Evaluation of fracture resistance of maxillary premolars of different geometrical cavities restored with different composite resins incorporated with chitosan nanoparticles

Composites with 0.2% chitosan nanoparticles (CSN) are used recently; however, this combination needs to be studied in different cavity designs. The aim of the study was to compare the fracture resistance of maxillary premolars with different cavity geometries restored with different types of composite resins incorporated with 0.2% CSN. About 130 extracted human single-rooted maxillary premolars were embedded in acrylic molds 2 mm below cementoenamel junction, divided into five groups for cavity preparations of standardized dimensions. Group 1: (control) intact teeth (n = 10), Group 2: Class I cavities (n = 40), Group 3: Class II mesio-occlusal (MO) (n = 40), Group 4: Class II mesio-occluso-distal (MOD) (n = 40). Groups 2, 3, and 4 were subdivided into four subgroups for composite restoration; A: Neo spectra ST-Universal (NST); B: Tetric N-Ceram Bulk-fill (TNC); C: NST + CSN; and D: TNC + CSN and tested for fracture resistance using universal testing machine. One-way analysis of variance and post hoc Tukey’s tests were used for data analysis (P ≤ 0.05). In all groups, the highest fracture resistance was found in MOD cavities, followed by MO and least in Class I cavities. Subgroup D (TNC with CSN) showed the highest fracture resistance in all groups (P ≤ 0.05). Tetric N-Ceramic bulk fill with 0.25% CSN showed high fracture resistance in cavities with different geometries.