Thickness and Substrate Effect on the Mechanical Behaviour of Direct Occlusal Veneers

ABSTRACT: Purpose: This study aimed to evaluate the fracture resistance and stress magnitude of occlusal veneers made of conventional or flowable resin composites at different minimal thicknesses bonded on enamel or dentin. Material and methods: A total of 120 sound bovine incisors were flattened a...

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Main Authors: João Paulo M. Tribst, Qais Tach, Paul de Kok, Amanda Maria de O. Dal Piva, Ruud H. Kuijs, Cornelis J. Kleverlaan
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:International Dental Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S002065392200260X
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author João Paulo M. Tribst
Qais Tach
Paul de Kok
Amanda Maria de O. Dal Piva
Ruud H. Kuijs
Cornelis J. Kleverlaan
author_facet João Paulo M. Tribst
Qais Tach
Paul de Kok
Amanda Maria de O. Dal Piva
Ruud H. Kuijs
Cornelis J. Kleverlaan
author_sort João Paulo M. Tribst
collection DOAJ
description ABSTRACT: Purpose: This study aimed to evaluate the fracture resistance and stress magnitude of occlusal veneers made of conventional or flowable resin composites at different minimal thicknesses bonded on enamel or dentin. Material and methods: A total of 120 sound bovine incisors were flattened and used as substrates (enamel or dentin) for the restorations. The teeth were embedded into polymethyl methacrylate and allocated into 4 groups according to the resin composite (Clearfil AP-X PLT and Clearfil Majesty Flow, Kuraray Dental) and substrate. Further, the substrates were randomly subdivided in 12 groups (N = 120, n = 10) according to the occlusal veneer minimal thickness: 0.5, 1.0, or 2.0 mm. The teeth were directly restored with a standardised procedure. Then, the specimens were loaded until fracture in a universal testing machine (Instron 6022, Instron Corp.). A 3-way and a 1-way analysis of variance were used to determine significant differences for each factor. Three-dimensional finite element analysis was carried out following the in vitro boundary conditions to assess the stress magnitude in the restoration during compressive loading. Results: The fracture loads were recorded into initial load to failure (ILF) and fatal load to failure (FLF). Differences were found in material for ILF and FLF, leading to an overall equal good performance in fracture load and stress distribution for both materials, regardless of the substrate. Differences in thickness were apparent in both ILF and FLF. Conclusions: Direct conventional and flow resin composite occlusal veneers present a promising mechanical behaviour when bonded on enamel or dentin. However, caution is advised when preparing 0.5-mm minimal thickness restorations.
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spelling doaj.art-50c2e245bde7464bb60f7055f86679fd2023-09-14T04:52:17ZengElsevierInternational Dental Journal0020-65392023-10-01735612619Thickness and Substrate Effect on the Mechanical Behaviour of Direct Occlusal VeneersJoão Paulo M. Tribst0Qais Tach1Paul de Kok2Amanda Maria de O. Dal Piva3Ruud H. Kuijs4Cornelis J. Kleverlaan5Department of Oral Regenerative Medicine, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, The NetherlandsDepartment of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, The Netherlands; Private practice, Rotterdam, The NetherlandsDepartment of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, The NetherlandsDepartment of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, The Netherlands; Corresponding author. Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Gustav Mahlerlaan 3004, 1081 LA Amsterdam, Noord-Holland, the Netherlands.Department of Oral Regenerative Medicine, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, The NetherlandsDepartment of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, The NetherlandsABSTRACT: Purpose: This study aimed to evaluate the fracture resistance and stress magnitude of occlusal veneers made of conventional or flowable resin composites at different minimal thicknesses bonded on enamel or dentin. Material and methods: A total of 120 sound bovine incisors were flattened and used as substrates (enamel or dentin) for the restorations. The teeth were embedded into polymethyl methacrylate and allocated into 4 groups according to the resin composite (Clearfil AP-X PLT and Clearfil Majesty Flow, Kuraray Dental) and substrate. Further, the substrates were randomly subdivided in 12 groups (N = 120, n = 10) according to the occlusal veneer minimal thickness: 0.5, 1.0, or 2.0 mm. The teeth were directly restored with a standardised procedure. Then, the specimens were loaded until fracture in a universal testing machine (Instron 6022, Instron Corp.). A 3-way and a 1-way analysis of variance were used to determine significant differences for each factor. Three-dimensional finite element analysis was carried out following the in vitro boundary conditions to assess the stress magnitude in the restoration during compressive loading. Results: The fracture loads were recorded into initial load to failure (ILF) and fatal load to failure (FLF). Differences were found in material for ILF and FLF, leading to an overall equal good performance in fracture load and stress distribution for both materials, regardless of the substrate. Differences in thickness were apparent in both ILF and FLF. Conclusions: Direct conventional and flow resin composite occlusal veneers present a promising mechanical behaviour when bonded on enamel or dentin. However, caution is advised when preparing 0.5-mm minimal thickness restorations.http://www.sciencedirect.com/science/article/pii/S002065392200260XComposite resinDental veneersFixed prosthesisFinite element analysis
spellingShingle João Paulo M. Tribst
Qais Tach
Paul de Kok
Amanda Maria de O. Dal Piva
Ruud H. Kuijs
Cornelis J. Kleverlaan
Thickness and Substrate Effect on the Mechanical Behaviour of Direct Occlusal Veneers
International Dental Journal
Composite resin
Dental veneers
Fixed prosthesis
Finite element analysis
title Thickness and Substrate Effect on the Mechanical Behaviour of Direct Occlusal Veneers
title_full Thickness and Substrate Effect on the Mechanical Behaviour of Direct Occlusal Veneers
title_fullStr Thickness and Substrate Effect on the Mechanical Behaviour of Direct Occlusal Veneers
title_full_unstemmed Thickness and Substrate Effect on the Mechanical Behaviour of Direct Occlusal Veneers
title_short Thickness and Substrate Effect on the Mechanical Behaviour of Direct Occlusal Veneers
title_sort thickness and substrate effect on the mechanical behaviour of direct occlusal veneers
topic Composite resin
Dental veneers
Fixed prosthesis
Finite element analysis
url http://www.sciencedirect.com/science/article/pii/S002065392200260X
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