Can pulpal floor debonding be detected from occlusal surface displacement in composite restorations?

João Batista Novaes, Elissa Talma, Estevam Barbosa Las Casas, Wondwosen Aregawi, Lauren Wickham Kolstad, Susan C Mantell, Yan Wang, Alex Fok

Research output: Contribution to journalArticle

Abstract

Objectives Polymerization shrinkage of resin composite restorations can cause debonding at the tooth–restoration interface. Theory based on the mechanics of materials predicts that debonding at the pulpal floor would half the shrinkage displacement at the occlusal surface. The aim of this study is to test this theory and to examine the possibility of detecting subsurface resin composite restoration debonding by measuring the superficial shrinkage displacements. Methods A commercial dental resin composite with linear shrinkage strain of 0.8% was used to restore 2 groups of 5 model Class-II cavities (8-mm long, 4-mm wide and 4-mm deep) in aluminum blocks (8-mm thick, 10-mm wide and 14-mm tall). Group I had the restorations bonded to all cavity surfaces, while Group II had the restorations not bonded to the cavity floor to simulate debonding. One of the proximal surfaces of each specimen was sprayed with fine carbon powder to allow surface displacement measurement by Digital Image Correlation. Images of the speckled surface were taken before and after cure for displacement calculation. The experiment was simulated using finite element analysis (FEA) for comparison. Results Group I showed a maximum occlusal displacement of 34.7 ± 6.7 μm and a center of contraction (COC) near the pulpal floor. Group II had a COC coinciding with the geometric center and showed a maximum occlusal displacement of 17.4 ± 3.8 μm. The difference between the two groups was statistically significant (p-value = 0.0007). Similar results were obtained by FEA. The theoretical shrinkage displacement was 44.6 and 22.3 μm for Group I and II, respectively. The lower experimental displacements were probably caused by slumping of the resin composite before cure and deformation of the adhesive layer. Significance The results confirmed that the occlusal shrinkage displacement of a resin composite restoration was reduced significantly by pulpal floor debonding. Recent in vitro studies seem to indicate that this reduction in shrinkage displacement could be detected by using the most accurate intraoral scanners currently available. Thus, subject to clinical validation, the occlusal displacement of a resin composite restoration may be used to assess its interfacial integrity.

Original languageEnglish (US)
Pages (from-to)161-169
Number of pages9
JournalDental Materials
Volume34
Issue number1
DOIs
StatePublished - Jan 1 2018

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Composite Resins
Debonding
Restoration
Composite materials
Resins
Finite Element Analysis
Mechanics
Aluminum
Polymerization
Adhesives
Powders
Carbon
Finite element method
Displacement measurement
Surface measurement

Keywords

  • Debonding
  • Dental restoration
  • Intraoral scanner
  • Polymerization shrinkage
  • Resin composite

PubMed: MeSH publication types

  • Journal Article
  • Research Support, Non-U.S. Gov't

Cite this

Can pulpal floor debonding be detected from occlusal surface displacement in composite restorations? / Novaes, João Batista; Talma, Elissa; Las Casas, Estevam Barbosa; Aregawi, Wondwosen; Kolstad, Lauren Wickham; Mantell, Susan C; Wang, Yan; Fok, Alex.

In: Dental Materials, Vol. 34, No. 1, 01.01.2018, p. 161-169.

Research output: Contribution to journalArticle

Novaes, João Batista ; Talma, Elissa ; Las Casas, Estevam Barbosa ; Aregawi, Wondwosen ; Kolstad, Lauren Wickham ; Mantell, Susan C ; Wang, Yan ; Fok, Alex. / Can pulpal floor debonding be detected from occlusal surface displacement in composite restorations?. In: Dental Materials. 2018 ; Vol. 34, No. 1. pp. 161-169.
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abstract = "Objectives Polymerization shrinkage of resin composite restorations can cause debonding at the tooth–restoration interface. Theory based on the mechanics of materials predicts that debonding at the pulpal floor would half the shrinkage displacement at the occlusal surface. The aim of this study is to test this theory and to examine the possibility of detecting subsurface resin composite restoration debonding by measuring the superficial shrinkage displacements. Methods A commercial dental resin composite with linear shrinkage strain of 0.8{\%} was used to restore 2 groups of 5 model Class-II cavities (8-mm long, 4-mm wide and 4-mm deep) in aluminum blocks (8-mm thick, 10-mm wide and 14-mm tall). Group I had the restorations bonded to all cavity surfaces, while Group II had the restorations not bonded to the cavity floor to simulate debonding. One of the proximal surfaces of each specimen was sprayed with fine carbon powder to allow surface displacement measurement by Digital Image Correlation. Images of the speckled surface were taken before and after cure for displacement calculation. The experiment was simulated using finite element analysis (FEA) for comparison. Results Group I showed a maximum occlusal displacement of 34.7 ± 6.7 μm and a center of contraction (COC) near the pulpal floor. Group II had a COC coinciding with the geometric center and showed a maximum occlusal displacement of 17.4 ± 3.8 μm. The difference between the two groups was statistically significant (p-value = 0.0007). Similar results were obtained by FEA. The theoretical shrinkage displacement was 44.6 and 22.3 μm for Group I and II, respectively. The lower experimental displacements were probably caused by slumping of the resin composite before cure and deformation of the adhesive layer. Significance The results confirmed that the occlusal shrinkage displacement of a resin composite restoration was reduced significantly by pulpal floor debonding. Recent in vitro studies seem to indicate that this reduction in shrinkage displacement could be detected by using the most accurate intraoral scanners currently available. Thus, subject to clinical validation, the occlusal displacement of a resin composite restoration may be used to assess its interfacial integrity.",
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AU - Aregawi, Wondwosen

AU - Kolstad, Lauren Wickham

AU - Mantell, Susan C

AU - Wang, Yan

AU - Fok, Alex

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N2 - Objectives Polymerization shrinkage of resin composite restorations can cause debonding at the tooth–restoration interface. Theory based on the mechanics of materials predicts that debonding at the pulpal floor would half the shrinkage displacement at the occlusal surface. The aim of this study is to test this theory and to examine the possibility of detecting subsurface resin composite restoration debonding by measuring the superficial shrinkage displacements. Methods A commercial dental resin composite with linear shrinkage strain of 0.8% was used to restore 2 groups of 5 model Class-II cavities (8-mm long, 4-mm wide and 4-mm deep) in aluminum blocks (8-mm thick, 10-mm wide and 14-mm tall). Group I had the restorations bonded to all cavity surfaces, while Group II had the restorations not bonded to the cavity floor to simulate debonding. One of the proximal surfaces of each specimen was sprayed with fine carbon powder to allow surface displacement measurement by Digital Image Correlation. Images of the speckled surface were taken before and after cure for displacement calculation. The experiment was simulated using finite element analysis (FEA) for comparison. Results Group I showed a maximum occlusal displacement of 34.7 ± 6.7 μm and a center of contraction (COC) near the pulpal floor. Group II had a COC coinciding with the geometric center and showed a maximum occlusal displacement of 17.4 ± 3.8 μm. The difference between the two groups was statistically significant (p-value = 0.0007). Similar results were obtained by FEA. The theoretical shrinkage displacement was 44.6 and 22.3 μm for Group I and II, respectively. The lower experimental displacements were probably caused by slumping of the resin composite before cure and deformation of the adhesive layer. Significance The results confirmed that the occlusal shrinkage displacement of a resin composite restoration was reduced significantly by pulpal floor debonding. Recent in vitro studies seem to indicate that this reduction in shrinkage displacement could be detected by using the most accurate intraoral scanners currently available. Thus, subject to clinical validation, the occlusal displacement of a resin composite restoration may be used to assess its interfacial integrity.

AB - Objectives Polymerization shrinkage of resin composite restorations can cause debonding at the tooth–restoration interface. Theory based on the mechanics of materials predicts that debonding at the pulpal floor would half the shrinkage displacement at the occlusal surface. The aim of this study is to test this theory and to examine the possibility of detecting subsurface resin composite restoration debonding by measuring the superficial shrinkage displacements. Methods A commercial dental resin composite with linear shrinkage strain of 0.8% was used to restore 2 groups of 5 model Class-II cavities (8-mm long, 4-mm wide and 4-mm deep) in aluminum blocks (8-mm thick, 10-mm wide and 14-mm tall). Group I had the restorations bonded to all cavity surfaces, while Group II had the restorations not bonded to the cavity floor to simulate debonding. One of the proximal surfaces of each specimen was sprayed with fine carbon powder to allow surface displacement measurement by Digital Image Correlation. Images of the speckled surface were taken before and after cure for displacement calculation. The experiment was simulated using finite element analysis (FEA) for comparison. Results Group I showed a maximum occlusal displacement of 34.7 ± 6.7 μm and a center of contraction (COC) near the pulpal floor. Group II had a COC coinciding with the geometric center and showed a maximum occlusal displacement of 17.4 ± 3.8 μm. The difference between the two groups was statistically significant (p-value = 0.0007). Similar results were obtained by FEA. The theoretical shrinkage displacement was 44.6 and 22.3 μm for Group I and II, respectively. The lower experimental displacements were probably caused by slumping of the resin composite before cure and deformation of the adhesive layer. Significance The results confirmed that the occlusal shrinkage displacement of a resin composite restoration was reduced significantly by pulpal floor debonding. Recent in vitro studies seem to indicate that this reduction in shrinkage displacement could be detected by using the most accurate intraoral scanners currently available. Thus, subject to clinical validation, the occlusal displacement of a resin composite restoration may be used to assess its interfacial integrity.

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