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Internal adaptation of composite restorations with or without an intermediate layer: Effect of polymerization shrinkage parameters of the layer material

 Seung-Hoon Han  ;  Alireza Sadr  ;  Yasushi Shimada  ;  Junji Tagami  ;  Sung-Ho Park 
 JOURNAL OF DENTISTRY, Vol.80 : 41-48, 2019 
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Bulk fill ; Composite restoration ; Flowable liner ; Intermediate layer ; Internal adaptation ; Polymerization shrinkage stress
OBJECTIVES: The purpose of this study was to compare the internal adaptation of resin composite restorations in Class I cavities with or without an intermediate layer, and to identify the relationships between the internal adaptation and the polymerization shrinkage parameters of the layer material.

METHODS: Class I cavities prepared in human third molars were treated with a one-step self-etch adhesive (G-Premio Bond, GC). In the control group, Tetric-EvoCeram Bulk-Fill (TBF, Ivoclar Vivadent) was placed using the bulk-fill technique and then light-cured. In the experimental groups, six different layer materials (three flowable resin composites, two bulk-fill resin composites, and a resin-modified glass-ionomer) were applied to a 1.5-mm thickness and light-cured, which was followed by TBF filling. After thermo-cycling, internal adaptation was measured using swept-source optical coherence tomography (SS-OCT) imaging and compared in terms of high brightness percentage (HB%) to represent the microgap. Shrinkage strain (SS), flexural modulus (FM), and polymerization shrinkage stress of the intermediate layer-resin composite complex (PS) were measured for each material. The relationships among HB%, SS, FM, and PS were evaluated statistically.

RESULTS: Groups with an intermediate layer showed lower HB% than the control group. The HB% correlated with PS (Pearson's correlation: R2 = 0.883, p < 0.05), and the PS correlated with the product of SS and FM.

CONCLUSION: Internal adaptation depended on the polymerization shrinkage stress of the intermediate layer-resin composite complex.

CLINICAL SIGNIFICANCE: Bulk-fill resin composite, which can show low polymerization shrinkage stress, may be used as an intermediate layer for better internal adaptation.
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2. College of Dentistry (치과대학) > Dept. of Conservative Dentistry (보존과학교실) > 1. Journal Papers
Yonsei Authors
Park, Sung Ho(박성호) ORCID logo https://orcid.org/0000-0003-2171-235X
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