A new machine was developed to study the wear of dental filling materials in vitro. Four products: amalgam, Adaptic, Clearfil and acrylic resin were tested. Wear was measured quantitatively by weighing the specimen, and the wear pattern was studied qualitatively with a scanning electron microscope (SEM). A comparison was made with materials that were placed in the mouth for a prolonged period. It was found that the in vitro wear pattern was comparable to that found in vivo.
In this study seven commercial composite resins, one experimental composite and one dental amalgam were investigated. These materials were inserted into the cavities of denture molar teeth in different patients. After clinical service for 3, 9, 12, 24 and 54 months the specimens were removed and observed by scanning electron microscopy. The wear patterns of the filling materials and their changes with continuing clinical service for 4.5 years suggest that the abrasive mechanism of conventional composite resin is as follows. The softer resin matrix is worn away and inorganic filler particles are exposed, thereafter they loosen and fall off. As this process proceeds the composite resin is worn away. This process continues with time. In the case of microfilled composite, the organic fillers and resin matrix are worn away at the same rate. After long-term clinical service some cracks could be seen on the wear surface between the organic filler agglomerates and the resin matrix.
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