Effects of Preheating and Sonic Delivery Techniques on the Internal Adaptation of Bulk-fill Resin Composites

2021 ◽  
Author(s):  
G Demirel ◽  
AI Orhan ◽  
O Irmak ◽  
F Aydın ◽  
A Büyüksungur ◽  
...  
Keyword(s):  
Resin Composite ◽  
Multiple Comparisons ◽  
Resin Composites ◽  
Third Molars ◽  
Insertion Technique ◽  
Heating Device ◽  
Insertion Techniques ◽  
Internal Adaptation ◽  
Placement Technique ◽  
Tomography Data

Clinical Relevance The internal adaptation of resin composites that are recommended to be placed with the conventional insertion technique could be improved when the resin composites are preheated prior to their placement. SonicFill 2 and VisCalor bulk show the best internal adaptation when they are inserted as per the manufacurer's recommended techniques. SUMMARY Objective: To compare the effects of conventional (hand-placed), sonic, or preheated insertion techniques on the internal adaptation of bulk-fill resin composites. Methods and Materials: A total of 150 freshly extracted human third molars were used to prepare standardized cylindrical occlusal cavities. Teeth were divided into five main groups according to the resin composites: 1 incremental (Clearfil Majesty Posterior [CMP]) and four paste-like bulk-fill (SonicFill 2 [SF2], VisCalor bulk [VCB], Filtek One bulk-fill restorative [FBR], and Tetric EvoCeram bulk-fill [TEB]). Each main group was divided into three subgroups according to the placement technique: conventional, preheating, and sonic delivery (n=10). In the conventional placement technique, cavities were filled manually. In the sonic insertion technique, a specific handpiece (SonicFill Handpiece; Kerr Corporation) was used. In the preheating technique, a heating device (Caps Warmer, Voco, Cuxhaven, Germany) was used to warm the resin composites before placement. Internal voids (%) of the completed restorations were calculated with microcomputed tomography. Data was analyzed with two-way analysis of variacne followed by Tukey’s multiple comparisons test (α=0.05). Results: All resin composites showed fewer internal gaps with preheating compared with the conventional placement (p<0.05). For all resin composites other than SF2, preheating provided fewer internal gaps than that of the sonic placement (p<0.05). Sonic placement led to fewer internal gaps compared with the conventional placement, but only for SF2 and FBR (p<0.05). For the conventional placement, the lowest gap percentage was observed with the incremental resin composite (CMP, p<0.05). Among all groups, the lowest gap percentages were observed for preheated VCB followed by sonically inserted SF2 (p<0.05). Conclusion: The best internal adaptation was observed in sonically inserted SF2 and preheated VCB, which were the manufacturers’ recommended insertion techniques. Preheating considerably improved the internal adaptation of all resin composites, except for that of SF2.

scholarly journals Effect of Low Shrinkage Monomers on Physicochemical Properties of Dental Resin Composites

2015 ◽  
Vol 26 (3) ◽  
pp. 272-276 ◽  
Author(s):  
Dayane Carvalho Ramos Salles de Oliveira ◽  
Karla Rovaris ◽  
Viviane Hass ◽  
Eduardo José Souza-Júnior ◽  
Francisco Haiter-Neto ◽  
...  
Keyword(s):  
Flexural Strength ◽  
Physicochemical Properties ◽  
Statistical Difference ◽  
Resin Composite ◽  
Multiple Comparisons ◽  
Resin Composites ◽  
Dental Resin ◽  
Tukey Test ◽  
Dental Resin Composites ◽  
One Way Anova

The aim of this study was to evaluate the effect of low shrinkage monomers on physicochemical properties of dental resin composites. Two low shrinkage resin composites: one with a crosslink branching monomer (Kalore, GC Corp) and a novel monomer (Venus Diamond, Heraeus Kulzer) were compared to a conventional resin composite formulation (Filtek Z250, 3M/ESPE). The volumetric shrinkage was evaluated by µCT analysis (n=5) and the physicochemical properties by degree of C=C conversion (DC), flexural strength (FS) and Young's modulus (YM) (n=10). All samples were light cured by a LED device (Radii, SDI) with 16 J/cm2. The results were analysed by one-way ANOVA and Tukey test for multiple comparisons (α=0.05). No statistical difference was found between µCT shrinkage values to Kalore (1.8%) and Venus Diamond (1.7%) (p≥0.05); Z250 presented statistical highest shrinkage value (2.0%). Kalore presented higher statistical DC (60.8%) than Venus Diamond (49.5%) and Z250 (49.6%). No statistical difference was found between FS or YM properties to Venus Diamond and Z250; Kalore presented statistical lowest FS and YM properties (p≥0.05). Conclusion: Using novel monomers seem to reduce polymerization shrinkage without affecting the physicochemical properties evaluated of resin composites rather than using crosslink branching monomers.

Volumetric Cuspal Deflection of Premolars Restored With Different Paste-like Bulk-fill Resin Composites Evaluated by Microcomputed Tomography

2020 ◽  
Vol 45 (2) ◽  
pp. 143-150
Author(s):  
G Demirel ◽  
IH Baltacioglu ◽  
ME Kolsuz ◽  
M Ocak ◽  
B Bilecenoglu ◽  
...  
Keyword(s):  
Resin Composite ◽  
Ct Scanning ◽  
Multiple Comparisons ◽  
Microcomputed Tomography ◽  
Control Group ◽  
Resin Composites ◽  
Micro Ct ◽  
Cavity Depth ◽  
Significant Difference ◽  
Ct System

SUMMARY Objectives: The aim of this study was to measure the volumetric cuspal deflection of premolars restored with different paste-like bulk-fill resin composites using microcomputed tomography (micro-CT). Methods and Materials: A total of 35 freshly extracted human maxillary second premolars were selected for this study. Standardized large MOD cavities were prepared in each premolar with a bucco-lingual width of 4 mm and a cavity depth of 4 mm measured from the palatal cusp tip. After cavity preparation, all samples were scanned immediately using a micro-CT system. After the initial micro-CT scanning, restorative procedures were performed. Four groups received different paste-like bulk-fill composites—Beautifil-Bulk Restorative (BBR), Admira Fusion x-tra (AFX), x-tra fill, and Sonic Fill—and the control group received a conventional universal composite and Clearfil Majesty Esthetic (CME). Immediately after the restorative procedure, each tooth was scanned by micro-CT in the same manner as the initial scanning. The buccal and palatal regions of each restoration were evaluated separately in terms of cuspal deflection. One-way analysis of variance was used to compare the effect of the composite resin, and multiple comparisons were performed by the Tukey test with a level of significance of α = 0.05. Results and Discussion: Multiple comparisons showed that teeth restored with the conventional paste-like composite and CME (control) had significantly different cuspal deflection from those filled with paste-like bulk-fill composites (p<0.05). Among the bulk-fill composites, a significant difference was observed between BBR and AFX (p<0.05). Conclusions: Paste-like bulk-fill resin composites had significantly lower cuspal deflection than the conventional paste-like resin composite tested.

Effect of Heat and Sonic Vibration on Penetration of a Flowable Resin Composite Used as a Pit and Fissure Sealant

2020 ◽  
Vol 44 (1) ◽  
pp. 41-46
Author(s):  
Hae-Jung Kim ◽  
Hyung-Jun Choi ◽  
Ki-Yeol Kim ◽  
Kwang-Mahn Kim
Keyword(s):  
Flexural Strength ◽  
Resin Composite ◽  
Optical Microscope ◽  
Resin Composites ◽  
Third Molars ◽  
Fissure Sealant ◽  
Application Method ◽  
Occlusal Surfaces ◽  
Pit And Fissure Sealant ◽  
Application Methods

Objective: To evaluate penetration of a flowable resin composite into fissures using three different application methods: (1) conventional, (2) heat, and (3) sonic vibration. Study design: Forty-five sound maxillary third molars were divided randomly into three groups (n=15 per group). The occlusal surfaces of the teeth were etched and flowable resin composites were applied into the fissure using the assigned application method. The crowns were sectioned and examined with an optical microscope to assess penetration. In addition, three-point flexural strength was analyzed. Results: The sonic vibration group exhibited significantly greater penetration into the fissure compared with the other test groups (p<0.001). The heat group exhibited greater penetration into the fissure compared with the conventional group (p=0.003). However, three-point flexural strength was similar among all groups (p>0.05). Conclusions: Sonic vibration and heat increased penetration into fissures. Notably, sonic vibration exhibited the greatest penetration. We found that the application method did not influence the three-point flexural strength.

scholarly journals Effect of Polymerization Time and Shade on the Depth of Cure of Nano-Hybrid Resin Composites

2021 ◽  
Vol 2 (01) ◽  
pp. 28-33
Author(s):  
Noha Abdullah Bin Jabr ◽  
Wacim Nassouh Al-Saidi ◽  
Ibtessam Abdullah Bin Jabr ◽  
Roula Safouh Al-Bounni
Keyword(s):  
Resin Composite ◽  
Multiple Comparisons ◽  
Descriptive Statistics ◽  
Resin Composites ◽  
Polymerization Time ◽  
Depth Of Cure ◽  
Hybrid Resin ◽  
The Mean ◽  
Spss Software ◽  
Post Hoc

Abstract Objective The effect of polymerization time and resin shade on the depth of cure (DOC) of two nano-hybrid resin composites (Filtek Z250 XT and IPS Empress Direct) was evaluated and compared. Materials and Methods Sixty specimens were prepared from two shades (A1 and A3) of the resin composites. The specimens were allocated into two groups that were further divided into three subgroups depending on the polymerization time (20, 40, and 60 sec; n = 5). After that, the DOC was evaluated by calculating the polymerized part of the specimen’s thickness to the nearest (0.01 mm) using a high-accuracy micrometer. Each specimen was measured three times, and the corresponding mean reading (in mm) was divided by two to obtain the DOC. The data were analyzed using SPSS software, version 20. Descriptive statistics followed by three-way analysis of variance was applied. Multiple comparisons were made using Scheffe post hoc tests (α = 0.05). Results Filtek Z250 XT-A1-60sec presented with the greatest DOC (7.42 ± 0.47 mm), and the lowest DOC was obtained with IPS Empress-A3-20sec (2.31 ± 0.21 mm). The mean DOC of Filtek Z250 XT and IPS Empress Direct resin composites were 6.18 mm and 3.59 mm, respectively. Statistically significant (p < 0.05) difference was observed between the resin composites. The interaction between independent factors, namely composites, resin shade, and polymerization time, revealed that interaction between them contributed significantly to the DOC (p ≤0.05). However, the interaction between resin shade and the polymerization time was insignificant (p = 0.148). Conclusion Filtek Z250 XT demonstrated greater DOC than IPS Empress Direct resin composite. An increase in polymerization time significantly enhanced the DOC of the resin composites irrespective of the resin shade. Regardless of the resin composite tested, DOC was lower for darker shades (A3).

Impact of Resin Composite Viscosity and Fill-technique on Internal Gap in Class I Restorations: An OCT Evaluation

2021 ◽  
Author(s):  
KR Kantovitz ◽  
LL Cabral ◽  
NR Carlos ◽  
AZ de Freitas ◽  
DC Peruzzo ◽  
...  
Keyword(s):  
Repeated Measures ◽  
Resin Composite ◽  
Oral Care ◽  
High Viscosity ◽  
Class I ◽  
Low Viscosity ◽  
Significant Difference ◽  
Before And After ◽  
Internal Adaptation ◽  
Internal Gap

SUMMARY The aim of this in vitro study was to quantitatively evaluate the internal gap of resin composites of high-and low-viscosity used in single- and incremental-fill techniques in Class I cavities exposed to thermal cycling (TC) using optical coherence tomography (OCT). Cavities of 4-mm depth and 3-mm diameter were prepared in 36 third molars randomly distributed into four groups, according to viscosity of restorative resin-based composite (high or low viscosity, all from 3M Oral Care) and technique application (bulk or incremental fill) used (n=9): RC, high-viscosity, incremental-fill, resin-based composite (Filtek Z350 XT Universal Restorative); BF, high-viscosity, bulk-fill, resin-based composite (Filtek One Bulk Fill); LRC, low-viscosity, incremental-fill, resin-based composite (Filtek Z350 XT Flowable Universal Restorative); and LBF, low-viscosity, bulk-fill, resin-based composite (Filtek Flowable Restorative). Single Bond Universal Adhesive system (3M Oral Care) was used in all the experimental groups. The incremental-fill technique was used for RC and LRC groups (2-mm increments), and a single-layer technique was used for BF and LBF groups, as recommended by the manufacturer. The internal adaptation of the resin at all dentin walls was evaluated before and after TC (5000 cycles between 5°C and 55°C) using OCT images. Five images of each restored tooth were obtained. Images were analyzed using ImageJ software that measured the entire length of the gaps at the dentin–restoration interface. The length of gaps (μm) was analyzed using two-way repeated measures ANOVA and the Tukey tests (α=0.05). There was a significant interaction between material types and TC (p=0.006), and a significant difference among all material types (p&lt;0.0001), before and after TC (p&lt;0.0001). Increased internal gaps at the dentin–restoration interface were noticed after TC for all groups. RC presented the lowest value of internal gap before and after TC, while LBF showed the highest values of internal gap after TC. In conclusion, TC negatively affected the integrity of internal gap, whereas high-viscosity, incremental-fill, resin-based composite presented better performance in terms of internal adaptation than low-viscosity, bulk-fill materials in Class I cavities.

Three-year Randomized Prospective Clinical Trial of Class II Restorations Using Flowable Bulk-fill Resin Composites

2021 ◽  
Author(s):  
MD Moda ◽  
AF Briso ◽  
IAE Hoshino ◽  
SMB Frascino ◽  
PH Santos ◽  
...  
Keyword(s):  
Clinical Performance ◽  
Resin Composite ◽  
Oral Care ◽  
Class Ii ◽  
Resin Composites ◽  
Single Bond ◽  
Surface Staining ◽  
Equality Test ◽  
Over Time

SUMMARY Objectives: This randomized, prospective, and split-mouth study aimed to evaluate flowable bulk-fill resin composites in class II restorations and to compare with a conventional layering technique after a 3-year follow-up. Methods and Materials: Fifty-three subjects received three class II restorations according to the restorative systems: conventional microhybrid resin composite (PA, Peak Universal + Amelogen Plus, Ultradent), flowable bulk-fill and nanoparticulate resin composites (ABF, Adper Single Bond 2 + Filtek Bulk Fill Flow + Filtek Z350XT, 3M Oral Care), and flowable bulk-fill and microhybrid resin composites (XST, XP Bond + SDR + TPH3, Dentsply). The clinical performance and interproximal contacts were evaluated. Statistical analyses were performed using the equality test of two proportions, Logistic regression analysis, Friedman, Wilcoxon, Kruskal-Wallis, and Mann-Whitney tests (α=0.05). Results: Forty-seven patients were evaluated at 3 years. XST bulk-fill restorative system presented higher marginal discoloration than PA, and the opposite occurred for surface staining. All restorative systems resulted in decreased interproximal contacts, occurring early for XST. Conclusions: Although the restorative system using incremental technique presented better performance for marginal discoloration, one of the restorative systems that used flowable bulk-fill resin composite (XST) showed the lowest surface staining. All restorative systems had decreased proximal contact over time.

Factors Associated with Microleakage in Class II Resin Composite Restorations

10.2341/06-16 ◽  
2007 ◽  
Vol 32 (1) ◽  
pp. 60-66 ◽  
Author(s):  
S. Idriss ◽  
T. Abduljabbar ◽  
C. Habib ◽  
R. Omar
Keyword(s):  
Clinical Outcomes ◽  
Clinical Relevance ◽  
Resin Composite ◽  
Class Ii ◽  
Gap Size ◽  
Marginal Gap ◽  
Factors Associated ◽  
Composite Restorations ◽  
Placement Technique

Clinical Relevance Even though marginal gap size was not shown to be a direct predictor for the extent of microleakage in resin composite restorations, both material and placement technique appear to be important determinants in microleakage and, thus, probably in clinical outcomes.

Internal adaptation and overhang formation of direct class II resin composite restorations

1999 ◽  
Vol 3 (4) ◽  
pp. 208-215 ◽  
Author(s):  
R. Frankenberger ◽  
N. Krämer ◽  
M. Pelka ◽  
A. Petschelt
Keyword(s):  
Resin Composite ◽  
Class Ii ◽  
Composite Restorations ◽  
Internal Adaptation

scholarly journals How do the optical properties of the bulk fill posterior composites change after 2 years of simulated toothbrushing?

2019 ◽  
Vol 22 (3) ◽  
pp. 378-386
Author(s):  
Leticia Souza Lopes ◽  
Helio Rodrigues Sampaio Filho ◽  
Elisa Gomes Albuquerque ◽  
Chane Tardem ◽  
Mauro Sayão Miranda ◽  
...  
Keyword(s):  
Optical Properties ◽  
Resin Composite ◽  
High Viscosity ◽  
Composite Resins ◽  
Resin Composites ◽  
Regression Analyses ◽  
Significance Level ◽  
Composite Control ◽  
Multifactor Analysis ◽  
Post Hoc

The objective of this study was to evaluate the alteration of the optical properties of bulk Fill resin-based composites after 2 years of simulated toothbrushing. Three high-viscosity bulk fill resin composites and one conventional sculptable resin composite (control) were analyzed. Five specimens of each resin composite were prepared, and roughness, color, translucency and gloss were evaluated initially and after one and two years of simulated toothbrushing. The specimens were submitted to electric simulated toothbrushing (14600 strokes/100g) using a commercially available toothbrush with soft fibers and toothpaste slurry in a proportion of 1:2 by weight. The brushing scheme was of 40 cycles per day (2 cycles per second / 280 cycles in a week). The optical properties and the roughness data were analyzed by a multifactor analysis of variance (MANOVA) and a Tukey post hoc test. The baseline and final values of Ra and Sa were submitted to linear regression analyses, all of which were performed at a significance level of p=0.05. Gloss and roughness presented statistical differences between the resin-time interactions in all composite resins. The gloss (72.5%) and roughness (89.4%) worsened significantly after brushing, but the authors didn’t find statistically significant differences when evaluating translucency and color. Based in the results, it could be concluded that the simulated brushing degraded the brightness and roughness of the used high-viscosity bulk fill composites.

Characterization of Nano- and Micro-Filled Resin Composites Used as Dental Restorative Materials

2008 ◽  
Author(s):  
Dalia Abdel Hamid ◽  
Amal Esawi ◽  
Inas Sami ◽  
Randa Elsalawy
Keyword(s):  
Resin Composite ◽  
Physical And Mechanical Properties ◽  
Sem Analysis ◽  
Indentation Modulus ◽  
Resin Composites ◽  
Adhesively Bonded ◽  
Dental Resin ◽  
Tooth Structure ◽  
Dental Restorative

Adhesively-bonded resin composites have the advantage of conserving sound tooth structure with the potential for tooth reinforcement, while at the same time providing an aesthetically acceptable restoration. However, no composite material has been able to meet both the functional needs of posterior restorations and the superior aesthetics required for anterior restoration. In an attempt to develop a dental resin composite that had the mechanical strength of hybrid composite materials and the superior polish and gloss retention associated with microfilled materials, nanofilled resin composites have been introduced in the market. Although nanofillers are the most popular fillers utilized in current visible light-activated dental resin composites and are claimed to be the solution for the most challenging material limitations as a universal restorative material, the mechanisms by which these fillers influence the resin composite properties are not well explained. In this study, some physical and mechanical properties of a nanofilled resin composite containing 60 vol. % zirconia and silica fillers were evaluated and compared to those of a microhybrid resin composite of the same composition. The nanofilled resin composite was found to have equivalent polymerization shrinkage and depth of cure to the microhybrid material but a slightly lower degree of conversion and density. Regarding mechanical behaviour, although the nanocomposite was found to exhibit significantly higher wear resistance, and equivalent flexural strength, its indentation modulus and nanohardness were slightly lower. Field-emission scanning electron microscopy (FE-SEM) analysis was conducted in order to evaluate the microstructure and to obtain a better understanding of the effect of the nanofillers on the behaviour of the nanocomposite.

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