Re. Kovarik et Jw. Ergle, FRACTURE-TOUGHNESS OF POSTERIOR COMPOSITE RESINS FABRICATED BY INCREMENTAL LAYERING, The Journal of prosthetic dentistry, 69(6), 1993, pp. 557-560
An incremental buildup technique is advocated for placing posterior co
mposite resin restorations. This technique is preferred because it ass
ures complete polymerization of large restorations and also reduces th
e problem of polymerization shrinkage, which can adversely affect the
seal at the gingival margin of class II and large class III restoratio
ns. Measurements of tensile bond strengths between layers have been pu
blished with conflicting results. This study measured the fracture tou
ghness of layered posterior composite resin within the interfacial lay
er and in a direction perpendicular to the layering. A compact test-sp
ecimen geometry conforming to the ASTM standard E399-83 was used. Thre
e groups were tested: Group A specimens were bulk-cured in one complet
e increment; group B specimens were incrementally cured in 1.2 +/- 0.2
mm layers perpendicular to the plane of fracture; and group C specime
ns were incrementally cured with the interface between layers parallel
to and in the plane of fracture. The microfilled composite resin show
ed no significant difference in the mean fracture toughness from the b
ulk-cured control regardless of layering technique. The hybrid composi
te resin showed a significant decrease in fracture toughness for fract
ures occurring in the interfacial layer, and fractures perpendicular t
o layering showed no significant difference in fracture toughness comp
ared with the bulk-cured control.