Title: Comparative evaluation of compressive strength of different packable composites with different cavity configurations – An in Vitro Study

Authors: Humanaz Shaikh, Sameer Jadhav, Vivek Hegde, Mohammad Naved

 DOI: https://dx.doi.org/10.18535/jmscr/v8i12.03

Abstract

Background: The application of excessive force on a material results in fracture of material which may be complete or incomplete. Resistance to fracture is an important property of a material. It would depend on its composition and also on the cavity configuration in which it is being placed. The cavity configuration plays an important role in the durability of the restored material. The preparation also maximizes or minimizes the bondable enamel surface area. Restoring the tooth with appropriate material is also an important aspect as its long-term performance depends on the physical and mechanical properties. It is determined by its compressive properties and the composition.

Short running title: Effect of cavity preparations on the strength of different composites

Aim: To evaluate the effect of the different cavity preparations on the strength of different composites as a restorative material.

Methodology: Clark’s Class II and Class II box only cavities were prepared on the distal surface of all mandibular molars of permanent dentition and were restored with two different packable composite, Filtek Z350 (3M/ESPE, Maplewood, USA), a nanofilled type of composite & Tetric N-Ceram (Ivoclar Vivadent, Schaan, Liechtenstein), a nanohybrid type. Compressive strengths of both cavities and materials were measured using the computer control universal testing machine. The data was statistically analysed using one way anova.

Results: Results were subjected to statistical analysis one-way analysis of variance test and Student’s Unpaired t-test. The compressive strength was highest for Clarks Class II cavity preparation as compared to the conventional class II box only cavity preparation. The Tetric N-Ceram (Ivoclar Vivadent) showed the highest compressive strength than FiltekZ350 (3M/ESPE)

Conclusion: Within the limitations of the study, it can be concluded Clarks Class II cavity preparation and Tetric N-Ceram (Ivoclar Vivadent) has highest compressive strength.

Clinical Significance:  Cavity preparation in which the margins of the proximal preparations extend into enamel and make the tooth more resistant to fracture and also increasing durability of restoration. Dental composites cause Polymerization shrinkage leads to micro leakage and thus creating gaps at the dentin or restoration interface and increase chances of fracture.

Keywords: Clark’s class II cavity, Class II box only, composites, compressive strength, fracture resistance, nanofilled composite.

References

  1. Kumar T, Sanap A, Bhargava K, Aggarwal S, Kaur G, Kunjir K. Comparative evaluation of the bond strength of posterior composite with different cavity configurations and different liners using a two-step etch and rinse adhesive system: In vitro study. J Conserv Dent 2017;20:166-9
  2. Hamoudaa IM, Shehatab SH. Fracture resistance of posterior teeth restored with modern restorative materials. J Biomed Research 2011,25(6):418-424
  3. Leinfelder KF. A conservative approach to placing posterior composite resin restorations. J Am Dent Assoc 1996;127: 743‑8
  4. Sano H. Microtensile testing, nanoleakage, and biodegradation of resin‑dentin bonds. J Dent Res 2006;85:11‑4
  5. Castillo MD. Class II composite marginal ridge failure: Conventional vs. proximal box only preparation. J Clin Pediatr Dent 1999;23:131‑6
  6. Abuelenain DA, Neel EAA and Al-Dharrab A. Surface and Mechanical Properties of Different Dental Composites. Austin J Dent. 2015;2(2): 1019
  7. Clark D. Introducing the Clark Class I and II restoration. Oral Health 2009. p. 82‑91
  8. Yoshida Y, Nagakane K, Fukuda R, Nakayama Y, Okazaki M, Shintani H, et al. Comparative study on adhesive performance of functional monomers. J Dent Res 2004;83:454‑8
  9. Moosavi H , Zeynali M and Pour ZH. Fracture Resistance of Premolars Restored by Various Types and Placement Techniques of Resin Composites. Int J of Dent.2012,ArticleID 973641,5pages
  10. Albers HF. Tooth Coloured Restorations. 8th ed. Santa Rosa: Alta Books; 1997
  11. Ericson D, Kidd E, McComb D, Mjor I, Noack MJ.Minimal Invasive Dentistry- concepts and techniques in cariology. Oral Health Prev Dent.2003;1(1):59-72
  12. Peters MC, McLean ME. Minimally invasive operative care.I. Minimal intervention and concepts for minimally invasivecavity preparations. J Adhes Dent.2001 Spring;3(1):7-16.

Corresponding Author

Humanaz Shaikh

Postgraduate student, Department of Conservative Dentistry and Endodontics, M.A. Rangoonwala College of Dental Sciences and Research Centre Pune