Microhardness Recovery and Micromorphology of Demineralized Dentin Restored with Modified Glass Hybrid Material

This study evaluated how the addition of 5 wt% bioactive glass and 15 wt% short glass fibers to EQUIA Forte HT affects the microhardness, micromorphology, and elemental composition of demineralized dentin. Class I cavities in 28 human third molars were demineralized with 37% phosphoric acid and restored with: (1) Filtek Universal composite, (2) EQUIA Forte HT, (3) EQUIA Forte HT + 5wt% BAG, or (4) EQUIA Forte HT + 15wt% short glass fibers. After 4 weeks of storage in phosphate-buffered saline at 37 °C, the teeth were cut in half, obtaining two samples from each tooth (n = 14). Vickers microhardness (HV0.1) was measured on demineralized dentin 50-100 μm apical to the restoration interface. Representative specimens (n = 2) were examined using scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDS). Data were analyzed with one-way ANOVA (α = 0.05). Unmodified EQUIA Forte HT showed the highest mean dentin microhardness recovery (25.06 ± 1.42 HV0.1), followed by composite (17.31 ± 0.66 HV0.1), BAG-modified (23.74 ± 1.37 HV0.1) and fiber-reinforced (22.15 ± 1.06 HV0.1) groups (p < 0.001, all pairwise comparisons p ≤ 0.039). Glass hybrids showed prominent Ca/P peaks; modified groups had elevated Si (BAG) and Al (fibers). SEM revealed smoother surfaces with fewer cracks in modified materials. Unmodified EQUIA Forte HT produced the highest short-term microhardness recovery, while BAG and fiber additions altered surface morphology and elemental composition but slightly reduced early hardness.