Effect of Instrument Lubricant on Mechanical Properties of Restorative Composite

Author:

Pippin G1,Tantbirojn D2,Wolfgang M3,Nordin JS4,Versluis A5

Affiliation:

1. Geoffrey Pippin, DDS, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN, USA

2. Daranee Tantbirojn, DDS, MS, PhD, Department of General Dentistry, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN, USA

3. Michael Wolfgang, DDS, Department of General Dentistry, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN, USA

4. Jeffery S Nordin, DDS, MS, Department of General Dentistry, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN, USA

5. *Antheunis Versluis, PhD, Department of Bioscience Research, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN, USA

Abstract

SUMMARY Objectives: Using a wetting resin or adhesive system as an instrument lubricant when placing composite layers is commonly practiced to improve handling. This study investigated whether instrument lubricants affected strength, stiffness, or hardness. Methods: Composite beams (TPH Spectra) were fabricated using a stainless steel mold (25×2.5×2 mm) in two steps, where the second half (12.5 mm) was added and cured against a cured first half (n=15). The composite surface at the open end of the first half was smoothed using an instrument lubricated with wetting resin (Ultradent) or universal adhesive (ScotchBond Universal), enough to prevent sticking, or without lubrication. An additional beam of each group was characterized using scanning electron microscopy. Monolithic specimens were also fabricated. After 24 hour storage (37°C, 100% humidity), the beams’ flexural strength and stiffness were determined by four-point bending. Vickers surface hardness was measured on 24-hour composite samples in 2 mm deep acrylic cavities, cured after the surface was smoothed with the two instrument lubricants or no lubricant (n=10). Hardness was remeasured after finishing with a series of contouring and polishing discs. Data were statistically analyzed using ANOVA followed by Student-Newman-Keuls post hoc test at 0.05 significance level. Results: There were significant differences (p<0.001) in flexural strength and stiffness among groups. While strength and stiffness were not affected by using a wetting resin as instrument lubricant, use of a universal adhesive increased strength and stiffness significantly, achieving monolithic values. Scanning electron micrographs showed less porosities at the interface when using instrument lubricants. Surface hardness was significantly reduced in groups in which instrument lubricants were used, but finishing/polishing restored original hardness (p<0.001). Conclusions: Lubricating an instrument with a wetting agent did not adversely affect physical or surface properties, provided the surface was finished and polished. If a universal adhesive was used as lubricant, the strength and stiffness of a layered composite could be increased, reaching monolithic values.

Publisher

Operative Dentistry

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