Wear and roughness analysis of two highly filled flowable composites.

This in vitro study aimed to evaluate surface roughness and wear of highly filled flowables and traditional packable composites. Additionally, the effect of polymerization time on these parameters was evaluated. Two flowable higly filled composites (CMf-Clearfil Majesty ES flow-low viscosity, Kuraray and GUf-Gaenial Universal Injectable, GC) and two packable composites (CM-Clearfil Majesty ES-2, Kuraray and GU-Gaenial A'CHORD, GC) were used to create 160 specimens (n = 40;8 × 6 × 4mm). For each tested material, two subgroups were considered according to the polymerization time (n = 20): 10 s or 80 s. After setting, the specimens were subjected to chewing simulations (240.000 cycles, 20N), and wear was measured by the laser integrated in the chewing simulator. The surface roughness was measured using a rugosimeter, before and after chewing cycles. Two representative specimens per group were observed under scanning electron microscope (SEM). Data were collected and statistically analyzed (p < 0.05). Wear analysis highlighted statistically significant differences between the groups: CMf10-CMf80 (p = 0.000), CMf10-CM10 (p = 0.019), CMf10-GUf10 (p = 0.002), CM10-CM80 (p = 0.000), CM80-GUf80 (p = 0.02), GUf10-GUf80 (p = 0.000), GUf10-GU10 (p = 0.043) and GU10-GU80 (p = 0.013). Statistically significant differences in surface roughness were highlighted between the groups: CMf10-CMf80 (p = 0.038), CMf80-CM80 (p = 0.019), CMf80-GU80 (p = 0.010), CM80-GUf80 (p = 0.34) and GUf80-GU80 (p = 0.003). Surface roughness and wear of highly filled flowable composites were comparable to that of traditional paste composites. Furthermore, a longer curing time leads to an improvement in the mechanical properties of the composites. Highly filled flowables can be a valid alternative to paste composites in occlusal areas due to its similar surface roughness and wear values, especially when overcured.

The Effect of Erosive Media on the Mechanical Properties of CAD/CAM Composite Materials.

This study aimed to investigate the effect of acidic media storage (gastric acid and Coca-Cola) on the mechanical properties of CAD/CAM materials. Three types of materials were tested: a polymer-infiltrated ceramic network (PICN) (Vita Enamic (En), VITA Zahnfabrik, Germany), a resin composite block (RCB) (Cerasmart (Cs), GC Corp, Japan), and a conventional resin-based composite (Gradia direct (Gr), GC Corp, Japan), which was used as a control. Beam-shaped specimens of each material, with dimensions of 16 mm × 4 mm × 1.5 mm, were prepared (90 in total). The specimens were divided into subgroups (10 each) and stored for 96 h in either gastric acid, Coca-Cola, or distilled water. Flexural strength and elastic modulus were evaluated using a three-point flexural strength test with acoustic emission (AE) monitoring. Vickers microhardness was measured before and after storage in gastric acid and Coca-Cola. Data were statistically analysed using two-way and one-way ANOVA, the Tukey's post hoc, and independent t-test at a significance level of 0.05. The results showed that Cs and En maintained their flexural strength and elastic modulus after acidic media exposure, while Gr experienced a significant decrease in flexural strength following gastric acid storage (p < 0.01). Initial crack detection was not possible using the AE system, impacting the determination of flexural strength. Exposure to acidic media decreased all materials' microhardness, with Gr showing the most notable reduction (p < 0.0001). Gastric acid had a greater impact on the microhardness of all tested materials compared to Coca-Cola (p < 0.0001). In conclusion, storage in erosive media did not notably affect the flexural strength or elastic modulus of CAD/CAM composites but it did affect hardness. CAD/CAM composite blocks demonstrated superior mechanical properties compared to the conventional composite.

Study on the polymerization shrinkage and mechanical-physical properties of dental resin composite modified by polyurethane dimechacrylate and glass flake fillers: Short title: Aging resistance for dental resin composites with low shrinkage.

OBJECTIVES: We intend to explore the polymerization shrinkage and mechanical-physical properties of the dental resin composite modified by polyurethane oligomer PU-MA and glass flakes fillers, and provide some experimental information for developing new dental materials. METHODS: Based on Bis-GMA/TEGDMA, the new dental resin composite was hand fabricated by combining PU-MA with different content (65 wt% ∼ 75 wt%) of glass flakes/Si-Al-borosilicate glass mixed fillers. The kinetics of polymerization shrinkage was investigated by using an experimental set-up based on laser triangulation. The mechanical-physical properties of specimens after 60 days water immersion and 5000 times thermo-cycles were measured by three-point bending test and micro vickers hardness tester. Data were submitted to one-way ANOVA/LSD-test (α = 0.05). Independent sample T test was used to analyze the data before and after aging. Two-way ANOVA was adopted to analyze the effect of composition and aging condition on the mechanical-physical properties (α = 0.05). RESULTS: PU-PG-75% performs lower volume shrinkage (1.35 %). As the increase of filler content, the water sorption and solubility increased and the depth of cure decreased significantly (P < 0.05). After aging, the flexural strength, elasticity modulus and vickers hardness of commercial products dropped obviously and PU-PG-75wt% was relatively stable. CONCLUSIONS: 20 wt% PU-MA could decrease the volume shrinkage of dental resin composite effectively. 60 days water immersion and 5000 times thermal cycles simultaneously resulted in a significant reduction in the flexural properties for experimental materials. PU-PG-75% may have the potential to be taken as a low shrinkage dental resin composite with good mechanical properties. CLINICAL SIGNIFICANCE: This new synthesized composite could perform low polymerization shrinkage and better mechanical resistance, which may provide a new idea for improving the lifespan of direct restoration.

Color adjustment potential of universal shade bulk-fill resin composites.

This study investigates how the cavity depth of restorations influences the color adjustment potential of universal shade bulk-fill resin composites. Standard cavities, with diameters of 4 mm and depths of either 2 or 4 mm, were created at the center of artificial teeth occlusal surfaces. A structural-colored bulk-fill resin composite and two pigment-incorporated universal shade bulk-fill resin composites were used. Each resin composite was placed into the cavity to assess its color adjustment potential in relation to the artificial tooth color. Following application, the resin composites' surfaces were polished using diamond-impregnated silicone polishers. Color difference analysis revealed ΔE*ab values of 3.3-4.6 and 2.2-9.6 for structural-colored resin composites and pigment-incorporated universal shade resin composites, respectively, as well as ΔE00 values of 2.7-3.4 and 1.7-5.8 for these resin composites, respectively. These findings suggest that the tested bulk-fill resin composites' color adjustment potential was influenced by restoration depth.

Effects of CAD/CAM restorative materials and thickness on the depth of cure of various light-cured resin composite materials.

The study assessed the depth of cure (DOC) of different resin composites light-cured through different types of CAD/CAM materials of variable thickness. Three CAD/CAM materials (multilayer zirconia, lithium disilicate glass ceramic, composite) of three thicknesses (2-, 3-, and 4-mm) were prepared and their translucency parameter (TP) were measured. A light-curable and a dual-curable resin cement (Variolink Esthetic LC and DC) and a bulk-fill resin composite with a higher Ivocerin concentration (Tetric PowerFill) were used to mimic luting agents. DOC was assessed via Vickers microhardness testing. Increased thickness of CAD/CAM specimen was associated with decreased DOC. The chemical composition of the resin composites affected their curing performance depending on the light curing mode. Tetric PowerFill presented the greater DOC among the other resin composites. Receiver operating characteristic models of curing status appeared to provide better insight in predicting the DOC of luting agent according to TP than linear regression.

Perfecting the Craft: Composite Restoration Elevated With the Stamp Technique.

The "stamp technique" for posterior composite restoration placements is a relatively simple method for duplicating occlusal anatomy with near perfection. Due to the sensitivity of proprioceptors in the stomatognathic system to pressure, even slight occlusal disparities resulting from direct restorations can cause discomfort for patients. This discomfort often leads patients to adjust to a new habitual occlusal position, potentially leading to significant long-term craniomandibular issues. It was initially designed to restore Class I cavities and eroded teeth, where the marginal ridge of the tooth remains undamaged. The method is suitable for teeth with preoperative intact anatomy unaffected by carious lesions. The stamp technique aims to deliver a precise and natural-looking restoration with accurate functional occlusion. This case study demonstrates the application of the stamp technique for a straightforward Class I composite restoration, with the goal of quickly replicating the occlusal anatomy by creating a model of the original, unprepared tooth structure within minutes.

Effect of crown seating methods on the remnant cement in the subgingival region of a cement-retained implant crown.

This study aimed to investigate the effects of crown seating speed, crown seating force, quantity of cement used, and type of implant cement on the amount of remnant cement in the subgingival region (RCS) after cementation. Cement-retained implant crowns were cemented to titanium abutments using the following methods: four types of implant cement (TBN: TEMP BOND NE, NR: NEXUS RMGI, ME: MAXCEM ELITE, and U200: RELYX U200), three quantities of cement (0.02 ml, 0.04 ml, and 0.06 ml), three crown seating speeds (5 mm/s, 10 mm/s, and 15 mm/s), and two crown seating forces (25 N, 50 N). The surface area and length of the RCS were measured using a 3D intraoral scanner. The total RCS weight was measured using an analytical balance. The RCS increased significantly as the seating speed increased, the seating force increased, and the quantity of cement increased (p < 0.05). The RCS values were the highest for TBN, followed by U200, NR, and ME (p < 0.05). The lower seating speed, smaller quantity of cement used, and smaller seating force applied in cement-retained implant restorations minimized the RCS in cement-retained prostheses. The type of cement is a factor that determines the aspects of the RCS.

Can wheel polishers improve surface properties and color stability of monochromatic resin composites?

BACKGROUND: To overcome the color layering procedure, monochromatic resin composites have been introduced. However, little is known about their polishability, gloss and color stability. This study aimed to investigate the surface roughness, gloss, and color change of monochromatic resin composites polished with wheel systems after being immersed in coffee. MATERIALS AND METHODS: Omnichroma, Zenchroma, Essentia Universal, Charisma Diamond One and NeoSpectra ST were used to obtain 120-disc samples of 8 × 2 mm. Only one side of the sample was polished with Twist Dia (TWD) or Nova Twist (NOV). The samples were examined for surface roughness, gloss, and color (ΔE and ΔE00) before and after 7 days of immersion in coffee and subsequent repolishing. The discs were examined via SEM. Surface roughness and gloss values were analyzed using ANOVA, Tukey and Pearson correlation tests. ΔE and ΔE00 values were evaluated using T tests, multivariate ANOVA, and Dunnett's post-hoc tests. RESULTS: For TWD groups, the smoothest material was Omnichroma (p < 0.05), while for NOV groups, it was Omnichroma and Zenchroma. Omnichroma was the glossiest, while Charisma Diamond One was the least glossy. In TWD groups, Charisma Diamond One and Essentia Universal were the most discolored, while Zenchroma and Omnichroma were the least. For NOV groups, Essentia Universal and Charisma Diamond One were the most discolored, while NeoSpectra ST, Omnichroma and Zenchroma were the least. After repolishing, Charisma Diamond One did not reach the level of ΔE < 2, while the other groups showed values below. Color evaluation with the CIELab and CIEDE2000 systems revealed similar results for the TWD groups after post-staining. CONCLUSIONS: Smooth and glossy surfaces could be achieved with the wheel system regardless of the composite resin. Repolishing after discoloration ensures that the color recovery is below the acceptable limit. Color evaluations with CIELab and CIEDE2000 yielded similar results.

Clinical Outcomes of Bulk-Fill Resin Composite Restorations: A 10-Year Mapping Review and Evidence Gap Map.

OBJECTIVE: To map the evidence regarding the clinical performance of posterior restorations with bulk-fill resin composites and identify research gaps. MATERIALS AND METHODS: This mapping review was conducted following PRISMA-ScR guidelines for scoping reviews, and its protocol was registered on the Open Science Framework platform. Systematic searches were conducted, considering studies published between 2013 and February 2024 in the PubMed, Embase, and Cochrane databases. Clinical studies investigating the performance of bulk-fill resin composite restorations in class I and/or class II preparations with increments of 4 to 5 mm were included. RESULTS: A total of 147 articles were identified, and based on the eligibility criteria, 26 studies were selected for descriptive analysis. Of the reviewed studies, 73% (n = 19) investigated high-viscosity bulk-fill composites, while 30% (n = 8) focused on low-viscosity bulk-fill composites. Evaluation periods ranged from 1 week to 10 years. Reported annual failure rates varied from 0% to 3%, with survival rates between 78.9% and 100%. CONCLUSIONS: Bulk-fill resin composites of high viscosity were the most analyzed in the published studies, with evaluation periods of up to 10 years. The review of available scientific evidence showed clinically acceptable performance for composite bulk-fill restorations, with high survival rates and minimal annual failure rates. There is a need for long-term clinical studies on bulk-fill resin composites. CLINICAL SIGNIFICANCE: This review demonstrates that both high and low-viscosity bulk-fill resin composites exhibit satisfactory clinical performance, which can help clinicians optimize chairside time. However, it is important to highlight the need for further studies with longer follow-up periods.

A comparative study of polishing systems on optical properties and surface roughness of additively manufactured and conventional resin based composites.

This study aimed to compare polishing systems on color stability, surface roughness, and gloss of additively manufactured permanent and conventional resin composites. Totally 250 disc specimens (6 mm*2 mm) were prepared from resin-based materials [G-ænial Posterior (GP), Clearfil Majesty Esthetic (CME), SonicFill-2 (SF), Tescera (Tes), and Crowntec (CT)]. Following baseline color (ΔE00), gloss (GU), and surface roughness (Ra) measurements, the specimens were randomly divided into 5 groups (n = 10/group) according to polishing systems: Control (mylar strips); OneGloss; OneGloss + Platina Hi-Gloss; OptiDisc; and OptiDisc + Platina Hi-Gloss. Specimens were immersed in coffee for 144 h following polishing. ΔE00, GU, and Ra measurements were repeated. Atomic force microscopy images were taken in all groups. Spearman's rho correlation coefficient, Robust ANOVA, and Bonferroni correction were used for statistical analysis. Significance level was taken as p < 0.050. Significant differences in ΔE00 values were found among resin-based materials, polishing systems, and their interactions (p < 0.001,p < 0.01, and p = 0.001). Regardless of polishing system, the lowest ΔE00 values were observed in CT, while lowest gloss (GU) values were found in Tes. The lowest surface roughness (Ra) values were detected at OptiDisc group (p < 0.001). A single type of polishing system may not be sufficient to achieve optimal results in resin-based materials.

Surface and bulk viscoelastic stability of solvent-stored bulk-fill resin-based composite.

OBJECTIVE: Investigate the effect of solvent-storage on surface hardness and bulk creep of fast photo-cured bulk-fill resin-based composite (RBC) compared to conventionally irradiated bulk-fill RBCs. METHODS: Three bulk-fill RBCs were studied: Tetric® PowerFill (fast photo-cured bulk-fill RBC) (TPF), Tetric EvoCeram® (EVO), and GrandioSO® x-tra (GSOx) (conventional). Disk-shaped specimens of clinically realistic thickness (4 mm) were prepared from each material for: Group A: surface measurements (18 mm diameter) and Group B: 4 mm diameter for bulk compressive creep measurements. Group A disks were light-cured from the upper 'occlusal' surface for either 3 s or 20 s according to the manufacturer's recommendation. Martens hardness (HM) of both top and bottom surfaces of each specimen were measured. Group B: 4 × 4 mm cylindrical specimens were fully cured to measure bulk creep (CB). A 20 MPa static compressive stress was applied for 2 h, followed by 2 h of unloading. Strain deformation was recorded continuously for 4 h. Both Martens and bulk creep studies were performed under the following storage conditions at 37 °C: (i) dry at 24 h post curing (baseline), and (ii) after 7 and 30 d of storage in two different media: distilled water (DW) and 75 % ethanol/water (75 % E/W). RESULTS: At baseline, HM for all materials ranged from 587 to 439 N/mm2 (top) and 398 to 342 N/mm2 (bottom). After 30 d of solvent-storage, more pronounced HM changes were observed, with the bottom surface being more affected. Normalised HM for TPF decreased by 44 % after 30 d in 75 % E/W. Maximum creep strain ranged from 1.1 % to 2.1 % at baseline, and after 30 d in 75 % E/W this increased from 1.9 % to 2.9 %. Depending on the material and storage condition, the percentage creep strain recovery after 30 d ranged between 65.2 % and 80 %. Increased filler loading in the bulk-fill RBCs decreased the creep strain magnitude and increased the surface hardness. SIGNIFICANCE: Solvent storage decreased the Martens hardness of both upper and lower surfaces and increased the bulk creep characteristics of bulk-fill RBCs. Nevertheless, there was a similar relative stability in surface hardness and viscoelastic stability of fast-cured PowerFill compared to conventionally irradiated RBCs.

Cost-effectiveness of expanding national health insurance coverage for composite resin restorations in cancer patients in South Korea.

OBJECTIVES: Cancer patients often have compromised oral health, making them vulnerable to severe dental caries and restoration failures. Due to the nature of cervical or anterior caries in cancer patients, the use of adequate restorative materials is important. However, public dental insurance coverage for composite treatments varies among countries and only glass ionomer cements (GICs) are covered in all age groups in South Korea. This study examined the cost-effectiveness of expanding national health insurance coverage to include resin composite (RC) restorations as compared with GIC in cancer patients. METHODS: Data from cancer patients who received direct restoration using GIC were identified from the National Health Screening Cohort. The relative effect of RC compared to GIC was determined through a meta-analysis, which was then utilized in calculating corresponding transition probabilities within a multi-state model. A Markov-chain Monte Carlo microsimulation was performed to estimate useful life-years and total treatment costs at the tooth level. The incremental cost-effectiveness ratio (ICER) of RC versus GIC was calculated, considering scenarios with and without expanded national health insurance coverage. The robustness of the results was confirmed through various sensitivity analyses. RESULTS: Between the two materials, RC resulted in a 0.4-year longer useful life. From a limited societal perspective, it cost $9.6 less with expanded coverage but $24.3 more without expansion, resulting in an ICER of -$25.2 and $63.9 per tooth-year, respectively. From a patient's perspective, the ICER values were -$72.7 versus $138.8 per tooth-year, respectively, translating into $200 more in savings with the expansion. Various sensitivity analyses consistently demonstrated a smaller ICER when insurance coverage was expanded. CONCLUSIONS: The expansion of national health insurance coverage to include RC restorations for cancer patients appears to be clearly cost-effective. This emphasizes the need for further policy considerations to ensure access to dental care for cancer patients. CLINICAL SIGNIFICANCE: Timely management of dental caries is crucial for cancer patients, as untreated caries can escalate into severe oral conditions, negatively impacting treatment outcomes and increasing care costs. Expanding a national health insurance coverage for cancer patients in the treatment of early dental lesions is necessary to prevent advanced dental diseases.

Immediate and delayed shear bond strength evaluation between root canal sealers and restorative materials: an experimental study.

BACKGROUND: Several calcium silicate-based sealers have recently emerged in endodontics. This study aimed to compare the immediate and delayed shear bond strength between the bioceramic and calcium hydroxide-based sealers and different resin-based restorative materials. METHODS: One hundred and twenty specimens with a 3-mm depth and a 3-mm diameter were prepared. They were evenly divided into two groups, the bioceramic sealer and calcium hydroxide-based sealer groups. Each primary group was subdivided into two subgroups based on the restorative material used; i.e., the flowable resin composite and resin-modified glass ionomer subgroups. Moreover, each subgroup was further divided into the restoration process's timing: either immediately post-sealing or delayed after setting the sealers for seven days. The mode of failure was assessed by stereomicroscopic examination. RESULTS: The highest shear bond strength was found when the bioceramic sealer was used and restored with the flowable resin composite. The strengths were 8.45 (1.17) and 6.67 (1.60) megapascals (MPa) in the immediate and delayed restoration groups, respectively. In contrast, the lowest strength, 2.91 (1.22) MPa, was recorded when calcium hydroxide-based sealer was employed and restored after allowing the sealer to set completely with resin-modified glass ionomer. Notably, there were no cohesive fractures within the tested restorative materials. All observed fractures occurred within the sealer materials, at the interface of the sealer and restorative material, or in combination. Moreover, the most common failure was a mixed failure. CONCLUSIONS: When flowable resin composite was used immediately before complete setting, bioceramic sealers showed a higher bond strength than calcium hydroxide-based sealers.

24 Months clinical prospective of proximal restorations with repeated preheating bulk fill composite up to ten cycles: randomized controlled trial.

This study aimed to clinically evaluate the performance of non-preheated bulk fill resin composite in class II cavities versus one, five and ten-time preheating cycles at 68 °C. Eighty-four recruited participants were randomly allocated into four groups (21 patients per group). One posterior Bulk-fill proximal restoration was performed for each participant according to the preheating cycles where in group I; teeth were restored with non-heated resin composite, group II: One preheating cycle of composite syringe was performed prior restoration, and group III: five preheating cycles while for group IV: Ten preheating cycles were performed. These restorations were clinically evaluated at 6, 12, 18 and 24 months. Statistical analysis was performed using one way ANOVA, with set p-value < 0.05. The results revealed that there was perfect agreement between both observers and observations WK (95% CI) [0.908 (0.780:1.000)] and [0.940 (0.824:1.000)], respectively. All restorations showed acceptable clinical performance with alpha and bravo scores. No replacement was required for any restoration. No statistically significant differences were detected between the control and intervention groups across all parameters during the various evaluation stages. It could be concluded that the clinical performance of ten cycles of repeated preheated bulk fill resin composite was equivalent to that of non-preheating resin composites after 24 months follow-up period, with great improvement in manipulation. Preheating of resin composite could be performed up to ten cycles prior to placement without any clinical adverse consequences on the performance of the restoration.

Diversity of short-term DC outcomes in bulk-fill RBCs subjected to a 3 s high-irradiance protocol.

OBJECTIVES: To determine the short-term (5 min) initial effects of a high-irradiance light-curing (LC) protocol on light transmission (LT%), radiant exposure (RE) and degree of conversion (DC%) of different bulk-fill resin-based composites (RBCs). MATERIALS AND METHODS: Six bulk-fill composites with different viscosities were investigated: OBF (One Bulk Fill, 3 M), EB (Estelite bulkfill,Tokuyama), PFill, PFlow, ECeram and EFlow (PowerFill, Poweflow, Tetric EvoCeram bulkfill, Tetric Evoflow bulkfill, Ivoclar), subjected to different LC protocols: one ultra-high-intensity (3 W/cm2 -3 s via PowerCure LCU) and two conventional (1.2 W/cm2 -10 s and 20 s via PowerCure and Elipar S10 LCUs). Specimens (n = 5) were polymerized within their molds (ϕ5 mm × 4 mm depth) to determine LT% and RE at 4 mm using a MARC-LC spectrometer. For real-time DC% measurements by FTIR, similar molds were utilized. Data were analyzed by one-way ANOVA and Tukey post-hoc tests at 5 % significance. RESULTS: Regardless of the applied LC protocols, OBF and low-viscosity RBCs (EB, PFlow and EFlow) had the lowest and highest LT%, RE, DC% and RPmax, respectively. RE results of all RBCs were in the same sequence: Elipar-20 s > PCure-10 s > PCure-3 s. DC% of PFill and PFlow displayed no significant difference between the applied LC protocols (p > 0.05). The polymerization kinetic in all materials was well described by an exponential sum function (r2 varied between 0.85 and 0.98), showing a faster polymerization with the PCure-3 s protocol. SIGNIFICANCE: The measurement of LT% and DC% at 5 min gave an insight into the developing polymerization process. The initial response of these bulk-fill composite to a high-irradiation protocol varied depending on their composition and viscosity, being faster for low viscosity materials. Nevertheless, even though multiple resin composites are designed to be efficient during photopolymerization, care should be taken when selecting materials/curing protocol.

Comparison of Bulk Polymeric Resin Composite and Hybrid Glass Ionomer Cement in Adhesive Class I Dental Restorations: A 3D Finite Element Analysis.

This study aimed to investigate the mechanical behavior of resin composites and hybrid glass ionomer cement in class I adhesive dental restorations under loading and shrinkage conditions. Three CAD models of a mandibular first molar with class I cavities were created and restored with different techniques: a bi-layer of Equia Forte HT with Filtek One Bulk Fill Restorative composite (model A), a single layer of adhesive and Filtek One Bulk Fill Restorative (model B), and a single layer of Equia forte HT (model C). Each model was exported to computer-aided engineering software, and 3D finite element models were created. Models A and B exhibited a similar pattern of stress distribution along the enamel-restoration interface, with stress peaks of 12.5 MPa and 14 MPa observed in the enamel tissue. The sound tooth, B, and C models showed a similar trend along the interface between dentine and restoration. A stress peak of about 0.5 MPa was detected in the enamel of both the sound tooth and B models. Model C showed a reduced stress peak of about 1.2 MPa. A significant stress reduction in 4 mm deep class I cavities in lower molars was observed in models where non-shrinking dental filling materials, like the hybrid glass ionomer cement used in model C, were applied. Stress reduction was also achieved in model A, which employed a bi-layer technique with a shrinking polymeric filling material (bulk resin composite). Model C's performance closely resembled that of a sound tooth.

The Impact of Modeling Liquids on Surface Roughness and Color Properties of Bulkfill Resin Composites After Simulated Tooth Brushing: An in Vitro Study. Part I.

OBJECTIVE: To evaluate the effect of different modeling agents on color changes, surface roughness, and translucency parameters over time in Bulkfill resin composites. MATERIAL AND METHODS: Sixty specimens were prepared using three Bulkfill resin composites (Tetric N-Ceram Bulkfill, Filtek One Bulkfill and Opus Bulkfill) and three modeling agents (Wetting Resin, Optibond FL and Ambar APS). All specimens were subjected to a simulated tooth-brushing (Baseline, 50.000 cycles, 100.000 cycles), and surface roughness was measured at each interval. Surface topography was evaluated. The translucency parameter and color changes were assessed after 24-h, 7-, 14- and 30-day immersion in water, wine, and coffee. Data was analyzed using ANOVA and Bonferroni test. RESULTS: All specimens increased roughness after simulated tooth-brushing (p < 0.05). Wetting Resin decreased roughness on Tetric N-Ceram Bulkfill (p < 0.05). The translucency parameter remained unaltered for all groups. All groups changed color after 30-days of immersion in wine and coffee (p < 0.05). Ambar APS and Wetting Resin on Tetric N-Ceram Bulkfill showed higher color changes when immersed in coffee (p < 0.05). CONCLUSION: The use of modeling agents does not jeopardize translucency properties but may affect surface roughness and color properties of Bulkfill resin composites depending on their composition. CLINICAL SIGNIFICANCE: The findings of this study suggest that surface roughness and color properties are affected by the differences in the composition between modeling agents and Bulkfill resins composites.

Investigation of experimental resin composites containing different boron compounds incorporated into mesoporous and nonporous hydroxyapatite nanocarriers.

This study aimed to investigate the surface hardness, monomer conversion, surface roughness, boron release, and water sorption-solubility properties of experimental resin composites (RC) containing hydroxyapatite nanocarriers (HAP) loaded with different boron compounds, in comparison to a conventional RC. In this study, boron nitride and 4-borono-L-phenylalanine were loaded into mesoporous and nonporous HAP. 1% boron-nanocarrier complexes were added to a conventional resin-composite content. The study groups were designated based on the boron compound and nanocarrier type: Group 1 (Control): (a conventional RC), Group 2: Experimental RC containing mesoporous HAP loaded with boron nitride (BN@MHAP), Group 3: Experimental RC containing nonporous HAP loaded with boron nitride (BN@HAP), Group 4: Experimental RC containing mesoporous HAP loaded with 4-borono-L-phenylalanine (BPA@MHAP), Group 5: Experimental RC containing nonporous HAP loaded with 4-borono-L-phenylalanine (BPA@HAP). Vickers microhardness, surface roughness, degree of monomer conversion, water sorption-solubility, and boron release analyses were conducted on the RC samples. The nanoparticles were characterized using the Energy Dispersive X-ray Spectroscopy (EDX) for elemental analysis and mapping, X-ray Diffraction (XRD) for examining crystal structure, Fourier-Transform Infrared Spectroscopy (FTIR) for evaluating molecular bond structure, and Scanning Electron Microscopy (SEM) for observing surface morphology of mesoporous and non-porous HAP. No statistically significant difference was found between the experimental RC materials containing boron-nanocarrier complexes and the control group in terms of monomer conversion, surface hardness, surface roughness, water sorption and solubility (p > 0.05). However, all experimental groups demonstrated significantly higher boron release rates over time (p < 0.05), with BN@HAP and BPA@MHAP groups exhibiting the highest release rates at all timepoints (p < 0.05). The addition of 1% BN@HAP/MHAP or BPA@HAP/MHAP to the RC is promising for developing an antibacterial RC capable of releasing boron without compromising the tested physico-chemical properties of the material.

Is use of flowable resin composite an option for occluso-proximal restorations in primary teeth? A fracture strength analysis.

BACKGROUND: Use of flowable resin composites for ocluso-proximal restorations in primary molars could improve cervical adaptation, and reduce the failure risk. AIM: To investigate the fracture strength of occluso-proximal restorations in primary teeth using different flowable resin composites (as an intermediate layer or entire cavity) and a conventional resin composite (incremental technique). DESIGN: Two standardized occluso-proximal cavities were prepared on mesial and distal surfaces of 50 sound primary molars. The teeth were randomly assigned into five groups (n = 10): 2 mm Filtek Bulk Fill Flow + Z350 XT; 4 mm Filtek Bulk Fill Flow; 2 mm Z350 XT Flow + Z350 XT; 4 mm Z350 XT Flow; and Z350 XT inserted by incremental technique. All restored teeth were subjected to cariogenic challenge and then submitted to fracture strength test. The failure pattern of each specimen was categorized as reparable or irreparable/need for replacement based on the World Dental Federation (FDI) criteria. Fracture strength means were submitted to one-way ANOVA and Tukey's post hoc tests. Failure pattern was analyzed descriptively. RESULTS: There was no statistically significant difference on fracture strength among groups (p = .48). A similar distribution of reparable (35%-40%) and irreparable (60%-65%) failures was observed among groups. CONCLUSION: Based on a laboratorial setting, the use of different flowable resin composites (as an intermediate layer or entire cavity) may be an option to restore occluso-proximal cavities in primary molars.

Comprehensive Evaluation of Long-Term Dentin Bond Strength, Water Sorption, Solubility, and Degree of Conversion of Self-Adhesive Resin Composites.

PURPOSE: To evaluate the long-term microtensile bond strength (µTBS) to dentin, water sorption (WSP) and solubility (WSL), and degree of conversion (DC) of self-adhesive resin composites (SACs). MATERIALS AND METHODS: The mid-coronal dentin of human molars was exposed, and teeth were randomly assigned to five groups according to the SACs (n = 10): 1. FIT SA F03 (FIT); 2. Experimental (EXP); 3. Fusio Liquid Dentin (FLD); 4. Vertise Flow (VER); 5. Constic (CON). The µTBS was evaluated after 24 hours (24 h) and 6 months (6 m) storage. A scanning electron microscope examined failure modes and resin-dentin interfaces. The WSP and WSL (n = 5) were evaluated following ISO 4049:2019 specifications, and DC (n = 3) was measured using Raman spectroscopy. The statistical analyses were performed accepting a significance level of p = 0.05. RESULTS: FIT, EXP, and FLD produced significantly higher µTBS median values than VER and CON after 24 h and 6 m (p 0.05). After 6m, the µTBS median of FIT and EXP significantly decreased (p 0.05), while FLD, VER, and CON showed no significant difference (p > 0.05). FLD and CON exhibited lower WSP than FIT, EXP, and VER (p 0.05). FLD presented the lowest (p 0.05), and VER revealed the highest WSL (p 0.05). FIT and EXP showed the highest (p 0.05), and VER demonstrated the lowest DC (p 0.05). CONCLUSIONS: Following the present study's design, SACs' bonding performance and physical properties remained restricted. Therefore, the application should be considered cautiously, and further clinical trials are necessary to evaluate their long-term performance.