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A Classification of Dental Composites According To Their
A Classification of Dental Composites According To Their
A Classification of Dental Composites According To Their
1Department of Operative Dentistry and Dental Materials, Katholieke Unwers~teitte Leuven, Leuven, Belgium
2Dental Propedeut~cs, Universitair Centrum Antwerpen (RUCA), Antwerp, Belgium
3Department of Metallurgy and Materials Engineering (MTM), Katholieke Universite~tte Leuven, Leuven, Belgium
MATERIALSAND METHODS
Table I lists the 89 commercially available composites investigated in this study. Approximately 3 g of each composite was
dissolved in acetone pro analysi (ACS, ISO, 14.100; Merck,
Darmstadt, Germany), mixed and centrifuged for 30 rain at
3000 rpm. The remaining solution of acetone and dissolved
resin was carefully removed by pipette aspiration without
agitating the centrifuged filler particles. This procedure was
then repeated a second time to completely remove remnants
of resin matrix. The supernatant was again removed and the
remaining filler particles dried at 37C for 12 h. Finally, the
powder was ultrasonically agitated to reduce agglomeration of
filler particles. All powders were screened under SEM (PSEM
500, Phillips, Eindhoven, The Netherlands) to confirm complete filler isolation and to investigate filler morphology.
A computer-controlled apparatus (Coulter LS Series 100,
Coulter Electronics Inc., Hialeah, FL, USA), using laserdiffraction technology (laser light of 750 nm), was used to
determine particle size distribution. This equipment can
analyze a sample with a particle range of 0.4 to 800 ~m. Light
is diffracted around a particle at angles inversely proportional
to the size of the particle. The smaller the particle, the greater
will be the angle of diffraction (Fig. 1A). Most laser-diffraction
particle-size analyzers have only a single optical system (Fig.
1B ) for collecting and sensing diffracted light. Since one optical
system is not capable of capturing the full range of diffracted
light (from very large to very small particles), the collecting
lens must be changed or adjusted when diffraction angles
exceed the lens capabilities. Multiple optical detection systems (Fig. 1C) allow the particle-size analyzer to simultaneously capture the diffracted light of a wide range of particles
varying in size from 0.4 to 800 pro. The diffracted light is
collected by a Fourier lens, which focuses the light up to about
15 on two sets of detectors, one for low-angle scattering and
the other for mid-angle scattering. Another Fourier lens
system (multiple optical detection systems) collects the diffracted light from about 10 to 35 and focuses it onto a third
set of high-angle detectors (Fig. 1C).
A high-volume pump pushes the particles through the
MANUFACTURER
CITY,STATE/COUNTRY
3M
St Paul, MN, USA
Bayer
Dormagen, Germany
B~sco
Brand Name
BatchNo
Concise,
P-10, P-30,
P-30 APC, P-50 APC,
Silar,
Silux,
Silux Plus, Valux,Z-100
A1994/81994,112983, EXP LOT 5, 5E35P/5G81P, E8JD03/1DX2, A8601/B8601,0411835502U4Y30AM2*/9BR2D, 6G1, 5904A2
Lumlfor,
Pekafill,
Pekalux
5508E,
O165F,
2038D/2045D/4090S
Bis-Frl I,
BIs-FII M,
BIs-FIIP
068307,
108259,
078219/039111
B~ogloss, FuI-F~I, FuI-FdComp, Pnsma APH, Prisma-Fd, Pnsma-F~lComp, Pnsma-MJcrofine, Pnsma-M~crofineComp,
1113862,
880418
840522, 1007873, 880919,
101588/021489,0903875, 880614,
Bnlhant Lux
Bnlhant,
Brilliant Dentin,
BnlhantD~rectInlay,
030489-08
150584-36,
010988-0203-90, 120489-18,
Marathon,
Perfection
249010/247019, 285017
Gem-CCI,
Gem-Dte I
B0989450/C0589421, 0989451
Superlux Molar, Superlux Solar
00938.
01O84
N;met~c,
N~met~cDJspers,
Pertac Hybrid, VlsJoDispers, Vlslo FII,
V~slo Molar Radfopaque
0014 L157,
L139 009 + 012,
0008,
0105,
0204,
0004
Epohte 100,
Graft LC,
MIcrorest AP, Occlusm,
Opalux
B221181 C251081, 221281/211281/050192, 230241,
413624#5/1/SM40, EA140/UM120
Conquest DFC, PostComp II
180931.
860832
AdaptJc,
Adaptic II,
Adaptlc LCM,
Adaptlc RadJopaque, Answer,
Aurafill, Certarn,
Mlradapt
053183 3A001, 8E5103/8J5107,8G1403/112988B, 840514 CH-B4135. 201804/21300, L604170,0217849/3L1604,2D951/1E951
Bell FJrm
1ND3N
Command Ultrafine,
Hercuhte Condensable, HercuhteXR
1 841286 BS U 30344, 041385 0779 5 0787, EXP 1092/O 1275
Chansma,
Durafrll,
Durafill VS,
Estlc Microfill,
Estrlux Hybrid VS, Estdux Postenor,
931231 021/94063022, 300692 161,311291 030,
0684 045P + 131 C, 300692 33,
83 I61,
Estrlux Posterior CVS,
Estdux Posterior XR1,
Estllux Posterior XR2, Multff~llVS
300692 33/300691 2021/311291 22, 061984034,
83 027,
311291 025/300691
Kuraray
Clearfil,
Clearfil Lustre, ClearfilPhoto Postenor, Clearfil Ray, Clearfil Ray Posterior, Photo Clearfil A
Osaka, Japan
43005 BFXC-0204 + CFXC-0104,17-17106/17107A, HPS 1001,
1100B,
1018,
HAS 1004
Lee Pharmaceuticals
Restolux SP-4
South El Monte, CA, USA 9310RP1D0
Pierre Roland
Amalux, Amalux2,
AmaluxSintergel NC, Smterlux2
Amiens, France
40536,
61039,
40536,
70293
Tokuyama Soda Co LTD Palfique Estelite, Palfique Lrte, PalfiqueLJte Posterior
Tokyo, Japan
EU 206,
LU 205,
PU 601
Vwadent
Hehomolar, Hehomolar Radlopaque, HehoProgress, HehosJt,
Isomolar,
Isopast
Schaan, liechtenstein
050384,
470201/452801,
452901,
22 1C-1D-2B 020584, B 551183 + C701183, 22 B430484 + C370484
Zirconrum Glass
Ytterbium trffluonde
Quartz
1 520
1 530
1 540
Banum
Strontium Glass
1 550
1 550
Barrumborosdicate
Polystyrene Latex
1 554
1 650
TABLE 3: DENSIFIEDCOMPOSITES:MIDWAY-FILLED
PRODUCTS
MPS
Mo
Ra
Y-Mod
Vol%A
Vol%B
CS
HV
0.9
08
08
0 21
0.12
0.12
3.9
3.1
2.0
1.8
10.0
18
1.2
28
35
0 34
14,803
14,871
16,042
14,060
17,511
15,190
16,586
17,176
14,451
15,821
13,208
15,514
16,079
13,644
52.5
52.6
55 2
50 7
58 1
53.3
56.3
57 5
51 7
54 7
48.6
54 0
55 3
49.7
49.9
58.0
57 0
59.4
68 5
51.9
53.9
56 5
49.8
55 2
54.8
55 2
70.0
344
414
397
417
483
350
328
342
330
377
87
65
74
81
95
73
Command Ultrafine*
Herculite condensable
HercuhteXR
Charisma
Conquest DFC
Biogloss*
Bnlliant*
Brilliant Direct Inlay
Brilhant Lux*
Bnlliant Dentin
Lumlfor*
Pekafill
Post Comp II LC
PnsmaAPH
1.1
09
10
07
0.8
3.4
2.8
2.2
21
3.6
20
1.7
2.7
3.1
0.20
0.19
0.11
0 21
0.29
345
383
85
70
84
84
84
97
77
52.3
372
87
FuI-Fil compules
60
81
0 39
13,842
50 2
FuI-Fil*
60
8.1
0.50
14,465
51 7
52.8
97
Pertac Hybnd
4.2
81
15,062
53 1
61.0
450
126
61.8
117
Gem-CCI
76
11.2
0.94
18,487
59 9
Gem-bte I
93
12.4
0.46
64 4
144
Pnsma-Fil Compules
84
12.4
0 68
13,362
49.0
51 0
353
79
52.0
83
Prisma-Rl*
7.3
10 0
0 60
14,251
51.2
Superlux Molar
5.5
43
13,984
50 6
60.0
343
90
MPS. meanparticlesize(~tm);Mo: modeof the particlesizedistribution (~tm),Ra intrinsicsurfaceroughness(~tm),Y-Mod.Young'sModulusof elasticity(MPa),VoI% A
inorganic filler volume percentage as calculated according to Braem (1985), VoI%B: inorganicfiller volume percentage as obtained from the manufacturers; CS:
compressivestrength (MPa);HV: Vlckers Hardness(kg/mm2),*Young's modulusdata taken from Braem (1985)
A
S
E
R
HdoulrLsztm
oneatlnt~ ~
A
0
E
H~oulTsm
~lzoennatll
A
~~~ETECTOa~.~
C
Fig. 1. LLghtISdiffracted around a particle at angles inversely proportional to the size
of the particle. The smaller the particle, the greater will be the angle of diffraction (A).
Most laser diffraction particle mzers have only a single optical system (B) for
collecting and sensing diffracted light. Therefore, the collecting lens must be
changed or adjusted when diffraction angles exceed lens capabilities. Multiple
optical detection systems (C) allow the Coulter LS Series particle slzer to capture
simultaneously the diffracted light of a wide range of particles varying in size from
0.4 to 800 ilm.
312 Wtflems et al./Classlhcatton of dental composites
~~pact-Filled
Adapt~c II
P-30*
P-30 APC
P-50 APC
Palfique L~tePosterior
Valux
Z-100
MPS
Mo
Ra
Y-Mod
Vol%A
Vol%B
CS
HV
3.9
73
25
12
59
23
08
0.48
0 67
0 71
0 48
21,876
23,385
23,155
25,007
26,293
19,728
21,030
65 6
67 8
67 5
70 1
71.8
62 1
64 3
66 5
69 9
69 0
77 0
73 0
380
340
394
395
421
430
448
106
107
157
159
143
107
120
Composites
32
28
30
21
36
24
10
0 27
0 27
71 0
FineCompact-FilledComposites
345
102
BIs-RI I
8.2
10 0
0 80
19,991
62 6
74 0
339
114
Bis-RI P
20,219
63 0
74 0
408
159
Clearfil Photo Posterior
7.5
10 0
0 53
25,343
70 5
71 0
350
ClearfilRay
80
10 0
1 18
27,384
73 1
69 0
408
174
Clearfil Ray Posterior
82
12 4
0 65
26,435
72 0
71 0
345
130
EstlluxHybndVS
88
12 4
0 90
22,594
66 7
68 4
345
133
Esttlux PosteriorCVS
96
12 4
1 48
24,508
69 4
68 4
332
128
Graft LC
67
81
1 26
21,719
65 4
299
100
Marathon
79
10 0
1 07
20,343
63 2
68 0
348
125
Occlusm*
86
12 4
0 99
23,774
68 4
69 0
277
111
Opalux
89
12 4
0 79
22,336
66 3
390
174
P-10 (PasteA-B)*
51-36
100-39
1 02
25,117
702
691
350
166
Photo ClearfilA
79
10 0
1 17
25,225
70 4
69 0
400
186
Ws~oMolarRadlopaque
75
10 0
1 08
26,754
72 4
68 4
MPS meanparttclesize(pm);Momodeoftheparttcleslzedrstribution(pm);Raintnnstcsurfaceroughness(pm);Y-Mod'Young'sModulusofelastlcity(MPa),Vol%
A
~norgan~cfiller volumepercentageas calculatedaccordingto Braem (1985), Vol%B' =norgan~cfiller volumepercentage as obtainedfrom the manufacturers,CS
compressivestrength (MPa),I-IV VickersHardness(kg/mm2),*Young's modulusdatataken from Braem(1985)
RESULTS
The results of the different investigated properties are listed
m Tables 3 to 8. Since the amount of generated data was quite
extensive, the 89 composites are already divided into five
categories: Densified Composites, Microfine Composites, Miscellaneous Composites, Traditional Composites and FiberReinforced Composites. This ranking is based on transition
areas in criteria such as Young's Modulus, inorganic filler
volume percent, mean particle size, intrinsic surface roughness, surface hardness, and compressive strength. Additional
SEM investigations were performed to confirm filler morphology (Figs. 2-8).
This new classification is presented visually in Figs. 9 and
10 and will be further reviewed in the discussion section.
Table 9 lists the average Vickers hardness and standard
deviation of human enamel and dentin. These values can
TABLE 5: MICROFINECOMPOSITES
I PRODUCTS
MPS
PPF
HOMOGENEOUSMICROFINECOMPOSITES
HETEROGENEOUSMICROFINECOMPOSITES
Mo
Ra
Y-Mod
Vol%A
Vol%B
CS
HV
31 4
37 5
37 5
36 1
43.0
24 3
45 3
23 2
17 1
365
463
474
415
330
400
390
359
304
43
48
45
0 04
0 04
0.04
0 04
0 04
0 04
0.04
0 04
0 04
0 04
0 04
0.04
0 04
0 04
0.04
0.04
0.04
14 2
17 0
15.5
11 7
17 9
13 6
16.5
20 8-12.8
17 0
16.6
15 3
18 9
25 9
15.3
18 9
15.3
25 9
39 5-15 3
32 0
39.5
0 08
0 11
0.16
8,770
6,085
6,154
6,473
9,098
6,401
9,619
5,436
8,679
7,833
5,620
6,612
5,700
9,075
9,372
9,466
7,905
34.9
22.6
23.0
24 7
36 1
24 3
38 0
18 8
34 5
31 1
20 0
25.4
20 4
36 0
37.1
37 5
31 4
25.5
29.8
20.8-21 3
20.0
22.0
16.0
48 8
54.2
18 9-48.8
39 5
39.5
31 9
0 22
0.19
0 13
0 10
0.13
0.04
0 04
0 04
0 04
13 0
13 3-20 7
12.4
13.8
18 9
12 4-32 0
18 9
13 9
0.21
0 16
0.09
9,692
9,932
10,612
10,147
38 3
39 1
41 3
39 8
0 04
0 04
0 04
12 4
52
8.0
32 0
53
59
0 22
0 25
0.33
13,372
11,918
9,384
49 0
45.2
37.2
0 12
0 07
0 13
50
36
55
25
42
39
35 4
36.3
262
283
344
41 0
324
39 7
49 1
40 5
498
303
325
455
55
63
61
304
47
70
55
46
59
55
39 0
39.0
TABLE 6: MISCELLANEOUSCOMPOSITES
PRODUCTS
MPS
Mo
Ra
0.8-100
12 3
12 4
15 3
15 3
0 96
0 58
0.74
15 0
13 1
15 3
15 3
64
47
16 1
15 3
Adapt~c(80's)*
15 4
Adaptic Radiopaque(UnJ-Cat)* 13 5-8 1
Aurafill*
86
Clearhll*
97
Concise*
Epolite 100'
10 1
EstlluxPostenor*
95
Estilux PostenorXRI*
51
Est~luxPostenorXR2
88
Mlradapt*
78
Nlmetic(Unl-Cat)*
14 4-12 4
Vlslo FII*
75
18 8
18 8-12 4
12 4
12 4
10 4
12.9
13 4
15 1
Y-Mod
Vol%A
Vol%B
CS
HV
12,882
11,511
12,132
12,118
47 8
44 0
45 8
45 8
59.0
56 0
56 0
324
301
387
373
373
63
100
63
70
0 26
0 13
10,786
9,755
41 8
38 5
47 6
48 0
455
340
63
56
0 44
14,166
51 0
343
89
27
RestoluxSP-4
MPS
11 2
0 18
5,973
TABLE 7: TRADITIONALCOMPOSITES
1 26
21,412
1 08
19,616
0 85
17,935
0 83
20,373
1 44
22,531
1 46
18,206
0 88
17,408
21,805
22 0
54 7
275
64 9
61 9
58 9
63 2
66 6
59 4
57 9
65 5
56 3
55 0
62 0
58 1
56 8
53 0
58 1
66 2
234
240
345
252
241
253
294
12 4
12.4
11 1
12 4
10 0
1 01
20,320
63 1
32 0-25.9
0 91
20,908
64 1
81
1 23
21,723
65 4
TABLE 8: FIBER-REINFORCEDCOMPOSITES
15 3
1 19
23,839
60 1
58 9
64 4
346
310
330
350
68 5
121
105
93
107
96
112
149
160
125
meanpartlclesize(pm),Mo.modeofthepartlclesJzedrstnbut~on(pm),Ra
intransicsurfaceroughness(pm),Y-ModYoung'sModulusofelastlcity(MPa),Vol%A
inorganic filler volumepercentageas calculatedaccording to Braem(1985), Vol%B inorganicfiller volumepercentageas obtainedfrom the manufacturers,CS
AV
408
60
SD
33
4
n
22
22
Fig. 2. Both UItraflne Compact-Filled Composites Adaptic II (A) and P-50 APC (B) are heavily filled with rather small
inorganic particles. At present, they are the materials of choice for restoring posterior cavities (bar = 10 ~m).
Fig. 3. Command Ultrafine, an Ultrafine MidwayFilled Composite, is composed of very fine bariumglass particles with an average particle size of
1,1 p.m.This type of compos,te yields good esthetics
and is strong enough to withstand mastlcatory
stresses in anterior restorations (bar = 10 ~m).
DENSIFIEDCOMPOSITES
MICROFINECOMPOSITES
TRADITIONALCOMPOSITES
FIBER-REINFORCED
COMPOSITES
Fig. 8. The Ftber-Remforced Composite, RestoluxSP4 contains glass ceramtc fibers with a maxtmum
length of 300 pro, which are embedded in resin matrix
(bar = 20 #m).
tend to increase the wear rate of the materials. These composites are, therefore, less suitable for anterior or posterior use,
respectively.
Miscellaneous Composites (Table 6) are materials that
contain a blend of prepolymerized and inorganic fillers. The
latter are sometimes intentionally added to increase the
radiopacity of these composites. Trying to rank these materials is very difficult because of their heterogeneous composition. Fig. 6 shows Pekalux, a Miscellaneous Composite with
spherical prepolymerized fillers.
The Traditional Composites (Table 7 and Fig. 7) are older
materials and are no longer promoted. Traditional Composites very often contain large quartz particles that are very
hard. Exposure ofthese filler particles because of resin matrix
wear results in a higher surface roughness and clinically a dull
appearance. In addition, quartz lacks the radiopacity required
for posterior restorations (Willems et al., 199 lb). Most of these
composites have therefore been replaced by products with an
improved filler concept.
Finally, the last subdivision contains the Fiber-Reinforced
Composites (Table 8 and Fig. 8). Restolux SP-4 was the only
investigated product in this group. This composite is composed of glass-ceramic fibers of a maximum length ofapprox]mately 300 pro. Restolux SP-4 has a very satisfactory Young's
modulus and could perform well in posterior cavities. However, its rather high intrinsic roughness and relatively hard
glass ceramic fillers (Willems et al., In press) probably would
generate significantly higher wear values compared with the
enamel standard (Lambrechts et al.. 1987; 1989). This makes
the material less suitable as an amalgam substitute.
Data on Young's modulus, Vlckers hardness and surface
roughness were assembled in Fig. 10 for 62 composites. These
62 materials, of which data for all three properties was
available, represent all subdivisions of the classification introduced in this article. Three main groups can clearly be
differentiated. These are the Microfine Composites, the
Midway-Filled Composites and the Compact-Filled Composites. There is also a trend for a further subd]vimon (Ultrafine
versus Fine) of the last two groups mentioned, based on their
surface roughness which reflects their mean particle size. The
Traditional Composites are situated next to the CompactFilled Composites. They exhibit a rather high surface roughness. These materials are now abandonned and replaced by
technologically improved products. Chemical-cured composites such as the Traditional Composite Epolite 100 (circle
: MIC
: UMF
FMF
UCF
12o
<> : FCF
,~' MIS
o : TRA
: FRC
"/r
0.90
use.
Received February 25, 1992/
Accepted July 31, 1992
,,.,,.
r,,,"
0.301
0.00
2675o
Ill[
,-19733
107
12717
186
5700
Young'sModulus(MPa)
Fig. 10. Three-dimensional graph representing the obtained data on Young's modulus, surface roughness and Vckers
hardness. Complete data sets were available for 61 composites. (MIC: Microfine Composites; UMF: Ultrafine (Free)
Midway-Filled Composites; FMF: Fine Midway-Fdled Composites; UCF: Ultrafine (Fine) Compact-Filled Composites;
FCF: Fine Compact-Filled Composites; MIS: Miscellaneous Composites; TRA: Traditional Composites; FRC: FiberReinforced Composite).
Addresscorrespondenceandrepnntrequests
to
G Wfllems
Department of Operatwe Dentistry and
Dental Materials
Kathoheke Umversltelt te Leuven
U Z St Raphael
Kapucljnenvoer7
3000 Leuven,Belgmm
REFERENCES
29:359-371.
Li Y, Swartz ML, Phillips RW, Moore BK, Roberts TA (1985).
Effect of filler content and size on properties of composites.
J Dent Res 64:1396-1401.
Lutz F, Phillips RW (1983). A classification and evaluation of
composite resin systems. J Prosthet Dent 50:480-488.
Nakayama WT, Hall DR, Grenoble DE, Katz, JL (1974).
Elastic properties of dental resin restorative materials. J
Dent Res 53:1121-1126.
O'Brien WJ, Ryge GR (1978). Tabulated values ofphysical and
mechanical properties. In: An Outline of Dental Materials
and their Selection. 1st edition. Philadelphia: W.B. Saunders
Company, 385-408.
O'Neill H (1967). Hardness relations with other physical
properties. In: Hardness measurement of metals and alloys. 2nd edition. London: Chapman and Hall Ltd, 191-207.
Roulet JF (1987). Polymer constructions used in restorative
dentistry. In: Degradation of Dental Polymers. Basel:
Karger, 3-59.
Ryge G, Foley DE, Fairhurst CW (1961). Micro-indentation
hardness. J Dent Res 40:1116-1126.
Van Meerbeek B, Braem M, Lambrechts P, Vanherle G (In
press). Evaluation of two dentin adhesives in cervical
lesions. J Prosthet Dent: Accepted, 1990.
Wfllems G, Cells JP. Lambrechts P, Braem M, Vanherle G (In
press). Hardness and Young's modulus determined by
nano-indentation technique of filler particles of dental
restorative materials compared with human enamel. J
Biomed Mater Res : Accepted, 1992.
Wfllems G, Lambrechts P, Braem M, Vuylsteke-Wauters M,
Vanherle G (1991a). The surface roughness of enamel-toenamel contact areas compared with the intrinsic roughness of dental resin composites. J Dent Res 70:1299-1305.
Willems G, Noack MJ, Inokoshi S, Lambrechts P. Van Meerbeek
B, Braem M, Roulet JF, Vanherle G (1991b). Radiopacity
of composites compared with human enamel and dentine.
J Dent 19:362-365