Dental Composites Research Articles

The Relationship Between Smile Type, Dental Composition, and Personality Traits in Young Adults

Introduction. This study investigates the complex interplay between dental compositions, smile styles, and personality traits in young adults seeking oral and dental care, guided by the Visagism paradigm. Methods. A total of 150 young adult volunteers aged 18-35 years participated in the study. The participants completed a questionnaire designed to assess personality traits. A survey containing various personality characteristics was administered to determine the participants’ fundamental personality traits, with respondents encouraged to indicate the traits they most closely identified with honestly. Based on the survey responses, individuals were categorized into one of four main personality groups: melancholic/sensitive, sanguine/dynamic, choleric/strong, and phlegmatic/peaceful. Subsequently, a careful clinical examination was conducted to assess each patient’s tooth form, smile style, and the visibility of teeth and gums at different smile stages (stages III and IV). Statistical analysis was then conducted. Results. Oval tooth forms (36%) and the commissure (Mona Lisa) smile style (72.5%) were most frequently observed, aligning with previous research. Notably, women exhibited a higher prevalence of a melancholic temperament. However, the study found no significant relationship between self-reported personality traits and dental compositions or smile styles. Conclusions. The study did not confirm a significant association between personality traits and smile styles or dental forms. While the findings align with existing research, they highlight the complexity of the Visagism paradigm, emphasizing the need for further investigations into the relationship between temperament and dental aesthetics.

Optimizing Dental Composites: Synergistic Effects of Calcite–Zincate Nanoparticles in PMMA Resin for Enhanced Mechanical Performance

Optimizing Dental Composites: Synergistic Effects of Calcite–Zincate Nanoparticles in PMMA Resin for Enhanced Mechanical Performance

Biocompatibility and performance of new generation dental composites

Dental composites have undergone significant advancements in recent years, with new-generation materials being developed to improve both biocompatibility and mechanical performance. These innovations have led to the increased use of dental composites in restorative dentistry, particularly in both anterior and posterior restorations. Biocompatibility remains a key concern, as the release of unreacted monomers, such as bisphenol A glycidyl methacrylate (Bis-GMA), can cause local tissue irritation or systemic effects. Modern composites aim to reduce these risks by incorporating alternative resin systems and advanced photo initiators. Nanotechnology has further enhanced the performance of these materials by improving mechanical strength and wear resistance, but questions about the safety of nanoparticles and their long-term biological effects continue to be explored. In addition to biocompatibility, the mechanical properties of new-generation composites have been significantly optimized. The introduction of bulk-fill composites allows for deeper polymerization and faster placement, reducing clinical procedure times while maintaining high mechanical integrity. Polymerization shrinkage, a common issue in traditional composites, has been minimized in newer formulations, reducing the risk of marginal gaps and microleakage. The effectiveness of different light-curing units, such as light-emitting diode (LED) versus halogen lights, plays a crucial role in achieving optimal polymerization depth, especially in posterior restorations where light penetration can be limited. Long-term clinical outcomes depend on several factors, including material choice, placement technique, and patient adherence to oral hygiene. Despite the improvements in composite materials, the longevity of restorations still faces challenges such as wear, fracture, and degradation over time. Continued research into the safety, effectiveness, and clinical performance of new-generation composites is essential to ensuring patient safety and enhancing the durability of restorations in the future. These advancements promise to address many of the limitations seen in earlier dental materials while offering superior performance and patient satisfaction.

Study on the polymerization shrinkage and mechanical-physical properties of dental resin composite modified by polyurethane dimechacrylate and glass flake fillers

ObjectivesWe intend to explore the polymerization shrinkage and mechanical-physical properties of the dental resin composite modified by polyurethane oligomer PU-MA and glass flakes fillers, and provide some experimental information for developing new dental materials. MethodsBased on Bis-GMA/TEGDMA, the new dental resin composite was hand fabricated by combining PU-MA with different content (65 wt% ∼ 75 wt%) of glass flakes/Si-Al-borosilicate glass mixed fillers. The kinetics of polymerization shrinkage was investigated by using an experimental set-up based on laser triangulation. The mechanical-physical properties of specimens after 60 days water immersion and 5000 times thermo-cycles were measured by three-point bending test and micro vickers hardness tester. Data were submitted to one-way ANOVA/LSD-test (α = 0.05). Independent sample T test was used to analyze the data before and after aging. Two-way ANOVA was adopted to analyze the effect of composition and aging condition on the mechanical-physical properties (α = 0.05). ResultsPU-PG-75 % performs lower volume shrinkage (1.35%). As the increase of filler content, the water sorption and solubility increased and the depth of cure decreased significantly (P < 0.05). After aging, the flexural strength, elasticity modulus and vickers hardness of commercial products dropped obviously and PU-PG-75wt% was relatively stable. Conclusions20 wt% PU-MA could decrease the volume shrinkage of dental resin composite effectively. 60 days water immersion and 5000 times thermal cycles simultaneously resulted in a significant reduction in the flexural properties for experimental materials. PU-PG-75 % may have the potential to be taken as a low shrinkage dental resin composite with good mechanical properties. Clinical SignificanceThis new synthesized composite could perform low polymerization shrinkage and better mechanical resistance, which may provide a new idea for improving the lifespan of direct restoration.

Comparative Assessment of a Light-Curable Dental Composite Reinforced with Artificial Fibers.

FRCs (Fiber-Reinforced Composites) are materials that are being used increasingly more often in dentistry as an alternative to traditional restorations made of ceramics or metals. The aim of this study was to carry out a comparative analysis of the strength parameters of a light-curable dental composite reinforced with one single band and two single bands of artificial fibers. The specimens for the strength tests were prepared in accordance with the guidelines of the PN-EN ISO 4049:2019-07 international standard. The test material covered specimens of composite reinforced with single (one or two) bands of fibers. The following bands of fibers were used: carbon (WGL), aramid (AMD) and hybrid carbon-aramid (WGL-AMD). The presence of one single band of aramid fibers caused a three-fold increase in deflection, with a simultaneous increase in the Young's modulus of over 140%. The flexural strength of specimens reinforced with one single band of aramid fibers was higher by 280% than that control group specimens (KONT). To summarize the performed tests, the incorporation of carbon, aramid and hybrid carbon-aramid fibers into organic matrix has a significant impact on the values of the mechanical parameters of dental composites. The results indicate that particular attention should be paid to aramid fibers, which have rarely been used in dentistry so far.

Physical/mechanical and antibacterial properties of composite resin modified with selenium nanoparticles

BackgroundAccumulation of biofilm over composite resin restorations is one of the principal causes of recurrent caries. Therefore, this study aimed to develop antibacterial composite resins by crystalline selenium nanoparticles (SeNPs), assessing the antibacterial, mechanical, and physical properties of the composite resin after SeNPs incorporation.MethodsSeNPs were synthesized via a green method. The nanoparticles were characterized by UV-Vis spectroscopy, fourier transform infrared (FT-IR) spectroscopy and transmission electron microscopy (TEM). The nano-filled composite (Filtek™ Z350XT ) was considered as a control group (G0). Two concentrations of SeNPs (0.005 wt% and 0.01 wt%.) were added to the tested resin composite (G1& G2), respectively. The physical/mechanical and antibacterial properties of the composite specimens (n = 10/group) were characterized. A one-way ANOVA was conducted to analyze these data followed by Bonferroni post hoc test for pairwise comparison.ResultsModified composites with SeNPs showed antibacterial activity against E. coli and S. mutans. Mechanical properties including diametral tensile strength, compressive strength, or surface roughness were not affected by nano-incorporation compared to control. Furthermore, the degree of conversion showed no statistical difference. However, SeNPs incorporation into resin composite produces color change that can be visually perceived.ConclusionsThe green synthesized SeNPs significantly improved the antimicrobial properties of the dental composite without compromising mechanical performance. However, it shows color change after SeNPs incorporation.

Effect of contemporary polishing systems on hardness and roughness of one-shaded dental composites

Effect of contemporary polishing systems on hardness and roughness of one-shaded dental composites

The Effect of Inorganic Filler Content on the Properties of BPA-Free Bulk-Fill Dental Resin Composites.

This study aimed to enhance the performance of dental resin composites (DRCs) by increasing the content of inorganic fillers while addressing potential health risks associated with Bisphenol A (BPA). To achieve this, the BPA-based resin monomer Bis-GMA was replaced with BPA-free Bis-EFMA. The study then explored the impact of varying inorganic filler contents on the physiochemical properties of Bis-EFMA-based bulk-fill dental resin composites (BF-DRCs). Four distinct Bis-EFMA-based BF-DRCs were formulated, each with different inorganic filler contents ranging from 70 wt% to 76 wt%. The study tested the depth of cure (DOC), double-bond conversion (DC), water sorption (WS), solubility (SL), and cytotoxicity of the system. It notably investigated the effects of increasing filler content on mechanical properties through flexural strength (FS), flexural modulus (FM), Vickers microhardness (VHN), and wear resistance, as well as the impact on polymerization shrinkage, including volumetric shrinkage (VS) and shrinkage stress (SS). To assess the commercial application potential of Bis-EFMA-based BF-DRC, the research used the commercially available BF-DRC Filtek Bulk-Fill Posterior (FBF) as a control. The results indicated that a higher filler content did not affect the DOC of Bis-EFMA-based BF-DRCs. Inorganic fillers at higher concentrations significantly enhanced overall mechanical properties while significantly reducing volumetric shrinkage (VS; p < 0.05). When the concentration of inorganic fillers in the resin system reached 76 wt%, most of the performance of the Bis-EFMA-based BF-DRC surpassed that of the commercial control FBF, except for FS, FM, and SS. These findings highlight the potential of Bis-EFMA-based BF-DRC as a long-term restorative material for dental applications.

Dental Composite Performance Prediction Using Artificial Intelligence.

There is a need to increase the performance and longevity of dental composites and accelerate the translation of novel composites to the market. This study explores artificial intelligence (AI), specifically machine learning (ML), to predict the performance outcomes (POs) of dental composites from their composite attributes (CAs). An extensive dataset from over 200 publications was built and refined to 233 samples with 17 CAs and 7 POs. Nine ML models were evaluated for PO prediction performance using classified data, and Five ML models were evaluated for PO regression analysis. The KNN model excelled in predicting flexural modulus (FlexMod), Decision Tree model in flexural strength (FlexStr) and volumetric shrinkage (ShrinkV), and Logistic Regression and SVM models in shrinkage stress (ShrinkStr). Receiver operating characteristic area under the curve (ROC AUC) analysis confirmed these results but found that Random Forest was more effective for FlexStr and ShrinkV, suggesting the possibility of Decision Tree overfitting the data. Regression analysis revealed that the Voting Regressor was superior for FlexMod and ShrinkV predictions, while Decision Tree Regression was optimal for FlexStr and ShrinkStr. Feature importance analysis indicated TEGDMA is a key contributor to FlexMod and ShrinkV, BisGMA and UDMA to FlexStr, and depth of cure, degree of monomer-to-polymer conversion, and filler loading to ShrinkStr. There is a need to conduct a full analysis using multiple ML models because different models predict different POs better, and for a large, comprehensive dataset to train robust AI models to facilitate the prediction and optimization of composite properties and support the development of new dental materials.

Flexural strength and viscosity of dental luting composite reinforced with zirconia and alumina

Objectives Optimum flexural strength and viscosity are essential for longevity while efficiently handling dental luting composite. This study aims to investigate the effects of zirconia and alumina on the flexural strength (FS)and viscosity of dental cement made of silica rice husk. Materials and Methods Study groups with different percentages of weight (wt.): Group 1 (3 wt.% zirconia), Group 2 (3 wt.% alumina), and Group 3 (3 wt.% zirconia and 2 wt.% alumina), negative control specimen (0 wt.% zirconia/ alumina) and Rely-X U200 (3M ESPE). A universal testing machine and a rheometer were used to test FS and viscosity, respectively. One-way ANOVA and post-hoc Bonferonni test were used for data analyses. Results and Discussion FS and viscosity for Group 3 (3 wt.% zirconia and 2 wt.% alumina) were significantly higher compared to the negative control (p&lt;0.05). Conclusion: Adding zirconia and alumina improved flexural strength without compromising the viscosity of dental luting composite. This experimental dental luting cement using hybrid fillers could be an alternative to resin luting cement. Bangladesh Journal of Medical Science Vol. 23 No. 04 October’24 Page : 1048-1053

Nanohydroxyapatite as a filler for dental composite

Nanohydroxyapatite as a filler for dental composite

On the suitability of photocuring-assisted DIW for manufacturing complex prosthesis from commercial dental composites

A 3-D printing method to produce dental prostheses of complex shapes from a commercial, photocurable resin-ceramic slurry is developed and optimized. The microstructure, mechanical properties and wear behavior of the resulting material are evaluated and compared with a conventional/control sample and other ceramic-polymer dental composites. Commercial resin-ceramic dental slurries can be successfully extruded and appropriately photocured in a low cost 3-D printing system to produce cost-efficient complex dental parts that could be used in indirect restorations. The printing process does not appreciably introduce defects in the material and the 3-D printed composites exhibit mechanical properties (hardness, elastic modulus) and wear resistance comparable to the control material and analogous, conventional dental composites. The main wear mechanisms under sliding contact against a hard antagonist are plastic deformation at the asperity level and ceramic particle pull-out due to filler/matrix interfacial weakness.Graphical 3-D printing commercial resin-filler slurries creates cost-efficient tooth prostheses with properties akin to conventional dental composites

The Integration of Gold Nanoparticles into Dental Biomaterials as a Novel Approach for Clinical Advancement: A Narrative Review.

Gold nanoparticles (AuNPs) have gained significant attention in the biomedical field owing to their versatile properties. AuNPs can be customized by modifying their size, shape and surface characteristics. In recent years, extensive research has explored the integration of AuNPs into various dental materials, including titanium, polymethylmethacrylate (PMMA) and resin composites. This review aims to summarize the advancements in the application of modified AuNPs in dental materials and to assess their effects on related cellular processes in the dental field. Relevant articles published in English on AuNPs in association with dental materials were identified through a systematic search of the PubMed/MEDLINE, Embase, Scopus and ScienceDirect databases from January 2014 to April 2024. Future prospects for the utilization of AuNPs in the field of dentistry are surveyed.

Effect of Hybrid Nanofillers on the Mechanical Characteristics of Polymethyl Methacrylate Denture Base Composite

The research study focused on enhancing the mechanical characteristics of polymethyl methacrylate (PMMA) denture bases. PMMA is commonly used in dentistry due to its easy fabrication, cost-effectiveness, and favourable physical properties. However, its limitations include low wear resistance, hardness, and mechanical strength, making it less suitable for long-term dental applications. To address these limitations, the study employed a combination of hybrid nano-fillers, specifically HNTs (halloysite nanotubes) and MWCNTs (multi-walled carbon nanotubes), at varying loading levels to improve the mechanical characteristics of the PMMA composite. These nano-fillers underwent treatment by using a coupling agent to enhance their compatibility with PMMA. Key findings of the research include that introducing HNTs/MWCNTs into the PMMA matrix led to a substantial increase in flexural strength, with a significant improvement of 109.1 MPa compared to unfilled PMMA. This indicates that the composite material became more resistant to bending or deformation. There was a substantial rise in flexural modulus values, suggesting improved stiffness in the nanocomposite compared to unfilled PMMA. In addition, the tensile strength of the PMMA composite increased by 64.4 MPa with the addition of the hybrid nano-fillers, indicating enhanced resistance to stretching or pulling forces. The study found that the improvement in flexural and tensile strength was dependent on the concentration of MWCNTs. Increasing the MWCNT concentration up to 0.75 wt.% led to improved mechanical properties, but further increases resulted in a reduction in PMMA properties. Although there was a modest improvement in Vickers hardness (approximately 18.93 kg/mm&amp;lt;sup&amp;gt;2&amp;lt;/sup&amp;gt;), the addition of HNTs/MWCNTs as hybrid nano-fillers effectively enhanced the properties of the PMMA nanocomposite. The study concludes that incorporating hybrid nano-fillers into PMMA could contribute to the longevity and durability of dental composites, addressing some of the material&amp;apos;s inherent limitations. The specific combination and concentration of nano-fillers played a crucial role in determining the mechanical properties of the resulting nanocomposite.

Comparative Strength Study of Indirect Permanent Restorations: 3D-Printed, Milled, and Conventional Dental Composites.

Background/Objectives: Limited research has been performed to assess the strength of resin-bonded 3D-printed restorations. Based on that, this study investigates the impact of different manufacturing methods on the fracture load of indirect composite restorations (ICRs) following an aging process. Methods: Three manufacturing techniques-conventional (CRC), milled (MRC), and printed (PRC)-were evaluated using 60 specimens, each with a diameter of 10 mm and a thickness of 1.0 mm. Sandblasting with Al2O3 particles was employed to optimize the bonding process, significantly influencing surface roughness parameters (Ra, Rz, RSm). All specimens were bonded to the dentin analog using composite resin cement and subjected to either 10,000 thermocycles (TC) or storage (ST) at 37 °C in distilled water. Fracture load assessments were performed using a universal testing machine. A finite element analysis was conducted to assess stress distribution. Results: Two-way ANOVA results indicated that the manufacturing method significantly affected mean fracture load values (p < 0.001), with PRC showing the highest mean fracture load (4185 ± 914 N), followed by MRC (2495 ± 941 N) and CRC (599 ± 292 N). The aging protocol did not have a significant impact on fracture load. Conclusions: This study revealed that 3D-printed resin composite exhibited comparable strength to milled resin composite when adhesively cemented, suggesting it is a promising option for indirect composite restorations based on its mechanical performance. However, further research is needed to evaluate its bond strength and optimal surface treatment methods to prevent early debonding.

3D micro-CT and O-PTIR spectroscopy bring new understanding of the influence of filler content in dental resin composites

BackgroundDental resin composites' performance is intricately linked to their polymerisation shrinkage characteristics. This study compares polymerisation shrinkage using advanced 3D micro-computed tomography (micro-CT) and traditional 2D linear assessments. It delves into the crucial role of filler content on shrinkage and the degree of conversion in dental resin composites, providing valuable insights for the field. MethodsFive experimental dental composite materials were prepared with increasing filler contents (55–75 wt%) and analysed using either 3D micro-CT for volumetric shrinkage or a custom-designed linometer for 2D linear shrinkage. The degree of conversion was assessed using Optical Photothermal Infrared (O-PTIR) and Fourier-Transform Infrared (FTIR) spectroscopy. Light transmittance through a 2-mm layer was evaluated using a NIST-calibrated spectrometer. Scanning Electron Microscopy (SEM) and Energy-Dispersive X-ray Spectroscopy (EDX) examined surface morphology and elemental distribution. Correlation between the investigated parameters was determined using Spearman correlation analyses. ResultsThe study found significant differences in polymerisation-related properties among different filler content categories, with volumetric shrinkage consistently demonstrating higher mean values than linear shrinkage across most groups. Volumetric shrinkage decreased with increasing curing depth, showing no direct correlation between filler content and shrinkage levels at different curing depths. The results highlighted a strong negative correlation between filler content and degree of conversion, volumetric and linear shrinkage, as well as maximum shrinkage rate. Light transmittance showed a moderate correlation with the filler content and a weak correlation with other tested parameters. ConclusionsThis study underscores the importance of considering both volumetric and linear shrinkage in the design and analysis of dental composite materials. The findings advocate optimising filler content to minimise shrinkage and enhance material performance. Integrating micro-CT and O-PTIR techniques offers novel insights into dental composites' polymerisation behaviour, providing a foundation for future research to develop materials with improved clinical outcomes.

Seeking Endurance: Designing Smart Dental Composites for Tooth Restoration

Seeking Endurance: Designing Smart Dental Composites for Tooth Restoration

Correlation between Dental Composite Filler Percentage and Strength, Modulus, Shrinkage Stress, Translucency, Depth of Cure and Radiopacity.

Filler content in dental composites is credited for affecting its physical and mechanical properties. This study evaluated the correlation between the filler percentage and strength, modulus, shrinkage stress, depth of cure, translucency and radiopacity of commercially available high- and low-viscosity dental composites. Filler weight percentage (wt%) was determined through the burned ash technique (800 °C for 15 min). Three-point bend flexural strength and modulus were measured according to ISO 4049 with 2 mm × 2 mm × 25 mm bars. Shrinkage stress was evaluated using a universal testing machine in which composite was polymerized through two transparent acrylic rods 2 mm apart. Shrinkage was measured from the maximum force following 500 s. The translucency parameter (TP) was measured as the difference in color (ΔE00) of 1 mm thick specimens against white and black tiles. The depth of cure was measured according to ISO 4049 in a cylindrical metal mold (4 mm diameter) with a 10 s cure. Radiopacity was measured by taking a digital X-ray (70 kVp for 0.32 s at 400 mm distance) of 1 mm thick specimens and comparing the radiopacity to an aluminum step wedge using image analysis software. The correlation between the filler wt% and properties was measured by Pearson's correlation coefficient using SPSS. There was a positive linear correlation between the filler wt% and modulus (r = 0.78, p < 0.01), flexural strength (r = 0.46, p < 0.01) and radiopacity (r = 0.36, p < 0.01) and negative correlation with translucency (r = -0.29, p < 0.01). Filler wt% best predicts the modulus and strength and, to a lesser extent, the radiopacity and translucency. All but two of the high- and low-viscosity composites from the same manufacturer had statistically equivalent strengths as each other; however, the high-viscosity materials almost always had a statistically higher modulus. For two of the flowable composites measured from the same manufacturer (3M and Dentsply), there was a lower shrinkage stress in the bulk-fill version of the material but not for the other two manufacturers (Ivoclar and Tokuyama). All flowable bulk-fill composites achieved a deeper depth of cure than the flowable composite from the same manufacturer other than Omnichroma Flow Bulk.

Antibacterial properties of mesoporous silica coated with cerium oxide nanoparticles in dental resin composite

Cerium oxide nanoparticles are known for their antibacterial effects resulting from Ce3+ to Ce4+ conversion. Application of such cerium oxide nanoparticles in dentistry has been previously considered but limited due to deterioration of mechanical properties. Hence, this study aimed to examine mesoporous silica (MCM-41) coated with cerium oxide nanoparticles and evaluate the antibacterial effects and mechanical properties when applied to dental composite resin. Cerium oxide nanoparticles were coated on the MCM-41 surface using the sol–gel method by adding cerium oxide nanoparticle precursor to the MCM-41 dispersion. The samples were tested for antibacterial activity against Streptococcus mutans via CFU and MTT assays. The mechanical properties were assessed by flexural strength and depth of cure according to ISO 4049. Data were analyzed using a t-test, one-way ANOVA, and Tukey’s post-hoc test (p = 0.05). The experimental group showed significantly increased antibacterial properties compared to the control groups (p < 0.005). The flexural strength exhibited a decreasing trend as the amount of cerium oxide nanoparticle-coated MCM-41 increased. However, the flexural strength and depth of cure values of the silane group met the ISO 4049 standard. Antibacterial properties increased with increasing amounts of cerium oxide nanoparticles. Although the mechanical properties decreased, silane treatment overcame this drawback. Hence, the cerium oxide nanoparticles coated on MCM-41 may be used for dental resin composite.

Release of contraction stress of dental resin composites by water sorption

Polymerization shrinkage of bonded resin composite restorations will result in the development of curing contraction stresses during setting and can cause debonding of the restoration or failure of the surrounding tooth structure. However, the hygroscopic expansion that occurs after exposure of the restorative to the wet oral environment can compensate for this shrinkage. ObjectivesThe purpose of this study was to determine the hygroscopic expansion of six commercial resin composites and relate it to their composition, mechanical properties, shrinkage, and contraction stress development. MethodsShort-term volumetric shrinkage and contraction stress of the different composites were measured by mercury dilatometry and a universal testing machine. The long-term contraction stress was measured by the deflection of a bilayer strip of metal and a resin composite, which were stored dry as well as wet to determine the effect of hygroscopic expansion. The curvature of the strip was measured by profilometry over a period of 3 months. ResultsThe curvature of the strip correlated well (r2 =0.74) with the initial contraction stress, showing that the contraction stress is an important factor in initial deformation. The water sorption in all specimens showed that the initial deformation, within 2–4 weeks after curing, was completely counteracted. A high correlation (r2 =0.90) between deflection and relative water sorption was found, where the relative water sorption is defined as the absolute water sorption corrected for the inorganic filler volume of the composite. SignificanceWithin a period of 2–4 weeks after curing most of the curing contraction stresses of resin composite restoratives will be released by hygroscopic expansion.