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

Abstract

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. Adequate curing in increments of up to 4 mm could be confirmed both by profiling the elastoplastic material behavior of large increments in 100 µm steps and by real-time assessment of the degree of conversion and the associated polymerization kinetic. A slightly lower amount of filler in the experimental material was associated with slightly lower hardness and elastic modulus parameters, but the creep was similar and the elastic and total indentation work was higher. The kinetic parameters were assigned to the specific characteristics of each tested material. The mechanical macroscopic strength, evaluated in a three-point bending test and supplemented by a reliability analysis, met or exceeded the standards and values measured in clinically established materials, which for all materials is related to the higher flexibility of the beams during testing, while the modulus of elasticity was low. The low elastic modulus of all flowable bulk-fill materials must be taken into account when deciding the clinical indication of this material category.