Composite bond strength improvement with thermal vibration: an experimental non-randomised study

Background. Secondary caries formation is a relevant issue due to poor long-term quality of composite fillings, with inherent subsequent chipping and cracking of the material. We developed a method to improve physical, mechanical and chemical properties of available composites based on thermal vibration imposed on unpolymerised composite in the formed tooth cavity directly prior to polymerisation.
Objectives. Effect assessment of thermal vibration exposure on bond strength in composite restorative polymer matrix in various composite brands.
Methods. The study used synchronous thermal analysis, including differential scanning calorimetry and thermogravimetry, to estimate and register thermal effects of physical and chemical processes within a temperature programme, as well as determine gaseous release, air contact and decomposition-related sample mass variation, thermal stability, reaction kinetics, polymer and inorganic filler component chemical composition, humidity and softening degree. The study covered 90 specimens 30 mg each prepared of three different composites.
Results. Synchronous thermal analysis revealed a statistically significant increase in polymer matrix bond strength in the composites Estelite Sigma Quick (Tokuyama Dental), Filtek Bulk Fill Posterior Restorative (3M Espe) and DentLight (VladMiVa) after thermal vibration exposure vs. classical polymerisation of same composites (p < 0.0001). The bond strength increased by 17.00, 22.51 and 11.31%, respectively.
Conclusion. The developed exposure method for altering the composite filling physical and chemical properties has been shown advantageous in a laboratory setting. Thermal vibration-pretreated composite fillings had a higher polymer matrix bond strength vs. same composites polymerised under standard conditions.
The pretreatment improves composite filling quality via directly affecting the material physical and mechanical properties of hardness and bending strength.