Core build-up resin composites: an in-vitro comparative study

(eng) Aim: Resin composite (RC) are commonly used under full crowns. However, independent information is lacking to guide practitioners regarding core RC material selection. This study aimed at comparing the flexural properties of a large selection of commercially-available core build-up RCs (CBU-RC), either light-, self- or dual-cure, to conventional light-cure RCs. Methods: RCs were injected into a 25_2_2mm Teflon mold, and either light-cured during 20 s (materials with claimed light-cure characteristics) or covered by aluminum during 10 min (dualand self-cure CBU-RCs). They were subjected after a one-week water storage at 37.5 _C to threepoint bending, and Flexural modulus (Eflex) and Flexural Strength (rf) were calculated (n¼20). Thermogravimetric analysis (n¼3) was performed to determine inorganic filler content (%). Results: For dual-cure CBU-RCs, both RC (p<.0001) and light-curing (p¼.0007) had a significant influence on Eflex, while only RC was significant for rf (p<.0001). Between all conventional RCs and CBU-RCs, significant differences were observed (p<.0001), both regarding Eflex and rf, with values ranging from 3.9 to 15.5 GPa and from 76 to 130.3MPa, respectively. Higher Eflex values were observed for light-cure RCs than for self- and dual-cure ones, while no clear trend was noticed regarding rf. Good linear correlation was found between inorganic filler content and Eflex (R2¼0.85, p<.0001), but not with rf (R2¼0.08, p¼.1609). Conclusion: This work demonstrated a positive influence of light-curing on dual-cure CBU-RC’s Eflex. It also highlighted large differences in flexural properties (especially Eflex) among the investigated materials, questioning the use of some CBU-RCs as dentin replacement in case of large tissue loss