Effect of Dental CAD-CAM Resin Composite Thickness on the Polymerization Behavior of Dual-Cure Resin Cements for Endocrown Restoration

This study investigated the effect of CAD-CAM resin composite thickness on the polymerization behavior of dual-cure resin cements used for endocrown restorations. Three commercially available dual-cure resin cements and one light-cure resin cement (for comparison) were polymerized by light irradiation through CAD-CAM resin composite plates of varying thicknesses (1.5, 3.5, 5.5, 7.5, and 9.5 mm). Transmitted light intensity was measured using an optical spectrometer. Polymerization behavior was evaluated immediately after irradiation and after 24 h of aging using Fourier transform infrared spectroscopy to determine the degree of conversion (DC) and Vickers hardness (VH) testing. Transmitted light intensity decreased logarithmically with increasing composite thickness, with less than 1% of incident light reaching the resin cement at thicknesses ≥ 5.5 mm. For the dual-cure resin cements, DC and VH values significantly decreased when the composite thickness exceeded 5.5 mm. Although DC and VH increased after 24 h due to self-curing, values beneath thicker composites remained lower than those beneath 1.5 mm thick composites. The light-cure resin cement failed to polymerize when the composite thickness exceeded 7.5 mm. These results indicate that CAD-CAM resin composite thickness critically influences resin cement polymerization, highlighting the importance of thickness control in endocrown restorations.