Fracture Resistance and Marginal Adaptation of Capped and Uncapped Bulk-fill Resin-based Materials

2020 ◽  
Vol 45 (2) ◽  
pp. E43-E56
Author(s):  
HN Al-Nahedh ◽  
Z Alawami
Keyword(s):  
Fracture Resistance ◽  
Resin Composite ◽  
Testing Machine ◽  
High Viscosity ◽  
Significance Level ◽  
Capping Layer ◽  
Composite Restorations ◽  
Significant Difference ◽  
Light Curing ◽  
One Way Anova

SUMMARY Objectives: This study tested the fracture resistance of capped and uncapped bulk-fill composite restorations and compared them to a conventional composite. Also, the effect of different radiant exposure was investigated. Methods and Materials: Flowable and high-viscosity bulk-fill composites (SureFil SDR, Filtek Bulk-Fill Posterior, and Tetric N-Ceram Bulk-Fill) and a nanohybrid resin composite (Filtek Z350 XT) were used. Standardized class II cavities were prepared on extracted premolars, and different restoration protocols were used. In protocol 1 (control), restoration was applied using a layering technique; in protocol 2, restoration was applied in bulk with a capping layer; in protocol 3, restoration was applied in bulk without a capping layer; and in protocol 4, restoration was applied in bulk without a capping layer, and the light curing time was extended. After thermocycling, the restorations were examined for marginal gaps and then subjected to the fracture resistance test using a universal testing machine. Statistical analysis was carried out using two-way analysis of variance (ANOVA) followed by one-way ANOVA at a significance level of α = 0.05. Results: A statistically significant difference in the fracture resistance of the tested materials and protocols was detected. Filtek Bulk-Fill Posterior achieved the highest fracture resistance values regardless of the protocol used, and its results were comparable to those of Filtek Z350. SDR and Tetric N-Ceram Bulk-Fill achieved their highest strengths when a capping layer was added. Tetric N-Ceram Bulk-Fill showed improvement in fracture resistance with extended light curing, while SDR and Tetric N-Ceram Bulk-Fill achieved similar results with the addition of a capping layer. The uncapped bulk-fill group showed more gap-free margins than the capped group. Conclusion: The new high-viscosity bulk-fill composite restorations seem to have adequate fracture resistance. However, the results are material dependent, and some materials perform better with a capping layer and extended light curing.

scholarly journals Influence of Sealing of the Screw Access Hole on the Fracture Resistance of Implant-Supported Restorations

2016 ◽  
Vol 27 (2) ◽  
pp. 148-152 ◽  
Author(s):  
Rodrigo de Paula Pereira ◽  
Cibele Oliveira de Melo Rocha ◽  
José Maurício dos Santos Nunes Reis ◽  
João Neudenir Arioli-Filho
Keyword(s):  
Fracture Resistance ◽  
Resin Composite ◽  
Filling Material ◽  
Ceramic Surface ◽  
Access Hole ◽  
Mandibular Molar ◽  
Significant Difference ◽  
Metal Ceramic ◽  
One Way Anova ◽  
Ceramic Implant

Abstract The purpose of this study was to assess the influence of sealing of the screw access hole (SAH) on the fracture resistance of metal-ceramic implant-supported restorations. UCLA abutments were used to make 30 implant-retained mandibular molar restorations and divide equally into three groups: Group SRS: screw-retained restorations with SAH sealed; Group SRNS: screw-retained restorations with SAH not sealed; Group CR: cement-retained restorations. The following protocol was adopted to restore the SAH: the ceramic surface of the SAH was air-abraded with aluminum oxide; etched with 10% hydrofluoric acid; a silane coupling agent and a bonding agent were applied; cotton pellets were used as filling material and P-60 resin composite as restoring material. The cement-retained restorations were cemented with Rely-X U100. A metal rod with a spherical tip of 6.0 mm diameter was used to apply a vertical static load, simultaneously on the buccal and lingual incline cusps, at a crosshead speed of 0.5 mm/min until the fracture of the specimens. Data were analyzed using one-way ANOVA and Dunnet test (p<0.05) for multiples comparisons. The mode of failure was evaluated by a scanning electron microscopy (SEM). No significant difference between screw-retained restorations was found. The highest mean fracture resistance values were observed with CR group. Therefore, it was shown that SAH sealing did not influence the fracture resistance of the screw-retained restorations.

scholarly journals Fracture Resistance of a Bulk-Fill and a Conventional Composite and a Combination of Both for Coronal Restoration of Severely Damaged Primary Anterior Teeth

2019 ◽  
Author(s):  
Shahram Mosharrafian ◽  
Maryam Shafizadeh ◽  
Zeinab Sharifi
Keyword(s):  
Fracture Resistance ◽  
Treatment Time ◽  
Testing Machine ◽  
Anterior Teeth ◽  
Significant Difference ◽  
Group 3 ◽  
The Mean ◽  
Group 2 ◽  
One Way Anova

Objectives: This study aimed to compare the fracture resistance of a bulk-fill and a conventional composite and a combination of both for coronal restoration of severely damaged primary anterior teeth. Materials and Methods: In this in vitro experimental study, 45 primary anterior teeth were randomly divided into three groups. After root canal preparation, the canals were filled with Metapex paste such that after the application of 1 mm of light-cure liner, 3 mm of the coronal third of the canal remained empty for composite post fabrication. Filtek Z250 conventional composite was used in group 1, Sonic-Fill bulk-fill composite was used in group 2 and Sonic-Fill with one layer of Filtek Z250 as the veneering were used in group 3. Adper Single Bond 2 was used in all groups. The teeth were thermocycled, and fracture resistance was measured by a universal testing machine. The mode of fracture was categorized as repairable or irreparable. Data were analyzed using one-way ANOVA. Results: The mean fracture resistance was 307.00±74.72, 323.31±84.28 and 333.30±63.96 N in groups 1 to 3, respectively (P=0.55). The mean fracture strength was 14.53±2.98, 15.08±2.82 and 15.26±3.02 MPa in groups 1 to 3, respectively (P=0.77). The frequency of repairable mode of failure was 80% for the conventional, 73.6% for the bulk-fill and 80% for the bulk-fill plus conventional group, with no significant difference (P>0.05). Conclusions: Bulk-fill composites can be used for coronal reconstruction of severely damaged primary anterior teeth similar to conventional composites to decrease the treatment time in pediatric patients.

scholarly journals Influence of composite restorative materials and light-curing units on diametrical tensile strength

2005 ◽  
Vol 19 (2) ◽  
pp. 123-126 ◽  
Author(s):  
Maria Cecília Caldas Giorgi Tolosa ◽  
Luís Alexandre Maffei Sartini Paulillo ◽  
Marcelo Giannini ◽  
Alex José Souza dos Santos ◽  
Carlos Tadeu dos Santos Dias
Keyword(s):  
Tensile Strength ◽  
Light Emitting Diode ◽  
Resin Composite ◽  
Testing Machine ◽  
Internal Diameter ◽  
Dark Bottle ◽  
Halogen Light ◽  
Significant Difference ◽  
Restorative Materials ◽  
Light Curing

The aim of this study was to evaluate the diametrical tensile strength (DTS) of three light-curing photo-activated composites with two different light curing units (LCU). Three types of dental restorative composites were used in this study: micro filled A110 (3M Espe); P60 (3M Espe) for posterior restorations, and micro-hybrid Charisma (Heraeus-Kulzer). The two LCUs were: halogen light (HAL) (Degulux, Degussa) and blue light emitting diode (LED) (Ultrablue, DMC). Resin composite specimens were inserted incrementally into a Teflon split mold meas-uring 3 mm in depth and 6 mm in internal diameter, and cured using either LCU (n = 10). Specimens were placed into a dark bottle containing distilled water at 37°C for 7 days. DTS tests were performed in a Universal Testing Machine (0.5 mm/min). Data were submitted to two-way ANOVA and Tukey's test. Results were (MPa): A110/HAL: 276.50 ± 62.94ª; A110/LED: 306.01 ± 65.16ª; P60/HAL: 568.29 ± 60.77b and P60/LED: 543.01 ± 83.65b; Charisma/HAL: 430.94 ± 67.28c; Charisma/LED: 435.52 ± 105.12c. Results suggested that no significant difference in DTS was obtained with LCUs for the same composite. However, resin composite restorative materials presented different DTS.

scholarly journals Effect of MTA versus CEM apical plugs on fracture resistance of endodontically treated simulated immature teeth restored with cast metal posts: an in-vitro study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ensieh Grayli ◽  
Abbas Dashtban ◽  
Leyla Shadan ◽  
Naser Behnampour ◽  
Elham Afshari
Keyword(s):  
Fracture Resistance ◽  
Testing Machine ◽  
In Vitro Study ◽  
Control Group ◽  
Significance Level ◽  
Cast Metal ◽  
Immature Teeth ◽  
Gutta Percha ◽  
Significant Difference

Abstract Background Endodontically treated immature teeth which are restored with cast metal posts are of the most susceptible teeth to fracture. An apical plug is usually used as root end filling in order to seal the wide apical foramen. The current study was performed to evaluate the effect of different apical plug materials (MTA and Calcium enriched mixture cement) at varied thicknesses on fracture resistance of teeth restored with cast metal posts. Methods A total of 40 extracted intact single-rooted human mandibular premolars (removed for orthodontic reasons) were used in the study. The coronal part of each tooth was removed and root canal preparation was performed. A size 4 Gates Glidden drill was used to enlarge the canal and was passed through the apical foramen in order to simulate an immature apex. Samples were randomly divided into 5 groups (n = 8) according to apical plug (control group: No plug, group MTA5: 5 mm MTA plug, group CEM5: 5 mm CEM plug, group MTA3: 3 mm MTA plug, group CEM3: 3 mm CEM plug). Post-space preparations were performed and cast metal post-and-cores were fabricated and cemented. Fracture resistance was assessed using a universal testing machine. Fracture thresholds were recorded and data were analyzed using One-way ANOVA and Dunnett’s T3 tests with significance level at P value < 0.05. Results The analysis showed a significant difference of fracture resistance between groups (P value < 0.05). The mean fracture resistance of samples in control group was significantly lower than MTA5 (P value = 0.003). There was no significant difference between other groups (P value > 0.05). Conclusions Within the limits of this study, the evidence indicated that placement of a 5 mm MTA apical plug increased the fracture resistance in simulated immature teeth which are restored with cast metal posts, compared to control group (gutta-percha and sealer). While the results were not as promising for a 3 mm MTA apical plug or either 3 or 5 mm CEM apical plug.

Structural Integrity Evaluation of Large MOD Restorations Fabricated With a Bulk-Fill and a CAD/CAM Resin Composite Material

2019 ◽  
Vol 44 (3) ◽  
pp. 312-321 ◽  
Author(s):  
C Papadopoulos ◽  
D Dionysopoulos ◽  
K Tolidis ◽  
P Kouros ◽  
E Koliniotou-Koumpia ◽  
...  
Keyword(s):  
Computer Aided Design ◽  
Fracture Resistance ◽  
Structural Integrity ◽  
Resin Composite ◽  
Testing Machine ◽  
Fracture Load ◽  
Chi Square ◽  
Significance Level ◽  
Computer Aided ◽  
Cad Cam

SUMMARY Aims: To evaluate the effect of two composite restorative techniques (direct bulk fill vs indirect CAD/CAM) on the fracture resistance and mode of fracture of extended mesio-occlusal-distal (MOD) cavity preparations. Methods: Fifty-one sound human mandibular third molars were divided into three groups (n=17). Extended bucco-lingual MOD cavities were prepared. Teeth in group 1 were restored with a bulk-fill resin composite (Filtek Bulk-Fill Posterior Restorative), teeth in group 2 were restored with composite computer-aided design/computer-aided manufacturing (CAD/CAM) inlays (Lava Ultimate), and teeth in group 3 served as control and remained intact. All specimens were submitted to thermocycling, and a fracture resistance test was performed using a Universal testing machine (0.5 mm/min). Mode of fracture was classified into five types. One-way analysis of variance and the Duncan test were used to analyze the fracture load data at a significance level of α = 0.05. A chi-square test was used for the analysis of fracture mode between the restorative groups. Results: Statistical analysis showed significant differences in fracture resistance among the experimental groups. The teeth restored with the bulk-fill composite exhibited lower fracture resistance (1285.3±655.0 N) when compared to the teeth restored with the composite CAD/CAM inlays (1869.8±529.4 N) (p&lt;0.05). Mode of fracture showed the same distribution between the restorative groups. Conclusions: Although both types of restorations failed at loads larger than those found in the oral cavity, the CAD/CAM composite inlays increased the fracture resistance of teeth with large MOD cavities when compared to direct bulk-fill composite restorations. The majority of fracture types were intraorally repairable for both restorative techniques.

scholarly journals An evaluation of the effect of different veneer materials on fracture resistance of zirconia core

2021 ◽  
Vol 24 (3) ◽  
Author(s):  
Yousra Abdulkareem Ibraheem ◽  
Zahraa Nazar Alwahab
Keyword(s):  
Fracture Strength ◽  
Hydrofluoric Acid ◽  
Fracture Resistance ◽  
Testing Machine ◽  
Control Group ◽  
P Value ◽  
Air Abrasion ◽  
Significant Difference ◽  
Group A ◽  
One Way Anova

Objective: this in vitro study was done to evaluate  the effect of packable P60 composite and Tetric N-Ceram composite veneer material on fracture strength of zirconia cores. Material and Methods:  Twenty four zirconium cores (Vita, Germany) with 0.7 mm thickness were fabricated by CAD/CAM technology and then subjected to air abrasion with 50µm of Al2O3. Cores were randomly divided into three groups according to veneering material (group A: control group sandblasted with 50 µm Al2O3 veneered by IPS E-max Ceram porcelain, group C: sandblasted with 50 µm Al2O3,  etching with hydrofluoric acid and veneered with P60 composite, group E: sandblasted with 50 µm Al2O3, etching with hydrofluoric acid and veneered with Tetric N-Ceram composite). All crowns were subjected to fracture strength test in the testing machine, with load application by steel ball indenter and 0.5 mm/min. cross head speed. Results: statistical analysis was carried out utilizing one-way ANOVA, LSD. The results of fracture strength value test showed the highest mean value was registered for group (A), and the lowest mean for group (E). One-way ANOVA test represented that, there was a statistically high significant different among all groups. LSD results  showed a high significant difference increase in fracture resistance for Group A at p value (*P<0.001 High significant). Conclusions: Within the limitation of this study, sandblasting zirconia core with 50 µm Al2O3 and veneering with conventional ceramic produced restoration with acceptable fracture resistance value.   Keywords Composite resin; Fracture resistance; Hydrofluoric acid; IPS Emax ceram; zirconium oxide.

scholarly journals Evaluation of Fracture Resistance of Orthodontic Mini-implants in the Transmucosal Profile Region

2015 ◽  
Vol 16 (5) ◽  
pp. 372-375 ◽  
Author(s):  
Adelson Mota de Aguiar ◽  
Arilton Mota de Aguiar ◽  
Célia Regina Maio Pinzan-Vercelino ◽  
Fausto Silva Bramante
Keyword(s):  
Fracture Resistance ◽  
Testing Machine ◽  
Significance Level ◽  
Group Iii ◽  
Mini Implants ◽  
Group I ◽  
Significant Difference ◽  
The Mean ◽  
Group Ii

ABSTRACT Aim This study sought to compare the fracture resistance of three trademarked orthodontic mini-implants in the transmucosal profile region. Thirty-six mini-implants of three different brands, separated into groups I, II and III, were tested. Each group consisted of 12 mini-implants of 6 mm in length. The mean diameter and length of the transmucosal profile of the mini-implants were 1.90 and 2.0 mm in group I, 1.77 and 1.0 mm in group II and 1.50 and 1.0 mm in group III, respectively. The tests were performed on a universal testing machine in compression mode, with a 2,000 kgf load, a speed of 4.0 mm per minute and a chisel-shaped active tip, which acted crosssectionally on the transmucosal profile. Single-criterion analysis of variance was used to compare the three brands. A significance level of 5% and test power of 80% were adopted. The mean fracture resistance achieved by the mini-implants was 172.03 ± 25.59 N for group I, 162.35 ± 30.81 N for group II and 139.69 ± 42.99 N for group III. There was no statistically significant difference in mean fracture resistance among the tested mini-implant brands. Conclusion The transmucosal profile diameter does not seem to be a deciding factor in the choice of mini-implants to minimize the risk of fractures. Clinical significance Although being an in vitro study it is possible to believe that this new brand has a very satisfactory resistance to fracture and enables its use with great efficiency. How to cite this article de Aguiar AM, Bramante FS, de Aguiar AM, Pinzan-Vercelino CRM. Evaluation of Fracture Resistance of Orthodontic Mini-implants in the Transmucosal Profile Region. J Contemp Dent Pract 2015;16(5):372-375.

scholarly journals Effect of Reinforcement on the Fracture Resistance of Endodontically Treated Molars by Various Bonded Restorations-An In Vitro Study

2015 ◽  
Vol 03 (02) ◽  
pp. 103-111
Author(s):  
Jaidev Dhillon ◽  
Sachin Passi ◽  
Ajay Chhabra ◽  
◽  
Keyword(s):  
Fracture Resistance ◽  
Resin Composite ◽  
Testing Machine ◽  
In Vitro Study ◽  
Group 4 ◽  
Significant Difference ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

Abstract Objective: To compare and evaluate the fracture resistance of endodontically treated molars reinforced with various bonded restorations and to study the type of fractures in various restorations. Methods: Forty extracted mandibular molars were endodontically treated. MOD (Mesio-Occluso-Distal) cavities were prepared and Mesio-Buccal cusp was reduced in all to provide cuspal coverage. All the teeth were then divided into 4 groups. The cavities in group 1(control) were filled with high copper amalgam. Group 2 was restored with direct resin composite. In group 3 after the priming and bonding procedures as in group 2, cavity surfaces were coated with flowable resin composite. Before curing a piece of polyethylene ribbon fiber was cut and coated with adhesive resin and was embedded inside the flowable composite. The resin composite was cured with visible light cure (VLC) gun. For group 4, restorations were done according to the recommendations provided by the manufacturers of SR Adoro (Ivoclar-Vivadent, Schaan, Liechtenstein) composite material. Compressive fracture strength test was performed after at least 24 hours of the fabrication of the specimens, by application of compressive loading in a Universal testing machine, applied on the occlusal aspect of each specimen with a steel bar. The mean loads necessary to fracture were recorded in Newton and the results were statistically analyzed. Results: Group 4 (indirect composite inlay) had the greater fracture resistance and group 1(Amalgam) had the poorest. Difference between group 1 and 3, group 1 and 4, group 2 and 4 were statistically significant. No statistically significant difference was found between group 1 and 2, group 2 and 3, group 3 and 4. Predominant type of fracture in group 1 and 3 was fracture of tooth below cemento enamel junction at tooth restoration interface without mesio buccal cusp involvement. In group 2 and 4, predominant fractures were of tooth below cemento enamel junction through center of restoration without mesio–buccal cusp involvement.

scholarly journals Evaluation of different LED light-curing devices for bonding metallic orthodontic brackets

2011 ◽  
Vol 22 (3) ◽  
pp. 249-253 ◽  
Author(s):  
Corina Maia de Souza Pinto ◽  
José Tarcísio Lima Ferreira ◽  
Mírian Aiko Nakane Matsumoto ◽  
Maria Cristina Borsatto ◽  
Raquel Assed Bezerra da Silva ◽  
...  
Keyword(s):  
Bond Strength ◽  
Shear Bond Strength ◽  
Testing Machine ◽  
Mean Value ◽  
Orthodontic Brackets ◽  
Significance Level ◽  
Led Light ◽  
Halogen Light ◽  
Significant Difference ◽  
Light Curing

The aim of this study was to assess the influence of different light-emitting diodes (LED) light-curing devices for bonding orthodontic brackets, using the shear bond strength and analysis of adhesive remnant index (ARI). Crowns from 60 bovine incisors received brackets bonded with Transbond XT. Specimens were divided into 4 groups (n=15) according to the light-curing procedures: HL = control, halogen light; OR = Ortholux LED; UL = Ultraled XP, and RD = Radii LED. All light-curing procedures were performed for 40 s. Shear bond strength test was evaluated using an universal testing machine at a crosshead speed of 0.5 mm/min. Data were analyzed statistically by ANOVA and Tukey's test. The ARI scores were evaluated with a stereoscopic magnifying glass and analyzed statistically by Kruskal-Wallis test. A significance level of 5% was set for all analyses. Shear bond strength means in MPa and standard deviations were 9.82 (3.28), 12.70 (3.35), 9.04 (2.80) and 11.22 (2.36) for HL, OR, UL and RD, respectively. OR presented the highest shear bond strength mean value. HL differed significantly (p<0.05) from Groups OR and RD. However, these groups did not differ significantly from each other (p>0.05). Regarding the ARI scores, no statistically significant difference was observed (p>0.05) among the groups. In conclusion, Ortholux LED and Radii LED units provided the highest values of bracket adhesive strength.

The Influence of Force Direction on the Fracture Pattern and Fracture Resistance of Canine Teeth in Dogs

2017 ◽  
Vol 34 (1) ◽  
pp. 8-17 ◽  
Author(s):  
Stephanie Goldschmidt ◽  
Catherine Zimmerman ◽  
Caitlyn Collins ◽  
Scott Hetzel ◽  
Heidi-Lynn Ploeg ◽  
...  
Keyword(s):  
Fracture Resistance ◽  
Ex Vivo ◽  
Testing Machine ◽  
Fracture Pattern ◽  
Hard Tissue ◽  
Canine Tooth ◽  
Cross Sectional ◽  
Significant Difference ◽  
Force Direction ◽  
Testing Group

Biomechanical studies of the elongated canine tooth of animals are few, and thus our understanding of mechanical and physical properties of animal teeth is limited. The objective of the present study was to evaluate the influence of force direction on fracture resistance and fracture pattern of canine teeth in an ex vivo dog cadaver model. Forty-five extracted canine teeth from laboratory beagle dogs were standardized by hard tissue volume and randomly distributed among 3 force direction groups. The teeth were secured within a universal testing machine and a load was applied at different directions based on testing group. The maximum force to fracture and the fracture pattern classification were recorded for each tooth. After correcting for hard tissue cross-sectional area in a multivariate analysis, no significant difference in the amount of force required for fracture was apparent between the different force direction groups. However, the influence of force direction on fracture pattern was significant. The results of this study may allow the clinician to educate clients on possible causal force directions in clinically fractured teeth and, thus, help prevent any contributing behavior in the future.

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