Can pulpal floor debonding be detected from occlusal surface displacement in composite restorations?

• Published in: Dental materials Vol. 34; no. 1; pp. 161 - 169
• Main Authors: Novaes, João Batista, Talma, Elissa, Las Casas, Estevam Barbosa, Aregawi, Wondwosen, Kolstad, Lauren Wickham, Mantell, Sue, Wang, Yan, Fok, Alex
• Format: Journal Article
• Language: English
• Published: England Elsevier Inc 01.01.2018; Elsevier BV
• Subjects: Acrylic Resins - chemistry; Aluminum; Composite materials; Composite Resins - chemistry; Computer simulation; Contraction; Correlation analysis; Debonding; Deformation; Deformation mechanisms; Dental caries; Dental Cavity Preparation; Dental Cements; Dental Marginal Adaptation; Dental materials; Dental restoration; Dental Restoration Failure; Dental Restoration, Permanent - methods; Dental restorative materials; Digital imaging; Displacement measurement; Elastic Modulus; Finite Element Analysis; Finite element method; Image Processing, Computer-Assisted; Intraoral scanner; Light-Curing of Dental Adhesives; Materials Testing; Polymerization; Polymerization shrinkage; Polyurethanes - chemistry; Powder; Resin composite; Restoration; Scanners; Shrinkage; Slumping; Statistical analysis; Surface Properties; Teeth; Resin composite; Intraoral scanner; Dental restoration; Debonding; Polymerization shrinkage
• ISSN: 0109-5641; 1879-0097; 1879-0097
• DOI: 10.1016/j.dental.2017.11.019

Polymerization shrinkage of resin composite restorations can cause debonding at the tooth–restoration interface. Theory based on the mechanics of materials predicts that debonding at the pulpal floor would half the shrinkage displacement at the occlusal surface. The aim of this study is to test this theory and to examine the possibility of detecting subsurface resin composite restoration debonding by measuring the superficial shrinkage displacements. A commercial dental resin composite with linear shrinkage strain of 0.8% was used to restore 2 groups of 5 model Class-II cavities (8-mm long, 4-mm wide and 4-mm deep) in aluminum blocks (8-mm thick, 10-mm wide and 14-mm tall). Group I had the restorations bonded to all cavity surfaces, while Group II had the restorations not bonded to the cavity floor to simulate debonding. One of the proximal surfaces of each specimen was sprayed with fine carbon powder to allow surface displacement measurement by Digital Image Correlation. Images of the speckled surface were taken before and after cure for displacement calculation. The experiment was simulated using finite element analysis (FEA) for comparison. Group I showed a maximum occlusal displacement of 34.7±6.7μm and a center of contraction (COC) near the pulpal floor. Group II had a COC coinciding with the geometric center and showed a maximum occlusal displacement of 17.4±3.8μm. The difference between the two groups was statistically significant (p-value=0.0007). Similar results were obtained by FEA. The theoretical shrinkage displacement was 44.6 and 22.3μm for Group I and II, respectively. The lower experimental displacements were probably caused by slumping of the resin composite before cure and deformation of the adhesive layer. The results confirmed that the occlusal shrinkage displacement of a resin composite restoration was reduced significantly by pulpal floor debonding. Recent in vitro studies seem to indicate that this reduction in shrinkage displacement could be detected by using the most accurate intraoral scanners currently available. Thus, subject to clinical validation, the occlusal displacement of a resin composite restoration may be used to assess its interfacial integrity.