2003 in Vitro Characterization of Two Laborat

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 

Dr. Yousef A. AlJehani


College of
Applied Medical Sciences
Dental Health Department
Dental Technology
Program
 ‫א‬‫א‬
Publications &
Researches
Dental Materials 19 (2003) 393–398
www.elsevier.com/locate/dental

In vitro characterization of two laboratory-processed resin composites


A. Kakabouraa,*, C. Rahiotisa, S. Zinelisb, Y.A. Al-Dhamadic, N. Silikasc, D.C. Wattsc
a
Department of Operative Dentistry, University of Athens, Thivon 2, 115 27, Goudi, Athens, Greece
b
Biomaterials Laboratory, University of Athens, Greece
c
Dental School, University of Manchester, Manchester, UK
Received 15 January 2002; revised 20 May 2002; accepted 11 June 2002

Abstract
Purpose. To compare various characteristics of two new-generation laboratory-processed resin composites (BelleGlass HP/SDS-Kerr and
Sinfony/3M-ESPE). The properties evaluated were degree of CyC conversion, microhardness, roughness, biaxial flexural strength and
polymerization shrinkage-strain.
Materials and methods. All specimens were subjected to a first and a second polymerization cycle according to the manufacturers’
instructions. The degree of CyC conversion (DC) was recorded on rectangular (3 £ 2 £ 0.5 mm3) specimens (n ¼ 3) by FT-IR
micromultiple internal reflectance spectroscopy immediately after each of the two polymerization cycles. Twenty cylindrical specimens
(10 £ 2 mm2) of each material were prepared for surface microhardness (n ¼ 10, VHN, 200 g load, 20 s) and surface roughness (n ¼ 10, Ra)
measurements. The biaxial flexural strength and stiffness were determined on disk-shaped (n ¼ 8, 15 £ 0.7 mm2) specimens loaded to
fracture at 1 mm/min crosshead speed. The polymerization shrinkage-strain was calculated with the bonded-disk method. All values were
statistically analyzed by Student’s unpaired t-test ( p , 0.05).
Results. The second polymerization cycle significantly increased the degree of CyC conversion for both materials ( p , 0.05). BelleGlass
HP exhibited significantly higher degree of CyC conversion, surface microhardness, surface roughness, biaxial flexural strength and stiffness
values compared to Sinfony ( p , 0.05).
Significance. Several differences exist between the materials although both products are recommended for the same clinical applications.
q 2003 Academy of Dental Materials. Published by Elsevier Science Ltd. All rights reserved.
Keywords: Belleglass HP; Sinfony; Degree of cure; Microhardness; Roughness; Biaxial flexural strength; Shrinkage-strain; Load-to-failure rates

1. Introduction overcome some inherent deficiencies of direct composites


restorations, including polymerization shrinkage,
Although porcelain is a well-accepted esthetic material inadequate polymerization in deep interproximal areas and
for prosthodontic applications, the metal – ceramic and all- restoration of proximal contacts and contour [3].
ceramic restorations show some undesirable characteristics. However, these resin composites were microfill materials
The opaque nature of metal substructure does not simulate which demonstrated poor clinical performance due to low
natural translucency; fabrication is time-consuming and flexural strength and wear characteristics attributed to the
technically demanding and the abrasiveness of porcelain is low inorganic filler content [4]. In the early 1990s a second
destructive to the opposing natural tooth structure [1]. generation of laboratory-processed resin composites was
Moreover, in all ceramic restorations, the absence of a metal developed, advocated for a wide range of fixed prosthodon-
framework gives the potential for low fracture resistance, tic applications such as inlays, onlays, veneering, metal-free
limiting the clinical application in high stress areas. single unit crowns and short span anterior bridges [4]. A
In an effort to overcome some of these disadvantages, the variety of materials with remarkable differences in compo-
manufacturers, even in the early 1980s, introduced numer- sition, polymerization modes and curing conditions com-
ous products of laboratory-processed resin composites [2]. prise the second generation of the laboratory-processed
These materials provided alternative ways for clinicians to resin composites. Ultra-small filler particles and polyfunc-
tional methacrylate monomers are used in these composites.
* Corresponding author. Tel.: þ 30-317788575; fax: þ 30-31-8033129. They are processed by different laboratory techniques based
E-mail address: afrodite1@otenet.gr (A. Kakaboura). on combinations of heat, pressure, vacuum and light
0109-5641/03/$ - see front matter q 2003 Academy of Dental Materials. Published by Elsevier Science Ltd. All rights reserved.
doi:10.1016/S0109-5641(02)00082-9
394 A. Kakaboura et al. / Dental Materials 19 (2003) 393–398

polymerization. Although, second generation products

Second cycle: heat 140 8C, pressure 60 psi, N2


became available in 1995, their characteristics and clinical

(Visio Beta) up to 40 8C, vacuum, 15 min


performance have not been adequately investigated [2,
First cycle: photopolymerization (Light

First cycle: photopolymerization (Visio


5 – 10]. Additional products, such as Sinfony (3M-ESPE

(BelleGlass HP curing unit), 20 min

Second cycle: photopolymerization


Dental AG, Germany), were introduced claiming improved
performance and esthetics. The purpose of this study was to
Teklite) 650 mW/cm2, 40 s;

Alpha), 400 mW/cm2, 15 s;


evaluate the in vitro performance of two second-generation
laboratory-processed resin composites. Properties to be
Polymerization mode

examined include: the degree of CyC conversion, surface


microhardness, surface roughness, biaxial flexural strength
and polymerization shrinkage-strain which are acknowl-
edged to be related to the clinical performance of composite
restorations.
The null hypothesis to be tested, was that no significant
differences would be found in the properties examined,
between the two materials.
dimethacrylate oligomers, fillers: 74 wt% barium

2. Materials and methods


silicate glasses and SiO2, mean size: 0.6 mm
Aliphatic urethane dimethacrylate, aliphatic

The resin composites examined were BelleGlass HP


fillers: 50 wt% aluminum glass and SiO2
Aliphatic and cycloaliphatic monomers,

(SDS-Kerr, Orange, CA, USA) and Sinfony (3M-ESPE


Seefeld, Germany). The composition of each material and
their required polymerization mode are shown in Table 1.
The degree of CyC conversion (DC) was evaluated after the
first and second polymerization cycles with a reflectance
FT-IR spectroscopy (Perkin –Elmer, Norwalk, CT, USA).
mean size: 0.6 mm

Three rectangular specimens (3 £ 2 £ 0.5 mm3) were pre-


Composition

pared per material. Spectra of the original pastes and of the


directly irradiated surfaces were acquired after the first and
second polymerization cycle under the following con-
ditions: 4000 –400 cm21 range, 4 cm21 resolution, 458 para
edge KRS-5 minicrystal of seven internal reflections, 40
scans coaddition at 35 ^ 1 8C. The quantitative measure-
ments of DC were performed based on the two-frequency
method [11,12].
For surface microhardness measurements, the resin
Batch number #

composite pastes were packed into disk-shaped Teflon


FW0059863

molds (10 mm diameter, 2 mm height), pressed against


808B93
Composition and polymerization modes of the materials tested

transparent polyester matrix strips and subjected to the two


polymerization cycles. Ten specimens per material were
prepared. After the second polymerization cycle the speci-
mens were stored in water under dark conditions at 37 8C for
24 h, the flat surfaces were ground slightly with 1000 grit
size wet silicon carbide (SiC) papers and the microhardness
values were obtained after application of 200 g load for 20 s
BelleGlass HP shade: enamel natural

using a Microhardness instrument (HMV 2000, Shimadzu


Corp., Tokyo, Japan) equipped with a Vickers diamond
Sinfony shade: enamel natural

indenter.
For surface roughness measurements, 10 disk-shaped
specimens per material were prepared, as described above.
Mean roughness values (Ra) were measured using an
electronic profilometer (Diavite DH-5, Asmeto AG, Rich-
terswill, Germany) operated with a 5 mm diamond stylus,
Materials
Table 1

908 reading angle and 0.80 mm cut-off length. Six


recordings per specimen surface were recorded.
A. Kakaboura et al. / Dental Materials 19 (2003) 393–398 395

Fig. 1. Schematic representation of the biaxial flexural method of fracture.

Eight disk-shaped specimens (15 mm diameter, The load-to-failure rate was determined directly from the
0.7 mm height) per material were prepared for the load versus time graphs plotted as the ratio of the fractured
biaxial flexural strength test, which were subjected to the load to the failure time.
two individual polymerization cycles. The specimens The polymerization shrinkage-strain during the pri-
were ground, as described earlier and were immersed in mary cure cycle was measured with the bonded-disk
water at 37 ^ 1 8C for 24 h. Then, each specimen was method [15,16].
transferred on a biaxial flexure device consisting of three Statistical analysis was performed by unpaired Student’s
stainless steel balls (3.2 mm in diameter) equally spaced t-test to define any significant differences in the properties
along the periphery of 10 mm diameter supporting circle tested between the two resin composites for each testing
(Fig. 1). The specimens of each group were loaded at condition. A 95% confidence level was chosen ( p ¼ 0.05).
the center with a stainless steel ball of 3.2 mm diameter
until fracture, in a universal testing machine (Model
6022, Instron Corp, Canton MA, USA) operating in
3. Results
compression at 1 mm/min crosshead speed. The biaxial
flexural strength was calculated according to the
equation [13] The mean values of all the properties are shown in
Table 2. The second polymerization cycle significantly
BS ¼ AP=h2 and improved the percentage degree of CyC conversion (DC) in
both materials ( p , 0.05). BelleGlass HP showed signifi-
A ¼ ð3=4pÞ½2ð1 þ nÞlnða=r0p Þ þ ð1 þ nÞð2a2 2 r0p2 Þ=2b2 cantly higher final DC values, higher surface microhardness
and higher roughness (Ra) values, compared to Sinfony
þ ð1 þ nÞ
( p , 0.05). BelleGlass HP exhibited lower final shrinkage-
r0p ¼ ð1:6r02 þ h2 Þ1=2 2 0:675h strain values compared to Sinfony during the primary cure
cycle, and also had remarkably lower shrinkage-strain
where BS is the biaxial flexural strength, P the load at values in the early stages of the polymerization, 10– 40 s
failure, n the Poisson’s ratio (0.24) [14], a the radius of (Tables 3 and 4). No statistically significant differences
supporting circle, b the radius of the specimen disk, h were detected between the two materials regarding the
the thickness of the sample and r0 the ball radius. biaxial flexural strength. Nevertheless, BelleGlass HP
396 A. Kakaboura et al. / Dental Materials 19 (2003) 393–398

Table 2
Results (mean ^ SD) of all characteristics evaluated. The properties were measured after the second cure cycle

Material Degree of CyC Degree of CyC Micro-hardness Roughness Biaxial flexural strength Load-to-failure rate
conversion, first cycle conversion, second cycle (VHN) (Ra, mm) (MPa) (MPa/s)

BelleGlass HP 60 (7.2) 80 (10.4) 174 (22.1) 0.31 (0.05) 49.4 (9.4) 5.5 (0.4)
Sinfony 50 (5.1) 66 (6.8) 77.8 (16.5) 0.16 (0.03) 53.4 (8.1) 2.6 (0.3)

exhibited a significantly higher load-to-failure rate com- drawback of the increased CyC conversion may be the
pared to Sinfony ( p , 0.05), an indication of higher reduction of remaining CyC bonds available for copoly-
material stiffness. merization with the resin luting cements. Jordan [24]
reported that the lack of air-inhibited layer and the limited
unsaturation of the laboratory-processed resins negatively
4. Discussion affect the composite-luting cement interfacial strength.
The proportional increase in DC after the second
The null hypothesis was rejected. The two materials polymerization cycle was found to be essentially equivalent
exhibited significant differences in most of the properties for both materials.
studied. The degree of CyC conversion for direct resin The volume fraction and type of inorganic fillers as well as
composites has been reported to vary from 50 to 75% [17, the DC of the organic matrix are important contributory
18]. The results of the present study indicate that after the factors to the microhardness of composite materials [19,25,
second polymerization, Sinfony reached a value within this 26]. The higher inorganic volume fraction of BelleGlass HP,
range, whereas BelleGlass HP demonstrated an even higher the harder type of glasses contained [27] and the higher density
degree of CyC conversion (80%), which is in accordance of the organic matrix, as a result of the enhanced conversion,
with the results reported by Knobloch et al. [2]. Differences can explain the higher microhardness values obtained. Surface
in monomer composition and polymerization conditions microhardness is considered as an indicative factor of the
may explain the higher degree of CyC conversion provided mechanical strength of a resin [28]. A positive correlation
by BelleGlass HP. BelleGlass HP contains aliphatic between the hardness of a resin material and the wear
urethane monomers, which are known to provide an resistance has been reported [7,28,29] although such a
increased degree of CyC conversion [18]. However, the correlation has not been confirmed in other studies [30,31].
main differences are expected to arise from the temperatures Resin composite restorations with smooth outer surfaces
used in the second cure cycle. The polymerization of lead to reduced plaque retention, surface staining and
BelleGlass HP during the second cycle was performed at a secondary caries incidence [32,33]. The higher roughness
higher temperature (140 8C) than for Sinfony (40 8C). value obtained for BelleGlass HP may be partly explained
In general, the additional cure-cycle and photothermal by the higher filler volume loading and the harder type of
annealing enhance the DC of the resin composites. Thus, the fillers incorporated into the material. Moreover, curing of
physicomechanical properties of the materials can be BelleGlass HP under nitrogen pressure may provide
improved [19,20] and an increase in polymerization rate nitrogen entrapment, which may increase the porosity at
can be achieved which yields and promotes an annealing the surface region. On the other hand, polymerization of
effect in the polymer. The high pressure (60 psi) applied Sinfony under vacuum eliminates such surface porosity.
during BelleGlass HP polymerization may also increase the Nevertheless, both materials investigated showed initial
extent of polymerization. roughness lower than the roughness values of
The positive influence of the additional cure on DC found 0.64 ^ 0.25 mm reported for enamel. Enamel roughness
in this study has been noted in previous studies [21 – 23]. of 0.64 mm at enamel-to-enamel occlusal contact areas is
The second polymerization cycle will increase the molecu- considered as a standard for roughness measurements of
lar mobility of the residual monomer and the chain segments resin composites [34]. Plaque accumulation preferentially
after initial photopolymerization. However, an inherent occurs on composite surfaces with a roughness range of
Table 3
Mean shrinkage-strain values for Sinfony, at three different temperatures during the first cure cycle, SD in parentheses (n ¼ 5)

Temperature (8C) Sinfony

10 s 20 s 40 s 30 min 60 min

23 2.60 (0.15) 3.30 (0.04) 3.50 (0.03) 4.30 (0.05) 4.34 (0.06)
37 2.90 (0.10) 3.55 (0.16) 3.80 (0.16) 4.40 (0.19) 4.44 (0.20)
60 3.34 (0.30) 3.94 (0.35) 4.10 (0.39) 4.66 (0.47) 4.73 (0.46)
A. Kakaboura et al. / Dental Materials 19 (2003) 393–398 397

Table 4
Mean shrinkage-strain values for BelleGlass HP, at three different temperatures during the first cure cycle, SD in parentheses (n ¼ 5)

Temperature (8C) BelleGlass HP

10 s 20 s 40 s 30 min 60 min

23 0.28 (0.11) 0.96 (0.10) 1.85 (0.10) 2.67 (0.12) 2.90 (0.10)
37 0.24 (0.03) 1.27 (0.08) 2.30 (0.08) 3.18 (0.10) 3.28 (0.10)
60 0.34 (0.10) 1.96 (0.34) 2.93 (0.32) 3.56 (0.35) 3.70 (0.40)

0.7 –1.4 mm [32]. The lower roughness of Sinfony com- The polymerization shrinkage-strain during the primary
pared to BelleGlass HP may be a contributory factor to the cure cycle showed that Sinfony had consistently higher
higher reported color stability of Sinfony [6]. The roughness shrinkage values compared to Belleglass HP, despite its
of BelleGlass HP recorded by Soeno et al. [35] cannot be lower DC. This could be attributed to the higher filler
compared with the results of the present study since a percentage of Belleglass HP (74%), compared to that of
different polishing procedure of the specimens was used. Sinfony (50%). The slower shrinkage response of Belleglass
Mechanical strength is an important factor in the HP is consistent with a lower concentration of the
clinical success of a restoration. Resin composites are photosensitizer. The rate of propagation Rp is proportional
much weaker in tension than in compression. Therefore, to the photosensitizer concentration Cs [38]. This probably
tensile strength is generally considered as a more accounts for the slower start in the polymerization of
meaningful property for assessment of the clinical failure Belleglass HP.
potential of resin materials [36]. The traditional tensile In conclusion, significant differences were determined
test has rarely been used for resins because of the between the two second-generation laboratory-processed
difficulty associated with gripping and aligning of the resin composites evaluated in terms of DC, surface
specimens. Recently, the biaxial flexural test has been microhardness, surface roughness, biaxial flexural strength
used to determine the tensile strength of composite and stiffness, which may affect the clinical behavior of each
materials [36]. In the present study, although BelleGlass material. Nevertheless, controlled long-term clinical studies
HP exhibited a higher DC and a higher filler volume are needed to confirm the clinical significance of these
than Sinfony, similar biaxial flexural strength values were differences. It is not known whether the greater compliance
recorded from both materials. It is well recognized that of Sinfony may provide a better stress distribution pattern
several structural parameters, such as inclusions of voids, and more efficiently preserve adjacent tissue integrity in
cracks, flaws and stress gradients influence the fracture intracoronal restorations. However, the mechanical proper-
strength of brittle materials [36]. A value of n ¼ 0.24 ties of these materials may be modified when veneering
was taken as a selected value of Poisson’s ratio which is metal frameworks, as the bonding capacity of the compo-
consistent with previous measurements [14]. Other site-metal interface may strongly influence the mechanical
restorative materials, such as glass-ionomer cements, performance of the complex. Consequently, although the in
exhibited higher values of 0.30 [37]. If such a larger vitro characterization of material properties cannot yet
value had been selected it would have enhanced the establish sound criteria for the prediction of their clinical
values by 4.7%. Hence, even if the values for the efficacy, it provides a basis for understanding the laboratory
materials varied widely 0.24 – 0.30, this would not have and clinical performance of these materials and for the
produced a very significant effect on the resultant development of new materials.
strength values. It is not known whether nitrogen
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