Do low-shrink composites reduce polymerization shrinkage effects?

D. Tantbirojn, Carmem Pfeifer, R. R. Braga, A. Versluis

Research output: Contribution to journalArticle

59 Citations (Scopus)

Abstract

Progress in polymer science has led to continuous reduction of polymerization shrinkage, exemplified by a new generation of "low-shrink composites". The common inference that shrinkage stress effects will be reduced in teeth restored with such restoratives with lower shrinkage was tested in extracted human premolars. Mesio-occluso-distal slot-shaped cavities were cut and restored with a conventional (SupremePlus) or low-shrink (RefleXions, Premise, Kalore, and LS) composite (N = 5). We digitized the coronal surfaces before and 10 min after restoration to determine cuspal deflection from the buccal and lingual volume change/area. We also determined the main properties involved (total shrinkage, post-gel shrinkage, degree of conversion, and elastic modulus), as well as microleakage, to verify adequate bonding. It was shown that, due to shrinkage stresses, buccal and lingual surfaces pulled inward after restoration (9-14 microns). Only Kalore and LS resulted in significantly lower tooth deformation (ANOVA/Student-Newman-Keuls post hoc, p = 0.05). The other two low-shrink composites, despite having the lowest and highest total shrinkage values, did not cause significant differences in cuspal deflection. Deflection seemed most related to the combination of post-gel shrinkage and elastic modulus. Therefore, even for significantly lower total shrinkage values, shrinkage stress is not necessarily reduced.

Original languageEnglish (US)
Pages (from-to)596-601
Number of pages6
JournalJournal of Dental Research
Volume90
Issue number5
DOIs
StatePublished - May 2011
Externally publishedYes

Fingerprint

Cheek
Elastic Modulus
Tongue
Polymerization
Tooth
Gels
Bicuspid
Analysis of Variance
Polymers
Students

Keywords

  • cusp flexure
  • elastic modulus
  • polymerization shrinkage
  • tooth deformation

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Do low-shrink composites reduce polymerization shrinkage effects? / Tantbirojn, D.; Pfeifer, Carmem; Braga, R. R.; Versluis, A.

In: Journal of Dental Research, Vol. 90, No. 5, 05.2011, p. 596-601.

Research output: Contribution to journalArticle

Tantbirojn, D. ; Pfeifer, Carmem ; Braga, R. R. ; Versluis, A. / Do low-shrink composites reduce polymerization shrinkage effects?. In: Journal of Dental Research. 2011 ; Vol. 90, No. 5. pp. 596-601.
@article{f8066137afad4626a30d939482700edb,
title = "Do low-shrink composites reduce polymerization shrinkage effects?",
abstract = "Progress in polymer science has led to continuous reduction of polymerization shrinkage, exemplified by a new generation of {"}low-shrink composites{"}. The common inference that shrinkage stress effects will be reduced in teeth restored with such restoratives with lower shrinkage was tested in extracted human premolars. Mesio-occluso-distal slot-shaped cavities were cut and restored with a conventional (SupremePlus) or low-shrink (RefleXions, Premise, Kalore, and LS) composite (N = 5). We digitized the coronal surfaces before and 10 min after restoration to determine cuspal deflection from the buccal and lingual volume change/area. We also determined the main properties involved (total shrinkage, post-gel shrinkage, degree of conversion, and elastic modulus), as well as microleakage, to verify adequate bonding. It was shown that, due to shrinkage stresses, buccal and lingual surfaces pulled inward after restoration (9-14 microns). Only Kalore and LS resulted in significantly lower tooth deformation (ANOVA/Student-Newman-Keuls post hoc, p = 0.05). The other two low-shrink composites, despite having the lowest and highest total shrinkage values, did not cause significant differences in cuspal deflection. Deflection seemed most related to the combination of post-gel shrinkage and elastic modulus. Therefore, even for significantly lower total shrinkage values, shrinkage stress is not necessarily reduced.",
keywords = "cusp flexure, elastic modulus, polymerization shrinkage, tooth deformation",
author = "D. Tantbirojn and Carmem Pfeifer and Braga, {R. R.} and A. Versluis",
year = "2011",
month = "5",
doi = "10.1177/0022034510396217",
language = "English (US)",
volume = "90",
pages = "596--601",
journal = "Journal of Dental Research",
issn = "0022-0345",
publisher = "SAGE Publications Inc.",
number = "5",

}

TY - JOUR

T1 - Do low-shrink composites reduce polymerization shrinkage effects?

AU - Tantbirojn, D.

AU - Pfeifer, Carmem

AU - Braga, R. R.

AU - Versluis, A.

PY - 2011/5

Y1 - 2011/5

N2 - Progress in polymer science has led to continuous reduction of polymerization shrinkage, exemplified by a new generation of "low-shrink composites". The common inference that shrinkage stress effects will be reduced in teeth restored with such restoratives with lower shrinkage was tested in extracted human premolars. Mesio-occluso-distal slot-shaped cavities were cut and restored with a conventional (SupremePlus) or low-shrink (RefleXions, Premise, Kalore, and LS) composite (N = 5). We digitized the coronal surfaces before and 10 min after restoration to determine cuspal deflection from the buccal and lingual volume change/area. We also determined the main properties involved (total shrinkage, post-gel shrinkage, degree of conversion, and elastic modulus), as well as microleakage, to verify adequate bonding. It was shown that, due to shrinkage stresses, buccal and lingual surfaces pulled inward after restoration (9-14 microns). Only Kalore and LS resulted in significantly lower tooth deformation (ANOVA/Student-Newman-Keuls post hoc, p = 0.05). The other two low-shrink composites, despite having the lowest and highest total shrinkage values, did not cause significant differences in cuspal deflection. Deflection seemed most related to the combination of post-gel shrinkage and elastic modulus. Therefore, even for significantly lower total shrinkage values, shrinkage stress is not necessarily reduced.

AB - Progress in polymer science has led to continuous reduction of polymerization shrinkage, exemplified by a new generation of "low-shrink composites". The common inference that shrinkage stress effects will be reduced in teeth restored with such restoratives with lower shrinkage was tested in extracted human premolars. Mesio-occluso-distal slot-shaped cavities were cut and restored with a conventional (SupremePlus) or low-shrink (RefleXions, Premise, Kalore, and LS) composite (N = 5). We digitized the coronal surfaces before and 10 min after restoration to determine cuspal deflection from the buccal and lingual volume change/area. We also determined the main properties involved (total shrinkage, post-gel shrinkage, degree of conversion, and elastic modulus), as well as microleakage, to verify adequate bonding. It was shown that, due to shrinkage stresses, buccal and lingual surfaces pulled inward after restoration (9-14 microns). Only Kalore and LS resulted in significantly lower tooth deformation (ANOVA/Student-Newman-Keuls post hoc, p = 0.05). The other two low-shrink composites, despite having the lowest and highest total shrinkage values, did not cause significant differences in cuspal deflection. Deflection seemed most related to the combination of post-gel shrinkage and elastic modulus. Therefore, even for significantly lower total shrinkage values, shrinkage stress is not necessarily reduced.

KW - cusp flexure

KW - elastic modulus

KW - polymerization shrinkage

KW - tooth deformation

UR - http://www.scopus.com/inward/record.url?scp=79955872316&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79955872316&partnerID=8YFLogxK

U2 - 10.1177/0022034510396217

DO - 10.1177/0022034510396217

M3 - Article

C2 - 21282725

AN - SCOPUS:79955872316

VL - 90

SP - 596

EP - 601

JO - Journal of Dental Research

JF - Journal of Dental Research

SN - 0022-0345

IS - 5

ER -