@article{
author = "Matić, Tamara and Ležaja Zebić, Maja and Miletić, Vesna and Trajković, Isaak and Milošević, Miloš and Racić, Aleksandar and Veljović, Đorđe",
year = "2023",
abstract = "This study aimed to (1) comparatively analyze properties of Sr- and Mg-substituted
hydroxyapatite (HAP)-based dental inserts; (2) evaluate insert bonding to restorative
materials, and (3) evaluate the effect of doped HAP inserts on fracture resistance
(FR) of human molars with large occlusal restorations. By ion-doping with Sr or Mg,
3 insert types were obtained and characterized using XRD, SEM, Vickers hardness and
fracture toughness. Shear bond strength (SBS) was determined between acid etched or
unetched inserts and following materials: Maxcem cement (Kerr); Filtek Z250
(3M) bonded with Single Bond Universal (SBU; 3M) or Clearfil Universal (Cf; Kuraray).
Modified Class I cavities were prepared in 16 intact molars and restored using insert
+ composite or composite only (control) (n = 8/group). FR of restored molars was
determined by static load until fracture upon thermal cycling. Fracture toughness was
similar between Sr/Mg-doped inserts (0.94–1.04 MPam 1/2 p = .429). Mg-doped
inserts showed greater hardness (range 4.78–5.15 GPa) than Sr6 inserts (3.74
± 0.31 GPa; p < .05). SBS for SBU and Cf adhesives (range 7.19–15.93 MPa) was higher
than for Maxcem (range 3.07–5.95 MPa) (p < .05). There was no significant difference
in FR between molars restored with insert-containing and control restorations (3.00
± 0.30 kN and 3.22 ± 0.42 kN, respectively; p > .05). HAP-based inserts doped with
Mg/Sr had different composition and mechanical properties. Adhesive bonding to
inserts resulted in greater bond strength than cementation, which may be improved by
insert acid-etching. Ion-doped HAP inserts did not affect FR of restored molars. In conclusion,
HAP-based dental inserts may potentially replace dentin in large cavities, without
affecting fracture resistance of restored teeth.",
publisher = "Wiley Periodicals LLC.",
journal = "Journal of Biomedical Materials Research Part B: Applied Biomaterials",
title = "Hydroxyapatite-based dental inserts: microstructure, mechanical properties, bonding efficiency and fracture resistance of molars with occlusal restorations",
doi = "10.1002/jbm.b.35331"
}
