Composites resins

Composite resins can be cured using a variety of methods. Intraoral curing can be done by chemical means, where amine—peroxide initiators are blended in the material to start the free-radical reaction. Visible light in the blue (470—490 nm) spectmm is used to intraoraHy cure systems containing amine—quin one initiators (247). Ultraviolet systems were used in some early materials but are no longer available (248). Laboratory curing of indirect restorations can be done by the above methods as well as the additional appHcation of heat and pressure (249,250). 

Composite Resins. Many composite restorative resins have incorporated fluoride into the filler particles. One commonly used material, yttrium trifluoride [13709-49-4] is incorporated as a radiopaque filler to aid in radiographic diagnosis, and is also responsible for slow release of fluoride from the composites (280). This same effect is achieved with a barium—alumina—fluoro-siUcate glass filler in composite filling and lining materials. Sodium fluoride [7681-49-4] has also been used in composites by incorporating it into the resin matrix material where it provides long-term low level release (281-283). 

Organic peroxide-aromatic tertiary amine system is a well-known organic redox system 1]. The typical examples are benzoyl peroxide(BPO)-N,N-dimethylani-line(DMA) and BPO-DMT(N,N-dimethyl-p-toluidine) systems. The binary initiation system has been used in vinyl polymerization in dental acrylic resins and composite resins [2] and in bone cement [3]. Many papers have reported the initiation reaction of these systems for several decades, but the initiation mechanism is still not unified and in controversy [4,5]. Another kind of organic redox system consists of organic hydroperoxide and an aromatic tertiary amine system such as cumene hydroperoxide(CHP)-DMT is used in anaerobic adhesives [6]. Much less attention has been paid to this redox system and its initiation mechanism. A water-soluble peroxide such as persulfate and amine systems have been used in industrial aqueous solution and emulsion polymerization [7-10], yet the initiation mechanism has not been proposed in detail until recently [5]. In order to clarify the structural effect of peroxides and amines including functional monomers containing an amino group, a polymerizable amine, on the redox-initiated polymerization of vinyl monomers and its initiation mechanism, a series of studies have been carried out in our laboratory. 

SCRIMP process This Seeman Composites Resin Infusion Process (SCRIMP) is described as a gas-assist resin transfer molding process. As an example glass fiber fabrics/ thermoset vinyl ester polyester plastic and polyurethane foam panels (for insulation) are placed in a segmented tool. A vacuum is pulled with a bag so that a huge amount of plastic can be drawn into the mold (Marco process approach). Its curved roof is made separately and bonded to the box with mechanical and adhesive fastening. It is similar to various reinforced plastics molding processes. 

SCRIMP (Seeman Composites Resin Infusion Process) 522 ... 

However, these values are less than those recorded for composite resins used in dentistry. Goldman (1985) reports values of 29 to 49 MPa for anterior composite resins and Lloyd Adamson (1987) values of 76 to 125 MPa for posterior composite resins. A typical amalgam has a flexural strength of 6 MPa (Lloyd Adamson, 1987) (Table 5.16). However, the flexural strengths of some glass-ionomer cements increase with time and values as high as 59 MPa (after 3 months) and 70 MPa (after 7 days) have been reported (Pearson Atkinson, 1991). 

Fracture toughness values for glass polyalkenoate cement vary from 0-25 to 0-55 MN (Lloyd Mitchell, 1984 Goldman, 1985 Lloyd Adamson, 1987). The values are generally higher than those found for the traditional dental silicate cement but lower than those found for anterior composite resins (Lloyd Mitchell, 1984 Goldman, 1985) and much lower than those for posterior composite resins and dental amalgams (Lloyd Adamson, 1987). 

These low values for flexural strength and fracture toughness compared with the values for composite resins and dental amalgams make the glass-ionomer cement less suitable than these materials in high-stress situations. 

Figure 5.21 The laminate restoration, showing the glass polyalkenoate cement as a dentine substitute and a composite resin as an enamel substitute.

Glass polyalkenoate (glass-ionomer) cement Bonding to composite resins... 

McKinney, Antonucci Rupp (1987) found that the clinical wear of the glass polyalkenoate cement compared favourably with that of the composite resin, but they noted that it was prone to brittle fracture and chemical erosion. 

A fundamental criticism of the resin-modified glass polyalkenoate cements is that, to some extent, they go against the philosophy of the glass polyalkenoate cement namely, that the freshly mixed material should contain no monomer. Monomers are toxic, and HEMA is no exception. This disadvantage of composite resins is avoided in the glass polyalkenoate cement as the polyacid is pre-polymerized during manufacture, but the same cannot be said of these new materials. For this reason they may lack the biocompatibility of conventional glass polyalkenoate cements. These materials also absorb excessive amounts of water because of the hydrophilic nature of polyHEMA (Nicholson, Anstice McLean, 1992). 

Hinoura, K., Moore, B. K. Phillips, R. W. (1987). Bonding agent influence on glass ionomer-composite resin. Journal of the American Dental Association,... 

McLean, J. W., Powis, D. R., Prosser, H. J. Wilson, A. D. (1985). The use of the glass-ionomer cement in bonding composite resins to dentine. British Dental Journal, 158, 410-14. 

Mount, G. J. (1988). The tensile strength of the union between various glass ionomer cements and various composite resins. Australian Dental Journal, 34, 136-46. 

Nakamura, M., Kawahara, H., Imia, K., Tomoda, S., Kawata, Y. Hikari, S. (1983). Long-term biocompatibility test of composite resins and glass-ionomer cement (in vitro). Dental Materials Journal, 1, 100-12. 

Sneed, W. D. Looper, S. W. (1985). Shear bond strength of a composite resin to an etched glass-ionomer. Dental Materials, 1, 127-8. 

Dental silicate cement was once the most favoured of all anterior (front) tooth filling materials. Indeed, it was the only material available for the important task of aesthetic restoration from the early 1900s to the mid 1950s, when the not very successful simple acrylic resins made their appearance (Phillips, 1975). In the mid sixties there were some 40 brands available (Wilson, 1969) and Wilson et al. (1972) examined some 17 of these. Since that time the use of the cement has declined sharply. It is rarely used and today only two or three major brands are on the market. The reason for this dramatic decline after some 50 years of dominance is closely linked with the coming of modern aesthetic materials the composite resin from the mid 1960s onwards (Bowen, 1962), and the glass-ionomer cement (Wilson Kent, 1971) from the mid 1970s. 

Bergvall, O. Brannstrom, M. (1971). Measurement of the space between composite resin fillings and cavity walls. Swedish Dental Journal, 64,... 

Brannstrom, M. Nyborg, H. (1971). The presence of bacteria in cavities filled with silicate cement and composite resin materials. Swedish Dental Jourruil,... 

McLundie, A. C. Murray, F. D. (1972). Silicate cements and composite resins - a scanning electron microscope study. Journal of Prosthetic Dentistry, 27, 544-51. 

One serious fault of these materials is that the presence of an electron-rich phenolic hydroxyl group inhibits free-radical polymerization. Thus, composite resins placed over them do not polymerize completely. 

Good bonding was obtained to several substrates under aqueous conditions. Values obtained were 41 to 10-3 MPa to composite resins, and 9-8 to 15-6 MPa to stainless steel (Table 9.6). They were also reported as adhering to porcelain. No adhesion was obtained to untreated dentine or enamel. The cements could be bonded to enamel etched with add (3-5 MPa) and to dentine conditioned with poly(acrylic acid) (10 MPa). 

The mechanism of adhesion to various substrates has not been fully explained. Brauer Stansbury (1984b) consider that bonding to composite resins occurs by the diffusion of methacrylate polymer chains into the resin. Bonding to base metals is, perhaps, by salt or chelate bridges. Here it is significant that ZOE cements do not bond, so perhaps bonding is due to the action of free EBA on the substrate. The adhesion to porcelain is surprising. Porcelain is inert so that the attachment can hardly be chemical. Also, it would be expected that if a cement adheres to porcelain then it should adhere to untreated enamel and dentine, but this is not so. 

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