Inorganic Fillers for Dental Resin Composites: Present and Future

Effect of APTES- or MPTS-Conditioned Nanozirconia Fillers on Mechanical Properties of Bis-GMA-Based Resin Composites

To investigate the effects of 3-aminopropyltriethoxysilane (APTES)- or (3-mercaptopropyl)trimethoxysilane (MPTS)-conditioned nanozirconia fillers on the mechanical properties of Bis-GMA-based resin composites. The conditioned fillers were characterized by Fourier transform infrared (FTIR) spectroscopy, X-ray photoelectron spectroscopy (XPS), and thermodynamic calculations. They were then used to prepare Bis-GMA-based resin composites, whose flexural strength and elastic modulus were evaluated. The Cell Counting Kit-8 (CCK-8) assessed the composites' cytotoxicity. The FTIR spectra of the conditioned fillers showed new absorption bands at 1569 and 1100 cm-1, indicating successful grafting of APTES or MPTS onto nanozirconia. XPS confirmed the Zr-O-Si bonds in the APTES- or MPTS-conditioned fillers at contents of 2.02 and 6.98%, respectively. Thermodynamic calculations reaffirmed the chemical binding between the two silanes and nanozirconia fillers. Composites containing the conditioned nanozirconia fillers had significantly greater flexural strengths (APTES, 121.02 ± 8.31 MPa; MPTS, 132.80 ± 15.80 MPa; control, 94.84 ± 9.28 MPa) and elastic moduli (8.76 ± 0.52, 9.24 ± 0.60, and 7.44 ± 0.83 GPa, respectively) than a control with untreated fillers. The cytotoxicity assay identified no significant cytotoxicity by composites containing the conditioned fillers. Silanes were previously considered to be unable to chemically condition zirconia to bond with resin. Inclusion of APTES- or MPTS-conditioned nanozirconia fillers can improve the mechanical properties of Bis-GMA-based resin composites without obvious cytotoxicity in this study.

Mechanical Properties of Nanohybrid Resin Composites Containing Various Mass Fractions of Modified Zirconia Particles

PURPOSE

The aim of this study was to investigate the effect of various mass fractions of 10-methacry-loyloxydecyl dihydrogen phosphate (MDP)-conditioned or unconditioned zirconia nano- or micro-particles with different initiator systems on the mechanical properties of nanohybrid resin composites.

METHODS

Both light-cured (L) and dual-cured (D) resin composites were prepared. When the mass fraction of the nano- or micro-zirconia fillers reached 55 wt%, resin composites were equipped with dual-cured initiator systems. We measured the three-point bending-strength, elastic modulus, Weibull modulus and translucency parameter of the nanohybrid resin composites containing various mass fractions of MDP-conditioned or unconditioned zirconia nano- or micro-particles (0%, 5 wt%, 10 wt%, 20 wt%, 30 wt% and 55 wt%). A Cell Counting Kit (CCK)-8 was used to test the cell cytotoxicity of the experimental resin composites. The zirconia nano- or micro-particles with MDP-conditioning or not were characterized by transmission electron microscopy (TEM), Fourier infrared spectroscopy (FTIR), and X-ray photoelectron spectroscopy (XPS).

RESULTS

Resin composites containing 5-20 wt% MDP-conditioned or unconditioned nano-zirconia fillers exhibited better three-point bending-strength than the control group without zirconia fillers. Nano- or micro-zirconia fillers decreased the translucence of the nanohybrid resin composites. According to the cytotoxicity classification, all of the nano- or micro-zirconia fillers containing experimental resin composites were considered to have no significant cell cytotoxicity. The FTIR spectra of the conditioned nano- or micro-fillers showed new absorption bands at 1719 cm-1 and 1637 cm-1, indicating the successful combination of MDP and zirconia particles. The XPS analysis measured Zr-O-P peak area on MDP-conditioned nano- and micro-zirconia fillers at 39.91% and 34.89%, respectively.

CONCLUSION

Nano-zirconia filler improved the mechanical properties of nanohybrid resin composites, but cannot be the main filler to replace silica filler. The experimental dual-cured composites can be resin cements with better opacity effects and a low viscosity.

Evaluation of degree of conversion, rate of cure, microhardness, depth of cure, and contraction stress of new nanohybrid composites containing pre-polymerized spherical filler

The aim of the present study was to characterize nanohybrid and nanofilled composites in terms of degree of conversion (DC), rate of cure (RC), microhardness (Vickers hardness number; VHN), depth of cure, and contraction stress (CS). Ceram.X® universal- A3, duo enamel E2, and duo dentin D3 composites were compared to Tetric EvoCeram® and FiltekTMSupreme XTE composites of equivalent dentin and enamel shades under a 40 s photopolymerization protocol. DC was measured by infrared spectroscopy, calculating RC from the kinetic curve. Top and bottom VHN were determined using a Vickers indenter, and bottom/top surface ratio (Vickers hardness ratio; VHR) calculated. CS vs. time was assessed by a universal testing machine and normalized for the specimen bonding area. All materials showed DC  < 60%, Ceram.X® composites reaching higher values than the other composites of corresponding shades. RC at 5 s of photopolymerization was always higher than that at 10 s. All the Ceram.X® composites and the lighter-shaded Tetric EvoCeram® and FiltekTMSupreme XTE composites reached the RC plateau after 25 s, the remaining materials showed a slower kinetic trend. Tetric EvoCeram® and FiltekTMSupreme XTE composites displayed the softest and the hardest surfaces, respectively. Differently from darker-shaded materials, the universal and the three enamel-shaded composites resulted optimally cured (VHR >  80%). The tested composites differed in CS both during and after light cure, Tetric EvoCeram® and FiltekTMSupreme XTE composites displaying the highest and the lowest CS, respectively. Only the Ceram.X® universal-A3 reached a CS plateau value. The tested composites exhibited material-dependent chemo-mechanical properties. Increasing the curing time and/or reducing the composite layer thickness for dentin-shaded composites appears advisable.

A new method for predicting the maximum filler loading of dental resin composites based on DEM simulations and experiments

OBJECTIVE

The inorganic fillers in dental resin composites can enhance their mechanical properties and reduce polymerization shrinkage. When the usage amount of inorganic fillers is closed to maximum filler loading (MFL), the composites will usually achieve optimal performances. This study aims to develop a method that can predict the MFL of dental resin composites for the optimization of filler formulations.

METHODS

A method based on discrete element method (DEM) simulations and experiments was firstly developed to predict the MFL of spherical silica particles for single-level and multi-level filling.

RESULTS

The results indicate that the presence of modifier can increase the MFL, and the MFL increment can be exponentially changed with the content of the modifier. Compared with the single-level filling, the addition of secondary fillers is beneficial to increase the MFL, and the increment can be affected by the particle size and size ratio. The prediction results show a good agreement with the experiment results.

SIGNIFICANCE

The accuracy of prediction results indicates a great potential of DEM simulations as a numerical experimental method in studying the MFL, and provides an effective method for the optimization of filler formulations.

Highly translucent dental resin composites through refractive index adaption using zirconium dioxide nanoparticles and organic functionalization

OBJECTIVES

For dental resin composites, high translucency is important. Therefore, the aim of the study was to create a biocompatible and highly translucent resin-based composite, and to investigate the effect of material thickness on translucency.

METHODS

A biocompatible ORMOCER® resin matrix was reinforced with dental glass powder as fillers. To reach a high translucency, refractive index matching of the matrix and fillers was done in the two ways: (1) Highly refractive ZrO₂ nanoparticles were incorporated into the resin. (2) The resin was modified via addition of 4-Methylthiophenol. The corresponding refractive indices were acquired on an Abbe refractometer (n = 5). In both cases, the dental glass powder was added and translucency of the resulting minifilled and nanohybrid composites were measured using spectral photometry (n = 5). Additionally, the translucency of the experimental composites was determined as a function of specimen thickness in the range 10 μm-2 mm (n = 5). One-way ANOVA was performed to determine the significant differences in various optical parameters among different amounts of modifications and thicknesses at α = 0.05. Furthermore, cytotoxicity tests (extract and direct contact tests) were conducted according to ISO 10993 to classify the biocompatibility of the composites (n = 6).

RESULTS

The translucency values of the composites with 47 wt.-% dental glass powder and a specimen thickness of 2 mm, could be increased from 26% up to 71% by increasing the refractive index of the matrix through incorporating ZrO₂ nanoparticles. Moreover, it can also be increased to 67% via addition of 4-Methylthiophenol. Further results showed that the translucency significantly depended on the sample thickness following an exponential function. The effect of all tested parameters was significant among the materials (p < 0.001). The composites did not show any cytotoxic effect.

SIGNIFICANCE

Highly translucent and biocompatible resin composites were developed. They show attractive properties for the use as dental enamel material in direct and indirect restorations.

Surface silanization and grafting reaction of nano-silver loaded zirconium phosphate and properties strengthen in 3D-printable dental base composites

In this work, surface modification of nano silver-loaded zirconium phosphate (6S-NP3) were obtained from simultaneous silanization of γ-methacryloxypropyltrimethoxysilane (MPS) and grafting reaction of methyl methacrylate (MMA), and then mixed with denture base resin (E-Denture) to prepare denture base composites using 3D printer printing. FT-IR spectra confirmed that surface silanization and grafting reaction had occurred and MPS and MMA were successfully anchored on the surface of 6S-NP3. XRD results demonstrated that surface modification had occurred on the surface of hexagonal lattice. The average diameter data indicated that the surface modification decreased the average diameter of nanoparticles. The water contact angle (WCA) was found increasing as the surface modification. SEM images illustrated that the dispersion and compatibility of nanoparticles in denture base composite materials had improved. The results of mechanical properties presented that composites with the addition of P-6S-NP3 nanoparticles achieved higher flexural strength, flexural modulus and impact strength. The data of antibacterial activities revealed that composites had exhibited good antibacterial activities against either S. aureus or E. coli and the latter showed better antibacterial efficacy than the former.

Synthesis and characterization of core-shell nanoparticles and their application in dental resins

The aim of this study was to synthesize acrylic core-shell particles and silica-loaded core-shell hybrid particles through emulsion polymerization. Also this work examined the influence of synthesized nanoparticles loading in a Bis-GMA/TEGDMA resin matrix on some mechanical properties of the dental composite resins. Core-shell particles consisting of polybutyl acrylate (PBA) rubbery core and polymethyl methacrylate (PMMA)/polystyrene (PS) shell were synthesized by seeded emulsion polymerization. For preparing the core-shell hybrid particles, first silica particles with diameters of about 68 nm were synthesized based on the Stöber process. Then the surface of silica particles was treated with ɣ-MPS. Afterwards, polymeric shell was coated on silica nanoparticles through emulsion polymerization. The morphology of core-shell particles was examined by SEM/TEM. Mechanical properties (fracture toughness, flexural strength and flexural modulus) of the photo-cured Bis-GMA/TEGDMA dental resins/composites filled with different mass fractions of synthesized nanoparticles were tested, and analysis of variance (ANOVA) was used for the statistical analysis of the acquired data. Formation of glassy shell on PBA core in core-shell particles, grafting of ɣ -MPS onto the silica particles and encapsulation of modified silica by polymeric shell in core-shell hybrid particles were confirmed using various analytical techniques. The results of mechanical tests showed that fracture toughness of Bis-GMA/TEGDMA dental resins improved about 35% by the inclusion of 5 wt% silica-loaded core-shell hybrid particles with little effect on flexural strength. This study shows that incorporation of proper amount of hybrid core-shell particles in dental composites can improve their fracture toughness and thus may extend their service life.

Influence of the organic matrix composition on the polymerization behavior and bulk properties of resin composites containing thiourethane-functionalized fillers

OBJECTIVES

The incorporation of thiourethane-based oligomeric additives into resin composite formulations leads to improvement in mechanical properties and reduction in polymerization stress, but may increase viscosity. The objective of this study was to functionalize filler particle surfaces with thiourethane silane molecules and determine the impact of the inorganic filler loading and surface treatment on the behavior of experimental resin composites with systematically-varied organic matrices.

METHODS

Thiourethane oligomer was synthesized de novo, and grafted to the surface of 0.7um barium glass. BisGMA and TEGDMA (BT) were combined (at 30:70, 50:50 or 70:30 wt%) to 50 or 75 wt% of methacrylate (MA-Sil - control) or thiourethane-silanized (TU-Sil) particles. Composites were made polymerizable by the addition of 0.2 wt% BAPO and 0.05 wt% BHT was added as inhibitor. A mercury arc lamp (320-500 nm) at 800 mW/cm2 was used for all curing procedures. Kinetics of polymerization was assessed by near-IR spectroscopy in real time. Polymerization stress was determined with a cantilever system in real time (Bioman). Flexural modulus and strength were determined in 3-point bending (25x2x2 mm). Water sorption and solubility and film thickness were tested according to ISO 4049. Polymeric network characteristics were analyzed by dynamic mechanical analysis (DMA). Data was analyzed with two-way ANOVA/Tukey's test (95%).

RESULTS

Viscosity increased with the increase in BisGMA and/or filler amounts. Overall, TU-Sil containing composites showed delayed vitrification and higher final DC. Filler concentration did not affect DC neither flexural strength. DC decreased with increasing BisGMA content. Polymerization stress reduced and flexural modulus increased for higher filler content, especially for formulations containing TU-Sil particles. The water stability was positively affected by the increase in amount of BisGMA and inorganic filler particles. In terms of polymeric network, the addition of TU-Sil particles increased the Tg and decreased the E' and cross-link density.

CONCLUSIONS

With the exception of flexural modulus, all tested properties were significantly impacted by the matrix viscosity and/or the addition of TU-Sil filler particles. In general, the use of thiourethane oligomers as a silane coupling agent was able to reinforce the materials and reduce the polymerization stress without negatively affecting the viscosity of the system.

Self-healing biomaterials: The next generation is nano

The U.S. Agency for Healthcare Research and Quality estimates that there are over 1 million total hip and total knee replacements each year in the U.S. alone. Twenty five percent of those implants will experience aseptic loosening, and bone cement failure is an important part of this. Bone cements are based on poly(methyl methacrylate) (PMMA) systems that are strong but brittle polymers. PMMA-based materials are also essential to modern dental fillings, and likewise, the failure rates are high with lifetimes of 3-10 years. These brittle polymers are an obvious target for self-healing systems which could reduce revision surgeries and visits to dentist. Self-healing polymers have been described in the literature since 1996 and examples from Roman times are known, but their application in medicine has been challenging. This review looks at the development of self-healing biomaterials for these applications and the challenges that lie between development and the clinic. Many of the most promising formulations involve introducing nanoscale components which offer substantial potential benefits over their microscale counterparts especially in composite systems. There is substantial promise for translation, but issues with toxicity, robustness, and reproducibility of these materials in the complex environment of the body must be addressed. This article is categorized under: Therapeutic Approaches and Drug Discovery > Emerging Technologies Nanotechnology Approaches to Biology > Nanoscale Systems in Biology Implantable Materials and Surgical Technologies > Nanomaterials and Implants.

Effect of Type and Concentration of Nanoclay on the Mechanical and Physicochemical Properties of Bis-GMA/TTEGDMA Dental Resins

Bis-GMA/TTEGDMA-based resin composites were prepared with two different types of nanoclays: an organically modified laminar clay (Cloisite® 30B, montmorillonite, MMT) and a microfibrous clay (palygorskite, PLG). Their physicochemical and mechanical properties were then determined. Both MMT and PLG nanoclays were added into monomer mixture (1:1 ratio) at different loading levels (0, 2, 4, 6, 8 and 10 wt.%), and the resulting composites were characterized by scanning electron microscopy (SEM), thermogravimetric analysis (TGA), dynamic mechanical analysis (DMA) and mechanical testing (bending and compressive properties). Thermal properties, depth of cure and water absorption were not greatly affected by the type of nanoclay, while the mechanical properties of dental resin composites depended on both the variety and concentration of nanoclay. In this regard, composites containing MMT displayed higher mechanical strength (both flexural and compression) than those resins prepared with PLG due to a poor nanoclay dispersion as revealed by SEM. Solubility of the composites was dependent not only on nanoclay-type but also the mineral concentration. Dental composites fulfilled the minimum depth cure and solubility criteria set by the ISO 4049 standard. In contrast, the minimum bending strength (50 MPa) established by the international standard was only satisfied by the dental resins containing MMT. Based on these results, composites containing either MMT or PLG (at low filler contents) are potentially suitable for use in dental restorative resins, although those prepared with MMT displayed better results.

Vinyl sulfonamide based thermosetting composites via thiol-Michael polymerization

OBJECTIVE

To assess the performance of thiol Michael photocurable composites based on ester-free thiols and vinyl sulfonamides of varying monomer structures and varied filler loadings and to contrast the properties of the prototype composites with conventional BisGMA-TEGDMA methacrylate composite.

METHODS

Synthetic divinyl sulfonamides and ester-free tetrafunctional thiol monomers were utilized for thiol-Michael composite development with the incorporation of thiolated microfiller. Polymerization kinetics was investigated using FTIR spectroscopy. Resin viscosities were assessed with rheometry. Water uptake properties were assessed according to standardized methods. Thermomechanical properties were analyzed by dynamic mechanical analysis. Flexural modulus/strength and flexural toughness were measured on a universal testing machine in three-point bending testing mode.

RESULTS

The vinyl sulfonamide-based thiol-Michael resin formulation demonstrated a wide range of viscosities with a significant increase in the functional group conversion when compared to the BisGMA-TEGDMA system. The two different types of vinyl sulfonamide under investigation demonstrated significant differences towards the water sorption. Tertiary vinyl sulfonamide did not undergo visible swelling whereas the secondary vinyl sulfonamide composite swelled extensively in water. With the introduction of rigid monomer into the polymer matrix the glass transition temperature increased and so increased the toughness. Glassy thiol-Michael composites were obtained by ambient curing.

SIGNIFICANCE

Employing the newly developed step-growth thiol-Michael resins in dental composites will provide structural uniformity, improved stability and lower water sorption.

Composite resin reinforced with fluorescent europium-doped hydroxyapatite nanowires for in-situ characterization

OBJECTIVE

The object is to find an easy but efficient way to illustrate the in-situ dispersion of nano-scaled one-dimensional fillers in composite resins, and to correlate their dispersion status with the properties of composite resins.

METHODS

Fluorescent europium-doped hydroxyapatite nanowires (HANW:Eu) were synthesized via the hydrothermal method. The HANW:Eu was mixed into Bis-GMA/TEGDMA (60/40, w/w) at different contents (1-5wt.%), and different processing methods (kneading, grinding, stirring) were tested to achieve good dispersion of HANW:Eu with the aid of fluorescent imaging system. Then, the mixtures of HANW:Eu and barium glass powder (BaGP) were kneaded into resin at a fixed content (70wt.%) while at different mixing ratios. In addition to the 3D fluorescent imaging, characterizations were carried out on mechanical properties, fractured surface, wear resistance and polymerization shrinkage, to correlate the composite properties of with the dispersion status of the incorporated HANW:Eu.

RESULTS

By doping calcium with 5mol.% of europium, the obtained HANW:Eu displayed strong fluorescence, which made the illustration of its in-situ dispersion status within composites being possible. And this helped to judge that kneading was more efficient to homogeneously disperse HANW:Eu than grinding and stirring. However, it was illustrated vividly that HANW:Eu aggregated severely when it was co-incorporated with BaGP into composites at the total content of 70wt.%, which had not been previously revealed by other microscope observations. In comparison with composites containing 70wt.% of BaGP, improvements in the mechanical properties of resulting composites were identified for the cases containing 3wt.% of HANW and 67wt.% of BaGP, however, their wear volume loss and the polymerization shrinkage did not decrease as expected due to the HANW aggregations.

SIGNIFICANCE

The fluorescent filler prepared in this study provides a feasible strategy to illustrate the in-situ dispersion status of inorganic fillers, which provides guidance for the processing of composite resins.

Investigations on the adhesion of new composites for restoring cervical lesions using energy dispersive X-ray analysis and scanning electron microscopy

Restoration of noncarious cervical lesions with resin composites is one of the treatment options, but the retention of the restorations located at the crown-root junction is still a cause of clinical concern. The aim of this study was to evaluate the adhesive properties of three experimental resin composites and two commercial materials used to restore cavities prepared on extracted teeth as well as to determine the relative elemental composition of these materials. We tested the null hypothesis, which considered that the adhesive behaviours of different resin composites did not differ. The microleakage test using tracers showed that all tested materials exhibited some degree of dentinal microleakage, although they all had good dentinal adhesion. The results failed to reject the null hypothesis. The scanning electron microscopy revealed completely adapted adhesive interfaces underneath the restorations along with well-developed hybrid layers depending on the adhesive system. Energy dispersive X-ray analysis analyses showed that the restorative materials have similar chemical compositions, with some differences between the samples from the same material. The results support the implementation of experimental resins in clinical settings.

Interlock or Chemical Bond: Investigation on the Interface of Graphene Oxide and Styrenic Block Copolymers as Layer-by-Layer Films

In the paper, graphene oxide (GO) and two kinds of styrenic resins, poly[styrene-b-(ethylene-co-butylene)-b-styrene] (SEBS) and maleic anhydride (MA) grafted SEBS (MA-g-SEBS), were utilized to explore the interfacial interaction of carbon-based materials and block copolymers as layer-by-layer (LBL) assembly films. The details of the interlayer interaction of the two kinds of composite films were investigated through the analysis of the mechanical properties and internal structure of the composites. For the SEBS/GO composite film, the "interlock" structure tended to form between the GO sheets and SEBS resin, and the physical "interlocking effect" could make full use of the excellent mechanical properties of GO nanosheets. As a result, both failure strength and elongation at break of the SEBS/GO composite film were enhanced by 50 and 25%, respectively. On the other hand, some different structures were found in the MA-g-SEBS/GO composite film, where the GO sheets stacked onto the resin closely because of the chemical interaction between them and no obvious "interlocks" was found within the interface, and the chemical interface interaction was strong enough to prevent the slide of GO nanosheets under tension after the graphene sheets were highly oxidized, so the mechanical properties of the MA-g-SEBS/GO composite film could be also enhanced. Based on an overall consideration of the research results of these LBL assembled composites, choosing more perfect materials and structures is needed, which should use physical and chemical interfacial interactions more efficiently, to obtain better mechanical properties of inorganic carbon-organic resin composites.

Experimental synthesis of size-controlled TiO2 nanofillers and their possible use as composites in restorative dentistry

The aim of this work was to obtain an efficient protocol with a green, fast and facile way to synthesize TiO2 NPs and its application as fillers for enhancement of desired dental properties of light curing dental composites. A comparative study comprised the fabrication of light curing restorative composite materials with incorporating different fillers with varying wt%, varying resin material composition, to determine optimal dental restoration by focusing on the physical properties of dental materials. It was observed that the as-prepared green synthesized TiO2 nanohybrid particles contributed to the improvement in physical properties, thus promoting the green and rapid synthesis of nanohybrid fillers. In addition, mechanical values for experimental cured resin materials with bare and surface modified fillers were obtained. The experimental light curing nanocomposites with 5 wt% (wt%) nanohybrid surface modified filler particles with BisGMA (60 wt%), TEGDMA (20 wt%) and UDMA (20 wt%) resin composition provided increased physical strength and durability with higher compressive stress 195.56 MPa and flexural stress 83.30 MPa. Furthermore, the dental property, such as polymerization shrinkage (PS) obtained from volumetric method was decreased up to 3.4% by the addition of nano-hybrid fillers. In addition to this, the biocompatible and antimicrobial nature of TiO2 and its aesthetics properties such as tooth-like color makes TiO2 favorable to use as fillers. This study presents a green and facile method for the synthesis of TiO2 nanohybrid particles that can be successfully used as fillers in an experimental light curing resin matrix for enhancing its dental properties. This describes the potential of the green synthesized TiO2 nanohybrid particles to use as fillers in restorative dentistry.

Development of mechanical properties in dental resin composite: Effect of filler size and filler aggregation state

The aim of this work was to study the effect of filler size and filler aggregation state on the mechanical properties of dental resin composites evaluated at filler loadings between 20 wt% and up to 76.5 wt%. Non-aggregated silica nanoparticles (SiNP_MPS) (80 nm), doughnut-shaped silica nanoclusters obtained by spray drying (SDSiNP_MPS) (3.5 μm) and amorphous barium-alumina borosilicate microparticles (BaAlBoSi_MPS) (1.0 μm), functionalized by 3-methacryloxypropyl trimethoxysilane (MPS), were the fillers incorporated into resin matrix dental composites composed of triethylene glycoldimethacrylate (TEGDMA), urethane dimethylacrylate (UDMA), bisphenol A polyethylene glycol diether dimethacrylate (Bis EMA), and bisphenol A glycidyl methacrylate (BisGMA) (0.3:0.7:1:1 weight ratio, respectively). The mechanical properties developed in the resin composites were correlated with the formation of percolated-like particle networks, as observed by scanning electron microscopy (SEM), and volume fraction percolation thresholds (ϕ_c) calculated from a percolation model. Resin composites with non-aggregated SiNP_MPS showed an apparent percolation threshold ϕ_c = 0.15 (i.e. 27 wt%); above this filler concentration and up to a volume fraction of particles (ϕ_P) of 0.24 (i.e. 40 wt%) there was an increase in the flexural modulus and the compressive strength of the resin composite. However, a further increase in filler concentration diminished all its mechanical properties due to a decrease in the particle-matrix adhesion strength, demonstrated by the increase in surface roughness and fracture steps as observed by SEM images. On the other hand, a resin composite filled with doughnut-shaped silica nanoclusters (SDSiNP_MPS) showed an apparent percolation threshold ϕ_c = 0.41 (i.e. 60 wt%); increasing filler loading over this concentration generated an improvement in its mechanical properties, except the flexural strength also due to a decrease in the particle-matrix adhesion strength. The resin composites obtained with amorphous individual BaAlBoSi_MPS microparticles (1.0 μm) and BaAlBoSi_MPS microparticle aggregates (ca. 40.0 μm) showed an apparent percolation threshold ϕ_c = 0.41 (i.e. 64 wt%) that promoted an improvement in all their mechanical properties. SEM image of BaAlBoSi_MPS resin composite at high filler loading (≥ 60 wt%) showed a decrease in fracture steps and no presence of voids, indicating a better adhesion between amorphous BaAlBoSi_MPS particles and the polymeric matrix, which explains the improvement of mechanical properties. Resin composites filled exclusively with silica doughnut-shape nanoclusters or amorphous BaAlBoSi_MPS microparticles could develop mechanical properties similar to or even better than those obtained by mixing nanofillers with spherical nanoclusters, which are commonly used in commercial resin composites.

Reinforcement of dental resin composite via zirconium hydroxide coating and phosphate ester monomer conditioning of nano-zirconia fillers

OBJECTIVES

The present study aimed to evaluate effects of conditioning with the phosphate ester monomer 10-methacryloyloxydecyl dihydrogen phosphate (MDP), with and without precoating with zirconium hydroxide for nano-size zirconia fillers, on mechanical properties of dental resin composites.

MATERIALS AND METHODS

Nano-zirconia fillers coated with or without zirconium hydroxide [Zr(OH)₄] were prepared. Transmission electron microscopy (TEM), Fourier infrared spectroscopy (FTIR), and X-ray photoelectron spectroscopy (XPS) were used to observe the coating and to characterize Zr(OH)₄ coating on the zirconia filler surface. Zirconia fillers with or without Zr(OH)₄ coating were conditioned with MDP and were subsequently used to prepare experimental resin composites. XPS was used to analyze the Zr-O-P bonds on the filler surface after MDP conditioning. Moreover, three-point bending strength and elastic modulus of prepared resin composites were measured, and Weibull analysis was performed. Resin composites without addition of zirconia fillers and the ones with addition of untreated or silane conditioned-zirconia fillers were set as controls. Cell counting kit (CCK)-8 was used to test cell cytotoxicity of these zirconia fillers-containing experimental resin composites.

RESULTS

Nano-zirconia fillers were coated with Zr(OH)₄ through chemical deposition. FTIR and XPS analysis confirmed the increase of hydroxyl groups after Zr(OH)₄ coating. XPS detected the highest contents of Zr-O-P bonds on MDP-conditioned zirconia fillers with pre-Zr(OH)₄ coating, followed by MDP-conditioned zirconia fillers. Resin composite with added MDP-conditioned zirconia fillers with and without Zr(OH)₄ coating exhibited greater three-point bending strength, elastic modulus values, and Weibull moduli. According to the cytotoxicity classification, resin composites containing experimental zirconia fillers were considered to have no significant cell cytotoxicity.

CONCLUSION

Nano-zirconia fillers conditioned with MDP, with or without precoating with Zr(OH)₄, improve the mechanical properties of resin composites, and are potentially safe for clinical use.

A Study of 3D-Printable Reinforced Composite Resin: PMMA Modified with Silver Nanoparticles Loaded Cellulose Nanocrystal

With the rapid application of light-curing 3D printing technology, the demand for high-performance polymer resins is increasing. Existing light-curable resins often have drawbacks limiting their clinical applications. This study aims to develop a new type of polymethyl methacrylate (PMMA) composite resins with enhanced mechanical properties, high antibacterial activities and excellent biocompatibilities. A series of reinforced composite resins were prepared by mechanically mixing PMMA with modified cellulose nanocrystals (CNCs), which were coated with polydopamine and decorated by silver nanoparticles (AgNPs) via Tollen reaction. The morphology of CNCs-Ag was observed by transmission electron microscopy and the formation of AgNPs on CNCs was confirmed by X-Ray photoelectron spectroscopy analyses. Functional groups in PMMA-CNCs-Ag composites were verified by Fourier Transform infrared spectroscopy (FTIR) spectroscopy. The mechanical assessment and scanning electron microscopy analysis suggested that the evenly distributed CNCs-AgNPs composite effectively improve mechanical properties of PMMA resin. Cytotoxicity assay and antibacterial activity tests indicated excellent biocompatibility and high antibacterial activities. Furthermore, PMMA with CNCs-AgNPs of 0.1 wt.% (PMMA-CNCs-AgNPs-0.1) possessed the most desirable mechanical properties owing to the homogeneous distribution of AgNPs throughout the resin matrix. This specific composite resin can be used as a functional dental restoration material with potential of other medical applications.

Effects of Silica Nanoparticles and Silica-Zirconia Nanoclusters on Tribological Properties of Dental Resin Composites

Roughness and hardness are among the most important variables in the wear (resistance) performance of dental resin composites. In this study, silica nanoparticles and nanoclusters of silica and silica-zirconia nanoparticles were evaluated for use as reinforcement agents in dental resin composites. Nanoclusters with spherical morphology were obtained from aqueous dispersions of nanoparticles by spray drying. Roughness was measured through atomic force microscopy (AFM) while nanohardness was evaluated by nanoindentation. The roughness values obtained with silica nanoparticles were lower (22.6 ± 6.6 nm) than those obtained with silica and silica-zirconia nanoclusters (138.1 ± 36.6 nm, 116.2 ± 32.2 nm, resp.), while the hardness values of all composites were similar (nanoparticles = 0.24 ± 0.01 GPa, silica nanoclusters = 0.25 ± 0.04 GPa, and silica-zirconia nanoclusters = 0.22 ± 0.02 GPa). Based on this study, it can be established that particle size is a determining factor in the roughness of the final material, while the key variable for nanohardness was the concentration of the reinforcement materials.

Fracture resistant, antibiofilm adherent, self-assembled PMMA/ZnO nanoformulations for biomedical applications: physico-chemical and biological perspectives of nano reinforcement

Antimicrobial, antibiofilm adherent, fracture resistant nano zinc oxide (ZnO NP) formulations based on poly methyl methacrylate (PMMA) matrix were developed using a facile ex situ compression moulding technique. These formulations demonstrated potent, long-term biofilm-resisting effects against Candida albicans (9000 CFU to 1000 CFU) and Streptococcus mutans. Proposed mechanism of biofilm resistance was the release of metallic ions/metal oxide by 'particle-corrosion'. MTT and cellular proliferation assays confirmed both qualitatively and quantitatively equal human skin fibroblast cell line proliferations (approximately 75%) on both PMMA/ZnO formulation and neat PMMA. Mechanical performance was evaluated over a range of filler loading, and theoretical models derived from Einstein, Guth, Thomas and Quemade were chosen to predict the modulus of the nanoformulations. All the models gave better fitting at lower filler content, which could be due to restricted mobility of the polymer chains by the constrained zone/interfacial rigid amorphous zone and also due to stress absorption by the highly energized NPs. Fracture mechanics were clearly described based on substantial experimental evidence surrounding crack prevention in the initial zones of fracture. Filler-polymer interactions at the morphological and structural levels were elucidated through FTIR, XRD, SEM, TEM and AFM analyses. Major clinical challenges in cancer patient rehabilitation and routine denture therapy are frequent breakage of the prostheses and microbial colonization on the prostheses/tissues. In the present study, we succeeded in developing an antimicrobial, mechanically improved fracture resistant, biocompatible nanoformulation in a facile manner without the bio-toxic effects of surface modifiers/functionalization. This PMMA/ZnO nanoformulation could serve as a cost effective breakthrough biomaterial in the field of prosthetic rehabilitation and local drug delivery scaffolds for abused tissues.

Mechanical and Thermal Properties of Dental Composites Cured with CAD/CAM Assisted Solid-State Laser

Over the last three decades, it has been frequently reported that the properties of dental restorative composites cured with argon laser are similar or superior to those achieved with conventional halogen and light emitting diode (LED) curing units. Whereas laser curing is not dependent on the distance between the curing unit and the material, such distance represents a drawback for conventional curing units. However, a widespread clinical application of this kind of laser remains difficult due to cost, heavy weight, and bulky size. Recently, with regard to the radiation in the blue region of the spectrum, powerful solid-state lasers have been commercialized. In the current research, CAD (computer-aided design)/CAM (computer-aided manufacturing) assisted solid-state lasers were employed for curing of different dental restorative composites consisting of micro- and nanoparticle-reinforced materials based on acrylic resins. Commercial LED curing units were used as a control. Temperature rise during the photopolymerisation process and bending properties were measured. By providing similar light energy dose, no significant difference in temperature rise was observed when the two light sources provided similar intensity. In addition, after 7 days since curing, bending properties of composites cured with laser and LED were similar. The results suggested that this kind of laser would be suitable for curing dental composites, and the curing process does not suffer from the tip-to-tooth distance.

Comparative Effect of Self- or Dual-Curing on Polymerization Kinetics and Mechanical Properties in a Novel, Dental-Resin-Based Composite with Alkaline Filler. Running Title: Resin-Composites with Alkaline Fillers

Dental bulk-fill restorations with resin-composites (RBC) are increasing in popularity, but doubts concerning insufficient curing in depth still disconcert clinicians. An alternative might be offered by modern dual-cured RBCs, which additionally provide bioactive properties. This study assessed the impact of additional light-curing on polymerization kinetics, the degree of conversion (DC) and mechanical properties of a novel, dual-cured RBC with alkaline fillers. Since the bioactivity of a material often implies a release of compounds, the mechanical stability in simulated clinical environments was also evaluated. Polymerization kinetics and DC were assessed at 2- and 4-mm specimen depths in real-time up to one hour (n = 6). Incident and transmitted irradiance and radiant exposure were recorded at 2- and 4-mm depths. Micro-mechanical profiles (n = 6) were assessed in 100-µm steps along 6-mm deep specimens at 24 h post-polymerization. Flexural strength and modulus (n = 10) were determined up to three months of immersion in neutral (6.8) and acidic (4) pH conditions. DC variation in time was best described by a sigmoidal function (R² > 0.98), revealing a retarded (3.4 ± 0.4 min) initiation in C=C double bond conversion in self-cured versus dual-cured specimens. The setting reaction kinetic was identical at 2- and 4-mm depths for the self-cure mode. For the dual-cure mode, polymerization initiated at 2-mm depth instantly with light-irradiation, while being retarded (0.8 min) at 4-mm depth. The material behaves similarly, irrespective of curing mode or depth, later than 11 min after mixing. Flexural strength and modulus was comparable to regular RBCs and maintained up to three months in both neutral and acidic conditions. Additional light-curing initially accelerates the polymerization kinetic and might help shorten the restauration procedure by hardening the material on demand, however with no effect on the final properties.

Elastic Modulus and Thermal Conductivity of Thiolene/TiO2 Nanocomposites

Metal oxide based polymer nanocomposites find diverse applications as functional materials, and in particular thiol-ene/TiO2 nanocomposites are promising candidates for dental restorative materials. The important mechanical and thermal properties of the nanocomposites, however, are still not well understood. In this study, the elastic modulus and thermal conductivity of thiol-ene/TiO2 nanocomposite thin films with varying weight fractions of TiO2 nanoparticles are investigated by using Brillouin light scattering spectroscopy and 3ω measurements, respectively. As the TiO2 weight fraction increases from 0 to 90%, the effective elastic longitudinal modulus of the films increases from 6.2 to 37.5 GPa, and the effective thermal conductivity from 0.04 to 0.76 W/m K. The former increase could be attributed to the covalent cross-linking of the nanocomposite constituents. The latter one could be ascribed to the addition of high thermal conductivity TiO2 nanoparticles and the formation of possible conductive channels at high TiO2 weight fractions. The linear dependence of the thermal conductivity on the sound velocity, reported for amorphous polymers, is not observed in the present nanocomposite system.

Polymer-Based Direct Filling Materials

After a brief review of current restorative materials and classifications, this article discusses the latest developments in polymer-based direct filling materials, with emphasis on products and studies available in the last 10 years. This will include the more recent bulk fill composites and self-adhesive materials, for which clinical evidence of success, albeit somewhat limited, is already available. The article also introduces the latest cutting edge research topics on new materials for composite restorations, and an outlook for the future of how those may help to improve the service life of dental composite restorations.

Kinetics and mechanics of photo-polymerized triazole-containing thermosetting composites via the copper(I)-catalyzed azide-alkyne cycloaddition

OBJECTIVE

Several features necessary for polymer composite materials in practical applications such as dental restorative materials were investigated in photo-curable CuAAC (copper(I)-catalyzed azide-alkyne cycloaddition) thermosetting resin-based composites with varying filler loadings and compared to a conventional BisGMA/TEGDMA based composite.

METHODS

Tri-functional alkyne and di-functional azide monomers were synthesized for CuAAC resins and incorporated with alkyne-functionalized glass microfillers for CuAAC composites. Polymerization kinetics, in situ temperature change, and shrinkage stress were monitored simultaneously with a tensometer coupled with FTIR spectroscopy and a data-logging thermocouple. The glass transition temperature was analyzed by dynamic mechanical analysis. Flexural modulus/strength and flexural toughness were characterized in three-point bending on a universal testing machine.

RESULTS

The photo-CuAAC polymerization of composites containing between 0 and 60wt% microfiller achieved ∼99% conversion with a dramatic reduction in the maximum heat of reaction (∼20°C decrease) for the 60wt% filled CuAAC composites as compared with the unfilled CuAAC resin. CuAAC composites with 60wt% microfiller generated more than twice lower shrinkage stress of 0.43±0.01MPa, equivalent flexural modulus of 6.1±0.7GPa, equivalent flexural strength of 107±9MPa, and more than 10 times higher energy absorption of 10±1MJm-3 when strained to 11% relative to BisGMA-based composites at equivalent filler loadings.

SIGNIFICANCE

Mechanically robust and highly tough, photo-polymerized CuAAC composites with reduced shrinkage stress and a modest reaction exotherm were generated and resulted in essentially complete conversion.

Composite resin reinforced with silver nanoparticles-laden hydroxyapatite nanowires for dental application

OBJECTIVE

The object is to find a functional one-dimensional nanofibrous filler for composite resin, which is able to provide both efficient reinforcement and high antibacterial activity.

METHODS

Hydroxyapatite (HA) nanowires were synthesized via hydrothermal technique using calcium oleate as the precursor. Polydopamine (PDA)-coated HA (HA-PDA) nanowires were prepared by soaking HA nanowires in dopamine (DA) aqueous solution. Silver nanoparticles (AgNPs)-laden HA (HA-PDA-Ag) nanowires were prepared via reduction reaction by adding silver nitrate and glucose into HA-PDA suspensions in DI water. The resulted HA-PDA-Ag nanowires were then mixed into Bis-GMA/TEGDMA (50/50, w/w) at 4-10wt.%, thermal-cured, and submitted to characterizations including mechanical properties, interfacial adhesion between filler and resin matrix, distribution of HA nanowires and AgNPs, as well as silver ion release, cytotoxicity and antibacterial activity.

RESULTS

HA-PDA-Ag nanowires were readily obtained and the loading amounts of AgNPs could be controlled by adjusting the feeding doses of silver nitrate and HA-PDA nanowires. Benefiting from the PDA surface layer, HA-PDA-Ag nanowires could disperse well in composite resin and form good interfacial adhesion with the resin matrix. In comparison with neat resin, significant increases in flexural strength and modulus of cured composites were achieved at the addition amounts of HA-PDA-Ag nanowires being 6-8wt.%. The distribution of AgNPs was homogeneous throughout the resin matrix in all designs, which endowed the composites with high antibacterial activity against streptococcus mutans. Continuous silver ion release from composites was detected, however, it was determined the composites would have insignificant cytotoxicity based on the proliferation of L929 fibroblasts in extracts of HA-PDA-Ag nanowires.

SIGNIFICANCE

The finding proved that HA-PDA-Ag nanowires could serve as functional nanofillers for composite resins, which should help much in developing materials for satisfactory long-term clinical restorations.

Development of high performance dental resin composites with outstanding antibacterial activity, high mechanical properties and low polymerization shrinkage based on a SiO2 hybridized tetrapod-like zinc oxide whisker with CC bonds

Novel dental resin composites with outstanding antibacterial activity, high mechanical properties and low polymerization shrinkage were fabricated with SiO₂ hybridized tetrapod-like zinc oxide whiskers, and the origin behind was revealed.