Effects of polishing systems and storage media on color stability and surface roughness of bulk-fill restorative composites.

PURPOSE: To determine the effect of polishing systems and storage media on surface roughness and color change of four bulk-fill restorative composites. METHODS: Four bulk-fill restorative composites and one micro-hybrid resin composite were used in this study. 72 cylindrical specimens were prepared for each resin composite. The specimens were divided into three polishing groups and further solution subgroups (n= 8). Surface roughness (Ra) and color were measured before and after the immersion periods. Statistical analyses were performed using three-way analysis of variance and Bonferroni tests (P< 0.05). RESULTS: Baseline Ra values were lower in the unpolished groups. Immersion in solutions increased the Ra of all resin composites tested. The lowest ΔE*ab was observed in Filtek One Bulk-Fill groups immersed in artificial saliva. Filtek One Bulk-Fill polished with Twist Dia showed lower ΔE*ab values than polished with Sof-Lex and the unpolished groups (P< 0.05). A weak positive correlation was observed between the baseline Ra and ΔE*ab. CLINICAL SIGNIFICANCE: Color stability and surface roughness of bulk-fill restorative composites seems to be dependent on the composition of the material and polishing system used. Surface pre-reacted glass-ionomer filler containing bulk-fill restorative composite was the most stain-susceptible resin composite.

The Effects of Endodontic Access Cavity Preparation Design on the Fracture Strength of Endodontically Treated Teeth: Traditional Versus Conservative Preparation.

INTRODUCTION: The aim of this study was to compare the fracture strengths of mandibular molar teeth prepared using traditional endodontic cavity (TEC) and conservative endodontic cavity (CEC) methods and restored using SDR (Dentsply Caulk, Milford, DE) and EverX Posterior (GC Dental, Tokyo, Japan) base composite materials. METHODS: A hundred mandibular first molar teeth were randomly divided into 5 groups. In group 1 (the control group), samples were kept intact. In group 2, TECs were prepared, and the samples were restored with EverX Posterior and composite resin. In group 3, CECs were prepared, and the samples were restored with EverX Posterior and composite resin. In group 4, TECs were prepared, and the samples were restored with SDR and composite resin. In group 5, CECs were prepared, and the samples were restored with SDR and composite resin. This load was applied on the samples at 1-mm/min speed using a 6-mm round-head tip until fracture. The forces resulting in fracture were recorded in newton units. The data were analyzed using Kruskal-Wallis and Pearson correlation tests at a 5% significance level. RESULTS: The fracture strengths of the samples in the control group were significantly higher than the experimental groups (P < .05). There was no statistically significant difference in the endodontic access cavities prepared used the TEC and CEC methods and restored using the same composite base material (P > .05). CONCLUSIONS: CEC preparation did not increase the fracture strength of teeth with class II cavities compared with TEC preparation. The fracture strength of teeth restored with the SDR bulk-fill composite was higher than that of teeth restored with EverX Posterior.

The effects of finishing and polishing techniques on surface roughness and color stability of nanocomposites.

OBJECTIVES: The aim of this in vitro study was to evaluate the effects of different finishing and polishing techniques on the surface roughness and color stability of nanocomposites. METHODS: Two nanohybrid (Grandio, Aelite Aesthetic Enamel), two nanofill (Filtek Supreme XT Dentin and Translucent), and a microhybrid (Filtek Z250) composites were used. Two hundred and eighty disc-shaped specimens were cured under a mylar strip. Seven specimens of each resin composite were randomly assigned to one of the seven polishing systems. A profilometer was used for assessing surface roughness. ΔE was calculated with a colorimeter at baseline and 48 h after storage in a coffee solution. The results were analysed by two-way ANOVA and Tukey's HSD test (α=0.05). Regression analysis was used to examine the correlation between surface roughness and color stability (α=0.01). RESULTS: There was no significant difference in R(a) values between mylar strips and Sof-Lex polishing discs (p>0.05). The highest ΔE and R(a) values were obtained from Grandio (p<0.05), and Aelite Aesthetic Enamel had the lowest ΔE values (p<0.05). The Enhance system showed the lowest color differences among all the finishing systems. The highest ΔE values were found in the composite resin groups under mylar strips and finished with diamond burs (p<0.05). CONCLUSIONS: While the Sof-Lex discs provided the lowest surface roughness, the Enhance Polishing system provided the most stain-resistant groups. Grandio presented the highest surface roughness and staining susceptibility after storage in coffee solution. Aelite Aesthetic Enamel, which did not include TEGDMA in its composition, showed the least discoloration. CLINICAL SIGNIFICANCE: The composites with smaller filler size did not necessarily show low surface roughness and discoloration. Staining of composite resins was dependent on monomer structure, as well as surface irregularities.

Effect of acid etching time and a self-etching adhesive on the shear bond strength of composite resin to porcelain.

UNLABELLED: PURPOSE The purpose of this study was to evaluate the effect of different acid etching times with 9.6% hydrofluoric acid gel and two adhesive systems on shear bond strengths of resin composite to porcelain. MATERIALS AND METHODS: Ninety-eight 7 x 7 x 2 mm feldspathic porcelain blocks (VMK 95, Vita) were prepared. The specimens were divided into 7 groups: 1 control (no surface treatment) and 6 groups acid etched with 9.6% hydrofluoric acid gel for different etching times, including 30 s, 30+30 s, 60 s, 60+60 s, 120 s, and 180 s. Each of the etching time groups was divided into two bonding agent (Single Bond, AdheSE) subgroups (n = 7). Microhybrid composite (Filtek Z250) was condensed using a teflon mold and light polymerized for 20 s on the porcelain specimens. The prepared specimens were then stored in distilled water at 37 degrees C for 24 h before mechanical testing. Shear testing of all groups was performed on a universal testing machine (Lloyd LRX) at a crosshead speed of 0.5 mm/min. The bond strength data were analyzed with two-way ANOVA. The means were compared using the Tukey HSD test (alpha = 0.05). RESULTS: Acid etching time and bonding agent statistically significantly influenced bond strength (p < 0.05). In the Single Bond group, the bond strengths between group 0 (10.48 MPa) and Group 30 (11.17 MPa) did not differ significantly, with these groups exhibiting the lowest bond strength values. The highest bond strength in Single Bond group was observed in group 120 (15.07 MPa) and group 60+60 (15.42 MPa), which did not differ significantly from each other. In the AdheSE group, the bond strengths of group 0 (9.33 MPa) and group 30 (9.49 MPa) did not differ significantly, and these groups exhibited the lowest bond strength values. The highest bond strengths in the AdheSE subgroup were observed in group 120 (14.84 MPa) and group 60+60 (14.96 MPa), which were not significantly different. Comparing the two different adhesive systems, Single Bond exhibited higher bond strength values than did the self-etching adhesive AdheSE. CONCLUSIONS: Acid etching of porcelain with 9.6% hydrofluoric acid gel for 120 s provided adequate bond strength for composite repair with a microhybrid composite. When a porcelain restoration is repaired with composite, Single Bond adhesive should be preferred to the AdheSE self-etching adhesive system.

Effects of different drinks on stainability of resin composite provisional restorative materials.

STATEMENT OF PROBLEM: The ability of tooth-colored restorative materials for provisional restorations to resist stains is important when interim prostheses are worn for a long period. Discoloration of provisional restorative materials may result in patient dissatisfaction and additional time and expense for replacement. However, the effect of different staining agents on the color difference of resin composite restorative materials has not been completely clarified. PURPOSE: The purpose of this study was to evaluate the stainability of auto- and light-polymerized composite provisional restorative materials, reinforced microfill, and microhybrid resin composite restorative materials upon exposure to different staining agents. MATERIAL AND METHODS: Forty-five cylindrical specimens (15 x 2 mm) were prepared for each of an autopolymerized bis-acryl composite provisional restorative material (Protemp II), a light-polymerized composite provisional restorative material (Revotek LC), a reinforced microfill (Micronew), and a microhybrid composite (Filtek Z250, Herculite XRV) restorative material, using a brass mold. The specimens were wet-ground with 1000-grit silicon carbide abrasive paper for 10 seconds. The 5 restorative material specimens were divided into 9 groups (n = 5) and stored for 24 hours at 37 degrees C in different types of solutions: water, coffee, coffee with sugar, tea, tea with sugar, coffee with artificial creamer and sugar, cola, red wine, or sour cherry juice. Color of all specimens was measured before and after exposure with a colorimeter using CIE L * a * b * relative, and color changes (DeltaE * ) were then calculated. The data were analyzed with a 2-way analysis of variance (ANOVA), and mean values were compared by the Tukey HSD test (alpha = .05). RESULTS: The interaction of provisional restorative materials and staining agents was statistically significant ( P = .0001). For the 5 restorative materials tested, the lowest DeltaE * values were observed in the water, cola, and sour cherry juice groups. The highest color difference for all restorative materials was observed in the red wine groups. For microhybrid composite materials and light-polymerized composite provisional material, when tea and coffee groups with and without sugar were compared, both groups with sugar demonstrated a higher color difference than without sugar. When comparing the 5 different restorative materials, the reinforced microfill material group (Micronew) demonstrated significantly less color change than the other materials tested. The highest color difference in this study was observed for specimens in the light-polymerized composite provisional material group (Revotek LC). CONCLUSION: The reinforced microfill restorative material tested was found significantly more color stable than the autopolymerized bis-acryl, light-polymerized composite provisional restorative materials, and microhybrid composites tested. The largest color difference was observed in the light-polymerized composite provisional material. The presence of sugar in coffee and tea increased the color difference compared to coffee or tea without sugar for light-polymerized composite provisional material and microhybrid composites.

Evaluation of 24-hour shear bond strength of resin composite to porcelain according to surface treatment.

PURPOSE: The purpose of the present in vitro study was to examine shear bond strengths of resin composite to porcelain according to surface treatment. MATERIALS AND METHODS: One hundred eight feldspathic porcelain blocks were prepared. Specimens were divided into nine surface treatment groups: sandblasting with 50- or 110-microm Al2O3, acid etching with hydrofluoric acid, applying silane agent, and combinations of these treatments. Microhybrid resin composite was condensed and light cured for 40 seconds on the porcelain specimens, which were then stored in distilled water at 37 degrees C for 24 hours before mechanical testing. RESULTS: The bond strengths were significantly different according to one-way ANOVA. The lowest bond strength was observed in the silane group (4.09 MPa); the highest bond strengths were observed with acid etching + silane (11.97 MPa) and sandblasting with 50-microm Al2O3 + acid etching + silane (12.34 MPa) (no significant difference between groups). CONCLUSION: Acid etching with 9.6% hydrofluoric acid gel or sandblasting with 50- or 110-microm Al2O3 particles alone did not provide adequate bond strength. Silane agent was effective in increasing the shear bond strength of resin composite to porcelain after sandblasting or acid etching. Porcelain treatment with a combination of 50-microm Al2O3 air abrasion, 9.6% hydrofluoric acid, and silane agent provided higher bond strengths than treatment with any of these procedures alone.