Mechanical behavior of a bi-layer glass ionomer.

Objective: A high-viscosity consistency of the glass-ionomer cement (GIC) may lead to poor adaptation into the cavity. The use of a flowable GIC layer seemed to improve its adaptation in approximal restorations in vitro. In this study we assessed the flexural strength of a two-layered GIC, using a flowable GIC as a liner (two-layer technique). Additionally, finite element analysis on standardized bar-shaped models and on a representative tooth model was performed to rationalize the obtained results.

Methods: The flexural strength and Young's modulus were calculated from the results of a three-point-bending test. Bar-shaped specimens were prepared either with a conventional GIC, with a flowable GIC (powder/liquid ratio 1:2), or with two-layers (either with the flowable layer down or on the top of the specimen). Three dimensional FEA models of the bar-shaped specimens and a model of tooth 46 provided information on the stress distribution of each component of the specimen and on the restoration.

Results: The apparent flexural strength and Young's modulus of both two-layered groups were significantly lower than that of the conventional group. FEA showed that the layers of the two-layer specimens with the flowable GIC down separated from each other under load. The tooth model showed better stress distribution for the two-layer restorations.

Significance: The two-layer GIC showed inferior flexural strength, which might be explained by the detachment of the layers under load. Nevertheless the tooth model showed that the two-layer GIC provides a lower stress concentration on the occlusal surface of the material.