Fracture resistance of teeth with Class II bonded amalgam and new tooth-colored restorations

Oper Dent. 2003 Sep-Oct;28(5):501-7.


This study compared the cuspal fracture resistance of posterior teeth restored with four different adhesive restorations. Fifty sound, maxillary human premolars were randomly divided into a control group and four experimental groups with 10 teeth in each. Specimens in the first group were intact teeth that were tested as unprepared. The remaining four groups received mesio-oclusodistal cavity preparations and were restored with a hybrid composite (Filtek Z250), a packable composite (Filtek P60), an ormocer (Definite) and an amalgam (SDI Permite) with an amalgam bonding agent (Amalgam Bond Plus). All groups were stored in water at 37 degrees C for 15 days and thermocycled 1000 times between 5 degrees-55 degrees C. The specimens were preloaded five times in compression to 10 kg using two metal rods that contacted only the teeth on the cuspal inclines. The teeth were then loaded occlusally in an Instron Universal Testing Machine until fracture occurred. The means of force required to fracture the teeth in each of the five groups was analyzed using one-way ANOVA and Tukey Test. The difference between the mean cuspal fracture resistance of the unprepared control teeth and those restored with amalgam groups was found to be statistically significant (p < 0.05). No significant differences in resistance to cuspal fracture were found among the restoration groups, the unprepared control group and those teeth restored with hybrid composite, packable composite and ormocer groups (p > 0.05).

Publication types

  • Comparative Study

MeSH terms

  • Analysis of Variance
  • Bicuspid
  • Ceramics
  • Composite Resins*
  • Compressive Strength
  • Dental Amalgam*
  • Dental Porcelain*
  • Dental Restoration, Permanent / methods*
  • Dental Stress Analysis
  • Humans
  • Materials Testing
  • Methacrylates
  • Organically Modified Ceramics
  • Silanes
  • Siloxanes
  • Statistics, Nonparametric
  • Terpenes
  • Tooth Crown / injuries
  • Tooth Fractures / prevention & control*


  • Amalgambond
  • Composite Resins
  • Definite composite resin
  • Filtek P60 Composite Resin
  • Filtek Z250
  • Methacrylates
  • Organically Modified Ceramics
  • Silanes
  • Siloxanes
  • Terpenes
  • Dental Porcelain
  • Dental Amalgam