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Resin-based composite performance: are there some things we can't predict?

Jack L Ferracane1

  • 1Division of Biomaterials and Biomechanics, Department of Restorative Dentistry, Oregon Health & Science University, Portland, OR 97239, USA. ferracan@ohsu.edu

Dental Materials : Official Publication of the Academy of Dental Materials
|July 20, 2012
PubMed
Summary
This summary is machine-generated.

Predicting dental composite restoration success is challenging. While some lab tests correlate with clinical wear and fracture, overall performance is multifactorial, making accurate prediction difficult.

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Area of Science:

  • Dental Materials Science
  • Biomaterials Engineering
  • Clinical Dentistry

Background:

  • Direct dental composite restorations are widely used but prone to clinical failure.
  • Understanding failure modes is crucial for improving material longevity and patient outcomes.

Purpose of the Study:

  • To investigate the reasons for clinical failure of direct dental composite restorations.
  • To identify appropriate laboratory tests for predicting clinical performance.
  • To determine the correlation between in vitro testing and clinical outcomes of dental composites.

Main Methods:

  • A comprehensive literature review was conducted on the clinical and laboratory performance of dental composite restorative materials.
  • Failure analysis guided the selection of material properties most likely to influence clinical success.

Main Results:

  • Limited studies show direct correlation between laboratory tests and clinical performance of dental composites.
  • Clinical wear correlates with flexure strength, fracture toughness, and degree of conversion.
  • Marginal breakdown is linked to fracture toughness, while fatigue resistance is expected to influence fracture and wear.

Conclusions:

  • Clinical trials for new dental composites are costly and time-consuming.
  • While some correlations exist, the multifactorial nature of clinical success makes accurate prediction by in vitro tests unlikely.
  • A single or battery of in vitro tests cannot fully predict the overall clinical success of dental composites.