Correlation Between the Amount of Linear Polymerization Shrinkage and Cuspal Deflection

10.2341/05-46 ◽  
2006 ◽  
Vol 31 (3) ◽  
pp. 364-370 ◽  
Author(s):  
S-Y. Lee ◽  
S-H. Park

Clinical Relevance When restoring teeth with Class II cavities, the amount of polymerization shrinkage value of composites determines the amount of cuspal deflection of teeth. Thus, resin composites with low polymerization shrinkage should be used to reduce cuspal deflection.

Dental Update ◽  
2021 ◽  
Vol 48 (9) ◽  
pp. 733-740
Author(s):  
Oliver Hinton

This article reviews the literature regarding factors that affect proximal contact tightness (PCT) when restoring Class II cavities with direct composite resin. The PCT between two adjacent teeth is an important factor in maintaining oral health by ensuring that tooth positions remain stable, food is deflected away during mastication, dental papillae are maintained and to facilitate hygienic cleaning. If open contacts are created, there is a greater chance that the patient will experience periodontal problems or caries. Using sectional matrix systems with separation rings, and using materials with less polymerization shrinkage are effective methods to increase PCT and create significantly tighter contacts compared with using circumferential matrix systems. CPD/Clinical Relevance: Understating the clinical factors that affect proximal contact tightness between adjacent teeth is important to achieve optimal contacts in direct composite resin restorations to maintain oral health.


2011 ◽  
Vol 36 (2) ◽  
pp. 213-221 ◽  
Author(s):  
S Kasraei ◽  
M Azarsina ◽  
S Majidi

Clinical Relevance The use of resin-modified glass ionomers as cavity liners in the closed-sandwich technique reduced microleakage in Class II composite restorations.


10.2341/08-57 ◽  
2009 ◽  
Vol 34 (2) ◽  
pp. 174-180 ◽  
Author(s):  
E. Ozel ◽  
M. Soyman

Clinical Relevance Fiber nets applied to Class II composite restorations resulted in a significant reduction in microleakage. Fiber nets also decreased polymerization shrinkage. Therefore, these materials may be acceptable for clinical applications. Incremental placement remains the preferred restorative technique for posterior composite restorations.


Polymers ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 1660
Author(s):  
Sevda Mihailova Yantcheva

The development of composite materials is subject to the desire to overcome polymerization shrinkage and generated polymerization stress. An indicator characterizing the properties of restorative materials, with specific importance for preventing secondary caries, is the integrity and durability of marginal sealing. It is a reflection of the effects of polymerization shrinkage and generated stress. The present study aimed to evaluate and correlate marginal integrity and micropermeability in second-class cavities restored with three different types of composites, representing different strategies to reduce polymerization shrinkage and stress: nanocomposite, silorane, and bulk-fill composite after a ten-month ageing period. Thirty standardized class ΙΙ cavities were prepared on extracted human molars. Gingival margins were 1 mm apical to the cementoenamel junction. Cavities were randomly divided into three groups, based on the composites used: FiltekUltimate-nanocomposite; Filtek Silorane LS-silorane; SonicFill-bulk-fill composite. All specimens were subjected to thermal cycles after that, dipped in saline for 10-mounds. After ageing, samples were immersed in a 2% methylene blue. Thus prepared, they were covered directly with gold and analyzed on SEM for assessment of marginal seal. When the SEM analysis was completed, the teeth were included into epoxy blocks and cut longitudinally on three slices for each cavity. An assessment of microleakage on stereomicroscope followed. Results were statistically analyzed. For marginal seal evaluation: F.Ultimate and F.Silorane differ statistically with more excellent results than SonicFill for marginal adaptation to the gingival margin, located entirely in the dentin. For microleakage evaluation: F.Ultimate and F.Silorane differ statistically with less microleakage than SonicFill. Based on the results obtained: a strong correlation is found between excellent results for marginal adaptation to the marginal gingival ridge and micropermeability at the direction to the axial wall. We observe a more significant influence of time at the gingival margin of the cavities. There is a significant increase in the presence of marginal fissures (p = 0.001). A significant impact of time (p < 0.000) and of the material (p < 0.000) was found in the analysis of the microleakage.


2006 ◽  
Vol 31 (6) ◽  
pp. 688-693 ◽  
Author(s):  
B. A. C. Loomans ◽  
N. J. M. Opdam ◽  
F. J. M. Roeters ◽  
E. M. Bronkhorst ◽  
R. C. W. Burgersdijk

Clinical Relevance When placing a Class II resin composite restoration, the use of sectional matrix systems and separation rings to obtain tight proximal contacts is recommended.


10.2341/06-86 ◽  
2007 ◽  
Vol 32 (3) ◽  
pp. 298-305 ◽  
Author(s):  
O. El-Mowafy ◽  
W. El-Badrawy ◽  
A. Eltanty ◽  
K. Abbasi ◽  
N. Habib

Clinical Relevance Fiber inserts incorporated at the gingival floor of Class II composite restorations resulted in a significant reduction of microleakage scores as compared to restorations made without inserts. This may lead to a reduced incidence of recurrent caries.


2021 ◽  
Author(s):  
MD Moda ◽  
AF Briso ◽  
IAE Hoshino ◽  
SMB Frascino ◽  
PH Santos ◽  
...  

SUMMARY Objectives: This randomized, prospective, and split-mouth study aimed to evaluate flowable bulk-fill resin composites in class II restorations and to compare with a conventional layering technique after a 3-year follow-up. Methods and Materials: Fifty-three subjects received three class II restorations according to the restorative systems: conventional microhybrid resin composite (PA, Peak Universal + Amelogen Plus, Ultradent), flowable bulk-fill and nanoparticulate resin composites (ABF, Adper Single Bond 2 + Filtek Bulk Fill Flow + Filtek Z350XT, 3M Oral Care), and flowable bulk-fill and microhybrid resin composites (XST, XP Bond + SDR + TPH3, Dentsply). The clinical performance and interproximal contacts were evaluated. Statistical analyses were performed using the equality test of two proportions, Logistic regression analysis, Friedman, Wilcoxon, Kruskal-Wallis, and Mann-Whitney tests (α=0.05). Results: Forty-seven patients were evaluated at 3 years. XST bulk-fill restorative system presented higher marginal discoloration than PA, and the opposite occurred for surface staining. All restorative systems resulted in decreased interproximal contacts, occurring early for XST. Conclusions: Although the restorative system using incremental technique presented better performance for marginal discoloration, one of the restorative systems that used flowable bulk-fill resin composite (XST) showed the lowest surface staining. All restorative systems had decreased proximal contact over time.


2020 ◽  
Vol 45 (5) ◽  
pp. 496-505
Author(s):  
CS Sampaio ◽  
PG Pizarro ◽  
PJ Atria ◽  
R Hirata ◽  
M Giannini ◽  
...  

Clinical Relevance Shortened light curing does not affect volumetric polymerization shrinkage or cohesive tensile strength but negatively affects the shear bond strength of some bulk-fill resin composites. When performing shortened light curing, clinicians should be aware of the light output of their light-curing units. SUMMARY Purpose: To evaluate volumetric polymerization shrinkage (VPS), shear bond strength (SBS) to dentin, and cohesive tensile strength (CTS) of bulk-fill resin composites (BFRCs) light activated by different modes. Methods and Materials: Six groups were evaluated: Tetric EvoCeram bulk fill + high mode (10 seconds; TEC H10), Tetric EvoFlow bulk fill + high mode (TEF H10), experimental bulk fill + high mode (TEE H10), Tetric EvoCeram bulk fill + turbo mode (five seconds; TEC T5), Tetric EvoFlow bulk fill + turbo mode (TEF T5), and experimental bulk fill + turbo mode (TEE T5). Bluephase Style 20i and Adhese Universal Vivapen were used for all groups. All BFRC samples were built up on human molar bur-prepared occlusal cavities. VPS% and location were evaluated through micro–computed tomography. SBS and CTS tests were performed 24 hours after storage or after 5000 thermal cycles; fracture mode was analyzed for SBS. Results: Both TEC H10 and TEE H10 presented lower VPS% than TEF H10. However, no significant differences were observed with the turbo-curing mode. No differences were observed for the same BFRC within curing modes. Occlusal shrinkage was mostly observed. Regarding SBS, thermal cycling (TC) affected all groups. Without TC, all groups showed higher SBS values for high mode than turbo mode, while with TC, only TEC showed decreased SBS from high mode to turbo modes; modes of fracture were predominantly adhesive. For CTS, TC affected all groups except TEE H10. In general, no differences were observed between groups when comparing the curing modes. Conclusions: Increased light output with a shortened curing time did not jeopardize the VPS and SBS properties of the BFRCs, although a decreased SBS was observed in some groups. TEE generally showed similar or improved values for the tested properties in a shortened light-curing time. The VPS was mostly affected by the materials tested, whereas the SBS was affected by the materials, curing modes, and TC. The CTS was not affected by the curing modes.


2017 ◽  
Vol 42 (1) ◽  
pp. E24-E34 ◽  
Author(s):  
GA Maghaireh ◽  
NA Taha ◽  
H Alzraikat

SUMMARY This article aims to review the research done on the silorane-based resin composites (SBRC) regarding polymerization shrinkage and contraction stresses and their ability to improve the shortcomings of the methacrylate-based resin composites (MRBC). Special attention is given to their physical and mechanical properties, bond strength, marginal adaptation, and cusp deflection. The clinical significance of this material is critically appraised with a focus on the ability of SBRC to strengthen the tooth structure as a direct restorative material. A search of English peer-reviewed dental literature (2003-2015) from PubMed and MEDLINE databases was conducted with the terms “low shrinkage” and “silorane composites.” The list was screened, and 70 articles that were relevant to the objectives of this work were included.


10.2341/06-16 ◽  
2007 ◽  
Vol 32 (1) ◽  
pp. 60-66 ◽  
Author(s):  
S. Idriss ◽  
T. Abduljabbar ◽  
C. Habib ◽  
R. Omar

Clinical Relevance Even though marginal gap size was not shown to be a direct predictor for the extent of microleakage in resin composite restorations, both material and placement technique appear to be important determinants in microleakage and, thus, probably in clinical outcomes.


Sign in / Sign up

Export Citation Format

Share Document