Highly translucent dental resin composites through refractive index adaption using zirconium dioxide nanoparticles...

For dental resin composites, high translucency is important. Therefore, the aim of the study was to create a biocompatible and highly translucent resin-based composite, and to investigate the effect of material thickness on translucency.

A biocompatible ORMOCER® resin matrix was reinforced with dental glass powder as fillers. To reach a high translucency, refractive index matching of the matrix and fillers was done in the two ways: (1) Highly refractive ZrO₂ nanoparticles were incorporated into the resin. (2) The resin was modified via addition of 4-Methylthiophenol. The corresponding refractive indices were acquired on an Abbe refractometer (n = 5). In both cases, the dental glass powder was added and translucency of the resulting minifilled and nanohybrid composites were measured using spectral photometry (n = 5). Additionally, the translucency of the experimental composites was determined as a function of specimen thickness in the range 10 μm-2 mm (n = 5). One-way ANOVA was performed to determine the significant differences in various optical parameters among different amounts of modifications and thicknesses at α = 0.05. Furthermore, cytotoxicity tests (extract and direct contact tests) were conducted according to ISO 10993 to classify the biocompatibility of the composites (n = 6).

The translucency values of the composites with 47 wt.-% dental glass powder and a specimen thickness of 2 mm, could be increased from 26% up to 71% by increasing the refractive index of the matrix through incorporating ZrO₂ nanoparticles. Moreover, it can also be increased to 67% via addition of 4-Methylthiophenol. Further results showed that the translucency significantly depended on the sample thickness following an exponential function. The effect of all tested parameters was significant among the materials (p < 0.001). The composites did not show any cytotoxic effect.

Highly translucent and biocompatible resin composites were developed. They show attractive properties for the use as dental enamel material in direct and indirect restorations.