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Ilie N. Profiling Elastoplastic and Chemical Parameters to Assess Polymerization Quality in Flowable Bulk-Fill Composites. Bioengineering (Basel) 2024; 11:159. [PMID: 38391645 PMCID: PMC10886178 DOI: 10.3390/bioengineering11020159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2023] [Revised: 01/24/2024] [Accepted: 01/26/2024] [Indexed: 02/24/2024] Open
Abstract
In the chronology of polymer-based composite materials, flowable bulk-fill composites represent the most recent development. They enable a significant reduction in treatment time by being applied in larger increments of 4 to 5 mm. The aim of the investigation was to assess the polymerization quality and mechanical performance of a new formulation that has just entered the market and was still in experimental formulation at the time of the investigation, and to compare these results in the context of clinically established materials of the same category. Adequate curing in increments of up to 4 mm could be confirmed both by profiling the elastoplastic material behavior of large increments in 100 µm steps and by real-time assessment of the degree of conversion and the associated polymerization kinetic. A slightly lower amount of filler in the experimental material was associated with slightly lower hardness and elastic modulus parameters, but the creep was similar and the elastic and total indentation work was higher. The kinetic parameters were assigned to the specific characteristics of each tested material. The mechanical macroscopic strength, evaluated in a three-point bending test and supplemented by a reliability analysis, met or exceeded the standards and values measured in clinically established materials, which for all materials is related to the higher flexibility of the beams during testing, while the modulus of elasticity was low. The low elastic modulus of all flowable bulk-fill materials must be taken into account when deciding the clinical indication of this material category.
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Affiliation(s)
- Nicoleta Ilie
- Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-University, Goethestr. 70, D-80336 Munich, Germany
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Al-Odayni AB, Al-Kahtani HM, Sharaf Saeed W, Al-Kahtani A, Aouak T, Khan R, De Vera MAT, Alrahlah A. Physical-Chemical and Microhardness Properties of Model Dental Composites Containing 1,2-Bismethacrylate-3-eugenyl Propane Monomer. Biomimetics (Basel) 2023; 8:511. [PMID: 37999152 PMCID: PMC10669855 DOI: 10.3390/biomimetics8070511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Revised: 10/26/2023] [Accepted: 10/26/2023] [Indexed: 11/25/2023] Open
Abstract
A new eugenyl dimethacrylated monomer (symbolled BisMEP) has recently been synthesized. It showed promising viscosity and polymerizability as resin for dental composite. As a new monomer, BisMEP must be assessed further; thus, various physical, chemical, and mechanical properties have to be investigated. In this work, the aim was to investigate the potential use of BisMEP in place of the BisGMA matrix of resin-based composites (RBCs), totally or partially. Therefore, a list of model composites (CEa0, CEa25, CEa50, and CEa100) were prepared, which made up of 66 wt% synthesized silica fillers and 34 wt% organic matrices (BisGMA and TEGDMA; 1:1 wt/wt), while the novel BisMEP monomer has replaced the BisGMA content as 0.0, 25, 50, and 100 wt%, respectively. The RBCs were analyzed for their degree of conversion (DC)-based depth of cure at 1 and 2 mm thickness (DC1 and DC2), Vickers hardness (HV), water uptake (WSP), and water solubility (WSL) properties. Data were statistically analyzed using IBM SPSS v21, and the significance level was taken as p < 0.05. The results revealed no significant differences (p > 0.05) in the DC at 1 and 2 mm depth for the same composite. No significant differences in the DC between CEa0, CEa25, and CEa50; however, the difference becomes substantial (p < 0.05) with CEa100, suggesting possible incorporation of BisMEP at low dosage. Furthermore, DC1 for CEa0-CEa50 and DC2 for CEa0-CEa25 were found to be above the proposed minimum limit DC of 55%. Statistical analysis of the HV data showed no significant difference between CEa0, CEa25, and CEa50, while the difference became statistically significant after totally replacing BisGMA with BisMEP (CEa100). Notably, no significant differences in the WSP of various composites were detected. Likewise, WSL tests revealed no significant differences between such composites. These results suggest the possible usage of BisMEP in a mixture with BisGMA with no significant adverse effect on the DC, HV, WSP, and degradation (WSL).
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Affiliation(s)
- Abdel-Basit Al-Odayni
- Engineer Abdullah Bugshan Research Chair for Dental and Oral Rehabilitation, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | | | - Waseem Sharaf Saeed
- Engineer Abdullah Bugshan Research Chair for Dental and Oral Rehabilitation, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Abdullah Al-Kahtani
- Chemistry Department, College of Science, King Saud University, Riyadh 11451, Saudi Arabia
| | - Taieb Aouak
- Chemistry Department, College of Science, King Saud University, Riyadh 11451, Saudi Arabia
| | - Rawaiz Khan
- Engineer Abdullah Bugshan Research Chair for Dental and Oral Rehabilitation, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | | | - Ali Alrahlah
- Engineer Abdullah Bugshan Research Chair for Dental and Oral Rehabilitation, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
- Restorative Dental Sciences Department, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
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Alzahrani B, Alshabib A, Awliya W. The Depth of Cure, Sorption and Solubility of Dual-Cured Bulk-Fill Restorative Materials. Materials (Basel) 2023; 16:6673. [PMID: 37895655 PMCID: PMC10608248 DOI: 10.3390/ma16206673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/10/2023] [Revised: 10/07/2023] [Accepted: 10/11/2023] [Indexed: 10/29/2023]
Abstract
This study aimed to examine depth of cure (DoC), mass change, water sorption and solubility of dual-cured bulk-fill restorative materials (Surfil One and Activa) in comparison with a light-cured bulk-fill composite (Filtek One Bulk-Fill) and a resin-modified glass ionomer (Fuji II LC). Twenty specimens were prepared of each material using stainless steel molds designed with a slot (8 × 4 × 2 mm) and irradiated for either 20 or 40 s. The Vickers hardness (VHN) was measured at every 0.5 mm to assess the DoC after 24 h of storage at 37 °C. The depth of cure was reported as the depth corresponding to 80% of the maximum Vickers hardness. Disc-shaped specimens were prepared of each material (n = 5) to investigate mass change, sorption and solubility after 4 months of water storage. The data were analyzed using a two-way and one-way analysis of variance (ANOVA) followed by the Tukey post hoc test (p ≤ 0.05). Fuji II LC had the greatest DoC while Activa had the lowest. The two different irradiation times did not demonstrate a significant difference in DoC for all dual-cured materials (p > 0.05). Fuji II LC had the highest sorption while Filtek One showed the lowest. Surefil One and Fuji II LC had a negative solubility. This study concluded that dual-cured materials showed different depth of cure values despite having the same setting reaction. Both materials exhibited a high water sorption, which might jeopardize their dimensional stability and effect their clinical performance.
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Affiliation(s)
- Bashayer Alzahrani
- Department of Restorative Dentistry, College of Dentistry, King Saud University P.O. Box 60169, Riyadh 11545, Saudi Arabia;
| | - Abdulrahman Alshabib
- Department of Restorative Dentistry, College of Dentistry, King Saud University P.O. Box 60169, Riyadh 11545, Saudi Arabia;
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Marovic D, Par M, Tauböck TT, Haugen HJ, Negovetic Mandic V, Wüthrich D, Burrer P, Zheng K, Attin T, Tarle Z, Boccaccini AR. Impact of Copper-Doped Mesoporous Bioactive Glass Nanospheres on the Polymerisation Kinetics and Shrinkage Stress of Dental Resin Composites. Int J Mol Sci 2022; 23:ijms23158195. [PMID: 35897771 PMCID: PMC9332616 DOI: 10.3390/ijms23158195] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Revised: 07/21/2022] [Accepted: 07/22/2022] [Indexed: 12/24/2022] Open
Abstract
We embedded copper-doped mesoporous bioactive glass nanospheres (Cu-MBGN) with antibacterial and ion-releasing properties into experimental dental composites and investigated the effect of Cu-MBGN on the polymerisation properties. We prepared seven composites with a BisGMA/TEGDMA (60/40) matrix and 65 wt.% total filler content, added Cu-MBGN or a combination of Cu-MBGN and silanised silica to the silanised barium glass base, and examined nine parameters: light transmittance, degree of conversion (DC), maximum polymerisation rate (Rmax), time to reach Rmax, linear shrinkage, shrinkage stress (PSS), maximum PSS rate, time to reach maximum PSS rate, and depth of cure. Cu-MBGN without silica accelerated polymerisation, reduced light transmission, and had the highest DC (58.8 ± 0.9%) and Rmax (9.8 ± 0.2%/s), but lower shrinkage (3 ± 0.05%) and similar PSS (0.89 ± 0.07 MPa) versus the inert reference (0.83 ± 0.13 MPa). Combined Cu-MBGN and silica slowed the Rmax and achieved a similar DC but resulted in higher shrinkage. However, using a combined 5 wt.% Cu-MBGN and silica, the PSS resembled that of the inert reference. The synergistic action of 5 wt.% Cu-MBGN and silanised silica in combination with silanised barium glass resulted in a material with the highest likelihood for dental applications in future.
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Affiliation(s)
- Danijela Marovic
- Department of Endodontics and Restorative Dentistry, University of Zagreb, 10000 Zagreb, Croatia; (V.N.M.); (Z.T.)
- Correspondence: (D.M.); (M.P.); Tel.: +385-14899203 (D.M. & M.P.)
| | - Matej Par
- Department of Endodontics and Restorative Dentistry, University of Zagreb, 10000 Zagreb, Croatia; (V.N.M.); (Z.T.)
- Correspondence: (D.M.); (M.P.); Tel.: +385-14899203 (D.M. & M.P.)
| | - Tobias T. Tauböck
- Department of Conservative and Preventive Dentistry, Centre for Dental Medicine, University of Zurich, 8032 Zurich, Switzerland; (T.T.T.); (D.W.); (P.B.); (T.A.)
| | - Håvard J. Haugen
- Department of Biomaterials, Institute of Clinical Dentistry, University of Oslo, 0317 Oslo, Norway;
| | - Visnja Negovetic Mandic
- Department of Endodontics and Restorative Dentistry, University of Zagreb, 10000 Zagreb, Croatia; (V.N.M.); (Z.T.)
| | - Damian Wüthrich
- Department of Conservative and Preventive Dentistry, Centre for Dental Medicine, University of Zurich, 8032 Zurich, Switzerland; (T.T.T.); (D.W.); (P.B.); (T.A.)
| | - Phoebe Burrer
- Department of Conservative and Preventive Dentistry, Centre for Dental Medicine, University of Zurich, 8032 Zurich, Switzerland; (T.T.T.); (D.W.); (P.B.); (T.A.)
| | - Kai Zheng
- Engineering Research Center of Stomatological Translational Medicine, Nanjing Medical University, Nanjing 210029, China;
| | - Thomas Attin
- Department of Conservative and Preventive Dentistry, Centre for Dental Medicine, University of Zurich, 8032 Zurich, Switzerland; (T.T.T.); (D.W.); (P.B.); (T.A.)
| | - Zrinka Tarle
- Department of Endodontics and Restorative Dentistry, University of Zagreb, 10000 Zagreb, Croatia; (V.N.M.); (Z.T.)
| | - Aldo R. Boccaccini
- Department of Materials Science and Engineering, Institute of Biomaterials, University of Erlangen-Nuremberg, 91058 Erlangen, Germany;
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Doni, Santosa P, Nugraheni T. Comparison of depth of cure sonic-activated bulk-fill composite, low viscosity, and high viscosity in different thickness. J Conserv Dent 2021; 23:615-618. [PMID: 34083919 PMCID: PMC8095698 DOI: 10.4103/jcd.jcd_602_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Revised: 12/11/2020] [Accepted: 12/29/2020] [Indexed: 11/04/2022] Open
Abstract
Context The polymerization quality of composite resin can be measured by measuring the cure depth. Vickers hardness ratio is an indirect method of measuring the depth of cure of the composite resin. Aims This study aimed to compare the effect of composite resin type and material thickness on the depth of cure of sonically activated bulk-fill composite resin (SonicFill, Kerr), low viscosity (Surefill SDR bulk-fill, Dentsply), and high viscosity (Tetric N Ceram bulk fill, Ivoclar Vivadent). Settings and Design The research is experimental laboratory. Materials and Methods The research samples were 36 cylindrical composite resin blocks with a thickness of 2 mm and 4 mm, which were divided into six groups (n = 6) based on sonically activated bulk-fill composite resin, low viscosity, and high viscosity. All samples were put in an incubator for 24 h. The microhardness ratio was performed using a Vickers microhardness tester with a weight of 100 g for 15 s, which calculated by the formula: Vickers hardness number bottom/top. Statistical Analysis Used The two-way ANOVA with Tukey post hoc test was used for statistical analysis (P < 0.05). Results The results of the two-way ANOVA test showed an effect of the type of composite resin on the depth of cure of the composite resin (P < 0.05); there was no effect of material thickness on the depth of cure of composite resin (P > 0.05). There was no interaction of composite resin type and material thickness to a resin composite depth (P > 0.05). Conclusions The depth of cure of sonic-activated and high-viscosity bulk-fill composite resin was greater than low-viscosity bulk-fill composite resin.
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Affiliation(s)
- Doni
- Department of Conservative Dentistry, Faculty of Dentistry, Gadjah Mada University, Yogyakarta, Indonesia
| | - Pribadi Santosa
- Department of Conservative Dentistry, Faculty of Dentistry, Gadjah Mada University, Yogyakarta, Indonesia
| | - Tunjung Nugraheni
- Department of Conservative Dentistry, Faculty of Dentistry, Gadjah Mada University, Yogyakarta, Indonesia
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Tabassum S, Hameed MH, Khan FR. Comparison of the Depth of Cure of Flowable Composites Polymerized at Variable Increment Thicknesses and Voltages: An In vitro Study. Contemp Clin Dent 2020; 10:220-225. [PMID: 32308281 PMCID: PMC7145244 DOI: 10.4103/ccd.ccd_635_18] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Objectives The aim of this study is to compare the depth of cure of two composite materials (SDR and Filtek bulk-fill) cured at variable increment depths (2, 4, and 6 mm) and voltages (180 and 220 volts). Materials and Methods Each sample of the composite material was packed in a mold of 2 mm, 4 mm, and 6 mm and curing light (quartz tungsten halogen) of optimal intensity was exposed for 20 s at 2 different voltages on each specimen. After curing, the specimens were removed and the composite on the nonexposed end was scraped with a plastic instrument. The remaining composite thickness was measured using a digital Vernier caliper. The reading was divided by half to follow the ISO 4049 method. Independent sample t-test, one-way ANOVA, and linear regression analysis were applied. Level of significance was kept at 0.01. Results The mean DOC of SDR and Filtek were 1.93 ± 0.82 and 1.77 ± 0.65 mm. Lowering the voltage from 220 to 180 volts reduced the depth of Filtek from 1.87 ± 0.74 to 1.67 ± 0.54 mm, whereas the DOC of SDR remained unchanged at 1.93 mm at the two voltages. The adjusted R 2 for the depth of cure was 0.93 when the increment thickness, voltage, and restorative material were taken together in the regression model. Conclusions There was no statistically significant difference between SDR and Filtek for the depth of cure at 2 and 4 mm increments. However, at 6 mm increment, the SDR cured significantly deeper than the Filtek. Around 91% variation in the depth of cure of these composites materials is explained by increment thickness alone.
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Affiliation(s)
- Sadia Tabassum
- Department of Operative Dentistry, Jinnah Medical and Dental College, Karachi, Pakistan
| | | | - Farhan Raza Khan
- Department of Operative Dentistry, Aga Khan University Hospital, Karachi, Pakistan
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Colombo M, Gallo S, Poggio C, Ricaldone V, Arciola CR, Scribante A. New Resin-Based Bulk-Fill Composites: in vitro Evaluation of Micro-Hardness and Depth of Cure as Infection Risk Indexes. Materials (Basel) 2020; 13:E1308. [PMID: 32183115 DOI: 10.3390/ma13061308] [Citation(s) in RCA: 39] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/29/2020] [Revised: 02/19/2020] [Accepted: 03/11/2020] [Indexed: 11/17/2022]
Abstract
The current in vitro study evaluated the Vickers hardness number (VHN) and hardness ratio of four bulk-fill composites (VisCalor bulk; Admira Fusion x-tra; x-tra fil; and GrandioSO x-tra-Voco, Cuxhaven, Germany) to assess the risk of bacterial colonization in comparison with standard composite materials. Thirty samples were prepared for each group. The VHN of both the external (top) and internal surface (bottom) was determined with a micro-hardness tester (200 g load for 15 s), and the hardness ratio was also calculated for each sample. Subsequently, storage in an acidic soft drink (Coca-Cola, Coca-Cola Company, Milano, Italy) was performed; for each group, 10 samples were stored for 1 day, while another 10 were stored for 7 days and the remaining 10 were kept in water as controls. A significant reduction in VHN was shown for all the groups when comparing the external versus internal side (P < 0.05), although the hardness ratio was greater than 0.80, resulting in an adequate polymerization. Regarding the acid storage, all the groups showed a significant decrease of VHN when compared with the controls, both after 1 day (P < 0.05) and after 7 days (P < 0.001). All the products showed adequate depth of cure without further risk of bacterial colonization. However, acid exposure negatively affected micro-hardness values, which might promote subsequent colonization.
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Parasher A, Ginjupalli K, Somayaji K, Kabbinale P. Comparative evaluation of the depth of cure and surface roughness of bulk-fill composites: An in vitro study. Dent Med Probl 2020; 57:39-44. [PMID: 31990151 DOI: 10.17219/dmp/113003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Composites are in great demand due to the esthetic needs of the patients, which explains a wide variation in the types of available composites. However, the mechanical strength of the materials is questionable. Therefore, the mechanical properties of the newly available bulk-fill composites have been tested. OBJECTIVES The main objective of the study was to compare the depth of cure (DOC) and surface roughness of 3 different bulk-fill composites: X-tra fil® (XTF), Tetric EvoCeram® Bulk Fill (TEC) and Beautifil® Bulk Restorative (BBR). MATERIAL AND METHODS Fifty-seven (n = 19 in each group) samples were made using brass molds. All samples were subjected to Vickers hardness testing and profilometry. The one-way analysis of variance (ANOVA) test was used for the data analysis, followed by Tukey's post hoc test. RESULTS The differences in the mean surface microhardness values of the materials were statistically significant (p < 0.001), with XTF showing the highest value. The TEC composite showed a higher surface roughness as compared to BBR and XTF. CONCLUSIONS The results of the present study indicate that variations in the filler size and amount significantly influence the DOC and surface roughness of dental composites. Among the tested composites, the multi-hybrid composite exhibited superior DOC (XTF), whereas the nanohybrid composite exhibited superior surface finish (TEC).
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Affiliation(s)
- Anusha Parasher
- Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India
| | - Kishore Ginjupalli
- Department of Dental Materials, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India
| | - Krishnaraj Somayaji
- Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India
| | - Pradeep Kabbinale
- Department of Conservative Dentistry and Endodontics, Subbaiah Institute of Dental Sciences, Shimoga, India
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Aggarwal N, Jain A, Gupta H, Abrol A, Singh C, Rapgay T. The comparative evaluation of depth of cure of bulk-fill composites - An in vitro study. J Conserv Dent 2019; 22:371-375. [PMID: 31802822 PMCID: PMC6873606 DOI: 10.4103/jcd.jcd_453_18] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Introduction Resin-based composites (RBCs), as restorative dental materials, have given a new dimension to conservative and esthetic dentistry. The objective of the present study is to evaluate and compare the depth of cure of RBC's for posterior use: Sculptable bulk-fill composite - Tetric N-Ceram bulk fill (TNCBF), Flowable bulk-fill composites-TetricEvoflow bulk fill (TEFBF), Surefil SDR bulk fill (SDRBF), Dual cure bulk fill-Fill-Up (FDCBF) with conventional RBC-Esthet-X flow (EXF) and Filtex Z250 (FZ). Materials and Methods A standardized polyacrylic mold was bulk filled with each of the six composites and light-cured for 20 s, followed by 24 h storage in water. The surface hardness was measured on the top and the bottom by recording Vickers hardness number by Vickers hardness indenter. Results The mean bottom surface hardness value (HV) of SDR and TEFBF exceeded 80% of the top surface HV (HV-80%). Low viscosity bulk-fill composites (SDR and Tetric Evoflow) were properly cured in 4-mm increments. The TNCBF, high-viscosity composite, and Fill-Up, dual-cure bulk fill were not sufficiently cured in 4-mm increments. Conclusion With increase in incremental thickness, HV decreased for the conventional resin composite but generally remained constant for the bulk-fill resin composites.
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Affiliation(s)
- Nidhi Aggarwal
- Department of Conservative Dentistry and Endodontics, Himachal Institute of Dental Sciences, Paonta Sahib, HP, India
| | - Anjula Jain
- Department of Conservative Dentistry and Endodontics, Himachal Institute of Dental Sciences, Paonta Sahib, HP, India
| | - Hitesh Gupta
- Department of Conservative Dentistry and Endodontics, Himachal Institute of Dental Sciences, Paonta Sahib, HP, India
| | - Aman Abrol
- Department of Conservative Dentistry and Endodontics, Himachal Institute of Dental Sciences, Paonta Sahib, HP, India
| | - Charanjeet Singh
- Department of Conservative Dentistry and Endodontics, Himachal Institute of Dental Sciences, Paonta Sahib, HP, India
| | - Tenzin Rapgay
- Department of Conservative Dentistry and Endodontics, Himachal Institute of Dental Sciences, Paonta Sahib, HP, India
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Lima RBW, Troconis CCM, Moreno MBP, Murillo-Gómez F, De Goes MF. Depth of cure of bulk fill resin composites: A systematic review. J ESTHET RESTOR DENT 2018; 30:492-501. [PMID: 30375146 DOI: 10.1111/jerd.12394] [Citation(s) in RCA: 51] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2018] [Accepted: 05/13/2018] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To evaluate scientific evidence regarding depth of cure of bulk-fill resin composites (BFRCs) and related factors. MATERIAL AND METHODS PubMed/Medline, Embase, Scopus, and ISI Web of Science databases were accessed from October 2016 to May 2017. Investigations published in English language, assessing depth of cure of BFRCs by microhardness test and/or degree of conversion (DC) were included. Studies using exclusively ISO 4049, employing specimens deepness less than 4 mm, as well as those not reporting exposure time and/or irradiance from light curing units (LCUs) were excluded. RESULTS In total, 742 studies were found from which 33 were included. From 21 studies evaluating BFRCs microhardness, 10 showed acceptable bottom/top ratios (≥0.8) for all tested materials. However, material-dependent results and non-satisfactory bottom/top microhardness ratios (<0.8) were reported in 9 and 2 investigations, respectively. From 19 studies that assessed DC, 11 showed acceptable results (≥50%) for all tested BFRCs, while 8 studies reported material-dependent outcomes. Overall, irradiance from LCUs ranged from 650 to 1330 mW/cm2 and exposure time from 5 to 60 seconds. Favorable depth of cure results were observed with the use of LCUs emitting irradiance ≥1000 mW/cm2 and exposure times ≥20 seconds. CONCLUSIONS High depth of cure rates by BFRCs, depends on some factors as material, irradiance and exposure time. Polywave LCUs were useful but not essential on polymerizing alternative photoinitiator-containing BFRC. CLINICAL SIGNIFICANCE LED curing devices (polywave or monowave) displaying an irradiance ≥1000 mW/cm2 and 20 seconds of exposure time are imperative to accomplish successful polymerization of most BFRCs.
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Affiliation(s)
- Renally Bezerra Wanderley Lima
- Department of Restorative Dentistry (Dental Materials Area), Piracicaba Dental School, University of Campinas - UNICAMP, Avenida Limeira, Campinas, São Paulo, 13414-903, Brazil
| | - Cristhian Camilo Madrid Troconis
- Department of Restorative Dentistry (Dental Materials Area), Piracicaba Dental School, University of Campinas - UNICAMP, Avenida Limeira, Campinas, São Paulo, 13414-903, Brazil
| | - Marina Barrêto Pereira Moreno
- Department of Restorative Dentistry (Dental Materials Area), Piracicaba Dental School, University of Campinas - UNICAMP, Avenida Limeira, Campinas, São Paulo, 13414-903, Brazil
| | - Fabián Murillo-Gómez
- Department of Restorative Dentistry (Dental Materials Area), Piracicaba Dental School, University of Campinas - UNICAMP, Avenida Limeira, Campinas, São Paulo, 13414-903, Brazil.,Department of Restorative Dentistry, School of Dentistry, University of Costa Rica-UCR, Rodrigo Facio "Campus,", San José, Costa Rica
| | - Mario Fernando De Goes
- Department of Restorative Dentistry (Dental Materials Area), Piracicaba Dental School, University of Campinas - UNICAMP, Avenida Limeira, Campinas, São Paulo, 13414-903, Brazil
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Utneja S, Talwar S, Nawal RR, Sapra S, Mittal M, Rajain A, Verma M. Evaluation of remineralization potential and mechanical properties of pit and fissure sealants fortified with nano-hydroxyapatite and nano-amorphous calcium phosphate fillers: An in vitro study. J Conserv Dent 2018; 21:681-690. [PMID: 30546219 PMCID: PMC6249947 DOI: 10.4103/jcd.jcd_31_18] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Objectives: The aim of this study was: (i) to formulate pit and fissure sealants (PFS) containing nano-hydroxyapatite (nHAP) filler; nHAP filler and silica co-filler; nHAP and nano-Amorphous Calcium Phosphate (nACP) co-filler, (ii) to evaluate physical properties; degree of conversion (DOC), curing depth (CD) and mechanical properties; microshear bond strength (MBS) of fortified PFS, and (iii) to assess remineralization potential and release of Ca2= and PO4 ions from newly synthesized sealants. Materials and Methods: Four PFS were prepared using monomers with mixture of 35.5 wt % BisGMA, 35.5 wt % triethylene glycol dimethacrylate and 28 wt % hydroxyethyl methacrylate. Bioactive nanofillers (nHAP and n-ACP) were added in various concentrations (0%–30%). Three commercial sealants were used as follows: unfilled (Clinpro; 3M ESPE), Fluoride releasing (Delton FS plus, Dentsply), ACP filled (Aegis, Bosworth). The samples (n = 35.5/gp) were tested for MBS, DOC, and CD. Remineralization potential was assessed by scanning electron microscopy (SEM). The concentrations of Ca2= and PO4 released from the sealant specimens were analyzed with Ultraviolet-visible Spectrophotometer. Data obtained was statistically analyzed (one-way analysis of variance, Tukey's test, P < 0.05). Results: 10% hydroxyapatite (HAP) =20% ACP sealant showed significantly higher DOC. A remineralized region on the surface between fissure sealant and tooth enamel was observed by SEM in all three HAP filled bioactive sealants. Decreasing the solution pH significantly increased ion release from sealant filled with 10% nHAP = 20% nACP (P ≤ 0.001). Conclusion: Results suggested that admixture of nHAP and nACP to PFS showed remineralizing capability, without declining their mechanical and physical properties.
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Affiliation(s)
- Shivani Utneja
- Department of Conservative Dentistry and Endodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Sangeeta Talwar
- Department of Conservative Dentistry and Endodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Ruchika Roongta Nawal
- Department of Conservative Dentistry and Endodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Sameer Sapra
- Department of Chemistry, Indian Institute of Technology, New Delhi, India
| | - Mona Mittal
- Department of Chemistry, Indian Institute of Technology, New Delhi, India
| | - Amit Rajain
- Department of Dental Surgery, Amity University, Gurgaon, Haryana, India
| | - Mahesh Verma
- Department of Prosthodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India
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Andreasi Bassi M, Andreasi Bassi S, Andrisani C, Lico S, Baggi L, Lauritano D. Light diffusion through composite restorations added with spherical glass mega fillers. Oral Implantol (Rome) 2017; 9:80-89. [PMID: 28280536 DOI: 10.11138/orl/2016.9.1s.080] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE Evaluate how the spherical glass mega fillers (SGMFs) can positively interfere with light diffusion when incorporated in a composite restoration. MATERIALS AND METHODS 30 samples (Ss) were performed, applying 2 composite layers of 3 mm each: 6 were made with composite only; 6 with a layer of SGMFs of O1.5mm within the first layer of composite; 6 with 2 overlapping layers of SGMFs of O1.5mm; 6 with a layer of SGMFs of O2mm; 6 with 2 overlapping layers of SGMFs of O2mm. The curing time was set at 40s for the first layer, and 120s for the second layer, transilluminated through the first layer. Digital pictures were taken, in standardized settings, during the transillumination, and the light intensity was measured with a digital image analysis software. RESULTS From a lateral view the Ss with a single layer of SGMFs of O1.5mm and O2mm, the relative increments of light intensity, were of 24.37% and 33.33% respectively. Concerning the Ss made with 2 layers of SGMFs, the relative increments were of 67.99% and 66.4% respectively. In front view has emerged a relative increase rate of light intensity of 53.66% and 79.58%, in the Ss with a single layer of SGMFs of O1.5mm and of O2mm respectively. Furthermore, in the Ss with two layers of SGMFs of O1.5mm and O2mm the relative increments were of 267.53 and 319.63% respectively. CONCLUSION The SGMFs are reliable in facilitating light diffusion within the light-curing composite resins.
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Affiliation(s)
| | | | | | - S Lico
- Private practice in Olevano Romano (RM), Italy
| | - L Baggi
- Department of Clinical Sciences and Translational Medicine, University of Tor Vergata, Rome, Italy
| | - D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy
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Kattan H, Chatzistavrou X, Boynton J, Dennison J, Yaman P, Papagerakis P. Physical Properties of an Ag-Doped Bioactive Flowable Composite Resin. Materials (Basel) 2015; 8:4668-4678. [PMID: 28793463 PMCID: PMC5455494 DOI: 10.3390/ma8084668] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/17/2015] [Revised: 07/12/2015] [Accepted: 07/14/2015] [Indexed: 11/16/2022]
Abstract
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.
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Affiliation(s)
- Hiba Kattan
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USA.
| | - Xanthippi Chatzistavrou
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USA.
| | - James Boynton
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USA.
| | - Joseph Dennison
- Department of Cariology, Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USA.
| | - Peter Yaman
- Department of Cariology, Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USA.
| | - Petros Papagerakis
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USA.
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