Summary
INTRODUCTION
Esthetic dentistry can be defined as the art and science of dentistry, applied to create or enhance beauty of an individual within functional and physiological limits.
Where as cosmetic dentistry is application of the principles of esthetics and certain illusionary principles, performed to signify or enhance beauty of an individual to suit the role he has to play in his day to day life or otherwise. Appearance is closely linked to social acceptance and professional success. No longer are people satisfied with just looking good, it must be coupled with a complete feeling of total well-being. Newer technologies are being harnessed for this purpose and advanced research is being undertaken. Thus, focus of dentistry in the present times is not only on prevention and treatment of disease but also on meeting the demands for better esthetics. Newer dental materials developed for esthetic enhancement are now chosen for their excellent mechanical as well as esthetic qualities. Esthetic dentistry is emerging as one of the most progressive and challenging branches of this field. Thus dentistry has evolved from a curative to a creative science in a very short span.
The modern history of esthetic restorative materials was started with silicate cement, introduced by Fletcher in 1878, the principle anterior restorative material of those days. But, silicate cements were discouraged later on because of their poor strength, irritation to pulp tissue and brittleness. Even the nature of its setting and structure were but imperfectly understood. Self curing acrylic resin was introduced to the dental profession in the mid- 1950s. Initially used for the construction of denture bases, acrylic resin has also been used for many other purposes, including denture teeth, temporary restorations, intraoral splints and veneering agents for crowns and bridges. Since their introduction, acrylic based materials have continued to play a major role in restorative and prosthetic dentistry. But they too showed poor physical properties like high polymerization, shrinkage and coefficient of thermal expansion, irritation to pulp and dimensional instability.
In attempt to improve their properties, and the potential for greater application of resins came about with the introduction of the bisphenol A and glycidyl methacrylate, or BIS-GMA, system by R Bowen in the early 1960s .
Esthetic dentistry can be defined as the art and science of dentistry, applied to create or enhance beauty of an individual within functional and physiological limits.
Where as cosmetic dentistry is application of the principles of esthetics and certain illusionary principles, performed to signify or enhance beauty of an individual to suit the role he has to play in his day to day life or otherwise. Appearance is closely linked to social acceptance and professional success. No longer are people satisfied with just looking good, it must be coupled with a complete feeling of total well-being. Newer technologies are being harnessed for this purpose and advanced research is being undertaken. Thus, focus of dentistry in the present times is not only on prevention and treatment of disease but also on meeting the demands for better esthetics. Newer dental materials developed for esthetic enhancement are now chosen for their excellent mechanical as well as esthetic qualities. Esthetic dentistry is emerging as one of the most progressive and challenging branches of this field. Thus dentistry has evolved from a curative to a creative science in a very short span.
The modern history of esthetic restorative materials was started with silicate cement, introduced by Fletcher in 1878, the principle anterior restorative material of those days. But, silicate cements were discouraged later on because of their poor strength, irritation to pulp tissue and brittleness. Even the nature of its setting and structure were but imperfectly understood. Self curing acrylic resin was introduced to the dental profession in the mid- 1950s. Initially used for the construction of denture bases, acrylic resin has also been used for many other purposes, including denture teeth, temporary restorations, intraoral splints and veneering agents for crowns and bridges. Since their introduction, acrylic based materials have continued to play a major role in restorative and prosthetic dentistry. But they too showed poor physical properties like high polymerization, shrinkage and coefficient of thermal expansion, irritation to pulp and dimensional instability.
In attempt to improve their properties, and the potential for greater application of resins came about with the introduction of the bisphenol A and glycidyl methacrylate, or BIS-GMA, system by R Bowen in the early 1960s .
Excerpt
Table Of Contents
In the realm of restorative materials, Buonocore, in 1955, had advocated an acid-etch
technique for bonding resins to enamel; however, his findings were neglected for many years
probably because of the inadequacy of simple resins as restorative material. But when BIS-GMA
became available, he found it to work best. Somewhat later, the acid-etching of enamel in and
around cavity preparations was found to be beneficial.
Over the past two decades, there has been a substantial progress in the development
and application of resin based tooth colored restorative materials. Consequently, new restorative
materials are now being explored by dentists, materials scientists and patients who are searching
for the so-called `amalgam substitute' or `amalgam alternative'.
The focus of dentistry in the present times is not only on prevention and treatment of disease but
on meeting the demands for better esthetics.From a critical point of view some of the new direct
restorative materials are good with respect to aesthetics, but all material characteristics must be
considered, such as for mechanical properties, biological effects, and long term clinical
behaviour.
Newer technologies are being harnessed for this purpose and advanced research is being
undertaken. Thus dentistry has evolved from a curative to a creative science in a very short span.
The constant desire of dental profession to achieve a natural appearance has led to development of
various resin based tooth colored material.
2
HISTORY
· Early 19th century silicates were only tooth colored material used. They had fluoride
releasing property but their major disadvantage was they become eroded very easily as
were highly soluble in oral fluid and were irritating to pulp.
· Between 1940's and 1950's acrylic resins (PMMA) replaced silicates due to their
insolubility in oral fluid, ease of manipulation, tooth like apprearance and low cost. They
also had many disadvantages like high polymerise shrinkage, high thermal conductivity.
· Early composites based on Poly Methy Methacrylate were not successful because filler
was not bonded to resin this produced defects between mechanically retained particles
and surrounding resin.
· Dr. Michael Buonocore, 1955 first discovered the effect of phosphoric acid on enamel
which made the surface rough and porous thereby receptive to bonding of polymerisible
resin.
In 1962 Dr.Ray L. Bowen of ADA research unit at the National Bureau of Standards
developed bis-GMA and organic silane coupling agent to form bond between filler and resin.
This was the major advancement made by him in restorative dentistry. . Bis-GMA forms the
basis of present-day resin base restorative materials because of its limited shrinkage and
fracture resistance. It was first used in composite in 1969.
In early 1970's eight curing was introduced as an option for clinician in form of UV
light. Because of its limitations, light cure was later using the visible light cure systems.
With the advent of visible light a great evolution came in the composite system.
Camphorquinone was added as a photoinitiator in conjunction to an amine in the resin.
After this, another major advancement came with the invention of the dentin bonding
agents. Fusayama (1980) have made significant contribution to the research literature in the
area of adhesive bonding agents.
In 1976 microfilled composites
Early 1980s posterior composites
Mid 1980s hybrid composites; I generation indirect composites
Early 1990s II generation indirect composites
In 1991 Beta quartz inserts
1995 Compomer was introduced to improve the handling and fluoride release.
1996 Flowable composite; ceromer
1997 Packable composite
3
1998 Ormocers; ion-releasing composites; fiber reinforced composites
1999 Single crystal-modified composites
4
1.
Anu
Com
part
inte
Den
disp
shor
2.
Mc
A c
form
3.
Stu
A c
cho
prop
D
usavice
mposite in
ticles in a m
ermediate to
ntal compos
persion of a
rt fibers bon
Cabe
omposite m
med by blen
rdevant
composite is
sen with th
perties.
Definitions
n material s
metal phase
o those of th
site is defin
amorphous
nded to the
material is a
nding togeth
s a physica
he purpose o
COMPOSI
of compos
science, a s
) that have
he individua
ned as a hig
silica, glass
matrix by a
product wh
her compon
l mixture o
of averagin
ITE RESIN
site resins
solid forme
been comb
al constituen
ghly cross-li
s, crystallin
a coupling a
hich consist
ents having
of the mater
ng the prope
NS
d from two
bined to pro
nts
inked polym
ne, or organ
agent.
ts of at leas
g different st
rials the par
erties of the
o or more d
oduce prope
meric mater
nic resin fil
st two distin
tructure and
rts of the m
e parts to ac
distinct pha
erties superi
rial reinforc
ller particle
nct phases n
d properties
mixture gen
chieve inter
ses (e.g.
ior to or
ced by a
s and/or
normally
s
erally is
rmediate
5
4.
DCNA 2007; Dental materials; vol. 51; July
Composite is a multiphase material that exhibits the properties of both phases where the
phases are complimentary, resulting in a material with enhanced properties.
Classification of composite
1.
ADA specification No. 27 (JADA Vol. 94, Jun 1977)
· Type I unfilled and filled resins (noncomposite)
· Type II composite resin materials to which a filler has been added
2.
Skinner's classification (10
th
edition)
· Traditional composites (Macrofilled) 8-12m
· Small particle filled composite 1-5m
· Microfilled composite 0.04 0.4 m
· Hybrid composite 0.6 1 m
3.
According to Craig
Type I: polymer-based materials suitable for restorations involving occlusal surfaces
Type II: other polymer-based materials
Class 1: self-cured materials
Class 2: light cured materials
Group 1: energy applied intra-orally
Group 2: energy applied extra-orally
Class 3: Dual-cured materials
6
4.
Acc
5.
Acc
two ma
materia
1.
2.
a. The
reac
cording to A
cording to M
Prior to dis
ain phases p
als with :
A continuo
An interrup
e continuou
ction produc
Anusavice
Marzouk
scussing the
present in a
ous (dispersi
pted (disper
us phase
ct of Bisphe
(11
th
editio
e generation
composite r
ion/reinforc
sed/reinforc
Consists o
enol A and g
on)
ns elucidate
resin as stat
ced) phase.
cing) phase
of the synt
glycidyl me
ed by Marzo
ted by him.
.
thetic resin
ethacrylate.
ouk it is im
Composite
macromol
mportant to
es are all re
lecules, i.e.
note the
inforced
. it is a
7
Other substitutes for BIS-GMA are :
i.
Modified BIS-GMA by elimination of OH group.
ii.
Urethane diacrylate.
iii.
TEG-DMA.
b.
The interrupted phase :
This may consist of either one or combination of the following :
i.
MACRO- CERAMICS.
ii.
COLLOIDAL and MICRO-CERAMICS.
iii.
Fabricated macro reinforcing macro-reinforcing phases with colloidal micro-
ceramic component bases.
i.
Macro-Ceramics Consists of silicate based materials (SiO
4
), e.g. quartz, fused silica,
silicate glasses, crystalline lithium aluminium silicate, (Radio-opaque) Ba-Al-boro-Si
etc.
ii.
Colloidal and Micro-Ceramics : Originally these consisted of colloidal silicate forms
but have now been replaced by larger sized pyrogenic silica.
Classified in order of their chronological development
1. First generation composites
Consists of macroceramic reinforcing phase in an appropriate resin matrix
Enjoys the broadest clinical experience
Highest mechanical properties in lab testing
Highest proportion of destructive wear clinically due to dislodging of large
ceramic fillers.
High surface roughness
2. Second generation composites
Consists of colloidal and micro-ceramic phases in a continuous resin phase
Exhibit best surface texture of all composite resins
Properties of strength and COTE are unfavorable
8
Wear resistance is better than that of first generation due to dispersion matrix
macromolecules and difficulty of engaging these minute ceramic particles in
abrading element.
3. Third generation composites
Is a hybrid composite in which there is a combination of macro- and micro
(colloidal) ceramics as reinforces
They exists in ratio of 75:25 in a suitable continous resin phase
The properties are somewhat of a compromised between first and second
generation composites
4. Fourth generation composites
Are hybrid types, but instead of macroceramics fillers they contain heat-cured,
irregularly shaped highly reinforced composite macroparticles, with reinforcing
phase of micro (colloidal) ceramics
Produce superior restorations but they are very technique sensitive
These exhibit maximum shrinkage of all composites
Texture and esthetic capacity only slightly less satisfactory than 2
nd
generation
materials
Physical and mechanical properties between those of the first and second
generation
5. Fifth generation composite
Hybrid system in which the continuous phase is reinforced with microceramics
and macroceramics, highly reinforced heat cured composite particles
The spherical shape of the macrocomposite particles will improve their
wettability and consequently their chemical bonding to continuous phase of the
final composite
Packing factor of final composite is improved
Workability is improved because of specific shape of macromolecules. This
results from easy `slip' that occurs among the particles in spite of high viscosity
of highly reinforced matrix
9
6.
7.
Surfa
2
nd
ge
Physi
comp
Sixth gener
Are h
micro
ceram
Exhib
Of all
Its w
comp
According
a. Bas
b. Bas
size
¾
¾
¾
¾
ce texture a
eneration co
ical and me
osites
ration comp
hybrid in w
o (colloid)
mics
bits the high
l composite
ear and sur
osite.
to sturdev
sed on filler
sed on rang
e
Megafill-
Macrofill
Midfill 1-
Minifill 0
and wear of
omposite
echanical p
posites
hich the co
ceramics
hest percent
s, it has bes
rface textur
vant (4
th
edi
content (w
ge of filler
quartz , larg
10-100
m
-10
m
0.1-1
m
f these mate
properties a
ontinuous ph
and agglo
tage of reinf
st mechanic
re character
ition)
eight/volum
r particle
ge size
m
erials would
are similar
hase is rein
omerates o
forcing part
al propertie
ristics are v
me%)
d be compa
to those of
nforced with
of sintered
icles
es
very simila
arable to tha
f fourth ge
h a combin
micro (co
ar to 4
th
ge
at of the
neration
nation of
olloidal)
neration
10
¾ Microfill 0.01-0.1 m
¾ Nanofill 0.005-0.01 m
c. Composites with mixed range of particles sizes are called hybrid and the
largest particle size range is used to define the hybrid type
¾ Midifill hybrid
¾ Minifill hybrid
d. According to whether composite is a homogenous mixture of resin and filler
or includes the pre-cured composite
¾ Homogeneous if composite consists of filler and uncured matrix
material
¾ Heterogeneous if it includes pre-cured composites or other
unusual filler
e. Modified composites- if it includes novel filler modifications in addition to
conventional fillers, it is called modified composites. E.g. fibre-reinforced
composites.
8.
Based on area of application
anterior
posterior composites
9.
Based on method of curing
· Chemical curing
· Light curing
UV light
Visible light
Plasma arc
Laser curing
· Dual cure
11
· Light body Flowable composite
· Medium body Homogeneous microfills, macrofills and midifills
· Heavy body Packable hybrid minifills
INDICATIONS OF COMPOSITES
Class I, II, III, IV, V, VI
Core buildups
Sealants and preventive resin restorations
Esthetic enhancement procedures
Cements
Veneering metal crowns/bridges
Temporary restorations
Periodontal splinting
Non-carious lesions
Enamel hypoplasia
Composite inlays and onlays
Repair of old composite restorations
Patients allergic to metals
CONTRAINDICATIONS OF THE COMPOSITE RESIN RESTORATIONS
· Isolation for a restoration to be susccesful it must be bonded to tooth structure. Bonding
to tooth requires an environment isolated from contamination by oral fluids or other,
which may prohibits bond development. Therefore the ability to isolate the operating area
is a major factor in selecting a composite material for restoration. If the operating area
cannot be totally isolated, a non-bonded amalgam restoration is material of choice.
· Occlusion composite materials exhibit less wear resistance than amalagem. For patients
with heavy occlusion, bruxism, or restorations that provide all of a tooth's occlusal
contacts, amalgam rather than composite is usually indicated. Factors that affect the wear
resistance of composite include tooth location, width of the tooth preparation, type of the
contact from opponent tooth on composite surface
12
10. Based on consistency
· Subgingival area/root surface composite restorations extending on root surface may
exhibit gap formation at junction of composite and root. So, a lining of GIC is
recommended.
· Poor oral hygiene
· High caries index
· Habits (bruxism)
· Operator's ability and commitment factors the ability to isolate, placement of etchant,
primer and adhesive on tooth structure, insertion, finishing and polishing of composite
restoration are more difficult. These requires both technical ability and knowledge of
material's use and limitations
ADVANTAGES OF THE COMPOSITE RESIN
¾ Esthetics
¾ Conservation of tooth structure less extension, uniform depth not necessary,
mechanical retention usually not necessary.
¾ Less complex when preparing the tooth
¾ Insulative
¾ Used almost universally
¾ Strengthening
¾ Bonded to tooth structure resulting in good retention, low microleakage,
minimal interfacial staining and increased strength of remaining tooth
structure.
¾ Repairable
¾ No corrosion
13
¾ Polymerization shrinkage
¾ Technique sensitive
¾ Higher coefficient of thermal expansion
¾ Difficult, time consuming
¾ Increased occlusal wear
¾ Low modulus of elasticity
¾ Bio-compatibility
¾ Staining
¾ Costly
COMPOSITION AND FUNCTION OF COMPONENTS:-
Tooth enamel and dentin are two examples of the many composite materials found in nature.
Enamel contains approx. 95 wt% inorganic structure, 90 to 92% of which is hydroxyapatite.
The other components 1 wt% is of organic enamelin structure and 4 wt% of water. Dentin
contains 75 wt% of inorganic, 20 wt% organic matters and 5 wt% water. In both enamel and
dentin reinforcing filler particles are hydroxyapatite crystals. The difference in the properties
of these two tissues is associated in part with differences in the matrix-to-filler ratios.
There are 3 main structural components in composite resin
1. Matrix a plastic resin material that forms a continuous phase and binds the filler
particles.
2. Filler reinforcing particles and/or fibers that are dispersed in the matrix.
3. Coupling agent bonding agent that promotes adhesion between the fillers and the
matrix.
RESIN MATRIX:-
Most dental composite use a blend of aromatic or aliphatic dimethacryalytes monomers
such as Bis-GMA (most commonly used); Triethylene glycol (TEGDMA); Urethane
methacrylate (UDMA). These three monomers form highly crossed linked polymer
structure.
14
DISADVANTAGES OF THE COMPOSITE RESIN RESTORATIONS
Som
produce
short co
1. Hig
2. Gen
3. Vol
4. Hig
5. Use
dete
The
three fe
hydroxy
me early co
e materials
omings of m
gh shrinkage
neration of h
latility.
ghly irritant
e of high
erioration of
e breakthrou
eatures
1. The bis
polycar
2. Termin
radical
3. Hydrox
of high
water b
The Bis-GM
yl groups th
omposites w
that were
methyl meth
e during pol
heat.
to pulp and
quantity o
f the mecha
ugh came w
s-phenol A
rbonates and
al methacry
system.
xyl groups
viscosity
by the resin.
MA has two
hat provide
were based
as satisfact
hacrylate are
lymerization
d soft tissue.
f methacry
anical prope
with the int
A nucleus:
d polysulph
ylate group
these indu
about 12,0
o phenyl gro
intermolecu
on methyl
tory as thos
e
n.
.
ylic acid re
erties.
troduction o
found in t
hones.
ps these
uce hydroge
000 poise an
oups, which
ular bonding
l methacryl
se produced
esulted in
of Bis-GMA
thermoplast
are polyme
n bonding a
nd undoubte
h provide ri
g.
ate but this
d by the lat
high absor
A in 1962.
ics of high
erizable by
and thereby
edly enhanc
gidity to the
s monomer
ter monome
rption of w
The molec
h strength
convention
y result in a
ce the absor
e molecule
did not
ers. The
water
cule has
such as
nal free-
material
rption of
and two
15
The advantage of using this monomer appear to be
1. Because Bis-GMA and UDMA have almost five times the molecular weight of the
methylmethacrylate, the density of the methacrylate double- bond groups is approx.
one-fifth as high as in these monomers, which reduces the polymerization shrinkage
proportionately. The use of the dimethacrylate also results in extensive cross-linking
which increases the strength and rigidity of the polymer.
2. It is non-volatile.
3. It produces less heat during polymerization.
4. It is a large molecule hence less diffusion into pulp and subsequent toxicity
A defect pointed out by Bowen himself is that this monomer is impossible to
crystallize and hence to purify. Also the stability of its color is questionable. Owing to its
high viscosity, it requires low molecular weight thinning monomers such as the glycol
methacrylates. The addition of low molecular weight monomer or the diluents is needed to
attain the high filler content and also to attain consistencies of the paste suitable for clinical
manipulation. These diluent monomers can be any fluid methacrylate, but are usually
dimethacrylates such as TEGDMA.
The mixture of TEGDMA and Bis-GMA provides appropriate viscosity needed for
binding of filler particles. Bis-GMA and TEGDMA in ratio of 3 :1 and 1:1 have been tried.
The function of the diluent can be listed as follows
1. Attains a consistency that is suitable for manipulation i.e. to reduce the viscosity
2. Results in higher filler loading.
3. Results in higher degree of conversion.
4. Increase the number of cross-linking reactions during setting of the resin matrix.
5. Increase the time before gelation of the matrix occurs and subsequently reduce
marginal polymerization contraction stress.
Disadvantages of the increased concentration of the diluent
1. Greater polymerization shrinkage.
2. Increased flexibility.
16
3.
The dim
among
softenin
Bis-GM
between
with a
(triethy
characte
viscous
with Bi
and ben
elongat
Decreased
methacrylate
the polyme
ng and/or de
MA has a ve
n the hydro
a more flu
leneglycold
eristics, and
s Bis- GMA
is-GMA. O
nzyl metha
ion and deg
abrasion res
e monomer
er chains. T
egradation b
ery high vis
oxyl groups
uid resin i
dimethacryl
d it is mos
A. Optimal p
Other diluen
acrylate, a
gree of cure
sistance.
rs also have
This results
by heat and
scosity beca
on the mo
in order t
ate) has
t often use
properties a
nts include
monofunct
.
e the advant
s in a rigid
solvents su
ause of the
onomer mol
to be use
excellen
ed as the di
are produce
ethylene-
tional mon
tage of prod
d resin mat
uch as water
hydrogen b
ecules. Thu
ful for de
nt viscosi
iluent mono
ed when TE
and hexam
omer adde
ducing exte
trix that is
r and alcoho
bonding inte
us, Bis- GM
ental comp
ity and
omer for U
EGDMA is
methylene-gl
d to enhan
ensive cross
highly resi
ol.
eractions th
MA must be
posites. TE
copolyme
UDMA or th
used in a 1
lycoldimeth
nce polyme
s-linking
istant to
hat occur
e diluted
EGDMA
erization
he more
1:1 ratio
hacrylate
er chain
17
Bis-GM
is maxi
polyme
thus en
monom
in the p
spectrop
polyme
Incorp
the
Benefit
reduce t
1.
2.
3.
4.
5.
Resin stren
MA molecul
mized. The
er backbone
nhancing the
mer to polym
polymer ma
photometry
erization.
poration of
filler partic
ts of the fill
The primar
the amount
Reinforcem
wear.
Reduction i
Reduction i
Improved w
Reduction i
ngth is depe
les are used
e minimal fl
e. Increased
e stiffness o
mer limits th
atrix. In pre
y that 25-
F
fillers into r
cles are wel
reinforcing
lers -
ry purposes
of matrix m
ment of matr
in polymeri
in thermal c
workability
in water sor
endent upo
d and the de
lexibility of
d cure result
of the polym
he number o
esent comm
55% of th
FILLERS (
resin matrix
l bonded to
g the matrix
s of the fill
material.
rix resin res
ization shrin
contraction
by increasin
rption, softe
on monome
egree of con
f the Bis-GM
ts in enhan
ymer networ
of unreacted
mercial com
the methac
(DISPERSE
x greatly im
o resin matri
can actuall
ler particles
sulting in in
nkage
and expans
ng the visco
ening and st
r compositi
nversion (D
MA molecu
nced cross-l
rk. In addit
d monomers
mposites, it
crylate gro
ED PHASE
mproves the
ix. If not, th
ly weaken th
s are to stre
ncreased har
sion
osity
taining
ion, being
DC) of the m
ule enhance
inks betwee
tion, the fur
s that may s
has been v
ups remain
E)
material pro
he filler part
he material.
engthen the
rdness, stre
greatest wh
methacrylate
s the rigidit
en polymer
rther conve
serve as pla
verified by
n unreacte
operties, pro
ticles instea
.
e composite
ength and de
hen stiff
e groups
ty of the
r chains,
ersion of
asticizers
infrared
ed after
ovided
d of
e and to
ecreased
18
6.
7.
The rou
Materi
1.
Crys
Increased
strontium (
X-rays.
Contribute
utinely use
a. Qua
extr
fine
com
even
b. Silic
pure
pyro
hav
boro
c. Oth
zirc
d. Rec
ytte
e. Ions
alum
als used for
Pure silica
stalline
Crystobalit
Tridymite
Quartz
radiopacity
(Sr) and bar
to esthetics
d fillers
artz quart
remely hard
er particles
mposites, wh
n abraded th
ca silica h
e silica, fu
ogenic and
e been use
osilicates ar
her fillers
conium diox
cently filler
erbium triflu
s have been
minum silic
r fillers -
te
y and diag
rium (Ba) g
s
tz is chemi
d, making it
s. These w
hich were d
he opposing
has been us
fused silica
d precipitat
ed. Glasses
re also used
such as
xide have al
s containin
uoride
n added to s
cate and stro
Pure
gnostic sen
glass and o
ically made
difficult to
were used
difficult to p
g tooth struc
sed as filler
a and collo
ted forms
s as alumi
d.
tricalcium
lso been use
ng fluoride
silica particl
ontium silic
e silica
nsitivity th
ther heavy
e, but was
grind into
in early
polish and
cture.
r in many f
oidal silica
of colloida
inum silica
m phospha
ed
are tried su
les e.g. lithi
ate glass.
hrough the
metal comp
forms as
a. Both
al silica
tes and
ate and
uch as yttri
ium aluminu
non-c
Glass
Modific
- Li, A
- Ba, Zn
P
e incorpora
mpounds tha
ium trifluor
num silicate,
crystalline
cation by ion
Al
n, St, Y, St,
Pyrogenic s
ation of
at absorb
ride and
, barium
ns
, Zr,
silica
19
2. Amorphous silica
· Colloidal silica (0.04m)
Pyrolytic/precipitation process
Pyrogenic/fumed silica
· Agglomerated silica (1 - 25 m)
3. Organic filler
4. Fiber fillers
5. Single crystals Sic
6. Crystalline polymers.
7. Fluoride containing fillers
Organic fillers
Are nothing but heterogenous fillers. This was introduced in order to circumvent the
viscosity problem. Precured microfill composite was blended with uncured material. Precured
particles were generated by grinding cured composites to a 1 20 m sized powder. The
procured particles become chemically bonded to the new material, provide islands with better
properties and can be finely finished.
Another method to overcome the viscosity problems has been to sinter the smaller
filer particles into large but porous filer particles, impregnate them with monomer and add
the new particles to a microfill composite. Within the local region of sintered filler particle,
the material is highly filled and yet capable of being polished. [these two modifications are
for microfill composite to overcome viscosity]. The unmodified microfills are called
homogenous microfills.
Fiber fillers:-
This type of fillers has led to the introduction of fiber-reinforced systems. The main
advantage of fibers is that they have excellent strength in the primary fiber direction.
Unfortunately, it is difficult to efficiently pack the fibers or orient their direction. Small
additions of fibers to regular fillers are effective in improving properties. The limiting factor
is that fibers only may be used with dimension greater than 1 m because of the concern for
cariogenicity of submicron fibers such as asbestos. Most current fibers have diameters of 5 to
10 m and effective length of 20 to 40 m.
20
Single crystal- Sic:-
Single crystals generally have symmetric shapes and are commonly long plates,
behaving like fibers, their singular advantage is that they are much stronger than non-
crystalline or polycrystalline fibers. The strongest e.g. of a crystal modified composite is an
experimental composition that employs Sic single crystal. Unfortunately, the crystals are
colored and not well suited for esthetic considerations. However, in clinical uses in which
esthetics are not important, these crystals modified composites could be very valuable.
Pure silica:- Pure silica occurs in several crystalline forms and non-crystalline form (glass).
Crystalline forms are stronger and harder, but when used, result in composites that are
difficult to finish and polish. Therefore most composites are now produced using silicate
glasses. Barium, zinc and ytterium-modified silica glasses are currently the most popular
fillers. Non-crystalline glass are sometimes modified with other ions to produce desirable
changes in properties. Lithium (Li) and aluminum (Al) ions make the glass easier to crush to
generate small particles. Barium (Ba), Zinc (Zn), Boron (B), Zirconium (Zr) and Yttrium (Y)
ions have been used to produce radiopacity in filler particles. Excessive modification (by
replacement of silicon in structure) however can reduce the efficacy of silane coupling agent.
Amorphous silica:-
Microfill and hybrid composites utilize microfiller of SiO
2
that can be produced in
variety
of ways. Two basic forms are usd in dental composites. Colloidal silica is chemically
precipitated from a liquid solution as amorphous silica particles. Pyrogenic silica is
precipitated from a gaseous phase as amorphous particles. The actual properties of each form
are slightly different, but the differences have not yet been shown to produce different
clinical properties for composites.
Crystalline polymer fillers some newer composites include crystalline polymer to
supplement traditional fillers. Crystalline polymer is not nearly as strong as inorganic filler,
but is it is stronger than amorphous polymer material.
21
II.
Filler size
A. Sturdevant classified fillers according to particle size as Megafill, macrofill,
midifill, minifill, microfill, and Nanofill. Composites with mixed ranges of particle
sizes are called hybrids and the largest particle sizes are called hybrids and the
largest particle size range is used to define the hybrid type (e.g. minifill hybrid)
· Megafillers
For posterior composite restorations, it is also possible to place one or two
large glass inserts (0.5 to 2 mm Particles) into composites at points of occlusal
contact or high wear. These pieces of glass are referred to as glass inserts ( inserts)
or megafillers. Although they have demonstrated improved wear resistance to
contact area wear, these techniques are more complicated and do not totally
eliminate contact free area (CFA) wear. Furthermore the bonding of composite to
the insert is questionable.
· Macrofillers
Filler particle sizes for the earliest composites averaged 10 to 20m in
diameter, with many of the larger particles as larger as 50m. this was very
difficult to finish, created a rough surface due to unequal wear of the matrix
and filler.
· Nanofillers
Nanofillers are so small that they fit between several polymer chains. These
characteristics permit the opportunity to achieve very high filler loading levels
in composite while still maintaining workable consistencies.
III.
Filler loading :- [filler content] As in Skinners (11
th
edition), inorganic filler
particles account for between 30 and 70 volume% or 50 to 85 wt% of a composite.
IV.
Filler surface area:- [Anusavice 11
th
edition]
The potential amount of filler that can be incorporated into a resin is greatly influenced
by total filler surface area, which is a function of particle size, with surface area increasing
22
Details
- Pages
- Type of Edition
- Originalausgabe
- Publication Year
- 2014
- ISBN (PDF)
- 9783954899562
- File size
- 5.5 MB
- Language
- English
- Publication date
- 2015 (June)
- Keywords
- Esthetic dentistry history of esthetic