Dental Research Journal
Dental Research Journal
Dental Research Journal
15]
Original Article
Effect of finishing/polishing techniques and time on surface roughness
of esthetic restorative materials
Prashanthi Sampath Madhyastha1, Shreya Hegde2, N. Srikant3, Ravindra Kotian1, Srividhya Sriraman Iyer4
Departments of 1Dental Materials, 2Conservative Dentistry and Endodontics and 3Oral Pathology, Manipal College of Dental Sciences, Mangalore,
Manipal University and 4Dental Materials, Manipal College of Dental Sciences, Mangalore, Manipal University, Mangalore, Karnataka, India
ABSTRACT
Background: Surface roughness associated with improper finishing/polishing of restorations can
result in plaque accumulation, gingival irritation, surface staining, and poor esthetic of restored teeth.
The study aimed to evaluate the efficiency of various finishing and polishing systems and time using
various procedures on surface roughness of some esthetic restorative materials.
Materials and Methods: In this in vitro study, samples of two composite materials, compomer
and glass ionomer cement (GIC) materials, were fabricated. Finishing and polishing were done
immediately (n = 40) and after 1 week (n = 40) using four systems (diamond bur + soflex discs;
diamond bur + Astropol polishing brush; tungsten carbide bur + soflex discs; tungsten carbide
bur + Astropol polishing brush). Surface roughness was measured using surface profilometer. Data
were statistically analyzed by t‑test (for each material and time period) and one‑way analysis of
variance followed by Tukey’s post hoc (for finishing and polishing systems) at a significant level of
P < 0.05.
Results: Analysis of time period, irrespective of finishing and polishing system showed that Ra values
were greater (P < 0.05) in delayed polishing in GIC > Z100 > Filtek P90 > Dyract AP, suggesting
Received: July 2016 immediate polishing is better. Among the materials, Filtek P90 had the least Ra values indicating
Accepted: July 2017 the smoothest surface among all materials, followed by Z100, Dyract AP, and GIC. Comparison of
polishing and finishing systems irrespective of materials showed that Ra values were lower (P > 0.05)
Address for correspondence:
Dr. Shreya Hegde,
in diamond + Astropol combination whereas diamond + soflex had the greatest Ra values.
Department of Conservative Conclusion: It might be concluded that: (i) Filtek P90 showed least Ra values followed
Dentistry and Endodontics, by < Z100 < Dyract < GIC; (ii) immediate (24 h) finishing/polishing of materials is better than
Manipal College of Dental delayed; and (iii) among all these polishing systems, diamond bur–Astropol and Astrobrush showed
Sciences, Mangalore,
Manipal University,
good surface finish.
Mangalore, Karnataka, India. Key Words: Artglass dental composits, dental esthetic, material, dental finishing, dental
E‑mail: drshreyahegde16@
gmail.com polishing
finishing/polishing of dental restorations can result in and glass ionomer cement were evaluated for surface
excessive plaque accumulation, gingival irritation, roughness [Table 1].
increased surface staining, and poor esthetics of restored
The samples were represented as follows:
teeth that could potentially lead to demineralization
• Silorane‑based composites (SBC)
of enamel, possible recurrent caries, and periodontal • Methacrylate‑based composites (MBC)
problems.[6‑9] Furthermore, patient consciousness of • Glass ionomer cement (GIC)
restorations with possible irritations to tongue, lips, and • Dyract AP Compomer (DAP)
cheeks is matter of concern. Therefore, smoothness of
restorations is of utmost importance for its success. Specimen preparation
All specimen preparation was done by a single operator,
Among the wide variety of finishing and polishing to reduce variability. Specimens were prepared using
devices that are available in the market to the clinician, Brass molds (10 mm diameter × 2 mm thickness).
silicon carbide‑coated or aluminum oxide‑coated The mold was sandwiched between transparent
abrasive discs, impregnated rubber or silicone discs and matrix strips. The uncured composites were inserted
wheels, mutifluted tungsten carbide finishing burs, and into the mold and intentionally overfilled. Light
hard bonded‑surface coated ceramic diamond rotary pressure was applied to expel excess material from
instruments are most commonly used to finish and polish the mold. Each specimen was light cured (CICADA
dental restoratives.[1,5,10,11] Each of these instruments or dental LED curing light radiometer, Foshan CICADA
devices leaves the surface of various restorative materials Dental Instruments Co, Ltd, China) through the top
with varying degrees of surface roughness. and bottom for the duration recommended by the
The effectiveness of finishing/polishing procedures manufacturers. The intensity (200–400 mW/cm2) of
on restorative surfaces is an important consideration the light‑curing unit was checked before each sample
in restorative processes. As finishing/polishing run using a radiometer. The set cylindrical specimens
procedures are usually conducted immediately were separated from the mold. The specimens were
postpolymerization, this prematurity can make the stored at 100% relative humidity at 37°C for 24 h.
restorative material more susceptible to effects of heat Experimental design
generation. Delayed finishing/polishing may make the Eighty specimens of each restorative material were
restorative material less susceptible to negative effects fabricated (n = 10). The matrix strip formed surface
of heat generation.[12‑14] Thus, it becomes important was used as a baseline for all tests. Twenty specimens
to determine which finishing/polishing system and were finished and polished immediately using four
finishing/polishing time offer best results for esthetic finishing and polishing procedures and the remaining
restorative materials in clinical practice. twenty specimens were finished and polished after
The study aimed to evaluate the efficacy of various a week [Figure 1]. Specimens were examined for
finishing and polishing systems using various obvious voids, labeled on the bottom and randomly
procedures on surface roughness of esthetic restorative separated into four treatment groups.
materials and also to evaluate the effect of immediate
Finishing and polishing procedures
or delayed finishing/polishing procedures on surface
• Method I: Extra‑fine finishing diamond bur
roughness of esthetic restorative materials.
followed by soflex discs (Al2O2‑coated, abrasive
A well‑finished restoration with less adhesive disc system, fine grit, and extra‑fine grit) (3M
properties contributes not only to better esthetics but ESPE, St Paul, USA) was employed with a
also reduces the development of secondary caries and
periodontal disease. Thus, we must remain cognizant Table 1: Materials used in the study
of the right polishing system and timing for each Product name Type of material Manufacturer
material to obtain optimum results. Filtek P90 Silorane‑based 3M/ESPE, St.
microhybrid composite Paul, MN, USA
MATERIALS AND METHODS Z100 Methacrylate‑based 3M/ESPE, St.
hybrid composite Paul, MN, USA
GC Gold Label Light Cured Resin‑modified GIC GC America
Materials used in the study Universal Restorative
In this experimental in vitro study, silorane‑based Dyract AP Compomer Dentsply India
composite, methacrylate‑based composite, compomer, GIC: Glass ionomer cement
should be harder than the filler particles; otherwise, 7. Bollen CM, Lambrechts P, Quirynen M. Comparison of surface
the abrasive medium may abrade the softer matrix roughness of oral hard materials to the threshold surface
roughness for bacterial plaque retention: A review of the
only. This may result in higher surface roughness.
literature. Dent Mater 1997;13:258‑69.
Therefore, the effectiveness of finishing and polishing 8. Reis AF, Giannini M, Lovadino JR, Ambrosano GM. Effects
procedures on restorative material surface may of various finishing systems on the surface roughness and
be more critical.[23,24] Further research is required staining susceptibility of packable composite resins. Dent Mater
to assess the other mechanical properties of these 2003;19:12‑8.
esthetic restorative materials. Additional in vivo and 9. Morgan M Finishing and polishing of direct posterior resin
in vitro studies are desirable to further substantiate the restorations. Pract Proced Aesthet Dent 2004;16:211‑7.
findings of this study. 10. Maalhagh‑Fard A, Wagner WC, Pink FE, Neme AM. Evaluation
of surface finish and polish of eight provisional restorative
materials using acrylic bur and abrasive disk with and without
CONCLUSION pumice. Oper Dent 2003;28:734‑9.
11. Koh R, Neiva G, Dennison J, Yaman P. Finishing systems on
Under the limitations of this in vitro study, it the final surface roughness of composites. J Contemp Dent Pract
might be concluded that: (i) SBC showed least 2008;9:138‑45.
Ra values followed by < MBC < DAP < GIC, 12. Yap AU, Sau CW, Lye KW. Effects of finishing/polishing time
(ii) immediate (24 h) finishing/polishing of materials on surface characteristics of tooth‑coloured restoratives. J Oral
is better than delayed, and (iii) among all the polishing Rehabil 1998;25:456‑61.
13. da Silva JM, da Rocha DM, Travassos AC, Fernandes VV Jr.,
system used diamond bur–Astropol and Astrobrush
Rodrigues JR. Effect of different finishing times on surface
showed good surface finish. roughness and maintenance of polish in nanoparticle and
Acknowledgment microhybrid composite resins. Eur J Esthet Dent 2010;5:288‑98.
This study was supported by Indian Council of 14. Venturini D, Cenci MS, Demarco FF, Camacho GB, Powers JM.
Effect of polishing techniques and time on surface roughness,
Medical Research under the Short Term Research
hardness and microleakage of resin composite restorations. Oper
Scholarships (STS 2014), research proposal no: Dent 2006;31:11‑7.
2014‑05757. 15. Marigo L, Rizzi M, La Torre G, Rumi G. 3‑D surface profile
Financial support and sponsorship analysis: Different finishing methods for resin composites. Oper
Dent 2001;26:562‑8.
Nil.
16. Wilder AD Jr., Swift EJ Jr., May KN Jr., Thompson JY,
Conflicts of interest McDougal RA. Effect of finishing technique on the microleakage
The authors of this manuscript declare that they have and surface texture of resin‑modified glass ionomer restorative
materials. J Dent 2000;28:367‑73.
no conflicts of interest, real or perceived, financial or
17. Barghi N, Lind SD. A guide to polishing direct composite resin
nonfinancial in this article. restorations. Compend Contin Educ Dent 2000;21:138‑42, 144.
18. Cenci MS, Venturini D, Pereira‑Cenci T, Piva E, Demarco FF.
REFERENCES The effect of polishing techniques and time on the surface
characteristics and sealing ability of resin composite restorations
1. Baseren M. Surface roughness of nanofill and nanohybrid after one‑year storage. Oper Dent 2008;33:169‑76.
composite resin and ormocer‑based tooth‑colored restorative 19. Irie M, Suzuki K. Effects of delayed polishing on gap formation
materials after several finishing and polishing procedures. of cervical restorations. Oper Dent 2002;27:59‑65.
J Biomater Appl 2004;19:121‑34. 20. Lopes GC, Franke M, Maia HP. Effect of finishing time and
2. Jefferies SR, Barkmeier WW, Gwinnett AJ. Three composite techniques on marginal sealing ability of two composite
finishing systems: A multisite in vitro evaluation. J Esthet Dent restorative materials. J Prosthet Dent 2002;88:32‑6.
1992;4:181‑5. 21. Jung M. Surface roughness and cutting efficiency of composite
3. Berastegui E, Canalda C, Brau E, Miquel C. Surface roughness finishing instruments. Oper Dent 1997;22:98‑104.
of finished composite resins. J Prosthet Dent 1992;68:742‑9. 22. Ferracane JL, Condon JR, Mitchem JC. Evaluation of subsurface
4. Tate WH, DeSchepper EJ, Cody T. Quantitative analysis of six defects created during the finishing of composites. J Dent Res
composite polishing techniques on a hybrid composite material. 1992;71:1628‑32.
J Esthet Dent 1992;Suppl 4:30‑2. 23. Pallav P, De Gee AJ, Davidson CL, Erickson RL, Glasspoole EA.
5. Jefferies SR. The art and science of abrasive finishing and The influence of admixing microfiller to small‑particle composite
polishing in restorative dentistry. Dent Clin North Am resin on wear, tensile strength, hardness, and surface roughness.
1998;42:613‑27. J Dent Res 1989;68:489‑90.
6. Nagem Filho H, D’Azevedo MT, Nagem HD, Marsola FP. 24. Rai R, Gupta R. In vitro evaluation of the effect of two finishing
Surface roughness of composite resins after finishing and and polishing systems on four esthetic restorative materials.
polishing. Braz Dent J 2003;14:37‑41. J Conserv Dent 2013;16:564‑7.