Marginal integrity and physicomechanical properties of a thermoviscous and regular bulk-fill resin composites.

IF 3.1 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Clinical Oral Investigations Pub Date : 2024-08-23 DOI:10.1007/s00784-024-05887-w
Bárbara Monteiro Soares, Marianna Pires Barbosa, Rayane Velloso de Almeida, Renata Nunes Jardim, Eduardo Moreira da Silva
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Abstract

Objectives: To evaluate the marginal integrity (MI%) and to characterize specific properties of a thermoviscous bulk-fill resin composite, two regular bulk-fill resin composites, and a non-bulk-fill resin composite.

Materials and methods: VisCalor bulk (VBF), Filtek One Bulk Fill (OBF), and Aura Bulk Fill (ABF) were evaluated. Filtek Z250 XT (ZXT) was used as non-bulk-fill control. MI% was evaluated in standardized cylindrical cavities restored with the composites by using a 3D laser confocal microscope. The following properties were characterized: volumetric polymerization shrinkage (VS%), polymerization shrinkage stress (Pss), degree of conversion (DC%), microhardness (KHN), flexural strength (FS), and elastic modulus (EM). Data were analyzed by one-way and two-way ANOVA, and Tukey HSD post-hoc test (α = 0.05).

Results: VBF presented the highest MI% and the lowest VS% and Pss (p < 0.05). DC% ranged from 59.4% (OBF) to 71.0% (ZXT). ZXT and VBF presented similar and highest KHN than OBF and ABF (p < 0.05). ABF presented the lowest FS (p < 0.05). EM ranged from 5.5 GPa to 7.7 GPa, with the values of ZXT and VBF being similar and statistically higher than those of OBF and ABF (p < 0.05).

Conclusions: Thermoviscous technology employed by VisCalor bulk was able to improve its mechanical behavior comparatively to regular bulk-fill resin composites and to contribute to a better marginal integrity in restorations built up in cylindrical cavities with similar geometry to a class I cavity as well. Although presenting overall better physicomechanical properties, Z250 XT presented the worst MI%.

Clinical relevance: The marginal integrity, which is pivotal for the success of resin composite restorations, could be improved using VisCalor bulk-fill. The worst MI% presented by Z250 XT reinforces that non-bulk-fill resin composites shall not be bulk-inserted in the cavity to be restored.

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热粘树脂和普通松散填充树脂复合材料的边缘完整性和物理力学性能。
目的:评估边缘完整性(MI评估一种热粘体填充树脂复合材料、两种普通填充树脂复合材料和一种非填充树脂复合材料的边缘完整性(MI%)和具体特性:对 VisCalor 散装(VBF)、Filtek One 散装填充(OBF)和 Aura 散装填充(ABF)进行了评估。Filtek Z250 XT (ZXT) 作为非批量填充对照。使用三维激光共聚焦显微镜在用复合材料修复的标准圆柱形空腔中评估 MI%。对以下特性进行了表征:体积聚合收缩率 (VS%)、聚合收缩应力 (Pss)、转化率 (DC%)、显微硬度 (KHN)、抗弯强度 (FS) 和弹性模量 (EM)。数据分析采用单因素和双因素方差分析,以及 Tukey HSD 事后检验(α = 0.05):结果表明:VBF 的 MI% 最高,VS% 和 Pss 最低(p 结论:VBF 采用的热粘合技术是目前世界上最先进的热粘合技术:VisCalor 块体所采用的热粘技术与普通的块体填充树脂复合材料相比,能够改善其机械性能,并有助于在几何形状类似于 I 类洞穴的圆柱形洞穴中进行修复时获得更好的边缘完整性。虽然 Z250 XT 总体上具有更好的物理机械性能,但其 MI% 却是最差的:临床意义:边缘完整性是树脂复合材料修复成功的关键,使用 VisCalor 体积填充剂可以改善边缘完整性。Z250 XT 表现出的最差 MI% 进一步说明,非批量填充的树脂复合材料不应批量植入要修复的牙洞中。
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来源期刊
Clinical Oral Investigations
Clinical Oral Investigations 医学-牙科与口腔外科
CiteScore
6.30
自引率
5.90%
发文量
484
审稿时长
3 months
期刊介绍: The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.
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