How to achieve a filler content of 89% by weight
by Martin Danebrock, PhD
For more information on this topic, go to www.dentaleconomics.com and search using the following key words: nano particles, microfilled composites, hybrid composites, micro-hybrid composites, nano composites.
In the past 10 to 20 years, many advances have been made in the area of dental restoratives. Direct and indirect tooth-colored restorations are now the patient-preferred restorative.
Conventional composites differ mainly in the type and size of fillers used. Fillers with medium-sized particles of approximately 10 micrometers (µm) are used in macrofilled composites, the first tooth-colored plastic fillers of this type to be developed. Because large particles have a very good surface/volume ratio, they produce relatively highly filled composites with reasonable degrees of shrinkage.
However, these materials have only moderate fracture resistance and exhibit inadequate abrasion resistance due to the lack of homogeneity between the resin matrix and filler particles. They are also very difficult to polish, thus limiting their use in the anterior region.
Microfilled composites were developed to provide improved polishing properties. The fillers used in these composites are pyrogenic silica, which is produced using a special process called flame pyrolysis.
The primary particle size of these fillers is between 10 and 50 nanometers (nm). These are not individual particles, but they are always found in the form of agglomerates.
The advantage of these microfilled composites is that the fillers are uniformly embedded in the resin matrix, making it easy to polish them to a high luster. However, the surface/volume ratio of these fillers is most unfavorable, creating comparatively low filler content.
This results in high levels of volumetric shrinkage during polymerization, which can restrict their use to small cavities or cavities with a lower C-factor, such as cervical defects and anterior fillings.
Moderate fracture and abrasion resistance, coupled with low radiopacity levels, further limit the use of these materials. Attempts to increase the filler content by adding prepolymerized particles did improve the physical properties, though not enough to make these materials suitable for permanent restorations in the posterior region.
The most widely used filling materials of this type are hybrid composites. These have been used successfully in all cavity classes throughout the anterior and posterior regions since the early 1990s. The term “hybrid” relates to the mixture of macro- and microfillers.