Microfilled Resin Composites Quiz

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Questions and Answers

What is the average size of filler particles in microfilled resin composites?

  • 0.1 μm
  • 1 μm
  • 0.01 μm (correct)
  • 10 μm

What issue arises due to the weak bond at the resin filler/matrix interface in microfilled composites?

  • Increased tensile strength
  • Filler loss (correct)
  • Improved viscosity
  • Lower water sorption

Which of the following composites was introduced as a combination of macrofilled and microfilled composites?

  • Hybrid composites (correct)
  • Heterogenous composites
  • Microfilled composites
  • Sintered composites

What filler content range is typically used in microfilled resin composites?

<p>32% - 50% (B)</p> Signup and view all the answers

What strategy involves blending precured microfill composite with uncured material?

<p>Heterogeneous microfills (C)</p> Signup and view all the answers

Which of the following is a problem associated with microfilled composites related to thermal properties?

<p>High coefficient of thermal expansion (D)</p> Signup and view all the answers

What average size were hybrid composite macrofiller particles reduced to in the 1980s?

<p>1–5 μm (A)</p> Signup and view all the answers

What is a significant mechanical drawback of microfilled composites?

<p>Low tensile strength (C)</p> Signup and view all the answers

What technology does ESTELITE ASTERIA utilize to enhance curing and working time?

<p>Radical Amplified Photopolymerization Technology (D)</p> Signup and view all the answers

What is the primary composition of the filler used in ESTELITE ASTERIA?

<p>Silica-Zirconia (A)</p> Signup and view all the answers

How does Omnichroma achieve shade matching?

<p>By reflecting the underlying tooth structure shade (B)</p> Signup and view all the answers

What is one of the benefits of the spherical fillers in ESTELITE ASTERIA?

<p>Facilitated smooth surface with superior gloss (C)</p> Signup and view all the answers

Which property of Giomer allows it to help neutralize acids from bacterial metabolism?

<p>Unique S-PRG filler (A)</p> Signup and view all the answers

What is the mean particle size of the spherical fillers in ESTELITE ASTERIA?

<p>200nm (A)</p> Signup and view all the answers

Which element is NOT released by the Giomer composite?

<p>Titanium (B)</p> Signup and view all the answers

What characteristic of ESTELITE ASTERIA enhances its handling properties?

<p>Low polymerization shrinkage (B)</p> Signup and view all the answers

Which material is effective in dentin sealing?

<p>Aluminium (B)</p> Signup and view all the answers

What is the primary mechanism of action for antimicrobial materials?

<p>Kill bacteria on contact or prevent adhesion (A)</p> Signup and view all the answers

Which component is the most effective against S.mutans strains?

<p>Silver nanoparticles (B)</p> Signup and view all the answers

Which of the following is NOT a remineralizing agent?

<p>Boron (A)</p> Signup and view all the answers

What innovative feature do self-healing composites possess?

<p>Microcapsules releasing resin upon cracking (D)</p> Signup and view all the answers

Which material is NOT classified under stress-reducing materials?

<p>Boron (A)</p> Signup and view all the answers

What is a common reason for composite restoration failure?

<p>Secondary caries development (B)</p> Signup and view all the answers

Which of the following restorative materials contains MDPB?

<p>Clearfil SE Protect (B)</p> Signup and view all the answers

What is a primary characteristic of flowable composites?

<p>Designed for better adaptation in deep or undercut areas (A)</p> Signup and view all the answers

What differentiates packable composites from flowable composites?

<p>Packable composites maintain a higher filler content (D)</p> Signup and view all the answers

What are nanofilled composites primarily known for?

<p>Combining mechanical strength with superior polish retention (B)</p> Signup and view all the answers

Which of these is NOT a typical use case for flowable composites?

<p>Heavy-load posterior restorations (A)</p> Signup and view all the answers

What happens to the mechanical properties of packable composites compared to earlier versions?

<p>They remain unchanged despite increasing filler density (B)</p> Signup and view all the answers

What is a notable feature of nano-filled flowable composites?

<p>Utilization of nanosized fillers with excellent esthetics (B)</p> Signup and view all the answers

Which of the following statements is true regarding quartz in dental composites?

<p>Quartz is being replaced due to its high abrasiveness (A)</p> Signup and view all the answers

Which characteristic is associated with the filler content in packable composites?

<p>Filler content maintained between 75-85 wt% (C)</p> Signup and view all the answers

What is one significant characteristic of nanomeric particles in relation to visible light?

<p>They are smaller than the wavelength of visible light. (D)</p> Signup and view all the answers

What is the primary benefit of adding microfillers and nanoclusters to composites?

<p>To improve esthetics by achieving a wide range of shades and opacities. (A)</p> Signup and view all the answers

What is the expected result of using spheroidal nanocluster fillers during abrasive wear?

<p>The material will have greater gloss retention. (B)</p> Signup and view all the answers

Which of the following is NOT a clinical performance improvement provided by the composition of nanofilled composites?

<p>Increased thermal conductivity (A)</p> Signup and view all the answers

What is the role of the 'roller bearing' effect in nanofilled composites?

<p>It contributes to increased stress uniformity distribution. (A)</p> Signup and view all the answers

Which component is NOT part of the premise for the Kerr (Trimodal filler system) nanocomposite?

<p>Fluoropolymer additives (A)</p> Signup and view all the answers

What advantage do nano-sized filler particles provide over traditional microfilled composites?

<p>Greater nanofiller content. (A)</p> Signup and view all the answers

What results from the smaller particle size of nanosized fillers during wear processes?

<p>Better polish retention in wear surfaces. (C)</p> Signup and view all the answers

What is the primary benefit of using self-adhesive composites in restorative procedures?

<p>Elimination of the adhesive application step (D)</p> Signup and view all the answers

Which of the following is a characteristic of commercial self-adhesive resin-based materials?

<p>They contain a self-etching dimethacrylate monomer. (D)</p> Signup and view all the answers

What is a key reason why bond strength values of self-adhesive composites are lower than traditional ones?

<p>High viscosity limiting adaptation to cavity walls (A)</p> Signup and view all the answers

What is the main function of the self-etching dimethacrylate monomer in self-adhesive composites?

<p>To chemically bond with the tooth's mineral content (A)</p> Signup and view all the answers

What composite product combines the convenience of glass ionomer with the durability of composite?

<p>Surefil one (C)</p> Signup and view all the answers

Which aspect of self-adhesive composites leads to increased microleakage?

<p>High water sorption in the materials (C)</p> Signup and view all the answers

What technology does the thermoviscous composite with a dispenser utilize for application?

<p>Infrared technology for heating (A)</p> Signup and view all the answers

Which property does not represent the self-adhesive composites discussed?

<p>Ability to achieve high bond strength (B)</p> Signup and view all the answers

Flashcards

Flowable Composites

Composite materials designed for better adaptation to deep or undercut areas of the cavity due to their low viscosity.

Packable Composites

Composite materials designed for posterior teeth as a potential amalgam replacement, they provide strength for chewing forces.

Flowable Composites: Viscosity Reduction

A type of composite material that gains its low viscosity by lowering the filler content or adding a surfactant.

Packable Composites: Packability

A type of composite material that achieves its packability through methods like fused particle agglomerates, fibrous fillers, or a narrow distribution of fillers.

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Nano-filled Flowable Composites

Composite materials utilizing nanosized fillers, resulting in excellent esthetics and low wear.

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Nanofilled Composites: Benefits

Composite materials offering the mechanical strength of hybrid composites and the polish and gloss retention of micro-filled materials.

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Nanofilled Composites: Filler Types

Silica and/or zirconia particles in nano-filled composites can be either nanomers or nanoclusters.

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Nanomers

Nanomers are spherical, discrete, and non-agglomerated nano-sized particles with an average size of 5-20 nanometers.

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What are microfilled resin composites?

Microfilled resin composites are a type of dental filling material developed in the late 1970s. They are made of light-activated dimethacrylate resins with very small silica filler particles (0.01 μm). These tiny filler particles are dispersed in a resin matrix at a concentration of 32% to 50% by volume.

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Why are more monomer diluents added to microfilled composites?

Microfilled composites have small filler particles, which increases their viscosity (thickness). To make them workable, more monomer diluents (like TEGDMA) are added, resulting in a lower overall filler content.

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What are the solutions to overcome the viscosity problem in microfilled composites?

To address the viscosity problem, two strategies were developed: heterogeneous microfills and sintering. Heterogeneous microfills combine pre-cured microfill composite with uncured material, while sintering involves creating large, porous filler particles by fusing small ones together

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What is a drawback of the interface between the prepolymerized filler and matrix in microfilled composites?

The interface between the pre-polymerized resin filler and the surrounding matrix is considered a weak point. Since the pre-cured fillers are already hardened, they can't fully bind with the new resin, potentially leading to filler loss and decreased strength.

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How does the low filler content affect the thermal expansion of microfilled composites?

Microfilled composites typically have a lower filler content (more resin). This results in a higher thermal expansion coefficient, meaning they expand and contract more with temperature changes, which can contribute to gaps or cracks over time.

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What is a typical application for microfilled composites?

Due to their lower filler content, microfilled composites tend to be weaker, making them ideal for non-stress bearing areas in the mouth, such as Class III and V restorations.

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What is a drawback of the high resin content in microfilled composites?

Microfilled composites have a high resin content, leading to higher water absorption or sorption. This can affect their longevity and potentially contribute to staining over time.

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How does the high resin content affect polymerization shrinkage in microfilled composites?

Microfilled composites have higher polymerization shrinkage, meaning they shrink more during the hardening process. This shrinkage can put stress on the surrounding tooth structure and potentially lead to gaps or cracks

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Transparency of Nanofilled Composites

Nanomeric particles, with sizes smaller than the wavelength of visible light (400-800 nm), are undetectable by refractive index. This allows for the creation of highly translucent materials in dental composites.

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Improved Depth of Cure in Nanofilled Composites

Nanofilled composites exhibit an improved depth of cure, resulting in a higher degree of conversion (DC) compared to conventional composites.

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Higher Filler Loading in Nanofilled Composites

Nanofilled composites, due to their smaller particle size, can achieve higher filler loadings than traditional microfilled composites. This leads to improved physical properties and clinical performance.

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Polishability of Nanofilled Composites

Nanofilled composites are known for their increased polishability, providing smooth, shiny surfaces with reduced wear.

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Wear Resistance of Nanofilled Composites

Nanofilled composites exhibit improved wear resistance compared to traditional hybrid and microhybrid composites due to their smaller particle size.

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Reduced Polymerization Shrinkage

Nanofilled composites contribute to reduced polymerization shrinkage compared to conventional composites, leading to lower stress within the material.

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Fracture Resistance of Nanofilled Composites

The smaller particle size in nanofilled composites contributes to increased fracture resistance, enhancing the overall strength of the material.

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Sculptability of Nanofilled Composites

The smooth, spheroidal shape of nanoclusters in nanofilled composites allows for easier shaping and handling, improving sculptability.

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Self-Adhesive Composite

A type of composite dental material that eliminates the need for separate adhesive application by incorporating etching and bonding capabilities within the material.

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Goal of Self-Adhesive Composites

The goal of self-adhesive composites is to simplify restorative procedures by removing the need for a separate adhesive step.

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Special Monomer in Self-Adhesive Composites

These composites contain a special monomer that can chemically bond to the tooth and crosslink with other materials, creating a strong seal.

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Bond Strength of Self-Adhesive Composites

The bond strength of self-adhesive composites may be less than separate adhesives and composites because of limitations in etching and adaptation.

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Surefil one: Self-Adhesive Composite Hybrid

Surefil one is a type of self-adhesive composite that combines the benefits of both glass ionomer and traditional composites.

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Thermoviscous Composite with Dispenser

This type of composite material uses a dispenser that heats the material for a smooth and bubble-free application.

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Heating Technology in Thermoviscous Composites

Thermoviscous composites use infrared technology to provide efficient and homogenous heating.

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Bubble-Free Application of Thermoviscous Composites

Thermoviscous composites are characterized by their bubble-free application, which ensures a smooth and even filling.

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What is ESTELITE ASTERIA?

A composite resin that uses RAP technology to reduce curing time and provide excellent handling properties. Contains 82% silica-zirconia filler for strength and wear resistance.

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What is Omnichroma?

A monoshaded composite that matches tooth shade by reflecting underlying tooth structure. Uses 260nm spherical filler to achieve accurate color matching. Requires a blocker for Class III and IV restorations.

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What is Giomer?

A resin composite containing S-PRG filler that releases fluoride and other ions. This technology helps neutralize acids, protecting teeth from demineralization.

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What is the benefit of a 2-layer composite like ESTELITE ASTERIA?

A composite resin technology that minimizes steps by requiring only two layers for optimal results: body and enamel. Provides good color blending and translucency.

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What is a 260nm spherical filler?

Spherical filler particles used in composites like Omnichroma. They are 260nm in size and help generate color parameters for accurate shade matching.

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Why is a blocker used with Omnichroma?

A necessary step in Class III and IV restorations using Omnichroma. It helps mask the darkness of the oral cavity and provides a better base for composite placement.

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What is S-PRG filler?

Surface pre-reacted glass used in Giomer composite. It protects the glass ionomer phase and allows for controlled ion release, enhancing the material's protective properties.

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What is RAP technology?

The technology used in ESTELITE ASTERIA that allows for a faster curing time and extended working time under operating light. It ensures faster curing without sacrificing handling properties.

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Fluoride's Role in Remineralization

Fluoride, a mineral naturally found in teeth, enhances the formation of fluoroapatite, a stronger and more resistant form of the tooth's enamel. This process helps prevent cavities by making the enamel less susceptible to acid attacks.

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Boron's Antibacterial Effect on Teeth

Certain bacteria, like Streptococcus mutans, contribute to the formation of dental caries (cavities). Boron, a naturally occurring element, exhibits antimicrobial properties that can inhibit the growth of these bacteria.

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Strontium's Role in Remineralization

Strontium, a mineral, actively participates in the remineralization process by promoting the formation of calcium phosphate, a key component of enamel. This helps to repair and rebuild weakened enamel.

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Silicate's Contribution to Remineralization

Silicates, compounds containing silicon, can increase the remineralization process of teeth. They contribute to the formation of a more durable and resilient enamel structure, protecting against decay.

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Aluminum's Role in Dentin Sealing

Aluminum, a metal, is used in dental materials to seal dentin, the layer beneath the enamel. This helps prevent sensitivity and leakage, protecting the pulp (nerve) of the tooth.

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Antimicrobial Composites: Fighting Secondary Caries

Antimicrobial composite materials aim to reduce the risk of secondary caries (cavities around existing fillings) by inhibiting bacterial growth or attachment. They work by either killing bacteria on contact (bactericidal) or preventing them from sticking to the surface (antifouling).

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Remineralizing Materials: Restoring Damaged Enamel

Remineralizing materials are designed to restore the lost mineral content in early tooth decay. They work by promoting the growth of new, healthy enamel and help prevent further decay.

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Self-Healing Composites: Repairing Cracks

Self-healing composites are innovative materials that can repair themselves when a crack occurs. They contain tiny capsules filled with resin that are released when the crack forms, filling the gap and hardening to restore the material's integrity.

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Study Notes

Recent Advances in Dental Resin Composites

  • Dental composites emerged around 1954, initially using silicate cements and unfilled methyl methacrylate resins. Epoxy resins became available later, followed by the synthesis of Bis-GMA in 1956.
  • Composite materials are made of at least two distinct, insoluble components, often with improved characteristics compared to the individual components.
  • Key components of dental composites include an organic resin matrix, inorganic filler particles (coated with silane coupling agents for bonding), polymerization initiators/activators and inhibitors, and pigments.

Demands for Continuous Improvement

  • Mechanical properties must be improved
  • Esthetic outcomes need enhancement
  • Polymerization shrinkage and induced stresses must be addressed
  • Adaptation to cavity walls and margins to minimize microleakage needs improvements
  • Simplifying application and reducing technique sensitivity
  • Minimizing thermal mismatch with the tooth structure
  • Obtaining highly biocompatible and bioactive materials

Curing Modifications

  • Early (Mid-1960s - Late 1970s): Self-cured (hand-mixed), UV-cured, and visible light-cured composites.
  • Late 1970s to Mid-2000s: Microfilled, Hybrid composites, Flowable and packable composites.
  • Mid-2000s to Mid-2010s: Low-shrinkage, self-adhesive, bulk-fill composites.

Filler Modifications

  • Macrofilled: Largest filler particles (10-50µm ), susceptible to discoloration and difficult to polish due to wear or erosion.
  • Midifilled: Intermediate-sized filler particles (1-10µm)
  • Minifilled: Smaller filler particles (0.1-1 µm)
  • Microfilled: Fine filler particle size (0.01 µm).
  • Nanofilled: Nano-sized filler particles resulting in greater filler content compared to traditional composites. Improved polishability, wear resistance, and esthetic properties due to improved light transmission efficiency.
  • Strategies to overcome viscosity problems include heterogeneous microfills and sintering.

Resin Modifications

  • Focus on alternative monomers to reduce shrinkage and stress, with some examples being ring-opening polymerization based on Siloranes or high molecular weight methacrylates.

Optical Properties of Nanofilled Composites

  • Nanomeric particle size is smaller than visible light wavelengths, which makes them non-measurable by refractive index.
  • Ability to create highly translucent materials and improve the degree of conversion.
  • Improved shade matching due to reflection of underlying tooth structure.

Flowables and Packables

  • Flowable composites are designed for better adaptation in undercuts of cavities due to low viscosity (lower filler content or surfactant).
  • Packable composites achieve packability for posterior teeth by maintaining filler content (fused particle agglomerates, fibrous fillers, or narrow distribution of midi, mini, and microfillers).

Ormocers

  • Ormocer composites are organically modified ceramics. Their matrix is organic and inorganic.
  • They consist of organic polymers, glass/ceramic components, and silicone components.
  • Ormocers are not performing as well as traditional hybrid composites.

Bulk Fill Composites

  • Bulk-fill composites are designed for simplified application while ensuring adequate depth of cure.
  • They use different photoinitiators or greater concentrations of conventional photoinitiators.
  • Polymerization modulators embedded in the composite backbone increase conversion and crosslinking under light.

Self-Adhesive Composites

  • Designed to simplify the composite restorative procedure by eliminating the need for an adhesive step.
  • Often use self-etching dimethacrylate monomers that can crosslink and bond with tooth minerals.
  • Limitations include acidity of monomers and viscosity that can affect penetration and sealing.

Thermoviscous Composites

  • Composites designed for quick and homogeneous heating (via infrared technology).
  • Characterized by bubble-free application.

Self-Healing Composites

  • Cracks can heal by releasing resin from microcapsules and allowing for polymerization.

Stress-Reducing Materials

  • Improving material properties at the interface to reduce gap formation, examples include thiourethane oligomers, nano-sized pre-polymerized particles, and monomers with addition fragmentations.

Degradation-Resistant Materials

  • Incomplete conversion and water sorption cause degradation, which necessitates using alternative materials (rather than methacrylate).
  • Example being use of hydrolysis-resistant materials and/or other chemicals.

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