Wear resistance is a clinical concern for composites (flowable and packable) that are being developed for bulk placement and curing in posterior restorations. Objective: To determine and compare in vitro three-body wear of 8 commercially available bulk placed composites. Methods: Eight flat disc specimens (n=8) of each composite material (d=8mm/h=2mm) were prepared using a cylindrical elastomeric mold following manufacturers' instructions, and were light-cured in a single increment (Elipar S10/3M ESPE/1000 mW/cm2). The specimens were mounted in brass holders (d=15mm) using self-cured acrylic resin, wet ground (320-, 800- and 1200- grit SiC paper) and finished (0.05 alumina slurry/polishing cloth). After polishing they were rinsed, cleaned (ultrasonic bath in distilled water for 5 minutes) and stored (24h/distilled water/37C). Wear test was conducted on an Alabama Wear Testing Device for 100,000 cycles (load=75N/1.2 Hz). 50 PMMA beads were used as third body media. Volumetric loss for each material was determined using a 3-D non-contact surface profilometer (Proscan2000/Scantron/UK). Data were analyzed with one-way ANOVA and post-hoc Tukey/Kramer test (p=0.05).
Results: (MeanSD). Same letters are not statistically different.
Materials
Type
Volume/(mm3)
Venus Bulk Fill-Flowable/Heraeus Kulzer
Flowable/nano-hybrid
0.0240.004A,F
Filtek Bulk Fill/3M ESPE
0.0120.001B,C
Tetric Evo Ceram BulkFill/Ivoclar
Nano-hybrid
0.0110.002C
SureFil High Density Posterior Restorative (HDR)/Dentsply
Packable
0.0070.001D
SureFil SDR Flow/Dentsply
Flowable
0.040.01E
Sonic Fill/Kerr
Packable/nano-hybrid/sonically activated delivery
0.020.004F
Z100/3M ESPE/(Control)
Packable/microhybrid
0.0040.001G
Z100 produced the least amount of wear whereas SureFil SDR Flow produced the highest compared to rest of the materials (p<.0001).
Conclusions: Since wear differs significantly between materials, it should be a factor in the selection of bulk filled composite resins. Materials that do not have high wear resistance should be covered with a wear resistant composite.