Documente Academic
Documente Profesional
Documente Cultură
1995
ABSTRACT
composite inlays ils compared with direct fill restoralion~. It I\
Objectives. Post-cure heat treatments have been shown to Increase the
also believed that these restorations may be more durable
fracture toughness and elastic modulus of composites. The objective of
because of an enhanced cure produced by the application of
this study was to determine if the increase remained after the
heat to initiate curing or to further the reaction ot’ 3 light-cured
composites were aged in water.
restoration. i (2.. post-cure heat treatment. However. 1)11t‘
Methods. The fracture toughness (K,,), flexural modulus and flexural
clinical study reported no difference in the wear rates tor ;t
strength of four experimental and one commercial composite (Z-100,
light-cured inlay and an inlay given an additional heat
3M Dental Products) were tested after 1.7.30,60 and 180 d of aging in
37°C water. The four experimental composites were made with a treatment for IO min at 1?O”C. although marginal integrity
and post-op sensitivity were improved (Wendt and Lxinfelder.
BisGMAiTEGDMA resin and were characterized as follows: Micro =
1990).
38 ~01% silane-treated silica, Fine = 65 ~01% silane-treated quartz of
Numerouh studies have reported on rhe ettcct ot ~W;II
1-2 pm average size, Hybrid = 65 ~01% silane treated quartz of a
treatments on the mechanical properties of dental compoite>
mixture of 1-2 pm average and 8 ym average size, and Large =
which shov.ed increases in diametral tensile strength.
65 ~01% quartz of 8 pm average size (of which only 75% were silane-
hardness. ellthtic modulus. :tbrasion rc\i\liuicc’. flcsurai
treated). All specimens were light-cured (normal-cured:Triad II - 80 s).
strength. and t’rxture toughness (Wendt I YX7:r: lYX7b: I YXY‘
One set of each composite was further heat-cured at 120°C for 10 min
Keinhardt. IYXY: Asmussen and Peutrt‘eldt. IYYO: Cook anti
(heat-cured). A third set of the Hybrid was heat-cured with
Johannson. 19X7: De&e rf cl/ IYYO: FLl,jishlma 0: ~11 IV)!
simultaneous light exposure (Elipar, Espe) for the first 3 min.
McCabe and Kagi. 19YI: Ferracane and (‘ondon. 1992). III
Results. By 30 d, normal-cured and heat-cured specimens showed
contrast, compressive strength and compressive modulus ‘reem
significant (ANOVAiTukey’s test; p s 0.05) reductions in fracture
to be only minimally increased or remain unaffected (Wendt
toughness (avg. 16% and 22%, respectively), flexural modulus (avg. 11%
1987x 1987b) The increase in certain properties has beeli
and 1I%, respectively) and flexural strength (avg. 25% and 29%.
shown to be related to an increase in degree of curt’ hCook mi
respectively). Further aging had little effect. The use of additional light-
Johannson. 19x7. Ferracane and (‘ondon. IQV i
curing during heating did not affect the properties more than heat-curing
Earlier result\ in the present laboratory ~i~(~cv~*cI I~;II
alone.
experimental composite\ made with ;1 BisGM.4/TEGDMA resin
Significance. The tmprovements in some of the properties of
filled with quartc particles experienced a reciuc-tion tn fracturr
composites produced by heat-treating are of only short-term benefit.
toughness during agin, (r in water. even aIter beins g~\en ;i
and are for the most part negated due to an alteration of the resin matrix
post-light-cure heat treatment ikrracane and ~‘ondon. I QYl )
as the composite equilibrates with water.
Therefore. the ob,jectives of’ this study \ttlre IO e\.tluate the
htabilitv ot’ the mechanical propertles f~rr St ,crie\ 01’
INTRODUCTION
composites cured with light energy alone or light tollowed b! .i
Composite inlays have become popular due to the difficulties heat treatment. Fracture toughness. t‘lexurai rnodulu\ .tnci
encountered in placing direct posterior composite restorations. tlexural strength were cvalunted after asing the composite-. in
The major benefit to be derived from the inlay is an improve- water for several time periods LIP lo 6 mon. The hypotheG< to
ment in the fit at the margins due to the minimization 01 hc tested was lhul water sorption ~vould L‘~III~K .I greater
contraction stresses, Hailer et trl. ( 1990) reported improved reduction in the mechanical properties for the Irgh-cured (VII\
Heat-cured 2.05(0.
IO) 2.09(0.12k 1.54(0.1op 1.53(O.OSP" 7 6! @10):'
cured and heat-cured composites behaved identically. The the heat trcattnent. but the diflercnce v+~I\ 011i) \f:_inltlc,a11t IIN
samples subjected to the heat-cure had significantly higher Micro. Large and Z-100 [Fig. 31. There M;I\ <i \ignit‘ican~
fracture toughness than the light-cured samples at the earlier reduction in flexural strength for all cxperimcntal compo\itek
time periods, but this difference was eliminated by 30 d or 60 d as a resull of water storage for 30 d (p I 0.05 I. l’hc nzduclion ii)
for all but Micro. tlexural strength was Gtnilar for the norma-curtxd (;~verage i II
The fracture toughness of the commercial composite, Z-100, 25% ) and heat-cured (average of ZY/c ) samples. ‘T‘~c reduction
was significantly increased by the heat-cure. However, there for Z- 100 w a 74% for the specimen subjected IO the ~totmxtl
was a significant 1.5% reduction in K,‘ for both the norma- cure and 37’1; t’or the heat-cured specimen\
cured and heat-cured Z- 100 specimens after 10 d (Fig. I ). The Fig. 4 demonstrates that approximately 71 ( ~I,~IY ot tll~>
K,‘ was further reduced by a total of 45% for both sets of available carbon-carbon double bonds in the Micrct comp(~Gl~
specimens after 40 d in water. had reacted a\ a result 01’the heat treatment. c,ontrlbuting to ,.I
The Hybrid composite specimens subjected to the post- significant increase in con\ er\ton (17 5 0.05 1. Tlici-v i\ ;I\ II,%
light-cure heat treatment with a simultaneous exposure to light difference in degree of con\,erjion tor the \p~c~mcn~ w
had an initial fracture toughness of 2.17 -f: 0. I I MPa.m”‘. which tneasured after 30 d ot aging in eater
was about 5% higher, but not significantly different from the
heat-cured material. After 30 d of aging in \;ater, these DISCUSSION
specimens had a K,( of 1.56 f 0.04. which was the same as the The result\ ot thih htudy dcmon\trate thal the ~n~ttai IIICIYXW
specimens subjected to the heat treatment without an in mechanical properties of composites \ub,jectetl to ;I po+lighl--
additional simultaneous light curing. curing heat treatment i\ transient. Recauht’ ~Jrni’ of the initial
The flexural moduli of the experimental composites was properties of the composite\ arc‘ Itnprovc’d ;I\ ;I rc,\ult ot‘ 111~’
significantly increased by S- 10% after the heat-treatment heat-curing process. the final properties cjftcn rcsmained hi&cl
(Fig. 2). The modulus of Z- 100 was increased by 20% after the than those of the composites that were light-cut-cd onI>. Tht,
heat-cure. Each experimental composite experienced a slight fact that the composite\ sub,jccted to the Norma-curIIlg
but significant reduction in flexural modulus after aging in experienced 21 reduction in propertie\ which ~~lo~l! paralleled
water for 30 d (p 5 0.05). The average reduction for the four the reduction experienced by the hca-L.urcd \perimcnh
composites exposed to the normal-cure was IO%. and suggests that the reduction ha\ ;t similar ctiologh III both GISC\
essentially the same as for those exposed to the heat-cure (i.c~. The reason for thij reduction in propertic\ i\ predominanti\
I I%,). The flexural modulus of Z- 100 did not change related to the uptake of‘ water hy the polymer-. which likeI>
significantly during aging. causes a swelling of the croa\linked polymer nctworh thaw
The initial flexural strength was increased by approximatel) reduces the frictional forces between the polvmrr chains. ()nc~~
10% for the experimental composites and Z- IO0 as a result of the polymer network \aturate\ \bith Mater. ~hr‘ ~o~nposrtt~
2.50
1 30 1 30 1 30 I 30 1 30
MICRO FINE HYBRID LARGE Z-100
TIME (days)
Fig. 1. Graph of fracture toughness vs. time for 2.100 comparing the normal-cured Fig. 2. Graph comparing the flexural modulus for the normal-cured and heat-cured
and heat-cured specimens. specimens at the two time periods. Bars connect values at 1 d and 30 d that were
not significantly different. Asterisks denote values of normal-cured and heat-cured
specimens that were not significantly different for a given composite.
200 80
--
--
*I *
60 ’
1 30 1 30 1 30 1 30 1 30 1 day 30 days
MICRO FINE HYBRID LARGE Z-100
TIME
Fig. 3. Graph comparing the flexural strength for the normal-cured and heat-cured Fig. 4. Graph of degree of conversion vs. time for Micro comparing the normal-
specimens at the two time periods. Bars connect values at 1 d and 30 d that were cured and heat-cured specimens.
not significantly different. Asterisks denote values of normal-cured and heat-cured
that were not significantly different for a given composite.
structure reaches a stable state. and no further reduction in monomer or oligomers which appears to be completed within
properties occurs. This limited reduction in properties several days (Ferracane and Condon. 1090). Simultaneously,
provides evidence that further degradation, such as filler/ water is absorbed by the composite.. predominantly by
matrix inter-facial hydrolysis or polymer matrix crazing, does diffusion into the polymer matrix. Water swells the polymer
not occur to a significant degree as long as the composite and occupies space between the main chains and crosslinks.
remains moist. Also. results from a previous study in this as well as filling microvoids created during the polymerization
laboratory in which specimens aged dry for 30 d did not process (Soderholm, 1984). The uptake of water is a
experience a reduction in properties (Ferracane and Condon, diffusion-controlled process. requtring weeks to reach
I99 1). emphasizes that a weakening of the polymer due to completion. This slow uptake of water c~orrelates with the fact
water uptake is primarily responsible for the decreases seen in that for the majority of the composites, the properties werp not
the present study. Finally, the fact that no change in degree of reduced until the polymer matrix was essentially saturated
conversion occurred during aging for 30 d shows that an with water. This required about 30 d of soaking.
alteration in cure state did not contribute to a reduction in the The fact that the properties were essentially the same at
properties. 7 d as they were initially is not surprising. As leachable
When a light-cured resin composite is soaked in water, two components are removed from the composite during the first
phenomena occur. There is a rapid elution of uncured few days. water is absorbed to replace them. The net effect is
ACKNOWLEDGMENTS
The authors would like to thank 3M Dental Products. St. P~LII.
MN. USA. for providing the composite materials used in thiz
htudy. This work was supported in part by Research Grant DE
07079 from the National Institute of Dental Research, National
Institutes of Health, Bethesda, MD. LJSA.