Aim: To evaluate the effects of four different types of composite resins and a resin modified glass ionomer cement (RMGIC) liner on the cuspal deflection of large MOD cavities in vitro.
Materials & Methods: One hundred twenty-eight extracted human upper premolar teeth were used. After the teeth were divided into eight groups (n=16), standardized large MOD cavities were prepared. The distance between cusp tips was measured before and after the cavity preparations with a digital micrometer. Then the teeth were restored with different resin composites (Filtek Supreme XT, Filtek P60, Filtek Z250, Filtek Silorane - 3M ESPE, St Paul, MN, USA) with and without a RMGIC liner (Vitrebond, 3M ESPE, St Paul, MN, USA). Cuspal deflection was measured 5 min, 24 h, and 48 h after the completion of restorations. The data were statistically analyzed with Friedman and Kruskal Wallis tests.
Results: A significant reduction in cuspal deflection was observed in Filtek Silorane restorations with and without RMGIC liner (p<0.05). In all restored teeth, the distance between cusps was reduced but they did not return to their original positions during the 48 h period. All teeth showed cuspal deflection, but placement of RMGIC liner reduced it.
Conclusion: The use of silorane-based composites and the placement of RMGIC liner under the composite resin restorations resulted in significantly reduced cuspal deflection.
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http://dx.doi.org/10.2341/11-400-L | DOI Listing |
Dent J (Basel)
June 2024
Faculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, 38 Gh. Marinescu Str., 540139 Târgu Mureș, Romania.
Background: The purpose of this study was to investigate the effect of different light curing modes on the polymerization shrinkage of a bulk-fill composite and to evaluate the impact of two layering techniques on the cuspal deflection.
Methods: Nine different light curing modes were tested on bulk-fill composite samples in aluminum MOD cavities. Intensity, duration, and illumination distance were the factors that changed during the different curing modes.
MethodsX
December 2023
Faculty of Dentistry - Department of Restorative Dentistry, University of the Western Cape, 148 Francie Van Zijl Dr, Tygerberg, Cape Town, South Africa.
Polymerisation shrinkage of composite resins is a clinical challenge which has been well documented in the literature. Many studies investigating polymerisation shrinkage stress measure cuspal deflection, which is a manifestation of this stress. The introduction of flowable bulk-fill composite (BFRBC) materials has streamlined the restorative process, though the shrinkage and cuspal deflection from these BFRBCs has not been compared with regards to its use with polyethylene fibers (Ribbond fibers).
View Article and Find Full Text PDFOper Dent
January 2023
Evrim Eliguzeloglu Dalkilic, professor, Department of Restorative Dentistry, Bezmialem Vakif University, Istanbul, Turkey.
This study investigated the effect of different intermediary layer materials under class II mesio-occluso-distal (MOD) resin composite restorations on volumetric cuspal deflection, gap formation, and fracture strength. In total, 32 sound human maxillary premolars were used. After large, standardized Class II MOD cavities were prepared, a universal adhesive (Clearfil Universal Bond Quick, Kuraray) was applied.
View Article and Find Full Text PDFDent Mater J
November 2022
Department of Conservative Dentistry and Dental Research Institute, School of Dentistry, Seoul National University.
In this study, a novel method for simulating human teeth was developed, with which the effect of radiant emittance of an LED curing light on the cuspal deflection was investigated. A mesio-occluso-distal (MOD) cavity was replicated using a heat-pressed ceramic and lost wax technique, and the cuspal compliance and cuspal deflection of the replicated ceramic teeth and extracted human teeth were evaluated. The replicated ceramic teeth were restored using a nano bulk-fill composite and photopolymerized using three different protocols.
View Article and Find Full Text PDFJ Conserv Dent
August 2022
Department of Conservative Dentistry and Endodontics, K L E Society's Institute of Dental Sciences, Bengaluru, Karnataka, India.
Aim: The aim was to evaluate the effect of bulk-fill composites - Activa and Smart Dentin Replacement (SDR) on cuspal deflection in endodontically treated teeth with different access cavity designs.
Materials And Methods: Forty-two maxillary first premolar teeth were randomly divided into three experimental groups based on different access designs as Group I - conservative endodontic cavities (CECs), Group II - traditional endodontic cavities, and Group III - CECs with diverging walls and two subgroups, based on the different access cavity restorations subgroup A-Activa and subgroup B-SDR with = 7 per group. Root canal treatment was completed under the dental operating microscope.
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