy
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Sushma B, Ganesh SB, Jayalakshmi S. Effect of carbonated beverages on flexural strength of composite restorative material. J Adv Pharm Technol Res 2022; 13:S160-S163. [PMID: 36643132 PMCID: PMC9836129 DOI: 10.4103/japtr.japtr_264_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Accepted: 07/12/2022] [Indexed: 01/17/2023] Open
Abstract
Carbonated beverages have side effects on oral health and general health. Flexural strength is a prime mechanical property of restorative material. The aim of this study is to know the effect of carbonated beverages on the flexural strength of composite restorative material. Two types of composites (Ivoclar and Restofill) were used as samples for comparative evaluation of flexural strength. The sample size is 10 where 5 of each type of composites are included. The obtained samples were immersed in carbonated beverages. One sample of each type was used as a control. After 24 h, the flexural strength of all the 10 samples was evaluated using the formula (3FL/2bd2), and the values were tabulated. Average values and graphs were done using SPSS software. The results showed the changes in flexural strength of both Ivoclar and Restofill materials when immersed in carbonated beverages. The mean value of all the samples was taken, and the standard deviation was calculated. After immersion in carbonated liquids, the mean value of Ivoclar and Restofill samples is 58.9 and 35.01, respectively. P = 0.718 (>0.05), which was not statistically significant. After immersion in Coke, the Restofill group exhibits more flexural strength than the Ivoclar group composite; however, the strength reduces when immersed in Sprite as compared to the Ivoclar group composite.
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Affiliation(s)
- B. Sushma
- Undergraduate Student, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
| | - S. Balaji Ganesh
- White Lab - Material Research Centre, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India,Address for correspondence: Dr. S. Balaji Ganesh, White Lab - Material Research Centre, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai - 600 077, Tamil Nadu, India. E-mail:
| | - S. Jayalakshmi
- White Lab - Material Research Centre, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
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Janani K, Ganesh SB, Jayalakshmi S. Evaluation of flexural strength of bulk-fill composite resin after immersion in fruit juices: An in vitro study. J Adv Pharm Technol Res 2022; 13:S164-S167. [PMID: 36643147 PMCID: PMC9836171 DOI: 10.4103/japtr.japtr_263_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Accepted: 07/12/2022] [Indexed: 01/17/2023] Open
Abstract
Resin-based composites are increasingly employed in dental restorations due to their esthetics. Flexural strength is the characteristic feature of a substance, and it can be described as the stress present in the material just before it renders in a flexure test. The purpose of this study was to determine the flexural strength of a bulk-fill composite following immersion in fruit juices. Ten samples of bulk-fill type composite filling material were created, with four samples from Restofill (Group 1) and four samples from Ivoclar Vivadent (Group 2). Out of which, four specimens of each brand were included for immersion in fruit juices; two specimens were kept as control. The eight samples were put through a flexural strength test, with four remaining as controls, before being measured for maximum force and displacement on the Instron E3000 universal testing equipment. SPSS version 23 (IBM SPSS Statistics for Windows, Version 23.0. Armonk, NY: IBM Corp.) was used to examine the calculated flexural strength. The composite Ivoclar has a mean flexural strength of 20.52, whereas the composite Restofill has a mean flexural strength of 20.55. The P value for the independent sample t-test between the two groups, Ivoclar and Restofill, was 0.089 (>0.05), which is statistically insignificant. It is clear from this research that the bulk-fill composite resin Ivoclar has a low flexural strength when compared to the sample Restofill after immersion in fruit juices.
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Affiliation(s)
- K. Janani
- Undergraduate Student, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
| | - S. Balaji Ganesh
- White Lab - Materials Research Centre, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India,Address for correspondence: Dr. S. Balaji Ganesh, White Lab - Materials Research Centre, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai - 600 077, Tamil Nadu, India. E-mail:
| | - S. Jayalakshmi
- White Lab - Materials Research Centre, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
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Paixão FCDO, Rodrigues VP, George R, Souza SDFC, Paiva AEM, Pereira ADFV. Compressive strength of premolars restored with ceramic crowns and supported with a glass fiber post using different luting agents. Saudi Dent J 2022; 34:617-622. [PMID: 36267533 PMCID: PMC9577347 DOI: 10.1016/j.sdentj.2022.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2022] [Revised: 07/20/2022] [Accepted: 07/25/2022] [Indexed: 11/15/2022] Open
Abstract
Objective The retention of glass fiber post (GFP) is considered a key factor for the long-term success of restorations of endodontically treated teeth. This study aimed to compare the compressive strength of a ceramic crown supported by a GFP using different luting agents. Methods Forty single-rooted premolars were randomly divided into four groups (n = 10 each): control group (teeth without a GFP), Ketac Cem group (glass ionomer), RelyX ARC group (conventional dual-curing resin), and RelyX U200 group (self-adhesive dual-curing resin). After luting of the posts and placement of all-ceramic crowns made using feldspathic porcelain (Noritake EX-3), they were exposed to thermocycling for 1000 cycles and compressive strength tests. Statistical analysis included Kruskal–Wallis test with Dunn’s multi-comparison test. Results The Ketac Cem group and RelyX U200 group showed significantly greater fracture resistance to compressive loading than the control group. Conclusion This study indicates a possible role of the luting agent used with the GFP in influencing the compressive strength of the restored teeth. In this study, the self-adhesive dual-curing resin and glass ionomer both offered resistance to fractures.
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Brosh T, Davidovitch M, Berg A, Shenhav A, Pilo R, Matalon S. Influence of Practitioner-Related Placement Variables on the Compressive Properties of Bulk-Fill Composite Resins-An In Vitro Clinical Simulation Study. MATERIALS 2022; 15:ma15124305. [PMID: 35744363 PMCID: PMC9227906 DOI: 10.3390/ma15124305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/23/2022] [Revised: 06/13/2022] [Accepted: 06/14/2022] [Indexed: 11/16/2022]
Abstract
Aims: To determine if restoration location and/or execution behavior force parameters have an influence on the mechanical properties of bulk-fill composite dental restorations. Methods: Pressure transducers were placed within each quadrant of dental mannequin jaws. Cylindrical molds were placed above the transducers and filled with two bulk-fill composite materials, Filtek and Tetric, by four experienced dentists. Each dentist prepared five specimens per quadrant and material. The total placement time, mean force, number of peak forces (above 25 N), and mean peak(s) force during placement were measured. Then, the stiffness and maximal compressive strength of the specimens were determined while loading the specimens up to failure using a universal loading machine. Results: Placement time was affected by jaw (p < 0.004) and side (p < 0.029), with the shortest time demonstrated for the left side of the mandible. Force exerted during restoration placement was not normally distributed without differences in location (jaw) or material. A higher application force was found on the right side (p < 0.01). The number of peak forces was affected by side (p < 0.03), with less peaks on the left side. No significant differences were found in compressive strength when correlated to restoration location, participant, or material (p = 0.431). The stiffness values of Filtek (3729 ± 228 N/mm) were found to be 15% higher than Tetric (3248 ± 227 N/mm) (p < 0.005). No correlations were found between the compressive strength or stiffness and the amount of force applied during placement. Conclusions: The individual restoration material placement parameters did influence practitioner performance; however, these differences did not affect the mechanical properties of the final restoration.
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Affiliation(s)
- Tamar Brosh
- The Department of Oral Biology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel;
- Correspondence:
| | - Moshe Davidovitch
- Department of Orthodontics, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 6997801, Israel;
| | - Avi Berg
- Department of Oral Rehabilitation, The Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv 6997801, Israel; (A.B.); (A.S.); (S.M.)
| | - Aviran Shenhav
- Department of Oral Rehabilitation, The Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv 6997801, Israel; (A.B.); (A.S.); (S.M.)
| | - Raphael Pilo
- The Department of Oral Biology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel;
| | - Shlomo Matalon
- Department of Oral Rehabilitation, The Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv 6997801, Israel; (A.B.); (A.S.); (S.M.)
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Analysis of Cosmetic Effect of Nanocomposite Resin on Anterior Teeth. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2021; 2021:7367320. [PMID: 34887941 PMCID: PMC8651348 DOI: 10.1155/2021/7367320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Revised: 10/14/2021] [Accepted: 10/19/2021] [Indexed: 11/17/2022]
Abstract
The problems of anterior teeth include dental plaque, dental caries, and fracture, which are usually treated with common composite resin clinically. Although good repair effect can be achieved, patients are prone to anterior tooth sensitivity after surgery. Therefore, the purpose of this study is to analyze the cosmetic effect of nanocomposite resin on anterior teeth. Up to 176 patients (176 teeth) undergoing anterior dental cosmetic restoration in our hospital were selected and assigned to the LR group (n = 88) and the NR group (n = 88) according to patients' voluntary choice of prosthetic materials. The LR group was cured with light-cured composite resin, while the NR group was cured with nanocomposite resin. By comparing the related indexes of patients in the two groups, it was discovered that in the NR group, the excellent and good rate and patients' evaluation of the repair effect were higher, while the periodontal attachment, gingival index, dental plaque index, VAS score, and the incidence of tooth sensitivity were lower, all P < 0.05. The results indicated that the nanocomposite resin had significant cosmetic effect on anterior teeth and had application value.
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Patil A, Acharya SR, Ginjupalli K. Comparative Evaluation of Flexural Strength of Two Newer Composite Resin Materials: An in Vitro Study. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2021. [DOI: 10.1590/pboci.2021.071] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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ZHANG N, XIE C. Polymerization shrinkage, shrinkage stress, and mechanical evaluation of novel prototype dental composite resin. Dent Mater J 2020; 39:1064-1071. [DOI: 10.4012/dmj.2019-286] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Na ZHANG
- Department of Endodontics, School of Stomatology, Wannan Medical College
| | - Chao XIE
- Department of Oral Implantology, School of Stomatology, Fourth Military Medical University
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Yoo H, Kim H, Min SD, Lee O. Synchrotron radiation‐based analysis of fatigue in dental restorative materials. Microsc Res Tech 2020; 83:472-480. [DOI: 10.1002/jemt.23435] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Revised: 11/26/2019] [Accepted: 12/17/2019] [Indexed: 12/15/2022]
Affiliation(s)
- Hyunjong Yoo
- Department of Computer Science & Engineering, Graduate SchoolSoonchunhyang University Asan City Republic of Korea
| | - Hongsik Kim
- Department of Dental TechnologyGimcheon University Gimcheon City Republic of Korea
| | - Se Dong Min
- Department of Computer Science & Engineering, Graduate SchoolSoonchunhyang University Asan City Republic of Korea
- Department of Medical IT EngineeringCollege of Medical Sciences, Soonchunhyang University Asan City Republic of Korea
| | - Onseok Lee
- Department of Computer Science & Engineering, Graduate SchoolSoonchunhyang University Asan City Republic of Korea
- Department of Medical IT EngineeringCollege of Medical Sciences, Soonchunhyang University Asan City Republic of Korea
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Clinical performance and chemical-physical properties of bulk fill composites resin -a systematic review and meta-analysis. Dent Mater 2019; 35:e249-e264. [PMID: 31421957 DOI: 10.1016/j.dental.2019.07.007] [Citation(s) in RCA: 71] [Impact Index Per Article: 14.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Revised: 07/08/2019] [Accepted: 07/15/2019] [Indexed: 11/20/2022]
Abstract
OBJECTIVES The objective of this study was to perform a meta-analysis of clinical and laboratory studies to compare the performance of bulk-fill and conventional composite resins in terms of polymerization shrinkage, polymerization stress, cusp deflection, marginal quality, degree of conversion, microhardness, flexural strength, fracture strength and clinical performance. DATA One hundred three articles were included in this study, and the Peto method was used to compare the bulk-fill and conventional composites using the RevMan software. SOURCES Searches were performed in the PubMed and Scopus databases. STUDY SELECTION Laboratory studies and randomized clinical trials comparing one of the previous detailed outcomes between bulk-fill and control composites were included. CONCLUSIONS The bulk-fill composite resins showed less shrinkage, polymerization stress, cusp deflection and microhardness than conventional composites, while both materials presented a similar marginal quality, flexural strength and fracture strength. Also, bulk-fill materials with regular viscosity showed similar shrinkage. The conversion of bulk-fill materials with flowable consistency were similar to conventional composite resins with a thickness of up to 2mm and greater than conventional composites with a thickness greater than 2mm. Despite these in vitro differences, the clinical performance of bulk-fill and conventional composite resins was similar in randomized clinical trials, with one to ten years of follow up. In conclusion, the bulk-fill materials show better or similar performance to the conventional materials in clinical trials and laboratory studies in terms of volumetric shrinkage, polymerization stress, cusps deflection and marginal quality, with the only exception being the lower level of microhardness observed for bulk-fill composites with thickness up to 2mm.
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