Marginal Adaptation and Microleakeage of Directly and Indirectly Made Fiber Reinforced Composite Inlays

This study evaluated the effect of three different surface conditioning methods on the bond strength of a Bis-GMA based luting cement to six commercial dental ceramics. Six disc shaped ceramic specimens (glass ceramics, glass infiltrated alumina, glass infiltrated zirconium dioxide reinforced alumina) were used for each test group yielding a total number of 216 specimens. The specimens in each group were randomly assigned to one of the each following treatment conditions: (1) hydrofluoric acid etching, (2) airborne particle abrasion, (3) tribochemical silica coating. The resin composite luting cement was bonded to the conditioned and silanized ceramics using polyethylene molds. All specimens were tested at dry and thermocycled (6.000, 5-55 degrees C, 30 s) conditions. The shear bond strength of luting cement to ceramics was measured in a universal testing machine (1 mm/min). In dry conditions, acid etched glass ceramics exhibited significantly higher results (26.4-29.4 MPa) than those of glass infiltrated alumina ceramics (5.3-18.1 MPa) or zirconium dioxide (8.1 MPa) (ANOVA, P<0.001). Silica coating with silanization increased the bond strength significantly for high-alumina ceramics (8.5-21.8 MPa) and glass infiltrated zirconium dioxide ceramic (17.4 MPa) compared to that of airborne particle abrasion (ANOVA, P<0.001). Thermocycling decreased the bond strengths significantly after all of the conditioning methods tested. Bond strengths of the luting cement tested on the dental ceramics following surface conditioning methods varied in accordance with the ceramic types. Hydrofluoric acid gel was effective mostly on the ceramics having glassy matrix in their structures. Roughening the ceramic surfaces with air particle abrasion provided higher bond strengths for high-alumina ceramics and the values increased more significantly after silica coating/silanization.

The aim of this study was to evaluate the shrinkage, contraction stress, tensile modulus, and the flow factor of 17 commercially available dental resin composites. The volumetric shrinkage measurements were performed by mercury dilatometry, and the contraction stress and tensile modulus were determined by means of stress-strain analysis. The statistical analysis was conducted by ANOVA and Tukey's post hoc test, and linear regression. Strong linear correlation for most resin composites were found for (i) contraction stress and shrinkage (ii) contraction stress and tensile modulus, and (iii) shrinkage and tensile modules. For most of the materials the unpolymerized resin content determines the amount of shrinkage, contraction stress and tensile modules. The pre-polymerized clusters in Heliomolar results in improved shrinkage/contraction stress properties. The shrinkage/contraction stress for Filtek Z100, Aelite Flo, and Flow-it was too high for the amount of resin in the resin composite. This was rationalized by high polymerization rates, a flow factor, and the nature of the resin. High shrinkage and/or high contraction stress may lead to failure of the bond between the resin composites and the tooth structure. This study shows that the unpolymerized resin content determines the amount of shrinkage, contraction stress and tensile modules. Therefore, using pre-polymerized clusters will improve shrinkage/contraction stress properties, as was shown in Heliomolar, while high polymerization rates, and low flow factors have a deteriorative effect on the shrinkage/contraction stress properties.

The aim of this study was to determine the magnitude of short fiber-reinforced composite resin, with a semi-IPN-polymer matrix, on polymerization resin shrinkage-strain, shrinkage stress and marginal microleakage of the restoration. Experimental composite FC resin was prepared by mixing 22.5 wt.% of short E-glass fibers, 22.5 wt.% of IPN-resin and 55 wt.% of silane treated silica fillers using a high speed mixing machine. As control material, commercial particulate filler composite resin (PFC) was used. Polymerization shrinkage-strain and stress of the specimens (n=5) were measured using the bonded-disc technique and tensilometer, respectively with respect to time. FC composite and PFC were placed incrementally in class II cavities sized 4 mm x 4 mm x 6 mm (n=8/group) using total-etch adhesive system according to manufacturer's instructions. After the class II restorations were completed, the specimens were finished and polished, thermocycled, stained, sectioned, and viewed under a stereo-microscope for leakage at occlusal/enamel and gingival/dentin margins. The data were analyzed using ANOVA. ANOVA revealed that restorations made from experimental FC composite had a significantly lower shrinkage stress and microleakage than those made from PFC (p<0.05). The data show that gingival margins had higher microleakage than that obtained from occlusal margins of restorations (p<0.05). The use of short fiber filler with semi-IPN polymer matrix reduced polymerization shrinkage stress and microleakage compared to a conventional restorative composite.