Abstract

ObjectivesIn search for clinically effective composite repair protocols, the effect of various etching protocols on the surface roughness of composite resins with different filler composition were investigated. MethodsOf two composite resins (hybrid-filled Clearfil AP-X; nano-filled Filtek Supreme XT) specimens of 3mm thick with a diameter of 7mm were prepared (n=24). The top surface was polished with 4000-grit SiC-abrasive paper and subjected to one of eight surface treatments: (n=3): negative control (NC), 37% phosphoric acid for 20s (37PA-20s), 3% hydrofluoric acid for 20s (3HF-20s), for 120s (3HF-120s), 9.6% hydrofluoric acid for 20s (9.6HF-20s), for 120s (9.6%HF-120s), 37PA-20s followed by 9.6%HF for 120s (37PA-20s/9.6HF-120s) and 9.6%HF for 120s followed by 37PA-20s (9.6HF-120s/37PA-20s). Roughness (Sa) was measured using a 3D noncontact optical interferometer (WYKO) and surface topography imaged by SEM. Multilevel models were used to estimate the variances within a sample and between samples in each group. Using the resulting overall variances and the means for each group, the eight groups were compared consecutively using t-tests (p<0.05). ResultsThe hybrid-filled composite resin demonstrated a significantly rougher surface than the nano-filled (p<0.05). For both composites 9.6%HF-120s, 37PA-20s/9.6HF-120s and 9.6%HF-120s/37PA-20s resulted in a large increase in roughness compared to the other groups (p<0.05). For the hybrid-filled, the succeeding groups (37PA-20s, 3HF-20s, 3HF-120s and 9.6HF-20s) resulted in a statistically significant increase in surface roughness (p<0.02). For the nano-filled only a statistically significant increase in roughness was found between 3HF-20s and 3HF-120s (p<0.001) and between 9.6HF-20s and 9.6HF-120s (p<0.001). SEM surface characterization revealed that the hybrid-filled composite resin was much more affected by etching than the nano-filled. SignificanceComposite resins should not be seen as a group of materials having identical properties when it comes to repair. The effect of etching will depend on the composition of the filler particles.

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