Polymerization and shrinkage kinetics and fracture toughness of bulk-fill resin-composites. Issue 12 (December 2022)

• Record Type: Journal Article
• Authors: Yang, Jiawei; Silikas, Nick; Watts, David C.
• Is Part Of: Dental materials. Volume 38:Issue 12(2022)
• Page Start: 1934
• Page End: 1941
• Publication Date: 2022-12
• Subjects: Bulk-fill composites -- Polymerization kinetics -- Polymerization shrinkage strain kinetics -- Fracture toughness -- Preheating -- Sonication; Dentistry -- Periodicals; Dental materials -- Periodicals; 617.695
• DOI: 10.1016/j.dental.2022.10.002
• Languages: English
• ISSNs: 0109-5641

Abstract

Abstract: Objectives: To determine degree of conversion (DC), maximum polymerization rate (RPmax ), polymerization shrinkage (PS), maximum shrinkage rate (PS Rmax ) and fracture toughness (KIC ) of different types of bulk-fill (BF) composites plus the effect of viscosity reduction techniques. Methods: BF specimens were created in 2 mm deep molds: SonicFill 3 (SF3), Viscalor (VC), One Bulk Fill (OBF) and Beautifil Bulk (BBR). SF3 was applied via sonic insertion using a SonicFill handpiece (Kerr Corp. USA). Viscalor was pre-heated in a Caps Warmer in T3 mode (at 68 °C) for 30 s (T3–30 s) and 3 min (T3–3 min), respectively. Specimens were irradiated at zero distance from the upper surface with an Elipar S10 LED unit (3 M ESPE, USA) of mean irradiance 1200 mW/cm 2 for 40 s. Real-time polymerization kinetics and DC at 5 min and 24 h post-irradiation (DC5 min and DC24 h ) were measured using ATR-FTIR (n = 3). PS was measured up to 1 h on 1 mm thick discs via the bonded-disk technique (n = 3) and PS Rmax obtained by numerical differentiation (n = 3). For fracture toughness, single-edge-notched specimens (32 × 6 × 3 mm) of each BF composite were prepared and measured by three-point bending after 7 d water storage (n = 5). Data were analysed using One-way ANOVA, independent T-tests and Tukey post-hoc tests (p < 0.05). Results: SF3 showed the significantly highest DC5 min, DC24 h and RPmax (p < 0.05), followed by OBF (p < 0.05). Regardless of pre-heating, VC showed comparable conversion kinetics to BBR (p > 0.05). There was no significant difference in PS of these BF composites, except OBF had the highest PS (p > 0.05). However, PS Rmax significantly varied among materials (p = 0.047) and SF3 had the highest PS Rmax . Regarding fracture toughness, BBR had the lowest KIC (p < 0.05), whereas other composites showed similar KIC (p > 0.05). Strong correlations of filler content (wt%)-PS/KIC were found. Different pre-heating times had no significant influences on DC %, RPmax, PS, PS Rmax and KIC of VC (p > 0.05). Significance. Different types of bulk-fill composites showed comparable shrinkage. A highly filled BF giomer composite (BBR) had the lowest fracture toughness, whereas others had similar KIC . Pre-heating had no adverse effects on Viscalor properties. Sonication and pre-heating are beneficial techniques to enhance composite flowability without either increasing shrinkage or reducing fracture toughness.