The use of an elastomeric methacrylate monomer (Exothane 24) to reduce the polymerization shrinkage stress and improve the two-body wear resistance of bulk fill composites.

ABSTRACT

OBJECTIVES: Characterize the chemical structure of an elastomeric monomer (Exothane 24) and evaluate the degree of conversion (DC), polymerization shrinkage stress (PSS), rate of polymerization (Rp), flexural strength (FStrenght), flexural modulus (FModulus), Vickers hardness (VHardness) and two-body wear resistance of dental bulk fill composites (BFCs) containing Exothane 24. METHODS: The Exothane 24 was characterized using mass spectroscopy, elemental analysis, 13C- and 1H NMR. BFCs were formulated containing Exothane 24 (E10, E25, and E50). Similar BFCs containing regular UDMA (U10, U25, and U50), commercial conventional, and BFCs were used as control groups. ATR-FTIR spectroscopy was used to measure DC and the Rp of the composites. The PSS was measured using the universal testing machine method. Specimen bars were used to assess the FStrenght, FModulus, and VHardness. RBCs were submitted to a two-body wear test using a chewing simulator machine; the rate and volumetric wear loss were evaluated using an optical scanner. Data were analyzed statistically with α = 0.05 and ß = 0.2. RESULTS: Exothane 24 is a urethane isophorone tetramethyl methacrylate monomer with polymerization stress-relieving properties. No differences were found in the DC up to 4 mm in depth for E25. All BFCs had similar FStrenght, except for E50. E25 had the lowest volumetric wear loss and wear rate. E25 had approximately 30% lower PSS and slower Rp than commercial BFCs with similar wear resistance to conventional commercial composites. SIGNIFICANCE: The Exothane 24 reduced the PSS and increased the wear resistance of BFCs; however, the formulation is important to optimize the properties of the BFCs.