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Effects of simulated functional loading conditions on dentin, composite, and laminate structures.

Use of composite restorations continues to increase, tempered by more potential problems when placed in posterior dentition. Thus, it is essential to understand how these materials function under stress-bearing clinical conditions. Because mastication is difficult to replicate in the laboratory, cyclic loading is frequently used within in vitro evaluations but often employs traditional fatigue testing, which typically does not simulate occlusal loading because higher stresses and loading frequencies are used, so failure mechanisms may be different. This investigation utilized relevant parameters (specimen size, loading frequency) to assess the effects of cyclic loading on flexural mechanical properties and fracture morphology of (coronal) dentin, composite, and dentin-adhesive-composite "laminate" structures. Incremental monitoring of flexural modulus on individual beams over 60,000 loading cycles revealed a gradual increase across materials; post hoc comparisons indicated statistical significance only for 1 versus 60k cycles. Paired specimens were tested (one exposed to 60k loading cycles, one to static loading only), and comparisons of flexural modulus and strength showed statistically significantly higher values for cyclically loaded specimens across materials, with no observable differences in fracture morphology. Localized reorganization of dentin collagen and polymer chains could have increased flexural modulus and strength during cyclic loading, which may have implications toward the life and failure mechanisms of clinical restorations and underlying tooth structure.