Objectives: Resin-based composites are the most widely used dental restorative materials. Bulk-fill resin composites are of rising interest as they can be clinically applied in thicker increments compared to conventio...Objectives: Resin-based composites are the most widely used dental restorative materials. Bulk-fill resin composites are of rising interest as they can be clinically applied in thicker increments compared to conventional composites. The purpose of the study was to evaluate the flexural fatigue strength of a conventional and bulk-filled resin composite placed incrementally or non-incrementally. Methods: Resin composite specimens were fabricated using either a conventional (Brilliant EverGlow?) or a bulk-fill (Fill-Up!<sup>TM</sup>) resin composite by either non-incremental filling (2 × 2 × 25 mm<sup>3</sup>) or in increments of (1 × 2 × 25 mm<sup>3</sup>). Specimens were stored in distilled water for 24 h or thermocycled for 5000 cycles. The static flexural strength (σ), flexural fatigue limit (FFL) after 105 cycles and post-fatigue flexural strength (PFσ) were measured. Data were analyzed using ANOVA, with a post-hoc Tukey’s test to compare mean FFL (p σ and PFσ compared to conventional composites regardless of incremental cure or thermocycling (p σ and FFL for conventional composites but not bulk-filled composites. There was no significant difference in PFσ compared to σ after 24 h storage, but a significant increase in PFσ after thermocycling (p < 0.05). Conclusions: The type of composite rather than incremental placement had a greater effect on flexural strength, suggesting that operator placement technique had less influence than material selection. Thermocycling in combination with cyclic loading caused a strengthening effect in the composites, likely due to the absorption and dissipation of stresses, thereby enhancing resistance to fracture.展开更多
文摘Objectives: Resin-based composites are the most widely used dental restorative materials. Bulk-fill resin composites are of rising interest as they can be clinically applied in thicker increments compared to conventional composites. The purpose of the study was to evaluate the flexural fatigue strength of a conventional and bulk-filled resin composite placed incrementally or non-incrementally. Methods: Resin composite specimens were fabricated using either a conventional (Brilliant EverGlow?) or a bulk-fill (Fill-Up!<sup>TM</sup>) resin composite by either non-incremental filling (2 × 2 × 25 mm<sup>3</sup>) or in increments of (1 × 2 × 25 mm<sup>3</sup>). Specimens were stored in distilled water for 24 h or thermocycled for 5000 cycles. The static flexural strength (σ), flexural fatigue limit (FFL) after 105 cycles and post-fatigue flexural strength (PFσ) were measured. Data were analyzed using ANOVA, with a post-hoc Tukey’s test to compare mean FFL (p σ and PFσ compared to conventional composites regardless of incremental cure or thermocycling (p σ and FFL for conventional composites but not bulk-filled composites. There was no significant difference in PFσ compared to σ after 24 h storage, but a significant increase in PFσ after thermocycling (p < 0.05). Conclusions: The type of composite rather than incremental placement had a greater effect on flexural strength, suggesting that operator placement technique had less influence than material selection. Thermocycling in combination with cyclic loading caused a strengthening effect in the composites, likely due to the absorption and dissipation of stresses, thereby enhancing resistance to fracture.
