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Dental Materials (2004) 20, 345–351

http://intl.elsevierhealth.com/journals/dema

Volumetric dimensional change of six direct


core materials
Supattriya Chutinan, Jeffrey A. Platt*, Michael A. Cochran, B. Keith Moore

Department of Restorative Dentistry, Division of Dental Materials, Indiana University School of Dentistry,
1121 West Michigan Street, Indianapolis, IN 46202, USA

Received 5 September 2002; received in revised form 21 May 2003; accepted 29 May 2003

KEYWORDS Summary Objectives. This study evaluated the influence of water on the volumetric
Dimensional change; dimensional change of six direct placement core build-up materials by using
Hygroscopic expansion; Archimedes’ principle.
Core materials Methods. The effect on dimensional change due to the setting reaction was
determined through the use of a silicone oil storage medium. The materials used were
two dual-cured resin composites (CoreStore and Build-It FR), two chemically activated
resin composites (CorePaste and Ti-Core), one metal-reinforced glass ionomer cement
(Ketac-Silver), and one resin-modified glass ionomer (Fuji II LC Core). Using the
manufacturers’ instructions for each material, cylindrical specimens were prepared
with dimensions of 7 ^ 0.1 mm in diameter and 2 ^ 0.1 mm in height. Each material
had four groups ðn ¼ 5Þ based on storage conditions; silicone oil at 23 and 37 8C and
distilled water at 23 and 37 8C. A 0.01 mg resolution balance was used to determine
volumetric dimensional change using an Archimedean equation. Measurements were
made 30 min after mixing, and at the time intervals of 1, 14, and 56 days.
Results. All materials exhibited dimensional change. Ketac-Silver had the most
shrinkage in silicone oil and Fuji II LC showed the highest expansion in distilled water.
The glass ionomer materials showed more change than did any of the resin composite
materials.
Significance. Current direct placement core materials show variation in the amount
of volumetric dimensional change seen over a period of 56 days.
Q 2003 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

Introduction dental amalgam, resin composite and glass ionomer


formulations have been used for core build-up
Badly broken-down teeth often benefit from procedures. The advantages of direct placement
rebuilding with a core material prior to the and immediate crown preparation have caused a
subsequent restoration of the tooth by means of dramatic growth in the use of resin composite
an indirect extracoronal restoration. Cast alloys, materials for this application.
The dimensional stability of resin composite and
*Corresponding author. Tel.: þ1-317-274-7229; fax: þ1-317- glass ionomer core materials is affected by poly-
274-2419. merization shrinkage, thermal contraction and
E-mail address: jplatt2@iupui.edu expansion, and interactions with an aqueous

0109-5641/$ - 30.00 Q 2003 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.
doi:10.1016/S0109-5641(03)00127-1
346 S. Chutinan et al.

environment. The interaction between resin com- One hundred and twenty specimens (7 ^ 0.1 mm
posites and water causes two opposing phenomena. £ 2 ^ 0.1 mm) were prepared using Teflon molds,
In some resin composites, water will leach out Mylar film and glass slides. The above specimen
unreacted monomers and other species.1 This dimensions were based on the diameter of the curing
change contributes to shrinkage, loss in weight, light tip and the standard depth of cure of resin
and reduction of mechanical properties. Conver- composite materials. Twenty specimens were made
sely, water sorption leads to a swelling of the for each material. Groups of five were randomly
material and an increase in weight.2 – 5 At least two assigned to the four test conditions. These con-
recent prosthodontic texts reference swelling due ditions were silicone oil (polydimethylsiloxane) at 23
to water sorption as cause for concern when using and 37 8C and distilled water at 23 and 37 8C.
some direct core materials.6,7 The experimental materials were handled in a
The use of some materials under full coverage room that was environmentally controlled at
restorations has been implicated in the subsequent 23 ^ 1 8C and 55 – 60% RH. Ti-Core and CoreStore
fracture of overlying restorations. Leevailoj et al.8 were mixed in equal amounts of catalyst and base.
showed that exposing some cemented restorations Build-It FR and Core-Paste were automixed. The
on extracted teeth to deionized water caused the dual-cured material, CoreStore was activated using
fracture of overlying infiltrated alumina core a visible light-curing unit (Demetron Optilux, Model
restorations. Sindel et al.9 concluded that the No.VCL 401, Demetron Research Corporation) for
hygroscopic expansion of RMGIC/compomer 40 s from both sides of the mold. The output was
materials could lead to failure of overlying all- verified to be above 400 mW/cm2 prior to each
ceramic crowns. Clearly, an understanding of the fabrication session with a Demetron curing radio-
dimensional stability of core materials should be of meter (P/N10503, Model 100). Ti-Core, Build-It FR,
concern for the restorative dentist. and Core-Paste were allowed to chemically-cure for
The primary aim of this study was to evaluate the 4 min. The encapsulated material, Ketac-Silver was
volumetric dimensional change associated with six mixed in an amalgamator (Ultramat 2, SDI) before
direct placement core build-up materials. placement into the mold. Fuji II LC Core was hand
spatulated after dispensing the powder and liquid in
a ratio of 3.6 g/1.0 g.
Materials and methods Fluids were stored at 23 and 37 8C for 24 h before
they were used. After 24 h and throughout the
Six direct core build-up materials, as shown in study, the fluid temperatures were monitored with
Table 1, were evaluated for volumetric dimensional a digital thermometer (Omega, Model 871).
changes over time. A cast gold alloy was used to Archimedes’ principle (buoyancy of a material in
verify the methodology. fluid) was used to measure volumetric dimensional

Table 1 Materials used in the study. Manufacturers provided components listed.

Material Type manufacturer Batch number presentation Major matrix components

Built-It FR (BI) Dual-cured fluoride-containing #42723 Automixed Bis-GMA, UDMA, HDDMA


Fiber-reinforced resin composite
Pentron Technologies Incorporated
Wallingford, CT USA
Core-Paste (CP) Chemically-cured resin composite #030635100 Automixed Methacrylates
Den-Mat Corporation Santa Maria,
CA USA
CoreStore (CS) Dual-cured resin composite Kerr #102601 Paste/Paste Methacrylate ester
Corporation Orange, CA USA monomers
Ti-Core (TC) Chemically-cured resin composite #A1910/A1420 Paste/Paste Aromatic/aliphatic
Titanium-reinforced resin composite dimethacrylates
Essential Dental Systems, Incorporated
South Hackensack, NJ USA
Fuji II LC Core (FC) Resin-modified glass ionomer cement #0009261 Powder/Liquid Polyacrylic acid, HEMA,
GC Corporation, Alsip, IL USA TEGDMA
Ketac-Silver (KS) Silver-reinforced glass ionomer cement #FW0064086 Pre-capsulated Polyethylene polycarbonic
3M ESPE, St. Paul, MN USA acid, tartaric acid
Volumetric dimensional change of six direct core materials 347

changes. By Archimedes’ principle and using measured were 1, 14, and 56 days from start of
equations previously developed10 fabrication.
Volume displaced [volume of object] ¼ mass For weight in air, each specimen was removed
upthrust/density of immersion fluid from the test tube and was dried by blotting with
absorbent tissue and gently blowing with a fan
V ¼ DM=r ¼ ðMa 2 Mw Þ=r ð1Þ from a distance of 1 cm for 15 s, except for KS,
which was dried only by blotting with absorbent
Ma ¼ the mass in air tissue. The specimen was placed on the balance
Mw ¼ the apparent mass, immersed in the fluid. for 30 s and the displayed weight was noted. The
same specimen was removed from the pan and
The volumetric change ðDVÞ can be defined as placed in the holder immersed in its immersion
follows: fluid. This procedure was done with extreme care
to ensure that no air bubbles adhered to the solid.
DV ð%Þ ¼ ½{Ve 2 Vo }=Vo  £ 100 Separate brushes for each fluid were used to
remove air bubbles. The specimen stayed on the
¼ ½{Ve =Vo } 2 1 £ 100 ð2Þ
apparatus for thirty seconds and the displayed
weight was noted. The specimen was then placed
Ve ¼ the changed volume
back in its test tube. This cycle was finished within
Vo ¼ the original volume
2 min. This procedure was repeated five times at
Substituting Eq. (1) in Eq. (2), each time period.
Data were compared using repeated measures
analysis of variances (ANOVA). Comparisons
DV ð%Þ ¼ ½{½ðMa;t 2 Mw;t Þ=rt  £ ½r=ðMa 2 Mw Þ}21  £ 100
between the materials were made using Tukey’s
ð3Þ multiple comparisons procedure to control the
overall significance level at p , 0:05: To evaluate
Ma;t ¼ the mass in air at time ðtÞ the effect of water after removing the effect
Mw;t ¼ the apparent mass, immersed in fluid at of the setting reaction, differences in the means
time ðtÞ and the standard deviations11 were obtained
rt ¼ density of liquid at time ðtÞ temperature before analysis with one-way ANOVA and Student-
r ¼ density of liquid at original time Newman-Keuls All-Pairwise Multiple Comparisons
temperature
procedures for each temperature and each time
Note that the equations measured mass in air period.
and in fluid at original time and at time ðtÞ:
Specimen expansion showed a positive quantity.
Thus, as defined, any observations of shrinkage
strain would have DV as a negative quantity. Results
Different immersion fluids could be used, other
than water, provided that they do not react To verify the methodology, a pilot study was
chemically with the solid specimen apart from conducted using a stable and coherent material,
swelling. According to Eq. (3), the value of rt Type IV gold alloy. Table 2 indicates that there was
needs to be known. The temperature of the liquid no significant difference in the calculated density
was taken into account as the temperature has a between silicone oil and water. The results were
greater effect with liquids and causes density consistent with the expected results and provide
changes in an order of magnitude of 0.1 – 1% per support for the methodology.
8C. The temperature was recorded to a resolution The mean percentage volumetric dimensional
of 0.1 8C by using a digital thermometer. The change in silicone oil and in distilled water is given
temperature and the weight in liquid were taken at in Table 3 for each material and condition. The
the same time. table also indicates the effect of water alone,
A 0.01 mg resolution balance (AG 285, Mettler found by subtracting the setting shrinkage deter-
Toledo) was used to measure the weight of each mined by the silicone oil measurements. When
specimen at various time intervals up to 56 days. stored in silicone oil, all materials showed con-
Each specimen was weighed at 30 min from the start traction with KS and FC generally showing statisti-
of fabrication in air and in its immersion fluid cally larger changes than the other materials
(silicone oil or distilled water). This value was the (Table 4). When stored in distilled water, all
original weight of each material. The time intervals materials except KS at 37 8C showed expansion.
348 S. Chutinan et al.

Table 2 Volumetric dimensional change of Type IV gold


Discussion
alloy in distilled water and in poly(dimethylsiloxane) at 23 8C.
Although Archimedes’ principle has long been
Period (days) Density of gold in Density of gold in
applied in many applications, it has been proposed
distilled water (g/cm3) silicone oil (g/cm3)
only recently as a method for determining dimen-
0 14.94 14.95 sional change of restorative materials.10,12,13 Given
1 14.95 14.96 a body immersed in a fluid, the principle states
2 14.95 14.95 that the volume of the displaced fluid is equal to
the mass upthrust of the body divided by the
density of the fluid. Using Archimedes’ principle,
The values and significant differences between the volume change in a core build-up material
materials are shown in Table 5. after an immersion in a fluid can be computed from
Differences in DV% between distilled water and the mass upthrust and the fluid density before and
silicone oil were determined for each specimen at after the immersion, as discussed previously.
each time period and at each temperature. The Because of the use of a 0.01 mg balance, this
differences are referred to as the effect of the study required precision of the fluid density data,
aqueous environment on specimens. The significant which is temperature dependent. In particular, the
differences of DV% after subtracting the effect of fluid density data as a function of temperature
setting changes are shown in Table 6. with a resolution of 0.1 8C was required for

Table 3 Mean percentage volumetric dimensional changes (standard deviation) of the materials studied at 1 day, 14 days, and 56
days, stored in fluid media at 23 and 37 8C.

Material Conditions Temperature (8C) 1 Day 14 Days 56 Days

BI Silicone oil 23 20.22 (0.12) 20.30 (0.06) 20.21 (0.06)


37 20.13 (0.07) 20.21 (0.07) 20.10 (0.06)
Distilled water 23 20.02 (0.13) 0.17 (0.13) 0.50 (0.10)
37 0.08 (0.06) 0.35 (0.10) 0.76 (0.09)
Effect of water 23 0.20 (0.18) 0.47 (0.14) 0.71 (.012)
37 0.21 (0.09) 0.56 (0.12) 0.86 (0.11)
CP Silicone oil 23 20.18 (0.05) 20.37 (0.06) 20.54 (0.08)
37 20.32 (0.08) 20.49 (0.09) 20.86 (0.12)
Distilled water 23 0.09 (0.08) 0.38 (0.06) 0.47 (0.10)
37 20.09 (0.08) 0.29 (0.12) 0.12 (0.08)
Effect of water 23 0.27 (0.09) 0.76 (0.08) 1.01 (0.13)
37 0.24 (0.11) 0.78 (0.15) 0.98 (0.14)
CS Silicone oil 23 20.10 (0.12) 20.28 (0.07) 20.31 (0.08)
37 20.24 (0.18) 20.32 (0.08) 20.34 (0.05)
Distilled water 23 20.26 (0.05) 0.12 (0.11) 0.12 (0.03)
37 0.12 (0.11) 0.51 (0.14) 0.54 (0.12)
Effect of water 23 20.17 (0.13) 0.40 (0.13) 0.42 (0.09)
37 0.36 (0.21) 0.83 (0.16) 0.88 (0.13)
TC Silicone oil 23 20.19 (0.06) 20.22 (0.07) 20.29 (0.02)
37 20.14 (0.03) 20.17 (0.04) 20.33 (0.04)
Distilled water 23 20.21 (0.04) 0.00 (0.06) 0.37 (0.11)
37 20.13 (0.11) 0.35 (0.09) 0.72 (0.13)
Effect of water 23 20.01 (0.07) 0.22 (0.09) 0.66 (0.11)
37 0.02 (0.11) 0.51 (0.51) 1.05 (0.14)
KS Silicone oil 23 22.52 (0.20) 23.74 (0.18) 24.43 (0.16)
37 24.75 (0.37) 29.00 (0.53) 29.96 (0.42)
Distilled water 23 0.27 (0.09) 0.37 (0.12) 0.39 (0.11)
37 20.12 (0.17) 20.32 (0.17) 20.24 (0.23)
Effect of water 23 2.78 (0.22) 4.11 (0.22) 4.82 (0.19)
37 4.63 (0.41) 8.68 (0.56) 9.42 (0.48)
FC Silicone oil 23 21.25 (0.21) 22.68 (0.23) 22.74 (0.25)
37 21.77 (0.17) 23.40 (0.55) 23.69 (0.36)
Distilled water 23 3.35 (0.60) 4.70 (0.34) 5.04 (0.42)
37 3.24 (0.29) 4.06 (0.38) 4.16 (0.35)
Effect of water 23 4.60 (0.64) 7.38 (0.41) 7.78 (0.49)
37 5.00 (0.34) 7.46 (0.67) 7.84 (0.50)
Volumetric dimensional change of six direct core materials 349

Table 4 DV% of materials stored in silicone oil from lowest Table 6 DV% of materials stored in water after removing the
to highest shrinkage. effect of setting reaction from the highest to the lowest
expansion.
23 8C 37 8C
23 8C 37 8C
1 Day 14 Days 56 Days 1 Day 14 Days 56 Days
1 Day 14 Days 56 Days 1 Day 14 Days 56 Days
KSa KSa KSa KSa KSa KSa
FCb FCb FCb FCb FCb FCb
BIc CPc CPc CPc CPc CPc FCa FCa FCa FCa KSa KSa
TCc BIc CSd CSd CSd CSd KSb KSb KSb KSb FCb FCb
CPc CSc TCd TCd BId TCd CPc CPc CPc CSc CSc TCc
CSc TCc BId BId TCd BId BIc BId BIc,d CPc CPc CPc
TCc CSd TCc,d BIc BIc BIc
Superscript letters designate statistically similar groups in CSc TCd CSd TCc TCc CSc
each column.
Superscript letters designate statistically similar groups in
each column.
the distilled water and the silicone oil,
polydimethylsiloxane.
In crown and bridge procedures, an elapsed time the materials were significant, the volume gain by
of 30 min from the fabrication of the core build-up water sorption could be offset by the volume loss
to making the impression is not unusual and was the due to solubility.
justification for the starting point for the measure- As a group, the resin composites immersed in
ments. By the end of this time period, most of the silicone oil exhibited a slight volume loss (less than
setting shrinkage likely would have already 0.5%), which may be related to the polymerization
occurred as reported by Watts and Cash.14 The reaction. The volume loss was lower than reported
longer periods of 14 and 56 days were chosen in this in previous studies (1 – 1.7 and 2 –3% for fine and
study. The 14-day period was chosen to simulate microfine resin composites, respectively).15 This
can be explained by the difference between the
the common time period for the delivery of an
baseline measurement time in our study and others.
indirect restoration. The 56-day period was chosen
Most of the polymerization shrinkage would have
to investigate the dimensional changes in these
been completed before our 30 min baseline
core build-up materials after a longer period of
measurements. Taking into account the difference
time. The results are compared between two
in measurement times, the results corresponded
temperatures, 23 and 37 8C, which were selected
quite well with previous reports that the volumetric
to mimic the laboratory and clinical conditions.
polymerization shrinkage is in the range of 2.5 – 5.0%
In silicone oil, the volume change in the speci-
within the first 24 h and that 65 – 75% of this amount
mens after immersion was treated as due solely to
occurs within the first 10 min of placement.16
the setting reaction. This is because it is less likely
Investigations have been reported about the
for ions or molecules to leach into the silicone oil. In
amount of time needed for water sorption to reach
contrast, in distilled water, the volume change was
equilibrium in resin composites. The results are
impacted by the effect of water, water sorption and
varied. Some studies have shown that equilibrium
solubility. This study does not take into account the
was reached after short periods of time, such as 7
solubility of the test materials. If the solubility of
days15 or 14 days,17 while others showed that the
water uptake still continued after 3 years.18 In this
Table 5 DV% of materials stored in distilled water from study, the water sorption expansion in most resin
highest to lowest expansion.
composites still continued up to 56 days except for
23 8C 37 8C CP, which actually showed a reduction in volume
between 14 and 56 days at 37 8C. This might be
1 Day 14 Days 56 Days 1 Day 14 Days 56 Days
explained by material solubility, but is unconfirmed.
FCa FCa FCa FCa FCa FCa The setting shrinkage of glass-ionomer cement
KSb CPb BIb CSb CSb BIb has been previously shown to be in a range
CPb KSb CPb BIb TCb TCb comparable to that of resin composites.12 We
BIb BIb KSb CPb BIb CSb,c found the setting contraction of 9.66% at 37 8C for
TCb CSb TCb KSb CPb CPc,d
CSb TCb CSb TCb KSc KSd the metal-modified glass-ionomer cement, KS, was
the highest among the materials tested. The setting
Superscript letters designate statistically similar groups in contraction of glass-ionomer is caused by an acid-
each column.
base setting reaction that transforms a viscous
350 S. Chutinan et al.

material into a hardened mass, resulting in an both before and after the cementation of the final
increase in density with a concomitant decrease in restoration. All of the materials showed expansion
volume.19 The contraction from the acid-base due to the effect of water during the first 14 days,
reaction is slow, relative to the contraction of the time that simulated the period before cemen-
resin composites, with only 40 – 50% of its final tation. After cementation, the material may still
shrinkage occurring in the first 10 min.20 Thus, the come into contact with water internally from the
glass-ionomer would appear to undergo a higher dentinal tubules and externally from diffusion
amount of shrinkage than the resin composites through cement. The time period between 14 and
between 30 min and 56 days after fabrication. Our 56 days was designed to simulate the period after
result for the setting shrinkage of the metal- cementation. During this period, the resin compo-
reinforced glass-ionomer cement was in line with site, CS, underwent slight change in dimension at 23
a previous study by Grajower and Guelmann21 (who and 37 8C. In contrast, the resin-modified glass
reported a setting shrinkage of 6.7% for KS). ionomer showed high expansion. The effect of this
Because of the hydrogel nature of glass iono- dimensional change on the fit of a final restoration
mers, one would expect that after a long period of requires further investigation.
56 days, KS would absorb a significant amount of
water, resulting in an increase in volume that was
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