In vitro repair of fractured fiber-reinforced cusp-replacing composite restorations.

Objective. To assess fracture resistance and failure mode of repaired fiber-reinforced composite (FRC) cusp-replacing restorations. Methods. Sixteen extracted human premolars with fractured cusp-replacing woven (Group (A)) or unidirectional (Group (B)) FRC restorations from a previous loading experiment were repaired with resin composite and loaded to fracture. Results. Differences in fracture loads between groups were not statistically significant (P = 0.34). Fracture loads of repaired specimens were significantly lower than those of original specimens (P = 0.02 for Group (A) and P < 0.001 for Group (B)). Majority of specimens showed failure along the repaired surface. In Group (B) 89% of specimens showed intact tooth substrate after restoration fracture, while this was 28% in Group (A) (P = 0.04). Conclusion. Fractured cusp-replacing FRC restorations that are repaired with resin composite show about half of fracture resistance of original restorations. Mode of failure with a base of unidirectional fibers is predominantly adhesive.

Effect of fiber-reinforced composite at the interface on bonding of resin core system to dentin.

The aim of this study was to evaluate the effect of fiber-reinforced composite (FRC) at the interface on bonding of resin core systems to bovine dentin using different adhesive systems. To this end, the labial surfaces of 60 bovine incisors were ground to obtain flat dentin surfaces and then divided into two groups according to the adhesive system used: total-etching (Solobond Plus) versus self-etching (Clearfil SE Bond). Resin core systems were bonded to tooth structure either without or with a FRC layer (everStick Net, StickTech). For groups with FRC layer, a silicon forming aid was used to adapt the latter on the dentin surfaces. After resin core was polymerized with Optilux 501 for 40 seconds, the specimens were tested in a universal testing machine. ANOVA revealed that presence of FRC at the interface had a significantly positive effect on bond strength (p < 0.001). However, differences between groups were not significant for either adhesive system (p = 0.076) or with the use of silicon forming aid (p = 0.348).

Comparison between regional micropush-out and microtensile bond strength of resin composite to dentin.

OBJECTIVE: In this study we compared the micropush-out (micro-PO) and microtensile (micro-TBS) test methods for resin composites on different levels and surfaces of dentin. MATERIAL AND METHODS: Thirty-four sound human molars were divided into two groups in accordance with the dentin surface used (occlusal (O) or mesio-distal (M)), then subdivided into a further two groups in accordance with the test method (micro-PO (P) or micro-TBS (T)). In groups OP and OT, teeth were ground occlusally perpendicular to their axis, and in groups MP and MT, mesio-distally parallel to their axis to expose dentin. Dentin disks were prepared from different regions of the teeth either in an occluso-cervical (group OP) (n=5) or mesio-distal direction (group MP) (n=5) (S, superficial; M, middle; D, deep). One-hundred-and-twenty standardized occlusal cavities were prepared in these dentin disks using a conical-shaped diamond rotary cutting instrument. The adhesive (Adper Scotchbond Multi-Purpose Dental Adhesive) and a composite material (Filtek Z250 Universal Restorative) were applied and polymerized with a LED light curing unit (Elipar FreeLight 2). The disks (n=20/per group) were tested in a universal testing machine and pushed out with a cross-head speed of 1.0 mm/min. In groups OT (n=12) and MT (n=12), the teeth were ground to expose superficial, middle, and deep dentin. Build-ups of resin composite were constructed with the same materials. The specimens were serially sectioned and trimmed to hour-glass shapes, then tested with the micro-TBS tester at a rate of 1 mm/min. Failure modes were examined using a stereomicroscope and scanning electron microscope. RESULTS: ANOVA revealed significant differences among the groups (p<0.001). With the push-out test, no premature failure occurred, the variability of the data distribution was acceptable, and regional differences in bond strength among dentin levels could be assessed. CONCLUSIONS: The micro-PO test method could be an alternative to the micro-TBS technique.

The bond strength of particulate-filler composite to differently oriented fiber-reinforced composite substrate.

PURPOSE: The primary failure mode of fiber-reinforced composite (FRC) materials used intraorally is delamination or debonding of particulate filler composite (PFC), the esthetic veneer, from the underlying FRC framework. The objective of the current study was to evaluate the effect of unidirectional fiber orientation and load direction on the shear bond strength of PFC to FRC. MATERIALS AND METHODS: Unidirectional E-glass FRC was used as an adhesion substrate for the PFC. E-glass FRCs were oriented in three ways--Group A: in the plane perpendicular to the bonding surface; Group B: along the bonding surface longitudinal to the load; and Group C: along the bonding surface, transverse to the load. The FRC substrates were ground flat with 1200 grit. The PFC adherend was bonded to FRC using an intermediate resin. Twelve specimens for each group were water stored (37 degrees C) for 3 days before a shear bond strength test was conducted. RESULTS: A one-way analysis of variance showed that the direction of the applied load to the fiber direction had a significant effect on the bond strength values (p < 0.001). A Weibull analysis produced values (characteristic strength and Weibull modulus) of Group A (46.5 MPa, 12.1), Group B (40.6 MPa, 4.6), and Group C (27.6 MPa, 3.5). SIGNIFICANCE: The highest shear bond strength values and Weibull modulus were obtained when the fibers were oriented perpendicular to the bonding surface, exposing the fiber ends to the PFC. Interface strategies between hybrid composite layers may be developed to exploit anisotropic behavior in the adherence between FRC and PFC.

Static and fatigue compression test for particulate filler composite resin with fiber-reinforced composite substructure.

OBJECTIVES: The aim of this study was to determine static load-bearing capacity and compressive fatigue limits (CFL) of laboratory particulate filler composite resin (PFC) with three different types of fiber-reinforced composite (FRC) substructures. METHODS: A total of 420 test specimens were prepared having 1.0mm of FRC layer as substructure (short random, continuous unidirectional and bidirectional fiber orientations), and a 2.0-mm thick surface layer of PFC. Control specimens were prepared from plain FRC or PFC. The specimens (n=15) were either dry stored or water stored (37 degrees C for 2 weeks) before they were loaded with a steel ball (Ø 3.0mm) under static load until fracture and cyclic load with maximum controlled regimen following a staircase approach with maximum 10(3) cycles. The decrease in CFL compared to static load was calculated and data were analyzed using ANOVA and Weibull statistics. RESULTS: The highest static loads were registered for plain FRC specimens [short random 1842 N(205), continuous bidirectional 2258 N(233) and unidirectional fiber orientation 538 N(254)]. The specimens with FRC substructure and PFC coverage gave load values of 1517 N(249), 1670 N(241) and 677 N(240), respectively. The specimens made of PFC only, failed with 1047 N(230) load. The CFL for 10(3) cycles ranged between 19 and 39% of the static load values. ANOVA revealed that all factors significantly affected the load bearing capacity (p<0.001). SIGNIFICANCE: The results suggested that the material combination of continuous bidirectional or random FRC and PFC, gave higher CFL and static load-bearing capacity than that obtained with plain particulate filler composite resin.

Fiber-reinforced composite substructure: load-bearing capacity of an onlay restoration and flexural properties of the material.

AIM: The aim of this study was to determine the static load-bearing capacity of composite resin onlay restorations made of particulate filler composite (PFC) with two different types of fiber-reinforced composite (FRC) substructures. In addition, flexural properties of the material combination and the effect of polymerization devices were tested. METHODS AND MATERIALS: Specimens were prepared to simulate an onlay restoration, which consisted of 2 to 3 mm of FRC layer as a substructure (short random and continuous bidirectional fiber orientation) and a 1 mm surface layer of PFC. Control specimens were prepared from plain PFC. In Group A the specimens were incrementally polymerized only with a hand-light curing unit for 40 s, while in Group B the specimens were post-cured in a light-curing oven for 15 min before they were statically loaded with a steel ball. Bar-shaped test specimens were prepared to measure the flexural properties of material combination using a three-point bending test (ISO 10477). RESULTS: Analysis of variance (ANOVA) revealed all specimens with a FRC substructure have higher values of static load-bearing capacity and flexural properties than those obtained with plain PFC (p<0.001). CONCLUSION: The load-bearing capacity of all the specimens decreased after post-curing and water storage. Restorations made from a material combination of FRC and PFC showed better mechanical properties than those obtained with plain PFC.

Load bearing capacity of fibre-reinforced and particulate filler composite resin combination.

OBJECTIVES: Longevity of particulate filler resin (PFR) is controversial for large restorations with high occlusal-stresses. The aim of this study was to reinforce PFR with fiber reinforced composite (FRC) and to evaluate the effect of thickness of FRC substructure and thickness of overlaying PFR, on the static load-bearing capacity of the material combination. METHODS: A total of 336 test specimens having a FRC substructure (short random or continuous bidirectional fibre orientation) and layer of restorative PFR were prepared for this study. In Group A, the specimens contained short random oriented fibres (length: 2-3mm) and in Group B, there were continuous bidirectionally oriented fibres. The specimens (n = 12/group) were polymerized with a hand light-curing unit and were either dry-stored or thermocycled before they were statically loaded with a steel ball until fracture, using a universal testing machine. RESULTS: Increase the volume fraction of the short random FRC versus the fraction of PFR, the load-bearing capacity of the specimen increased (p < 0.001). Short random FRC revealed significantly different behavior than the bidirectionally oriented FRC (p < 0.001). By combining the FRC layer of 0.5mm in thickness with a layer of 2.5mm of PFR gave load values of 1462N and 1196N, which were considerably higher than values for plain PFR of 3mm in thickness (782N and 729N). CONCLUSION: The results suggest that by adding a FRC substructure under the PFR, the load-bearing capacity of the material combination was increased.

Evaluation of some properties of two fiber-reinforced composite materials.

OBJECTIVE: Water sorption, flexural properties, bonding properties, and elemental composition of photopolymerizable resin-impregnated fiber-reinforced composite (FRC) materials (everStick C&B and BR-100) (FPD) were evaluated in this study. MATERIAL AND METHODS: Bar-shaped specimens (2 x 2 x 25 mm) were prepared for water sorption and flexural strength testing. The specimens (n = 6) were polymerized either with a hand light-curing unit for 40 s or, additionally, in a light-curing oven for 20 min and stored in water for 30 days. Water sorption was measured during this time, followed by measurements of flexural strength and modulus. A shear bond strength test was performed to determine the bonding characteristics of polymerized FRC to composite resin luting cement (Panavia-F), (n = 15). The cement was bonded to the FRC substrate and the specimens were thermocycled 5000 times (5-55 degrees C) in water. SEM/EDS were analyzed to evaluate the elemental composition of the glass fibers and the fiber distribution in cross section. RESULTS: ANOVA showed significant differences in water sorption according to brand (p < 0.05). Water sorption of everStick C&B was 1.86 wt% (hand-unit polymerized) and 1.94 wt% (oven polymerized), whereas BR-100 was 1.07 wt% and 1.17 wt%, respectively. The flexural strength of everStick C&B after 30 days' water storage was 559 MPa (hand-unit polymerized) and 796 MPa (oven-polymerized); for BR-100, the values were 547 MPa and 689 MPa, respectively. Mean shear bond strength of composite resin cement to the FRC varied between 20.1 and 23.7 MPa, showing no statistical difference between the materials. SEM/EDS analysis revealed that fibers of both FRC materials consist of the same oxides (SiO2, CaO, and Al2O3) in ratios. The distribution of fibers in the cross section of specimens was more evenly distributed in everStick C&B than in BR-100. CONCLUSION: The results of this study suggest that there are some differences in the tested properties of the FRC materials.

In vitro fracture resistance of fiber reinforced cusp-replacing composite restorations.

OBJECTIVES: To assess the fracture resistance and failure mode of fiber reinforced composite (FRC) cusp-replacing restorations in premolars. METHODS: Forty-five extracted sound upper premolars were randomly divided into three groups. Identical MOD cavities with simulated buccal cusp fracture and height reduction of the palatal cusp were prepared. In Group A two layers of resin impregnated woven continuous FRC (EverStick Net) were applied. In Group B one layer of unidirectional continuous FRC (EverStick) was used. In Group C no fibers were applied (control). Subsequently, all teeth were restored with resin composite (Clearfil Photo Posterior), subjected to thermocycling (6000 x 5-55 degrees C) and static load tests. Load until fracture was registered for each tooth. Simultaneously, fracture propagation was monitored using acoustic emission analysis (AE). Failure modes were visually assessed. RESULTS: Weibull analysis revealed a characteristic strength and Weibull modulus (m) at 2364.8 N for Group A (m=8.9), 2437.9 N for Group B (m=5.9) and 2160.3N for Group C (m=13.6). Fracture loads were not significantly different (ANOVA, p>0.05). Teeth with FRC showed less fractures below the cemento-enamel junction (CEJ) (38% and 23% for Groups A and B, respectively) than teeth without FRC (93%) (chi-square, p<0.05). The control group showed the least AE energy signals. SIGNIFICANCE: The results suggest that glass FRC does not increase fracture load of premolars with cusp-replacing restorations. However, FRC has a beneficial effect on the failure mode. Woven fibers give more consistent results than unidirectional fibers.

Repair bond strength of restorative resin composite applied to fiber-reinforced composite substrate.

Delamination or fracture of composite veneers can occur as a result of improper design of the fiber-reinforced composite (FRC) framework. This in vitro study tested the repair bond strength of restorative composite to aged FRC. The substrate was multiphase polymer matrix FRC (everStick) aged by boiling for 8 h and storing at 37 degrees C in water for 6 weeks. The aged substrate surfaces were wet-ground flat with 1200-grit silicon carbide paper and subjected randomly to 5 different surface treatments: 1) An adhesion primer (Composite Activator) and resin (CA), 2) Silane (EspeSil) and resin (SIL-MP), 3) Silane, adhesive primer, and resin (Clearfil Repair) (CF), 4) Air particle-abrading (CoJet), silane, and resin (CJ-SIL-MP), 5) Resin (Scotchbond Multipurpose Resin) only as control (MP). Restorative composite resin (Z250) was added to the substrate in 2 mm layer increments and light-cured. Subsequently, every surface treatment group was divided into 2 subgroups of 12 specimens each. The specimens were either 48 h water-stored or thermocycled (6000 x 5-55 degrees C). The shear bond strengths of composite resin to FRC were measured at a crosshead speed of 1.0 mm/min. The data were analyzed by ANOVA for factors 'treatment type' and 'storage condition'; Tukey's post-hoc tests and Weibull analysis were performed. ANOVA showed a significant difference as a function of surface treatment (P<0.05) and storage condition (P<0.05). The CJ-SIL-MP group showed highest bond strength and Weibull modulus after thermocycling. Repair of multiphase polymer matrix FRC may show reliable bond strength when silane treatment is used along with air-particle abrading.

Acoustic emission analysis of fiber-reinforced composite in flexural testing.

OBJECTIVES: The aim of this study was to examine the emission of acoustic signals from six commercially available fiber-reinforced composites (FRC) used in the frameworks of fixed partial dentures in material bending. METHODS: FRC test specimens were made of six commercially available fiber products of polyethylene or glass and five light-curing resins. FRC test specimens were polymerized with a hand light-curing unit or with a light-curing oven. The flexural test for determination of ultimate flexural strength of test specimens (n = 6) was based on the ISO 10477 standard after the specimens were stored in air or in water for two weeks. The acoustic emission (AE) signals were monitored during three-point loading test of the test specimens using a test with increasing loading levels until the specimens fractured. RESULTS: Generally, stress level required for the AE activity initiation ranged from 107 MPa (Ribbond) to 579 MPa (everStick). The ultimate flexural strength of FRC specimens were higher, ranging from 132 to 764 MPa, being highest with everStick and Vectris FRC, and lowest with Ribbond FRC. ANOVA showed a statistically significant difference between the initiation of AE activity and the ultimate flexural strength according to the brand (p < 0.001) storing conditions (p < 0.001) and polymerization procedure (p < 0.001). AE activity and ultimate flexural strength correlated significantly (p < 0.010, r = 0.887). SIGNIFICANCE: The result of this study suggested that AE activity in FRC specimens started at a 19-32% lower stress level than occurred at final fracture.

The effect of length and concentration of glass fibers on the mechanical properties of an injection- and a compression-molded denture base polymer.

STATEMENT OF PROBLEM: Fiber-reinforcement has been used to overcome the mechanical limitations of denture base polymers. One major difficulty in the use of fiber reinforcement has been the addition of fibers during conventional processing methods. PURPOSE: This study evaluated the effect of various lengths and concentrations of chopped E-glass fiber-reinforcement on the transverse strength, modulus of elasticity, and impact strength of injection and compression-molded polymethyl methacrylate based denture base polymer. MATERIALS AND METHODS: Test specimens (n=10) of 4-, 6-, and 8-mm fiber length and 1%, 3%, and 5% weight fiber concentrations were prepared with either an injection or a compression-molded processing method. Denture base polymer specimens without any fiber reinforcement were used as control for both processing methods. Transverse strength test specimens (65 x 10 x 2.5 mm) were stored in water bath at 37 degrees C for 2 weeks. The transverse strength (MPa) and modulus of elasticity (GPa) was measured with the 3-point bending test. Impact strength (kJ/m(2)) test specimens (60 x 7.5 x 4 mm) were tested with the Charpy-type pendulum impact test setup. The data were analyzed with multifactorial analysis of variance and Tukey post hoc tests (alpha=.05). RESULTS: Injection-molded fiber-reinforced groups showed significantly higher transversal strength, elastic modulus, and impact strength compared with compression-molded groups (P <.001). In the injection-molded groups, fiber concentration increased all mechanical properties tested (P <.05), but fiber length only increased transverse strength and modulus of elasticity (P <.05). In the compression molded groups, fiber concentration affected modulus of elasticity and impact strength significantly (P <.05), but fiber length did not show any significant effect on the mechanical properties tested (P >.05). CONCLUSION: The transverse strength, elastic modulus and impact strength of injection-molded denture base polymer increased significantly with the use of chopped E-glass fibers, whereas the effect was not significant with the compression-molded polymer.

The effect of fiber orientation on the thermal expansion coefficients of fiber-reinforced composites.

OBJECTIVES: The aim of this study was to characterize the thermal expansion and dimensional changes of fiber-reinforced composite (FRC) according to the fiber orientation, brand of FRC product and polymerization conditions. METHODS: Cubic specimens (n=5) were prepared from different brands of FRC and particulate filler composites and dimethacrylate monomer resin. The specimens were polymerized with a light-curing device for 40 s or additionally with prolonged polymerization in the light-curing oven for 15 min. Linear coefficients of thermal expansion (LCTE) values for different materials and for FRC with different fiber orientations were determined using a thermomechanical analyzer. RESULTS: All specimens exhibited linear increase in the value of LCTE between 37 and 67 degrees C. The analysis of ANOVA revealed that orientation of fiber and brand of material had significant effect (P<0.001) on LCTE values for 37-67 degrees C interval. Some interaction between factors also existed. Also, temperature interval 110-150 degrees C had significant effect on the LCTE values according to the curing unit, brand and orientation of fibers. SIGNIFICANCE: The results of this study suggest that the anisotropic nature of FRC exists also with regard to thermal expansion. The variation of LCTE of FRC compared to that of particulate filler composites might influence the interfacial adhesion of FRC appliances.

Water sorption, solubility and dimensional changes of denture base polymers reinforced with short glass fibers.

The aim of this study was to determine water sorption, solubility and dimensional stability of injection and compression-molded polymethyl methacrylate based denture base polymer that was reinforced with various concentrations and lengths of E-glass fibers. For water sorption and solubility, 20 test groups with different fiber contents and lengths of fibers were prepared. Test specimens without fibers were used as a control. The water sorption and solubility was measured after 90 days water storage. For dimensional stability, rhombic test specimens were prepared and the dimensional changes were measured after processing, drying and storing in water for 4 days and 30 days and were compared with those on the brass model. The water sorption and solubility of injection-molded denture base polymer was lower compared to compression-molded specimens (p < 0.05). The dimensional accuracy of denture base polymer was not affected with fiber reinforcement (p > 0.05).

Strength of adhesive-bonded fiber-reinforced composites to enamel and dentin substrates.

PURPOSE: To compare in vitro the bond strength of a particulate filler composite and two brands of fiber-reinforced composite (FRC) to teeth with or without the addition of flowable composite at the adhesive interphase. Physicomechanical properties that might contribute to the bonding were also evaluated. MATERIALS AND METHODS: Two hundred extracted human molars were used as substrates with a standard acid-etch and adhesive technique. FRC material [everStick (EV) or Stick (SC)] was applied on the substrate either directly or with a thin layer of flowable composite resin [Tetric Flow (TF)] and light cured for 40 s. As a control, particulate filler composite was used. The specimens (n = 10) were water stored for 24 h or thermocycled for 6000 cycles and subjected to shear bond strength testing. Fracture surfaces were analyzed with SEM and the microhardness and thermal expansion behavior of the materials at the adhesive interface were also evaluated. Multifactorial ANOVA and Tukey's post hoc tests were used at a significance level of p < 0.05. RESULTS: ANOVA showed that storage condition and substrate type (p < 0.05) had a significant effect on the bond strength values. Bond strengths of FRC did not show a significant difference compared to the control (p > 0.05). For enamel, the mean bond strengths in MPa (SD) after thermocycling were: control 19.4 (3.8); EV 22.3 (3.6); SC 16.9 (4.9); EV-TF 22.8 (3.2); SC-TF 16.7 (2.7); and for dentin they were: control 15.3 (5.57); EV10.2 (2.2); SC 14.4 (4.5); EV-TF 8.85 (1.1); SC-TF 15.6 (3.6). Thermocycling increased the bond strength values typically by 10%. The presence of flow composite resin did not produce any significant effect (p > 0.05). CONCLUSION: The bond strength of FRC did not differ from that of particulate filler composite, and the addition of flowable composite did not improve bond strength values.