Department of Preventive Dentistry, Periodontology and Cariology, Center for Dental Medicine, University of Zurich, Plattenstrasse 11, 8032, Zurich, Switzerland.
Odontology. 2019 Jan;107(1):103-110. doi: 10.1007/s10266-018-0369-y. Epub 2018 Jun 13.
The aim of the present study was to investigate polymerization shrinkage, shrinkage force development, and degree of monomer conversion of high- and low-viscosity dimethacrylate- and ormocer-based bulk-fill resin composites. Two flowable bulk-fill composites (SDR, x-tra base), two high-viscosity bulk-fill composites (Bulk Ormocer, SonicFill), and two conventional composite materials (Esthet X flow, Esthet X HD) were photoactivated for 20 s at 1275 mW/cm. Linear polymerization shrinkage and shrinkage force were recorded in real time using custom-made devices, and the force rate and time to achieve maximum force rate were determined. Degree of conversion was measured using Fourier-transform infrared spectroscopy. Data were analyzed with one-way ANOVA and Tukey's HSD post-hoc test, and bivariate correlations were computed (α = 0.05). The category of high-viscosity bulk-fill resin composites showed the significantly lowest polymerization shrinkage and force development. Within the tested flowable composite materials, SDR bulk-fill generated the significantly lowest shrinkage forces during polymerization and attained the significantly highest degree of conversion. Strong positive correlations were revealed between shrinkage force and both linear polymerization shrinkage (r = 0.902) and maximum force rate (r = 0.701). Linear shrinkage and shrinkage force both showed a negative correlation with filler volume content (r = - 0.832 and r = - 0.704, respectively). Bulk-fill resin composites develop lower shrinkage forces than their conventional flowable and high-viscosity counterparts, respectively, which supports their use for restoring high C-factor posterior cavities. Overall, bulk-fill composites with high filler amount and low force rate showed the most favorable shrinkage force characteristics.
本研究旨在研究高黏度和低黏度双甲基丙烯酸酯和有机硅基块状填充型树脂复合材料的聚合收缩、收缩力发展和单体转化率。使用定制设备实时记录线性聚合收缩和收缩力,确定力速率和达到最大力速率的时间,采用傅里叶变换红外光谱法测量转化率。使用单向方差分析和 Tukey 的 HSD 事后检验分析数据,计算二元相关性(α = 0.05)。高黏度块状填充树脂复合材料组表现出最低的聚合收缩和力发展。在测试的可流动复合材料中,SDR 块状填充在聚合过程中产生的收缩力最低,达到的转化率最高。收缩力与线性聚合收缩(r = 0.902)和最大力速率(r = 0.701)呈强正相关。线性收缩和收缩力均与填料体积含量呈负相关(r = -0.832 和 r = -0.704)。块状填充树脂复合材料的收缩力低于传统的可流动和高黏度同类材料,这支持了它们在后牙高 C 因素腔体内的应用。总体而言,具有高填料含量和低力速率的块状填充复合材料表现出最有利的收缩力特性。