Changes in Strength Parameters of Composite Cements as Affected by Storage Temperature—A Review of the Literature

Abstract

Fixed restorations are now among the most common restorations in modern dental prosthodontics. The current view in prosthodontics of maximum preparation economy is causing an increased interest in the mechanical properties of cements. Among the most important properties of materials used for indirect cementation are mechanical properties, i.e., hardness and compressive strength. These properties can change as a result of changes in physical factors. The purpose of this study was to analyze the available literature on the effect of conditioning temperature of cements used for cementation of indirect fixed restorations on the durability of their bonding to dental tissues and their mechanical and physical properties. The following databases were used: Mendeley, PubMed, ResearchGate, National Library of Medicine, and Google Scholar. Analysis of the available literature was carried out according to the Prisma diagram program. Forty-eight articles were selected, which were the following types of studies: clinical reports, research article, and review articles. Some studies indicated that mechanical properties, such as flexural strength, polymerization shrinkage, and conversion factor, did not change after heating the composite material. According to some researchers, preheating the composite material increased its conversion degree, which consequently led to an increase in hardness and fracture toughness, an increase in flexural strength and an increase in elastic modulus, and an increase in abrasion resistance. Studies on changes in the mechanical and physical properties of composite materials, as well as composite cements, have not always provided clear answers, as there are still no laboratory and clinical studies that fully confirm the benefits of heating composite cements. Conducting studies evaluating the effect of elevated storage temperature on the strength parameters of cements, in conjunction with the type of material and its composition, could provide answers to many clinical questions that are still unresolved. If the benefits of heating cements were unequivocally confirmed in laboratory studies, this could open up many possibilities for improving the retention of fixed prosthetic restorations.