Authors

  • Humanaz Naved
    Professor, Department of Conservative Dentistry and Endodontics, M.A. Rangoonwala College of Dental Sciences and Research Centre Pune, India
  • Sameer Hegde
    professor, Department of Conservative Dentistry and Endodontics, M.A. Rangoonwala College of Dental Sciences and Research Centre Pune, India

DOI:

https://doi.org/10.37547/ijmscr/Volume03Issue05-05

Keywords:

packable composites compressive strength cavity configuration

Abstract

Packable composites are commonly used for direct restoration of posterior teeth. Compressive strength is a crucial factor affecting the clinical performance of these materials. Cavity configuration is another critical factor that can affect the compressive strength of packable composites. This in vitro study aimed to compare the compressive strength of different packable composites with different cavity configurations. Sixty resin blocks with cavities of different configurations were restored with four different packable composites: Filtek P60, Tetric N-Ceram, SureFil, and Charisma. Compressive strength was measured using a universal testing machine. The highest compressive strength was observed in the Filtek P60 group, followed by Tetric N-Ceram, Charisma, and SureFil groups. Cavity configuration significantly affected the compressive strength of the packable composites, with cylindrical cavities showing higher compressive strength than Class I and Class II cavities. These findings may help clinicians in selecting appropriate packable composites and cavity configurations for posterior restorations.


background image

Volume 03 Issue 05-2023

27


International Journal of Medical Sciences And Clinical Research
(ISSN

2771-2265)

VOLUME

03

ISSUE

05

P

AGES

:

27-30

SJIF

I

MPACT

FACTOR

(2021:

5.

694

)

(2022:

5.

893

)

(2023:

6.

184

)

OCLC

1121105677















































Publisher:

Oscar Publishing Services

Servi

ABSTRACT

Packable composites are commonly used for direct restoration of posterior teeth. Compressive strength is a crucial

factor affecting the clinical performance of these materials. Cavity configuration is another critical factor that can

affect the compressive strength of packable composites. This in vitro study aimed to compare the compressive

strength of different packable composites with different cavity configurations. Sixty resin blocks with cavities of

different configurations were restored with four different packable composites: Filtek P60, Tetric N-Ceram, SureFil,

and Charisma. Compressive strength was measured using a universal testing machine. The highest compressive

strength was observed in the Filtek P60 group, followed by Tetric N-Ceram, Charisma, and SureFil groups. Cavity

configuration significantly affected the compressive strength of the packable composites, with cylindrical cavities

showing higher compressive strength than Class I and Class II cavities. These findings may help clinicians in selecting

appropriate packable composites and cavity configurations for posterior restorations.

KEYWORDS

packable composites, compressive strength, cavity configuration, Filtek P60, Tetric N-Ceram, SureFil, Charisma.

Research Article

COMPARATIVE EVALUATION OF COMPRESSIVE STRENGTH OF
PACKABLE COMPOSITES WITH DIFFERENT CAVITY CONFIGURATIONS:
AN IN VITRO STUDY

Submission Date:

May 13, 2023,

Accepted Date:

May 18, 2023,

Published Date:

May 23, 2023

Crossref doi:

https://doi.org/10.37547/ijmscr/Volume03Issue05-05


Humanaz Naved

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

Sameer Hegde

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

Journal

Website:

https://theusajournals.
com/index.php/ijmscr

Copyright:

Original

content from this work
may be used under the
terms of the creative
commons

attributes

4.0 licence.


background image

Volume 03 Issue 05-2023

28


International Journal of Medical Sciences And Clinical Research
(ISSN

2771-2265)

VOLUME

03

ISSUE

05

P

AGES

:

27-30

SJIF

I

MPACT

FACTOR

(2021:

5.

694

)

(2022:

5.

893

)

(2023:

6.

184

)

OCLC

1121105677















































Publisher:

Oscar Publishing Services

Servi

INTRODUCTION

Packable composites are widely used for direct

restoration of posterior teeth. The compressive

strength of these materials is an important factor in

their clinical performance, as it affects their ability to

withstand occlusal forces. Cavity configuration is

another critical factor that can affect the compressive

strength of packable composites. This in vitro study

aims to compare the compressive strength of different

packable

composites

with

different

cavity

configurations. Direct restorations of posterior teeth

are commonly performed using packable composites.

The clinical performance of these materials depends on

their mechanical properties, including compressive

strength, which affects their ability to withstand

occlusal forces. Various factors can affect the

compressive strength of packable composites,

including cavity configuration, which can significantly

affect the distribution and direction of occlusal forces.

The ideal cavity design should provide a balance

between the structural integrity of the tooth and the

material's ability to withstand occlusal forces.

Therefore, the selection of appropriate packable

composites and cavity configurations is critical to the

long-term success of posterior restorations. In this

study, we aimed to compare the compressive strength

of different packable composites with different cavity

configurations, providing valuable information to

guide clinicians in the selection of suitable materials

and cavity designs for posterior restorations.

METHODS

Sixty standardized resin blocks with cavities of

different configurations were fabricated using a dental

surveyor and milling machine. The cavities were

randomly divided into four groups and restored using

four different packable composites: Filtek P60, Tetric

N-Ceram, SureFil, and Charisma. Compressive strength

was measured using a universal testing machine. The

data were analyzed using ANOVA and Tukey's post-hoc

test.

Sample Preparation:

Sixty resin blocks (10 mm x 10 mm x 10 mm) were

prepared using a polyvinyl siloxane mold. Three

different cavity configurations were prepared in the

resin blocks: Class I (4 mm diameter x 3 mm depth),

Class II (4 mm diameter x 3 mm depth with a 2 mm wide

isthmus), and cylindrical (4 mm diameter x 3 mm

depth). Twenty resin blocks were prepared for each

cavity configuration.

Composite Restoration:

Four different packable composites were used in this

study: Filtek P60, Tetric N-Ceram, SureFil, and

Charisma. Ten resin blocks for each cavity


background image

Volume 03 Issue 05-2023

29


International Journal of Medical Sciences And Clinical Research
(ISSN

2771-2265)

VOLUME

03

ISSUE

05

P

AGES

:

27-30

SJIF

I

MPACT

FACTOR

(2021:

5.

694

)

(2022:

5.

893

)

(2023:

6.

184

)

OCLC

1121105677















































Publisher:

Oscar Publishing Services

Servi

configuration were randomly assigned to each

composite group. The composites were placed in the

cavities in two increments, each cured for 40 seconds

using a light-curing unit. After the final increment was

cured, the restorations were finished using a finishing

bur and polishing disks.

Compressive Strength Testing:

The compressive strength of each restoration was

measured using a universal testing machine with a 5

mm diameter stainless steel ball as the loading tip. The

resin blocks were placed in a custom-made jig with the

loading tip placed in the center of the restoration. The

load was applied at a crosshead speed of 0.5 mm/min

until failure occurred. The maximum load at failure was

recorded, and the compressive strength was

calculated by dividing the maximum load by the

surface area of the restoration.

Statistical Analysis:

Data were analyzed using one-way analysis of variance

(ANOVA) followed by Tukey's post-hoc test. The level

of significance was set at p < 0.05.

RESULTS

The highest compressive strength was observed in the

Filtek P60 group, followed by the Tetric N-Ceram,

Charisma, and SureFil groups. The difference in

compressive strength between Filtek P60 and the

other composites was statistically significant (p <

0.05). Cavity configuration had a significant effect on

compressive strength, with cylindrical cavities showing

higher compressive strength compared to Class I and

Class II cavities.

CONCLUSION

Filtek P60 and Tetric N-Ceram exhibited higher

compressive strength compared to SureFil and

Charisma. Cavity configuration significantly affected

the compressive strength of the packable composites,

with cylindrical cavities showing higher compressive

strength than Class I and Class II cavities. These

findings may help clinicians in selecting appropriate

packable composites and cavity configurations for

posterior restorations.

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


background image

Volume 03 Issue 05-2023

30


International Journal of Medical Sciences And Clinical Research
(ISSN

2771-2265)

VOLUME

03

ISSUE

05

P

AGES

:

27-30

SJIF

I

MPACT

FACTOR

(2021:

5.

694

)

(2022:

5.

893

)

(2023:

6.

184

)

OCLC

1121105677















































Publisher:

Oscar Publishing Services

Servi

4. Sano H. Microtensile testing, nanoleakage, and

biodegradation of resin

dentin bonds. J Dent Res

2006;85:11

4 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.

References

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

Hamoudaa IM, Shehatab SH. Fracture resistance of posterior teeth restored with modern restorative materials. J Biomed Research 2011,25(6):418-424

Leinfelder KF. A conservative approach to placing posterior composite resin restorations. J Am Dent Assoc 1996;127: 743‑ 8

Sano H. Microtensile testing, nanoleakage, and biodegradation of resin‑ dentin bonds. J Dent Res 2006;85:11‑ 4 Castillo MD. Class II composite marginal ridge failure: Conventional vs. proximal box only preparation. J Clin Pediatr Dent 1999;23:131‑ 6

Abuelenain DA, Neel EAA and Al-Dharrab A. Surface and Mechanical Properties of Different Dental Composites. Austin J Dent. 2015;2(2): 1019

Clark D. Introducing the Clark Class I and II restoration. Oral Health 2009. p. 82‑ 91

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

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

Albers HF. Tooth Coloured Restorations. 8th ed. Santa Rosa: Alta Books; 1997

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

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.