Two-body in vitro wear study of some current dental composites and amalgams

Wear resistance of restorative materials is a major concern in clinical practice for restorations involving occlusion. The relatively poor wear resistance of dental composites in stress-bearing posterior situations has restricted even wider clinical application of this type of restorative material.

This in vitro study compared the relative wear resistance of a selection of current dental composites and amalgams under cyclic loading to explore the wear mechanisms operating on these materials and to assess their relative potential clinical wear resistance under variable masticatory loads.

A 2-body in vitro wear test was undertaken on a selection of 2 Ultrafine Compact-Filled composites, 1 microfilled composite, and 3 dental amalgams. An alternating sine curve load (0.5 to 15 N) was applied to the wear surface through a rotating countersample with a purpose-built system to simulate the variable loading pattern that occurs during mastication.

Under conditions simulating the repetitive cyclic loading pattern that may occur intraorally in high stress occlusal contact situations, the Ultrafine Compact-Filled composites exhibited a delamination wear pattern and had a significantly lower wear resistance than the amalgams. By comparison, the microfilled composite (Silux Plus) displayed an improved wear resistance that was superior to some amalgams. Dispersalloy had the best wear resistance among the materials selected.

The wear of Ultrafine Compact-Filled composite and microfilled composite differed and reflect different operative wear mechanisms. For amalgams, the size, shape, and composition of the particles had an effect on the wear resistance of the materials.