Influence of different light-curing units on monomer elution from bulk fill composites

Objectives: This in vitro study assessed the effect of different light-curing units on the elution of monomers from bulk fill composites with different thicknesses. Methods: Five bulk fill composites (Filtek Bulk Fill Flowable, SonicFill 2, SDR, Tetric N-Ceram Bulk Fill, and Venus Bulk Fill) and one conventional composite (Filtek Z250) were selected for the study. The cylindrical specimens in thickness of 2?mm or 4?mm were prepared and photopolymerized for 20?s with a light-emitting diode (VALO Cordless) or a halogen (Monitex BlueLuxer) light-curing unit. The specimens in glass vials were covered with a 75% ethanol/water solution. Ethanol/water extraction solutions were collected for high-performance liquid chromatography analysis after 24?h, 3 days, and 7 days. The data were analyzed with repeated measures and three-way ANOVA (p?<?0.05). Results: The total monomer amount was significantly influenced by light-curing source used and thickness. The highest levels of Bis-GMA and Bis-EMA were eluted from Tetric N-Ceram BulkFill and Venus Bulk Fill, respectively. SonicFill 2 released the highest level of TEGDMA at 4-mm thickness. The highest levels of UDMA release, from 4-mm-thick Filtek Bulk Fill Flowable, were attained using the halogen unit. Conclusions: Light-curing sources affected the number of monomers released by materials. The amount of eluted monomers declined over time. The increased ratio of released monomers to increased thickness is material dependent. The number of residual monomers is highly associated with the resin ratio and crosslinking network of the composites.     

The shear bond strength of repaired high-viscosity bulk-fill resin composites with different adhesive systems and resin composite types

This study compared the effect of different adhesive systems and composite resins on the shear bond strength (SBS) of repaired high-viscosity bulk-fill composites(Tetric EvoCeram Bulk Fill) and investigated failure modes. One hundred twenty cylindrical bulk-fill composite blocks (diameter 5?mm) were fabricated and thermocycled for 5000 cycles (5–55?°C). Specimens were roughened by diamond bur and divided into 8 groups (n?=?15). Bulk-fill blocks were repaired with the same material or nanohybrid composite resin(Tetric EvoCeram Nanohybrid) (diameter 3?mm) using different adhesive systems:Tetric N-Bond Universal (TSE);37% phosphoric acid etching?+?Tetric N-Bond Universal (TER); Clearfil SE Bond (CSE); 37% phosphoric acid etching?+?Adper^TMSingle Bond 2(SB). After repair procedures, all specimens were thermocycled again. The shear bond strengths were measured for all specimens using a universal test machine (crosshead speed of 1?mm/min). Cohesive strengths of bulk-fill composites were measured and described as control group. Debonded surfaces were observed with a stereomicroscope under 10x magnification to determine mode of failure. The SBS data of all groups was statistically analyzed by two-way ANOVA and Bonferroni correction test (p?<?0.05). The specimens repaired with bulk-fill composites showed significantly higher SBS values (25.86?±?5.74, 27.05?±?4.93, 24.49?±?6.95MPa) than those with nanohybrid composites (20.41?±?3.70, 22.08?±?6.37, 18.74?±?6.40?MPa) for TER,CSE,SB, respectively (p?<?0.05). There were no significant differences in SBS according to the type of adhesive systems for both repair materials (p?>?0.05). The predominant mode of failure was a mixed type in the restorative material except for the ones repaired with nanohybrid composites using Adper^TMSingle Bond 2. High-viscosity bulk-fill composites could be successfully repaired with the same materials. SBS of repaired bulk-fill composites reached cohesive strength for all tested groups.     

The bonding effect of adhesive systems and bulk-fill composites to sound and caries-affected dentine

Purpose: To investigate the influence of adhesive type and increment thickness on shear bond strength of flowable bulk-fill resin composites compared with a flowable conventional resin composite, in both sound and caries-affected dentine.

Methods: Shear bond strength was tested in 100 extracted human molars with coronal dentine caries. Half of the teeth were restored with Adper? Easy Bond and the other half with Adper? Single Bond Plus. Bonded surfaces were restored with Filtek? Ultimate Flow and two bulk-fill composites (SDR and X-tra base) (n = 10 teeth for each subgroup). Restorations of 4 mm were performed with incremental or bulk-fill technique. The shear bond was determined and statistically analysed using three-way ANOVA and Bonferroni multiple comparison post hoc tests (p ≤ 0.05). Dentine–resin interfaces were evaluated by scanning electron microscopy.

Results: For both adhesives, the highest shear bond strength values were obtained for sound dentine. In sound dentine, the highest bond strength observed with Easy Bond when used in 2-mm increments of SDR. In caries-affected dentine, Single Bond in combination with SDR displayed significantly lower bond strength.

Conclusion: There was no significant difference in shear bond strength between the incremental and bulk-fill groups for molars with sound dentine when the etch-and-rinse adhesive system was used; however, for the self-etch adhesive system, incremental application caused higher bond strength than bulk application.     

The effect of Er:YAG laser and bulk filled composite type on marginal adaptation of class II cavities: an SEM analysis study

Purpose: To evaluate the effect of cavity preparation method (Er:YAG laser or diamond bur) and bulk-filled composite material type on marginal adaptation mesial occlusal (MO) class II cavities. Materials and Methods: Two-surface box cavities (4-mm proximal depth and 5-mm occlusal width) were prepared on 60 human mandibular molar teeth. Cavities were prepared using Er:YAG laser or diamond burs in an air-turbine hand-piece. All cavities were applied Single Bond Universal dentin bonding agent. The cavities were further subdivided into three subgroups according to the restorative material used; two bulk-filled composites [Filtek Bulk Fill Posterior (3M ESPE) and SonicFill 2 (Kerr)] and one traditional composite material Filtek Ultimate Universal Restorative (3M ESPE). Restorations were evaluated using scanning electron microscopy at ×200 magnification for their adaptation to the approximal margins of the tooth. Results were analyzed using the two-way ANOVA and Tukey Post Hoc Test (p < 0.05). Results: A total of 900 SEM figures were obtained from all groups. Filtek Bulk Fill Posterior, SonicFill 2, and Filtek Ultimate Universal Restorative exhibited statistically similar gapped margins. However, the lowest scores of gapped margins were observed with SonicFill 2 (4.22%). Conclusions: Completely gap-free margins were not obtained with any of the tested materials. Bulk-fill composite materials showed similar marginal adapatation compared with standard composite. Marginal adaptation of Er:YAG laser prepared cavities was more irregular and had more gaps, but was statistically similar to diamond bur-prepared cavities.     

Degree of Conversion and BisGMA,TEGDMA, UDMA Elution from Flowable Bulk Fill Composites

The degree of conversion (DC) and the released bisphenol A diglycidyl ether dimethacrylate (BisGMA), triethylene glycol dimethacrylate (TEGDMA) and urethane dimethacrylate (UDMA) monomers of bulk-fill composites compared to that of conventional flowable ones were assessed using micro-Raman spectroscopy and high performance liquid chromatography (HPLC). Four millimeter-thick samples were prepared from SureFil SDR Flow (SDR), X-tra Base (XB), Filtek Bulk Fill (FBF) and two and four millimeter samples from Filtek Ultimate Flow (FUF). They were measured with micro-Raman spectroscopy to determine the DC% of the top and the bottom surfaces. The amount of released monomers in 75% ethanol extraction media was measured with HPLC. The differences between the top and bottom DC% were significant for each material. The mean DC values were in the following order for the bottom surfaces: SDR_4mm_20s > FUF_2mm_20s > XB_4mm_20s > FBF_4mm_20s > XB_4mm_10s > FBF_4mm_10s > FUF_4mm_20s. The highest rate in the amount of released BisGMA and TEGDMA was found from the 4 mm-thick conventional flowable FUF. Among bulk-fills, FBF showed a twenty times higher amount of eluted UDMA and twice more BisGMA; meanwhile, SDR released a significantly higher amount of TEGDMA. SDR bulk-fill showed significantly higher DC%; meanwhile XB, FBF did not reach the same level DC, as that of the 2 mm-thick conventional composite at the bottom surface. Conventional flowable composites showed a higher rate of monomer elution compared to the bulk-fills, except FBF, which showed a high amount of UDMA release.     

Cuspal deflection and microleakage in pre molar teeth restored with bulk-fill resin-based composites

The aim of this study was to assess the cuspal deflection and cervical microleakage of premolar teeth filled with a bulk-fill composite resin or bulk-fill flowable composite resin base, and comparison between them and a conventional dimethacrylate and a silorane-base composite resin. Forty maxillary premolar teeth were divided into four groups (n?=?10), standardized large mesio-occluso-distal (MOD) cavities were prepared. The distance between cusp tips was measured before and after the cavity preparations with a digital micrometer. In Group 1 Quixfil was used with bulk-fill technique. Teeth in Group 2 were restored to within 2?mm of palatal cusp in a single increment with x-tra base. The remaining occlusal cavity was restored with GrandioSO. In Groups 3 and 4, the teeth were incrementally restored with GrandioSO and Filtek Silorane, respectively. Cuspal deflection was measured 5?min, 24?h, 1 week, and 2 weeks after the completion of restorations. Each restored tooth was subjected to thermocycling regime, and microleakage was assessed. Data were analyzed with Kruskal–Wallis and Mann Whitney U tests (p?<?0.05). Groups restored with bulk-fill composites (Groups 1 and 2) showed similar cuspal deflection with the group restored incrementally with GrandioSO. A significant reduction in cuspal deflection was observed in Filtek Silorane restorations. None of the groups showed complete prevention of dye penetration. Group 2 showed the best marginal sealing. In Conclusion, conventional composite resin applied by incremental technique caused cuspal deflection similar to that of bulk-fill composites used as restorative or base. The flowable bulk-fill composites were superior to others in preventing microleakage.     

Effects of surface treatments on the bond strength of composite resin to hybrid computer-assisted design/manufacturing blocks

The aim of this study was to evaluate the repair bond strength of a dimethacrylate-based composite to two hybrid CAD/CAM blocks after different surface treatments. One hunded and twenty specimens were prepared from two different CAD/CAM blocks (Lava Ultimate (L), Cerasmart (C)). After thermal aging, specimens from each group (n?=?60) were divided into 6 treatment groups (n?=?10): (1) No treatment (2) Phophoric acid (37%) for 60?s, (3) Hydrofluoric acid (8%) for 60?s, (4) Sanblasting with 50-µm aluminium oxide (5) Er,Cr:YSGG laser treatment at 2?W and (6) Er,Cr:YSGG laser treatment at 3?W. Single Bond Universal was applied on all specimens and a dimethacrylate-based composite (Tetric N-Ceram) was bonded using Teflon tubes. After thermal cycling, shear bond strength (SBS) was tested, and failure modes were evaluated. Two-way ANOVA and independent t-test were used for statistical analysis (p?<?0.05). The highest SBS values were detected at Er,Cr:YSGG laser treatment groups (3W) (L:22.7?MPa, C:22.6?MPa). Lowest SBS values were obtained at no surface pretreatment groups followed by phophoric acid treatment groups which were significantly lower than sandblasting, hydrofluoric acid treatment and Er,Cr:YSGG laser treatment groups (p?=?0.001). The universal adhesive Single Bond Universal had no effect on promoting bond strength to hybrid ceramics alone or with phosphoric acid. Sandblasting, hydrofluoric acid and laser treatment were effective at increasing repair bond strength, for both Lava Ultimate and Cerasmart.     

Effect of different adhesive protocols on bond strength between composite resins for indirect use and repair materials

Abstract

The aim of this work is to evaluate the effect of different adhesive protocols on the bond strength (SBS) of composite resin for indirect use to repairs of bulk-fill or conventional nanoparticulated composites. Forty-eight cylindrical specimens of composite resin for indirect use were prepared, aged, and randomly divided into four groups (n?=?12), a control group without any adhesion protocol, and three experimental groups: Silane?+?Scotch Bond Multipurpose adhesive (S?+?SBMP), Tetric N Bond Universal (TBU), and Single Bond Universal (SBU). The treated surfaces were restored using two different composite resins: Filtek Bulk-Fill or Filtek Z350XT. Then, the specimens were submitted to the SBS test, and the resultant data were analyzed with ANOVA on ranks test and Tukey’s test (α?=?0.05). There were no significant differences between the two types of resins used as repair material. For both resins, the groups treated with S?+?SBMP obtained the highest values (p?<?0.001). Groups TBU and SBU did not have statistically significant differences between them. Pre-treatment with a silane coupling agent and a layer of a hydrophobic adhesive can improve the bond strength of repairs performed on a composite resin for indirect use.     

The effect of bulk-fill flowable composites on the fracture resistance and cuspal deflection of endodontically treated premolars

The aim of this study was to evaluate the effect of bulk-fill flowable composites on cuspal deflection and fracture resistance of endodontically treated teeth. Forty-two maxillary premolars were subjected to endodontic treatment followed by the preparation of mesioocclusodistal cavities. Teeth were divided into six groups according to restorative materials as follows: Group 1: Clearfil Majesty Flow and Clearfil Majesty Posterior; Group 2: Venus Bulk Fill and Clearfil Majesty Posterior; Group 3: Clearfil Majesty Posterior; Group 4: Vertise Flow and Clearfil Majesty Posterior; Group 5: SDR and Clearfil Majesty Posterior; and Group 6: x-tra base and Clearfil Majesty Posterior. A single-step self-etch adhesive (OptiBond All-in-One) was applied to all groups, except Group 4. The cavities were restored with a centripetal incremental insertion technique and flowable composites using a 2-mm-thick base material, except for Group 3. The distance between cusp tips was measured before and after the cavity preparations, after the restorations, and after thermal cyclus with a digital micrometer. After measuring, each tooth was subjected to compressive loading with a stainless steel ball (4 mm diameter) perpendicular to the occlusal surface with a crosshead speed of 1 mm/min, and mean loads necessary to fracture were recorded in Newtons. The data were statistically analyzed by Kruskal–Wallis test. No statistically significant differences were found between groups in fracture strength or cuspal deflections (p > 0.05). Bulk-fill flowable composite bases did not change the cuspal deflection or fracture resistance of endodontically treated teeth, compared with that of a conventional flowable base and conventional resin composite.     

Adhesion of bulk-fill resin composites as core and intraradicular post materials only versus the use of glass-fiber posts in different regions of root dentin

This study assessed adhesion of bulk-fill resin-composites as core and post materials only versus the use of fiber resin composite (FRC) posts. Human teeth (N?=?84) were cut at the CEJ and endodontically treated and randomly divided into seven groups: TP: Titanium post (Flat Head T); SFRC: S2-glass FRC (Pinpost); EFRC1: E-glass FRC (GC Everstick) directly bonded; GFRC: E-glass FRC (Glassix Nordin); EFRC2: E-glass FRC (Everstick); BF1: Bulk-fill resin (Surefill SDR); BF2: Bulk-fill resin (SonicFill). Groups TP, SFRC, EFRC and GFRC were cemented (Panavia 21), while other groups were bonded directly to the intraradicular dentin. The core parts were constructed using a resin composite (G-aenial) except for Groups BF1 and BF2. The core-cervical dentin interface was loaded under shear forces. Push-out tests were performed in a Universal Testing Machine (1?mm/min). Data (MPa) were analyzed using two-way ANOVA and Tukey`s tests (α?=?0.05). Not the root level (p?>?0.05) but the type of core and post material significantly affected shear and push-out bond results (p?<?0.001). BF1 (9.2?±?2.1) and BF2 (9.3?±?3.1) showed significantly lower bond strength to the cervical dentin (p?<?0.05) compared to other groups (11.6?±?2.5–19?±?6.8). FRC post types did not show significant difference being higher than those of TP, BF1 and BF2 (0.57?±?0.37–2.34?±?1.98) (p?>?0.05). Partial cohesive core fracture was more common while BF1 and BF2 showed exclusively adhesive failures. Cohesive failure in the cement was frequent in Group TP (53%) compared to other groups (3–24%). BF1 and BF2 presented exclusively complete adhesive failure of the bulk-fill material.     

Bond strengths of bulk-fill resin composite repairs: effect of different surface treatment protocols in vitro

To evaluate the effect of different surface treatment protocols on the microtensile bond strength (μTBS) of bulk-fill resin composite repairs. Thirty-five bulk-fill resin composite samples (Filtek Bulk Fill) were prepared (5 × 5 × 5 mm) and aged by thermocycling (X5000). Samples were randomly divided into five groups (n = 7): a control (no treatment) and four surface treatment groups (Single Bond Universal [SBU]; phosphoric acid (37%) + SBU; Er,Cr:YSGG laser + SBU; aluminum oxide sandblasting + SBU). Filtek Ultimate Universal composite was used as a repair material. After storage for 24 h in distilled water (37 °C), sticks were obtained and subjected to a μTBS test. The data (MPa) were analyzed by one-way ANOVA with a post hoc test (α = 0.05). Failure mode was evaluated using a light microscope (10×). There were significant differences between the groups (p < 0.05). The lowest bond strength values were obtained in the control group (p < 0.05). No significant difference was observed between Group II (universal adhesive) and Group III (acid etch + universal adhesive) (p > 0.05). The bond strength of Group II was significantly lower than that of the other surface treatment groups (p < 0.05). While Group III showed significantly lower values than those of the laser treatment group (Group IV), similar values were obtained with Al₂O₃ sandblasting group (Group V). The highest repair bond strength was obtained in Group IV (p < 0.05) which was not significantly different from the Al₂O₃ sandblasting group (p > 0.05). The predominant failure mode was adhesive. Treatment of aged bulk-fill resin composite surfaces with laser and Al₂O₃ sandblasting provided higher repair bond strength values.     

Evaluation of a new test method to determine the failure mode and macro-shear bond strength of dental materials to metals

Objective: To compare the macro mean shear bond strength (SBS) and failure mode of three cements to two types of metal using mould-enclosed and non-enclosed cement specimens. Methods: Titanium and base metal cobalt-based substrates were finished with 50 μm aluminium oxide. Two resin-modified glass-ionomers (Riva Luting Plus, Fuji Plus) and one resin cement (RelyX Unicem) were prepared as per manufacturers’ instructions. Metal mould-enclosed and non-enclosed cement specimens with a bonding area diameter of 3.5?mm were prepared and stressed to failure using a 2 mm blunt edge shear knife at a cross-head speed of 1?mm/min to determine mean SBS. The shear knife was placed against the surface of the substrate. Failure analysis of the failed interface was performed with a stereo microscope at 40× magnification. Results: Two-way Analysis of Variance demonstrated a significant difference in mean SBS between materials (p?=?0.004) and cement (p?=?0.001). There was also a significant interaction between method and cement on SBS, F(2,?170)?=?7.209, p?=?0.003. Post hoc Tukey tests demonstrated no significant difference for either resinmodified glass-ionomer cements (RMGIC) (p?=?0.864, p?=?0.620) when comparing non-enclosed and mould-enclosed test methods bonded to titanium. There was however a significant difference (p?<?0.001) between the mean SBS obtained for the resin cement when comparing the non-enclosed and mould-enclosed test methods. For base metal, the RMGIC’s SBS was higher than resin cement but no difference was observed between one of RMGIC’s and the resin cement non-enclosed mean SBS. Although not the case for RMGIC’s bonded to titanium or one RMGIC bonded to non-precious cobalt-based metal, when comparing the test method on each cement, RMGIC and the resin cement showed significant differences between non- and mould-enclosed specimens mean SBS. In the non-enclosed specimen tests, 71% of all specimens tested exhibited adhesive failure, which was statistically different (p?<?0.001) to 91% for the mould-enclosed specimens. Failure mode was not always statistically different within groups, however non-enclosed specimens showed higher frequencies of mixed failures. Conclusion: Within the limits of this study, significant differences were found in comparing the mean SBS between mould-enclosed and non-enclosed specimens. A significant difference was found in failure mode between mould-enclosed and non-mould enclosed specimens. Mould-enclosed specimens bonded to metal exhibited a higher frequency of adhesive failure than non-mould enclosed specimens. Relevance: Mould-enclosed specimens used in place of non-enclosed specimens can be used in SBS testing to give a more valid result when bonding to metal.     

Effect of adhesive application on the shear bond strength of flowable composite resins and APC plus to orthodontic molar tubes

Objectives: To evaluate the effect of adhesive application on the shear bond strength (SBS) of orthodontic tubes to acid-etched human enamel when using different flowable composite resins and the APC Plus system (APC). Study design: One hundred metal tubes were bonded to human third molars, which were randomly divided into five groups: Tetric EvoFlow (TF); Wave mv Flow (W); Transbond Supreme LV (S); Transbond XT (XT); and APC. For each experimental group, half of the specimens were bonded in combination with Transbond XT adhesive. After 72?h, an SBS test was performed using a universal testing machine. Two-way analysis of variance (ANOVA) was run for multiple comparison tests and for comparing the mean SBS among the 10 subgroups to evaluate the effect of both the composite and the adhesive factors. Then, a Student-Newman-Keuls test was used for pairwise comparisons using the highest mean SBS group as reference. Adhesive Remnant Index scores were determined for the teeth after failure and compared by χ ²-test. Two representative molar surfaces from the 10 subgroups were assessed under scanning electron microscope. Results: The application of adhesive did not have a significant effect, but there was a marked tendency toward the influence of the factor composite on SBS. The mean SBS of tubes bonded with XT with adhesive was significantly higher than that of those bonded with APC with adhesive, TF with and without adhesive, and S with adhesive. Conclusion: Flowable composites and the APC system without intermediate bonding resin could be conveniently applied for orthodontic tube bonding.     

Effect of adhesive application on the shear bond strength of refrigerated and pre-heated of different composite resins to orthodontic molar tubes

Objective: To evaluate the effect of adhesive application on the shear bond strength (SBS) of orthodontic tubes to acid-etched human enamel using different temperatures and orthodontic composite resins. Methods: One hundred and twenty metal tubes were bonded to human third molars, which were randomly divided into three groups depending on the composite used: Transbond XT (XT); Transbond Supreme LV (LV); and Light Bond (LB). Each group was divided into four subgroups depending on the temperature (5°, 20°, 40°, and 60°) applied to the composite before cementing. For each experimental subgroup, half the specimens were bonded in combination with XT Primer. After 72?h, a SBS test was performed using a universal testing machine. Statistical analysis was performed using ANOVA, post hoc intergroup comparisons, chi-square test, and linear regression. Two representative molar surfaces from each subgroup were assessed under Scanning electron microscope. Results: The composite type only influenced XT regarding LB. The use of adhesive does not affect the SBS values of any composite. The flowable composites with adhesive containing zirconia (LV) as a filler showed lower SBS when cooled to 5?°C and when increases the temperature from 40?°C. Whether adhesive was used or not, composites with silica as filler (LB) showed lower SBS at 60?°C and increased to 5?°C. Conclusions: For all composites, from 20?°C, SBS values tend to increased and started to decline at 40°C except when adhesive is applied to the quartz-filled composite, which continues to increase, and the silica-filled composite without adhesive, which tend to decreases from 5?°C.     

Effects of different polymerization protocols on the degree of conversion of two dual‐cured core buildup composites polymerized by light‐emitting diode and halogen light‐curing units

The aim of study was to investigate the effects of various curing protocols with quartz–tungsten halogen (QTH) or light‐emitting diode (LED) light‐curing units on the degree of conversion (% DC) of two dual‐cured core buildup resin composites. Two dual‐cured core buildup resin composites, Clearfil Dc Core Automix (CLF) and Grandio Core Dc (GR), were selected. Specimens were exposed to the polymerization protocols as follows: there was immediate photoactivation or photoactivation delayed by 2 or 5 min by a QTH or LED source, and one group was allowed to chemically polymerize and served as a control (n = 6). The % DC of the specimens was determined with attenuated total reflectance–Fourier transform infrared spectroscopy. The GR samples polymerized with QTH for the 5‐min‐delayed photoactivation had higher % DC values than those self‐cured, and the Clearfil Dc Core Automix (CLF) samples with immediate or delayed curing protocols with halogen yielded higher % DC values than the samples that were chemically polymerized. The comparison of the two resin composites polymerized with halogen showed a higher % DC for CLF than for GR in the 2‐min‐delayed photoactivation. On the other hand, when they were cured with LED, the % DC values of GR significantly increased after the 2‐min‐delayed photoactivation. In light of the results, it might be stated that CLF polymerized with QTH, could be the better option. GR provided adequate chemical polymerization; therefore, it might be useful in areas in which light curing is not possible. Clinicians should consider the polymerization characteristics of dual‐cured resin composites. The use of different composites may require the modification of the application procedures recommended by the manufacturer. © 2014 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2014 , 131, 40560.     

The effects of nutritional habits on leucite-based ceramic repaired with nanohybrid composites

The purpose of the present in vitro study was to evaluate the effects of nutritional habits (various liquids) on the color change and early repair bond strength of a leucite-based ceramic repaired with different contents of nanohybrid composite resins currently used by the clinicians. Ninety-six IPS-Empress CAD ceramic samples were obtained with low-speed diamond saw. For all samples same repair method was performed. Samples were divided into groups according to four nanohybrid composite resins used as a repair material: Tetric-N-Ceram Bulk Fill, Filtek Z550, Clearfil-Majesty Esthetic, Bisco-Aelite Aesthetic Enamel (n?=?24). Composite resins were applied on ceramic surface and polymerized (40?sec). After waiting for 24?h, samples were divided into three subgroups according to liquid types: pomegranate-flavored mineral water, salad dressing, and distilled water (n?=?8). Before and after immersion the samples in the various liquids, color measurements were calculated (24?h). Then, shear bond strength was tested with an universal testing machine.For the statistical analyses two-way ANOVA, Tukey HSD, Spearman's correlation tests were used at a significance of p?≤?0.05. Nanohybrid composites, liquids (p?≤?0.001); correlation between nanohybrid composites and liquids (p?≤?0.006) had statistically significant impacts on the color change values. Nanohybrid composites (p?≤?0.017) and correlation between nanohybrid composites and liquids (p?≤?0.004) had statistically significant impacts on the shear bond strength values. There was not any statistically significant correlation between color change and shear bond strength (p?>?0.05). When a composite resin is selected as a repair material, nutritional habits of the patient should be taken into consideration. Although hydrophilic monomer type of a composite material is a more predominant factor associated with color change, filler weight has the same predominant effect on shear-bond strength.     

Polymerization efficiency of bulk‐fill dental resin composites with different curing modes

The aim of this study was to investigate the effect of four different curing modes on the polymerization efficiency of eight bulk‐fill composites. Five specimens for each material were prepared for Vickers hardness measurements. The measurements were performed at 0 and 2 or 4 mm from the top of the surface of the specimens 24 h after photopolymerization. Statistical analysis was performed with one‐way analysis of variance and Tukey post hoc tests at a level of significance of a = 0.05 where a is the the level of significance. The light‐curing mode affected the microhardness in all depths, but this influence was material‐dependent (p_mat < 0.001), where p_mat is the probability to be affected by the material. The Vickers hardness numbers of the tested composites at 0 mm ranged from 9.32 ± 0.87 to 72.58 ± 6.52 and those of the tested composites at 4 mm ranged from 5.48 ± 0.32 to 54.34 ± 2.27. The clinician has to be aware of the technical characteristics of the materials and light‐curing units (LCUs) to use the most appropriate combination of LCU, composite material, and application technique. © 2016 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2016 , 133, 43392.     

Interfacial integrity of low-shrinkage composite restorations related to the filling technique and consistency

Purpose: To evaluate the influence of filling techniques and consistency of low-shrinkage composites on the bond strength and internal gap formation in Class I bonded restorations. Two low-shrinkage restorative systems (N’Durance/Septodont and Filtek Silorane/3M ESPE) were used to restore Class I preparations. Bulk increment, two oblique increments or two horizontal increments were performed and Filtek Z350XT was used as a control. Each increment was photoactivated for 40?s and the restored teeth were then stored for 24?h at 37?°C before being longitudinally sectioned and the internal margins of the restorations dyed with 1% acid-red propylene glycol solution for 20?s. The specimens were water rinsed and digital images were recorded for the internal gap formation (%) analysis. Stick-shaped specimens were also tested in tension to evaluate the bond strength. Comparative consistency of unset composites was also performed. N’Durance exhibited the highest incidence of internal gaps amongst all the filling techniques. Filtek Silorane showed no significant difference of internal gap formation in comparison with Filtek Z350XT, regardless of the filling technique. Filtek Z350XT exhibited the highest bond strength and N’Durance the lowest when horizontally applied; bond strength of Filtek Silorane was not influenced by the filling technique. Both Filtek Z350XT and N’Durance presented lower consistency. Low-shrinkage composites seem to present equivalent or inferior bond strength and internal gap formation when compared to the methacrylate composite. The quality of the Class I preparation is dependent on the material and filling techniques.     

The effect of different bonding protocols on the repair microshear bond strength of water-stored CAD/CAM resin composite

This study evaluated the repair microshear bond strength (μSBS) of water stored CAD/CAM resin composite under eight different surface treatments using a silane-containing universal adhesive in etch-and-rinse and self-etching modes. In total, 48 CAD/CAM resin composite slices were prepared from Lava Ultimate CAD/CAM blocks and stored in water for 6 months. The slices were assigned into 8 main groups, according to surface treatments (no treatment, no-treatment/silane, surface grinding, surface grinding/silane, sandblasting, sandblasting/silane, silica coating and silica coating/silane). Each main group was divided according to the universal adhesive application mode (either the etch-and-rinse mode or the self-etch mode). Each slice received 6 resin composite micro-cylinders (0.8 × 1 mm). Micro-shear bond strength was run at 0.5 mm/min crosshead speed until failure. Treated surfaces were examined using SEM. Bond strength data were statistically analyzed using Two-Way ANOVA/Tukey HSD post hoc test. Only ‘surface treatment’ significantly affected the repair μSBS (p ? 0.001). Parameters ‘Adhesive application mode’ and ‘surface treatment × adhesive mode’ showed no significant effect on μSBS (p = 0.458 and p = 0.286 respectively). Regardless of the adhesive application mode, silica coating showed the highest μSBS (21.6 ± 6.8 MPa), while sandblasting/silane showed the lowest μSBS (13.0 ± 6.1 MPa). Regardless of adhesive application mode, the use of silica coating to treat the water-stored CAD/CAM resin composite surfaces is crucial to improve the repair bond strength.     

Bond strength and durability of universal adhesive agents with lithium disilicate ceramics: A shear bond strength study

The aim was to assess the shear bond strength (SBS) of lithium disilicate (LD) ceramic to resin composite with different universal adhesives, duration of ageing and silane. One hundred and twenty LD ceramic discs were processed, fired and etched (HF acid 5%) for 20 s (sec). All specimens were divided into 12 groups (n = 10), based on different combinations of, 3 different universal adhesives [Scotchbond (SB) Universal Adhesive, All-Bond (AB) Universal, and Futurabond U (FU)], silane and different duration of ageing [24 h and 3 months]. Composite resin cylinders (Tetric ceram) (3mm × 2 mm) were formed using bonding jig on ceramic and were light-cured. The specimens in groups 1–6 and 7–12 were stored in distilled water (37 °C) for 24 h and 3 months (thermocycling -5000 cycles 5–55 °C/30 s dwell time) before being subjected to bond strength testing respectively. Using universal testing machine shear bond test was performed at a crosshead speed of 1 mm/min. Failure modes and fracture patterns were assessed using stereomicroscope and scanning electron microscope. Analysis of variance was performed to analyze data. SBS was significantly higher with silane than without silane (p < 0.01), regardless of the type of adhesive or storage duration. Specimens tested at 24 h storage showed significantly higher (p < 0.01) SBS than specimens tested after 3-months. A comparison among different universal adhesives showed significantly distinct bond strength (p < 0.01). Optimal bonds to LD were achieved by application of silane. While ageing through storage had a negative impact on the SBS, it varied among different adhesives.