Can hygroscopic expansion compensate polymerization shrinkage? Part I. Deformation of restored teeth.
OBJECTIVE
Restorative materials exhibit contraction and expansion due to polymerization and water absorption. Each process deforms and stresses a restored tooth structure in opposite direction. This study evaluated the tooth deformations during these competing processes.


METHODS
Large MOD cavities were prepared in 10 extracted molars. Five were restored with a hydrophobic resin composite (Filtek Supreme, 3M ESPE) and the others with a hydrophilic resin-modified glass-ionomer (Ketac Nano, 3M ESPE). The restored molars and two unrestored controls were stored in water for 24 weeks. The molars were digitized with an optical scanner at baseline, after preparation, restoration, and at 1, 2, 4, 8, 16, and 24 weeks water immersion. The digitized buccal, lingual, and restoration surfaces were analyzed to determine their deformation patterns. The results were statistically analyzed using ANOVA followed by Student-Newman-Keuls post hoc tests (p=0.05).


RESULTS
The buccal and lingual tooth surfaces moved 13-14 μm inward after restoration. After water immersion, cuspal deformation in the resin composite group gradually decreased, reversing the shrinkage deformation within four weeks. The immersed resin-modified glass ionomer group reversed shrinkage deformation within one week, and continued to expand further to 28 μm after 24 weeks. Cuspal deformations after water immersion were significantly different with the two restoratives. Restoration surfaces also expanded after water immersion, while the control teeth showed no significant deformation.


CONCLUSIONS
Polymerization shrinkage deformation was compensated by hygroscopic expansion within 4 weeks in teeth restored with a hydrophobic resin composite, while a hydrophilic restorative over-compensated polymerization shrinkage within 1 week causing tooth expansion.
Versluis
Antheunis
A
Department of Bioscience Research, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN, USA. antheun@uthsc.edu
Tantbirojn
Daranee
D
Lee
Michael S
MS
Tu
Lam S
LS
DeLong
Ralph
R
D000042:Absorption; D000134:Acid Etching, Dental; D017438:Bisphenol A-Glycidyl Methacrylate / Q000737:chemistry; D055598:Chemical Phenomena; D003188:Composite Resins / Q000737:chemistry; D003737:Dental Cavity Preparation / Q000145:classification; D003743:Dental Enamel / Q000473:pathology; D003764:Dental Materials / Q000737:chemistry*; D003793:Dental Restoration, Permanent / Q000379:methods; D017220:Dentin-Bonding Agents / Q000737:chemistry; D005899:Glass Ionomer Cements / Q000737:chemistry; D006801:Humans; D057927:Hydrophobic and Hydrophilic Interactions; D007091:Image Processing, Computer-Assisted; D053761:Nanocomposites / Q000737:chemistry; D058105:Polymerization; D019279:Resin Cements / Q000737:chemistry; D013499:Surface Properties; D013997:Time Factors; D019228:Tooth Crown / Q000473:pathology*; D014867:Water / Q000737:chemistry; D017155:Wettability
D003188:Composite Resins; D003764:Dental Materials; D017220:Dentin-Bonding Agents; C515951:Filtek Supreme Plus; D005899:Glass Ionomer Cements; D019279:Resin Cements; C511238:Single Bond Plus; D014867:Water; D017438:Bisphenol A-Glycidyl Methacrylate