Use Of Composite Resin Research Articles

Effect of gamma irradiation and restorative material on the biomechanical behaviour of root filled premolars

To investigate ex vivo the influence of gamma irradiation therapy and restorative material on fracture resistance, fracture mode and strain of root filled human premolars. Sixty extracted human maxillary premolar teeth were randomly divided into six groups (n = 10) determined by two study factors: (i) restorative materials: sound teeth, root filled teeth restored with composite resin, root filled teeth restored with amalgam; (ii) gamma irradiation: irradiated (subjected to 60 Gy of gamma irradiation in daily increments of 2 Gy) and nonirradiated. For the strain gauge test, two strain gauges per sample were attached on the buccal and palatal cusp surfaces (n = 5). Strain values were recorded during loading of 0-150 N. Fracture resistance (N) was assessed in a mechanical testing machine (n = 10). Strain gauge for each cusp and fracture resistance data were analysed by two-way anova (3 × 2) followed by the Tukey's honestly significant difference test (α = 0.05). The failure mode was evaluated using an optical stereomicroscope and classified according to the location of the failure. Gamma radiation therapy significantly reduced the fracture resistance of intact teeth. The strain was higher for teeth restored with amalgam than for those restored with composite resin. The teeth restored with composite resin had similar strain values to sound teeth. Nonirradiated teeth had more restorable failures than irradiated teeth. Gamma irradiation significantly reduced fracture resistance and increased cusp strain. The use of composite resin resulted in better biomechanical behaviour than amalgam for restoring root filled teeth whether or not they were submitted to radiotherapy.

Comparison of clasp retention on enamel and composite resin-recontoured abutments following repeated removal in vitro

Loss of prosthetic retention over time is a concern with removable prostheses. Use of composite resin to modify an abutment contour receiving a removable partial denture clasp may offer a reasonable, less invasive method of improving removable prosthesis retention. The purpose of this study was to evaluate the removal force of clasps over composite resin-recontoured abutments during a simulated 4 years of service. Twenty first mandibular premolars were selected to form 2 groups of specimens (n=5) resembling a tooth-supported edentulous space. A packable composite resin (Filtek P60) was used to create a 0.25-mm undercut on the buccal abutment surfaces of the composite resin group. Teeth in the natural abutment group were mounted in angulation to produce 0.25-mm undercuts on the buccal surfaces. The chrome-cobalt framework consisted of 2 individually fabricated T-clasps. Both groups were subjected to 4500 cycles of repeated removal using a small shaker. Removal forces were recorded before the repeated removal test (T(0)), after 500 and 1000 cycles, and at 1000-cycle intervals thereafter. The mean values of forces between the 2 groups were compared at each stage using the Mann-Whitney test (alpha=.05). No debonding occurred during the test. At T(0), the highest and lowest force values were observed in the composite resin group (3.75 N and 17.5 N, respectively). There was a significant difference between the removal forces of the 2 groups after 500 cycles and at test completion (P=.008). Retention loss was 3 times greater in the composite resin group than in the natural abutments group (53.65% vs. 15.80%). Within the limitations of the study, removal forces of the composite resin-recontoured abutments were threefold less than those of natural abutments after 4 years of simulated service.

Shear bond strength between porcelain and nano filler composite resin with or without 9% hydrofluoric acid etching

Background: Reparation technique on restorations with broken or damaged porcelain which are still attached with the teeth are difficult, because it is very hard to remove the porcelain restoration without damaging it, and it needs a long time. Various ways have been developed to repair the broken porcelain, one of them is the use of composite resin as the material for the restoration of fractured porcelain. Repairing porcelain inside the mouth without removing the restoration of the damaged porcelain using light cured composite resins material seems to be an advantageous option because it is relatively simple, has low risks, good esthetically and cheap. Purpose: The objective of this study was to find out the difference of shear bond strength in porcelain reparation using nano filler composite resin with or without 9% hydrofluoric acid etching by using Autograph measuring device. Methods: Twenty pieces of the porcelain samples devided into 2 groups. Group I: etching process using 9% hydrofluoric acid, and group II : without etching process. Result: The data was analyzed using t test in a p value of 0.0001 (p≤0.05), which means there is a significant different of shear bond strength between treated group I and II. The biggest shear bond strength was in treatment group I. Conclusion: The use of 9% hydrofluoric acid on the surface of porcelain can increase the shear bond strength between porcelain and nano filler composite resin.

Effect of different polishing systems on the surface roughness of microhybrid composites

The use of composite resins in dentistry is well accepted for restoring anterior and posterior teeth. Many polishing protocols have been evaluated for their effect on the surface roughness of restorative materials. This study compared the effect of different polishing systems on the surface roughness of microhybrid composites. Thirty-six specimens were prepared for each composite [Charisma® (Heraeus Kulzer), Fill Magic® (Vigodent), TPH Spectrum® (Dentsply), Z100® (3M/ESPE) and Z250® (3M/ESPE)] and submitted to surface treatment with Enhance® and PoGo® (Dentsply) points, sequential Sof-Lex XT® aluminum oxide disks (3M/ESPE), and felt disks (TDV) combined with Excel® diamond polishing paste (TDV). Average surface roughness (Ra) was measured with a mechanical roughness tester. The data were analyzed by two-way ANOVA with repetition of the factorial design and the Tukey-Kramer test (p<0.01). The F-test result for treatments and resins was high (p<0.0001 for both), indicating that the effect of the treatment applied to the specimen surface and the effect of the type of resin on surface roughness was highly significant. Regarding the interaction between polishing system and type of resin used, a p value of 0.0002 was obtained, indicating a statistically significant difference. A Ra of 1.3663 was obtained for the Sof-Lex/TPH Spectrum interaction. In contrast, the Ra for the felt disk+paste/Z250 interactions was 0.1846. In conclusion, Sof-Lex polishing system produced a higher surface roughness on TPH Spectrum resin when compared to the other interactions.

A survey on the use of composite resin in Class II restoration in Korea

본 연구는 2008년 1월 현재 한국 치과의사들의 복합레진 사용 실태에 관한 설문 조사로서, 2급 와동을 수복하는 증례에서 치과의사의 면허 년도, 교육 배경 및 진료환경 등에 따라 수복재료의 선택, 복합레진의 사용여부 및 사용방법, 문제점 등을 비교하였다. 한국 치과의사들을 대상으로 2급 와동 수복에 관한 17 문항의 설문지를 제작하였다. 이 설문지는 시술자 정보, 2급 와동의 수복으로 크게 2부분으로 나누어진다. 이 설문지는 대한치과의사협회를 통해 12,193명의 치과의사들에게 E-메일로 발송되었다. 이 중 2,612개의 메일이 수신 확인되었고 840 개의 설문지가 작성되어 회신되었다 수신 확인된 메일 수에 대한 회신된 메일 수의 비율 (회신율)은 32.2%이었고, 이 자료는 SPSS 프로그램에서 카이제곱 분석을 이용하여 교차 분석하였다. 답변자의 비율은 면허년도를 기준으로 $1998{\sim}2007$ 년에 면허를 취득한 그룹 (한국 전체 치과의사의 33.3%, 추정년령 26-35세)이 60.3%로 1997년 이전에 면허 취득한 그룹 (한국 전체 치과의사의 66.7%, 추정 년령 36세 이상)의 39.7%보다 높은 것으로 나타났다. 또한 이들이 근무하는 병원은 개인의원 (77%)이 가장 많았고, 남자 치과의사 (79%)가 많았다. 복합레진 수복에 대한 지식은 학생 때 수업이나 학회 세미나를 통하여 (83.4%) 얻은 것으로 나타났다. 2급 와동 수복 시 재료 선호도를 살펴보면 금인레이가 65.7%를 차지하고 있고 복합레진 직접 수복은 12.1%로 낮게 나타났다. 2급 와동의 복합레진 직접 수복 시 시술 방법에 있어서는 러버댐을 사용하지 않거나 잘 사용하지 않는 그룹의 비율 (74.4%)이 더 많았고, 격벽법으로는 mylar strip (53.4%)이나 metal matrix (33.8%), Palodent system (6.5%)를 사용하였다. 충전은 적층법 (99.6%)을 사용하는 것으로 나타났으며, 시술 시 인접면 형성을 가장 어려워하였다(57.2%). 2-step 접착시스템 (76%)이 3-step 접착시스템 (16%)보다 많이 사용되고 있었다. 사용하는 레진 제품으로는 Z250 (20%)이 가장 많이 사용되고 있었다. 【The purpose of this study was to assess the current materials, methods and difficulties according to the year of licence and educational background of Korean dentists in Class II direct composite resin restorations. Total 17 questions were included in the questionnaire. Questions were broadly divided into two parts: first. operator's information. and second. the materials and methods used in Class II posterior composite restoration. The questionnaire was sent to dentists enrolled in Korean Dental Association via e-mail. Total 12,193 e-mails were distributed to dentists. 2,612 e-mails were opened, and 840 mails (32.2%) were received from respondents. The data was statically analyzed by chi-square test using SPSS(v. 12.0.1, SPSS Inc. Chicago, IL, USA). Male dentists among respondents was 79%. 60.3% of the respondents acquired their licences recently (1998-2007), and 77% practiced in private offices. 83.4% have acquired their knowledge through school lectures, conferences and seminars. For the Class II restorations, gold inlays were preferred by 65.7% of respondents, while direct composite resin restorations were used by 12.1 % amalgam users were only 4.4% of respondents. For the restorative technique, 74.4% of respondents didn't use rubber dam as needed. For the matrix. mylar strip (53.4%), metal matrix (33.8%) and Palodent system (6.5%) were used. 99.6% of respondents restored the Class II cavity by incremental layering. Obtaining of the tight interproximal contact was considered as the most difficult procedure (57.2%) followed by field isolation (21 %). Among various bonding systems, 22.6% of respondents preferred SE Bond and 20.2% used Single Bond. Z-250 was used most frequently among a variety of composite resins.】

Trends in materials science from the point of view of a practicing dentist

In the last 15 years remarkable changes in restorative dentistry occurred. The use of amalgam dropped dramatically, also the use of different types of alloys. The reasons were beside aesthetics the controversial discussion about amalgam and metal toxicity and environmental pollution. This shift did accelerate the development and use of composite resins and ceramic materials for dental restorations. Simultaneously to this development, new concepts in minimally invasive dentistry as well as in adhesive dentistry were introduced and improved. For small and medium sized cavities meanwhile composite resins are the first choice, whereas for large defects, crowns and bridges full ceramic restorations increased in number enormously. Most important questions in clinical practice are the handling of the material and the longevity of the restoration. Recent reviews show that composite resin restorations can compete with amalgam and indirect ceramic restorations but gold restorations are still the best in long-term performance. Main problems in clinical use are fractures, wear, gap formation and secondary caries, postoperative hypersensitivity and technique sensitivity. In contrary to earlier decades in the last 10 years the main reason for failure with composites is no longer secondary caries but nowadays fractures. Chipping of material and bulk fractures are also the most frequent reasons in ceramic restorations which limits the range of indication and there is still a need for improvement. But in general the patients are highly satisfied with these new adhesive and tooth coloured restorations.

Evaluation of the wear resistance of new nanocomposite resin restorative materials

The use of composite resins for the restoration of posterior teeth is popular because of the improved performance and appearance of these materials. Wear resistance continues to be of particular importance when restoring large occlusal areas in posterior teeth. The purpose of this study was to evaluate the relative wear characteristics of 2 recently introduced nanofiller-based composite resins (Filtek Supreme, Premise) and compare them to the more traditional microhybrid (Point 4) and microfill (Heliomolar RO) materials that have been used for many years. Six specimens (2 mm thick and 15 mm in diameter) of each material were subjected to 3-body wear tests using the Oregon Health Sciences University Oral Wear Simulator to produce abrasive wear and attrition for all specimens using human enamel as the opposing cusp. Profilometric tracings of the worn surfaces were used to determine the relative abrasive wear, attrition wear, and roughness (Ra) of the composite resin substrate. The mean diameter of the antagonist enamel wear facets was determined under a measuring microscope. Qualitative SEM analysis was also used to assess the surface appearance of the resulting enamel and composite resin wear facets. The data were analyzed by 1-way ANOVA and Tukey's multiple range post hoc test (alpha=.05). The results indicated that the composite resin type did not significantly affect the amount of measured attrition (P=.15) but did significantly affect abrasive wear (P=.02). The conventional microfill composite resin (Heliomolar RO) exhibited significantly less abrasive wear than the nanohybrid material (Premise). There was no significant difference in the average size of the opposing enamel wear facet generated by the different composite resin materials. Heliomolar RO resulted in a significantly rougher surface within the wear track than either nanohybrid composite resin (Premise) or microhybrid composite resin (Point 4) but was not significantly different than nanofilled composite resin (Filtek Supreme). The incorporation of nanofillers in 2 of the composite resin materials tested did not significantly improve their wear resistance or the amount of opposing cusp wear when compared to the traditional materials tested.

Fracture resistance of weakened roots restored with a transilluminating post and adhesive restorative materials

The increase in wall thickness of weakened roots using composite resins may increase the root resistance to fracture. However, little is known about the recently developed methods for intraradicular reinforcement of weakened roots. The purpose of this study was to determine the fracture resistance of experimentally weakened roots reinforced with composite resins, compared with conventional systems that use cast and prefabricated posts. Forty-eight maxillary incisors were divided into 6 groups (n = 8). The control group (C) used a conventionally prepared root canal filled with cast CuAl posts. Experimental groups had the root canals overprepared to weaken them and were restored as follows: CP, cast CuAl posts; LT, light-transmitting polymerization post (Luminex) + Tetric Ceram resin + prefabricated titanium post (PTP); LF, Luminex posts + Filtek Supreme resin + PTP; LZ, Luminex posts + Z100 resin + PTP; and LR, Luminex posts + Renew resin + PTP. All posts were cemented with a resin luting agent (C & B Cement). Specimens were subjected to compressive load (N) until fracture. Data were submitted to 1-way analysis of variance and the Dunnett test (alpha = .05). There was significant difference (P < .01) between the conventionally prepared specimens and those filled with a cast post (C, 447.8 +/- 167.9) and the overprepared specimens and those filled with a cast post (CP, 212.8 +/- 62.4). No significant differences were found among the control specimens (447.8 +/- 167.9) and the weakened-roots filled with Luminex and composite resins LT (520.9 +/- 173.1), LF (479.9 +/- 214.9), LZ (391.6 +/- 173.6), and LR (333.0 +/- 112.2). The use of composite resins in root canals reinforced the weakened roots during fracture resistance testing.

Composite resin root coping with a keeper for magnetic attachment for replacing the missing coronal portion of a removable partial denture abutment

Numerous methods for replacing missing removable partial denture abutments have been introduced, however, most of them are time consuming and require several visits to complete the procedure. Since magnetic attachments can provide support and bracing as well as retention for overdenture abutments, the remaining tooth root structure can be used to support the coping with the keeper. Through the use of composite resin and adhesive material, improved retention of the keeper to the root may be achieved, along with improved esthetics. This article describes a method for replacing the missing abutment of a removable partial denture with a magnetic attachment, and a composite resin coping with a keeper.

Direct composite veneering technique producing a smile design with a customised matrix

A recent trend in dentistry has been to conservatively and esthetically restore anterior teeth. This is evident by the growing use of composite resins and other tooth colored restorative systems. Today with trend towards minimum intervention in dentistry, composite veneers have become an answer to discolored anterior teeth. Direct placement of composite veneers has greater control, require a conservative removal of tooth structure and can be easily repaired and modified at any stage. However chair side direct placement of composite veneers is time consuming procedure and is technique sensitive. A new technique for placement of composite in single visit using the modified customized matrix has been proposed. This paper illustrates two case reports of direct composite veneering using a new modified customized matrix technique for treatment of discolored teeth after bleaching.

Composite Resin in Medicine and Dentistry

Composite resin has been used for nearly 50 years as a restorative material in dentistry. Use of this material has recently increased as a result of consumer demands for esthetic restorations, coupled with the public's concern with mercury-containing dental amalgam. Composite is now used in over 95% of all anterior teeth direct restorations and in 50% of all posterior teeth direct restorations. Carbon fiber reinforced composites have been developed for use as dental implants. In medicine, fiber-reinforced composites have been used in orthopedics as implants, osseous screws, and bearing surfaces. In addition, hydroxyapatite composite resin has become a promising alternative to acrylic cement in stabilizing fractures and cancellous screw fixation in elderly and osteoporotic patients. The use of composite resin in dentistry and medicine will be the focus of this review, with particular attention paid to its physical properties, chemical composition, clinical applications, and biocompatibility.

Shear bond strength of different types of luting cements to an aluminum oxide-reinforced glass ceramic core material

Objective. The aim of this study was to find the optimal choice of luting cement to Synthoceram, an aluminum oxide-reinforced glass ceramic material. The bond strength of five different commercial luting cements to the ceramic material was evaluated. The effect of surface treatments, etching, sandblasting, silanizing, and combinations of these treatments was also investigated. Methods. Shear bond strength tests were performed using the ceramic material as substrate with each of the luting cements. Cements rods were prepared on pre-treated ceramic surfaces. The shear bond strength was determined 24 h after cementation. The effect of surface treatments: etching, sandblasting, and sandblasting followed by etching, respectively, on the morphology of the material, was investigated with SEM. Results. The shear bond strength increases significantly from Ketac Cem, Rely X Luting, Fuji Plus, Panavia F to Xeno Cem. The surface treatments etching and/or sandblasting followed by silanization generally provide the highest bond strength values. Significance. Based on the results of this study, the use of resin composite based cements is preferred for cementation of an all-ceramic restoration with an aluminum oxide-reinforced glass ceramic base. Surface treatment of etching and/or sandblasting followed by silanization is recommended.

APLIKASI KOMPOSIT RESIN UNTUK PENATALAKSANAAN KEGOYANGAN GIGI AKIBAT TRAUMA

Injuries to the teeth range from minor coronal fractures to total avulsion. If the injuries cause totl avulsion or luxation, there will be varying levels of injuries to the periodontal ligament, alveolus and microvascular supply. Management of the injured teeth ranges from inspection and treatment which includes stabilization by splinting. Usually splinting is accomplished by a segment of arch bar. Due to the ebsence of arch bar appliances, dentists often referred patients to an oral surgeon. It would cost extra time, for an immediate action to help the patients. This paper is a case report of a traumatized tooth which has been successfully stabilized with acid etched wire-composite. The use of composite resin is considered as a quick and an easy solution for dental trauma therapy.

Effect of multi-step dentin bonding systems and resin-modified glass ionomer cement liner on marginal quality of dentin-bonded resin composite Class II restorations

The use of resin composites in the restoration of Class II cavities with gingival margins located in dentin is still controversial. The purpose of this in vitro study was to evaluate the effect of four state-of-the-art multi-step dentin-bonding systems (A. R. T. Bond, Syntac, OptiBond DC, Scotchbond Multipurpose) on marginal adaptation and microleakage of dentin-bonded composite Class II restorations. A total of 72 Class II cavities with gingival margins in dentin were prepared in extracted molars and filled with fine-hybrid composites using a three-sited light curing technique. In one half of the cavities the pulpal wall was lined with a resin-modified glass ionomer cement liner (RM-GIC), in the other half a total bonding technique was applied. A. R. T. Bond and Syntac were tested with selective enamel etching (SE) and total etching (TE). Marginal adaptation was evaluated in a scanning electron microscope before and after thermocycling (TC). Microleakage was determined by dye penetration. After TC the proportions of continuous margin in dentin ranged from 37% (Syntac/SE) to 91.2% (A. R. T. Bond/TE). Scotchbond Multipurpose exhibited the lowest degree of microleakage (0.22 mm). Marginal enamel fracture was the most prevalent marginal defect at the enamel margins (8.3-22.2%). The use of the RM-GIC had no beneficial effect on any of the marginal parameters, either in dentin or in enamel. It is concluded that low degrees of marginal gap formation and microleakage can be achieved in totally bonded composite Class II restorations when using state-of-the-art multi-step bonding systems in combination with a meticulous incremental filling technique.

Restoring anterior guidance by use of composite resin.

Occlusal therapy has been noted for removing tooth structure by means of occlusal equilibration to eliminate destructive forces. Anterior guidance, the protective mechanism in occlusion, frequently can be restored in order to correct malocclusion. The article presented describes a simple, non-invasive, reversible and inexpensive restoration of anterior guidance. The rationale, research and technique shown include a case presentation.

The Use of Ceramic Orthodontic Brackets as Rest Seats for Removable Partial Dentures

Ceramic orthodontic brackets were developed for the purpose of esthetics and increased tooth-to-bracket strength. An alternative method of preparing a rest seat on the lingual surface of lower canine teeth without violating the enamel integrity is offered. Ceramic orthodontic brackets were bonded to the lingual surfaces of mandibular canines and shaped into rest seats using diamond burs. Because the rest seats are not cut into the tooth structure, sensitivity and potential caries complications are avoided. The bracket is adhered to the tooth surface with a dimethacrylate bonding material. The brackets are bonded with either a no-mix or a two-part adhesive system. The strength of this bond will easily support the forces of a partial denture framework. The advantage over metal acid-etched retained rests is that this method avoids a time-consuming laboratory step. The greatest advantage over the use of composite resins that are shaped into rest seats is the much higher bond strength. After ceramic brackets were bonded to the lingual surfaces of mandibular canines and shaped into rest seats, an impression was obtained for the fabrication of a conventional partial denture framework.

The Use of Light‐Cured Composite Resin on Altered Diagnostic Casts

Light-cured composite resin as an alternative to wax for altered diagnostic casts is demonstrated. The value of altered diagnostic casts as a diagnostic tool is addressed. The benefits in the use of composite resin versus the traditional use of wax are emphasized.

レジン歯をポンティックとして用いた接着ブリッジの研究 硬質レジン歯の応用について

In case of temporary treatment of missing teeth, resin teeth are fixed adhesively to the remaining adjacent teeth as pontic using self-curing resin. The improvement of adhesion technique recently has brought a longer period of service to this prosthesis. However, the elongation of periodin service provoked the serious abrasion of resin teeth, which caused the complete loss of anatomicform. The most effective method to prevent the abrasion is the use of composite resin teeth.However, the labial surface of the tooth is constructed with highly crosslinked polymer, and it isdifficult to achieve the durable bond with adhesives.In this study, bonding of composite resin teeth were evaluated with three kinds of treatedsurfaces and two self-curing resin adhesives. Adhesion specimens were constructed and a shear testwas performed after 20, 000 thermocycles.For two types of composite teeth with untreated surface, separation occurred during thermocycling.Trial composite tooth showed bond strength of 14.3 MPa after thermocycling. Aluminablasting treatment improved the adhesiveness effectively, giving the highest bond strength of 30.6MPa between Superbond C & B and trial composite teeth. Superbond C & B showed higher bondstrength than traditional BPO-amine self-curing resin.

Physical properties and repair bond strength of direct and indirect composite resins

Use of composite resins now includes indirect curing methods. Surface chemistry, repair bond strength, plus location of failure and five physical properties of two direct and three indirect composite resins were determined. There were statistically significant differences in flexural strength of materials and in hardness values. Repair bond strength failures were not significantly different; failures occurred primarily at the interface. Multiple internal reflection spectroscopy confirmed the presence of unpolymerized material after cure in all products. Indirect cure of the direct composite resin increased the degree of cure.

Direct posterior composite resin restorations: a review. 2. Clinical technique.

Despite the increased use of composite resin to restore posterior teeth, there is evidence that clinicians should be selective in their use of these restorations. This paper describes the clinical technique--preparatory procedures, preparation of the cavity, preparation for placement of composite resin, placement of composite resin and finishing of the restoration--for the relatively conservative use of composite resin in posterior teeth and reviews the literature to discuss briefly many of the controversial aspects of the technique.