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PubMed2000

One-year clinical evaluation of compomer restorations placed in general practice.

OBJECTIVE: This study evaluated the in-service performance, after 1 year, of a sample of F2000 compomer restorations placed by 10 general dental practitioners as part of handling evaluation of this material. METHOD AND MATERIALS: Five general dental practitioners who participated in the handling evaluation were asked to cooperate in the 1-year assessment of the restorations. The practitioners were requested to contact patients and inquire if they were willing to attend at a specified time for examination of their restorations by a trained evaluator who would travel to the various practice locations. A total of 84 restorations were presented for examination. The mean age of the restorations at examination was 14 months. The restorations were assessed for anatomic form, marginal adaptation, surface roughness, sensitivity or discomfort, gingival condition, and presence or absence of secondary caries. RESULTS: Eighty-two restorations were intact. No secondary caries was detected. Optimal scores were obtained in a high proportion of the assessments. All patients reported satisfaction with the restorations, both in appearance and surface texture, and no symptoms were reported. CONCLUSION: The F2000 compomer restorations, placed in conjunction with its bonding system in general practice conditions, were found to be performing satisfactorily after 1 year.

Adult↗
PubMedDate not supplied

Effects of APF gel on the physical structure of compomers and glass ionomer cements.

This study assessed the effect of an acidulated phosphate fluoride (APF) gel on the surfaces of eight modern esthetic restorative materials. Five specimens each of three high powder: liquid ratio conventional glass ionomer cements (ChemFlex, Fuji IX GP, Ionofil Molar), four polyacid-modified resin composites (compomers) (Compoglass F, Dyract AP, Freedom, F2000) and an alkaline glass filled resin composite (Ariston pHc) were prepared and immersed at 37 degrees C in 2 mL of artificial saliva for six weeks. The aged specimens were then coated with 1.23% APF gel for four minutes, rinsed and again immersed in artificial saliva for another six weeks. The immersed, fresh specimens for each material were then examined with SEM and surface profilometry. After APF gel application, mean surface roughness (Ra) measurements and SEMs showed that roughness increased significantly, generally from the resin composite and compomers to the conventional glass ionomer cements (p < 0.05).

Acidulated Phosphate Fluoride↗
PubMed2001

Localized wear of compomer restorative materials.

PURPOSE: To determine and compare the localized wear of six compomer restorative materials. MATERIALS AND METHODS: Ten specimens of Dyract, Dyract AP, F2000, Compoglass F, Elan and Hytac were prepared in a custom fixture and polished. A pretest surface profile was generated using an MTS 3-D surface profilometer and the specimens were subjected to 400,000 cycles in a Leinfelder wear machine equipped with a conical stylus tip to simulate localized wear. A post-test profile was generated and the before and after profiles were fitted and analyzed using AnSur 3-D software. The total volume loss and depth of the wear facet on each specimen was calculated and statistical analysis was accomplished (ANOVA and Tukey's test). RESULTS: Volume loss (mm3) was as follows: F2000, 0.027 +/- 0.002; Hytac, 0.007 +/- 0.023; Elan, 0.054 +/- 0.013; Compoglass F, 0.135 +/- 0.006; Dyract AP, 0.135 +/- 0.023; Dyract, 0.185 +/- 0.032. Maximum depth of the wear facets (microm) was as follows: F2000, 112.2 +/- 10.2; Hytac, 132.8 +/- 9.3; Elan, 144.3 +/- 23. 1; Compoglass F, 168.3 +/- 13.0; Dyract AP, 194.0 +/- 19.7; Dyract, 220.6 +/- 15.8. There was not a difference (P > 0.05) in volumetric loss between F2000 and Hytac or between Hytac and Elan. The volume loss and maximum depth of the wear facets of F2000, Hytac and Elan was significantly less (P< 0.05) than Compoglass F, Dyract AP and Dyract The results of this study indicate that there are significant differences in the in vitro wear rates of compomer materials.

Analysis of Variance↗
PubMedDate not supplied

Removal of amalgam, glass-ionomer cement and compomer restorations: changes in cavity dimensions and duration of the procedure.

This study investigated changes in the dimensions of Class II cavities following the removal of amalgam, glass ionomer and compomer restorations. In 30 extracted caries-free human molars, preparation for 60 mesio-occlusal and occluso-distal cavities (two cavities per tooth) occurred. With a CEREC 3 laser triangulation sensor and software-based construction analysis, the dimensions of the cavities at seven defined sites were measured. The cavities were randomized into four groups. Group 1 was restored with Ketac-Fil glass-ionomer cement, Group 2 with amalgam and Group 3 with Compoglass F compomer. In Group 4, Compoglass F was used in combination with photochromic Tetric Flow Chroma as a cavity liner. The completed restorations were then removed using 2x magnification and the cavities were once again controlled using the laser system. The duration of the removal procedure was also recorded. Changes in cavity dimensions (depth, height and width) following removal of the restorations were significantly smaller in Groups 1 and 2. Groups 3 and 4 were characterized by a significant overextension of the cavities compared to Groups 1 and 2 in all three dimensions. Group 4, with Tetric Flow Chroma as a cavity liner, showed better results than Group 3, but this improvement was not statistically significant. The duration of the removal procedure was significantly shorter in Group 2 than in the other groups.

Compomers↗
PubMed2003

Three-year clinical performance of a compomer in stress-bearing restorations in permanent posterior teeth.

PURPOSE: To evaluate the 3-year clinical performance of the compomer Hytac in Class I and II cavities of permanent posterior teeth. METHODS: 53 restorations were placed in 14 patients. The compomer Hytac was used with the self-etching adhesive Hytac OSB (total bonding) without additional enamel-etching with phosphoric acid according to manufacturer's instructions. Restorations were rated at baseline and 3 years according to modified USPHS criteria in relation to tooth type (molar, premolar), size and class of cavities, isolation type (rubber dam, cotton rolls) and use of a calcium hydroxide liner. After 3 years, 39 restorations (73.6%) were available for examination. Statistical analysis was performed using Mann-Whitney U test and Fisher's exact test. RESULTS: After 3 years, three restorations failed (7.7%). The success rate was therefore 92.3% with an average annual failure rate of 2.6%. There was no statistically significant difference (P < 0.05) found concerning neither of the USPHS criteria nor the failures between any of the restoration groups.

Bicuspid↗
PubMed2004

4-year clinical performance and survival analysis of Class I and II compomer restorations in permanent teeth.

PURPOSE: To evaluate the 4-year clinical performance of the compomer Hytac in Class I and II cavities of permanent posterior teeth. METHODS: 53 compomer restorations were placed using the self-conditioning adhesive Hytac OSB (total bonding) without additional phosphoric acid-etching according to manufacturer's instructions. Restorations were rated (modified USPHS criteria) at baseline, after 6, 12, 18, 36 and 48 months in relation to tooth type (molar, premolar), size and class of cavities, isolation type (rubber dam, cotton rolls) and use of a calcium hydroxide liner. After 4 years, 39 restorations (73.6%) were available for examination. Statistical analysis was performed using Kaplan-Meier survival analysis with the logrank test and Fisher's exact test for the failure analysis. RESULTS: After 4 years, the success rate was 84.6%, six restorations failed (15.4%). The average annual failure rate was therefore 3.85%. Loss of marginal integrity was the main cause of restoration failure. The probability that a restoration would remain clinically acceptable after 4 years was calculated to be 89% (Kaplan-Meier). No significant performance differences could be found between any of the restoration groups.

Adhesives↗
PubMed2004

The adaptation and cavity sealing ability of compomer restorative materials.

PURPOSE: To examine the sealing ability of compomers, used in combination with dentin bonding agents, compared to other classes of tooth-colored materials. METHODS: Thirty wedge-shaped cervical cavities were cut in extracted teeth, with the gingival cavosurface margin involving dentin. Five cavities each were restored with one of the following: the compomers Dyract AP/Prime & Bond NT, F2000 Compomer/Adhesive or Hytac Aplitip/Prompt L-Pop; a conventional glass-ionomer, Ketac Fil Aplicap; a resin-modified glass-ionomer, Fuji II LC Improved; or a resin-based composite, Z100 MP/Scotchbond 1. All teeth were restored, stored moist for 24 hours, then varnished (except the restorations) before thermocycling in rhodamine B dye solution for 1000 cycles (between baths of 6 degrees C and 60 degrees C). The teeth were sectioned longitudinally through the restorations before examination with a confocal microscope. A scale of 0 to 3 was used to score the dye leakage along the enamel margin as well as the gingival margin. RESULTS: The results showed that at the enamel margin, all materials gave a median score of 0 except Z100 MP (median score 3). Leakage was noted at the gingival margin of all materials (median score of 3 except Dyract AP with a median score of 2).

Compomers↗
PubMedDate not supplied

Effect of curing time and light curing systems on the surface hardness of compomers.

This study compared the Vickers hardness of the top and bottom surfaces of two compomers (Compoglass F and Dyract AP) polymerized for 20 and 40 seconds with two different light curing systems. Five samples for each group were prepared using Teflon molds (9x2 mm) and were light-cured either with a conventional halogen lamp (Optilux 501) or LED light (LEDemetron I) for 20 or 40 seconds. After curing, all the samples were stored in distilled water for 24 hours at 37 degrees C. The Vickers hardness measurements were obtained from the top and bottom surfaces of each sample. ANOVA, Scheffé and t-test were used to evaluate the statistical significance of the results. For the top and bottom surfaces, the light curing systems and curing times tested showed no statistical difference, except for Optilux 501, which used 20 seconds for both compomers (p<0.05). There was no significant difference in the microhardness of both surfaces of Compoglass F and Dyract AP cured for either 20 or 40 seconds using LEDemetron I. With Optilux 501, the microhardness of samples cured for 40 seconds was significantly higher than 20 seconds (p<0.05).

Compomers↗
PubMed2006

Effects of saliva contamination on shear bond strength of compomer to dentin in primary teeth.

PURPOSE: To investigate the effects of saliva contamination on the bond strengths of two compomers applied to primary teeth dentin during different bonding stages. METHODS: 30 extracted human non-carious primary molars were prepared for shear bond-strength testing. Specimens were randomly divided into three groups of 10. Prime & Bond NT (acetone-based) and Futura Bond A & B (water-based) adhesives were tested under the following conditions: (a) non-contaminated conditions; (b) after contamination of the dentin surface with fresh whole saliva for 20 seconds and removal of excess saliva before adhesive application; and (c) contamination of the dentin surface with fresh whole saliva for 20 seconds and removal of excess saliva after adhesive curing. Following adhesive application Dyract AP or Glasiosite was applied via a polytetrafluroethylene split mould and light-cured to the dentin surface. Shear bond strengths were measured using an Instron Universal testing machine running at a crosshead speed of 1 mm/minute. After measuring shear bond strengths, specimens were prepared for SEM evaluation and identification of failure type. Results were analyzed by two-factor experiment with repeated measures as one factor. RESULTS: No statistically significant differences were found among the shear bond strengths (P > 0.05) of the groups. The results revealed that saliva contamination of dentin surfaces before or after adhesive application did not affect the shear bond strength of either compomer.

Adhesiveness↗
PubMed2006

An investigation of the shear bond strength of compomer restorative material to enamel and dentine.

The aim of this study was to investigate the effect of one step adhesives on the shear bond strength of a compomer restorative material to both enamel and dentine. Human extracted teeth were used for the study. Ten samples were prepared for both enamel and dentine specimens for each of the five groups: Tooth, no etch, Prime and Bond NT (P+B NT); tooth, Non-Rinse Conditioner (NRC), P+B NT; tooth, NRC, Prime and Bond 2.1 (P+B 2.1); tooth, etch, P+B NT; tooth, etch, P+B 2.1. The specimens were subjected to bond testing. The shear bond strength was measured using an Inston 1193 testing machine using a cross head speed of 1 mm/minute. The specimens were tested to destruction. The results show that for the enamel specimens the highest bond strength was recorded for those specimens subjected to Etch, P+B 2.1 (22.1 MPa) and Etch P+B NT (20.0 MPa). The groups of specimens which did not undergo etching had very low bond strengths ranging from 11.4 MPa for NRC, P+B 2.1, 8.5 MPa for NRC P+B NT to 6.9 MPa for P+B NT. For the dentine specimens, for all of the groups, the shear bond strengths were low. Those groups subjected to etching produced the highest values of 7.9 MPa for NRC P+B 2.1 with the lowest value of 6.1 MPa for NRC P+B NT. These bond strengths were significantly lower than those achieved for bonding to enamel. Prime and Bond NT and Prime and Bond 2.1, used in conjunction with acid etching, produce satisfactory bond strengths of compomer restorative material to enamel. Bond strengths to dentine were low.

Adhesiveness↗
PubMed1995

Restoration of primary molars using a new "compomer" material.

The primary advantages of glass ionomer restorative materials are adhesion to tooth structure and release of fluoride. A new material has been recently introduced for the restoration of cervical lesions and Class I defects in primary teeth. The material combines the properties of glass ionomers with the advantages of a single-component, light-activated composite resin and is known as a "compomer". This new material contains two resins, instead of the acidic polymers found in conventional glass ionomers. The restorative material releases fluoride and can be infected directly into the cavity. With its own bonding agent, the compomer offers a simple and relatively rapid technique. The learning objective of this paper is to describe the utilization of the new restorative material in conjunction with a bonding agent to restore conservative cavity preparations in primary molars. Two clinical cases are used to illustrate the presentation.

Child↗
PubMed1996

Class V restorations utilizing a new compomer material: a case presentation.

Restorative materials used in the anterior cervical region should be able to restore the affected area in an aesthetic manner, require only a minimal amount of tooth structure removal, and provide protection from further cervical decalcification. The latest generation of restorative materials have combined the qualities of composite resins and glass-ionomers. Some of these materials incorporate resin components into glass-ionomer systems and are termed resin-modified glass-ionomers; others add glass-ionomer particles to acidic polymerizable monomers in a resin matrix and are commonly called "compomers." The learning objective of this case report is to present a step-by-step clinical procedure for restoration of a Class V defect in the maxillary anterior region, using a recently introduced "compomer."

Adult↗
PubMedDate not supplied

An in vitro comparison of four surface preparation techniques for veneering a compomer to stainless steel.

Compomers are a new class of materials reportedly having the anticariogenicity and the bonding ability to metals similar to glass ionomers while maintaining the high esthetic qualities of composite resins. The purpose of this study was to determine and evaluate the shear bond strength and fracture pattern of a compomer (Dyract) to stainless steel crowns (SSCs) using different mechanical and chemical retention procedures for possible future development of a chair-side technique of producing esthetic SSCs. Thirty-two Unitek SSCs, divided into four groups, were mounted in autopolymerizing acrylic resin so that the resulting specimen has the crown's flat lingual surface projecting above and parallel to the top surface of the acrylic resin block. Dyract was placed in transparent nylon cylinders (3 x 3 mm) and bonded to SSC's surfaces directly (group 1) or following sandblasting of the SSCs (group 2). In group 3, Dyract was bonded to stainless steel lingual cleats that were previously spot-welded to the SSCs. In group 4, Dyract was bonded to sandblasted SSC's surfaces using Scotchbond Multi-Purpose Plus dental adhesive. Specimens were placed in deionized water for 1 hr at 37 degrees C. Shear bond strength was measured using a universal testing machine. The mean (SD) shear bond strengths in MPa for groups 1-4 respectively were as follows: 2.998 (1.381), 9.518 (2.464), 13.909 (1.653), and 9.372 (3.723). One-way ANOVA and Tukey's multiple range tests revealed a statistically significant difference between the groups (P < 0.00001). While no significant difference was found between groups 2 and 4 in which Dyract-PSA prime/adhesive and Scotchbond Multi-Purpose Plus dental adhesive were used, group 3 had significantly higher shear bond strength than other groups. Stereoscopic and SEM examinations revealed adhesive and mixed bond failures. It is concluded that the bond strength of Dyract to SSCs could be enhanced significantly by applying simple mechanical means of retention that could be available in dental offices.

Adhesives↗
PubMed1997

Bond strengths of composite resin and compomers in primary and permanent teeth.

Previous clinical and in vitro studies have shown a higher failure rate of composite resins and conventional glass ionomer cements in primary teeth when compared to permanent teeth. A new generation of light-cured glass ionomer cements (compomers) were suggested to be used as restorative materials for the primary teeth. This study was conducted into two parts. The objective of the first part was to compare shear bond strength of compomers (Compoglass and Dyract) and composite resin (Herculite/Optibond) in both primary and permanent teeth. Buccal and lingual surfaces of extracted sound human primary and permanent molars were ground flat on 600-grit SiC paper and divided into 6 groups of 10 surfaces each. The materials were handled according to the instructions of the manufacturer and placed on to the tooth surfaces via clear plastic tubes of 3 mm in diameter. After light curing for 40 seconds, all samples were thermocycled in water bath of 5 degrees F and 55 degrees F for 500 cycles. The samples were embedded in acrylic resin and sheared with an Instron running at a crosshead speed of 0.5 mm/min. Results (mean shear bond strength) were recorded in MPa. Factorial ANOVA revealed that shear bond strength of Herculite/Optibond in the primary teeth (6.07 +/- 2.63) was significantly lower than that of the permanent teeth (17.61 +/- 4.34) (p < 0.0001), but there was no statistically significant difference of bond strength of Compoglass and Dyract between the primary and the permanent teeth. The results from the first part revealed that no materials tested in the primary teeth could provide a shear bond strength of at least 17.6 MPa as recommended. Thus, the objective of the second part of this study was to evaluate shear bond strength of composite resin (Herculite) using three different dentinal bonding agents (Optibond, One-Step and Amalgambond) in the primary teeth. Methods employed in this part were similar to that of the first part. Results showed that Amalgambond provided significantly higher mean shear bond strength (17.96 +/- 5.77) than One-step (11.79 +/- 4.73) and Optibond (6.07 +/-/- 2.63) as tested by Kruskal-Wallis ANOVA and Mann-Whitney U test (p < 0.0001).

Adhesiveness↗
PubMed1996

3-year clinical evaluation of a compomer, a resin-modified glass ionomer and a resin composite in Class III restorations.

PURPOSE: To evaluate and compare intra-individually a polyacid-modified resin composite, commonly called compomer (Dyract), a resin-modified glass ionomer cement (RM GIC)(Fuji II LC) and a resin composite (Pekafill) in Class III cavities. MATERIALS AND METHODS: In 50 patients, 154 Class III restorations were placed. Most patients received one of each of the experimental materials. At baseline, 6 months, 1, 2 and 3 years the restorations were evaluated by slightly modified USPHS criteria. RESULTS: At 3 years, 152 restorations were evaluated. Two restorations were replaced, one due to fracture and one due to secondary caries. The resin composite showed significantly better color match. A slight but still acceptable color shift and increased surface roughness was seen for the RM GIC. The compomer and the resin composite performed significantly better than the RM GIC. No postoperative sensitivity was reported and no loss of vitality was seen after use of the three different total etch techniques.

Adult↗
PubMed1998

Discoloration of a compomer by stains.

This study evaluated the color stability of a polyacid-modified composite (compomer) upon exposure to stains. Five disks were prepared for immersion in each of five stains: coffee, chlorhexidine, cola, red wine, and water as a control. Color measurements were made on a reflection spectrophotometer at baseline, after 24-hour incubation, and after 24, 48, and 72 hour immersion in each stain. At 24 hours, perceptible color changes occurred for specimens in red wine and coffee. After 48 hours, perceptible color changes occurred for specimens in cola. Chlorhexidine and water caused no perceptible color changes. A compomer is susceptible to staining by coffee, red wine, and cola.

Analysis of Variance↗
PubMed2002

Strength and fatigue of polyacid-modified restorative materials (compomers).

The purpose of this study was to compare the fatigue behavior of a hybrid composite, four compomers, and two viscous glass ionomers after short- and long-term soaking in distilled water. Bars with dimensions of 30 mm x 2 mm x 2 mm were formed in stainless steel molds, finished with 600 grit SiC, then soaked for either 24 h or one year, and tested in 3-point flexure at stressing rates between 0.001 and 2500 MPa s(-1). Data were plotted as fracture stress vs. stressing rate, and the exponent N in the power law for crack growth rate was computed from the slope of these plots. All compomer and resin composite materials tested exhibited subcritical crack growth (i.e. a reduction in strength with a decrease in stressing rate). Soaking lowered the slope for all materials, that is, increased the crack propagation rate. F2000 exhibited an increase in fracture strength while Hytac and Compoglass exhibited a decrease following long-term soaking in distilled water. Crack-growth exponents obtained from these fatigue data were used to estimate the stresses which would result in a five-year lifetime for these materials.

Journal Article↗
PubMed2000

In vitro investigation of aluminum and fluoride release from compomers, conventional and resin-modified glass-ionomer cements: a standardized approach.

The amount of fluoride release from dental cements necessary for an anticariogenic effect is not established: moreover, the possible toxic effects due to high fluoride and aluminum release are not well known and the results are still controversial. The aim of our study was to evaluate fluoride (F) and aluminum (Al) release from dental cements using a 'standardized approach' according to the end-use of the materials, i.e. biocompatibility testing. Two polyacid-modified resin composites of recent application, commonly called compomers (Dyract and Dyract Cem), were compared with two conventional acid-based (Fuji I, Ketac-Cem) and two resin-modified (Vitremer, Vitrebond) glass-ionomer cements (GICs). All types of cement are used in dentistry and are commercially available. Extracts of the cements into minimum essential medium, after setting over a 1-h (group A) and 1-week (group B) period, were performed. The extraction conditions were rigorously standardized. Mean values +/- standard deviation of F- and Al-levels in such extracts were measured and were expressed as microg g(-1) (micrograms of ions per gram of cement). A great difference in the amount of ion release, both F and Al, was shown among the tested materials. The GICs, as well as Ketac-Cem, released more F and Al than the compomers. All of the materials released the greatest proportion of ions when the extraction was performed in the first hour after mixing (group A). Al- and F-values showed a highly significant positive correlation, independently from the curing time. We conclude that the biological assessment of dental cements can be performed only if a pre-evaluation of the leachables is obtained by applying a standardized protocol which allows a useful comparison between the different materials.

Aluminum↗