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 Table of Contents  
ORIGINAL ARTICLE
Year : 2017  |  Volume : 14  |  Issue : 2  |  Page : 56-61

Surface characterization and mechanical behavior of bulk fill versus incremental dental composites


1 Department of Restorative Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
2 Department of Restorative Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia; Department of Dental Biomaterials, Tanta University, Tanta, Egypt; Department of Oral and Maxillofacial Prosthodontics, UCL Eastman Dental Institute, Biomaterials and Tissue Engineering, London, UK

Date of Submission22-Nov-2016
Date of Acceptance12-Mar-2017
Date of Web Publication30-May-2017

Correspondence Address:
Dalia A Abuelenain
Department of Restorative Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tdj.tdj_56_16

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  Abstract 


Aim:
The aim of this study was to evaluate surface and mechanical properties of bulk fill composite compared to conventional incremental composites.
Materials and methods:
The bulk fill composites were Filtek Bulk Fill, Sonic Fill, SDR Smart Dentin Replacement and Tetric-N-Ceram Bulk Fill while the incremental ones were Filtek Z350 × T and Herculite XRV Ultra. Surface roughness and wettability was measured using profilometer (Bruker) and drop shape analyzer (Kruss), respectively. Surface hardness of the top and bottom surface was measured using Micromet 6040 (Buehler). For mechanical test, the universal testing machine was used under the three-point bending test.
Results:
There was no statistical significant difference in wettability and surface roughness between bulk fill and incremental composites, except the SDR that showed statistically significance higher roughness than incremental composites. All composites showed significantly lower hardness than Filtek Z350; the lowest hardness was recorded for SDR. There was no significant difference between bulk fill and incremental composites in flexure strength and modulus. SDR showed the lowest flexure strength and modulus but the highest strain% (P < 0.05) compared to all tested materials. Sonic fill system showed significantly higher flexure strength and modulus when compared to other bulk fill materials (P < 0.05).
Conclusion:
The difference between bulk fill and incremental composite is mainly material dependent.

Keywords: bulk fill, hardness, incremental composite, surface roughness, wettability


How to cite this article:
Abuelenain DA, Abou Neel EA, Al-Dharrab A. Surface characterization and mechanical behavior of bulk fill versus incremental dental composites. Tanta Dent J 2017;14:56-61

How to cite this URL:
Abuelenain DA, Abou Neel EA, Al-Dharrab A. Surface characterization and mechanical behavior of bulk fill versus incremental dental composites. Tanta Dent J [serial online] 2017 [cited 2017 Oct 22];14:56-61. Available from: http://www.tmj.eg.net/text.asp?2017/14/2/56/207304




  Introduction Top


Dental composite is the material of choice for restoring damaged tooth structures with the advantages of chairside application, reasonable cost and near ideal esthetic and functional results. Bulk fill composite was introduced to the market to overcome the multistep application of the 2 mm incremental conventional composites saving clinicians' time and provide them with a less technique sensitive material, claiming the suitability of bulk fill material for posterior, stress bearing areas. The difference between bulk fill and incremental composite, is that, in bulk fill composite the increased depth of cure was achieved by enhancing materials' translucency through decreasing the amount of fillers and increasing fillers size [1] or by adding different photoinitiators to the same composite [2],[3].

The performance of bulk fill composite material was investigated in several studies and compared to the conventional hybrid and nanohybrid universal composite available in the market within the last few years [1],[2],[4],[5],[6],[7],[8],[9]. The 24 h degree of conversion was significantly lower in some bulk fill composite (Filtek Bulk Fill and X-tra Base Bulk Fill) when compared to other types of bulk fill and conventional composites. This was attributed to variation in the chemistry of resin matrix. Accordingly, the physicomechanical behavior of some bulk fill composites (Tetric Evo Ceram Bulk Fill, Venus Bulk Fill, SDR, X-tra Fil, X-tra Base, Sonic Fill, Filtek Bulk Fill and Xenius) were significantly lower than the conventional high viscosity nanohybrid composite [5]. Furthermore, the annual failure rate of bulk fill composite observed in a clinical evaluation of classes I and II cavities restored with different composites, were slightly higher in bulk fill composite than the conventional composite [10]. On the other hand, bulk fill composites showed lower cuspal deflection [11] but good marginal integrity [12] when compared to conventional incremental composites.

The longevity of restorative materials could be influenced by their mechanical [13] as well as surface properties [14],[15],[16],[17],[18],[19]. For clinicians to be confident in selecting the proper material for specific application and judge the suitability of the recently introduced bulk fill material for stress bearing areas, proper evaluation of physical and mechanical behavior of such materials in comparison to the available well established incremental hybrid and nanohybrid filling materials is needed. So the aim of the present study was therefore to evaluate surface properties (roughness, wettability, hardness and relative hardness) and mechanical (flexure strength, flexure modulus and strain percent) of bulk fill compared to incremental composites.

Null hypothesis is that, there is no difference in surface and mechanical properties between bulk fill composite materials and conventional incremental nanohybrid composite filling material.


  Materials and Methods Top


Six commercially available dental composites were selected for this study, four bulk fill and two incremental conventional nanohybrid composites. Technical details are presented in [Table 1].
Table 1 Technical details of the six composite materials tested

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Surface properties

Cylindrical samples (n = 5) of 6 mm diameter were prepared according to the manufacturers' instructions. The thickness was 2 mm for the incremental types but 4 mm for the bulk fill composite. Shade A2 was used for all tested composites. Composite were packed in one increment, covered with celluloid strip and sandwiched between two glass slides to obtain a flat and smooth surface, then light cured from the top surface using light-emitting diode curing unit (3M ESPE Elipar, Seefeld, Germany) delivering 1200 mW/cm 2, 430–480 nm. A pen mark was placed on the top cured surface. Samples were stored dry for 24 h in a plastic container at 22 ± 1°C. Samples were subjected to surface roughness and wettability measurement using profilometer (Bruker) and drop shape analyzer (Kruss), respectively. Surface wetting (contact angle) was performed using distilled water and glycerol. Top Vickers Hardness Number (VHN) and relative hardness (top/bottom ratio) was measured using Micromet 6040 (Buehler).

Mechanical properties

Composite bars (2 × 2 × 25 mm) were prepared (n = 5) using split Teflon molds. Composite materials were packed in the same way described previously. Curing was done according to manufacturer's instructions in three consecutive cycles to the top surface only using light-emitting diode light. Samples were stored dry for 24 h in plastic container at 22 ± 1°C. The dimensions of each sample were measured using a micrometer (STONEC, Germany) accurate to 0.01 mm, then samples were subjected to three-point bending test using a universal testing machine (Instron 5944, USA) at a crosshead speed of 0.25 mm/min and 2 N loading cell. The flexural strength (FS), modulus (EM), and fracture strain (S%) were calculated using Bluehill 3 software.

The test was don according to ISO 4049 [20], flexure strength (FS) and flexure modulus (EM) were calculated according to the following equations [21]:





Where L is the applied load (N) at the highest point of load–deflection curve, I is the span length (20 mm), b is the width of test specimens and h is the thickness of test specimens. S is the stiffness (N/m) S = L/d and d is the deflection corresponding to load L at a point in the straight-line portion of the trace. Data were collected and subjected to one-way analysis of variance and Tukey's post-hoc test at 0.05 level of significance using SPSS software (Released 2011, IBM SPSS Statistics for Windows, Version 20.0., IBM Corp., Armonk, New York, USA).


  Results Top


The mean values of contact angle, surface roughness and top VHN/relative hardness, are presented in [Figure 1],[Figure 2],[Figure 3].
Figure 1: Contact angle of tested composites with either water or glycerol.

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Figure 2: Surface roughness (nm) of the tested composites.

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Figure 3: Top Vickers Hardness Number (VHN) and relative hardness of tested composites.

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Surface properties

Analysis of variance and Tukey's post-hoc test revealed that when using the Filtek Z350 as a control, all materials showed no statistical significant difference in the contact angle using either water or glycerol when compared with Z350. While there was statistical significance difference in contact angle of different bulk fill materials when using water as a test liquid (P < 0.05), there was a statistically significant difference between Sonic Fill system and Filtek Bulk Fill (P < 0.05).

When using Filtek Z350 as a control, all other materials except SDR showed no statistical significance difference in their surface roughness when compared with Z350 (P > 0.05). Comparing different types of bulk fill materials; there is a statistical significance difference between SDR and Filtek Bulk Fill, and between SDR and Tetric-N-Ceram. The highest roughness was observed with SDR followed by Sonic Bulk Fill composite. All composites showed significantly lower hardness than Filtek Z350; the lowest hardness was recorded for SDR (P < 0.05). There was no statistical significance difference between Tetric-N-Ceram and Herculite. All other composites showed statistically significant different VHN from each other.

The relative hardness ranges from 92 to 97% for all tested composites. All composites showed no statistically significance difference from Filtek Z350 (P > 0.05).

Mechanical properties

The mean values of flexure strength and flexure modulus and strain% are presented in [Figure 4].
Figure 4: (a) Flexure strength, (b) flexure modulus and (c) strain (%) of tested composites.

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There was no significant difference between the bulk fill materials and the two control nanohybrid composite Filtek Z350 (P < 0.05) and Herculite XRV Ultra (P < 0.05) in flexure strength and flexure modulus, while SDR and Tetric-N-Ceram were significantly lower than the other bulk fill composite materials (P < 0.05). Sonic Fill System was significantly higher than the other bulk fill materials.

SDR showed the lowest flexure strength, flexure modulus and the highest strain percentage (P < 0.05) compared to all tested materials and Sonic Fill System showed significantly higher flexure strength and modulus when compared to the tested bulk fill materials (P < 0.05).


  Discussion Top


This study showed that the difference between bulk fill and incremental composite is material dependent and there is a significant difference in some properties while no differences in others. The bulk fill composites investigated in this study (Filtek Bulk Fill, Sonic Fill System, Tetric-N-Ceram, SDR Smart Dentin Replacement) showed variable results when compared to conventional incremental composites (Filtek Z350 and Herculite XRV Ultra). SDR showed the highest surface roughness, lowest surface hardness, lowest flexure modulus and the highest strain% when compared to both incremental and other bulk fill composites. However, Sonic Bulk Fill system exhibited the significantly highest hardness number and flexure modulus compared to Tetric-N-Ceram and SDR Bulk Fill materials. Accordingly, the null hypothesis is partially rejected.

Wettability of dental materials gives an indication of materials' hydrophilicity [22] and surface roughness of dental composite showed a significant correlation to composite depth of wear [19]. Surface roughness and wettability of esthetic restorative material may influence bacterial accumulation and discoloration of restoration caused by food stains and adhesion of microorganism [15] which can accelerate material failure under functional conditions. In the present work, the lower water contact angle of Sonic Bulk Fill compared to Filtek Bulk Fill indicates higher hydrophilicity of Sonic Bulk Fill composite [23]. Craig [22] confirmed that the hydrophobic composite with high water contact angle can reduce or eliminate marginal leakage even in the absence of chemical bonding between composite and dentin. In the present work, the water and glycerol contact angles were both higher than that of bisphenol-A-glycidyl dimethacrylate (65°) [22], indicating high hydrophobicity of all tested materials. This could be due to the development achieved in composite resin technology and the inclusion of more hydrophobic monomers than bisphenol-A-glycidyl dimethacrylate.

Surface roughness of composite resin materials is influenced by resin matrix, filler type, size, shape and distribution [14]. A maximum surface roughness (Ra) of 200 nm has been suggested in previous work [15] as a threshold value for bacterial retention. Below this value, no further reductions were observed, while over this value, biofilm accumulation increased with increasing roughness [15]. In the present work, Ra values higher than 200 nm were observed with SDR and Sonic Bulk Fill materials, which indicate the need to cover these filling materials with other veneering composites to reduce the possibility of bacterial accumulation. The surface roughness of most materials will increase over time in the oral cavity. In order to achieve a surface roughness under the threshold value (Ra = 200 nm) on dental polymers, special routines with stepwise polishing and finishing must be performed and repeated at regular intervals [15].

Surface hardness of composite resin material is influenced by resin matrix, filler type and filler loading and degree of conversion [24]. In previous work [25] there was no correlation observed between degree of conversion and surface hardness. However, it has been confirmed in other studies [17],[19],[26] that a composite material with a higher surface hardness, is considered to be more wear resistant and a significant relationships were confirmed between depth of wear and hardness or average surface roughness. Therefore, measurement of surface hardness may give an indication of wear resistance and clinical performance of different dental composites. In addition, relative hardness (bottom hardness/top hardness) is used in polymer research to investigate irradiance transmission within the full depth of material indicating the degree of conversion of composite material [27]. Therefore, surface hardness and relative hardness were investigated in the present study to compare the bulk fill material to conventional incremental composites. The results of the present work was in agreement with the previous work in which incremental-fill composite showed higher VHN than bulk-fill composites and SDR exhibited the lowest Vickers hardness when compared to other flowable hybrid composite materials [28]. In addition, another study showed low to very low hardness and elastic modulus of SDR and Filtek Bulk Fill [1]. Several investigations confirmed a positive correlation between filler loading and surface microhardness [5],[7],[29] in which the lower hardness value of SDR can be explained by its lower filler loading (68 wt%) which indicates high resin contents based on urethane dimethacrylate and ethoxylated bisphenol-A-dimethacrylate [29]. The relative hardness of all tested materials (92-97%) were higher than the minimum values (80%) required to insure proper irradiance transmission through the full thickness of the bulk fill or incremental composite [27]. Therefore, proper conversion is expected at the base of bulk fill material.

Mechanical behavior of different resin material is influenced mostly by monomer system, filler type, filler loading and filler-resin interphase [29]. In the present study, the Sonic fill material with the highest filler loading (83 wt%) has the highest hardness number and highest flexure strength and modulus compared to other bulk fill materials. While SDR with the low filler loading (68 wt%) showed the lowest mechanical behavior. Filtek Bulk Fill (64.5 wt%) showed comparable results to Sonic Bulk Fill and Z350 Filtek (78.5 wt%). Several investigations found very low correlation between filler loading and mechanical behavior of composite resin materials [29],[30],[31]. Therefore, the differences observed in the resent study cannot be inferred to filler loading only; other factors such as the use of different resin matrix, different types of fillers and filler size and distribution may contribute to the different results observed. Generally, the mechanical properties of bulk fill composite were lower than conventional microhybrid or nanohybrid composite and this is in accordance with other study [5] that recommended the need for conventional composite to veneer bulk fill materials.


  Conclusion Top


Within the limitations of the present work, it can be concluded that surface and mechanical properties of different bulk and incremental-fill composites will vary according to materials composition. During clinical application, clinicians should carefully select the proper material for each application based on the needs of the case and properties of the available material. For example, since SDR is a dentin replacement material and its intended use is to be veneered with resin composite material with higher surface and mechanical properties, its application should adhere to what is recommended by manufacture and it should not be applied routinely with no indication. On the other hand, Sonic Bulk Fill proved to be a suitable material for stress bearing area when indicated due to its improved mechanical properties.

Acknowledgements

This project was funded by the Deanship of Scientific Research (DSR), King Abdulaziz University, Jeddah, under grant no. 3-165-35-RG. The authors therefore acknowledge with thanks DSR technical and financial support. The authors would also like to acknowledge the 'Advanced Technology Dental Research Laboratory' at King Abdulaziz University, Faculty of Dentistry.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Ilie N, Bucuta S, Draenert M. Bulk-fill resin-based composites: an in vitro assessment of their mechanical performance. Oper Dent 2013; 38:618–625.  Back to cited text no. 1
[PUBMED]    
2.
Ibarra ET, Lien W, Casey J, Dixon SA, Vandewalle KS. Physical properties of a new sonically placed composite resin restorative material. Gen Dent 2015; 63:51–56.  Back to cited text no. 2
[PUBMED]    
3.
Li X, Pongprueksa P, Van Meerbeek B, De Munck J. Curing profile of bulk-fill resin-based composites. J Dent 2015; 43:664–672.  Back to cited text no. 3
    
4.
Abouelleil H, Pradelle N, Villat C, Attik N, Colon P, Grosgogeat B. Comparison of mechanical properties of a new fiber reinforced composite and bulk filling composites. Restor Dent Endod 2015; 40:262–270.  Back to cited text no. 4
[PUBMED]    
5.
Leprince JG, Palin WM, Vanacker J, Sabbagh J, Devaux J, Leloup G. Physico-mechanical characteristics of commercially available bulk-fill composites. J Dent 2014; 42:993–1000.  Back to cited text no. 5
[PUBMED]    
6.
Ilie N, Stark K. Curing behaviour of high-viscosity bulk-fill composites. J Dent 2014; 42:977–985.  Back to cited text no. 6
[PUBMED]    
7.
Alrahlah A, Silikas N, Watts DC. Post-cure depth of cure of bulk fill dental resin-composites. Dent Mater 2014; 30:149–154.  Back to cited text no. 7
[PUBMED]    
8.
Alshali RZ, Silikas N, Satterthwaite JD. Degree of conversion of bulk-fill compared to conventional resin-composites at two time intervals. Dent Mater 2013; 29:213–217.  Back to cited text no. 8
[PUBMED]    
9.
Santini A, Miletic V, Swift MD, Bradley M. Degree of conversion and microhardness of TPO-containing resin-based composites cured by polywave and monowave LED units. J Dent 2012; 40:577–584.  Back to cited text no. 9
[PUBMED]    
10.
van Dijken JW, Pallesen U. Randomized 3-year clinical evaluation of Class I and II posterior resin restorations placed with a bulk-fill resin composite and a one-step self-etching adhesive. J Adhes Dent 2015; 17:81–88.  Back to cited text no. 10
[PUBMED]    
11.
Moorthy A, Hogg CH, Dowling AH, Grufferty BF, Benetti AR, Fleming GJ. Cuspal deflection and microleakage in premolar teeth restored with bulk-fill flowable resin-based composite base materials. J Dent 2012; 40:500–505.  Back to cited text no. 11
[PUBMED]    
12.
Roggendorf MJ, Kramer N, Appelt A, Naumann M, Frankenberger R. Marginal quality of flowable 4-mm base vs. conventionally layered resin composite. J Dent 2011; 39:643–647.  Back to cited text no. 12
    
13.
da Veiga AM, Cunha AC, Ferreira DM, da Silva Fidalgo TK, Chianca TK, Reis KR, et al. Longevity of direct and indirect resin composite restorations in permanent posterior teeth: a systematic review and meta-analysis. J Dent 2016; 53:1–12.  Back to cited text no. 13
    
14.
Abzal MS, Rathakrishnan M, Prakash V, Vivekanandhan P, Subbiya A, Sukumaran VG. Evaluation of surface roughness of three different composite resins with three different polishing systems. J Conserv Dent 2016; 19:171–174.  Back to cited text no. 14
[PUBMED]  [Full text]  
15.
Øilo M, Bakken V. Biofilm and dental biomaterials. Materials 2015; 8:2887–2900.  Back to cited text no. 15
    
16.
Agarwal RS, Hiremath H, Agarwal J, Garg A. Evaluation of cervical marginal and internal adaptation using newer bulk fill composites: an in vitro study. J Conserv Dent 2015; 18:56–61.  Back to cited text no. 16
    
17.
Schmage P, Nergiz I, Sito F, Platzer U, Rosentritt M. Wear and hardness of different core build-up materials. J Biomed Mater Res B Appl Biomater 2009; 91:71–79.  Back to cited text no. 17
    
18.
El-Shamy H, El-Mowafy O. Relative hardness of composite buildups polymerized with two different LED lights. Int J Prosthodont 2009; 22:476–478.  Back to cited text no. 18
    
19.
Mandikos MN, McGivney GP, Davis E, Bush PJ, Carter JM. A comparison of the wear resistance and hardness of indirect composite resins. J Prosthet Dent 2001; 85:386–395.  Back to cited text no. 19
    
20.
International Organization for Standardization. ISO 4049 polymer based filling, restorative and luting materials. 2000:pp. 1–27.  Back to cited text no. 20
    
21.
Garoushi S, Sailynoja E, Vallittu PK, Lassila L. Physical properties and depth of cure of a new short fiber reinforced composite. Dent Mater 2013; 29:835–841.  Back to cited text no. 21
    
22.
Craig RG. Selected properties of dental composites. J Dent Res 1979; 58:1544–1550.  Back to cited text no. 22
    
23.
Atai M, Nekoomanesh M, Hashemi SA, Amani S. Physical and mechanical properties of an experimental dental composite based on a new monomer. Dent Mater 2004; 20:663–668.  Back to cited text no. 23
    
24.
Galvão MR, Caldas SGFR, Bagnato VS, de Souza Rastelli AN, de Andrade MF. Evaluation of degree of conversion and hardness of dental composites photo-activated with different light guide tips. Eur J Dent 2013; 7:86–93.  Back to cited text no. 24
    
25.
Abed YA, Sabry HA, Alrobeigy NA. Degree of conversion and surface hardness of bulk-fill composite versus incremental-fill composite. Tanta Dent J 2015; 12:71–80.  Back to cited text no. 25
    
26.
Baharav H, Abraham D, Cardash HS, Helft M. Effect of exposure time on the depth of polymerization of a visible light-cured composite resin. J Oral Rehabil 1988; 15:167–172.  Back to cited text no. 26
    
27.
Bouschlicher MR, Rueggeberg FA, Wilson BM. Correlation of bottom-to-top surface microhardness and conversion ratios for a variety of resin composite compositions. Oper Dent 2004; 29:698–704.  Back to cited text no. 27
    
28.
Ilie N, Hickel R. Investigations on a methacrylate-based flowable composite based on the SDR technology. Dent Mater 2011; 27:348–355.  Back to cited text no. 28
    
29.
Sunbul HA, Silikas N, Watts DC. Surface and bulk properties of dental resin-composites after solvent storage. Dent Mater 2016; 32:987–997.  Back to cited text no. 29
    
30.
Johnson WW, Dhuru VB, Brantley WA. Composite microfiller content and its effect on fracture toughness and diametral tensile strength. Dent Mater 1993; 9:95–98.  Back to cited text no. 30
    
31.
Ilie N, Hickel R. Investigations on mechanical behaviour of dental composites. Clin Oral investig 2009; 13:427–438.  Back to cited text no. 31
    


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