Bis-(acrylamide)s as new cross-linkers for resin-based composite restoratives

OBJECTIVES: The objective of this study was to investigate the use of three new bis-(acrylamide)s as cross-linker in resin-based composite restoratives. Selected mechanical properties such as flexural strength and flexural modulus of model composites containing bis-(acrylamide)s were investigated and compared to the properties of composites that are based on only conventional dimethacrylates. In addition, the hydrolytic stability of composites containing an acidic monomer was examined. METHODS: The flexural strength and flexural modulus of elasticity were determined according to ISO 4049:2000. For this purpose, test specimens (2 mm x 2 mm x 25 mm) of the composites investigated were prepared in stainless steel moulds and light-cured (150 mW/cm2, 2 x 180 s). The flexural strength and flexural modulus were measured after the samples had been stored in dry conditions or in water for 24 h at 37 degrees C as well as after they had been stored in water for 7 days at 37 degrees C, and in certain cases, after they had been boiled for 24 h in water. RESULTS: Visible light cured mixtures of dimethacrylates with bis-(acrylamide)s and composites based on these mixtures show a similar reactivity, flexural strength and flexural modulus of elasticity compared to materials that contain only dimethacrylate. The composites did not show any deterioration of the mechanical properties after water storage. Only when strongly acidic monomers were added to the composites containing dimethacrylates or bis-(acrylamide)s did the flexural strength and flexural modulus of the samples decrease after they were stored in water. SIGNIFICANCE: Bis-(acrylamide)s were similarly reactive than dimethacrylates and therefore can be used as diluents to substitute dimethacrylate diluents in composites. Although the bis-(acrylamide)s are entirely soluble in water, non-ionic materials based on bis-(acrylamide)s did not strongly change their mechanical properties during storage in water.     

A partially aromatic urethane dimethacrylate as a new substitute for Bis-GMA in restorative composites.

OBJECTIVES: The objective of this study was to investigate the use of a new, partially aromatic urethane dimethacrylate in visible-light cured resin-based composite restoratives. Selected mechanical properties, such as flexural strength and flexural modulus of elasticity, of model monomer mixtures and composites containing the new urethane dimethacrylate were investigated and compared to the properties of materials that are based on Bis-GMA, at present the most frequently used cross-linker in restorative composites. In addition, the polymerization shrinkage and the water sorption of selected composites were determined. METHODS: The flexural strength, flexural modulus of elasticity, and the water sorption were determined according to ISO 4049:2000. Test specimens (rods: 2 mmx2 mmx25 mm; discs: d=15 mm and h=1 mm) of the investigated composites were prepared in stainless steel molds and light-cured (150 mW/cm2, 2x180 s). The flexural strength and flexural modulus of rods were measured after the samples had been stored under dry conditions or in water for 24 h at 37 degrees C as well as after they had been stored in water for 7 days at 37 degrees C. The water sorption was determined with discs. The polymerization shrinkage was calculated from the densities of the uncured composite pastes and cured composites. RESULTS: Visible light cured mixtures of dimethacrylate diluents with the new urethane dimethacrylate and composites based on these mixtures show a reactivity, flexural strength, flexural modulus of elasticity, polymerization shrinkage and water sorption similar to those of materials that are based on Bis-GMA. The composites did not show any strong deterioration of the mechanical properties after water storage.     

Comparison between a plasma arc light source and conventional halogen curing units regarding flexural strength, modulus, and hardness of photoactivated resin composites

The plasma arc curing light Apollo 95 E (DMDS) is compared to conventional curing lights of different radiation intensities (Vivalux, Vivadent, 250 mW/cm²; Spectrum, DeTrey, 550 mW/cm²; Translux CL, Kulzer, 950 mW/cm²). For this purpose, photoactivated resin composites were irradiated using the respective curing lights and tested for flexural strength, modulus of elasticity (ISO 4049), and hardness (Vickers, Knoop) 24 h after curing. For the hybrid composites containing only camphoroquinone (CQ) as a photoinitiator (Herculite XRV, Kerr; Z100, 3 M), flexural strength, modulus of elasticity, and surface hardness after plasma curing with two cycles of 3 s or with the step-curing mode were not significantly lower than after 40 s of irradiation using the high energy (Translux CL) or medium energy conventional light (Spectrum). However, irradiation by only one cycle of 3 s failed to produce adequate mechanical properties. Similar results were observed for the surface hardness of the CQ containing microfilled composite (Silux Plus, 3 M), whereas flexural strength and modulus of elasticity after plasma curing only reached the level of the weak conventional light (Vivalux). For the hybrid composites containing both CQ and photoinitiators absorbing at shorter wavelengths (370–450 nm) (Solitaire, Kulzer; Definite, Degussa), plasma curing produced inferior properties mechanical than conventional curing; only the flexural strength of Solitaire and the Vickers hardness of Definite reached levels not significantly lower than those observed for the weak conventional light (Vivalux). The suitability of plasma arc curing for different resin composites depends on which photoinitiators they contain. Received: 5 July 1999 / Accepted: 16 March 2000     

Sol-gel materials 2. Light-curing dental composites based on ormocers of cross-linking alkoxysilane methacrylates and further nano-components.

OBJECTIVES: The objective of this study was to investigate the use of ormocers, which were synthesized from amine or amide dimethacrylate trialkoxysilanes. Ormocers showed improved biocompatibility in dimethacrylate-diluent-free composite restoratives. Selected mechanical properties, such as flexural strength and flexural modulus of experimental composites containing ormocers were investigated. In addition, the influence of methacrylate-substituted ZrO2 clusters and SiO2 organosols on the mechanical properties of composites was studied. METHODS: The flexural strength and flexural modulus of elasticity were determined according to ISO 4049: 2000. For this purpose, test specimens (2mmx2mmx25mm) of the composites investigated were prepared in stainless steel moulds and light-cured (150mW/cm2, 2x180s). The flexural strength and flexural modulus of elasticity were measured after the samples had been stored in water for 24h at 37 degrees C. RESULTS: While visible light-cured dimethacrylate-diluent-free composite restoratives based on the investigated ormocers showed a similar flexural strength and flexural modulus of elasticity compared to composites that contain only dimethacrylates, their double bond conversion was considerable lower. The simultaneous addition of methacrylate-substituted ZrO2 clusters and SiO2 organosols to the ormocer composite improved the mechanical properties of the composites. SIGNIFICANCE: Ormocers of amine or amide dimethacrylate trialkoxysilanes enabled the preparation of dimethacrylate-diluent-free composite restoratives. Based on the lower cytotoxicity of the ormocers, the prepared restorative composites should show improved biocompatibility. With the addition of nanoparticles, such as methacrylate-substituted ZrO2 clusters or SiO2 organosols, the mechanical properties of composites can be improved.     

吸水对充填复合树脂抗弯性能的影响

目的：研究吸水对充填复合树脂抗弯强度和弹性模量的影响。方法将混合型前牙充填复合树脂(GDA)和通用型充填复合树脂(GCK)根据ISO FDIS 4049：1999标准制备为大小(25±2)mm ×(2±0.1)mm ×(2±0.1)mm的柱状试件,分为GDA1,GDA30,GDA90,GDA150,GCK1,GCK30,GCK90,GCK150共8组,每组13个样本。分别放入(37±1)oC的去离子水中浸泡1天、30天、90天、150天。利用三点弯曲实验测量并计算试件的三点抗弯强度和挠曲弹性模量。在体视显微镜和扫描电子显微镜下观察断面形貌。结果 GDA30和GCK30组分别与GDA1和GCK1组相比,抗弯强度的差异均无统计学意义。 GDA90及GDA150组的抗弯强度随浸水时间延长而逐渐降低,差异具有统计学意义;GCK90及GCK150组与GCK1组抗弯强度的差异具有统计学意义,但GCK90及GCK150组之间抗弯强度的差异无统计学意义。 GDA及GCK不同浸水时间的各组之间,其弹性模量的差异无统计学意义。结论在浸水150天的有限时间内,吸水会使充填复合树脂GDA和GCK的抗弯强度降低,但不会影响其弹性模量。     

Influence of veneering composite composition on the efficacy of fiber-reinforced restorations (FRR)

This study investigated the influence of fiber reinforcement on the flexural properties of four commercial (Artglass, Belleglass HP, Herculite XRV and Solidex) veneering composites (Series A) and two experimental composites (Series B&C). This study investigated how the composition of the veneering composites influenced the enhancement of strength and modulus produced by fiber reinforcement. The formulation of the experimental composites were varied by changing the filler load (Series B) or the resin matrix chemistry (Series C) to assess the effect these changes would have on the degree of reinforcement. In Series A, the commercial veneering composites were reinforced by an Ultra-High-Molecular-Weight Polyethylene fiber (UHMW-PE/Connect) to evaluate flexural properties after 24 hours and six months. In Series B, experimental composites with the same organic matrix but with different filler loads (40% to 80% by weight) were also reinforced by Connect fiber to evaluate flexural properties. In Series C, experimental composites (Systems 1-4) with the same filler load (76.5% by weight) but with different organic matrix compositions were reinforced by Connect fiber to evaluate flexural properties. For Series B and C, flexural properties were evaluated after 24 hours water storage. All the samples were prepared in a mold 2 mm x 2 mm x 25 mm and stored in distilled water at 37 degrees C until they were ready for flexural testing in an Instron Universal Testing Machine using a crosshead speed of 1 mm/minute. The results showed no significant differences in the flexural strength (FS) between any of the commercial reinforced composites in Series A. The flexural modulus (FM) of the fiber-reinforced Belleglass HP group was significantly higher than for Artglass and Solidex. Water storage for six months had no significant (p>0.05) effect on the flexural strength of three of the four reinforced veneering composites. The flexural strength for Artglass was significantly reduced (p<0.05) by six-month water storage. In Series B, however, increasing the amount of filler loading improved the flexural modulus of the reinforced experimental composite but had no effect on its flexural strength. In Series C, changing the organic matrix formulation had no affect on flexural strength but affected the flexural modulus of the reinforced experimental composite.     

Flexural properties of eight flowable light-cured restorative materials, in immediate vs 24-hour water storage

This study evaluated the flexural strength, flexural modulus, modulus of resilience and water sorption of eight flowable light-cured restorative materials compared with two conventional restoratives (as control). Forty specimens of each material were made. Twenty specimens were immediately flexural tested, while the remaining 20 were weight-measured and immersed in distilled water in a 37 degrees C incubator. After 24 hours, the samples were weight-measured again to identify water sorption and they were flexural tested. The findings were statistically analyzed using t-test, one-way ANOVA, Tukey test and Pearson's Product-Moment Correlation. The results of the flexural strength test were also analyzed using Weibull statistic. All flowable light-cured restorative materials except Palfique Estelite Low Flow exhibited immediate flexural strength values between the conventional ones. All flowable light-cured restorative materials showed 24-hour flexural strength values between the conventional ones. The Weibull modulus for immediate flexural strength of the materials varied from 6.37 to 15.23, while for 24-hour flexural strength, the strength varied from 8.10 to 14.30. In both conditions, all flowable light-cured resin composites showed lower flexural moduli but higher modulus of resilience than the conventional ones. The water sorption of all resin composites was lower than the flowable light-cured compomer. There was a distinct relation (r=-0.84, p<0.01) between the increasing ratio in modulus of resilience and the amount of water sorption.     

Influence of the mechanical properties of composites for indirect dental restorations on pattern failure

This study evaluated the fracture pattern of four composites for indirect dental restoration relating to three-point flexural strength, compressive strength and modulus of elasticity (Solidex, Artglass, belleGlass, and Targis). Ten specimens of each composite were tested in a universal testing machine at 0.5 mm/min crosshead speed for flexural strength and 1mm/min for compressive strength. Fracture pattern was classified as complete or partial fracture. Modulus of elasticity was calculated from flexural strength data. Composites polymerized under high temperatures (belleGlass and Targis) had higher flexural strength and elastic modulus values than composites polymerized by light (Artglass and Solidex). However, they failed earlier under compression because they were more rigid and showed partial fracture in the material bulk.     

Flexural strength and modulus of elasticity of different types of resin-based composites

The aim of the study was to test whether the filler composition of resin composites influences their flexural strength and modulus of elasticity. Flexural strength and modulus of elasticity were obtained through a three-point bending test. Twelve bar shaped specimens of 5 commercially available composites--Supreme (3M/ESPE), a universal nanofilled composite; Esthet-X (Dentsply), Z-250 (3M/ESPE), Charisma (Heraeus Kulzer), universal hybrid composites; and Helio Fill (Vigodent), a microfine composite--were confectioned according to the ISO 4049/2000 specifications. The test was performed after a 7-days storage time using a universal test machine with a crosshead speed of 1 mm/min. The filler weight content was determined by the ashing technique. The data obtained on the mechanical properties were submitted to ANOVA and Tukey test (p < 0.05). Pearson's correlation test was used to determine the correlation between the filler content and the mechanical properties. A weak but significant correlation between the mechanical properties evaluated and the filler weight content was observed (p < 0.000). The microfine composite presented the lowest filler weight and the lowest mechanical properties. Statistically different flexural strength and modulus of elasticity results were observed among the universal hybrid composites. The nanofilled composite presented intermediary results. Within the limitations of this in vitro study, it could be concluded that the filler content significantly interfered in the flexural strength and modulus of elasticity of the composites tested.     

Effect of light exposure on fracture toughness and flexural strength of light-cured composites

Objectives. This study was conducted to investigate the curing characteristics of light-cured composites and their related mechanical properties.Methods. Single-edge notch specimens [25 mm × 2.5 mm × 5 mm with a 5 mm notch (a/W = 0.5)] were prepared for fracture toughness measurements. For flexural strength testing, a stainless steel mold (25 mm × 2 mm × 2 mm) was used. Light-cured composites were condensed into the mold, and the middle third of the specimen was first activated for 30 s with 400 mW/cm², for 60 s with 200 mW/cm², or for 120 s with 100 mW/cm². Then the remaining thirds were activated at the same intensity and curing time as the middle third. After 24 h storage in 37°C water, three-point bending tests were performed with a span length of 20 mm at a crosshead speed of 0.5 mm/min. A one-way ANOVA, followed by a Newman-Keuls test (p < 0.05), were used to compare the data obtained from each group to test the effect of the curing conditions.Results. Fracture toughness, flexural strength, and flexural modulus varied with resin composites. Among the three curing conditions for each material, there were no significant differences in fracture toughness, flexural strength, or flexural modulus.Significance. The fracture toughness and the flexural strength were the same when irradiations with the same amount of energy (light intensity multiplied by curing time) were used. It was found that, at lower light intensity, longer curing was required to provide comparable mechanical properties. An accumulated irradiation energy obtained through a product of the light intensity and curing time may serve as a guideline to produce samples exhibiting equivalent fracture toughness as well as flexural strengths.     

Thermo-hydrolytic stability of core foundation and restorative composites

STATEMENT OF PROBLEM: The use of weak and less durable materials in restoring teeth may result in weak restorations unable to withstand intraoral conditions. PURPOSE: The purposes of this study were to evaluate the effect of thermo-hydrolytic stress on the flexural strength and flexural modulus of core foundation composites with direct restorative composites and determine mass percentage of filler content. MATERIAL AND METHODS: A total of 216 specimens, from 9 brands of commercially available composites (Coreflo, DC Core, Photocore, APX, Litefil II A, Surefil, TPH Spectrum, Z100, and Z250) were fabricated following ISO Standard 4049. Flexural strength (MPa) and flexural modulus (GPa) were determined on bar-shaped specimens (25 x 2 x 2 mm) before and after storage in boiling water for 24 hours (n=12). The filler content in composite was determined by incineration using a thermogravimetric analyzer. The data were analyzed using 2-way analysis of variance and the Student t test (alpha=.05). RESULTS: Filler content of the tested composites was 66.6 to 81.8 mass %. Significant differences in both flexural strength and flexural modulus existed among materials, the effect of boiling and interaction (P<.05). Coreflo, DC Core, Z100, and Z250 demonstrated a significant decrease in flexural strength after boiling (P<.05). Z250 showed a significant decrease in flexural modulus after boiling (P=.001), while Surefil showed a significant increase in flexural modulus (P=.007). CONCLUSION: Within the limitations of this study, it can be concluded that composites were affected differently by moist heat stress. Some composites showed a degradation of flexural properties while some retained flexural properties. Stability of the composites varied among brands.     

Effect of different photoinitiator systems on conversion profiles of a model unfilled light-cured resin.

OBJECTIVE: The aim of this study was to compare the efficiency of different camphorquinone (CQ)/amine photo-initiating systems for the photopolymerization of a model dental resin based in Bis-GMA/TEGDMA. METHODS: The monomer conversion versus exposure time was measured in resins containing different types and concentrations of photoinitiators and subjected to different irradiation procedures. The conversion profiles during photopolymerization were investigated using near-infrared spectroscopy (NIR). CQ was used in combination with dimethylaminoethylmethacrylate (DMAEMA), ethyl-4-dimethylaminobenzoate (EDMAB), 4-(N,N-dimethylamino)phenethyl alcohol (DMPOH), and N,N-3,5-tetramethylaniline (TMA) at different concentrations. RESULTS: From the conversion profiles, the approximate order of the accelerating ability of the respective amines were EDMAB approximately DMPOH>TMA>DMAEMA. The conversion profiles of all resins were sensitive to the illumination period. For a given exposure time, samples cured by sequential illumination resulted in lower conversion than samples cured by continuous irradiation. These results were attributed to a combination of both photo and thermal effects. NIR demonstrated to be a convenient method to follow the evolution of the monomer conversion during the photopolymerization of dental resins and, consequently, it is of great utility as a method for determining the relative efficacy of different photoinitiator. SIGNIFICANCE: The DMPOH/benzoyl peroxide redox system, has been recently proposed as a more biocompatible accelerator for the polymerization of acrylic resins. The results obtained in the present study reveal the potential usefulness of the DMPOH amine in light-cured dental composites.     

Physical and mechanical properties of an experimental dental composite based on a new monomer.

OBJECTIVE: The purpose of this study was to investigate the physical and mechanical properties of a dental composite based on BTDMA, a new dimethacrylate monomer based on BTDA (3,3',4,4'-benzophenone tetracarboxylic dianhydride), and to compare these with the properties of a composite based on commonly used Bis-GMA monomer. METHODS: Experimental composites were prepared by mixing the silane-treated filler with the monomers. The prepared pastes were inserted into the test molds and heat-cured. Light-cured composites were also prepared using camphorquinone and amine as photoinitiator system. Degree of conversion of the light-cured and heat-cured composites was measured using FTIR spectroscopy. The flexural strength, flexural modulus, diametral tensile strength (DTS), water sorption, water contact angle, microhardness and thermal expansion coefficient of the prepared composites were measured and compared. Water uptake of the monomers was also measured. RESULTS: The results showed that the mechanical properties of the new composite are comparable with the properties of the Bis-GMA-based composite but its water sorption is higher. BTDMA as a monomer containing aromatic rings and carboxylic acid groups in its structure gives a composite with good mechanical properties. There is a close relation between the contact angle, water sorption of the cured composite and water uptake of their monomers. SIGNIFICANCE: Finding new monomers as alternatives for Bis-GMA have been a challenge in the field of dental materials and any investigation into the properties of new composites would be beneficial in the development of dental materials.     

Twenty-four hour flexural and shear bond strengths of flowable light-cured composites: a comparison analysis using Weibull statistics

By means of Weibull analysis, this study evaluated and compared the flexural strength and shear bond strength of flowable light-cured composites against those of conventional ones. Twenty specimens of each material were prepared for flexural and shear bond strength measurements. Specimens were measured after water storage at 37 degrees C for 24 hours. Three of four flowable composites showed significantly higher flexural strength than conventional ones, with Weibull moduli ranging between 6 and 14. With the presence of a bonding agent, the shear bond strength to enamel of both types was not different significantly (p=0.28), with Weibull moduli ranging between 4 and 9. In the selection of an excellent resin composite material, results of this study showed that a high, stable Weibull modulus value could be a sound indicator.     

Resin composite properties and energy density of light cure

According to the "total energy concept", properties of light-cured resin composites are determined only by energy density because of reciprocity between power density and exposure duration. The kinetics of polymerization is complex, and it was hypothesized that degree of cure, flexural strength, and flexural modulus were influenced not only by energy density, but also by power density per se. A conventional resin composite was cured at 3 energy densities (4, 8, and 16 J/cm(2)) by 6 combinations of power density (50, 100, 200, 400, 800, and 1000 mW/cm(2)) and exposure durations. Degree of cure, flexural strength, and flexural modulus increased with increasing energy density. For each energy density, degree of cure decreased with increasing power density. Flexural strength and modulus showed a maximum at intermediate power density. Within clinically relevant power densities, not only energy density but also power density per se had significant influence on resin composite properties.     

Cure width potential for MOD resin composite molar restorations

OBJECTIVES: To investigate the capability of modern light-curing units exhibiting differences in emission spectra and light source exit window dimensions, for "one-shot" full-width curing of extensive (molar MOD) resin composite restorations. METHOD: Specimens of Tetric (TT), Tetric Ceram HB (TC), Tetric Evoceram (TE) and Tetric Ceram Bleach (TB) resin composites containing varying ratios of Lucirin (TPO) and/or camphorquinone (CQ) photoinitiators were packed into a bar-shaped mould (12 mm length x 2 mm width x 2 mm thickness). Each product was irradiated using a halogen (Optilux 401; QTH), a conventional LED (LEDemetron; LED) and two so-called "third generation" oval-footprint LED light-curing units (LCUs) of the same model. The latter featured bimodal emission spectra (blue and ultraviolet diodes) with either high (unmodified output) and approximately 50% (modified output) blue light intensity (UltraLume-5; ULs, ULm, respectively). Vickers hardness number was obtained across the lateral extent of the bar at 1mm increments from the centre point on both upper and lower surfaces of the specimens. RESULTS: Significant linear relationships (R(2)=0.71-0.98) for each distance from the central position of all LCUs were identified between measured light intensity and corresponding upper and lower surface hardness values for each product (P<0.05). No significant differences (P>0.05) were recorded in total upper surface hardness of TC or TE cured with LED (68.7+/-3.2 and 70.5+/-2.5) or ULm (56.8+/-2.0 and 57.7+/-2.0). However, upper surface hardness of TT (CQ only) cured with ULm was significantly decreased (P<0.05) compared with other LCUs. When the ratio of hardness at the edge to central positions of the bar-shaped specimens for either surface was calculated, no significant difference (P>0.05) was identified for TB (containing TPO and decreased CQ) cured with either ULs or ULm (P>0.05) and was significantly increased (P<0.05) when cured with ULs compared with LED and QTH. SIGNIFICANCE: Variability in light intensity across the curing-tip face, spectral output of dental light-curing units and differences in product photoinitiator chemistry all influence curing efficiency significantly across the width of extensive resin composite geometries.     

Photoinitiation chemistry affects light transmission and degree of conversion of curing experimental dental resin composites.

INTRODUCTION: The effect of photoinitiator and co-initiator chemistry on the setting reaction and degree of conversion of dental resin-based composites (RBCs) has rarely been determined explicitly. This work examines the effect of type and concentration of photoinitiator and co-initiator on the rate of change of light transmission throughout polymerisation and degree of conversion of model RBC formulations. METHODS: Bisphenol-A diglycidyl ether dimethacrylate (bis-GMA) and triethylene glycol dimethacrylate (TEGDMA) (6:4 molar ratio) resins filled with silanized glass filler (74wt.%) and containing various photoinitiators (camphorquinone; CQ, 1-phenyl-1,2-propanedione; PPD, benzil; BZ), co-initiator types (N,N-dimethyl-p-amino benzoic acid ethyl ester; DABE, N,N-cyanoethyl methylaniline; CEMA, N,N-diethanol-p-toluidine; DEPT) and concentration (0.0-0.3% DABE) were polymerised using a halogen or LED light curing-unit (LCU) for 10, 20 and 40s. The setting reaction was monitored in real-time by measuring the light transmittance through the curing specimen and bulk degree of conversion (DC) evaluated using Fourier transform infra-red spectroscopy. RESULTS: Specimens containing CQ and PPD cured with the halogen LCU did not have a significant effect on DC or changes in light transmission, although a significant increase in DC was observed for CQ compared with PPD specimens cured with the LED LCU. DABE and CEMA were more effective co-initiators than DEPT. Although DC was not limited by co-initiator concentration, the absence of a co-initiator resulted in marked differences in light transmission and decreased DC throughout 40s irradiation with each LCU type. CONCLUSIONS: The spectral range emitted from different types of LCU and absorption characteristics of the photoinitiator chemistry of light-activated resin-based composites play a critical role in the efficiency of polymerisation.     

Effect of carbon and glass fiber posts on the flexural strength and modulus of elasticity of a composite resin

The aim of this study was to evaluate the effect of prefabricated fiber posts on the flexural strength and modulus of elasticity of a composite resin. Thirty bar-shaped specimens measuring 25 x 2.0 x 2.0 mm were made, containing posts that were 1.3 mm in diameter and 20 mm long. Each group contained 10 specimens: Group 1, resin without post; Group 2, resin with carbon fiber post; Group 3, resin with glass fiber post. The samples were immersed in water at 37 degrees C until the three-point loading test was performed at a speed of 1.0 mm/minute. The results were statistically analyzed by ANOVA and Tukey's test (P = 0.05). Both fiber posts were similar in strength and both were stronger than the control. Group 3 obtained a higher mean modulus of elasticity than Groups 1 and 2, which were similar. The results of this study demonstrated that the presence of a fiber post significantly raised flexural strength values and the glass fiber post significantly increased the modulus of elasticity of the evaluated composite resin.     

Comparison of flexural properties of composite restoratives using the ISO and mini-flexural tests

The purpose of this study was to investigate the flexural properties (flexural strength and flexural modulus) of four commercial composite restoratives (Silux Plus, Z100, Ariston and Surefil) using the ISO 4049 flexural test (IFT) and a mini-flexural test (MFT). Both tests involved the use of three-point loading and the same fixture. The difference between the tests was in the length of the composites specimens and the distance between the supports [20 mm (IFT) and 10 mm (MFT)]. Six specimens were made for each material and flexural test. Test specimens [25 x 2 x 2 mm (IFT) and 12 x 2 x 2 mm (MFT)] were fabricated according to manufacturers' recommendations. After light-polymerization, the specimens were stored in distilled water at 37 degrees C for 24 h. The specimens were subsequently blotted dry, measured and subjected to flexural testing using an Instron Universal Testing Machine with a crosshead speed of 0.75 mm min(-1). Data was analysed using anova/Scheffe's, paired samples test (P < 0.05) and Pearson's correlation (P < 0.01). For both IFT and MFT, results of statistical analysis of flexural strength were identical. Silux had significantly lower flexural strength compared with the other composites and the flexural strength of Ariston was significantly lower than Z100 and Surefil. For IFT, the flexural modulus of Z100 was significantly higher than Silux, Ariston and Surefil while for MFT, Silux had significantly lower modulus compared with Z100, Ariston and Surefil. A significant, strong and positive correlation (r = 0.95) was observed for flexural strength between IFT and MFT. Correlation for flexural modulus was also significant and positive but was weaker (r = 0.53). As MFT has the advantage of ease of specimen fabrication and is more clinically realistic, it is suggested for the testing of composite restoratives. CLINICAL RELEVANCE: The mini-flexural test may be better than the ISO flexural test for screening of composite restoratives for clinical applications.     

Continuous-fiber preform reinforcement of dental resin composite restorations.

OBJECTIVES: Direct-filling resin composites are used in relatively small restorations and are not recommended for large restorations with severe occlusal-stresses. The aim of this study was to reinforce composites with fiber preforms, and to investigate the effects of layer thickness and configurations on composite properties. It was hypothesized that fiber preforms would significantly increase the composite's flexural strength, work-of-fracture (toughness) and elastic modulus. METHODS: Glass fibers were silanized, impregnated with a resin, cured, and cut to form inserts for tooth cavity restorations. Also fabricated were three groups of specimens of 2mm x 2mm x 25 mm: a fiber preform rod in the center of a hybrid composite; a thin fiber layer on the tensile side of the specimens; and a thin fiber layer sandwiched in between layers of a hybrid composite. These specimens were tested in three-point flexure to measure strength, work-of-fracture and modulus. Optical and scanning electron microscopy were used to examine the restorations and the fiber distributions. RESULTS: Microscopic examinations of insert-filled tooth cavities showed that the fibers were relatively uniform in distribution within the preform, and the inserts were well bonded with the surrounding hybrid composite. Specimens consisting of a fiber preform rod in the center of a hybrid composite had a flexural strength (mean (SD); n=6) of 313 (19)MPa, significantly higher than 120 (16)MPa of the hybrid composite without fibers (Tukey's at family confidence of 0.95). The work-of-fracture was increased by nearly seven times, and the modulus was doubled, due to fiber preform reinforcement. Similar improvements were obtained for the other two groups of specimens. SIGNIFICANCE: Substantial improvements in flexural strength, toughness and stiffness were achieved for dental resin composites reinforced with fiber preforms. The method of embedding a fiber preform insert imparts superior reinforcement to restorations and should improve the performance of direct-filling resin composites in large restorations with high occlusal-loads.