3D volumetric displacement and strain analysis of composite polymerization

Objective The present study aimed at a better understanding of the internal shrinkage patterns within different cavity sizes. Methods Ten cylindrical cavities in two sizes were filled with a flowable composite and scanned using X-ray micro-computed tomography (μ-CT) before filling, before and after polymerization. Three-dimensional (3D) non-rigid image registration was applied to sets of two subsequent μ-CT images, before and after polymerization in order to calculate the displacements and strains caused by polymerization shrinkage. Results 3D volumetric displacement analysis disclosed a main vertical component for both the small and large cavities, however in the latter the downward direction reversed to an upward direction from a depth of approximately 2mm due to debonding at the bottom. Air bubbles and voids in the restorations increased upon polymerization, causing a reverse in strain in the surrounding areas. Significance Polymerization-induced shrinkage stress in composite restorations cannot be measured directly. This exploratory study revealed more information on cavity-size dependent shrinkage patterns and opens the way to more extensive studies using different composite materials and varying geometric cavity configurations.