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Middle-East Journal of Scientific Research 21 (1): 107-112, 2014

ISSN 1990-9233
© IDOSI Publications, 2014
DOI: 10.5829/idosi.mejsr.2014.21.01.82370

Polymerisation Shrinkage in Resin Composites-A Review


1
A.V.K. Narene, 2B. Veniashok, 1A. Subbiya,
1
P. Vivekanandhan and 1V.G. Sukumaran

Department of Conservative and Endodontics,


1

Sree Balaji Dental College and Hospital, Bharath University, Chennai, India
2
Department Of Conservative and Endodontics,
Ragas Dental College and Hospital, Chennai, India

Abstract: Today's composite resins have low polymerization shrinkage and low coefficients of thermal
shrinkage, which allows them to be placed in bulk while maintaining good adaptation to cavity walls. The
placement of composite requires meticulous attention to procedure or it may fail prematurely. Despite, the failure
of resin composite restorations due to polymerization shrinkage of the material has been a marked reason has
been addressed in the recent times. The purpose of this article is to review on the various factors involved in
the process of polymerization shrinkage.

Key words: Polymerization Shrinkage Resin Composites Dental Resin

INTRODUCTION electrons, starting the polymerization process 3.


When this reactive radical reacts with a monomer
Since their development in the late 1950s [1, 2] resin molecule, an active centre is created and propagates
composites represent a class of materials widely used in the polymerization reaction.
restorative dentistry. Besides acceptable aesthetics A second step of the polymerization process is the
properties, resin composites can be directly bonded propagation reaction, which involves the polymer
to tooth structure without removing healthy tissues.. chain growth by rapid sequential addition of
The objectives of this article are to review the origin of monomer to the active centers via covalent bonds
polymerization shrinkage, the clinical factors affecting until the maximum degree of conversion of C=C
polymerization stress, and methods advocated to reduce double-bonds into C–C bonds is achieved (Fig 1).
polymerization shrinkage.
At this moment, the distance among the monomers is
Composite resins have four primary components: approximately 4 A°. During the polymerization process,
these forces are substituted by covalent bonds, with
An organic matrix, distances of approximately 1.5 A°. This volumetric
Inorganic fillers, contraction when small monomer units are converted to a
A coupling agent that binds the filler to the matrix, single long polymer chain is called as polymerization
and shrinkage.
The initiator/accelerator system. Typical resin composites applied in restorative
dentistry exhibit volumetric shrinkage values from less
Polymerisation Shrinkage: It occurs in two stages: than 1% up to 6%, depending on the formulation and
curing conditions [3-5].
Blue light(400–550 nm) activates Camphoroquinone
[CQ] and converts it to an excited triplet state. Polymerisation Shrinkage Stress: The exothermic
The excited CQ then reacts with a coinitiator to form reaction created when the monomer converts to the
free radicals, which are molecules with unpaired polymer produces a volume reduction in the polymer with

Corresponding Author: AVK Narene, Department of Conservative and Endodontics, Sree Balaji Dental College and Hospital,
Bharath University, Pallikaranai, Chennai, India.
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Middle-East J. Sci. Res., 21 (1): 107-112, 2014

Consequences of Polymerization Shrinkage: At the gel


point and the stress generated may exceed the adhesive
bond or the cohesive strength of the tooth or the
composite, producing a marginal defect. When composite
resin is bonded on all surfaces, shrinkage must be
compensated by flow of the composite, tooth, or adhesive
[8]. If this stress is greater than the cohesive strength of
Fig. 1: Mechanism of polymerization shrinkage the composite, fracture occurs within the composite. If the
stress exceeds the tensile strength of enamel, the enamel
fractures. Cracks or fractures are seen in teeth with
bucco-lingually wide restorations because the cavity
walls are primarily enamel, which is brittle and too thin to
withstand the forces generated by polymerization
shrinkage [9].

C Factor (Fig 5): There is a relationship between cavity


configuration and stress development. Flat surfaces and
shallow cavities represent the most favorable conditions
for the formation of a durable composite-dentin bond.
In these cavities polymerization contraction is restricted
Fig. 2: Bulk curing with RMGIC to one direction, thus, allowing the composite to flow
freely [10]. This condition prevents the contraction forces
a resulting decrease in molecular vibration and from producing stress and helps in creating a strong bond
intermolecular distances [6]. As the polymer is formed, the to the cavity walls. When the contraction is hindered in
resin matrix changes from a paste or pregel state to a three dimensions, the stress will be less compensated by
viscous solid and the composite resin contracts by flow.
about 1.5% to 6%. The gel point is the point at which the Feilzer et al. [11] developed the C-factor concept
resin changes from a viscous paste to an elastic solid. which is the relationship between the ratio of the free and
When the gel point is reached, stress is transmitted from bonded composite surface area of a dental restoration
the composite resin to the surrounding tooth structures. (Figure 4). Box-like class I cavities have five bonded walls
As curing begins, the material flows from unbound and only one un-bonded (i.e., surface of composite)
surfaces to accommodate for shrinkage [7]. As the surface. The C-factor is 5/1 = 5 if all of the walls have the
composite resin becomes more rigid because of the same surface area. Class V wedge-shaped lesions have
increasing modulus of the composite, flow stops and the lower C-factors, usually between 1.5 and 3, depending on
bonded composite resin transmits shrinkage stresses the design. Most restorations have C-values of
generated to the surrounding tooth. approximately 1 to 2. Class II and class III restorations
may account for these ratios. Values of C=1 refer to class
Factors Influencing the Amount of Polymerization IV restorations and composite layers applied to flat or
Contraction Stress Include: shallowly curved surfaces [12].

Cavity volume and type of cavity; Strategies to Reduce Polymerisation Shrinkage:


The amount and quality of residual mineralized tooth
tissue; Altering Composite formlations
Location of cavity margins; Incremental layering technique
Bond strength of the adhesive; Light curing procedures
Material composition; (Flowable vs restorative Stress absorbing layers with low elastic modulus
composites) Preheating composites.
Flow of the composite;
Shade and opacity of composite resin. Altering Composite Formulations
Curing mode (light cure or chemical cure) Silorane Molecules: The most recent modification on the
Water sorption of the composite polymer matrix is based on using ring opening

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Middle-East J. Sci. Res., 21 (1): 107-112, 2014

Fig. 3: Layering techniques

Fig. 4: C Factor

polymerization of the silorane molecules, instead of free camphorquinone content, reduced the stress development
radical polymerization of dimethacrylatemonomers [13]. rate without compromising the final degree of conversion
Silorane resin reveals lower polymerization shrinkage and degradation resistance of the composite [16].
compared to the dimethacrylates. These “cyclic”
monomers have provided particularly interesting and Alteration in Filler Content: Addition of nonbonded
commercially viable results. Such monomers “open” their colloidal silica filler particles might act as stress-relieving
molecular structures on polymerisation with local sites through plastic deformation [17]. It was verified that
volumetric expansion and this may partly or totally composites with nanofiller particles treated with a
compensate for volumetric shrinkage from C=C or similar nonfunctional silane developed 50% less stress than
polymerization [14]. composites fully treated with the functional coupling
agent. Inclusion of a component readily allowing plastic
Photoinitiator Systems: Changes in the photoinitiator deformation during stress development, such as ultrahigh
systems and polymerization inhibitors have also been molecular weight polyethylene (UHMWPE) fibres also
reported. It was shown that increased inhibitor reduces polymerization shrinkage [18].
concentrations reduced the rate of polymerization and the
shrinkage stress without significantly compromising the Incremental Layering Technique: It is widely
final degree of conversion [15]. It was found that accepted incremental filling decreases shrinkage stress
phenylpropanedione, substituting for part of the as a result of reduced polymerization material volume.

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Middle-East J. Sci. Res., 21 (1): 107-112, 2014

Each increment is compensated by the next, and the Pulse Delay Polymerization: In this method the clinician
consequence of polymerization shrinkage is less apply the initial exposure with reduced light radiance for
damaging since only the volume reduction of the last a very short period of time (Seconds or minutes) and fully
layer can damage the bond surface. Theoretically, if an radiate later.
infinite number of increments were used, the magnitude
of polymerization shrinkage would be insignificant [19]. Ramped Curing: The intensity is gradually increased or
The following are the best known techniques: ramped up during the exposure. This ramping consists of
stepwise, linear or exponential modes [23].
Facio-lingual Layering (Vertical), (Fig 3)
Gingivo-occlusal Layering (Horizontal), (Fig 3) Delayed Curing: The restoration is initially cured at low
Three-site Technique: [20], - This is a layering technique intensity. Then the restoration is contoured to the correct
associated with the use of a clear matrix and reflective occlusion and later applies the final cure. This delay
wedges. First, the curing light is directed through the allows substantial relaxation to take place. Longer the time
matrix and wedges in the attempt to guide the period available for relaxation, the lower the shrinkage
polymerization vectors toward the gingival margin, thus, stress.
preventing any gap formation. Then wedge-shaped
composite increments are placed to further prevent Sited Light Curing or Transenamel Curing: It has been
distortion of cavity walls and reduce the C-factor. postulated that contraction takes place towards the
This technique is associated with polymerization first light source in light curing composites. To guide the
through the cavity walls and then from the occlusal shrinkage towards the cavity walls, 3 sited light
surface in order to direct the vectors of polymerization curing has been developed. In this technique using
toward the adhesive surface (Indirect polymerization the light transmitting wedges, the composite is curd
technique). from the buccal and lingual walls in addition to occlusal
side. But the efficacy of the technique is yet to be proved
Oblique Layering (Wedge-Shaped): In this technique [22, 24].
wedge-shaped composite increments are placed and
polymerized only from the occlusal surface (Fig 3). Stress Absorbing Layers with Low Elastic
Modulus: According to “elastic bonding concept”
Successive Cusp Build-up Technique: [21]- In this the shrinkage stress generated by a subsequent
technique the first composite increment is applied to the layer of high modulus resin composite can be
dentin surface without contacting the opposing cavity absorbed by an elastic intermediary layer,
walls, and the restoration is built up by placing a series of thereby reducing the stress at the tooth – restoration
wedge-shaped composite increments to minimize the interface manifested clinically as a reduction in cuspal
C-factor in 3 dimensional cavity preparations. Each cusp deflection.
is then built up separately[22] (Fig 3).
Flowable Resin Composite: They have a modulus of
Bulk Technique: The bulk technique reduces stress at elasticity 20-30% lower than conventional hybrid
the cavosurface margins. Here the adhesive, flowable composites [26]. Because of their lower filler content &
composite are placed into the preparation in bulk and the reduced elastic modulus, these materials could act as a
polymerized by curing through the tooth from the buccal stress breaker to absorb the forces of polymerization
and lingual (Fig 2). shrinkage for cyclic loading.

Curing Charecteristics: These techniques of curing Resin Modified Glass Ionomer Cement: As Flowable
provide an initial low rate of polymerization thereby composites, the low modulus of elasticity reduces the
extending the time available for stress relaxation before stiffness and increases the stress absorption capacity of
reaching the gel point. the restoration. The resin modified glass ionomer cements
are preferred over conventional glass ionomer cements
Soft Start Polymerization: This involves 100mW/cm2 for because they can chemically copolymerize with the
10 seconds followed by immediate radiance at an intensity resin composite placed over the intermediate cement layer
of 600mW/cm2 for 30 seconds [22]. (Fig 2).

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Middle-East J. Sci. Res., 21 (1): 107-112, 2014

The use of RMGIC and Flowable composites as base 5. Weinmann, W., C. Thalacker and R. Guggenberger,
materials with the appropriate elastic modulus can reduce 2005. Siloranes in dental composites. Dent Mater ,
the marginal defect in an overlying composite resin 21(1): 68-74.
restoration [26]. 6. Davidson, C.L. and A.J. de Gee, 1984. Relaxation of
polymerization contraction stresses by flow in dental
Preheating: Recently, preheating resin composites have composites. J. Dent Res., 63: 146-148.
been advocated as a method to increase composite flow, 7. Venhoven, B.A.M., A.J. de Gee and C.L. Davidson,
Improve marginal adaptation and monomer conversion 1996. Light initiation of dental resins:
has been proved. The benefits of preheating composites dynamics of the polymerization. Biomaterials,
may have an impact on daily restorative procedures as 17(24): 2313-2318.
well, with the application of shorter light exposure to 8. Gonc¸ Alves, F., C.S. Pfeifer, J.L. Ferracane and
provide conversion values similar to those seen in R.R. Braga, 2008. Contraction stress determinants in
unheated condition. Increased temperature decreases dimethacrylate composites J. Dent Res., 87: 367-371.
system viscosity and enhances radical mobility, resulting 9. Pfeifer, C.S., J.L. Ferracane, R.L. Sakaguchi and
in additional polymerization and higher degree R.R. Braga, 2008. Factors affecting
conversion. The collision frequency of unreacted active photopolymerization stress in dental composites. J.
groups and radicals could increases with elevated curing Dent Res., 87: 1043-1047.
temperature when below the glass transition temperature. 10. Giachetti, L., D. Scaminaci, C. Bambi and R. Grandini,
Therefore, at raised temperatures, in theory, it would be 2006. A review of polymerization shrinkage stress:
possible to obtain higher degree of conversion before the current techniques for posterior direct resin
vitrification point, decreasing the magnitude of stress. restorations. J. Cont Dent Prac., 7(4): 14-20.
11. Feilzer, A.J., A.J. De Gee and C.L. Davidson, 1987.
CONCLUSION Setting stress in composite resin in relation to
configuration of the restoration. J. Dent. Res.,
Currently the resin composites based on 66: 1636-9.
dimethacylates are inevitably linked with shrinkage that 12. Davidson, C.L., 1986. Resisting the curing
can compromise the success and longevity of the contraction with adhesive composites. J. Prosthet
restoration particularly in stress bearing areas. There is no Dent., 55: 446-7.
straight forward way of handling adhesive restorative 13. Guggenberger, R. and W. Weinmann, 2000.
materials that would guarantee the reliability of Exploring beyondmethacrylates. Am J. Dent.,
restorations. This is due to the several aspects involved 13(5): 82D-84D.
in the polymerization process. However judicious case 14. Eick, J.D., S.P. Kotha and C.C. Chappelow, 2007.
selection and effective placement techniques can be used Properties of silorane-based dental resins and
to create more predictable and esthetic direct resin based composites containing a stress-reducing monomer.
composite restorations. Dent Mater, 23(8): 1011-1017.
15. Braga, R.R. and J.L. Ferracane, 2002. Contraction
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