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©

Operative Dentistry, 2023, 48-3, 000-000

Translucency and Radiopacity of

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Dental Resin Composites – Is There
a Direct Relation?
LPL Rosado • EA Münchow • ELS de Oliveira • R Lacerda-Santos
DQ Freitas • HL Carlo • FS Verner

Clinical Relevance
Clinicians should carefully choose the resin composite, since it may show greater or lower
translucency than human dentin and enamel, potentially compromising the cosmetic
appearance of the restoration.

SUMMARY Resin composite samples (n=5) were prepared (5-


mm diameter × 1.5-mm thickness) for comparison
Objectives: The purpose of this study was to
using prepared samples of human dentin and
correlate the translucency degree of varying resin
enamel as controls. The translucency of each sample
composites with their radiopacity.
was measured using the translucent parameter
Methods and Materials: Twenty-four resin (TP) method with a digital spectrophotometer
composites (conventional or bulk-fill) of various (Vita Easyshade) and CIEL*a*b* color system over
shades and opacities were selected from the white and black backgrounds. The samples were
following manufacturers: 3M ESPE (nanofilled), also x-rayed using a photostimulable phosphor
Ivoclar (nanohybrid), and FGM (microhybrid). plate system for measurement of their radiopacity
(in mmAl). All data were analyzed using one-way
Lucas P Lopes Rosado, DDS, MSc, PhD researcher, Department
of Oral Diagnosis, Division of Oral Radiology, Piracicaba Oral Diagnosis, Division of Oral Radiology, Piracicaba Dental
Dental School, University of Campinas, Piracicaba, SP, Brazil School, University of Campinas, Piracicaba, SP, Brazil
Eliseu Aldrighi Münchow, DDS, MSc, PhD, Department of Hugo Lemes Carlo DDS, MSc, PhD, Department of Operative
Conservative Dentistry, School of Dentistry, Federal University Dentistry and Dental Materials, School of Dentistry, Federal
of Rio Grande do Sul, Porto Alegre, RS, Brazil University of Uberlandia, Uberlândia, MG, Brazil
Eduardo Lopes Soares de Oliveira, DDS, Department of *Francielle Silvestre Verner, DDS, MSc, PhD, Department of
Dentistry, Health Science Institute, Federal University of Juiz Dentistry, Health Science Institute, Federal University of Juiz
de Fora, Governador Valadares, MG, Brazil de Fora, Governador Valadares, MG, Brazil
Rogério Lacerda-Santos, DDS, MSc, PhD, Department of *Corresponding author: Avenue Dr Raimundo Monteiro
Dentistry, Health Science Institute, Federal University of Juiz Rezende 330, Sala 301, Centro, Governador Valadares, Minas
de Fora, Governador Valadares, MG, Brazil Gerais, Brazil 35.010-173; e-mail: francielle.verner@ufjf.br
Deborah Queiroz Freitas, DDS, MSc, PhD, Department of http://doi.org/10.2341/22-056-L
2 Operative Dentistry

ANOVA and Student-Newman-Keuls (α=0.05); restorative materials and dental substrates; correct
data for TP and radiopacity were correlated using evaluation of shape, contour, and marginal adaptation
the Spearman correlation test. of the restoration;12,13 and the identification of voids/
defects that may be present within restorations, as

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Results: Overall, the translucent shades and bulk- well as secondary caries.14 Similar to what happens
fill resin composites showed greater translucency for translucency properties, the atomic number of
than the other resins. While “body” and “enamel” main ingredients is also a characteristic related to
shades demonstrated intermediate translucency radiopacity; the greater the atomic number, the greater
to dentin and enamel, the “dentin” shades were the radiopacity.15 Despite several studies aimed to
more standardized, showing similar translucency to investigate the optical properties of resin composites,
human dentin. All tested resin composites showed there is not a previous publication focusing on the
similar or greater radiopacity to human enamel, correlation between radiopacity and translucency
except the Empress Direct (Ivoclar) resin with Trans characteristics.
Opal shade, which was not radiopaque. Dentin Hence, the purpose of this study was to investigate
and enamel showed radiopacity similar to 1 and 2 the relation between translucency and radiopacity of
mmAl (millimeters of aluminum), respectively. varying resin composites. The study hypothesis was
that the greater the degree of translucency the lesser
Conclusions: The resin composites investigated in the radiopacity.
this study differed regarding their translucency
degree and radiopacity level, without any positive METHODS AND MATERIALS
relationship between the two properties. This in vitro study prepared specimens from three
different classes of resin composites: micro-hybrid,
INTRODUCTION nanohybrid, and nanofilled. Each specimen was
The chemistry of light-sensitive resin composites has evaluated for translucency and radiopacity. In total,
advanced, making it easier to mimick both enamel twenty-four materials were selected. Their brand, color
and dentin. However, ideally matching color shade shade, lot number, composition, and filler content are
and thickness of opaque and translucent materials shown in Table 1. ISO 4049:2009 specifications were
is still a challenge for most professionals,1-3 and if the followed in this study.16
inappropriate material or improper thickness is used,
the esthetic result may be unsatisfactory, leading to Preparation of Dental and Resin
patient dissatisfaction.3 The opacity and translucency Composite Specimens
degree of resin composites can be modified by the An elastomeric (Futura, DFL) mold (5 mm diameter ×
manufacturer by changing the content and nature of 1.5 mm thickness) was used to prepare five specimens
inorganic fillers and by adding opaque or translucent of each resin composite. The materials were placed in
ingredients.4,5 Overall, the greater the content of fillers, the mold with the aid of a spatula and covered with
the more opaque the resin composite becomes since a Mylar sheet. Pressure was applied to extrude any
inorganic fillers have a higher refractive index compared excess material. Light activation was performed using
to resin monomers,6 increasing light scattering within a light-emitting diode (LED) curing unit (Emitter C,
the material. No less important, some inorganic fillers Schuster, Santa Maria, RS, Brazil) as recommended
are more opaque than others due to the presence of by each manufacturer. The power intensity of the LED
chemical elements with high atomic numbers (eg, was 1250 mW/cm2. Surface finishing was performed
barium, strontium, zinc, zircon, ytterbium),7,8 turning using abrasive SiC papers (1200-grit) under wet
the material more opaque than resin composites conditions. Enamel and dentin specimens (5 × 1.5
comprised solely of silica and quartz particles, and mm) were obtained from disinfected, sound human
consist of less dense atoms (eg, silicate, carbon, third molars.
oxygen, hydrogen).
Likewise, the atomic number of the chemical Translucency Parameter (TP) Analysis
ingredients of resin composites may also influence their The translucency degree of each specimen was
radiopacity.9 While radiopaque materials inhibit X-ray measured according to the translucency parameter
passage through their bulk structure, radiolucent method using a digital spectrophotometer (Vita
materials allow X-ray passage.10,11 Clinically speaking, Easyshade, Vita Zahnfabrik, Bad Sackingen, Germany)
radiopacity is an important property of resin with the CIEL*a*b* color system. Each specimen was
composites since it may help differentiation between measured over white (LW*=94.44; aW*=0.26; bW*=1.69)
Rosado & Others: Translucency and Radiopacity of Dental Resin Composites 3

Table 1: Information of Brand, Color Shade, Lot Number, Composition, and Filler Content (in wt%) of the Resin
Composites Tested in the Study
Brand Resin Composite Color Shade (Lot) Composition Filler Load

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Opallis A1D (180817) Bis-GMA, Bis-EMA, TEGDMA, UDMA, 79.8%
Opallis A3D (260617) CQ, coinitiator, silane, silanized barium-
aluminum silicate glass, pigments, silica
Opallis A1E (180817) 78.5%
Opallis A3E (260617)
FGM
Opus Bulk Fill A1 (100817) Urethaned imethacrylic monomers, 79%
Opus Bulk Fill A3 (070817) coinitiator, photoinitiator, stabilizers,
pigments, silanized silica
Opus Bulk Fill Flow A1 (180317) 68%
Opus Bulk Fill Flow A3 (110417)
Empress Direct BL-L (P73680) Dimethacrylates, pre-polymers, barium- 60%
Empress Direct B1D (P58317) aluminum silicate glass, ytterbium
trifluoride, initiators
Empress Direct A1D (P58317)
Empress Direct B1E (P58317) Dimethacrylates, barium-aluminum silicate 78.1%
Ivoclar Empress Direct BL-XL (P59478) glass, initiators
Vivadent Empress Direct A1E (P55580)
Empress Direct Trans 30 (N58446) Dimethacrylates, pre-polymers, barium- 72.2%
aluminum silicate glass, initiators
Empress Direct Trans Opal (N58446) Dimethacrylates, pre-polymers, barium- 20%
aluminum silicate glass, silica, initiators
Filtek Z350 XT A1D (N812985) Bis-GMA, UDMA, TEGDMA, Bis-EMA 6, 78.5%
Filtek Z350 XT A1B (N187685) silica, zirconia, zirconia/sílica agglomerate
Filtek Z350 XT A1E (588002)
Filtek Z350 XT A3D (646789)
3MESPE Filtek Z350 XT A3B (590078)
Filtek Z350 XT A3E (761710)
Filtek Z350 XT WE (N902169) 72.5%
Filtek Bulk Fill Universal (N653369) Bis-GMA, UDMA, Bis-EMA 6, Procrylat, 64.5%
zircon/silica, ytterbium trifluoride
Abbreviations: Bis-GMA, bisphenol-A diglycidyl dimethacrylate; Bis-EMA, bisphenol-A ethoxylated dimethacrylate; TEGDMA,
triethyleneglycol dimethacrylate; UDMA, urethane dimethacrylate.

and black (LB*=1.38; aB* 0.00; bB*=0.06) backgrounds. and an aluminum step-wedge (99% purity) containing
The TP was calculated using the following equation17: six levels of aluminum thickness (1 mm each). All the
specimens plus aluminum step-wedges followed the
𝑇𝑇𝑇𝑇 = %(𝐿𝐿∗! − 𝐿𝐿∗# )² + (𝑎𝑎!

− 𝑎𝑎#∗ )² + (𝑏𝑏!

− 𝑏𝑏#∗ )² same distribution over the PSP for every group tested.
The x-ray images were obtained using periapical
x-ray equipment (Focus, Instrumentarium Imaging),
Radiopacity Analysis following the parallelism technique, with a long
Radiographic images were obtained using a semi-direct cylinder and circular collimator. Exposure factors were
digital system (Express, Instrumentarium Imaging, kept constant: 70 kVp, 7 mA, 40 cm focus-PSP distance,
Tuusula, Finland) with photostimulable phosphor and 0.2 s exposure time. The PSP was positioned on
plates (PSP) size 2 (31 × 41 mm of active area). One a flat surface parallel to the horizontal plane, and the
specimen of each resin composite (n=5) was positioned external surface of the cylinder was also parallel to the
over the PSP, plus one specimen of enamel and dentin, horizontal plane to ensure a perpendicular incidence of
4 Operative Dentistry

the x-ray beam. The PSPs were scanned immediately The linear regression model used to convert
after the exposure in the Express, read with 14.3-line the relative radiographic density (RRD) values in
pairs/millimeter, and using the CliniView software radiopacity showed a positive relationship between the
(Instrumentarium Imaging). All the images were saved variables (R2=0.9847; p=0.002). The radiopacity results

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in the .TIFF extension, without compression. Each set are shown in Figure 2. The resin composites differed
of resin composite specimens, dental specimens, and statistically from each other (p≤0.001). The Trans Opal
aluminum step-wedges was x-rayed five times with the shade of Empress Direct was the only material that did
same PSP to prevent any possibility of interferences or not present radiopacity in this study. Human dentin
artifacts related to the PSP. and enamel displayed radiopacity of 0.8 and 2.0 mmAl,
The relative radiographic density (RRD) of each respectively, with enamel showing greater radiopacity
specimen, dentin, enamel, and the steps of the than dentin (p<0.001). Opus Bulk Fill Flow (FGM) was
aluminum step-wedges were individually collected the only material as radiopaque as enamel (p=0.951),
using histogram analysis (Adobe Photoshop, version whereas all the other resin composites demonstrated
7.0.1, Adobe Systems, Los Angeles, CA, USA). greater radiopacity than dentin and enamel (p<0.05).
Three different standardized areas (region of interest The A1-D and B1-D shades of Empress Direct were
measuring 0.6 × 0.6 mm) that were free of bubbles were the most radiopaque of the study, showing radiopacity
selected in each specimen, and the average of their similar to 5.0 mmAl. It seems that the materials from
RRD was obtained. All measurements were performed Ivoclar tend to show greater radiopacity, followed by
by a single, calibrated operator, who was blind to the materials from FGM and 3M.
groups tested, to eliminate inter-observer inconsistency The properties investigated in this study (translucency
and bias. The RRD values obtained for each step of and radiopacity) were not positively correlated to each
the aluminum step-wedges were applied in a linear other (R2 = –0.283; p=0.177). The distribution of TP and
regression model in an attempt to convert the RRD RRD values for each type and color of resin composite
values of the specimens tested in radiopacity values, in is shown in Figure 2.
mmAl (millimeters of aluminum).
DISCUSSION
Statistical Analysis
The hypothesis tested in this study was that the greater
The data obtained in the study were analyzed with the translucency of the resin composites, the lower
the statistical program SigmaPlot version 12 (Systat their radiopacity. However, translucency was not
Software Inc, San Jose, CA, USA) using one-way significantly correlated to radiopacity, thus rejecting the
analysis of variance and the Student Newman Keuls test hypothesis. It is known that the major factor affecting
for multiple comparisons (α=0.05). Translucency and radiopacity is the presence of components with high
radiopacity data were correlated using the Spearman atomic numbers since only these elements are capable
Correlation test. of stopping the passage of X-ray radiation, making
the material radiopaque.10,11 The atomic number is a
RESULTS measure that indicates the number of protons found
Figure 1 shows the translucency parameter (TP) data of in the nucleus of an atom;18 if the element possesses
the resin composites tested in this study. According to a great number of protons, it will show radiopacity.
the statistical analysis, the materials differed from each In dentistry, chemical elements such as barium,
other (p≤0.001). Enamel showed 2.8 greater TP than aluminum, ytterbium, zirconium, strontium, bismuth,
dentin (p<0.001). Opus Bulk-Fill Flow shades A1 and niobium, and tungsten have been broadly used as
A3 presented the greatest TP values, which were greater radiopacifiers.15,19-21 Among the resin composites tested
than all the other materials and enamel (p≤0.009). here, those showing greater radiopacity were the ones
Empress Direct shades Trans Opal and Trans 30 were as comprised of glass fillers containing the aforementioned
translucent as enamel (p=0.998). Actual human dentin radiopacifiers including a glass of barium-aluminum
showed similar TP values similar to Opallis (shades silicate, ytterbium trifluoride, and others (Table 1).
A1-D and A3-D), Filtek Z350 (shades A1-B and A1-D), Notwithstanding, it was considered that the presence
and Empress Direct (shades B1-D, A1-D, and BL-L) of radiopacifiers would make the resin composite
(p≥0.665). Shade A3-D of Filtek Z350 demonstrated the more opaque and less translucent, which has not been
lowest TP of the study, which was lower than dentin confirmed by our findings.
(p=0.022). The remaining resin composites showed TP One may suggest that radiopacity is different from
values lower than enamel (p<0.001) but greater than opacity or the absence of translucency. According
dentin (p≤0.035). to Ardu and others,22 translucency is an optical
Rosado & Others: Translucency and Radiopacity of Dental Resin Composites 5

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Figure 1. Information of brand, color shade, translucency parameter (TP), radiopacity (Rx) in mmAl, and filler fraction (in wt%) of the resin
composites tested in the study. (Different letters indicate statistically significant differences in the same column.)
6 Operative Dentistry

with varying compositions to investigate the effect of


variables such as “size” and “concentration” of fillers
on the translucency and radiopacity of the materials.
Opus Bulk-Fill Flow from FGM for both shades

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tested (A1 and A3) was the most translucent of the
study. The concentration of fillers in this material
is 68 wt%, which may be considered a moderate-to-
high filler loading level, and the fillers are within the
micrometric range size; consequently, a reduced degree
of translucency could be expected. Nevertheless, that
same material showed greater translucency than
enamel, so it was categorized as a highly translucent
material. Other factors rather than the content and
the size of fillers may explain this finding, such as the
nature of fillers. Indeed, Opus Bulk-Fill Flow consists
of silanized silica, and according to Palin and others,29
silica-filled composites may allow easier passage of
light through the material, contributing to an increased
degree of translucency. Bulk-fill resin composites differ
from conventional composites in that their increased
polymerization depth allows increments of material
Figure 2. Dispersion graph showing the relation between the
applied in the tooth cavity to be thicker (ie, ~4.0 to
relative radiographic density and translucency parameter data
collected from the resin composites tested in the study. The 5.0-mm thick).30
graph presents all distinct color shades and opacity degrees Only two resin composites exhibited translucency
investigated. Dentin and enamel samples were used as controls. similar to enamel: the shades Trans Opal and Trans
Abbreviations: Op, Opallis; OBF, Opus Bulk Fill; OBFF, Opus 30 from Empress Direct. The main difference between
Bulk-Fill Flow.
these resin composites is their content of fillers, with
the former showing only 20 wt% of fillers and the
characteristic that allows easy passage and light latter 72 wt% of fillers (ie, nearly 3.6 times greater
transmission through the structure of a material. concentration). Thus, it was expected that Trans
Conversely, the lesser the light passing through the Opal would present considerably greater translucency
material, the lower its translucency.23 The degree of than Trans 30, although this was not confirmed.
translucency of the resin composites tested here ranged Considering that both materials are comprised of
from 3.8-24.8 (Figure 2). Some materials were classified barium-aluminum silicate (BAS) glass fillers, it can be
as highly translucent, with translucency parameters suggested that the size of the fillers is not the same.
greater than human enamel, whereas other materials In fact, an equal balance of translucency could be
exhibited even lower translucency than dentin. obtained if Trans 30 was constituted of larger fillers,
The degree of translucency of the tested materials whereas Trans Opal was comprised of smaller fillers,
varied randomly depending on the type of resin and which could result in a similar scattering effect and
manufacturer. Among the intrinsic factors that may a similar degree of translucency for the materials. In
influence the degree of translucency of resin composites, addition, the nature of the organic matrix of those resin
it seems that the size and concentration of fillers play composites may have also played a role in their overall
a significant role.24-27 In addition, the thickness of the translucency, especially for the silica-based material
material is also a factor; the thicker the material, the (Trans Opal), as demonstrated elsewhere.31 Last,
lower its translucency level.1,28 In this study, thickness the presence of pre-polymerized fillers in both resin
was kept constant. composites may have contributed toward making their
Three distinct types of resin composites were selected translucency similar, with the variation of the average
in our study: composites containing only nanosized size of the fillers being an important method to control
fillers (nanofilled – from 3M); composites containing the degree of translucency.26
slightly larger fillers within the micrometric range Most of the resin composites tested in this study showed
(micro-hybrid – from FGM); and composites containing intermediate translucency as compared with enamel
nanosized and micrometric fillers (nanohybrid – and dentin, so they were categorized as moderately
from Ivoclar). Thus, this study used resin composites translucent materials. Overall, the resin composites
Rosado & Others: Translucency and Radiopacity of Dental Resin Composites 7

from FGM are constituted of approximately 80 wt% It may be suggested that it is easier to replicate the
of BAS and silanized silica fillers; the resin composites optical characteristics of dentin using resin composites,
from Ivoclar are comprised of nearly 78 wt% of BAS but not for enamel, which seems to be a more complex
fillers; and the resin composites from 3M consist of a substrate to replicate.34 Moreover, the thickness of

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more heterogeneous composition comprised of silica, materials applied in the tooth cavity may play an
zirconia, zircon/silica clusters, as well as ytterbium important role in the final optical appearance of the
trifluoride, varying from 64.5 to 78.5 wt% of loading restoration, in which the exact amount of dentin and
level. Here, it may be suggested that the balance of enamel opacities/translucencies must be restored to
different sizes of fillers combined with the particular the tooth. Therefore, we suggest that special attention
nature of resin monomers resulted in a similar degree should be given during the application of enamel
of translucency levels.31 This may indicate that most of resin composites, since they may directly compromise
the current resin composites show lower translucency the overall optical appearance of the restoration if
than enamel, but greater than dentin, so that the improperly used.
perfect match between dental restoratives and dental The other property investigated in this study was
substrates is still a challenge, making it difficult to radiopacity. As shown in Figure 2, all the resin
restore the optical characteristics of natural teeth. composites exhibited similar or greater radiopacity
Seven resin composites demonstrated similar compared to enamel. This is an interesting finding
translucency to dentin: two from FGM (Opallis, shades because it demonstrates that current resin composites
A1D and A3D); two from 3M (Filtek Z350, shades A1B follow international standards for radiopacity. Indeed,
and A1D); and three from Ivoclar (Empress Direct, radiopacity is a property of utmost importance in
shades B1D, A1D, and BL-L). An interesting fact is dentistry, since it allows the diagnosis of secondary
that all the foregoing materials are indeed indicated for caries or the presence of marginal leakage around
the restoration of dentin, except the material with the restorations, as well as detecting the total removal of
shade B1D, which was expected to present translucency the defective material.12-14 As discussed before, the
intermediate to dentin and enamel (ie, moderate presence of elements with high atomic numbers confers
opacity/translucency).32 Notwithstanding, those radiopacity to dental materials.15 For instance, elements
resin composites generally are clinically acceptable such as barium, aluminum, ytterbium, and zirconia can
to restore the natural appearance of a tooth. Among be found in the inorganic phase (ie, fillers) of the resin
the aforementioned materials, those from Ivoclar were composites tested in this study. The only exception is for
less concentrated in fillers (~60 wt%) as compared the bulk-fill materials from FGM, which are comprised
to the others (~78 wt%), but it can be suggested that of silanized silica fillers only. Silica fillers may not act
the presence of ytterbium trifluoride in the former as radiopacifiers, since they are comprised of elements
accounted for the similar degree of translucency as with low atomic numbers (eg, silicon and oxygen). This
compared to the latter. Last, only one resin composite may explain the low radiopacity level of Opus Bulk
indicated for the restoration of dentin did not present Fill Flow (2.2-2.5 mmAl). However, the other bulk-fill
similar translucency to the human dentin: Filtek Z350 material from FGM (Opus Bulk Fill), which possesses
at shade A3D. This material showed almost two times regular viscosity, showed a considerably greater
lower translucency than dentin so it was categorized as radiopacity level (3.3-3.5 mmAl) than its flow version.
an almost non-translucent material. Indeed, the high Despite showing the same chemical composition that
opacity of this restorative material allows its indication varies only with regard to their silica loading level, it can
as a masking material to cover tooth areas that are be suggested that other components have accounted
highly stained or perhaps darkened due to physiological for that particular result. Although the manufacturer
events derived from caries’ progress.32 It seems that this does not inform precisely on the chemical content of
highly opaque resin composite should not be used to the bulk-fill resin composites, we may suggest that
restore superficial dentin; otherwise, the polychromatic some pigment/radiopacifier added in greater amounts
nature of the tooth may be jeopardized.3,33 in Opus Bulk Fill is responsible for increasing the
Taking into consideration that “enamel” and “dentin” radiopacity level of the materials, making it greater than
resin composites should present similar degrees of for the Opus Bulk Fill Flow.
translucency to human enamel and dentin, respectively, Among all the resin composites tested, Empress
it can be observed from our findings that none of the Direct at shade Trans Opal was the only one without
enamel materials mimicked the translucency of enamel, radiopacity, significantly lower than enamel and dentin.
although the dentin materials have more markedly This material is comprised of 20 wt% of fillers only, and
corresponded to the natural translucency of dentin. the manufacturer does not inform the exact amount
8 Operative Dentistry

of BAS fillers (radiopacifier) and silica fillers (non- Regulatory Statement


radiopaque) that are found in its formulation. However, This study was conducted in accordance with all the
we may infer that the lack of radiopacity corresponds provisions of the human subjects oversight committee
to the predominance of silica as the inorganic phase

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guidelines and policies of Federal University of Juiz de
of the material. On the other hand, Empress Direct at Fora. The approval code for this Protocol No 743.388/2017
shade Trans 30 was one of the most radiopaque of this is 54321.
study (~4.0 mmAl). Despite showing a similar degree of
translucency to its Trans Opal counterpart, the Trans Conflict of Interest
30 version is constituted of 72.2 wt% of BAS fillers,
thereby contributing to a satisfactory radiopacity level. The authors deny any conflicts of interest related to this study.
It is worth mentioning that the concentration of The authors have no financial affiliation or involvement with
fillers is not the only factor influencing the radiopacity any commercial organization with a direct financial interest
of resin composites, but more importantly the type of in the subject or materials discussed in this manuscript, nor
filler particles. Notably, Empress Direct shades A1D have any such arrangements existed in the past five years.
and A1B, comprised of 60 wt% of fillers, demonstrated (Accepted 28 January 2023)
greater radiopacity than the more concentrated Trans
30 counterpart. One may suggest that the presence
of ytterbium trifluoride in the former was responsible REFERENCES
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of various composite resins at different thicknesses Journal of
excellent radiopacifier for restorative materials15 and
Dentistry (Shiraz) 15(3) 117-122.
dental adhesives.35-37 Filtek Bulk Fill from 3M is another
resin composite constituted of ytterbium trifluoride, 2. Hernandes DK, Arrais CA, Lima Ed, Cesar PF, & Rodrigues
although its loading level must be insignificant since JA (2016) Influence of resin cement shade on the color and
translucency of ceramic veneers Journal of Applied Oral Science
the restorative material showed similar radiopacity to 24(4) 391-396.
the other materials from the same brand, which are not
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