Journals / Uluslararası Diş Hekimliği Bilimleri Dergisi / 2026 / Cilt: 12 Sayı: 2

Dynamic Effective C-Factor Reduction via Partial-Depth Diagonal Semi-Split: A Geometric Model for Shrinkage Stress Control in Large Occlusal Bulk-Fill Resin Composite Restorations

Khamis Hassan(Global Dental Centre)0000-0002-2247-355X
Salwa Khier(Global Dental Centre)0000-0001-8866-3527
Pages
90–96
Publication Date
2026-08-31
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This geometric modification provides a biomechanically plausible mechanism for reducing polymerization shrinkage stress independent of material chemistry.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: A depth-consistent biomechanical model was developed for evaluating the effect of a partial-depth diagonal semi-split technique on the effective cavity configuration factor (C-factor) and its implications for polymerization shrinkage stress in direct composite restorations.
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Key Findings & Data:An effective C-factor was derived by accounting for the internal free surfaces generated by the diagonal split.
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Conclusion & Impact:This geometric modification provides a biomechanically plausible mechanism for reducing polymerization shrinkage stress independent of material chemistry.
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:bulk-fill resin composite · configuration factor (C-factor) · polymerization shrinkage stress

Abstract

Objective: A depth-consistent biomechanical model was developed for evaluating the effect of a partial-depth diagonal semi-split technique on the effective cavity configuration factor (C-factor) and its implications for polymerization shrinkage stress in direct composite restorations. Methods: A standardized large Class I cavity was geometrically modeled. Bonded and unbonded surface areas were calculated for a conventional bulk-fill restoration and for a partial-depth diagonal semi-split configuration. An effective C-factor was derived by accounting for the internal free surfaces generated by the diagonal split. Relative reduction in C-factor was quantified. Results: The conventional bulk-fill configuration demonstrated a baseline C-factor of approximately 4.6. Introduction of a partial-depth diagonal semi-split generated an additional internal free surface of 35.2 mm², reducing the effective bonded area to 56.8 mm² and increasing total free surface area to 55.2 mm². The resulting effective C-factor was approximately 1.03, representing a 77.6% reduction relative to baseline. The predicted stress ratio (Ceff / Cbaseline) was approximately 0.22. Conclusion: The partial-depth diagonal semi-split technique substantially lowers the effective C-factor by increasing internal free surface area without complete segmentation of the composite mass. This geometric modification provides a biomechanically plausible mechanism for reducing polymerization shrinkage stress independent of material chemistry.

Özet

Objective: A depth-consistent biomechanical model was developed for evaluating the effect of a partial-depth diagonal semi-split technique on the effective cavity configuration factor (C-factor) and its implications for polymerization shrinkage stress in direct composite restorations. Methods: A standardized large Class I cavity was geometrically modeled. Bonded and unbonded surface areas were calculated for a conventional bulk-fill restoration and for a partial-depth diagonal semi-split configuration. An effective C-factor was derived by accounting for the internal free surfaces generated by the diagonal split. Relative reduction in C-factor was quantified. Results: The conventional bulk-fill configuration demonstrated a baseline C-factor of approximately 4.6. Introduction of a partial-depth diagonal semi-split generated an additional internal free surface of 35.2 mm², reducing the effective bonded area to 56.8 mm² and increasing total free surface area to 55.2 mm². The resulting effective C-factor was approximately 1.03, representing a 77.6% reduction relative to baseline. The predicted stress ratio (Ceff / Cbaseline) was approximately 0.22. Conclusion: The partial-depth diagonal semi-split technique substantially lowers the effective C-factor by increasing internal free surface area without complete segmentation of the composite mass. This geometric modification provides a biomechanically plausible mechanism for reducing polymerization shrinkage stress independent of material chemistry.

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Cite This Article

Hassan, K., Khier, S. (2026). Dynamic Effective C-Factor Reduction via Partial-Depth Diagonal Semi-Split: A Geometric Model for Shrinkage Stress Control in Large Occlusal Bulk-Fill Resin Composite Restorations. Uluslararası Diş Hekimliği Bilimleri Dergisi, Cilt: 12 Sayı: 2, 90–96. https://doi.org/10.21306/dishekimligi.1953189

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References (17)

  1. Feilzer AJ, De Gee AJ, Davidson CL. Setting stress in composite resin in relation to configuration of the restoration. J Dent Res. 1987;66(11):1636-1639.
  2. Davidson CL, De Gee AJ. Relaxation of polymerization contraction stresses by flow in dental composites. J Dent Res. 1984;63:146-148.
  3. Davidson CL, Feilzer AJ. Polymerization shrinkage and polymerization shrinkage stress in polymer-based restoratives. J Dent. 1997;25(6):435-440.
  4. Fu J, Aregawi WA, Fok ASL. Mechanical manifestation of the C-factor in relation to photopolymerization of dental resin composites. Dent Mater. 2020;36(8):1108-1114.
  5. Versluis A, Douglas WH, Cross M, Sakaguchi RL. Does an incremental filling technique reduce polymerization shrinkage stresses? J Dent Res. 1996;75:871–878.
  6. Braga RR, Ferracane JL. Alternatives in polymerization contraction stress management. Crit Rev Oral Biol Med. 2004;15:176–184.
  7. Ilie N, Hickel R. Investigations on mechanical behaviour of dental composites. Dent Mater. 2009;25:100–107.
  8. Sakaguchi RL, Berge HX. Reduced light energy density decreases post-gel contraction while maintaining degree of conversion. Dent Mater. 1998;14:80–84.
  9. Zhou Z, Guo D, Watts DC, Fischer NG, Fu J. Application and limitations of configuration factor (Cfactor) in stress analysis of dental restorations. Dent Mater. 2023;39(12):1137-1149.
  10. Szczesio-Wlodarczyk A, Garoushi S, Vallittu PC, Bociong K, Lassila L. Polymerization shrinkage stress of contemporary dental composites: comparison of two measurement methods. Dent Mater J. 2024;43(2):155-163.
  11. Wang Z, Chiang MYM. Correlation between polymerization shrinkage stress and C-factor depends upon cavity compliance. Dent Mater. 2016;32(3):343- 352.
  12. Hassan KA, Khier SE. Delaying diagonal gap closure in semi-split bulk filling technique: innovative modification for reduction of shrinkage stress. Dent Oral Health Care. 2025;4(1):1-5.
  13. Braga RR, Ballester RY, Ferracane JL. Factors involved in the development of polymerization shrinkage stress in resin-composites: a systematic review. Dent Mater. 2005;21(10):962-970.
  14. Ferracane JL. Developing a more complete understanding of stresses produced in dental composites during polymerization. Dent Mater. 2005;21:36–42.
  15. El-Damanhoury HM, Platt JA. Polymerization shrinkage stress kinetics and related properties of bulk-fill resin composites. Oper Dent. 2014;39(4):374–382.
  16. Al Sunbul H, Silikas N, Watts DC. Polymerization shrinkage kinetics and shrinkage stress in dental resin-composites. Dent Mater. 2016;32(8):998–1006.
  17. Hassan KA, Khier SE. The Semi-split delayed gap closure technique: temporal synchronization with dark curing viscoelastic relaxation to preserve adhesive interface integrity in large occlusal restorations. Genesis J Dent Rep. 2025:2(1)1-17.