Response of Differently Structured Dental Polymer-Based Composites to Increasingly Aggressive Aging Conditions.

Objective: It is hypothesized that the way nano- and micro-hybrid polymer-based composites are structured and cured impacts the way they respond to aging.

Material And Methods: A polymer-ceramic interpenetrating network composite (Vita Enamic/VE), an industrially polymerized (Brillinat CriosST/BC), and an in situ light-cured composite with discrete inorganic fillers (Admira Fusion5/AF5) were selected. Specimens (308) were either cut from CAD/CAM blocks (VE/BC) or condensed and cured in white polyoxymethylene molds (AF5) and subjected to four different aging conditions ( = 22): (a) 24 h storage in distilled water at 37 °C; (b) 24 h storage in distilled water at 37 °C followed by thermal cycling for 10,000 cycles 5/55 °C (TC); (c) TC followed by storage in a 75% ethanol-water solution; and (d) TC followed by a 3-week demineralization/remineralization cycling.

A Critical Review on the Factors Affecting the Bond Strength of Direct Restorative Material Alternatives to Amalgam.

This article comprehensively reviews the performance of simplified direct restorative materials that have the potential to be an alternative to amalgam. Following an understanding of the material structures and clinical performances, this review provides an analysis of the bonding mechanisms and influential factors on the bond strength. These factors include substrate-related variations, involving primary vs.

Kinetic of Light Transmission during Setting and Aging of Modern Flowable Bulk-Fill Composites.

The current development of dental materials aims to improve their properties and expand their clinical application. New flowable bulk-fill composites have been released which, unlike what was previously common in this material category, are intended to be used alone and without a top layer, in various cavities. The study compares their kinetic of light transmission during monomer-to-polymer conversion on a laboratory-grade spectrometer, as well as their elastoplastic and aging behavior under simulated clinical conditions.

Influence of surface finishing on the outcome of a 3-point bending test in polymer-based dental composits assessed by qualitative and quantitative fractography.

Objectives: The aim of the study was to evaluate the influence of surface finishing in three polymer-based composits (composits) on the result of a 3-point bending test using quantitative and qualitative fractography as well as microstructural characteristics.

Materials And Methods: 270 rectangular specimens (n = 30) of three composits were prepared, stored and tested according to NIST No. 4877.

Profiling Elastoplastic and Chemical Parameters to Assess Polymerization Quality in Flowable Bulk-Fill Composites.

In the chronology of polymer-based composite materials, flowable bulk-fill composites represent the most recent development. They enable a significant reduction in treatment time by being applied in larger increments of 4 to 5 mm. The aim of the investigation was to assess the polymerization quality and mechanical performance of a new formulation that has just entered the market and was still in experimental formulation at the time of the investigation, and to compare these results in the context of clinically established materials of the same category.

The Dependence on Hue, Value and Opacity of Real-Time- and Post-Curing Light Transmission in a Nano-Hybrid Ormocer.

This study aims to quantify the influence of hue, value and opacity on the variation in light transmittance of a full color palette of an ormocer-based dental composite. Samples with a thickness of 2 mm were cured in real time while the incident irradiance and light transmittance were recorded with a spectrophotometer, either in real time during the polymerization or through the polymerized composite at different exposure distances. Across the entire shade range, light attenuation was high, varying between 70.

Enhancing dentin bonding through new adhesives formulations with natural polyphenols, tricalcium phosphate and chitosan.

Objectives: The aim of the study was to develop new adhesive formulations that include natural polyphenols extracted from green tea (GTE), tricalcium phosphate (TCP) and chitosan to improve dentin bonding characteristics and cytotoxicity.

Methods: Four experimental adhesives were formulated under laboratory conditions. The groups differed in the integration of either GTE and/or TCP + chitosan.

Pushout Bond Strength in Coronal Dentin: A Standardization Approach in Comparison to Shear Bond Strength.

To find an alternative that is closer to clinical reality in terms of cavity geometry and configuration factor, this study investigated the pushout test on in vitro adhesive testing to coronal dentin when compared to the established shear test, both in a standardized approach. For a feasible comparison between both tests, the pushout specimen was adjusted in thickness (1.03 ± 0.

Shade, Aging and Spatial-Dependent Variation of Elastoplastic and Viscoelastic Characteristics in a Dental, Submicron Hybrid CAD/CAM Composite.

This article reports the elastoplastic and viscoelastic response of an industrially cured CAD/CAM resin-based composite (Brilliant Crios, Coltene) at different scales, spatial locations, aging conditions, and shading. Mechanical tests were performed at the macroscopic scale to investigate material strength, elastic modulus, fracture mechanisms and reliability. An instrumented indentation test (IIT) was performed at the microscopic level in a quasi-static mode to assess the elastic and plastic deformation upon indentation, either by mapping transverse areas of the CAD/CAM block or at randomly selected locations.

Probing the micro- and nanoscopic properties of dental materials using infrared spectroscopy: A proof-of-principle study.

The preservation of oral health over a person's lifespan is a key factor for a high quality of life. Sustaining oral health requires high-end dental materials with a plethora of attributes such as durability, non-toxicity and ease of application. The combination of different requirements leads to increasing miniaturization and complexity of the material components such as the composite and adhesives, which makes the precise characterization of the material blend challenging.

Validation of the Orr theory in dental resin-based composites: A fractographic approach.

Objectives: The present study aimed to assess the applicability of Orr's equation on light-cured resin-based composites (RBCs) tested in 3- and 4-point bending tests, as well as assess the operator reliability of this method.

Methods: Fracture mirrors of 320 specimens (n = 320) made of four RBCs that had failed in the two tests were analyzed microscopically and consequently two radii of each specimen were measured by two operators, each measuring twice. The mirror constant A was calculated using Orr's equation.

Light Transmission Characteristics and Cytotoxicity within A Dental Composite Color Palette.

Modern light-cured, resin-based composites are offered in a wide range of shades and translucencies. This large variation, created by varying the amount and type of pigmentation and opacifiers, is essential to enable an esthetic restoration in each patient situation, but may affect light transmission in the deeper layers during curing. We quantified optical parameters and their real-time variation during curing for a 13-shade composite palette of identical chemical composition and microstructure.

Accelerated versus Slow In Vitro Aging Methods and Their Impact on Universal Chromatic, Urethane-Based Composites.

Structural coloring of dental resin-based composites (RBC) is used to create universal chromatic materials designed to meet any aesthetic need, replacing the mixing and matching of multiple shades. The microstructural adjustments to create this desideratum involve nanoscale organic-inorganic core-shell structures with a particular arrangement. The generally higher polymer content associated with these structures compared to universal chromatic RBCs colored by pigments, which in their microstructure come close to regularly shaded RBCs, can influence the way the material ages.

Chemical and Structural Assessment of New Dental Composites with Graphene Exposed to Staining Agents.

Among the newest trends in dental composites is the use of graphene oxide (GO) nanoparticles to assure better cohesion of the composite and superior properties. Our research used GO to enhance several hydroxyapatite (HA) nanofiller distribution and cohesion in three experimental composites CC, GS, GZ exposed to coffee and red wine staining environments. The presence of silane A-174 on the filler surface was evidenced by FT-IR spectroscopy.

Cytotoxic, Elastic-Plastic and Viscoelastic Behavior of Aged, Modern Resin-Based Dental Composites.

The development of resin-based composites (RBCs) is a delicate balance of antagonistic properties with direct clinical implications. The clear trend toward reducing filler size in modern RBCs solves esthetic deficiencies but reduces mechanical properties due to lower filler content and increases susceptibility to degradation due to larger filler-matrix interface. We evaluated a range of nano- and nano-hybrid RBCs, along with materials attempting to address shrinkage stress issues by implementing an Ormocer matrix or pre-polymerized fillers, and materials aiming to provide caries-protective benefit by incorporating bioactive fillers.

Resin-Based Bulk-Fill Composites: Tried and Tested, New Trends, and Evaluation Compared to Human Dentin.

A more-and-more-accepted alternative to the time-consuming and technique-sensitive, classic, incremental-layering technique of resin-based composites (RBCs) is their placement in large increments. The so-called bulk-fill RBCs had to be modified for a higher polymerization depth and already have a 20-year history behind them. From the initial simple mechanisms of increasing the depth of cure by increasing their translucency, bulk-fill RBCs have evolved into complex materials with novel polymerization mechanisms and bioactive properties.

Adhesion to a CAD/CAM Composite: Causal Factors for a Reliable Long-Term Bond.

Computer aided design/manufacturing (CAD/CAM) technology has become an increasingly popular part of dentistry, which today also includes CAD/CAM resin-based composite (RBC) applications. Because CAD/CAM RBCs are much more difficult to bond, many methods and attachment materials are still being proposed, while the best application method is still a matter of debate. The present study therefore evaluates causal factors for a reliable long-term bond, which includes the surface preparation of the CAD/CAM RBC, aging and the type of luting material.

Microstructure and Mechanical Behavior of Modern Universal-Chromatic and Bulk-Fill Resin-Based Composites Developed to Simplify Dental Restorative Procedures.

One of the recent trends in the development of resin-based composites (RBCs) focuses on universal coloring to avoid time-consuming color matching and RBC layering for a clinically appropriate esthetic impact. We evaluated an experimental material for posterior restorations combining universal coloring with the possibility of bulk-fill placement. Clinically established materials were analyzed as a reference, including a bulk-fill and a universal chromatic RBC.

Microbiological models for accelerated development of secondary caries in vitro.

Objectives: The current study aimed to compare the efficacy of two in vitro microbiological models based on open and closed systems designed to obtain secondary caries in an accelerated and reproducible way.

Methods: A conventional resin-based composite (RBC - Majesty ES-2; Kuraray, Japan) and a resin-modified glass-ionomer cement (RMGIC - Ionolux; VOCO, Germany) were used to restore standardized class II cavities (n = 4/tooth, cervical margin in dentin) in 16 human molars. The ability to produce secondary caries with Streptococcus mutans biofilms was tested using either an open-cycle or closed-cycle bioreactor (n = 8 specimens/model).

Universal Chromatic Resin-Based Composites: Aging Behavior Quantified by Quasi-Static and Viscoelastic Behavior Analysis.

Universal chromatic dental resin-based composites were recently developed in an attempt to speed up the restoration process with the aim of making it easier for the practitioner to decide on a suitable shade and to avoid time-consuming matching and mixing of materials. The way in which color is created in the analyzed universal chromatic materials is innovative, as it is not only induced by selective light absorption via pigments (Venus Diamond ONE, Venus Pearl ONE), as is usual in regular composites (Charisma Classic, Charisma Topaz, Venus, Venus Diamond), but also by selective light reflection via particularized microstructures (Omnichroma). Material properties were assessed at 24 h post-polymerization and after artificial aging.

Prediction of uniaxial and biaxial flexural strengths of resin-based composites using the Weibull model.

Objectives: The aim of the study was to assess the applicability of the Weibull model for resin-based composites (RBC) to predict the outcome of different flexural tests based on one another, while identifying the minimal sample number for a precise Weibull representation.

Methods: Four RBCs underwent 3-point, 4-point and biaxial flexural testing (n = 480). Fracture surfaces of all specimens were assessed under optical microscope, while fracture modes of the uniaxial specimens were documented.

Comparison of modern light-curing hybrid resin-based composites to the tooth structure: Static and dynamic mechanical parameters.

The study aims to compare the way modern resin-based composites (RBCs) respond to mechanical stress related to the tooth structure they are designed to replace. Eight representative light-cured RBCs, including ormocers, giomers, RBCs with nano and agglomerated nanoparticles, prepolymerized, or compact fillers, were selected. Flexural strength, FS and modulus/E, were measured in a three-point bending test.

Degradation of Dental Methacrylate-Based Composites in Simulated Clinical Immersion Media.

The selection of restorative materials with regard to the longevity and durability of a restoration is of crucial importance for daily dental practice and requires that the degradation of the material in the oral environment can be assessed. The aim of this study was to investigate the extent to which the mechanical properties of four (Esthet X, Ceram X, Filtek Supreme XT, and Filtek Supreme XT flow) resin-based composites (RBCs) alter during storage in saliva substitutes (artificial saliva) for 24 h and 28 days and in the context of simulated, more aggressive clinical conditions, including cycles exposure to de- and remineralization, alcohol, or salivary enzymes. For this purpose, flexural strength and modulus were determined in a three-point bending test ( = 20) followed by Weibull analysis, while quasi-static behavior was evaluated by instrumented indentation techniques.