Effect of Combination of Flowable and Packable Composite Resins on Restorative Compressive Strength

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Nicolas Brian S
Fakultas Kedokteran Gigi, Universitas Trisakti, Jakarta, Indonesia
Juanita A Gunawan
Universitas Trisakti
Anastasia Elsa Prahasti
Universitas Trisakti
Johan Arief Budiman
Universitas Trisakti

Teeth with complex cavities often have a compromised hard tissue structure, making them susceptible to fractures. This necessitates the use of restoration materials capable of effectively replacing the lost tooth structure, particularly when the damage results from caries, trauma, excessive preparation, or root canal treatment. Recent advancements in composite resin materials include flowable and packable composites reinforced with short fibres, which can enhance mechanical properties by improving fracture resistance through fibre reinforcement. This study aims to evaluate the impact of combining flowable composite resins with short fibre-reinforced composites versus combining packable composites with flowable short fibre-reinforced composites on compressive strength. A laboratory experimental approach was employed, involving 48 cylindrical samples divided into 8 groups. Each group was restored with a combination of flowable composite resin and packable composite with a base of short-fibre reinforced composite, polymerized using light curing. Compressive strength was tested using a universal testing machine, and results were analyzed with a 2-way ANOVA statistical test. The analysis revealed a significant difference in compressive strength (p<0.001) among the groups. The findings indicate that incorporating short-fibre reinforced composite materials as the restoration base significantly enhances the overall compressive strength of the restoration. This underscores the potential for improved durability and fracture resistance in dental restorations using these advanced composite materials.


Keywords: Compressive Strength, Short-Fiber Reinforced Composite, Composite Resin, Restoration Base, Fracture
Abdulsamee, N., Elkhadem, A., & Nagi, P. (2020). Shrinkage of Dental Composite Resin: Contemporary Understanding its Enigmas and How to Solve? A Review. EC Dental Science, 19, 3–17.
Cho, K., Rajan, G., Farrar, P., Prentice, L., & Prusty, B. G. (2022). Dental resin composites: A review on materials to product realizations. Composites Part B: Engineering, 230, 109495. Retrieved from https://doi.org/10.1016/j.compositesb.2021.109495
da Veiga, A. M. A., Cunha, A. C., Ferreira, D. M. T. P., da Silva Fidalgo, T. K., Chianca, T. K., Reis, K. R., & Maia, L. C. (2016). Longevity of direct and indirect resin composite restorations in permanent posterior teeth: A systematic review and meta-analysis. Journal of Dentistry, 54, 1–12. Retrieved from https://doi.org/10.1016/j.jdent.2016.08.003
Dinçkal Yan?ko?lu, N., & Sakarya, R. E. (2020). Test methods used in the evaluation of the structure features of the restorative materials: a literature review. Journal of Materials Research and Technology, 9(5), 9720–9734. Retrieved from https://doi.org/10.1016/j.jmrt.2020.06.049
El-Banna, A., Sherief, D., & Fawzy, A. S. (2019). Resin-based dental composites for tooth filling. In Advanced Dental Biomaterials (pp. 127–173). Elsevier. Retrieved from https://doi.org/10.1016/B978-0-08-102476-8.00007-4
Fugolin, A. P. P., & Pfeifer, C. S. (2017). New Resins for Dental Composites. Journal of Dental Research, 96(10), 1085–1091. Retrieved from https://doi.org/10.1177/0022034517720658
Geštakovski, D. (2019). The injectable composite resin technique: minimally invasive reconstruction of esthetics and function. Quintessence Int, 50(9), 712–720.
Kwon, Y., Ferracane, J., & Lee, I.-B. (2012). Effect of layering methods, composite type, and flowable liner on the polymerization shrinkage stress of light cured composites. Dental Materials, 28(7), 801–809. Retrieved from https://doi.org/10.1016/j.dental.2012.04.028
Murariu, A., Dinu, C., Forna, D. A., Stefanescu, V., Topor, G., Forna, N. C., … Iordache, C. (2020). Composite resins-multifunctional restorative material and practical approaches in dental field. Materiale Plastice, 57(2), 276–284.
Özduman, Z. C., Oglakci, B., Halacoglu Bagis, D. M., Aydogan Temel, B., & Eliguzeloglu Dalkilic, E. (2023). Comparison of a Nanofiber-Reinforced Composite with Different Types of Composite Resins. Polymers, 15(17), 3628. Retrieved from https://doi.org/10.3390/polym15173628
Rosatto, C. M. P., Bicalho, A. A., Veríssimo, C., Bragança, G. F., Rodrigues, M. P., Tantbirojn, D., … Soares, C. J. (2015). Mechanical properties, shrinkage stress, cuspal strain and fracture resistance of molars restored with bulk-fill composites and incremental filling technique. Journal of Dentistry, 43(12), 1519–1528. Retrieved from https://doi.org/10.1016/j.jdent.2015.09.007
Schenkel, A. B., & Veitz-Keenan, A. (2019). Dental cavity liners for Class I and Class II resin-based composite restorations. Cochrane Database of Systematic Reviews. Retrieved from https://doi.org/10.1002/14651858.CD010526.pub3
Singh, P., Kumar, N., Singh, R., Kiran, K., & Kumar, S. (2015). Overview and recent advances in composite resin: A review. Int J Sci Stud, 3(9), 169–172.
Stenhagen, S., Skeie, H., Bårdsen, A., & Laegreid, T. (2020). Influence of the coronal restoration on the outcome of endodontically treated teeth. Acta Odontologica Scandinavica, 78(2), 81–86. Retrieved from https://doi.org/10.1080/00016357.2019.1640390
Tang, W., Wu, Y., & Smales, R. J. (2010). Identifying and Reducing Risks for Potential Fractures in Endodontically Treated Teeth. Journal of Endodontics, 36(4), 609–617. Retrieved from https://doi.org/10.1016/j.joen.2009.12.002