Bonding States of In Vitro Class 2 Direct Resin Composite Restoration Applied by Various Incremental Techniques

Incremental techniques are always required for clinical cases of deep and/or large cavities restored with resin composite materials. The purpose of this study was to examine the bonding states of class 2 direct resin composite restoration applied by various incremental techniques after cyclic loadin...

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Main Authors: Misato Okada, Masahiko Maeno, Yoichiro Nara
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Materials
Subjects:
Online Access:https://www.mdpi.com/1996-1944/14/20/6037
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author Misato Okada
Masahiko Maeno
Yoichiro Nara
author_facet Misato Okada
Masahiko Maeno
Yoichiro Nara
author_sort Misato Okada
collection DOAJ
description Incremental techniques are always required for clinical cases of deep and/or large cavities restored with resin composite materials. The purpose of this study was to examine the bonding states of class 2 direct resin composite restoration applied by various incremental techniques after cyclic loading to simulate the intra-oral environment to define the appropriate technique. Three types of resin composites, namely, bulk-fill (B), flowable (F), and conventional resin composite (C), were applied to standardized class 2 cavities by incremental techniques with single- or bi-resin restoratives. After cyclic loading, the micro-tensile bond strength (μ-TBS) of the dentin cavity floor was measured. The Weibull modulus and Weibull stress values at 10%/90% probability of failure were analyzed. Single-resin incremental restorations with B or F and bi-resin incremental restorations with F + B and F + C demonstrated superior μ-TBS (quantitative ability), bonding reliability, and durability (qualitative ability) compared with the single-resin restoration with C (as control). Furthermore, F + B and F + C restoration yielded an excellent performance compared with the single-resin restorations with B, F, and C. In particular, the F + C restoration, which indicates not only the maximum mean µ-TBS, but also the highest values of the Weibull parameters, may be the optimal restoration method, including the esthetic benefits.
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spelling doaj.art-3ede08714d7e4be088c46e139f119eb52023-11-22T18:58:07ZengMDPI AGMaterials1996-19442021-10-011420603710.3390/ma14206037Bonding States of In Vitro Class 2 Direct Resin Composite Restoration Applied by Various Incremental TechniquesMisato Okada0Masahiko Maeno1Yoichiro Nara2Department of Adhesive Dentistry, School of Life Dentistry at Tokyo, The Nippon Dental University, 1-9-20 Fujimi, Chiyoda-ku, Tokyo 102-8159, JapanDepartment of Adhesive Dentistry, School of Life Dentistry at Tokyo, The Nippon Dental University, 1-9-20 Fujimi, Chiyoda-ku, Tokyo 102-8159, JapanDepartment of Adhesive Dentistry, School of Life Dentistry at Tokyo, The Nippon Dental University, 1-9-20 Fujimi, Chiyoda-ku, Tokyo 102-8159, JapanIncremental techniques are always required for clinical cases of deep and/or large cavities restored with resin composite materials. The purpose of this study was to examine the bonding states of class 2 direct resin composite restoration applied by various incremental techniques after cyclic loading to simulate the intra-oral environment to define the appropriate technique. Three types of resin composites, namely, bulk-fill (B), flowable (F), and conventional resin composite (C), were applied to standardized class 2 cavities by incremental techniques with single- or bi-resin restoratives. After cyclic loading, the micro-tensile bond strength (μ-TBS) of the dentin cavity floor was measured. The Weibull modulus and Weibull stress values at 10%/90% probability of failure were analyzed. Single-resin incremental restorations with B or F and bi-resin incremental restorations with F + B and F + C demonstrated superior μ-TBS (quantitative ability), bonding reliability, and durability (qualitative ability) compared with the single-resin restoration with C (as control). Furthermore, F + B and F + C restoration yielded an excellent performance compared with the single-resin restorations with B, F, and C. In particular, the F + C restoration, which indicates not only the maximum mean µ-TBS, but also the highest values of the Weibull parameters, may be the optimal restoration method, including the esthetic benefits.https://www.mdpi.com/1996-1944/14/20/6037bonding statedirect resin composite restorationclass 2 restorationincremental techniquemicro-tensile bond strengthcyclic loading
spellingShingle Misato Okada
Masahiko Maeno
Yoichiro Nara
Bonding States of In Vitro Class 2 Direct Resin Composite Restoration Applied by Various Incremental Techniques
Materials
bonding state
direct resin composite restoration
class 2 restoration
incremental technique
micro-tensile bond strength
cyclic loading
title Bonding States of In Vitro Class 2 Direct Resin Composite Restoration Applied by Various Incremental Techniques
title_full Bonding States of In Vitro Class 2 Direct Resin Composite Restoration Applied by Various Incremental Techniques
title_fullStr Bonding States of In Vitro Class 2 Direct Resin Composite Restoration Applied by Various Incremental Techniques
title_full_unstemmed Bonding States of In Vitro Class 2 Direct Resin Composite Restoration Applied by Various Incremental Techniques
title_short Bonding States of In Vitro Class 2 Direct Resin Composite Restoration Applied by Various Incremental Techniques
title_sort bonding states of in vitro class 2 direct resin composite restoration applied by various incremental techniques
topic bonding state
direct resin composite restoration
class 2 restoration
incremental technique
micro-tensile bond strength
cyclic loading
url https://www.mdpi.com/1996-1944/14/20/6037
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AT masahikomaeno bondingstatesofinvitroclass2directresincompositerestorationappliedbyvariousincrementaltechniques
AT yoichironara bondingstatesofinvitroclass2directresincompositerestorationappliedbyvariousincrementaltechniques