Dynamics of composite polymerization mediates the development of cuspal strain

Bouillaguet, S.; Gamba, J.; Forchelet, J.; Krejci, I.; Wataha, J.C.

doi:10.1016/j.dental.2005.11.017

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Volume 22, Issue 10 , Pages 896-902, October 2006

Dynamics of composite polymerization mediates the development of cuspal strain

S. Bouillaguet
- Division of Cariology and Endodontology, School of Dental Medicine, University of Geneva, 19 rue Barthelemy Menn, 1205 Geneva, Switzerland
- Corresponding author. Tel.: +41 22 379 41 07; fax: +41 22 379 41 01.
J. Gamba
- Department of Industrial Systems and Micro-technology, School of Engineering, Yverdon les Bains, Switzerland
J. Forchelet
- Department of Industrial Systems and Micro-technology, School of Engineering, Yverdon les Bains, Switzerland
I. Krejci
- Division of Cariology and Endodontology, School of Dental Medicine, University of Geneva, 19 rue Barthelemy Menn, 1205 Geneva, Switzerland
J.C. Wataha
- Department of Biology and Maxillofacial Pathology, School of Dentistry, Medical College of Georgia, Augusta, GA, USA

Received 8 April 2005; received in revised form 25 October 2005; accepted 26 October 2005.

Abstract

Objectives

In the current study, we used electronic speckle pattern interferometry (ESPI) to measure tooth deformation in response to polymerization of five resin composites with a range of polymerization shrinkage. Our hypothesis was that composites with higher polymerization shrinkage should cause more cuspal strain as measured by ESPI.

Methods

Standardized MOD cavities were prepared and placed into the ESPI apparatus before the cavities were filled with composites (n=10). The ESPI apparatus was constructed to measure the out-of-plane displacement of the lingual cusps of the teeth during the polymerization of the restorative material. A thermocouple was attached to the specimen to monitor thermal changes throughout the polymerization process.

Results

Experiments with empty preparations demonstrated that the ESPI technique was temporally responsive and sensitive to dimensional changes. However, the correlation between polymerization shrinkage of composite resins and ESPI-measured tooth deformation was not straightforward. In particular, a flowable material did not deform the tooth significantly more that a conventional hybrid. Further, an experimental silorane material (with the lowest axial shrinkage) induced the least tooth deformation.

Significance

We concluded that ESPI is a viable method for assessing cuspal strain induced by shrinkage of bonded composite restorations, but that polymerization shrinkage data may overestimate shrinkage-induced tooth deformation. The rate of polymerization shrinkage appeared to mediate the development of cuspal strain.

Keywords: Speckle interferometry, Polymerization shrinkage, Siloranes, Tooth deformation, Light-curing, Adhesive restorations