Abstract

The aim of this in vitro study was to evaluate the effect of hydrochloric acid associated with the abrasive effect of toothbrushing on the surface condition of three flowable composite resins used for direct restoration. Seventy samples of each composite resin: Grandio Flow (VOCO, Germany)—group A, Filtek Ultimate Flow (3M-ESPE, MN, USA)—group B, G-aenial Flo X (GC Europe)—group C were prepared, submersed in hydrochloric acid 30% for 60 min and then submitted to simulated toothbrushing procedure using 5000 cycles with toothbrushes with medium and hard bristles, immediately after the chemical attack, after 30 min or without any chemical attack. The sample’s surface roughness was analyzed using a noncontact profilometer (Dektak XT, Bruker, USA). ANOVA and post hoc Bonferroni tests, with a p < 0.05, were used to analyze the values. Hydrochloric acid action for 60 min and six months of toothbrushing using toothbrushes having medium hardness or firm bristles affects the surface roughness of tested flowable composite resins. Toothbrushing with firm bristles immediately after acidic challenge determines increased surface roughness for two of the three flowable composite resins (Grandio Flow and Filtek Ultimate Flow). Toothbrushing with medium or firm bristles thirty minutes after the acidic aggression determine no effect on surface condition of flowable composite resins.

Highlights

  • Direct dental restorations should meet two goals: aesthetics and functionality [1].resin-based materials have become the most preferred materials for direct anterior and posterior restorations

  • The present study investigated the surface roughness of three types of flowable composite resins after exposure to acid attack with hydrochloric acid and after toothbrushing simulation with toothbrushes with bristles of different hardness and toothpaste with a medium abrasive value performed immediately after submersion to acid, 30 min after acid attack or without prior chemical challenge

  • The samples were subjected to finishing and polishing procedure using Sof-Lex system, and the results showed that the average surface roughness values were less than 0.2μm for two of the three flowable composite resins used in the study

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Summary

Introduction

Resin-based materials have become the most preferred materials for direct anterior and posterior restorations. Since their introduction on the market until now, these materials have undergone many changes regarding the organic matrix or the type of polymerization, but the changes have mainly focused on their filling technology [2]. Originally intended as restorative materials for V Black Class cavities, flowable composite resins have been accepted for a variety of applications due to their simple maneuverability and their fluidity, which allow the material to reach difficult cavity areas regarding the access or low modulus of elasticity for a uniform distribution and attenuation of occlusal forces [2,3]. Oral acidity is produced by extrinsic or intrinsic acids such as gastric acid in gastroesophageal reflux disease or acids resulting from the degradation of polysaccharides into acids [1,4]

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