Effect of Restorative Protocol on Cuspal Strain and Residual Stress in Endodontically Treated Molars

2016 ◽  
Vol 41 (1) ◽  
pp. 23-33 ◽  
Author(s):  
RAS Pereira ◽  
AA Bicalho ◽  
SD Franco ◽  
D Tantbirojn ◽  
A Versluis ◽  
...  
Keyword(s):  
Residual Stress ◽  
Fracture Resistance ◽  
Composite Resin ◽  
Glass Ionomer Cement ◽  
Shrinkage Strain ◽  
Glass Ionomer ◽  
Pulp Chamber ◽  
Biomechanical Behavior ◽  
Restorative Materials ◽  
Ionomer Cement

SUMMARY Objectives To evaluate the effect of the restorative protocol on cuspal strain, fracture resistance, residual stress, and mechanical properties of restorative materials in endodontically treated molars. Methods Forty-five molars received mesio-occlusal-distal (MOD) Class II preparations and endodontic treatment followed by direct restorations using three restorative protocols: composite resin (CR) only (Filtek Supreme, 3M-ESPE), resin modified glass ionomer cement in combination with CR (Vitremer, 3M-ESPE in pulp chamber and Filtek Supreme in MOD cavity), conventional glass ionomer cement in combination with composite resin (CGI-CR) (Ketac Fil, 3M-ESPE in pulp chamber and Filtek Supreme in MOD cavity). Cuspal strain was measured using strain gauges, and fracture resistance was tested with an occlusal load. Elastic modulus (EM) and Vickers hardness (VH) of the restorative materials were determined at different depths using dynamic microhardness indentation. Curing shrinkage was measured using the strain gauge technique. The restorative protocols were also simulated in finite element analysis (FEA). The shrinkage strain, cuspal strain, EM, VH, and fracture resistance data were statistically analyzed using split-plot analysis of variance and Tukey test (p=0.05). Residual shrinkage stresses were expressed in modified von Mises equivalent stresses. Results Shrinkage strain values (in volume %) were Ketac Fil (0.08±0.01) < Vitremer (0.18±0.01) < Filtek Supreme (0.54±0.03). Cuspal strain was higher and fracture resistance was lower when using CR only compared with the techniques that used glass ionomer. The EM and VH of the materials in the pulp chamber were significantly lower for glass ionomer. The FEA showed that using CR only resulted in higher residual stresses in enamel and root dentin close to the pulp chamber than the combinations with glass ionomers (RMGI-CR and CGI-CR). Conclusions The choice of restorative protocol significantly affected the biomechanical behavior of endodontically treated molars. Using glass ionomer to fill the pulp chamber is recommended when endodontically treated molars receive direct composite restorations because it reduces cuspal strain and increases fracture resistance.

Impact of the Porosity from Incremental and Bulk Resin Composite Filling Techniques on the Biomechanical Performance of Root-Treated Molars

2021 ◽  
Author(s):  
RAS Pereira ◽  
PBF Soares ◽  
AA Bicalho ◽  
LM Barcelos ◽  
LRS Oliveira ◽  
...  
Keyword(s):  
Fracture Mode ◽  
Fracture Resistance ◽  
Composite Resin ◽  
Resin Composite ◽  
Glass Ionomer Cement ◽  
High Viscosity ◽  
Composite Resins ◽  
Glass Ionomer ◽  
Pulp Chamber ◽  
Ionomer Cement

SUMMARY Objectives: To analyze the effect of the porosity caused by incremental and bulk resin composite filling techniques using low- and high-viscosity composite resins on the biomechanical performance of root-treated molars. Methods: Forty intact molars received standardized mesio-occlusal-distal (MOD) cavity preparation, were root treated, and randomly divided into four groups with different filling techniques (n=10). The first involved two incremental filling techniques using VIT/Z350XT, a nanofilled composite resin (Filtek Z350XT, 3M ESPE) associated with a resinmodified glass ionomer cement, and resin-modified glass ionomer cement (RMGIC; Vitremer, 3M ESPE) for filling the pulp chamber. The second involved TPH/VIT, a microhybrid composite resin TPH3 Spectrum associated with Vitremer. The third and fourth involved two bulk-fill composite resins: SDR/TPH, a low-viscosity resin composite (Surefill SDR flow, Dentsply) associated with TPH3 Spectrum, and POST, a high-viscosity bulkfill resin composite (Filtek Bulk Fill Posterior, 3M ESPE). The volume of the porosity inside the restoration was calculated by micro-CT. The cusp deformation caused by polymerization shrinkage was calculated using the strain-gauge and micro-CT methods. The cusp deformation was also calculated during 100 N occlusal loading and loading to fracture. The fracture resistance and fracture mode were recorded. Data were analyzed by one-way analysis of variance and Tukey test. The fracture mode was analyzed by the χ2 test. The volume of the porosity was correlated with the cusp deformation, fracture resistance, and fracture mode (α=0.05). Results: Incremental filling techniques associated with RMGIC resulted in a significantly higher porosity than that of both bulk-fill techniques. However, no significant difference was found among the groups for the fracture resistance, fracture mode, and cusp deformation, regardless of the measurement time and method used. No correlation was observed between the volume of the porosity and all tested parameters. Conclusions: The porosity of the restorations had no influence on the cuspal deformation, fracture resistance, or fracture mode. The use of the RMGIC for filling the pulp chamber associated with incremental composite resins resulted in similar biomechanical performance to that of the flowable or regular paste bulk-fill composite resin restorations of root-treated molars.

scholarly journals Gambaran Penggunaan Resin Komposit dan Semen Ionomer Kaca Sebagai Bahan Restorasi di Poli Gigi Rumah Sakit Gunung Maria Tomohon Tahun 2012

e-GIGI ◽  
2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Michael Sumolang
Keyword(s):  
Composite Resin ◽  
Resin Composite ◽  
Glass Ionomer Cement ◽  
Glass Ionomer ◽  
Dental Resin ◽  
Anterior Teeth ◽  
Restorative Materials ◽  
Composite Resin Restorations ◽  
Ionomer Cement ◽  
Resin Restorations

Gigi yang terserang kariesdapatdirawatdenganmenggunakanbahanrestorasi. Resin komposit dan semen ionomer kacamerupakanbahanyangdigunakanuntukperawatanrestorasi di poli gigi RS Gunung Maria Tomohon.Tujuanpenelitianiniuntukmengetahuigambaranpenggunaanbahanrestorasi resin kompositdan semen ionomerkaca di poligigi RSGunung Maria Tomohontahun 2012. Penelitianinimerupakanpenelitiandeskrpitif, data diambildarirekammedispasienrestorasidenganmetodetotal sampling.Data yang didapatyaitujumlah rekammedis pasien restorasi pada tahun 2012 sebanyak 268 danjumlahgigi yang direstorasisebanyak 387.Gigi yang direstorasimenggunakanbahan resin kompositsebanyak 207 gigi, sedangkangigi yang direstorasimenggunakan semen ionomerkacasebanyak 180 gigi.Hasilpenelitianinidibagiberdasarkanusia, jeniskelamin, elemengigidandiagnosa. Hasilpenelitianmenunjukankategoriusiadewasalebihseringmelakukanperawatanretorasi resin komposit dengan 145 gigi (70%) dan semen ionomerkaca dengan 106 gigi (58,8%) yang direstorasi, pasienperempuanlebihseringmelakukanperawatanrestorasiresin komposit dengan 117 (59,4%) dan semen ionomerkaca dengan 101 (56%) gigi yang direstorasi. Gigi bagian anterior seringdirestorasidengan menggunakan resin komposit dan gigibagian posterior seringdirestorasimenggunakan semen ionomerkaca.Hiperemiapulpamerupakanpenyakit yang paling didiagnosadan paling seringmendapatkanperawatanrestorasi resin komposit dengan 179 kasus (86%)dan semen ionomerkaca 157 kasus (87,3%).Kata Kunci:bahan restorasi, resin komposit, semen ionomerkacaABSTRACT Dental caries infected can be treated with restorative materials. Resin composites and glass ionomer cement is a material used for dental restorative treatment on poly Hospital Gunung Maria Tomohon. The purpose of this study to describe the use of composite resin restorations and glass ionomer cement in the teeth poly Hospital Gunung Maria Tomohon in 2012. This research is deskrpitif , data extracted from medical records of patients with restoration of total sampling.Data method obtained the restoration of the patient's medical record number in 2012 as many as 268 and the number of restored teeth as much as 387. Restored teeth using composite resin materials as much as 207 teeth, whereas the teeth restored with glass ionomer cement as many as 180 teeth. The results are divided based on age, sex, dental and diagnostic elements. The results showed the adult age category more often retorasi care dental resin composite with 145 (70 %) and glass ionomer cement with 106 teeth (58,8 %) were restored, female patients were more frequent maintenance of composite resin restorations with 117 (59,4 %) and glass ionomer cement with 101(56 %) restored teeth. Anterior teeth are restored using gigibagian posterior composite resin and glass ionomer cement seringdirestorasimenggunakan. Pulp hyperemia is the most diagnosed diseases and most often get care composite resin restorations with 179 cases (86 %) and glass ionomer cement 157 cases (87,3%). Keywords : restorative materials, composite resin, glass ionomer cement

scholarly journals Comparison of Microhardness and Compressive Strength of Alkasite and Conventional Restorative Materials

2020 ◽  
Vol 47 (3) ◽  
pp. 320-326
Author(s):  
Kunho Lee ◽  
Jongsoo Kim ◽  
Jisun Shin ◽  
Miran Han
Keyword(s):  
Compressive Strength ◽  
Vickers Microhardness ◽  
Composite Resin ◽  
Testing Machine ◽  
Glass Ionomer Cement ◽  
Glass Ionomer ◽  
Microhardness Test ◽  
Universal Testing ◽  
Restorative Materials ◽  
Ionomer Cement

The aim of this study was to compare compressive strength and microhardness of recently introduced alkasite restorative materials with glass ionomer cement and flowable composite resin.For each material, 20 samples were prepared respectively for compressive strength and Vickers microhardness test. The compressive strength was measured with universal testing machine at crosshead speed of 1 mm/min. And microhardness was measured using Vickers Micro hardness testing machine under 500 g load and 10 seconds dwelling time at 1 hour, 1 day, 7 days, 14 days, 21 days and 35 days.The compressive strength was highest in composite resin, followed by alkasite, and glass ionomer cement. In microhardness test, composite resin, which had no change throughout experimental periods, showed highest microhardness in 1 hour, 1 day, and 7 days measurement. The glass ionomer cement showed increase in microhardness for 7 days and no difference was found with composite resin after 14 days measurement. For alkasite, maximum microhardness was measured on 14 days, but showed gradual decrease.

scholarly journals Streptococcus mutans-induced secondary caries adjacent to glass ionomer cement, composite resin and amalgam restorations in vitro

2007 ◽  
Vol 21 (4) ◽  
pp. 368-374 ◽  
Author(s):  
Adriana Gama-Teixeira ◽  
Maria Regina Lorenzeti Simionato ◽  
Silvia Nagib Elian ◽  
Maria Angela Pita Sobral ◽  
Maria Aparecida Alves de Cerqueira Luz
Keyword(s):  
Streptococcus Mutans ◽  
Composite Resin ◽  
Glass Ionomer Cement ◽  
Cement Composite ◽  
Glass Ionomer ◽  
Secondary Caries ◽  
Restorative Materials ◽  
Intact Surface ◽  
Ionomer Cement

The aim of this study was to define, in vitro, the potential to inhibit secondary caries of restorative materials currently used in dental practice. Standard cavities were prepared on the buccal and lingual surfaces of fifty extracted human third molars. The teeth were randomly divided into five groups, each one restored with one of the following materials: glass ionomer cement (GIC); amalgam; light-cured composite resin; ion-releasing composite; and light-cured, fluoride-containing composite resin. The teeth were thermocycled, sterilized with gamma irradiation, exposed to a cariogenic challenge using a bacterial system using Streptococcus mutans, and then prepared for microscopic observation. The following parameters were measured in each lesion formed: extension, depth, and caries inhibition area. The outer lesions developed showed an intact surface layer and had a rectangular shape. Wall lesions were not observed inside the cavities. After Analysis of Variance and Component of Variance Models Analysis, it was observed that the GIC group had the smallest lesions and the greatest number of caries inhibition areas. The lesions developed around Amalgam and Ariston pHc restorations had an intermediate size and the largest lesions were observed around Z-100 and Heliomolar restorations. It may be concluded that the restorative materials GIC, amalgam and ion-releasing composites may reduce secondary caries formation.

scholarly journals Evaluation of Fracture Resistance of Endodontically Treated Maxillary Premolars Restored with Different Restorative Materials - An In Vitro Study

2021 ◽  
Vol 10 (7) ◽  
pp. e5110716150
Author(s):  
Walber Maeda ◽  
Wayne Martins Nascimento ◽  
Marcelo Santos Coelho ◽  
Danilo de Luca Campos ◽  
João Paulo Drumond ◽  
...  
Keyword(s):  
Fracture Resistance ◽  
Testing Machine ◽  
Glass Ionomer Cement ◽  
Resistance Testing ◽  
Control Group ◽  
Glass Ionomer ◽  
Restorative Materials ◽  
Maxillary Premolars ◽  
Ionomer Cement

Aim: In this study was evaluated the fracture resistance of endodontically treated maxillary premolars restored with      different restorative materials. Methods: Sixty maxillary premolars were submitted to the same mesio-occlusal-distal cavity preparation, endodontic treatment and divided into 5 groups (n = 10): Coltosol Group – GCO restored with calcium silicate material; Glass Ionomer Cement Group – GGIC, restored with Maxxion R; Modified Glass Ionomer Cement – GMGIC, restored with Gold Label 2; Composite Group - GC, restored with Z100, and the positive control group (GP) - left unrestored. One group remained intact (n=10) serving as negative control (GN). Samples were subjected to fracture resistance testing by the universal testing machine until fracture occurred and was registered in newtons (N). Fracture pattern was assessed and described as favorable or unfavorable. The results were statistically analyzed by 1-way analysis of variance and the post hoc Tukey test with significant statistical difference at P < 0.05.  Results: Higher fracture resistance results were found for GC (1,128.35 ± 249.17), GMGIC (1,250.77 ± 173.29), and GN (1,277.22 ± 433.44) (P < .05). More favorable fractures were observed in the GCO (6), GC (7), and GN (7) (P < .05). Conclusion: Teeth restored with composite and modified GIC presented the same resistance as intact teeth. Teeth restored with Coltosol and GGIC presented similar resistance to unrestored teeth.

scholarly journals Comparison of In Vitro Dose Perturbation Effects of Amalgam, Composite Resin, Glass Ionomer Cement and Ketac Silver During Head and Neck Radiation with Photon Beam

2020 ◽  
pp. 1-4
Author(s):  
Kuson Tuntiwong ◽  
Jian-hong Yu ◽  
Kuson Tuntiwong
Keyword(s):  
Head And Neck ◽  
Radiation Field ◽  
Composite Resin ◽  
Glass Ionomer Cement ◽  
Class I ◽  
Glass Ionomer ◽  
Radiation Beam ◽  
Restorative Materials ◽  
Head And Neck Radiation ◽  
Ionomer Cement

The most common oral manifestation from head and neck radiotherapy is mucositis. A part of complications is backscattering from metallic dental materials in radiation field, resulting in a dosage enhancement at the tissue-metal interface. The proper management of the patient’s restorative materials must be performed preoperatively to reduce these complications. This research compared the relative dose enhancement (RDE) in the different restorative materials (Amalgam, Composite resin, Glass ionomer cement and Ketac Silver®), the different tooth preparations (Class I, Class I other, Class II MOD, Cusp Tipping and Core build-up) and the location of ionizing chamber (buccal, occlusal, lingual surface). The dimension of controlled 20 teeth are as followed lower third molar, buccolingual width (10.41±0.82mm), mesiodistal width (11.28±0.72mm), dentin and enamel buccolingual width (1.5±0.5mm). The experiment is set using a modular radiation beam analyzer with at least 2 cm water as soft tissue equivalent material, 3 times irradiated with LINAC 6MV 200MU. The backscattering occurred in the amalgam filled tooth at the buccal and occlusal aspect in every preparation. The highest RDE occurring at the buccal aspect of cusp tipping amalgam filled tooth was 2.7%. In the lingual aspect, every preparation of amalgam filled tooth demonstrated lower RDE. The composite resin and glass ionomer cement produced low backscattering, while Ketac Silver® produced higher RDE. For any amalgam restorations in the radiation field, we recommended using the one-layer glass ionomer technique, which is suitable in preparing patient ahead of head and neck radiation. The recommended filling technique may decrease mucositis the adjacent area and improve the patient’s quality of life.

Artificial formed caries-like lesions around esthetic restorative materials

2002 ◽  
Vol 26 (3) ◽  
pp. 289-296 ◽  
Author(s):  
Nuray Attar ◽  
Alev Önen
Keyword(s):  
Composite Resin ◽  
Glass Ionomer Cement ◽  
Polarized Light ◽  
Glass Ionomer ◽  
Secondary Caries ◽  
Dental Restorations ◽  
Restorative Materials ◽  
Acid Gel ◽  
Ionomer Cement

Dental restorations fail for a variety of reasons. Secondary caries is one of the primary causes of failure of dental restorations. One method for reducing frequency and severity of this problem is the use of fluoride containing restorative materials. The ability of a material to inhibit secondary caries formation is an important clinical therapeutic property. This investigation assessed the capacity of esthetic restorative materials to resist caries in vitro. Class V cavities were prepared in buccal and lingual surfaces of 50 extracted sound third molars. The occlusal and gingival cavosurface margin of each preparation was on enamel surface. The five materials were used: Conventional glass ionomer cement Ceramfil ß (PSP), two polyacid modified resin composites Compoglass (Vivadent) and Dyract (Dentsply/DeTrey), non fluoride releasing composite resin Valux Plus (3M) and fluoride releasing composite resin Tetric (Vivadent). After 10 weeks in an acid gel for caries-like lesion formation, the teeth were sectioned occluso-gingivally through the middle of the restorations and examined by polarized light microscopy, while immersed in water. The statistical analysis of the results showed that secondary caries initiation and progression might be reduced significantly when fluoride-containing materials were placed. The conventional glass ionomer cement (Ceramfil ß) provided the highest protection against caries attack and the non-fluoride releasing composite resin (Valux Plus) restoration provided the least (p&lt;0.05).

Comparative Evaluation of Erosive Potential of Different Pediatric Liquid Medications on Primary Tooth Enamel and Tooth Coloured Restorative Materials

2021 ◽  
Vol 13 ◽  
pp. 30-36
Author(s):  
Dr. Sara Elizabeth Paul ◽  
Dr. Divya Reddy ◽  
Dr. Santhosh T Paul ◽  
Dr. Shuhaib A Rahman
Keyword(s):  
Surface Roughness ◽  
Composite Resin ◽  
Tooth Enamel ◽  
Artificial Saliva ◽  
Glass Ionomer Cement ◽  
Titratable Acidity ◽  
Primary Tooth ◽  
Glass Ionomer ◽  
Restorative Materials ◽  
Ionomer Cement

Aim: The aim of the present study was to investigate the erosive potential of pediatric liquid analgesics and their effect on primary enamel, glass ionomer and composite resin restorations. Methods: Selected medications were analysed in triplicates with regard to pH and titratable acidity. Eighteen specimens each of glass ionomer, composite resin and primary enamel were prepared and stored in 100% relative humidity at 37ºC for 7 days. After baseline surface roughness analysis using 3D optical profilometer, specimens were randomly distributed according to immersion media into three groups (n=6) as follows: Group 1- Calpol® ( Paracetamol), Group 2–Ibugesic® (Ibuprofen) and Group 3 –Artificial saliva (control). The specimens were subjected to immersion cycles for 5 days following which surface roughness was measured. Data were analysed using analysis of variance (ANOVA) and Tukey’s test. Results: Ibugesic ® showed the lowest titratable acidity and mean pH when compared to Calpol®. The glass ionomer cement exhibited highest surface roughness followed by primary enamel and composite resin both at baseline and after immersion. The highest mean surface roughness change for glass ionomer cement was observed when exposed to Ibugesic® (0.04 ± 0.13) when compared to Calpol® (0.006 ± 0.01) and artificial saliva (0.035 ± 0.05). Conclusions: Although minimal, the restorative materials and primary enamel subjected to acidic medicines showed surface roughness changes and among the pediatric liquid analgesics tested, Ibugesic® was observed to be highly erosive with lower pH and high titratable acidity

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