OBJECTIVES To evaluate the influence of irradiation time on degree of conversion (DC) and microhardness of high-viscosity bulk-fill resin composites in depths up to 6 mm. MATERIALS AND METHODS Four bulk-fill materials (Tetric EvoCeram Bulk Fill-TECBF; x-tra fil-XF; QuixFil-QF; SonicFill-SF) and one conventional nano-hybrid resin composite (Tetric EvoCeram-TEC) were irradiated for 10, 20, or 30 s at 1,170 mW/cm(2). DC and Knoop microhardness (KHN) were recorded after 24-h dark storage at five depths: 0.1, 2, 4, 5, and 6 mm. Data were statistically analyzed using ANOVA and Bonferroni's post-hoc test ( = 0.05). RESULTS With increasing bulk thickness, DC and KHN significantly decreased for TEC. TECBF and SF showed a significant decrease in DC and KHN at 4-mm depth after 10-s irradiation, but no decrease in DC after 30-s irradiation (p > 0.05). XF and QF demonstrated no significant DC decrease at depths up to 6 mm after irradiation of at least 20 s. At 4-mm depth, all materials tested achieved at least 80 % of their maximum DC value, irrespective of irradiation time. However, at the same depth (4 mm), only XF and QF irradiated for 30 s achieved at least 80 % of their maximum KHN value. CONCLUSIONS Regarding DC, the tested bulk-fill resin composites can be safely used up to at least 4-mm incremental thickness. However, with respect to hardness, only XF and QF achieved acceptable results at 4-mm depth with 30 s of irradiation. CLINICAL RELEVANCE Minimum irradiation times stated by the manufacturers cannot be recommended for placement of highviscosity bulk-fill materials in 4-mm increments. Conclusions: Regarding DC, the tested bulk-fill resin composites can be safely used up to at least 4-mm incremental thickness. However, with respect to hardness, only XF and QF achieved acceptable results at 4-mm depth with 30 s of irradiation.Clinical relevance: Minimum irradiation times stated by the manufacturers cannot be recommended for placement of high-viscosity bulk-fill materials in 4-mm increments.
Composite pre-heating significantly reduces shrinkage force formation of high-viscosity bulk-fill and conventional resin composites, while maintaining or increasing the degree of monomer conversion, dependent upon the specific composite material used.
All bulk-fill composites presented a considerable 24-hour postcure DC increase and clinically acceptable DC at depths up to 4 mm. Conventional control composites were sufficiently cured only up to 2 mm, despite significant postcure polymerization.
The tested low-viscosity bulk-fill materials show lower shrinkage force formation than a conventional flowable resin composite at high levels of degree of conversion up to 4-mm incremental thickness.
SUMMARY -Th e aim of the study was to determine microhardness of high-and low-viscosity bulk-fi ll composite resins and compare it with conventional composite materials. Four materials of high-viscosity were tested, including three bulk-fi lls: QuiXfi l (QF), x-tra fi l (XTF) and Tetric EvoCeram Bulk Fill (TEBCF), while nanohybrid composite GrandioSO (GSO) served as control. Th e other four were low-viscosity composites, three bulk-fi ll materials: Smart Dentin Replacement (SDR), Venus Bulk Fill (VBF) and x-tra base (XB), and conventional control material X-Flow (XF). Composite samples (n=5) were polymerized for 20 s with Bluephase G2 curing unit. Vickers hardness was used to determine microhardness of each material at the surface, and at 2-mm and 4-mm depth. GSO on average recorded signifi cantly higher microhardness values than bulk-fi ll materials (p<0.001). Th e low-viscosity composite XF revealed similar microhardness values as SDR, but signifi cantly lower than XB (p<0.001) and signifi cantly higher than VBF (p<0.001). Microhardness of high-viscosity bulk-fi ll materials was lower than microhardness of the conventional composite material (GSO). Surface microhardness of low-viscosity materials was generally even lower. Th e microhardness of all tested materials at 4 mm was not diff erent from their surface values. However, additional capping layer was a necessity for low-viscosity bulk-fi ll materials due to their low microhardness.
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