Mechanical Properties of Bisacryl-, Composite-, and Ceramic-resin Restorative Materials.

OBJECTIVE: Resin-based materials used in restorative dentistry are introduced at a fast pace with limited knowledge about their properties. Comparing properties of these materials from different restorative categories is lacking but can help the clinician in material selection. This study aimed to compare mechanical properties and wear resistance of bis-acryl-, composite-, and ceramic-resin restorative materials. METHODS AND MATERIALS: Bisacryl-resin (Bis-R, LuxaCrown, DMG), composite-resin (Com-R, Filtek Supreme Ultra, 3M Oral Care), and ceramic-resin (Cer-R, Enamic, VITA Zahnfabrik) specimens were prepared for mechanical tests: fracture toughness (FT) with and without initial thermomechanical loading using a mastication simulator, flexural strength (FS), and flexural modulus (FM), compressive strength (CS), and volumetric wear loss measurement. The datasets for FT and wear resistance were each analyzed using two-way ANOVA followed by pairwise comparisons or Tukey testing as appropriate. The datasets for FS, FM, and CS were analyzed using one-way ANOVA followed by the Tukey test. RESULTS: Analysis of FS, FM, and CS showed significant differences between materials, with all pairwise comparisons between materials showing significance. Analysis of FT resulted in a significant interaction between the material and treatment, with analysis of wear loss showing a significant interaction between the material and the number of cycles. CONCLUSIONS: Cer-R demonstrated superior FT, CS, and wear resistance compared to Bis-R and Comp-R materials. Fracture toughness of Bis-R increased after thermomechanical loading.

Color adjustment potential of resin composites.

The study objective was to explore a new method for quantifying the color adjustment potential originating from physical translucency on a set of 7 resin composites, and then for testing the hypothesis that color adjustment potential is dependent on the composites and shades studied. Two-composite specimens (an outer base shade with an inner hole filled with inner test shades) and single-composite specimens of all shades were made. A 1-mm circular area, with its center in the middle of the specimen (P0mm), was measured by means of spectroradiometry. A newly developed equation for quantification of the color adjustment potential was tested. Color adjustment potential at P0mm ranged from -0.19 (negative color adjustment/contrast) to 0.61. Within the limitations of this study, a newly developed concept and equation have proved the existence of the physical component of color adjustment of translucent dental materials. Color adjustment potential was dependent on composite and shade.

Assessment of appearance match by visual observation and clinical colorimetry.

Judgments of appearance matching by means of the visual criteria established by the United States Public Health Service (USPHS) and by means of an extended visual rating scale were determined for composite resin veneer restorations and their comparison teeth. Using a colorimeter of 45 degrees/0 degrees geometry and the CIELAB color order system we used the color of the restorations and comparison teeth to calculate a color difference for every visual rating. Statistically significant relationships were found between each of the two visual rating systems and the color differences. The average CIELAB color difference of those ratings judged a match by the USPHS criteria was found to be 3.7. However, the overlap in ranges of the color differences for those comparisons rated matches and mismatches indicates the importance of other factors in appearance matching, such as translucency and the effects of other surrounding visual stimuli. The extended visual rating scale offers no advantages to the more broadly defined criteria established by the USPHS.

Accuracy of Kubelka-Munk reflectance theory applied to human dentin and enamel.

The Kubelka-Munk (K-M) theory provides a reflectance model for translucent materials placed on backings of different colors. We hypothesize that Kubelka-Munk (K-M) theoretical diffuse reflectance spectra of dentin and enamel are in good agreement with observed diffuse reflectance. The aim of this study was to measure the reflectance of enamel and dentin specimens and to compare the measured values of reflectance with K-M theoretical values. Disc-shaped specimens of enamel, dentin, and enamel/dentin were prepared from extracted teeth. Diffuse reflectance spectra were measured on three backings by means of a reflectance spectrophotometer over every wavelength (lambda) from 400 to 700 nm at three thicknesses. The measured reflectance values were fit by non-linear regression to corrected K-M theory. The low value of the reported errors associated with the application of K-M theory illustrated that the theoretical diffuse reflectance spectra of dentin and enamel are in good agreement with the observed diffuse reflectance.

The color accuracy of the Kubelka-Munk theory for various colorants in maxillofacial prosthetic material.

The reflectance model developed by Kubelka and Munk was evaluated for agreement in color prediction of thick pigmented samples and for linearity of optical absorption and scattering coefficients with concentration of colorant in maxillofacial elastomer. The colorants tested were generic opacifiers, dry mineral earth pigments, and fibrous colorants. Significant linear relationships were commonly found between the optical coefficients and the concentration of the colorants. These relationships indicated occasional optical interaction between the colorants and the elastomer. Color differences between theoretical and observed colors of the thick samples averaged 2.96, 3.47, and 1.60 for the opacifiers, mineral earth pigments, and fibrous colorants, respectively, when measured using the CIELAB uniform-color space. The agreement between theoretical and observed colors was significantly closer for the fibrous colorants than for the dry mineral earth pigments of the same labeled color.

Color analysis of dental modifying porcelains.

Sintered samples of modifying porcelains of various colors and manufacturers were analyzed using reflectance spectrophotometry. Color designations are reported according to practices of the Commission Internationale de l'Eclairage (International Commission for Illumination), and color names were assigned based on a method developed through a joint effort of the Inter-Society Color Council and the United States National Bureau of Standards (ISCC-NBS). Within samples labeled by the same color, differences among manufacturers were found in the color designations and names. These differences were noted in part by plots of the chromaticity coordinates of the samples. The ISCC-NBS method of designating colors is proposed as a uniform and descriptive color-naming method for modifier porcelain. Consistent color naming is a step in improving communication over the use of modifying porcelains.

The shear strength of dental porcelain.

The widespread use of porcelain in restorative dentistry is generally due to its esthetic appearance even though it is brittle. The transverse strength, or modulus rupture, averages around 108 MPa (16,000 psi) for aluminous porcelain and 88 MPa (13,000 psi) for feldspathic porcelain. The tensile strength, as determined by diametral compression, is approximately 29 MPa (4,200 psi) for opaque feldspathic porcelain and 40 MPa (5,800 psi) for gingival feldspathic porcelain. The compressive strength is reported to be 340 MPa (50,000 psi) for a feldspathic porcelain. These mechanical strength properties of dental porcelain confine its use to low stress-bearing restorations or to those restorations with a metal substrate.

Performance assessment of colorimetric devices on dental porcelains.

The selection of an appropriate material that duplicates the appearance of natural tooth structure is very important in restorative dentistry. Photometric and colorimetric analysis techniques offer great potential as a tool for aiding in the duplication process. The degree to which these techniques will be useful depends on the accuracy and precision with which they can be applied to translucent as well as opaque surfaces. The purpose of this investigation was to evaluate the performance of three currently-available photometric devices. The performance capabilities of the instruments were tested on various shades of opaque and translucent dental porcelain surfaces. The performance tests were designed for evaluation of the accuracy and precision of the instrument relative to a well-studied reference instrument. CIELAB color difference metrics were used for the performance analysis. The results revealed that each of the photometric instruments evaluated was capable of producing color measurements with precision. However, the degree of accuracy with which the color measurements were made varied depending on the instrument used and the type of material surface being measured. A photo-electric tristimulus colorimeter showed the best overall performance on the porcelain surfaces, supporting its use as a valuable tool for evaluating color in dentistry.

The surface roughness and gloss of composites.

The contrast gloss and the average roughness were measured for four commercial composite filling materials. Using a factorial design, each material was subjected to four available finishing methods. A significant difference was found in the contrast gloss among finishing methods, and a significant linear regression is given which relates the inverse of the contrast gloss to the average roughness. Surface gloss is proposed as playing a major role in the esthetic appearance of composite restorations.

Double-layer color effects in porcelain systems.

The color of an unshaded body porcelain was determined at three thicknesses on white, gray, and three chromatic backings. Spectral absorption and scattering coefficients of the porcelain were determined from the diffuse reflectance at one thickness on the white and gray backings. These optical coefficients, when utilized with the Kubelka-Munk reflectance theory, accurately predicted the color of the other sample configurations studied. The scattering of the body porcelain was found to decrease with increasing wavelength within the visible spectrum, in accordance with scattering theory for particles not substantially less than the wavelength of the scattered light. For the filtering effects of a translucent material in optical contact with a backing, the Kubelka-Munk reflectance theory described the interaction between the optical absorption and scattering within the translucent material and the reflectance of the backing.

Light scattering and gloss of an experimental quartz-filled composite.

For samples of polymethylmethacrylate with and without quartz filler, the inverse of the contrast-gloss ratio is shown to be related to surface roughness and to the optical scattering coefficient. This finding adds to the importance of optical scattering, which has been widely studied because of its relation to color and translucency of materials. Furthermore, optical scattering by composite fillers is shown to be linearly related to the concentration of the filler material within the range of concentrations studied. Quartz fillers were incorporated at concentrations from 5 to 20 weight percent and were short fibers or granular powder, with the granular particles ranging in median equivalent spherical diameter from 15 to 3.3 micron. The efficiency of optical scattering for the granular quartz filler increased as the size of the filler decreased.

The detection of incipient caries with tracer dyes.

The purpose of this study was to determine the increase in color contrast produced by the use of a tracer dye in detection of incipient caries lesions with transillumination. Twenty-four caries-free first premolars were immersed in an acid gelatin for production of artificial incipient caries lesions. After the lesions had developed, these teeth were photographed by transillumination. Two photographs were taken of each tooth. The first photograph showed the lesion without dye. A blue tracer dye was then added and absorbed by the lesion, and a second photograph was taken. The data on the color difference were obtained by use of a reflectance colorimeter and showed a four-fold increase between the lesion and surrounding area with the dye. A two-way analysis of variance was used for the statistical interpretation. The color difference between the lesion without the dye and then with the dye was significant. The use of the blue tracer dye, therefore, significantly increased the contrast in the images of the artificial incipient lesions.

Analysis of edge-losses in reflectance measurements of pigmented maxillofacial elastomer.

Edge-losses occur during reflectance measurements of pigmented maxillofacial elastomer when light is scattered within a sample beyond that part of the surface exposed to the observation system of the optical device. A custom sample-holder is presented which redirects light that would not be measured during conventional reflectance measurement back into the sample. The amount of edge-loss occurring within thin layers of maxillofacial elastomer with tan pigment on black-and-white backings was found to depend on sample thickness, the backing, the beam size used during conventional reflectance measurement, and the optical term bS = (2KS + K2)1/2. Data analysis revealed a significant interaction among these four factors. Additionally, the edge-loss occurring during the tristimulus reflectance measurement of thick samples of maxillofacial elastomer with various concentrations of tan and black pigment was found to be linearly related to bS up to a limiting value, with no additional edge-loss occurring for bS values above this limiting value. Edge-loss is an important consideration during the matching of the optical characteristics of pigmented maxillofacial material to those of human skin.

Articular Cartilage Optical Properties in the Spectral Range 300-850 nm.

Measurements of absolute total reflectance were recorded from weight-bearing (n=9) and nonweight-bearing (n=9) equine articular cartilage specimens from 300 to 850 nm using a spectrophotometer with integrating sphere attachment. Following correction of measured spectra for interfacial reflections and edge losses, Kubelka-Munk theory was applied to estimate absorption and scattering coefficient, one-dimensional light intensity distribution, and light penetration depth. Kubelka-Munk absorption coefficients ranged from ∼7 cm-1 at 330 nm to ∼1 cm-1 at 850 nm. A localized absorption peak was noted at ∼340 nm. Above 510 nm, weight-bearing cartilage demonstrated significantly higher absorption coefficients than nonweight-bearing tissue (paired t-test, p<0.05). Kubelka-Munk scattering coefficients ranged from ∼40 cm-1 at 360 nm to ∼6 cm-1 at 850 nm. No statistical differences in scattering coefficient were noted between weight-bearing and nonweight-bearing tissue. Penetration depths predicted by Kubelka-Munk theory ranged from 0.6 mm at 350 nm to over 3 mm at 850 nm. Stronger absorption in weight-bearing cartilage compared to nonweight-bearing tissue resulted in lower light penetration depths in weight-bearing cartilage at all wavelengths longer than 510 nm. © 1998 Society of Photo-Optical Instrumentation Engineers.

Color and translucency changes during and after curing of esthetic restorative materials.

OBJECTIVES: This study was conducted to evaluate various types of contemporary resin composites and glass ionomer restorative materials for color differences that occur during light curing and after submersion in water. Additionally, translucency was evaluated through the use of a translucency parameter for each of these materials at these times. METHODS: A translucency parameter was calculated from observed colors of 2 mm thick layers of light, medium and dark shades of popular restorative materials on black and white backings. The colors of these materials were also calculated, based on Kubelka-Munk theory, for layers on a B2 shade backing. Repeated measures analyses of variance were used to identify statistically significant factors for color differences and translucency parameters. RESULTS: A statistically significant interaction was found between the products, shades and time intervals or times studied for both color difference and translucency parameter. There is relatively high variability in both lightness and translucency changes among these popular products, with some products increasing and others decreasing in these parameters with curing and subsequent water submersion. SIGNIFICANCE: Kubelka-Munk theory can be used to calculate the color of a layer of material on a backing other than those used to determine the Kubelka-Munk coefficients, thereby increasing the efficiency of research into the optical properties of esthetic restorative materials. The relatively large optical changes which occur as popular esthetic restorative materials are cured and subsequently submersed in water indicate that these changes should be taken into account during any initial clinical appearance match at placement of the unset material.

Relative microhardness of glass ionomer restorative materials as an indicator of finishing time.

Microhardness was evaluated as an indicator of appropriate finishing intervals for glass ionomer restorative materials. The hardness of several materials was determined after the first hour of mixing. A material clinically documented to be satisfactorily finished after a delay of 15 minutes attained 29% of its 24-hour hardness during that interval. Samples of the other materials finished on reaching this relative hardness, which differed from the manufacturers' suggested finishing delays, showed no differences in surface characteristics, appearance, or surface roughness compared with specimens finished at the recommended times.

Duration of tooth color change after bleaching.

Tooth color change was monitored after a single, in-office bleaching technique using a colorimeter. Twenty young adults participated in the double-blind study at The Ohio State University College of Dentistry. Half of the participants had their maxillary anterior teeth bleached and half were controls. By one month, the large initial color change was considerably reversed and only noticed by one subject. After six months, the effect of bleaching was small, but still measurable.

Surface properties of dental amalgam: roughness produced by setting reaction.

During the setting of dental amalgam, silver-mercury (gamma1) and tin mercury (gamma2) intermetallic compounds (phases) are formed. Since these compounds have distinct crystalline forms, they may be discerned on the surface of a setting sample. Visual identification of these phases on polished and etched samples is often difficult and, hence, surface morphology studies have an advantage in following the stages of the setting reaction. The purpose of this investigation was to use high-resolution light microscopy to follow the course of the setting reaction. Amalgam specimens were triturated and condensed against glass plates under pressure. The sample surfaces were then photographed under a high-resolution metallographic microscope using oblique illumination. The roughness of four samples for each alloy type was determined with a surface profile analyzer at times between ten minutes and 23 hours after trituration. An electron microprobe was used to identify the gamma1 and gamma2 phases. The gamma1 phase had a polyhedramorphology, and the gamma2 crystals formed intermeshed smooth areas. During the setting reaction, the average times for the roughness to reach 95% of the final value were 189, 227, 96, 65, and 116 minutes after trituration for the various amalgam types studied. All alloys tested required polishing several hours after trituration.

Evaluating tooth color change from carbamide peroxide gel.

A double-blind experiment assessed the efficacy, longevity and safety of a tooth whitener in young adults. Significant color changes occurred after active treatment but were substantially reversed after one week. No permanent changes were found in either pulpal or gingival health.