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Research Articles
The polymerization efficiency of a bulk-fill composite based on matrix-modification technology
Tarek M. Elshazly, Christoph Bourauel, Moustafa N. Aboushelib, Dalia I. Sherief, Dalia I. El-Korashy
Restor Dent Endod 2020;45(3):e32.   Published online May 29, 2020
DOI: https://doi.org/10.5395/rde.2020.45.e32
AbstractAbstract PDFPubReaderePub
Objectives

To evaluate the polymerization efficiency of a matrix-modified bulk-fill composite, and compare it to a conventional composite which has a similar filler system. The degree of conversion (DC%) and monomer elution were measured over different storage periods. Additionally, fillers' content was examined.

Materials and Methods

Cylindrical specimens were prepared, in bulk and incrementally, from Filtek Bulk Fill (B) and Filtek Supreme XTE (S) composites using a Teflon mold, for each test (n = 6). Using attenuated total reflection method of Fourier transformation infrared spectroscopy, DC% was measured after 24 hours, 7 days, and 30 days. Using high-performance liquid chromatography, elution of hydroxyethyl methacrylate, triethylene glycol dimethacrylate, urethane dimethacrylate, and bisphenol-A glycidyl dimethacrylate was measured after 24 hours, 7 days and 30 days. Filler content was examined by scanning electron microscopy (SEM). Data were analyzed using 2-way mixed-model analysis of variance (α = 0.05).

Results

There was no significant difference in DC% over different storage periods between B-bulk and S-incremental. Higher monomer elution was detected significantly from S than B. The elution quantity and rate varied significantly over storage periods and between different monomers. SEM images showed differences in fillers' sizes and agglomeration between both materials.

Conclusions

Matrix-modified bulk-fill composites could be packed and cured in bulk with polymerization efficiency similar to conventional composites.

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Effect of CQ-amine ratio on the degree of conversion in resin monomers with binary and ternary photoinitiation systems
Ho-Jin Moon, Dong-Hoon Shin
Restor Dent Endod 2012;37(2):96-102.   Published online May 18, 2012
DOI: https://doi.org/10.5395/rde.2012.37.2.96
AbstractAbstract PDFPubReaderePub
Objectives

This study evaluated the effect of camphorquinone (CQ)-amine ratio on the C=C double bond conversion of resins with binary and ternary photoinitiation systems.

Materials and Methods

Two monomer mixtures (37.5 Bis-GMA/37.5 Bis-EMA/25 TEGDMA) with binary systems (CQ/DMAEMA in weight ratio, group A [0.5/1.0] and B [1.0/0.5]) and four mixtures with ternary system (CQ/OPPI/DMAEMA, group C [0.1/1.0/0.1], D [0.1/1.0/0.2], E [0.2/1.0/0.1] and F [0.2/1.0/0.2]) were tested: 1 : 2 or 2 : 1 CQ-amine ratio in binary system, while 1 : 1 ratio was added in ternary system. The monomer mixture was cured for 5, 20, 40, and 300 sec with a Demetron 400 curing unit (Demetron). After each exposure time, degree of conversion (DC) was estimated using Fourier transform infrared (FTIR) spectrophotometer (Nicolet 520, Nicolet Instrument Corp.). The results were analyzed by ANOVA followed by Scheffe test, with p = 0.05 as the level of significance.

Results

DC (%) was expressed in the order of curing time (5, 20, 40, and 300 sec). Group A (14.63 ± 10.42, 25.23 ± 6.32, 51.62 ± 2.69, 68.52 ± 2.77); Group B (4.04 ± 6.23, 16.56 ± 3.38, 37.95 ± 2.79, 64.48 ± 1.21); Group C (16.87 ± 5.72, 55.47 ± 2.75, 60.83 ± 2.07, 68.32 ± 3.31); Group D (23.77 ± 1.64, 61.05 ± 1.82, 65.13 ± 2.09, 71.87 ± 1.17); Group E (28.66 ± 2.92, 56.68 ± 1.33, 60.66 ± 1.17, 68.78 ± 1.30); Group F (39.74 ± 6.31, 61.07 ± 2.58, 64.22 ± 2.29, 69.94 ± 2.15).

Conclusion

All the monomers with ternary photoinitiation system showed higher DC than the ones with binary system, until 40 sec. Concerning about the effect of CQ-amine ratio on the DC, group A converted into polymer more than group B in binary system. However, there was no significant difference among groups with ternary system, except group C when cured for 5 sec only.

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Original Articles
THE EFFECT OF PRIMING ETCHED DENTIN WITH SOLVENT ON THE MICROTENSILE BOND STRENGTH OF HYDROPHOBIC DENTIN ADHESIVE
Eun-Sook Park, Ji-Hyun Bae, Jong-Soon Kim, Jae-Hoon Kim, In-Bog Lee, Chang-Keun Kim, Ho-Hyun Son, Byeong-Hoon Cho
J Korean Acad Conserv Dent 2009;34(1):42-50.   Published online January 14, 2009
DOI: https://doi.org/10.5395/JKACD.2009.34.1.42
AbstractAbstract PDFPubReaderePub
Abstract

Deterioration of long-term dentin adhesion durability is thought to occur by hydrolytic degradation within hydrophilic domains of the adhesive and hybrid layers. This study investigated the hypothesis that priming the collagen network with an organic solvent displace water without collapse and thereby obtain good bond strength with an adhesive made of hydrophobic monomers and organic solvents. Three experimental adhesives were prepared by dissolving two hydrophobic monomers, bisphenol-A-glycidylmethacrylate (Bis-GMA) and triethylenegly-col dimethacrylate (TEGDMA), into acetone, ethanol or methanol. After an etching and rinsing procedure, the adhesives were applied onto either wet dentin surfaces (wet bonding) or dentin surfaces primed with the same solvent (solvent-primed bonding). Microtensile bond strength (MTBS) was measured at 48 hrs, 1 month and after 10,000 times of thermocycles. The bonded interfaces were evaluated using a scanning electron microscope (SEM). Regardless of bonding protocols, well-developed hybrid layers were observed at the bonded interface in most specimens. The highest mean MTBS was observed in the adhesive containing ethanol at 48 hrs. With solvent-primed bonding, increased MTBS tendencies were seen with thermocycling in the adhesives containing ethanol or methanol. However, in the case of wet bonding, no increase in MTBS was observed with aging.

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Comparison of the elastic modulus among three dentin adhesives before and after thermocycling
Juhea Chang, In Bog Lee, Byeong Hoon Cho, Hae-Young Kim, Ho Hyun Son
J Korean Acad Conserv Dent 2008;33(1):45-53.   Published online January 31, 2008
DOI: https://doi.org/10.5395/JKACD.2008.33.1.045
AbstractAbstract PDFPubReaderePub

The purpose of this study was to determine the effects on the elastic moduli of the adhesive and the hybrid layer from thermocycling. Twenty one human molars were used to create flat dentin surfaces. Each specimen was bonded with a light-cured composite using one of three commercial adhesives (OptiBond FL [OP], Clearfil SE Bond [CL], and Xeno III [XE]). These were sectioned into two halves and subsequently cut to yield 2-mm thickness specimens; one specimen for immediate bonding test without thermocycling and the other subjected to 10,000 times of thermocycling. Nanoindentation test was performed to measure the modulus of elasticity of the adhesive and the hybrid layer, respectively, using an atomic force microscope. After thermocycling, XE showed a significant decrease of the modulus in the adhesive layer (p < 0.05). Adhesives containing hydrophilic monomers are prone to hydrolytic degradation. It may result in the reduced modulus of elasticity, which leads to the mechanically weakened bonding interface.

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Surface roughness of experimental composite resins using confocal laser scanning microscope
JH Bae, MA Lee, BH Cho
J Korean Acad Conserv Dent 2008;33(1):1-8.   Published online January 31, 2008
DOI: https://doi.org/10.5395/JKACD.2008.33.1.001
AbstractAbstract PDFPubReaderePub

The purpose of this study was to evaluate the effect of a new resin monomer, filler size and polishing technique on the surface roughness of composite resin restorations using confocal laser scanning microscopy. By adding new methoxylated Bis-GMA (Bis-M-GMA, 2,2-bis[4-(2-methoxy-3-methacryloyloxy propoxy) phenyl] propane) having low viscosity, the content of TEGDMA might be decreased. Three experimental composite resins were made: EX1 (Bis-M-GMA/TEGDMA = 95/5 wt%, 40 mm nanofillers); EX2 (Bis-M-GMA/TEGDMA = 95/5 wt%, 20 mm nanofillers); EX3 (Bis-GMA/TEGDMA = 70/30 wt%, 40 mm nanofillers). Filtek Z250 was used as a reference.

Nine specimens (6 mm in diameter and 2 mm in thickness) for each experimental composite resin and Filtek Z250 were fabricated in a teflon mold and assigned to three groups. In Mylar strip group, specimens were left undisturbed. In Sof-lex group, specimens were ground with #1000 SiC paper and polished with Sof-lex discs. In DiaPolisher group, specimens were ground with #1000 SiC paper and polished with DiaPolisher polishing points. The Ra (Average roughness), Rq (Root mean square roughness), Rv (Valley roughness), Rp (Peak roughness), Rc (2D roughness) and Sc (3D roughness) values were determined using confocal laser scanning microscopy. The data were statistically analyzed by Two-way ANOVA and Tukey multiple comparisons test (p = 0.05).

The type of composite resin and polishing technique significantly affected the surface roughness of the composite resin restorations (p < 0.001). EX3 showed the smoothest surface compared to the other composite resins (p < 0.05). Mylar strip resulted in smoother surface than other polishing techniques (p < 0.05).

Bis-M-GMA, a new resin monomer having low viscosity, might reduce the amount of diluent, but showed adverse effect on the surface roughness of composite resin restorations.

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Effect of a new resin monomer on the microleakage of composite resin restorations
JH Bae, YK Kim, PY Yoon, MA Lee, BH Cho
J Korean Acad Conserv Dent 2007;32(5):469-475.   Published online September 30, 2007
DOI: https://doi.org/10.5395/JKACD.2007.32.5.469
AbstractAbstract PDFPubReaderePub

The purpose of this study was to evaluate the effect of a new resin monomer on the microleakage of composite resin restorations. By adding new methoxylated Bis-GMA (Bis-M-GMA, 2,2-bis[4-(2-methoxy-3-methacryloyloxy propoxy) phenyl] propane) having low viscosity, the content of TEGDMA which has adverse effects on polymerization shrinkage might be decreased. As a result, microleakage might be improved.

2 mm × 2 mm × 2 mm cavities with occlusal margins in enamel and gingival margins in dentin were prepared on buccal and lingual surfaces of 40 extracted human premolars. Prepared teeth were randomly divided into four groups and restored with Clearfil SE bond (Kuraray, Japan) and one of experimental composite resins; EX1, Experimental composite resin1 (Bis-M-GMA/TEGDMA = 95/5 wt%, 40 nm nanofillers); EX2, Experimental composite resin2 (Bis-M-GMA/TEGDMA = 95/5 wt%, 20 nm nanofillers); EX3, Experimental composite resin3 (Bis-GMA/TEGDMA = 70/30 wt%, 40 nm nanofillers); and Filtek Z250 (3M ESPE, USA) was filled as a control group. The restored teeth were thermocycled, and immersed in 2% methylene blue solution for 24 hours. The teeth were sectioned buccolingually with a low speed diamond saw and evaluated for microleakage under stereomicroscope. The data were statistically analyzed by Pearson Chi-Square test and Fisher Exact test (p = 0.05).

The microleakage scores seen at the enamel margin were significantly lower than those of dentin margin (p = 0.007). There were no significant differences among the composite resins in the microleakage scores within each margin (p > 0.05). Bis-M-GMA, a new resin monomer having low viscosity, might in part replace high viscous Bis-GMA and might improve the quality of composite resin.

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Effect of pH and storage time on the elution of residual monomers from polymerized composite resins
Cheol-Min Jeon, Hyun-Mi Yoo, Hyuk-Choon Kwon
J Korean Acad Conserv Dent 2004;29(3):249-266.   Published online May 31, 2004
DOI: https://doi.org/10.5395/JKACD.2004.29.3.249
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to determine whether pH and time has any influence on the degradation behavior of composite restoration by analyzing the leached monomers of dental composites qualitatively and quantitatively after storage in acetate buffer solution as a function of time using high performance liquid chromatography (HPLC) / mass spectrometer.

Materials and Methods

Three commercial composite restorative resin materials (Z-250, Heliomolar and Aeliteflo) with different matrix structure and filler composition were studied. Thirty specimens (7mm diameter×2mm thick) of each material were prepared. The cured materials were stored in acetate buffer solution at different pH (4, 7) for 1, 7 and 45days. As a reference, samples of unpolymerized composite materials of each product were treated with methanol (10 mg/ml). Identification of the various compounds was achieved by comparison of their mass spectra with those of reference compound, with literature data, and by their fragmentation patterns. Data were analysed statistically using ANOVA and Duncan's test.

Results

1. Amounts of leached TEGDMA in Aeliteflo were significantly larger than those of UDMA in Z-250 and Heliomolar at experimental conditions of different storage time and pH variation (p < 0.001).

2. As to comparison of the amounts of leached monomers per sorage time, amounts of leached TEGDMA in Aeliteflo and UDMA in Z-250 and Heliomolar were increased in the pH 4 solution more significantly than in the pH 7 solution after 1day, 7days and 45days, respectively (p < 0.001).

3. In total amounts of all the leached monomers with storage times, the overall amounts of pH 4 extracts were larger than those of pH 7 extracts for all resin groups, but there was no significant difference (p > 0.05).

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Self-adhesion of low-viscosity composites to dentin surface
Tae-Hee Cho, Kyoung-Kyu Choi, Sang-Hyuk Park, Sang-Jin Park
J Korean Acad Conserv Dent 2003;28(3):209-221.   Published online May 31, 2003
DOI: https://doi.org/10.5395/JKACD.2003.28.3.209
AbstractAbstract PDFPubReaderePub

The objectiveness of this study was to evaluate whether low-viscosity composite can bond effectively to dentin surface without bonding resin. The low-viscosity composites being 50wt% filler content were made by the inclusion of bonding resin of two self-etching systems(Clearfil SE Bond, Unifil Bond) varied with contents as 0, 10, 20, 30, 40, 50wt%.

Exposed dentin surfaces of extracted 3rd molars are used. Dentin bond strengths were measured. The tests were carried out with a micro-shear device placed testing machine at a CHS of 1mm/min after a low-viscosity composite was filled into an iris cut from micro tygon tubing with internal diameter approximately 0.8mm and height of 1.0mm.

Flexural strength and modulus was increased with the addition of bonding resin.

Micro-shear bond strength to dentin was improved according to content of bonding resin irrespective of applying or not bonding resin in bonding procedure, and that of Clearfil SE Bond groups was higher than Unifil Bond.

There were no significant difference whether use of each bonding resin in bonding procedure for S-40, S-50, U-50(p>0.05).

In SEM examination, resin was well infiltrated into dentin after primed with self-etching primer only for S-50 and U-50 in spite of the formation of thinner hybrid layer.

Low viscosity composite including some functional monomer may be used as dentin bonding resin without an intermediary bonding agent. It makes a simplified bonding procedure and foresees the possibility of self-adhesive restorative material.

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