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d e n t a l m a t e r i a l s 3 6 ( 2 0 2 0 ) 987–996

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journal homepage: www.intl.elsevierhealth.com/journals/dema

Evaluation of physical properties of fiber-reinforced


composite resin

Naoko Suzaki a , Satoshi Yamaguchi b , Nanako Hirose a , Ryousuke Tanaka a ,


Yusuke Takahashi a , Satoshi Imazato b , Mikako Hayashi a,∗
a Department of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry, 1-8
Yamadaoka, Suita 565-0871, Japan
b Department of Biomaterials Science, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita

565-0871, Japan

a r t i c l e i n f o a b s t r a c t

Article history: Objectives. This study aimed to investigate physical properties of a fiber-reinforced CAD/CAM
Received 24 October 2019 resin disc, which included woven layers of multi-directional glass fibers.
Received in revised form Methods. Fiber orientations of CAD/CAM specimens (TRINIA, SHOFU) were specified as
28 January 2020 longitudinal (L), longitudinal-rotated (LR), and anti-longitudinal (AL). A fiber-reinforced com-
Accepted 28 April 2020 posite (everX posterior, GC (E)) and a conventional composite (Beauti core flow paste, SHOFU
(B)) were also tested.
A three-point bending test and a tensile test with notchless prism-shaped specimens
Keywords: were conducted using a universal testing machine (AUTOGRAPH AG-IS, Shimadzu). A water
Fiber-reinforced absorption test was also carried out after the specimens were stored in water for 24 h or 1
Resin composites week. Flexural strength and fracture toughness were obtained by conducting a three-point
Flexural strength bending test.
Fracture toughness Results. TRINIA L and LR groups showed significantly high flexural strength (254.2 ± 22.3
Water absorption and 248.8 ± 16.7 MPa, respectively). Those were approximately 2.5 times higher than those
in AL, E, and B groups (96.8–98.0 MPa) (p < 0.05, ANOVA and Tukey HSD test). No significant
difference was shown in flexural modulus among the experimental groups. The fracture
toughness in L group (9.1 ± 0.4 MPa/m1/2 ) was found to be significantly higher than those
in other groups (1.9–3.0 MPa/m1/2 ; p < 0.05). TRINIA group demonstrated significantly lower
water absorption (4.7 ± 1.9 ␮g/mm3 ) than did E (16.1 ± 3.1 ␮g/mm3 ) and B (17.3 ± 3.7 ␮g/mm3 )
groups (p < 0.05).
Significance. TRINIA demonstrated distinct anisotropy. TRINIA can be used as a superior
restorative material when specifying directions of its fiber mesh layers.
© 2020 The Academy of Dental Materials. Published by Elsevier Inc. All rights reserved.

1. Introduction

In recent years, restorative treatments for preserving sound


tooth structures with minimal intervention to the dentin
have become important, based on the concept of minimal

Corresponding author. intervention dentistry (MID) [1]. Composite resin have been
E-mail address: mikarin@dent.osaka-u.ac.jp (M. Hayashi).
https://doi.org/10.1016/j.dental.2020.04.012
0109-5641/© 2020 The Academy of Dental Materials. Published by Elsevier Inc. All rights reserved.
988 d e n t a l m a t e r i a l s 3 6 ( 2 0 2 0 ) 987–996

widely used to achieve the MID concept. Hybrid resin devel-


Table 1 – Compositions of the experimental materials in
oped for restoring molars has been clinically successful. These this study.
positive results have expanded the indications of composite
TRINIA (SHOFU, glass fiber: 55 wt%,
resin in a wide range of restorations, such as fixed partial
Kyoto, Japan) epoxy matrix resin:
dentures and full-mouth rehabilitation [2,3]. Subsequently, Lot No. 45 wt%
various attempts have been made to improve the mechanical 037970914
properties of composite resin to meet this clinical demand. everX posterior Bis-GMA, TEGDMA,
In the industry, fibers have been used as reinforcement (GC, Tokyo, PMMA, beamium
of resin, called as the fiber-reinforced plastic (FRP) [4]. FRP Japan) glass fillers:
Lot No. 1808201 67.7 wt%, e-glass
is also used in dentistry. The representative examples of FRP
fiber: 8.6 wt%, Silica
in dentistry are hybrid resin for crown restoration, fiber post,
dioxide: 5 wt%
high strength composite resin bridge, and CAD/CAM glass fiber Beauti core flow Bis-GMA, TEGDMA,
reinforced resin. In all these materials, the fiber contained in paste (SHOFU, barium glass fillers
FRP should be able to bear the tensile and bending stress and Kyoto, Japan)
need to firmly adhere to resin matrix [5]. Lot No. 111611
There are three patterns of fiber forms in FRP; random short Bis-GMA: bisphenol A-glycidyl methacrylate; TEGDMA: triethylene
fiber reinforced type (RSFRT), unidirectional continuous fiber glycol dimethacrylate; PMMA: polymethyl methacrylate.
reinforced type (UCFRT), and textile laminate reinforced type
(TLRT). RSFRT is reinforced by short fibers randomly arranged
in the matrix resin. UCFRT is reinforced by continuous fibers containing barium glass fillers was used as the control mate-
arranged unidirectionally in the matrix resin. TLRT is rein- rial.
forced by tailoring fiber bundles into mesh fabrics. However,
contributions of these fibers in improving the mechanical 2.2. Preparation of CAD/CAM fiber-reinforced resin
properties of FRP have not been clearly demonstrated. In par- specimens
ticular, the effects of forms and directions of the fibers on
reinforcing restoratives need to be comprehensively investi- Beam-, prism-, and disc-shaped specimens were prepared
gated. using a CAD/CAM system of a scanner (S-WAVE scanner
Recent developments in digital technologies have signif- D2000, SHOFU), a software (GO2 dental, SHOFU), and a milling
icantly progressed the production of a restorative crown, machine (DWX-50, Roland, Shizuoka, Japan) for processing the
especially CAD/CAM systems. A CAD/CAM crown can be made resin disc in all the experiments.
now by a simple process of milling a hybrid composite or a Beam-shaped specimens were specified into three groups
ceramic block without using complex technical procedures. (longitudinal, longitudinal-rotated, and anti-longitudinal)
In this study, a glass fiber reinforced resin disc, TRINIA according to the glass fiber orientations (Fig. 1B). In lon-
(SHOFU, Kyoto, Japan), was used, which was composed of gitudinal group, multi-directional glass fibers were layered
55 wt% glass fibers and 45 wt% epoxy resin matrix. A TRINIA longitudinally parallel to the specimen. In longitudinal-
disc, with fibers aligned as meshes and layers in a disc, seems rotated group, the specimen was rotated by 90 degrees to a
to have good potential to produce various kinds of restorations longitudinal one. In anti-longitudinal group, multi-directional
by CAD/CAM system [6]. glass fibers were layered vertical to the long axis of a specimen.
The purpose of this study was to evaluate flexural Prism-shaped specimens were specified into two groups
strength (FS), fracture toughness (FT), and water absorption of (longitudinal and anti-longitudinal) according to the glass
CAD/CAM glass fiber reinforced resin – TRINIA – by regulating fiber orientations similar to the beam-shaped specimens
the directions of fiber layers. (Fig. 1C).
Disc-shaped specimen used was 15 mm in diameter and
1 mm in height. The multi-directional glass fibers were layered
parallel to the upper surface of the specimen.
2. Materials and methods
2.3. Measurement of flexural strength
2.1. Materials
Three-point bending test was conducted according to ISO 4049
Materials used in this study are presented in Table 1. A glass [7]. Five specimens (2 × 2 × 25 mm) were created from each
fiber-reinforced resin disc (TRINIA, SHOFU, Kyoto, Japan) was material. Each specimen was prepared according to ISO 4049
composed of 45 wt% epoxy resin matrix and 55 wt% multi- and the manufacturer’s instructions. Beam-shaped specimens
directionally interlaced glass fibers, which aligned woven of composite resin materials (everX posterior and Beauti core
layers parallel to the top surface of the disc. Exposed fiber flow paste) were created in a half-split stainless-steel mold.
size was not disclosed. By SEM observation, the width and As for Beauti core flow paste, the light was cured with an irra-
thickness of E-glass fibers were 1.2–1.5 mm and 0.1–0.4 mm, diance of 2000 mW/cm2 for 10 s with 4.6 mm distance from
respectively. A fiber-reinforced composite resin (everX Poste- curing tip. As for everX posterior, the light was cured with an
rior, GC, Tokyo, Japan) contained 8.6 wt% short E-glass fibers irradiance of 2000 mW/cm2 for 10 s with 4.0 mm distance from
(approximately 200 ␮m) and 67.7 wt% barium glass fillers. A curing tip. The curing tip was placed at the center of each
conventional composite resin (Beauti core flow paste, SHOFU) specimen and then moved to the section next to the center
d e n t a l m a t e r i a l s 3 6 ( 2 0 2 0 ) 987–996 989

Fig. 1 – Preparation of beam- and prism-shaped specimens. (A) Glass fiber-reinforced resin disc (TRINIA). (B) Beam-shaped
specimens were categorized into three groups (longitudinal, longitudinal-rotated, and anti-longitudinal) depending on the
orientations of glass fibers. In longitudinal group, multi-directional glass fibers were layered longitudinally parallel to the
specimens. In longitudinal-rotated group, a specimen was rotated by 90◦ to a longitudinal one. In anti-longitudinal group,
multi-directional glass fibers were layered anti-longitudinally to a specimen. (C) Prism-shaped specimens were categorized
specified into two groups (longitudinal and anti-longitudinal) depending on the glass fiber orientations similar to the
beam-shaped specimens.

overlapping the previous section by half the diameter of the where P is the applied load (N) at the highest point of
curing tip (total nine times). The other side of the center was load-displacement curve, L is the span length (20 mm), w is
irradiated in the same way. Polymerization of the composites the width of test specimens, and t is the thickness of test
was carried out using an LED light-curing unit (PenCure 2000, specimens. P (N) and S (mm) indicate the difference in
MORITA, Osaka, Japan). The specimens were stored at 37◦ C for fracture load corresponding to bending strain ε1 = 0.0025 and
24 h before testing. ε2 = 0.0005 and the difference in deflection distance at the cen-
The specimen set is presented in Fig. 2A (test span: 20 mm, ter of the beam, respectively.
cross-head speed: 0.75 mm/min, indenter: 2 mm diameter) After measuring FS, the fractured specimens were observed
and was loaded in a universal testing machine (AUTOGRAPH using a stereoscopic microscope (SMZ-U, Nikon, Tokyo, Japan),
AG-IS, Shimadzu, Kyoto, Japan). A load-displacement curve and the fractured patterns were categorized as complete or
was recorded using a software (TRAPEZIUM, Shimadzu). incomplete fractures.
Subsequently, FS () and elastic modulus (E) were calcu-
lated using following formula [7]. 2.4. Measurement of fracture toughness
3PL
= ,
2wt2 Notchless triangular prism (NTP) test specimens
 (6 × 6 × 6 × 12 mm3 ) were created according to Ruse et al.
3PL
 S 2  S  [8]. A prism-shaped specimen of composite materials was
t
= 1+6 −3 ,
2wt2 L L2 made in a half-split stainless-steel mold. Polymerization
of the composites was done using an LED light-curing unit
when displacement is greater than 0.1L.
(PenCure 2000) with 30 s irradiation from both upper and side
L3 P surfaces. The specimen was stored at 37 ◦ C for 24 h before
E= ,
4wt3 S testing.
990 d e n t a l m a t e r i a l s 3 6 ( 2 0 2 0 ) 987–996

Fig. 2 – Three-point bending test and notchless triangular prism (NTP) test. (A) Three-point bending test was conducted
according to ISO 4049 (test span: 20 mm, cross-head speed: 0.75 mm/min, indenter: 2 mm diameter). (B) NTP test was
conducted according to Ruse et al. (cross-head speed: 1.0 mm/min).

NTP test was conducted with a cross-head speed of composite materials in a stainless-steel mold. Polymerization
1.0 mm/min (Fig. 2A). of the composites was carried out using an LED light-curing
Prism-shaped specimens were loaded in a universal testing unit (PenCure 2000) with 30 s irradiation from both upper and
machine (AUTOGRAPH AG-IS) and a load-displacement curve bottom surfaces. The specimens were stored at 37 ◦ C for 24 h
was recorded using a software (TRAPEZIUM). before testing.
FT (KIc , MPa/m1/2 ), was calculated using the following for- Subsequently, the disc specimen was stored at 37 ◦ C for
mula. 22 h and at 23 ◦ C for 2 h in an incubator (LN-122, ESPEC, Osaka,
Pmax Japan), and the weight of the specimen was measured using
KIc = √ × Ymin , an electronic balance (GR202, A&D, Tokyo, Japan). This cycle
DW
was repeated until constant weight was reached. Afterwards,
where Pmax is the maximum fracture load (N), D is the length the specimen was dried and two orthogonal diameters were
of the prism (mm), W is the length of the measuring die (mm), measured with a digital caliper (CD-15C, Mitutoyo, Kanagawa,
and Ymin is the stress intensity factor (mm). Japan) which recorded the average diameter. After measur-
After the fracture testing, surfaces of all the specimens ing the thickness of the specimen at its center and other five
were sputter-coated with platinum-palladium alloy using a peripheral points, it was immersed in water at 37 ◦ C for 7 days.
plasma multi-coater (PMC-5000, Meiwafosis, Tokyo, Japan). Afterwards, weight (m1) of the specimen was measured with
The fracture surfaces were observed using a scanning electron an electronic balance (GR202, A&D), and the specimen was
microscope (SEM, JSM-310, JEOL, Tokyo, Japan) at the magnifi- stored at 37 ◦ C for 22 h followed by 23 ◦ C for 2 h in an incuba-
cation of ×15 and ×1000. tor (LN-122, ESPEC) until it reached a constant weight. Weight
(m2 ) of the specimen was measured afterwards.
2.5. Measurement of water absorption The water absorption (Wsp (␮g/mm3 )) was calculated using
the following formula [7].
Water absorption test was carried out according to ISO 4049
[7]. This experiment is to investigate the long-term durability
of TRINIA. In the water absorption test, a disc specimen with (m1 − m2 )
Wsp = ,
1 mm thickness and 15 mm diameter was created from the V
d e n t a l m a t e r i a l s 3 6 ( 2 0 2 0 ) 987–996 991

Fig. 3 – Mechanical properties of fiber-reinforced resin materials. (A) Flexural strength (MPa). (B) Flexural modulus (GPa).
There were no statistically significant differences between groups indicated by the same letters (ANOVA and Tukey HSD,
p > 0.05).

where m1 is the weight (␮g) of the specimen after being stored groups. TRINIA demonstrated distinct anisotropy in FS. No
in water, m2 is the weight (␮g) of the specimens after drying, significant difference was demonstrated in FM among the
and V (mm3 ) is the volume of the specimen. experimental groups. FM of the tested materials ranged
between 6.8 and 11.6 GPa.
2.6. Measurement of flexural strength after water Fracture patterns and images after the three-point bending
absorption test are presented in Table 2 and Fig. 4, respectively.
In TRINIA longitudinal and TRINIA longitudinal-rotated
Three-point bending test was conducted on the beam-shaped groups, all specimens showed incomplete fracture (IF) (Table 2
specimens after the water absorption test. The test was carried and Fig. 4a–d). In TRINIA anti-longitudinal group, 60% spec-
out as described in section 2.3 and FS (MPa) was subsequently imens (Fig. 4e, f) showed IF and 40% specimens (Fig. 4g, h)
calculated. showed complete fracture (CF). In everX posterior group, 60%
After measuring FS, the fracture patterns of the specimens specimens (Fig. 4i, j) showed CF and 40% specimens (Fig. 4k,
were observed with a stereoscopic microscope (SMZ-U, Nikon). l) showed IF. In Beauti core flow paste group, all specimens
showed CF (Fig. 4m, n).
2.7. Statistical analyses The results of NTP test are presented in Fig. 5A. FT in
TRINIA longitudinal group (9.1 ± 0.4 MPa/m1/2 ) demonstrated
The data of FS, elastic modulus, FT and water absorption were significantly higher than those in other groups, which ranged
statistically analyzed with SPSS version 22 (SPSS, IBM, Illi- between 1.9 and 3.0 MPa/m1/2 . Fracture patterns are presented
nois, USA) using ANOVA at the significance level of p < 0.05, in Fig. 5B. In TRINIA longitudinal group, which had the multi-
followed by Tukey HSD post hoc test to determine the dif- directional glass fibers layered longitudinally parallel to the
ferences between the groups. The data of FS after water specimen, rough fracture surface was observed with bro-
immersion were statistically analyzed using two-way ANOVA ken multi-directional glass fibers. In TRINIA anti-longitudinal
at the significance level of p < 0.05, followed by Student t-test group, which had the multi-directional glass fibers layered
to determine the differences between the groups. vertical to the long axis of a specimen, the flat fracture sur-
face showed clear fiber mesh patterns, since fracture occurred
between the mesh layers. In everX posterior group, fibers
3. Results pulled out were observed on the fractured surface. In Beauti
core flow paste, the flat fractured surface indicated rapid frac-
FS and flexural modulus (FM) of the materials tested are pre- ture.
sented in Fig. 3. TRINIA longitudinal and longitudinal-rotated The results of the water absorption test are pre-
groups, which had the multi-directional glass fibers lay- sented in Fig. 6A. TRINIA demonstrated significantly lower
ered longitudinally parallel to the specimens, demonstrated water absorption (4.7 ± 1.9 ␮g/mm3 ) compared to everX
significantly high FS (254.2 ± 22.3 and 248.8 ± 16.7 MPa, respec- posterior (16.1 ± 3.1 ␮g/mm3 ) and Beauti core flow paste
tively). Those were approximately 2.5 times higher than those (17.3 ± 3.7 ␮g/mm3 ) (p < 0.05). In TRINIA longitudinal group,
of TRINIA anti-longitudinal (96.9 ± 2.9 MPa), everX posterior results of the FS after the water immersion are presented in
(98.0 ± 15.9 MPa), and Beauti core flow paste (96.8 ± 3.3 MPa) Fig. 6B. The results showed that the FS significantly decreased
992 d e n t a l m a t e r i a l s 3 6 ( 2 0 2 0 ) 987–996

Table 2 – Fracture patterns after the three-point bending test.


TRINIA everX posterior Beauticore flow paste

Longitudinal Longitudinal-rotated Anti-longitudinal


Complete fracture 0 0 2 3 5
Incomplete fracture 5 5 3 2 0

Fig. 4 – Images of fractured specimens after the three-point bending test. CF: complete fracture; IF: incomplete fracture.

from 24 h (287.5 ± 29.5 MPa) to 1 week (240.6 ± 9.5 MPa). No sta- short glass fiber (0.2–0.3 mm), have been demonstrated to have
tistically significant difference was observed in the FS in everX higher FS, elastic modulus, and FT compared to conventional
posterior and Beauti core flow paste between the 24 h and 1 composite resin [15–17]. Furthermore, superior mechanical
week immersion groups. properties of the fiber-reinforced composite resin, containing
Representative images of the fractured specimens after the long glass fiber (1–2 mm), have also been reported [18,19].
water absorption are presented in Fig. 7. In TRINIA longitudi- However, such fiber-reinforced composite resins have a
nal and everX posterior groups, all specimens demonstrated limitation as they are unable to include sufficient glass fibers,
IF (Fig. 7a-d, f-i), while in Beauti core flow paste group, all due to their inability to handle composites with high con-
specimens demonstrated CF (Fig. 7e, j). tents of the fibers. This study focused on a fiber-reinforced
Fig. 8 presents the representative stress-stain curves pre- CAD/CAM resin disc containing 55 wt% of glass fibers, and its
pared during the three-point bending test using TRINIA mechanical properties were investigated to establish its use-
longitudinal specimens after water absorption. These graphs fulness as a coronal and a post-core restorative material.
indicate viscosity failure in both specimens, after 24 h and 1 Various testing methods exist for evaluating FT of dental
week. No significant difference was found in the elastic mod- materials. NTP test is an effective method which evaluates FT
ulus between the groups, however, the elastic modulus was using a tensile test with a prism-shaped specimen [8]. Fur-
found to be smaller after 1 week (6.8 ± 3.5 GPa) than after 24 h thermore, NTP test allows to keep the crack propagation in a
(7.2 ± 3.5 GPa). designated direction with a stable condition. Additionally, a
specimen in NTP test does not require a notch which initiates
a crack propagation. This makes the NTP test highly reliable
4. Discussion
with low variation in the outcomes.
Other methods of measuring fracture toughness are
Fiber reinforced materials have become popular in dental
Chevron-notched short rod test (CNSR test) [20], single-edge
restorations, especially in post-core for restoring pulp-
notched beam fracture toughness test (SENB test) [21,22], and
less teeth [9–11] and in constituting the framework for
indentation fracture toughness test (IF test) [23,24]. In the IF
bridge restoration [12–14]. Superior mechanical properties of
test, certain outcomes are often difficult to obtain due to the
fiber-reinforced composite resin have been reported [15]. Fiber-
apparent lack of clarity in crack propagation. In the CNSR and
reinforced composite resin, containing randomly distributed
d e n t a l m a t e r i a l s 3 6 ( 2 0 2 0 ) 987–996 993

Fig. 5 – Mechanical properties of fiber-reinforced resin materials. (A) Fracture toughness. (B) SEM images of fracture surfaces.
(A) There were statistically significant differences among groups indicated by the different letters (ANOVA and Tukey HSD,
p < 0.05). (B) SEM images of fractured surfaces of the NTP specimens (top; ×15; scale bar = 1 mm, bottom; ×100; scale
bar = 100 ␮m).

SENB tests, standardized specimens are difficult to produce dental composite resins for core build-up according to ISO
because a chevron notch or single-edge notch is extremely 4049 (80 MPa). FT of TRINIA longitudinal group was found to be
sensitive to create. 9.1 ± 0.4 MPa/m1/2 , which was significantly higher than other
In this study, NTP test was used to evaluate FT of TRINIA by composite materials tested. These results suggest that TRINIA
specifying the direction of mesh layers. FS and FT of TRINIA can be used as a superior restorative material when specifying
longitudinal specimens were found to be significantly higher the direction of its mesh layers. In the case of a crown, as the
compared to TRINIA anti-longitudinal, Beauti core flow paste, basic concept, the longitudinal direction of TRINIA disc will be
and everX posterior specimens (Figs. 3 and 5). In TRINIA lon- located along to the horizontal direction of an occlusal surface
gitudinal group, mesh layers composed by multi-directional of the crown. In addition, TRINIA is possibly available to fab-
glass fibers effectively resisted the fracture propagation result- ricate post-cores with the longitudinal direction by CAD/CAM
ing in high FT (Fig. 4a). In TRINIA anti-longitudinal group, technique.
mesh layers did not contribute to the fracture resistance Each specimen after the fracture tests was categorized as
resulting in low FS and FT, since the fracture was parallel to an incomplete/complete fracture by fracture pattern. Each
mesh layer of glass fibers (Fig. 4e, g). specimen of the incomplete fracture was categorized when
FS of TRINIA longitudinal group was found to be the specimen was maintained the epoxy resin by E-glass fiber
254.2 ± 22.3 MPa, which was higher than the standard for the while the complete fracture was categorized when the spec-
994 d e n t a l m a t e r i a l s 3 6 ( 2 0 2 0 ) 987–996

Fig. 6 – Water absorption (A) and flexural strength (B) of fiber-reinforced resin materials after water immersion. There were
statistically significant differences among groups indicated by the different letters (ANOVA and Tukey HSD, p < 0.05).

Fig. 7 – Images of three-point bending test specimens after water immersion. CF: complete fracture; IF: incomplete fracture.
d e n t a l m a t e r i a l s 3 6 ( 2 0 2 0 ) 987–996 995

After water absorption, all specimens of TRINIA longitu-


dinal and everX posterior groups demonstrated IF, but all
specimens in the Beauti core flow paste group demonstrated
CF (Fig. 7). In particular, specimens of TRINIA longitudinal
group showed viscous fracture after 24 h and 1 week (Fig. 7a,
b). The elastic modulus after 1 week decreased compared
to that after 24 h, however, there was no significant differ-
ence in the elastic modulus between 24 h and 1 week (Fig. 8).
Moreover, there was no significant difference in FS between
the non-immersed and the 24 h immersed groups. The water
absorption of the matrix of TRINIA caused the decrease in the
elastic modulus, and the fractured specimen demonstrated
viscous failure in which maximum fracture load was difficult
to identify. The fracture energy between the non-immersed
and the immersed groups seemed similar, although low FS
was demonstrated after water absorption. However, long-term
water storage over 7 days possibly shows different flexural
strength values.
From the results of this study, TRINIA could be used as
a superior restorative material by specifying directions of its
fiber mesh layers according to a clinical situation while the
vulnerability was shown if we use anti-longitudinal group.

5. Conclusion

TRINIA demonstrated distinct anisotropy. TRINIA can be used


as a superior restorative material when specifying directions
of its fiber mesh layers.

Funding sources

This study was supported by the Grants-in-Aid for Scientific


Research (17H04382, 17K19907 and 16K20454) from JSPS and
SECOM science Technology Foundation Grant (2019).
Fig. 8 – Load–displacement curves of TRINIA longitudinal
after water immersion: (A) after 24 h and (B) after 1 week.
Conflict of interest

None declared.
imen was completely separated to two or more parts. The
incomplete fracture was exerted by E-glass fiber and may con-
tribute to the great flexural strength of longitudinal group in Acknowledgements
TRINIA.
In an ideal scenario, mechanical properties of restorative The authors are grateful to SHOFU for kindly providing some
materials should be isotropic, although TRINIA demonstrated of the materials used.
strong anisotropy. In some studies, restorative materials con-
taining fibers with various configurations, such as random references
distribution, spiral distribution, diagonal lattices, and mesh
tubular shape have been investigated. However, further stud-
ies are needed to produce a fiber-reinforced isotropic material. [1] FDI, statement; 2016.
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cantly smaller compared to everX posterior and Beauti core composite fixed partial dentures: a clinical study. J Prosthet
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