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USE OF DIGITAL IMAGE CORRELATION TECHNIQUE TO MEASURE DENTAL COMPOSITE SHRINKAGE 1 Shu-Fen Chuang1, Terry Yuan-Fang Chen2, Chih-Han Chang3 Institute of Oral Medicine, 2 Department of Mechanical Engineering, 3 Institute of Biomedical Engineering National Cheng Kung University Tainan, Taiwan 70403 [email protected] ABSTRACT Although resin-based composites have become widely used in dental restoration, distortion and microfracture of the bonded tooth caused by polymerization shrinkage is criticized as their inherent drawback. Digital image correlation (DIC) is a method based on the comparison of two characterized images to measure the displacement of a sublet. The objective of the present study was to examine the polymerization shrinkage of a composite material and the deflection of surrounded tooth. The polymerization shrinkage of dental composites in a simulated cavity on steel block was compared by DIC and finite element method. Using the DIC method, the deformation on the top surface and the boundaries of the composite restoration in eight intact extracted human molars was measured. The correlation coefficients between the pre-cured and post-cured images were greater than 99% in all comparisons. The greatest deformation was found on the free surfaces, and the least on the gingival wall. The 10 min post-cured image presented the greatest amount of deformation, which indicated that the deformation continued after light irradiation. In addition, the displacement of specific location can be identified and the overall profile of polymerization shrinkage can be described. Introduction The dental resin-based composites (RBC) offer benefits over the old materials such as the tooth-alike shades and excellent translucency, comparable strength and longevity, as well as the set-on-commend capability. Although they have become the most widely used in dental restoration, the polymerization shrinkage is criticized as their inherent defect. When the resin composites is irradiated with a blue light of 470 nm wavelength, the containing photo-initiator generates free radical then attacks the resin matrix to initiate the polymerization chain reaction [1]. Current composites present 0.2% to 2% in linear shrinkages, and the volumetric shrinkage is in the range of 2 to 6% [2,3]. In dental composite restorations, the composite is bonded to tooth structure at most cavity walls. Under the conditions, polymer shrinkage results in internal stresses and strains with the surrounding constraint [4]. The internal stress distribution in composite restoration is dependent on its geometry and boundary condition [5]. Clinically, shrinkage leads to post-restorative consequences such as distortion of restorations, the destruction of resin-tooth bond, the bonded tooth deflection and even microfracture in a weakened tooth [6-7]. The measurement of composite polymerization kinetics is valuable in providing the fundamental information to prevent the clinical consequences. Previous measurement of polymerization shrinkage employed dilatometry or infrared linometer [8,9]. In these studies, the laboratory data for evaluation of composite materials is provided, and the obtained results were limited to the amount of free shrinkage only. Sakaguchi et al. compared various methods, including the mercury dilatometry, strain gauge, and thermo-mechanical analyzer for the measurement of polymerization shrinkage [10]. Different method generated a great difference in measured shrinkage which was significantly affected by different constraints in the specimen preparation. Moreover, various degrees of polymerization conversion (DOC) in the composite material due to inhomogeneous irradiation received at different depth also generated heterogeneous shrinkage in local regions, and consequently contraction stress distribution is affected [11]. Digital image correlation (DIC) is a method based on the comparison of two characterized images. Two similar speckled images, one before deformation (reference image) and the other one after (deformed image), were acquired at different states by a CCD camera. Based on the assumption of pattern matching that a pixel within an image can be identified by a unique intensity pattern of the pixels subset, the intensity pattern of the subset undergoes a displacement that corresponds to the in-plane displacement of the corresponding material element (or volume) [12,13]. With a sequence of digitizing the images, analyzing light intensity and gray-value distribution, the correlation between subset is established and the displacement of a specific point can be determined. Some interpolation functions, statistical correlation functions are utilized to obtain sub-pixel accuracy. This method has been widely used to measure strain fields in engineering applications. In medical applications, use of DIC to measure the displacement and strain field of intervertebral disc on the MRI images was reported [14]. With a full-field measurement, DIC measurements can constitute an opportunity to bridge the connections between experiments and simulations allowing for comparison of direct displacement and strain. A measurement system to identify the shrinkage direction and amount is necessary in evaluating the restorative materials and techniques. The objective of the present study was to examine the polymerization shrinkage of a composite material and the displacement of surrounded tooth, by means of DIC technique. Test materials and methods are reported and the results are discussed. Materials and Methods To measure the polymerization shrinkage, an image acquisition system is assembled with an optical microscope (Zoom microscope ML-Z07545D, Moritex Inc., Japan), a high-resolution CCD (MTV-12V1E, Mintron Co., Taiwan), a SCSI interfaced image acquisition card and a personal computer (Fig. 1). The CCD converts the spatial light intensity into digital signal and output into the personal computer through the image acquisition card. A custom program developed at National Cheng Kung University was used to execute the computation. The errors of the measured displacements as obtained in previous works is less than 2 % when the displacement is larger than 10 m [15]. The composite shrinks in 3 dimensions, while the z-direction displacement may alter the light intensity on a warped surface. To dealing with this case, a preliminary experiment was set up to verify the practicability of DIC program. A stainless steel block with a rectangular slot of 5 mm (W) x 3 mm (D) x 20 mm (L) on the top surface was used as a simulated cavity. The surfaces Figure 1. A DIC image acquisition system. of the slots were sandblasted to create the surface retentive feature. Dental composite Z250 (3M/ESPE, St. Paul, MN, USA) was placed into the slot and surface flushed with the steel cube. In order to create a characteristic pattern on the specimen surface, one side of the specimen is sprayed by TiO2 powder (ProCad contrast medium, Ivoclar Vivadent) for a white background and black powder deposition on the white background (Fig. 2a). The reference image was captured by the CCD camera. Following fully irradiation of composite under quartz-tungsten halogen lamp, the deformed image was captured and the two images were compared with the DIC analyzing program. A corresponding 3D finite element model is constituted as a stainless steel cube with composite filled in a slot (Fig 2a). The mat er i alpr oper t i es ofst eelar e 21000 GPa ofYoung’ s modul usand 0. 3 ofPoi sson’ s ratio. The material properties of composite in different increments shown in Fig 2b were obtained from experimental values. The boundary condition is assumed as a bonded condition between composite and steel and fixation around the borders of the steel cube. As the composite shrank, the deformation was assumed to happen merely in the exposed surfaces. Deformation on the top surface was analyzed with ANSYS Workbench (ANSYS, Inc., Canonsburg, PA) to compare with the results in DIC method. Eight intact extracted human molars were used for the composite polymerization in real teeth. The teeth were mounted in acrylic resin to embed the roots with their long axes perpendicular to the bottom. Cavities were prepared using a dental high speed handpiece (Kavo Dental GmbH) and diamond burs (Shofu #411, Shofu Inc., Japan). A transverse cavity, with 4 mm deep and 2 mm wide, was prepared on the occlusal surface. The cavity surfaces were etched with phosphoric acid and treated with resin adhesive. Dental composite Z250 was placed into the cavity in a bulk. Subsequently the mounted tooth block was secured on a holding device. One proximal surface was sprinkled with white powder (TiO2) black powder as the pattern. After the image of unpolymerized restoration was acquired by the CCD Camera, a halogen light cured the composite for 40 sec from the top. The polymerized composite restoration was serially photographed per minute for 10 min after polymerization to compare the effect of composite shrinkage and stress relaxation. The reference and deformed images were digitized and analyzed with DIC program. Bicubic-spline function was applied to fit the experimental images for interpolation. The proposed algorithm executed fine search of the interested point in which was characterized by a 51 x 51 pixel area. Points to be observed were located on the free surface and boundaries of composite fillings. (a) (b) Young’ s modulus in different composite increments Depth(mm) < 0.5 0.5-1 1-1.5 1.5-2 2-2.5 2.5-3 a() Young’ smodul us( GPa) 17 16.735 16.520 15.834 14.520 12.641 Figure 2 (a) A stainless steel block used to simulate a composite restoration. (b) The corresponding finite element model for comparisons with the shrinkage measured with the DIC method. Result and Discussion Figures 3a and 3b shows the deformation on the top surface of the composite restoration measured from the steel block and the finite element model, respectively. The deformation was found greater on the middle and gradually decreased to both sides. The displacements at the points (Fig. 3) comprising of x and y direction movements measured by DIC and FE simulation are listed in Table 1. The consistent result found between them shows the applicability of DIC technique in measuring the dental composite shrinkage. The y-direction displacements in all the measured points were greater than x-direction except at two attached ends. The greatest y-direction displacement was 54 m. The movements on the boundaries of the composites at different time were also measured in the real teeth cases. The correlation coefficients obtained between the pre-cured and post-cured images were greater than 99% in all comparisons. Figure 4 shows a typical result of the displacements measured on the boundaries of a dental restoration after post-cured 10 min. The greatest deformation was on the free surfaces, and the least on the gingival wall. The axial wall displacement on the base reaches the amount of 12 m. The composite displacements at different points on the occlusal surface (Fig 4) over curing time were plotted in Figure 5. The greatest amount of shrinkage was found 10 min after post-cured, which indicated that the deformation continued after light irradiation. In addition, a large displacement of the axial wall was noted in the tooth model. The measured value is comparable with the cusp deflection obtained in the other reports [7,16]. In previous study, the displacement of the composite-bonded cusps was measured by LVDT and the result was restricted merely in a local area. Recently, ESPI was applied to measure the 3D nature of a tooth deformation after the composite was restored. However, the Interferometry method is time-consuming and the experimental set up need precautious verification. Contrarily, using DIC achieves the in-planer displacements but the laboratory restriction and cost is greatly reduced. b a Point 1 2 3 4 5 Figure 3 (a) The displacement on the surface of composite restoration measured by DIC method. (Illustrated by 20x magnification) (b) The x and y direction deformation measured on a simulation model. Table 1. The amount of displacement on the top surface of the half composite restoration and FE model. point 1 2 3 4 5 DIC x direction y direction di spl acement( μm) di spl acement( μm) 5.62 4.98 18.35 22.90 16.22 40.95 12.20 48.31 7.09 53.07 Occlusal 1 Occlusal 2 FE simulation x displacement y direction ( μm) di spl acement ( μm) 17.83 10.14 17.71 28.69 14.97 43.17 7.08 50.82 1.68 57.14 Occlusal 3 Occlusal 4 Figure 4. Illustration of contraction direction (50x) at different points on the boundary of a composite restoration 10 min after irradiation. 30 displacement 25 20 post-cured 15 1 min 10 min 10 5 0 Occlusal 1 Occlusal 2 Occlusal 3 Occlusal 4 Figure 5. The measured displacement ( μm)of different points on the occlusal surface after different curing time. Before the present study, the determination of shrinkage was only limited in measuring the amount and directions of composite shrinkage only. The shrinkage was measured indirectly by monitoring deflection of a thin glass coverslip in contact with the surface of the composite specimen with a Dynamic Mechanical Analyzer or LVDT [17]. The result showed a 40 μm ex t r usi onoft het ops ur f ac e after the light irradiation. The magnitude of shrinkage measured in the present study is similar to the method mentioned above but in an intrusion direction. Furthermore, in the present study, the composites were placed in a real dental cavity instead of a Teflon or metal mold thus providing a more practical bonded constraint. Therefore the composite restoration deformation determined by the DIC method in our study can be more close to a clinical situation. Conclusion A novel application of DIC techniques to measure dental composite shrinkage has been presented. Using DIC technique, the displacement of specific location can be identified and the overall profile of polymerization shrinkage can be described. DIC exhibited the ability to measure the full-field deformation, which providing a bridge to connect the experimental and simulation data. Based on the present study, DIC is considered useful in evaluating the composite shrinkage in a dental cavity. This technique can be extensive used to investige different composite materials and also for the improvement of dental restoration techniques. 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