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Shrinkage of Dental Composite in Simulated Cavity Measured with Digital Image Correlation
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Is secondary caries with composites a material-based problem?

Ivana Nedeljkovic1, Wim Teughels2, Jan De Munck1

  • 1KU Leuven BIOMAT, Department of Oral Health Sciences, University of Leuven & Dentistry University Hospitals Leuven, Kapucijnenvoer 7, 3000 Leuven, Belgium.

Dental Materials : Official Publication of the Academy of Dental Materials
|September 28, 2015
PubMed
Summary
This summary is machine-generated.

Secondary caries (SC) around composite restorations is influenced by the restorative material, but patient factors are the primary cause. Understanding SC mechanisms is crucial for improving dental restoration longevity and reducing healthcare costs.

Keywords:
CompositeRecurrent cariesResin-based restorationSecondary caries

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Area of Science:

  • Dental Materials Science
  • Cariology
  • Restorative Dentistry

Background:

  • Secondary caries (SC) is a major cause of composite restoration failure, impacting tooth longevity and healthcare costs.
  • The role of restorative materials in SC development is not fully understood.
  • Investigating SC mechanisms is essential for improving dental treatment outcomes.

Purpose of the Study:

  • To review existing literature on secondary caries around composite restorations.
  • To gain insights into the mechanisms driving SC development with composite materials.
  • To determine if SC is primarily a material-based issue.

Main Methods:

  • Searched PubMed and Medline for literature on clinical diagnosis, incidence, prevalence, histopathology, and factors influencing SC around composite restorations.
  • Included additional studies by reviewing reference lists of relevant articles.

Main Results:

  • Composite restorations show higher SC rates compared to amalgam, indicating a material influence.
  • Restoration class (e.g., Class V vs. others) also affects SC development, suggesting multifactorial causes.
  • Interfacial gaps (≥60 μm) and polymerization shrinkage may contribute to SC; further research on degradation processes is needed.
  • Composites may promote cariogenic bacteria growth due to surface properties and lack of antibacterial effects.

Conclusions:

  • Restorative materials can influence secondary caries, but patient-related factors are the most significant determinant.
  • Further research is required to elucidate the complex mechanisms of SC development around composite restorations.