Yu P, Yap Auj, Wang X Y
Oper Dent. 2017 Jan/Feb;42(1):82-89. doi: 10.2341/16-027-L.
This study evaluated the degree of conversion (DC) and polymerization shrinkage (PS) of contemporary bulk-fill resin-based composites (RBCs) including giomer materials. Two giomer bulk-fill (Beautifil Bulk Restorative [BBR], Beautifil Bulk Flowable [BBF]), two nongiomer bulk-fill (Tetric N-Ceram Bulk-fill [TNB], Smart Dentin Replacement [SDR]), and three conventional non-bulk-fill (Beautifil II [BT], Beautifil Flow Plus [BF], Tetric N-Ceram [TN]) RBCs were selected for the study. To evaluate the DC, disc-shaped specimens of 5-mm diameter and 2-mm, 4-mm, and 6-mm thickness were fabricated using customized Teflon molds. The molds were bulk filled with the various RBCs and cured for 20 seconds using a light-emitting diode curing light with an irradiance of 950 mW/cm. The DC (n=3) was determined by attenuated total reflectance Fourier transform infrared spectroscopy by computing the spectra of cured and uncured specimens. PS (n=3) was measured with the Acuvol volumetric shrinkage analyzer by calculating specimen volumes before and after light curing. The mean DC for the various materials ranged from 46.03% to 69.86%, 45.94% to 69.38%, and 30.65% to 67.85% for 2 mm, 4 mm, and 6 mm, respectively. For all depths, SDR had the highest DC. While no significant difference in DC was observed between depths of 2 mm and 4 mm for the bulk-fill RBCs, DC at 2 mm was significantly greater than 6 mm. For the conventional RBCs, DC at 2 mm was significantly higher than at 4 mm and 6 mm. Mean PS ranged from 1.48% to 4.26% for BBR and BF, respectively. The DC at 2 mm and PS of bulk-fill RBCs were lower than their conventional counterparts. At 4 mm, the DC of giomer bulk-fill RBCs was lower than that of nongiomer bulk-fill materials.
本研究评估了包括聚硅氧烷类材料在内的当代大体积充填树脂基复合材料(RBCs)的转化率(DC)和聚合收缩率(PS)。选取了两种聚硅氧烷类大体积充填材料(Beautifil Bulk Restorative [BBR]、Beautifil Bulk Flowable [BBF])、两种非聚硅氧烷类大体积充填材料(Tetric N-Ceram Bulk-fill [TNB]、Smart Dentin Replacement [SDR])以及三种传统非大体积充填材料(Beautifil II [BT]、Beautifil Flow Plus [BF]、Tetric N-Ceram [TN])的RBCs用于该研究。为评估DC,使用定制的聚四氟乙烯模具制作直径5毫米、厚度分别为2毫米、4毫米和6毫米的圆盘形试样。模具用各种RBCs进行大体积充填,并用辐照度为950 mW/cm的发光二极管固化灯固化20秒。通过计算固化和未固化试样的光谱,采用衰减全反射傅里叶变换红外光谱法测定DC(n = 3)。使用Acuvol体积收缩分析仪通过计算光固化前后试样的体积来测量PS(n = 3)。各种材料在2毫米、4毫米和6毫米厚度时的平均DC分别为46.03%至69.86%、45.94%至69.38%和30.65%至67.85%。对于所有深度,SDR的DC最高。虽然大体积充填RBCs在2毫米和4毫米深度时DC无显著差异,但2毫米处的DC显著大于6毫米处。对于传统RBCs,2毫米处的DC显著高于4毫米和6毫米处。BBR和BF的平均PS分别为1.48%至4.26%。大体积充填RBCs在2毫米处的DC和PS低于其传统对应材料。在4毫米处,聚硅氧烷类大体积充填RBCs的DC低于非聚硅氧烷类大体积充填材料。