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Schmalz G, Schwendicke F, Hickel R, Platt JA. Alternative Direct Restorative Materials for Dental Amalgam: A Concise Review Based on an FDI Policy Statement. Int Dent J 2024; 74:661-668. [PMID: 38071154 PMCID: PMC11287089 DOI: 10.1016/j.identj.2023.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Accepted: 11/04/2023] [Indexed: 07/07/2024] Open
Abstract
Dental restorative procedures remain a cornerstone of dental practice, and for many decades, dental amalgam was the most frequently employed material. However, its use is declining, mainly driven by its poor aesthetics and by the development of tooth-coloured adhesive materials. Furthermore, the Minamata Convention agreed on a phase-down on the use of dental amalgam. This concise review is based on a FDI Policy Statement which provides guidance on the selection of direct restorative materials as alternatives to amalgam. The Policy Statement was informed by current literature, identified mainly from PubMed and the internet. Ultimately, dental, oral, and patient factors should be considered when choosing the best material for each individual case. Dental factors include the dentition, tooth type, and cavity class and extension; oral aspects comprise caries risk profiles and related risk factors; and patient-related aspects include systemic risks/medical conditions such as allergies towards certain materials as well as compliance. Special protective measures (eg, a no-touch technique, blue light protection) are required when handling resin-based materials, and copious water spray is recommended when adjusting or removing restorative materials. Cost and reimbursement policies may need to be considered when amalgam alternatives are used, and the material recommendation requires the informed consent of the patient. There is no single material which can replace amalgam in all applications; different materials are needed for different situations. The policy statement recommends using a patient-centred rather than purely a material-centred approach. Further research is needed to improve overall material properties, the clinical performance, the impact on the environment, and cost-effectiveness of all alternative materials.
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Affiliation(s)
- Gottfried Schmalz
- Department of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany; Department of Periodontology, University of Bern, Bern, Switzerland
| | - Falk Schwendicke
- Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Germany
| | - Reinhard Hickel
- Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Germany
| | - Jeffrey A Platt
- Department of Biomedical Sciences and Comprehensive Care, Division of Dental Biomaterials, Indiana University School of Dentistry, IUPUI, Indianapolis, Indiana.
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Atmaca Y, Karadas M. Clinical comparison of high-viscosity glass-hybrid systems with a sculptable bulk-fill composite resin in different cavity types. J ESTHET RESTOR DENT 2024; 36:1138-1152. [PMID: 38475965 DOI: 10.1111/jerd.13221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2024] [Revised: 03/01/2024] [Accepted: 03/04/2024] [Indexed: 03/14/2024]
Abstract
OBJECTIVE This randomized, double-blind clinical investigation assessed the performance of two high-viscosity glass-ionomer systems and a bulk-fill composite in different cavity types. MATERIALS AND METHODS In 146 participants, 360 (class I, II, and V) cavities were restored using three different materials (Equia Forte HT, Chemfill Rock, and SonicFill 2) with equal allocation. Using modified World Dental Federation criteria, restorations were assessed after 1 week, 6 months, and 18 months by an experienced examiner. Statistical analysis was conducted using Fisher's exact and Wilcoxon signed rank tests (α = 0.05). RESULTS After 18 months, 267 restorations were assessed in 116 participants. After 18 months, 5 Equia Forte HT restorations failed due to debonding and fracture. Only one loss was observed in the Chemfill Rock restorations. Equia Forte HT exhibited significantly lower retention than SonicFill 2 after 18 months (p = 0.019), irrespective of cavity type. At 1 week, 3 Class I restorations with SF showed postoperative sensitivity. The type of cavity did not affect the performance of the restorative materials used (p > 0.05). CONCLUSION Equia Forte HT and Chemfill Rock presented similar clinical performance regardless of color match. Equia Forte HT showed a lower performance compared to SonicFill 2. CLINICAL SIGNIFICANCE Glass-hybrid materials presented a lower performance in terms of color match or retention when compared to a sculptable bulk-fill composite resin.
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Affiliation(s)
- Yakup Atmaca
- Department of Restorative Dentistry, Recep Tayyip Erdogan University, Faculty of Dentistry, Rize, Turkey
| | - Muhammet Karadas
- Department of Restorative Dentistry, Recep Tayyip Erdogan University, Faculty of Dentistry, Rize, Turkey
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Contreras SM, Fernandes JB, Spinola MDS, Garcia MT, Junqueira JC, Bresciani E, Caneppele TMF. Efficacy of bioactive materials in preventing Streptococcus mutans-induced caries on enamel and dentine. Eur J Oral Sci 2023; 131:e12948. [PMID: 37583060 DOI: 10.1111/eos.12948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Accepted: 07/26/2023] [Indexed: 08/17/2023]
Abstract
The study investigated the ability of bioactive materials used to restore enamel and dentine specimens to prevent caries. Enamel (n = 50) and dentine (n = 50) specimens were obtained from bovine incisors, prepared, and randomly allocated to one of five groups according to the restorative treatment: alkasite without adhesive system; alkasite with adhesive system; high viscosity glass ionomer cement; resin composite; no restoration; negative control group. Specimens were restored, exposed to a thermal cycling aging protocol, sterilized, and exposed to a cariogenic challenge induced by Streptococcus mutans and then submitted to surface and subsurface microhardness tests and polarized light microscopy to verify the caries lesion development in enamel or dentine surrounding the restorative materials. Data were analyzed using one-way ANOVA. In enamel and dentine, glass ionomer cement, alkasite without and with adhesive system presented a lower percentage surface microhardness loss than resin composite and negative control. Enamel subsurface microhardness presented no statistically significant differences between glass ionomer cement, alkasite without and with adhesive system. Glass ionomer cement also did not present statistically significant differences from resin composite and the negative control. In dentine, glass ionomer cement showed the highest subsurface microhardness values. In conclusion, bioactive restorative materials provide greater protection to enamel and dentine against surface caries development than resin composite.
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Affiliation(s)
- Sheila Mondragón Contreras
- Department of Restorative Dentistry, São Paulo State University - UNESP, Institute of Science and Technology, São José dos Campos, Brazil
| | - Juliana Benace Fernandes
- Department of Restorative Dentistry, São Paulo State University - UNESP, Institute of Science and Technology, São José dos Campos, Brazil
| | | | - Maíra Terra Garcia
- Department of Biosciences and Oral Diagnosis, São Paulo State University - UNESP, Institute of Science and Technology, São José dos Campos, Brazil
| | - Juliana Campos Junqueira
- Department of Biosciences and Oral Diagnosis, São Paulo State University - UNESP, Institute of Science and Technology, São José dos Campos, Brazil
| | - Eduardo Bresciani
- Department of Restorative Dentistry, São Paulo State University - UNESP, Institute of Science and Technology, São José dos Campos, Brazil
| | - Taciana Marco Ferraz Caneppele
- Department of Restorative Dentistry, São Paulo State University - UNESP, Institute of Science and Technology, São José dos Campos, Brazil
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Bayazıt EÖ, Başeren M, Meral E. Clinical comparison of different glass ionomer-based restoratives and a bulk-fill resin composite in Class I cavities: A 48-month randomized split-mouth controlled trial. J Dent 2023; 131:104473. [PMID: 36863696 DOI: 10.1016/j.jdent.2023.104473] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Revised: 02/01/2023] [Accepted: 02/27/2023] [Indexed: 03/04/2023] Open
Abstract
OBJECTIVE The aim of this study is to compare the retention rates (primary outcome) of high-viscosity glass ionomer (GI), glass carbomer (GC), zirconia-reinforced GI (ZIR), and bulk-fill (BF) composite resin restorations. Secondary outcomes included anatomical form, marginal adaptation, marginal discoloration, color match, surface texture, post-operative sensitivity and secondary caries. METHODS Two calibrated operators placed 128 restorations in 30 patients with a mean age of 21 years. The restorations were evaluated by one examiner at baseline and at 6, 12, 18, 24, and 48 months using the modified US Public Health Service criteria. The data were statistically analyzed using Friedman test. Differences between restorations were analyzed using Kruskal-Wallis test. RESULTS After 48 months, 23 patients and 97 restorations (23 GI, 25 GC, 24 ZIR, and 25 BF) were evaluated. Patient recall rate was 77%. No significant difference was observed between the retention rates of the restorations (p > 0.05). GC showed significantly lower results than the other three fillings in terms of anatomical form (p < 0.05). There was no significant difference in the anatomical form and retention between GI, ZIR, and BF (p > 0.05). No significant change was observed in the postoperative sensitivity or secondary caries for any of the restorations (p > 0.05). CONCLUSIONS GC restorations showed statistically lower anatomical form values, indicating lower wear resistance than the other materials. However, no significant difference was observed in the retention rates (as primary outcome) as well as the other secondary outcomes of the four different restorative materials after 48 months. CLINICAL SIGNIFICANCE GI-based restorative materials and BF composite resin restorations in Class I cavities yielded satisfactory clinical performance after 48 months.
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Affiliation(s)
- Elif Öztürk Bayazıt
- Faculty of Dentistry, Department of Restorative Dentistry, Hacettepe University, Sıhhiye 06100, Ankara, Turkey.
| | - Meserret Başeren
- Faculty of Dentistry, Department of Restorative Dentistry, Hacettepe University, Sıhhiye 06100, Ankara, Turkey
| | - Ece Meral
- Faculty of Dentistry, Department of Restorative Dentistry, Hacettepe University, Sıhhiye 06100, Ankara, Turkey
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Nano-cellulose Reinforced Glass Ionomer Restorations: An In Vitro study. Int Dent J 2023; 73:243-250. [PMID: 36085100 PMCID: PMC10023591 DOI: 10.1016/j.identj.2022.07.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Revised: 07/29/2022] [Accepted: 07/29/2022] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE Various modifications in formulation of glass ionomer cements (GICs) have been made in order to improve the clinical performance of these restorations. The aim of this work was to evaluate the microleakage and microshear bond strength (μSBS) of bacterial cellulose nanocrystal (BCNC)-modified glass ionomer cement (GIC) restorations in primary dentition. METHODS A total number of 60 freshly extracted primary molar teeth were selected. Half of the samples were used for μSBS testing (in 2 groups, n = 15). In group 1, conventional GIC (CGIC) of Fuji IX (GC) was placed in cylindrical molds on dentinal surfaces. In group 2, CGIC of Fuji IX containing 1% wt of BCNCs was used. μSBS was evaluated using a universal testing machine. In another part of the study, microleakage of class V restorations was assessed according to the mentioned groups (n = 15). The sectioned samples were observed under stereomicroscope, and microleakage scores were recorded. SPSS version 16.0 (SPSS), independent samples t test, and Mann-Whitney U test were used for statistical analysis at a significance level of P < .05. RESULTS Results showed statistically significant differences between the μSBS of CGIC and modified GIC groups (P < .0001). The BCNC-modified GIC group recorded significantly higher bond strength values (3.51 ± 0.033 vs 1.38 ± 0.034 MPa). Also, microleakage scores of CGIC and BCNC-modified GIC restorations were not significantly different (P = .57). CONCLUSIONS Based on our findings, it was concluded that incorporating BCNCs (1% wt) into the CGIC of Fuji IX significantly increased the μSBS to the dentin structure of the primary teeth.
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Elshenawy EA, El-Ebiary MA, Kenawy ER, El-Olimy GA. Modification of glass-ionomer cement properties by quaternized chitosan-coated nanoparticles. Odontology 2023; 111:328-341. [PMID: 36070157 PMCID: PMC10020264 DOI: 10.1007/s10266-022-00738-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Accepted: 08/24/2022] [Indexed: 10/14/2022]
Abstract
Glass ionomers (GICs), because of their qualities, are in a good position to be modified to resist masticatory stresses as permanent posterior restoration and prevent recurrent caries. The purpose of the present study was to evaluate the effect of adding quaternized chitosan-coated mesoporous silica nanoparticles (HTCC@MSNs) to conventional GIC on its mechanical properties, antimicrobial activity and fluoride release and the effect of 1- and 3-month water aging on the studied properties. HTCC@MSNs was synthesized, added to commercially available conventional GIC at 1%, 3%, and 5% by weight forming three experimental groups and compared with plain GIC as a control group. Flexural strength, modulus, Vickers microhardness and wear volumes were evaluated. Antibacterial activity was tested against Streptococcus mutans and fluoride release in de-ionized water was measured. All properties were evaluated before and after one- and three-month aging (n = 10 specimens per test/per time). Two-way ANOVA was used for statistical analysis. Characterization confirmed successful preparation of HTCC@MSNs. The flexural strength, modulus, hardness and wear resistance of the GICs improved significantly by adding 1-3% HTCC@MSNs, while 5% HTCC@MSNs group showed no significant difference compared to control group. Bacterial inhibition zones and fluoride release increased proportionally to the amount of filler added. Mechanical properties were improved by artificial aging. Fluoride release values, and bacterial inhibition zones decreased with aging for all groups. HTCC@MSNs as a filler with the optimized proportion provides strengthening and antibacterial effect. In addition, aging is an important factor to be considered in evaluating experimental fillers.
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Affiliation(s)
- Enas A Elshenawy
- Dental Biomaterials Department, Faculty of Dentistry, Tanta University, Tanta, 31773, Egypt.
| | - Manal Ahmed El-Ebiary
- Dental Biomaterials Department, Faculty of Dentistry, Tanta University, Tanta, 31773, Egypt
| | - El-Refaie Kenawy
- Chemistry Department, Faculty of Science, Tanta University, Tanta, 31111, Egypt
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Adhesion to a CAD/CAM Composite: Causal Factors for a Reliable Long-Term Bond. J Funct Biomater 2022; 13:jfb13040217. [PMID: 36412858 PMCID: PMC9680384 DOI: 10.3390/jfb13040217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Revised: 11/02/2022] [Accepted: 11/02/2022] [Indexed: 11/06/2022] Open
Abstract
Computer aided design/manufacturing (CAD/CAM) technology has become an increasingly popular part of dentistry, which today also includes CAD/CAM resin-based composite (RBC) applications. Because CAD/CAM RBCs are much more difficult to bond, many methods and attachment materials are still being proposed, while the best application method is still a matter of debate. The present study therefore evaluates causal factors for a reliable long-term bond, which includes the surface preparation of the CAD/CAM RBC, aging and the type of luting material. The reliability of the bond was calculated, and supplemented by fractography to identify fracture mechanisms. Five categories of luting materials were used: (1) temporary zinc phosphate cement, (2) glass ionomer cement (GIC), (3) resin-modified GIC, (4) conventional adhesive resin cement (ARC), and (5) self-adhesive RC. Half of the CAD/CAM RBC surfaces (n = 200) were sandblasted (SB) with 50 µm aluminum oxide, while the other half remained untreated. Bond strength measurements of the 400 resulting specimens were carried out after 24 h (n = 200) or after additional aging (10,000 thermo-cycles between 5 and 55 °C) (n = 200). The data were statistically analyzed using one- and three-way ANOVA followed by Games-Howell post-hoc test (α = 0.05) and Weibull analysis. Aging resulted in a significant decrease in bond strength primarily for the conventional cements. The highest bond strengths and reliabilities were recorded for both ARCs. SB caused a significant increase in bond strength for most luting materials, but also caused microcracks in the CAD/CAM RBC. These microcracks might compromise the long-term reliability of the bond in vivo.
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Kaynar ZB, Dönmez N. Twelve-month Clinical Performance Evaluation of a Glass Carbomer Restorative System. Oper Dent 2022; 47:382-391. [PMID: 36001813 DOI: 10.2341/21-016-c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/06/2021] [Indexed: 11/23/2022]
Abstract
OBJECTIVE The aim of this in vivo study was to evaluate the clinical one-year follow-up of a silica- and flouroapatite-reinforced glass carbomer filling material as compared to a resin composite restorative material. METHODS AND MATERIALS In this study, a total of 100 restorations were performed. Caries were removed conventionally with diamond burs. Half of the restorations were restored with nanocomposite resin (TEP) (Tokuyama Estelite, Tokuyama Dental, Japan) and the other half were restored with glass carbomer (GC) material (GCP Dental, The Netherlands). Each restorative material was applied according to the manufacturer's instructions. Restorations were evaluated with modified USPHS criteria at the end of the first week, 6 months, and 12 months. Data were analyzed using Fisher's Exact Chi-Square test, Fisher Freeman Halton Test, and Continuity (Yates) Correction. The Wilcoxon sign test was used for intra-group comparisons of the parameters. RESULTS When the filling materials were compared with one another, a statistically significant difference was observed in the 12th month on the marginal discoloration. A statistically significant difference was observed between the two materials in the 6th month on the marginal adaptation (p<0.05). CONCLUSIONS In view of these results, there is a need to improve the physical properties of the GC filling material in further in vivo studies.
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Affiliation(s)
- Z B Kaynar
- *Zeynep Buket Kaynar, Faculty of Dentistry, Department of Restorative Dentistry, Istanbul Okan University, Istanbul, Turkey
| | - N Dönmez
- Nazmiye Dönmez, Faculty of Dentistry, Department of Restorative Dentistry, Bezmialem Vakif University, Istanbul, Turkey
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ÇARIKÇIOĞLU B. THE EFFECT OF COATING MATERIAL ON THE COLOR STABILITY OF GLASS-IONOMER-BASED RESTORATIVE MATERIALS: AN IN-VITRO STUDY. CUMHURIYET DENTAL JOURNAL 2022. [DOI: 10.7126/cumudj.1002001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Amin F, Rahman S, Khurshid Z, Zafar MS, Sefat F, Kumar N. Effect of Nanostructures on the Properties of Glass Ionomer Dental Restoratives/Cements: A Comprehensive Narrative Review. MATERIALS (BASEL, SWITZERLAND) 2021; 14:6260. [PMID: 34771787 PMCID: PMC8584882 DOI: 10.3390/ma14216260] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Revised: 08/14/2021] [Accepted: 10/15/2021] [Indexed: 12/16/2022]
Abstract
Overall perspective of nanotechnology and reinforcement of dental biomaterials by nanoparticles has been reported in the literature. However, the literature regarding the reinforcement of dental biomaterials after incorporating various nanostructures is sparse. The present review addresses current developments of glass ionomer cements (GICs) after incorporating various metallic, polymeric, inorganic and carbon-based nanostructures. In addition, types, applications, and implications of various nanostructures incorporated in GICs are discussed. Most of the attempts by researchers are based on the laboratory-based studies; hence, it warrants long-term clinical trials to aid the development of suitable materials for the load bearing posterior dentition. Nevertheless, a few meaningful conclusions are drawn from this substantial piece of work; they are as follows: (1) most of the nanostructures are likely to enhance the mechanical strength of GICs; (2) certain nanostructures improve the antibacterial activity of GICs against the cariogenic bacteria; (3) clinical translation of these promising outcomes are completely missing, and (4) the nanostructured modified GICs could perform better than their conventional counterparts in the load bearing posterior dentition.
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Affiliation(s)
- Faiza Amin
- Science of Dental Materials Department, Dow Dental College, Dow University of Health Sciences, Karachi 74200, Pakistan;
| | - Sehrish Rahman
- Science of Dental Materials Department, Dr. Ishrat Ul Ebad Khan Institute of Oral Health Sciences, Dow University of Health Sciences, Karachi 74200, Pakistan; (S.R.); (N.K.)
| | - Zohaib Khurshid
- Department of Prosthodontics and Dental Implantology, College of Dentistry, King Faisal University, Al-Ahsa 31982, Saudi Arabia
| | - Muhammad Sohail Zafar
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Al Madinah, Al Munawwarah 41311, Saudi Arabia;
- Department of Dental Materials, Islamic International Dental College, Riphah International University, Islamabad 44000, Pakistan
| | - Farshid Sefat
- Department of Biomedical and Electronics Engineering, School of Engineering, University of Bradford, Bradford BD7 1DP, UK;
| | - Naresh Kumar
- Science of Dental Materials Department, Dr. Ishrat Ul Ebad Khan Institute of Oral Health Sciences, Dow University of Health Sciences, Karachi 74200, Pakistan; (S.R.); (N.K.)
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Kumar A, Raj A, Singh DK, Donthagani S, Kumar M, Ramesh K. A New Zinc Reinforced Glass Ionomer Cement: A Boon in Dentistry. J Pharm Bioallied Sci 2021; 13:S272-S275. [PMID: 34447091 PMCID: PMC8375885 DOI: 10.4103/jpbs.jpbs_730_20] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Revised: 11/28/2020] [Accepted: 11/28/2020] [Indexed: 11/25/2022] Open
Abstract
Background: Conventional glass ionomer cement (CGIC) has many beneficial properties, but it has poor physical and mechanical properties. Therefore, new glass ionomer cement (GIC) is manufactured by adding zinc to improve the mechanical properties of GIC ChemFil Rock. This material possesses better flexural tensile strength and compressive strength in comparison to conventional to CGIC. Objectives: The aim of this study was to compare four properties of ZRGI like fracture toughness, surface micro-hardness, abrasive wear, and roughness to other GIC material, which are commercially available as: resin-coated glass ionomer (EQUIA FIL). Materials and Methods: The study was done in dual phase. In phase-1, micro-hardness surface roughness, abrasion of four GIC and a composite resin as control was analyzed and in phase-2, fracture toughness of four GIC was done at 24 h interval so that all cement achieve its peak strength. Results: Micro-hardness value of ChemFil Rock was lowest among different GIC groups. All four GIC group exhibit similar abrasion capacities, while composite were more wear-resistant significantly. Roughness change was highest on ChemFil Rock compared to other GIC. EQUIA FIL has the highest fracture toughness, followed by ChemFil Rock. Conclusion: We can conclude that incorporating zinc in the matrix of chemfil rock increases fracture toughness and good abrasive wear, but it does not improve micro-hardness or surface roughness.
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Affiliation(s)
- Amit Kumar
- Consultant Endodontist, Patna, Bihar, India
| | - Anil Raj
- Department of Public Health Dentistry, Sarjug Dental College and Hospital, Darbhanga, Bihar, India
| | | | | | - Manoj Kumar
- Department of Prothodontics and Implantology, Rama Dental College and Hospital, Kanpur, Uttar Pradesh, India
| | - Kumar Ramesh
- Department of Dentistry, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar, India
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Gok Baba M, Kirzioglu Z, Ceyhan D. One-year clinical evaluation of two high-viscosity glass-ionomer cements in class II restorations of primary molars. Aust Dent J 2020; 66:32-40. [PMID: 33084075 DOI: 10.1111/adj.12802] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/13/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND Little information exists on the clinical performance of restorative materials on primary teeth of preschool children. This study aimed to evaluate clinical performance of compomer, glass-hybrid-added high-viscosity glass-ionomer cement and zinc-added high-viscosity glass-ionomer cement materials in class ΙΙ restorations of primary molars. METHODS The study included 251 teeth of 57 patients aged 4-7 years with proximal caries in primary molars. The teeth were divided into three groups, and each restorative material was randomly distributed. Dyract XP, Equia Forte and ChemFil Rock materials were placed after cavity preparation and clinically evaluated at 3, 6, 9 and 12 months using modified United States Public Health Service criteria. Statistical analyses were performed using chi-square and z tests. RESULTS At the end of 12 months, a total of three restorations in Dyract XP group, 22 in Equia Forte group and 11 in ChemFil Rock group failed in retention criteria. No statistically significant difference existed between retention, colour match and surface texture criteria of all groups at 3 and 6 months, but a statistically significant difference was found at 12 months (P < 0.05). CONCLUSION For class ΙΙ restorations of primary molars, the success of compomer material was superior to high-viscosity glass-ionomer materials.
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Affiliation(s)
| | - Zuhal Kirzioglu
- Department of Paediatric Dentistry, Faculty of Dentistry, Suleyman Demirel University, Isparta, Turkey
| | - Derya Ceyhan
- Department of Paediatric Dentistry, Faculty of Dentistry, Suleyman Demirel University, Isparta, Turkey
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Patil K, Patel A, Kunte S, Shah P, Kaur B, Paranna S. Comparative Evaluation of the Mechanical Properties of Zinc-reinforced Glass Ionomer Cement and Glass Ionomer Type IX Cement: An In Vitro Study. Int J Clin Pediatr Dent 2020; 13:381-389. [PMID: 33149411 PMCID: PMC7586485 DOI: 10.5005/jp-journals-10005-1798] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Aims and objectives The aims and objectives of this study were to evaluate and compare the flexural strength and microhardness of zinc reinforced glass ionomer cement and glass ionomer type IX cement. Materials and methods The sample size of twenty each of group I (zinc-reinforced glass ionomer cement) and group II (glass ionomer type IX cement) were selected. The samples were prepared in the customized steel molds and subjected to test for flexural strength and microhardness. The flexural strength was determined by the three-point bending test. After determining the flexural strength, the fragments were used to determine Vickers Hardness by means of an automatic microhardness indenter. The flexural strength and microhardness was calculated for all samples and subjected to statistical analysis. Two sample t-test with unequal variances were used, as the data are found to be from the same material. The normality was checked by using the usual normal probability plot. For flexural strength, p value was found to be 0.007530. Hence, zinc-reinforced glass ionomer cement was superior to glass ionomer type IX cement. For microhardness the p value was found to be 0.0023. So, glass ionomer type IX cement was superior to zinc reinforced glass ionomer cement. Conclusion The zinc-reinforced glass ionomer cement showed enhanced flexural strength when compared to glass ionomer type IX cement, thus increasing the longevity whereas glass ionomer type IX cement had a better microhardness than zinc-reinforced glass ionomer cement. Hence, the mechanical properties of various materials should be considered for the long-term clinical success by selecting the appropriate material based on the clinical condition. How to cite this article Patil K, Patel A, Kunte S, et al. Comparative Evaluation of the Mechanical Properties of Zinc-reinforced Glass Ionomer Cement and Glass Ionomer Type IX Cement: An In Vitro Study. Int J Clin Pediatr Dent 2020;13(4):381–389.
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Affiliation(s)
- Krishna Patil
- Department of Pedodontics and Preventive Dentistry, Bharati Vidyapeeth (Deemed to be University), Dental College and Hospital, Sangli, Maharashtra, India
| | - Alok Patel
- Department of Pediatrics and Preventive Dentistry, Bharati Vidyapeeth (Deemed to be University), Dental College and Hospital, Pune, Maharashtra, India
| | - Sanket Kunte
- Department of Pediatrics and Preventive Dentistry, Bharati Vidyapeeth (Deemed to be University), Dental College and Hospital, Pune, Maharashtra, India
| | - Preetam Shah
- Department of Pediatrics and Preventive Dentistry, Bharati Vidyapeeth (Deemed to be University), Dental College and Hospital, Pune, Maharashtra, India
| | - Buneet Kaur
- Department of Pedodontics and Preventive Dentistry, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India
| | - Sujatha Paranna
- Department of Pedodontics and Preventive Dentistry, Bharati Vidyapeeth (Deemed to be University), Dental College and Hospital, Sangli, Maharashtra, India
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Naksagoon T, Ohsumi T, Takenaka S, Nagata R, Hasegawa T, Maeda T, Noiri Y. Effect of water aging on the anti-biofilm properties of glass ionomer cement containing fluoro-zinc-silicate fillers. BIOFOULING 2020; 36:1090-1099. [PMID: 33349036 DOI: 10.1080/08927014.2020.1856371] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 11/09/2020] [Accepted: 11/20/2020] [Indexed: 06/12/2023]
Abstract
A previous study has reported that a novel fluoro-zinc-silicate glass ionomer cement (Caredyne Restore) showed superior anti-biofilm effects by interfering with bacterial adhesion. However, the active ions may degrade with time. This study aimed to assess the valid anti-biofilm effects of Caredyne Restore after being aged by water immersion for 3 weeks. Streptococcus mutans biofilm was allowed to grow on the surface before and after water aging for 24 h using a modified Robbins device flow-cell system. The results showed water aging promoted biofilm formation. Insufficient amount of fluoride and zinc ions were released from Caredyne Restore after water aging under neutral pH condition. An acidic pH is needed to exert effective anti-biofilm properties. As the release of active ions from Caredyne Restore will gradually decrease after the restoration, the restoration may not prevent biofilm formation after 3 weeks while neutral pH is maintained by the buffering capacity of saliva.
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Affiliation(s)
- Traithawit Naksagoon
- Division of Cariology, Operative Dentistry, and Endodontics, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
- Research Centre for Advanced Oral Science, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| | - Tatsuya Ohsumi
- Division of Cariology, Operative Dentistry, and Endodontics, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| | - Shoji Takenaka
- Division of Cariology, Operative Dentistry, and Endodontics, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| | - Ryoko Nagata
- Division of Cariology, Operative Dentistry, and Endodontics, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| | - Taisuke Hasegawa
- Division of Cariology, Operative Dentistry, and Endodontics, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| | - Takeyasu Maeda
- Research Centre for Advanced Oral Science, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| | - Yuichiro Noiri
- Division of Cariology, Operative Dentistry, and Endodontics, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
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Zafar MS, Amin F, Fareed MA, Ghabbani H, Riaz S, Khurshid Z, Kumar N. Biomimetic Aspects of Restorative Dentistry Biomaterials. Biomimetics (Basel) 2020; 5:E34. [PMID: 32679703 PMCID: PMC7557867 DOI: 10.3390/biomimetics5030034] [Citation(s) in RCA: 56] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2020] [Revised: 07/08/2020] [Accepted: 07/10/2020] [Indexed: 12/15/2022] Open
Abstract
Biomimetic has emerged as a multi-disciplinary science in several biomedical subjects in recent decades, including biomaterials and dentistry. In restorative dentistry, biomimetic approaches have been applied for a range of applications, such as restoring tooth defects using bioinspired peptides to achieve remineralization, bioactive and biomimetic biomaterials, and tissue engineering for regeneration. Advancements in the modern adhesive restorative materials, understanding of biomaterial-tissue interaction at the nano and microscale further enhanced the restorative materials' properties (such as color, morphology, and strength) to mimic natural teeth. In addition, the tissue-engineering approaches resulted in regeneration of lost or damaged dental tissues mimicking their natural counterpart. The aim of the present article is to review various biomimetic approaches used to replace lost or damaged dental tissues using restorative biomaterials and tissue-engineering techniques. In addition, tooth structure, and various biomimetic properties of dental restorative materials and tissue-engineering scaffold materials, are discussed.
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Affiliation(s)
- Muhammad Sohail Zafar
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Al Madinah, Al Munawwarah 41311, Saudi Arabia;
- Department of Dental Materials, Islamic International Dental College, Riphah International University, Islamabad 44000, Pakistan
| | - Faiza Amin
- Science of Dental Materials Department, Dow Dental College, Dow University of Health Sciences, Karachi 74200, Pakistan;
| | - Muhmmad Amber Fareed
- Adult Restorative Dentistry, Dental Biomaterials and Prosthodontics Oman Dental College, Muscat 116, Sultanate of Oman;
| | - Hani Ghabbani
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Al Madinah, Al Munawwarah 41311, Saudi Arabia;
| | - Samiya Riaz
- School of Dental Sciences, Universiti Sains Malaysia Health Campus, Kubang Kerian 16150, Kelantan, Malaysia;
| | - Zohaib Khurshid
- Department of Prosthodontics and Dental Implantology, College of Dentistry, King Faisal University, Al-Ahsa 31982, Saudia Arabia;
| | - Naresh Kumar
- Department of Science of Dental Materials, Dow University of Health Sciences, Karachi 74200, Pakistan;
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Heck K, Frasheri I, Diegritz C, Manhart J, Hickel R, Fotiadou C. Six-year results of a randomized controlled clinical trial of two glass ionomer cements in class II cavities. J Dent 2020; 97:103333. [DOI: 10.1016/j.jdent.2020.103333] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2020] [Revised: 04/06/2020] [Accepted: 04/08/2020] [Indexed: 11/24/2022] Open
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Commercially Available Fluoride-Releasing Restorative Materials: A Review and a Proposal for Classification. MATERIALS 2020; 13:ma13102313. [PMID: 32443424 PMCID: PMC7287768 DOI: 10.3390/ma13102313] [Citation(s) in RCA: 71] [Impact Index Per Article: 17.8] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/04/2020] [Revised: 05/06/2020] [Accepted: 05/11/2020] [Indexed: 02/04/2023]
Abstract
Resin composite and glass ionomer cement (GIC) are the most commonly used dental materials to perform direct restorations. Both have specific characteristics that explain their popularity and their limits. More than 20 years ago, the first attempt (followed by others) to combine the advantages of these two families was performed with compomers, but it was not very successful. Recently, new formulations (also called 'smart materials') with claimed ion release properties have been proposed under different family names, but there are few studies on them and explanations of their chemistries. This comprehensive review aims to gather the compositions; the setting reactions; the mechanical, self-adhesive, and potential bulk-fill properties; and the ion release abilities of the large existing families of fluoride-releasing restorative materials and the new restorative materials to precisely describe their characteristics, their eventual bioactivities, and classify them for an improved understanding of these materials. Based on this work, the whole GIC family, including resin-modified and highly viscous formulations, was found to be bioactive. Cention N (Ivoclar Vivadent, AG, Schaan, Lietschentein) is the first commercially available bioactive resin composite.
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Flexural strength and surface microhardness of materials used for temporary dental disocclusion submitted to thermal cycling: An in vitro study. Int Orthod 2020; 18:519-527. [PMID: 32417201 DOI: 10.1016/j.ortho.2020.04.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Revised: 04/15/2020] [Accepted: 04/18/2020] [Indexed: 11/22/2022]
Abstract
OBJECTIVE The objective of this study was to evaluate the effect of temperature variation on surface microhardness and resistance to flexion of different materials used for making a temporary dental disocclusion. METHODS One hundred specimens were made of the following materials (n=20): glass ionomer cement (GIC); compomer (CP); composite resin (CR); Blue colour resin composite for temporary dental disocclusion (BTDD); ultraviolet colour resin composite for temporary dental disocclusion (UVTDD). They were stored in distilled water for 24hours and, subsequently, half of the specimens in each group were subjected to thermal cycling (n=10). All samples were subjected to the microhardness test (HMV-2000) and the flexural strength analysis (INSTRON). The data were submitted to parametric statistical analysis (ANOVA) and Tukey's complementary test with a significance level of 5%. In the mechanical tests, all materials except the GIC showed a statistically significant difference between the groups subjected to thermal cycling and not submitted, and thermal cycling (P<0.05) was responsible for the reduction of the values found, except for GIC. RESULTS In the mechanical tests, all materials except the GIC showed a statistically significant difference between the groups subjected to thermal cycling and not submitted, and thermal cycling (P<0.05) was responsible for the reduction of the values found, except for GIC. For microhardness, the highest average was found for BTDD and UVTDD (P≤0.05). As for the resistance, the flexion was found that in the groups not submitted to thermal cycling there was no statistically significant difference for all materials, except for GIC, for the groups with thermal cycling the materials BTDD and UVTDD showed a statistically significant difference from GIC, however, they did not differ statistically from the CP and CR groups. CONCLUSION BTDD and UVTDD presented higher average results of surface microhardness and, in the resistance test, the flexion of these materials behaved similarly to the CP and the CR studied. The temperature variation has an effect on the properties of these materials.
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Does Modification of Amalgomer with Propolis Alter Its Physicomechanical Properties? An In Vitro Study. Int J Biomater 2020; 2020:3180879. [PMID: 32454828 PMCID: PMC7238360 DOI: 10.1155/2020/3180879] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2019] [Revised: 03/27/2020] [Accepted: 04/15/2020] [Indexed: 12/25/2022] Open
Abstract
Objective To assess if incorporating ethanolic extract of propolis into ceramic-reinforced glass ionomer (Amalgomer CR) might have an influence on its physicomechanical properties. Materials and Methods Three groups were assessed; group I: Amalgomer CR (control) and two experimental groups (II and III) of propolis added to the liquid of Amalgomer CR with 25 and 50 v/v %, respectively. Evaluation parameters were color stability, compressive strength, microhardness, and surface roughness. Representative specimens of each group were analyzed by Fourier-transform infrared spectroscopy, energy-dispersive X-ray, X-ray diffraction, and scanning electron microscopy. Analysis of variance (ANOVA) was used to compare the results, followed by a Tukey post hoc test (p < 0.05). Results Nonsignificant color change for both groups of modified Amalgomer CR. Meanwhile, the two experimental groups exhibited a significant increase in both compressive strength and microhardness. Simultaneously, there was a significant difference in roughness values among groups with the lowest roughness values exhibited by the 50 v/v % propolis concentration. Conclusions Modification of Amalgomer CR with 50 v/v % propolis may increase its mechanical properties without compromising its esthetic. Clinical Significance. Modification of Amalgomer CR by 50 v/v % propolis is supposed to be a hopeful restorative material with favorable characteristics.
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20
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Ugurlu M. Effects of surface coating on the flexural strength of fluoridereleasing restorative materials after water aging for one year. Eur Oral Res 2020; 54:62-68. [PMID: 33474549 PMCID: PMC7787517 DOI: 10.26650/eor.20200042] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Purpose: To evaluate the effects of surface coating and one-year water storage on the flexural
strength of fluoride-releasing restorative materials. Materials and methods: Forty specimens were prepared from each material; GCP Glass Fill (GCP), Amalgomer
CR (AHL), Zirconomer (Shofu), Fuji IX GP Capsule (GC), Beautifil II (Shofu), Estelite
Σ Quick (Tokuyama) and reliaFIL LC (AHL). The specimens were randomly divided
into two groups; surface coated with G-Coat Plus (GC) and uncoated. Each group
was subdivided into two groups stored in distilled water at 37◦C for 24 h and 1
year before testing (n=10). The flexural strength was evaluated using three-point
bending test according to the ISO 4049:2009 standard using a universal testing
machine. After flexural strength test, a cross-section of the coated specimens was
evaluated with scanning electron microscopy (SEM). Results: A significant increase was observed on the flexural strength of Amalgomer CR,
Zirconomer and Fuji IX GP after 24 h when G-Coat Plus was applied (p<0.05). This
significant increase was observed on the flexural strength of only Amalgomer CR
and Zirconomer after 1 year (p<0.05). The highest flexural strength was obtained
with Beautifil II, Estelite Σ Quick and reliaFIL LC after 24 h and 1 year (p<0.05). After
1 year, there was decrease on the flexural strength of the other materials except
Beautifil II, Estelite Σ Quick and reliaFIL LC. Conclusion: The resin coating improved the flexural strength of some glass ionomer-based
materials but the water aging decreased the same physical properties.
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Affiliation(s)
- Muhittin Ugurlu
- Süleyman Demirel University, Faculty of Dentistry,Department of Restorative Dentistry, IspartaTurkey
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21
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Tjandrawinata R, Handoko M, Octarina. The effect of nanofilled resin coating on the hardness of glass ionomer cement. SCIENTIFIC DENTAL JOURNAL 2020. [DOI: 10.4103/sdj.sdj_5_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Fuhrmann D, Murchison D, Whipple S, Vandewalle K. Properties of New Glass-Ionomer Restorative Systems Marketed for Stress-Bearing Areas. Oper Dent 2020; 45:104-110. [DOI: 10.2341/18-176-l] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objectives:
The purpose of this study was to evaluate the properties (fracture toughness, surface hardness) of newer conventional glass-ionomer restorative materials that are marketed for posterior stress-bearing areas compared with more traditional glass-ionomer restorative materials marketed for non–load-bearing areas and composite-resin restorative materials.
Methods and Materials:
Notched-beam fracture toughness specimens were created in a mold with each tested material (Equia Forte, GC America, with and without a surface coating of Equia Forte Coat; Ketac Universal, 3M/ESPE; ChemFil Rock, Dentsply; Fuji IX GP Extra, GC; Ionostar Molar, VOCO; Filtek Z250, 3M/ESPE; Filtek Supreme Ultra, 3M/ESPE) and fractured using a universal testing machine after 24 hours of storage. Hardness values were determined on the surface of the fracture toughness specimens using a hardness tester. Data were analyzed with a one-way ANOVA and Tukey's post hoc test per property (alpha=0.05).
Results:
The composite-resin restorative materials had significantly greater fracture toughness than the glass-ionomer materials. There was no significant difference in fracture toughness between the glass-ionomer materials. The use of a resin coating significantly increased the surface hardness of the newer glass ionomer marketed for stress-bearing areas.
Conclusions:
Fracture toughness was not improved with the newer glass-ionomer restorative materials marketed for stress-bearing areas compared to the conventional glass-ionomer materials, however a resin coating provided greater surface hardness.
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Affiliation(s)
- D Fuhrmann
- Daniel Fuhrmann, DDS, MS, comprehensive dentist, Marine Corps Air Station, Iwakuni, Japan
| | - D Murchison
- David Murchison, DDS, MMS, adjunct professor, Texas A&M University College of Dentistry, Dallas, TX, USA
| | - S Whipple
- Sterling Whipple, DDS, director, Endodontics, Advanced Education in General Dentistry, Nellis Air Force Base, NV, USA
| | - K Vandewalle
- Kraig S Vandewalle, DDS, MS, director, Dental Research, Joint Base San Antonio - Lackland, TX, USA and Uniformed Services University, Bethesda, MD, USA
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23
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Buldur M, Sirin Karaarslan E. Microhardness of glass carbomer and high-viscous glass Ionomer cement in different thickness and thermo-light curing durations after thermocycling aging. BMC Oral Health 2019; 19:273. [PMID: 31801493 PMCID: PMC6894238 DOI: 10.1186/s12903-019-0973-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2019] [Accepted: 11/26/2019] [Indexed: 11/10/2022] Open
Abstract
Background The objective of our study was to compare the upper and lower surface microhardness and surface changes of Glass Carbomer Cement (GCP) and EQUIA Forte (EF) in different thickness after thermo-light curing durations and aging. Methods A total of 504 samples (5 mm-diameter) were prepared by using GCP-252 (GCP Dental, and Vianen, Netherlands) and EF-252 (EQUIA Forte, GC, Tokyo, Japan). Three different thickness samples (2, 4, and 6 mm) were prepared with 84 samples in each subgroup. The samples were prepared by three curing procedures (Non-exposed, 60s, 90s). Their varnishes were applied to the upper surfaces of half of each subgroup (n = 7). The upper microhardness measurements were evaluated before and after aging. To compare the effect of different thicknesses, the bottom surfaces of the samples were evaluated before aging in terms of microhardness measurements. Also, the upper surfaces were analyzed in the SEM before and after aging. Results The upper surface values of all the samples were higher than the bottom values (p < 0.05). There were no significant differences between the varnished and non-varnished samples in both materials (p > 0.05). Although this increase was not significant in some groups, temperature variations increased the surface microhardness values of both materials except for the non-exposed-varnished EF samples. The highest microhardnesses values were recorded in the non-exposed-varnished EF (125.6 ± 6.79) and unvarnished GCP (88.1 ± 7.59) samples which were thermo-light cured for 90 s before aging. The bottom hardness values were affected by thickness variations in both GCP and EF materials (p < 0.05). The sample deformations and microcracks after aging were greater than before in all the materials. Thermo-light curing in 90 s to the samples reduced the cracks in both the materials before and after aging. Conclusions Thermal aging adversely affected the microhardness of the materials, which is important for clinical success. The thermo-light curing process improved the microhardness of the GCP group without varnish application. Varnish application increased the microhardness of the EF group without applying thermo-light curing. The microhardness of the bottom surfaces decreased with increasing thickness. The thermo-light curing did not increase the bottom surface microhardness of all the samples.
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Affiliation(s)
- Mehmet Buldur
- Department of Restorative Dentistry, Faculty of Dentistry, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Emine Sirin Karaarslan
- Department of Restorative Dentistry, Faculty of Dentistry, Tokat Gaziosmanpaşa University, 60150, Tokat, Turkey.
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Emami Arjomand M, Eghlim MH, Jalalian SH, Mirzakhani M, Mahavi A. Effects of Aging on Compressive Strength of Two Resin-Reinforced Glass Ionomers: An In-Vitro Study. JOURNAL OF RESEARCH IN DENTAL AND MAXILLOFACIAL SCIENCES 2019. [DOI: 10.29252/jrdms.4.3.15] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
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Mobarak E, El-Deeb H, Daifalla L, Ghaly M, Mustafa M, Sabry D, Fatah H, Mulder J, Creugers N, Frencken J. Survival of multiple-surface ART restorations using a zinc-reinforced glass-ionomer restorative after 2 years: A randomized triple-blind clinical trial. Dent Mater 2019; 35:e185-e192. [DOI: 10.1016/j.dental.2019.05.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2018] [Revised: 02/26/2019] [Accepted: 05/07/2019] [Indexed: 10/26/2022]
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Hasegawa T, Takenaka S, Ohsumi T, Ida T, Ohshima H, Terao Y, Naksagoon T, Maeda T, Noiri Y. Effect of a novel glass ionomer cement containing fluoro-zinc-silicate fillers on biofilm formation and dentin ion incorporation. Clin Oral Investig 2019; 24:963-970. [PMID: 31273528 DOI: 10.1007/s00784-019-02991-0] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2018] [Accepted: 06/28/2019] [Indexed: 12/15/2022]
Abstract
OBJECTIVES This study is aimed at evaluating the effect of a new glass ionomer cement (GIC) containing fluoro-zinc-silicate fillers on biofilm formation and ion incorporation. MATERIALS AND METHODS Streptococcus mutans biofilms were developed on two GIC materials: Caredyne Restore (CD) and Fuji VII (FJ); and hydroxyapatite (HA) for 24 h at 37 °C using a flow cell system. The morphological structure and bacterial viability were analyzed using a confocal laser scanning microscopy. Bacterial adhesion during the initial 2 h was also assessed by viable cell counting. To study the ion incorporation, restored cavities prepared on the root surfaces of human incisors were subjected to the elemental mapping of the zinc and fluoride ions in the GIC-dentin interface using a wavelength-dispersive X-ray spectroscopy electron probe microanalyzer. RESULTS Morphological observations revealed that biofilm formation in the CD group was remarkably inhibited compared with the HA and FJ groups, exhibiting sparse, thinner biofilm clusters. The microorganisms adhering to the CD group were significantly inhibited, revealing 2.9 ± 0.4 for CD, 4.9 ± 0.2 for FJ, and 5.4 ± 0.4 log colony-forming units (CFU) for HA. The CD zinc ion incorporation depth was 72.2 ± 8.0 μm. The fluoride penetration of CD was three times deeper than that of FJ; this difference was statistically significant (p < 0.05). CONCLUSIONS Enhanced by the incorporation of zinc and fluoride ions, the new GIC inhibited biofilm formation by interfering with bacterial adhesion. CLINICAL RELEVANCE A novel GIC comprised of fluoro-zinc-silicate fillers may improve clinical outcomes, such as root caries and minimally invasive dentistry.
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Affiliation(s)
- Taisuke Hasegawa
- Division of Cariology, Operative Dentistry and Endodontics, Niigata University Graduate School of Medical and Dental Sciences, 2-5274, Gakkocho-dori, Chuo-ku, Niigata, 951-8514, Japan
| | - Shoji Takenaka
- Division of Cariology, Operative Dentistry and Endodontics, Niigata University Graduate School of Medical and Dental Sciences, 2-5274, Gakkocho-dori, Chuo-ku, Niigata, 951-8514, Japan.
| | - Tatsuya Ohsumi
- Division of Cariology, Operative Dentistry and Endodontics, Niigata University Graduate School of Medical and Dental Sciences, 2-5274, Gakkocho-dori, Chuo-ku, Niigata, 951-8514, Japan
| | - Takako Ida
- Division of Bio-Prosthodontics, Niigata University Graduate School of Medical and Dental Sciences, 2-5274, Gakkocho-dori, Chuo-ku, Niigata, 951-8514, Japan
| | - Hayato Ohshima
- Division of Anatomy and Cell Biology of Hard Tissue, Niigata University Graduate School of Medical and Dental Sciences, 2-5274, Gakkocho-dori, Chuo-ku, Niigata, 951-8514, Japan
| | - Yutaka Terao
- Division of Microbiology and Infectious Diseases, Niigata University Graduate School of Medical and Dental Sciences, 2-5274, Gakkocho-dori, Chuo-ku, Niigata, 951-8514, Japan
| | - Traithawit Naksagoon
- Division of Cariology, Operative Dentistry and Endodontics, Niigata University Graduate School of Medical and Dental Sciences, 2-5274, Gakkocho-dori, Chuo-ku, Niigata, 951-8514, Japan.,Research Centre for Advanced Oral Science, Niigata University Graduate School of Medical and Dental Sciences, 2-5274, Gakkocho-dori, Chuo-ku, Niigata, 951-8514, Japan
| | - Takeyasu Maeda
- Research Centre for Advanced Oral Science, Niigata University Graduate School of Medical and Dental Sciences, 2-5274, Gakkocho-dori, Chuo-ku, Niigata, 951-8514, Japan
| | - Yuichiro Noiri
- Division of Cariology, Operative Dentistry and Endodontics, Niigata University Graduate School of Medical and Dental Sciences, 2-5274, Gakkocho-dori, Chuo-ku, Niigata, 951-8514, Japan
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Kutuk ZB, Vural UK, Cakir FY, Miletic I, Gurgan S. Mechanical properties and water sorption of two experimental glass ionomer cements with hydroxyapatite or calcium fluorapatite formulation. Dent Mater J 2019; 38:471-479. [PMID: 31068548 DOI: 10.4012/dmj.2018-085] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
In this study the mechanical behavior and water sorption (Ws) of experimental glass-ionomer-cements (GICs) with hydroxyapatite (HA) or calcium fluorapatite (CFA) prototype formulations were examined. Specimens from two experimental and one commercially available GIC were prepared in three protocols; (1) according to the manufacturer's instructions, (2) with coating and (3) with heat application. The specimens were stored in distilled water or artificial saliva at 37°C for 7- and 30-days. Flexural strength (FS), Vickers hardness (VHN) and Ws of GICs were evaluated. Experimental GICs showed higher FS values than commercial GIC (p<0.001). Higher FS and VHN values were observed when GICs were prepared according to manufacturer's recommendation. FS was affected only by GIC-type (η2=0.027), whereas VHN was affected by GIC-type (η2=0.331), treatment-protocols (η2=0.067), storage-medium (η2=0.100) and increased storage-duration (η2=0.317). The tested parameters did not significantly influence the Ws of all tested GICs (p>0.05). The GICs with HA or CFA formulations might represent a promising approach due to their FS, VHN and Ws characteristics.
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Affiliation(s)
- Zeynep Bilge Kutuk
- Department of Restorative Dentistry, School of Dentistry, Hacettepe University
| | - Uzay Koc Vural
- Department of Restorative Dentistry, School of Dentistry, Hacettepe University
| | - Filiz Yalcin Cakir
- Department of Restorative Dentistry, School of Dentistry, Hacettepe University
| | - Ivana Miletic
- Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb
| | - Sevil Gurgan
- Department of Restorative Dentistry, School of Dentistry, Hacettepe University
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Menezes-Silva R, Cabral RN, Pascotto RC, Borges AFS, Martins CC, Navarro MFDL, Sidhu SK, Leal SC. Mechanical and optical properties of conventional restorative glass-ionomer cements - a systematic review. J Appl Oral Sci 2019; 27:e2018357. [PMID: 30810640 PMCID: PMC6382318 DOI: 10.1590/1678-7757-2018-0357] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Accepted: 09/20/2018] [Indexed: 12/05/2022] Open
Abstract
Objectives To perform a systematic review of test methodologies on conventional restorative glass-ionomer cement (GIC) materials for mechanical and optical properties to compare the results between different GICs. Material and Methods Screening of titles and abstracts, data extraction, and quality assessments of full-texts were conducted in search for in vitro studies on conventional GICs that follow the relevant specifications of ISO standards regarding the following mechanical and optical properties: compressive strength, flexural strength, color, opacity and radiopacity. Sources The Latin American and Caribbean Health Sciences (LILACS), Brazilian Bibliography of Dentistry (BBO) databases from Latin-American and Caribbean System on Health Sciences Information (BIREME) and PubMed/Medline (US National Library of Medicine - National Institutes of Health) databases were searched regardless of language. Altogether, 1146 in vitro studies were selected. Two reviewers independently selected and assessed the articles according to pre-established inclusion/exclusion criteria. Among all the properties investigated, only one study was classified as being of fair quality that tested compressive strength and was included. It was observed that many authors had not strictly followed ISO recommendations and that, for some properties (diametral tensile strength and microhardness), there are no guidelines provided. Conclusions It was not possible to compare the results for the mechanical and optical properties of conventional restorative GICs due to the lack of standardization of studies.
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Affiliation(s)
- Rafael Menezes-Silva
- Faculdade de Odontologia de Bauru, Departamento de Dentística, Endodontia e Materiais Odontológicos, Bauru, SP, Brasil
| | | | | | - Ana Flávia Sanches Borges
- Faculdade de Odontologia de Bauru, Departamento de Dentística, Endodontia e Materiais Odontológicos, Bauru, SP, Brasil
| | - Carolina Castro Martins
- Faculdade de Odontologia da Universidade Federal de Minas Gerais, Departamento de Odontopediatria e Ortodontia, Belo Horizonte, MG, Brasil
| | - Maria Fidela de Lima Navarro
- Faculdade de Odontologia de Bauru, Departamento de Dentística, Endodontia e Materiais Odontológicos, Bauru, SP, Brasil
| | - Sharanbir K Sidhu
- Queen Mary University of London, Institute of Dentistry, London, United Kingdom
| | - Soraya Coelho Leal
- Universidade de Brasília, Departamento de Odontologia, Brasília, DF, Brasil
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Cevallos González FM, Dos Santos Araújo EM, Lorenzetti Simionato MR, Kfouri Siriani L, Armas Vega ADC, Studart Medeiros I, Bona Matos A. Effects of theobromine addition on chemical and mechanical properties of a conventional glass ionomer cement. Prog Biomater 2019; 8:23-29. [PMID: 30725401 PMCID: PMC6424986 DOI: 10.1007/s40204-019-0107-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2018] [Accepted: 01/12/2019] [Indexed: 12/13/2022] Open
Abstract
In vitro effect of 1% theobromine addition on the physical and chemical properties of conventional glass ionomer (GIC) cement was investigated. Conventional GIC (GIC-C) and 1% theobromine added to GIC (GIC-THEO) specimens were compared regarding the microhardness (n = 10), sorption (n = 5), solubility (n = 5), color change (n = 10), fluoride release in saliva (n = 10) and the amount of biofilm deposition (n = 20). Compared against conventional GIC, adding 1% theobromine increased microhardness (p < 0.05), while its sorption, solubility, color and fluoride release to saliva (p > 0.05) remained unchanged. On the other hand, Streptococcus mutans biofilm amount deposited on its surface decreased statistically when theobromine was added to GIC (p < 0.05). Based on the results, it could be concluded that 1% theobromine addition to GIC can be a good strategy as it keeps some of its properties and improves microhardness and biofilm deposits strengthening its role in the preventive approach of dentistry.
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Affiliation(s)
- Fabricio Marcelo Cevallos González
- Inter Institutional PhD Program at School of Dentistry of University of São Paulo (USP), São Paulo, SP, Brazil
- School of Dentistry, Central University of Ecuador, Quito, Ecuador
| | | | | | - Luciana Kfouri Siriani
- Department of Operative Dentistry, School of Dentistry, University of São Paulo (USP), São Paulo, Brazil
| | | | - Igor Studart Medeiros
- Department of Biomaterials and Oral Biology, School of Dentistry, University of São Paulo, São Paulo, SP, Brazil
| | - Adriana Bona Matos
- Department of Operative Dentistry, School of Dentistry, University of São Paulo (USP), Av. Prof. Lineu Prestes 2227, Cidade Universitária, São Paulo, SP, CEP 05508-000, Brazil.
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Menezes-Silva R, de Oliveira BMB, Fernandes PHM, Shimohara LY, Pereira FV, Borges AFS, Buzalaf MAR, Pascotto RC, Sidhu SK, de Lima Navarro MF. Effects of the reinforced cellulose nanocrystals on glass-ionomer cements. Dent Mater 2019; 35:564-573. [PMID: 30711272 DOI: 10.1016/j.dental.2019.01.006] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2018] [Revised: 12/31/2018] [Accepted: 01/11/2019] [Indexed: 10/27/2022]
Abstract
OBJECTIVE Glass-ionomer cements (GICs) modified with cellulose nanocrystals (CNs) were characterized and evaluated for compressive strength (CS), diametral tensile strength (DTS) and fluoride release (F-). METHODS Commercially available GICs (Maxxion, Vidrion R, Vitro Molar, Ketac Molar Easy Mix and Fuji Gold Label 9) were reinforced with CNs (0.2% by weight). The microstructure of CNs and of CN-modified GICs were evaluated by transmission electron microscopy (TEM) and by scanning electron microscopy (SEM) while chemical characterization was by Fourier transform infrared spectroscopy (FTIR). Ten specimens each of the unmodified (control) and CN-modified materials (test materials) were prepared for CS and DTS testing. For the fluoride release evaluation, separate specimens (n=10) of each test and control material were made. The results obtained were submitted to the t-test (p<0.05). RESULTS The CN reinforcement significantly improved the mechanical properties and significantly increased the F- release of all GICs (p<0.05). The GICs with CNs showed a fibrillar aggregate of nanoparticles interspersed in the matrix. The compounds with CNs showed a higher amount of C compared to the controls due to the organic nature of the CNs. It was not possible to identify by FTIR any chemical bond difference in the compounds formed when nanofibers were inserted in the GICs. SIGNIFICANCE Modification of GICs with CNs appears to produce promising restorative materials.
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Affiliation(s)
- Rafael Menezes-Silva
- Department of Dental Materials, Endodontics and Operative Dentistry, Bauru School of Dentistry-FOB-USP, Al. Octávio Pinheiro Brisolla, 9-75, 17012-901, Bauru, SP, Brazil.
| | | | - Paulo Henrique Martins Fernandes
- Department of Dental Materials, Endodontics and Operative Dentistry, Bauru School of Dentistry-FOB-USP, Al. Octávio Pinheiro Brisolla, 9-75, 17012-901, Bauru, SP, Brazil
| | - Lívia Yukari Shimohara
- Department of Dental Materials, Endodontics and Operative Dentistry, Bauru School of Dentistry-FOB-USP, Al. Octávio Pinheiro Brisolla, 9-75, 17012-901, Bauru, SP, Brazil
| | - Fabiano Vargas Pereira
- Department of Chemistry, Federal University of Minas Gerais, Av. Antônio Carlos, 6627, 31270-901, Belo Horizonte, MG, Brazil
| | - Ana Flávia Sanches Borges
- Department of Dental Materials, Endodontics and Operative Dentistry, Bauru School of Dentistry-FOB-USP, Al. Octávio Pinheiro Brisolla, 9-75, 17012-901, Bauru, SP, Brazil
| | - Marília Afonso Rabelo Buzalaf
- Department of Biological Sciences, Bauru School of Dentistry-FOB-USP, Al. Octávio Pinheiro Brisolla, 9-75, 17012-901, Bauru, SP, Brazil
| | - Renata Corrêa Pascotto
- Department of Dentistry, State University of Maringa, Av. Mandacaru, 1550, 87080-000, Maringá, PR, Brazil
| | - Sharanbir K Sidhu
- Institute of Dentistry, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, Turner Street, London, E1 2AD, UK
| | - Maria Fidela de Lima Navarro
- Department of Dental Materials, Endodontics and Operative Dentistry, Bauru School of Dentistry-FOB-USP, Al. Octávio Pinheiro Brisolla, 9-75, 17012-901, Bauru, SP, Brazil
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Ilie N. Maturation of restorative glass ionomers with simplified application procedure. J Dent 2018; 79:46-52. [DOI: 10.1016/j.jdent.2018.09.008] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2018] [Revised: 08/23/2018] [Accepted: 09/24/2018] [Indexed: 11/30/2022] Open
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El-Deeb HA, Mobarak EH. Microshear Bond Strength of High-viscosity Glass-ionomer to Normal and Caries-affected Dentin Under Simulated Intrapulpal Pressure. Oper Dent 2018; 43:665-673. [DOI: 10.2341/17-154-l] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objectives:
The use of high-viscosity glass-ionomer cements (HVGICs) for atraumatic restorative treatment (ART) restorations is widely practiced with the advent of various HVGICs. However, the bonding of the latter to caries-affected dentin (CAD) should be validated, especially because it is the common substrate left after conservative caries removal following the ART approach. Hence, this study was carried out to evaluate the microshear bond strength (μSBS) of three HVGICs to normal dentin (ND) and CAD under intrapulpal pressure (IPP) simulation.
Methods and Materials:
The occlusal enamel of 90 molars with mid-coronal caries was cut to expose flat dentin surfaces containing both ND and CAD. Dentin substrates (ND and CAD) were differentiated using visual, tactile, caries-detecting dye, and dye-permeability methods. Prepared crown segments were equally divided (n=30) according to the tested HVGICs into GC Fuji IX GP Fast, Fuji IX GP containing chlorhexidine, and zinc-reinforced ChemFil Rock HVGIC. Microcylinders of tested HVGICs were built up on both dentin substrates (n=30 for each tested HVGIC per each substrate) using starch tubes while the specimens were subjected to simulated IPP of 15 mm Hg. The μSBS test was conducted using a universal testing machine, and failure modes were determined using a scanning electron microscope. Data were statistically analyzed using two-way analysis of variance (ANOVA) with repeated measures, one-way ANOVA, and Bonferroni post hoc tests (α=0.05).
Results:
For both dentin substrates (ND and CAD), the μSBS values of ChemFil Rock were significantly higher than those recorded for the other HVGICs. The μSBS values of each tested HVGIC to ND and CAD were not statistically different. Failure modes were mainly mixed.
Conclusions:
Zinc-reinforced HVGIC ChemFil Rock showed superior bonding to ND and CAD compared to the GC Fuji IX GP Fast and Fuji IX with chlorhexidine. However, each of the tested HVGICs showed comparable bonding to both dentin substrates (ND and CAD).
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Affiliation(s)
- HA El-Deeb
- Heba Ahmed El-Deeb, associate professor, BDS, MDS, DDSc, Conservative Dentistry Department, Faculty of Dentistry, Cairo University, Cairo, Egypt
| | - EH Mobarak
- Enas Hussein Mobarak, professor, BDS, MDS, DDSc, Conservative Dentistry Department, Faculty of Dentistry, Cairo University, Cairo, Egypt
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Physical property investigation of contemporary glass ionomer and resin-modified glass ionomer restorative materials. Clin Oral Investig 2018; 23:1295-1308. [PMID: 29998443 DOI: 10.1007/s00784-018-2554-3] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2017] [Accepted: 07/02/2018] [Indexed: 10/28/2022]
Abstract
OBJECTIVES The objective of this study was to investigate selected physical properties of nine contemporary and recently marketed glass ionomer cement (GIC) and four resin-modified glass ionomer cement (RMGI) dental restorative materials. MATERIALS AND METHODS Specimens (n = 12) were fabricated for fracture toughness and flexure strength using standardized, stainless steel molds. Testing was completed on a universal testing machine until failure. Knoop hardness was obtained using failed fracture toughness specimens on a microhardness tester, while both flexural modulus and flexural toughness was obtained by analysis of the flexure strength results data. Testing was completed at 1 h, 24 h, 1 week, and then at 1, 3, 6, and 12 months. Mean data was analyzed with Kruskal-Wallis and Mann-Whitney (p = 0.05). RESULTS Physical properties results were material dependent. Physical properties of the GIC and RMGI products were inferior at 1 h compared to that at 24 h. Some improvement in selected physical properties were noted over time, but development processes were basically concluded by 24 h. A few materials demonstrated improved physical properties over the course of the evaluation. CONCLUSIONS Under the conditions of this study: 1. GIC and RMGI physical property performance over time was material dependent; 2. Polyalkenoate maturation processes are essentially complete by 24 h; 3. Although differences in GIC physical properties were noted, the small magnitude of the divergences may render such to be unlikely of clinical significance; 4. Modest increases in some GIC physical properties were noted especially flexural modulus and hardness, which lends support to reports of a maturing hydrogel matrix; 5. Overall, GIC product physical properties were more stable than RMGI; 6. A similar modulus reduction at 6 months for both RMGI and GIC produced may suggest a polyalkenoate matrix change; and 7. Globally, RMGI products demonstrated higher values of flexure strength, flexural toughness, and fracture toughness than GIC materials. CLINICAL RELEVANCE As compared to RMGI materials, conventional glass ionomer restorative materials demonstrate more stability in physical properties.
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Panahandeh N, Torabzadeh H, Aghaee M, Hasani E, Safa S. Effect of incorporation of zinc oxide nanoparticles on mechanical properties of conventional glass ionomer cements. J Conserv Dent 2018; 21:130-135. [PMID: 29674812 PMCID: PMC5890400 DOI: 10.4103/jcd.jcd_170_17] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Aim: The aim of this study is to investigate the physical properties of conventional and resin-modified glass ionomer cements (GICs) compared to GICs supplemented with zinc oxide (ZnO) nanofiller particles at 5% (w/w). Methods: In this in vitro study, ZnO nanoparticles of different morphologies (nanospherical, nanorod, and nanoflower) were incorporated to glass ionomer powder. The samples were subjected to the flexural strength (n = 20) and surface hardness test (n = 12) using a universal testing machine and a Vickers hardness machine, respectively. Surface analysis and crystal structure of samples were performed with scanning electron microscope and X-radiation diffraction, respectively. The data were analyzed using one-way ANOVA, Shapiro–Wilk, and Tukey's tests (P < 0.05). Results: Flexural strength of glass ionomer containing nanoparticles was not significantly different from the control group (P > 0.05). The surface hardness of the glass ionomer containing nanospherical or nanoflower ZnO was significantly lower than the control group (P < 0.05). However, the surface hardness of glass ionomer containing nanorod ZnO was not significantly different from the control group (P = 0.868). Conclusions: Incorporation of nanospherical and nanoflower ZnO to glass ionomer decreased their surface hardness, without any changes on their flexural strength. Incorporation of nanorod ZnO particles caused no effect on the mechanical properties.
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Affiliation(s)
- Narges Panahandeh
- Dental Research Center, Dental School, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hassan Torabzadeh
- Preventive Dentistry Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohammadamin Aghaee
- Dental Research Center, Dental School, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Elham Hasani
- Dental Research Center, Dental School, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Saeed Safa
- Malek-Ashtar University of Technology, Tehran, Iran
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Kharma K, Zogheib T, Bhandi S, Mehanna C. Clinical Evaluation of Microhybrid Composite and Glass lonomer Restorative Material in Permanent Teeth. J Contemp Dent Pract 2018; 19:226-232. [PMID: 29422475 DOI: 10.5005/jp-journals-10024-2241] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
AIM The aim of this study was to clinically compare glass ionomer cement (GIC) with microhybrid composite resin used in class I cavities on permanent teeth over a period of 9 months. MATERIALS AND METHODS A total of 40 teeth with class I cavities were divided into two groups (n = 20) and restored with GIC (EQUIA; GC) and microhybrid resin composite (Amelogen Plus; Ultradent). Restorations were evaluated at ×4.5 magnification using the United States Public Health Service (USPHS) criteria every 3 months. Statistical analysis was performed using the Fisher's exact test (a < 0.05). RESULTS The data obtained reported no statistical significance difference between both groups in regard to anatomical shape, color, postoperative sensitivity, secondary caries, material handling, adaptation, and marginal staining. CONCLUSION The results of this clinical study showed that GIC (EQUIA; GC) can be used for the restoration of permanent teeth and may be more appropriate for certain clinical situations than the resin composite material. CLINICAL SIGNIFICANCE EQUIA (GIC) is a viable alternative to resin composite in restoring class I cavities in permanent teeth.
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Affiliation(s)
- Khalil Kharma
- Department of Restorative Dentistry, Faculty of Dental Medicine, Saint Joseph University, Beirut, Lebanon, Phone: +9613242190, e-mail:
| | - Tatiana Zogheib
- Department of Imaging and Pathology, Faculty of Medicine University of Leuven, Leuven, Belgium
| | - Shilpa Bhandi
- Department of Restorative Dentistry, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
| | - Carina Mehanna
- Department of Restorative Dentistry, Faculty of Dental Medicine, Saint Joseph University, Beirut, Lebanon
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Faridi MA, Khabeer A, Haroon S. Flexural Strength of Glass Carbomer Cement and Conventional Glass Ionomer Cement Stored in Different Storage Media over Time. Med Princ Pract 2018; 27:372-377. [PMID: 29723852 PMCID: PMC6167643 DOI: 10.1159/000489781] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/24/2017] [Accepted: 05/03/2018] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES Glass ionomer cement (GIC) is routinely placed as a restorative material in dentistry. However, due to its poor physical properties, its use is limited to cases where the level of stress on restoration is minimal. Improved formulations of GIC have been developed to overcome these drawbacks. The purpose of this study was to evaluate flexural strength of a conventional GIC (Fuji IX) against a newly developed glass carbomer cement (GCP). MATERIALS AND METHODS For Fuji IX and GCP, a total of 80 blocks were prepared and divided into 16 groups (n = 5). These groups were further categorized according to the storage medium (artificial saliva and Vaseline) and time intervals (24 h and 1, 2, and 4 weeks). A 3-point bending test was carried out, and statistical analysis was done using ANOVA and Tukey post hoc tests. RESULTS Fuji IX showed a mean flexural strength of 25.14 ± 13.02 versus 24.27 ± 12.57 MPa for GCP. There was no significant statistical difference between both materials when compared under storage media. Both materials showed the highest value for flexural strength at 2 weeks of storage and lowest at 4 weeks. CONCLUSION The storage media do not affect the flexural strength of the specimens with reference to time. Time is the unique factor with relative influence on mean resistance to fracture. Further testing is required to evaluate the true potential of the newly developed GCP.
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Affiliation(s)
- Muhammad Ali Faridi
- Department of Prosthodontics, Islamabad Medical and Dental College, Islamabad, Pakistan
| | - Abdul Khabeer
- Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
- *Abdul Khabeer, College of Dentistry, Imam Abdulrahman Bin Faisal University, Room 3038, Dammam 31441 (Saudi Arabia), E-Mail
| | - Saad Haroon
- Department of Restorative Dentistry, Lolwa Al-Mohannadi Medical Center, Al Khor, Qatar
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Cavity Adaptation of Water-Based Restoratives Placed as Liners under a Resin Composite. Int J Dent 2017; 2017:5957107. [PMID: 28465685 PMCID: PMC5390628 DOI: 10.1155/2017/5957107] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2017] [Accepted: 03/15/2017] [Indexed: 12/27/2022] Open
Abstract
Purpose. To investigate the cavity adaptation of mineral trioxide (ProRoot MTA/MT), tricalcium silicate (Biodentine/BD), and glass ionomer (Equia Fil/EF) cements used as liners and the interfacial integrity between those liners and a composite resin placed as the main restorative material. Materials and Methods. Standardized class I cavities (n: 8 per group) were prepared in upper premolars. Cavities were lined with a 1 mm thick layer of each of the tested materials and restored with Optibond FL adhesive and Herculite Precis composite resin. Cavity adaptation of the restorations was investigated by computerized X-ray microtomography. The regions of interest (ROI) were set at the cavity-liner (CL) interface and the liner-resin (LR) interface. The percentage void volume fraction (%VVF) in the ROI was calculated. The specimens were then sectioned and the interfaces were evaluated by reflection optical microscopy, to measure the % length (%LD) of the interfacial gaps. Selected samples were further evaluated by scanning electron microscopy. Statistical analysis was performed by two-way ANOVA and Student-Newman-Keuls multiple comparison test (a = 0.05). Results. MT showed significantly higher %VVF and %LD values in CL interfaces than BD and EF (p < 0.05). No significant differences were found among the materials for the same values at the LR interfaces. Conclusions. When used as a composite liner, ProRoot MTA showed inferior cavity adaptation at dentin/liner interface when compared to Biodentine and Equia Fil.
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Faraji F, Heshmat H, Banava S. Effect of protective coating on microhardness of a new glass ionomer cement: Nanofilled coating versus unfilled resin. J Conserv Dent 2017; 20:260-263. [PMID: 29259364 PMCID: PMC5721509 DOI: 10.4103/jcd.jcd_83_16] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Background and Objectives: EQUIATM is a new gastrointestinal (GI) system with high compressive strength, surface microhardness (MH), and fluoride release potential. This in vitro study aimed to assess the effect of aging and type of protective coating on the MH of EQUIATM GI cement. Materials and Methods: A total of 30 disc-shaped specimens measuring 9 mm in diameter and 2 mm in thickness were fabricated of EQUIATM GI and divided into three groups of G-Coat nanofilled coating (a), no coating (b) and margin bond (c). The Vickers MH value of specimens was measured before (baseline) and at 3 and 6 months after water storage. Data were analyzed using repeated measures ANOVA. Results: Group B had significantly higher MH than the other two groups at baseline. Both G-Coat and margin bond increased the surface MH of GI at 3 and 6 months. The MH values of G-Coat and margin bond groups did not significantly increase or decrease between 3 and 6 months. Conclusion: The increase in MH was greater in the G-Coat compared to the margin bond group in the long-term. Clinically, margin bond may be a suitable alternative when G-Coat is not available.
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Affiliation(s)
- Foad Faraji
- Department of Restorative, School of Dentistry, Islamic Azad University, Tehran, Iran
| | - Haleh Heshmat
- Department of Restorative, School of Dentistry, Islamic Azad University, Tehran, Iran
| | - Sepideh Banava
- Department of Restorative, School of Dentistry, Islamic Azad University, Tehran, Iran
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Clinical performance of a glass ionomer restorative system: a 6-year evaluation. Clin Oral Investig 2016; 21:2335-2343. [DOI: 10.1007/s00784-016-2028-4] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2015] [Accepted: 12/06/2016] [Indexed: 11/26/2022]
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Najeeb S, Khurshid Z, Zafar MS, Khan AS, Zohaib S, Martí JMN, Sauro S, Matinlinna JP, Rehman IU. Modifications in Glass Ionomer Cements: Nano-Sized Fillers and Bioactive Nanoceramics. Int J Mol Sci 2016; 17:ijms17071134. [PMID: 27428956 PMCID: PMC4964507 DOI: 10.3390/ijms17071134] [Citation(s) in RCA: 78] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2016] [Revised: 06/27/2016] [Accepted: 07/09/2016] [Indexed: 01/26/2023] Open
Abstract
Glass ionomer cements (GICs) are being used for a wide range of applications in dentistry. In order to overcome the poor mechanical properties of glass ionomers, several modifications have been introduced to the conventional GICs. Nanotechnology involves the use of systems, modifications or materials the size of which is in the range of 1–100 nm. Nano-modification of conventional GICs and resin modified GICs (RMGICs) can be achieved by incorporation of nano-sized fillers to RMGICs, reducing the size of the glass particles, and introducing nano-sized bioceramics to the glass powder. Studies suggest that the commercially available nano-filled RMGIC does not hold any significant advantage over conventional RMGICs as far as the mechanical and bonding properties are concerned. Conversely, incorporation of nano-sized apatite crystals not only increases the mechanical properties of conventional GICs, but also can enhance fluoride release and bioactivity. By increasing the crystallinity of the set matrix, apatites can make the set cement chemically more stable, insoluble, and improve the bond strength with tooth structure. Increased fluoride release can also reduce and arrest secondary caries. However, due to a lack of long-term clinical studies, the use of nano-modified glass ionomers is still limited in daily clinical dentistry. In addition to the in vitro and in vivo studies, more randomized clinical trials are required to justify the use of these promising materials. The aim of this paper is to review the modification performed in GIC-based materials to improve their physicochemical properties.
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Affiliation(s)
- Shariq Najeeb
- Department of Restorative Dental Sciences, Al-Farabi Colleges, P.O Box 361724, Riyadh 11313, Saudi Arabia.
| | - Zohaib Khurshid
- Department of Dental Biomaterials, College of Dentistry, King Faisal University, P.O. Box 400, Al-Hofuf 31982, Saudi Arabia.
| | - Muhammad Sohail Zafar
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Madina Munawwarrah 41311, Saudi Arabia.
| | - Abdul Samad Khan
- Interdisciplinary Research Centre in Biomedical Materials, COMSATS Institute of Information Technology, Defence Road, off Raiwind Road, Lahore 54000, Pakistan.
| | - Sana Zohaib
- Department of Biomedical Engineering, College of Engineering, King Faisal University, Al-Hofuf 31982, Saudia Arabia.
| | - Juan Manuel Nuñez Martí
- Preventive and Minimally Invasive Dentistry (Spanish Course), Departamento de Odontología, Facultad de Ciencias de la Salud, Universidad CEU-Cardenal Herrera, Valencia 46115, Spain.
| | - Salvatore Sauro
- Dental Biomaterials, Preventive and Minimally Invasive Dentistry (Bilingual course), Departamento de Odontología, Facultad de Ciencias de la Salud, Universidad CEU-Cardenal Herrera, Valencia 46115, Spain.
| | - Jukka Pekka Matinlinna
- The University of Hong Kong, Faculty of Dentistry, Dental Materials Science, Hong Kong, China.
| | - Ihtesham Ur Rehman
- Department of Materials Science and Engineering, The Kroto Research Institute, The University of Sheffield, North Campus, Broad Lane, Sheffield S3 7HQ, UK.
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The effect of resin coating on the shear punch strength of restorative glass ionomer cements. Clin Oral Investig 2016; 21:1079-1086. [DOI: 10.1007/s00784-016-1862-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2016] [Accepted: 05/23/2016] [Indexed: 10/21/2022]
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Bagheri R, Palamara J, Mese A, Manton DJ. Effect of a self-adhesive coating on the load-bearing capacity of tooth-coloured restorative materials. Aust Dent J 2016; 62:71-78. [PMID: 27224424 DOI: 10.1111/adj.12432] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/22/2016] [Indexed: 11/30/2022]
Abstract
BACKGROUND The aim of this study was to compare the flexural strength and Vickers hardness of tooth-coloured restorative materials with and without applying a self-adhesive coating for up to 6 months. METHODS Specimens were prepared from three resin composites (RC), two resin-modified glass-ionomer cements (RM-GIC) and two conventional glass-ionomer cements (CGIC). All materials were tested both with and without applying G-Coat Plus (GCP). Specimens were conditioned in 37 °C distilled deionized water for 24 h, and 1, 3 and 6 months. The specimens were strength tested using a four-point bend test jig in a universal testing machine. The broken specimen's halves were used for Vickers hardness testing. Representative specimens were examined under an environmental scanning electron microscope. RESULTS Data analysis showed that regardless of time and materials, generally the surface coating was associated with a significant increase in the flexural strength of the materials. Applying the GCP decreased the hardness of almost all materials significantly (P < 0.05) and effect of time intervals on hardness was material dependent. CONCLUSIONS The load-bearing capacity of the restorative materials was affected by applying self-adhesive coating and ageing. The CGIC had significantly higher hardness but lower flexural strength than the RM-GIC and RC.
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Affiliation(s)
- R Bagheri
- Department of Dental Materials and Biomaterials Research Centre, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.,Restorative Section, Melbourne Dental School, The University of Melbourne, Melbourne, Victoria, Australia
| | - Jea Palamara
- Restorative Section, Melbourne Dental School, The University of Melbourne, Melbourne, Victoria, Australia
| | - A Mese
- Department of Prosthodontics, School of Dentistry, Dicle University, Diyarbakir, Turkey
| | - D J Manton
- Restorative Section, Melbourne Dental School, The University of Melbourne, Melbourne, Victoria, Australia
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Evaluation of cavity wall adaptation of bulk esthetic materials to restore class II cavities in primary molars. Clin Oral Investig 2016; 21:1063-1070. [PMID: 27165307 DOI: 10.1007/s00784-016-1848-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2015] [Accepted: 05/04/2016] [Indexed: 10/21/2022]
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Vaid DS, Shah NC, Bilgi PS. One year comparative clinical evaluation of EQUIA with resin-modified glass ionomer and a nanohybrid composite in noncarious cervical lesions. J Conserv Dent 2016; 18:449-52. [PMID: 26752837 PMCID: PMC4693316 DOI: 10.4103/0972-0707.168805] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
Aims: Comparative evaluation of EQUIA with a resin-modified glass ionomer cement (RMGIC; GC Gold Label glass ionomer light cured universal restorative cement) and a nanohybrid composite (Tetric N-Ceram) in noncarious cervical lesions (NCCLs). Background: To establish the most suitable material for the restoration of NCCLs. Settings and Design: In vivo study. Materials and Methods: Eighty-seven NCCLs were randomly restored with EQUIA, a RMGIC, and a nanohybrid composite. Clinical evaluation of the restorations was done following the Unites States Public Health criteria by a single-blinded investigator. Data were formulated, and statistical analysis was done by Chi-square test. Statistical Analysis Used: Chi-square test. Results: No significant difference was found between EQUIA, RMGIC, and nanohybrid composite at 1-month, at 6 months, and at 1-year (P > 0.05). Conclusions: EQUIA, resin-modified glass ionomer, and nanohybrid composite performed equally at 1-month, 6 months, and 1-year follow-up periods.
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Affiliation(s)
- Deepa Sunil Vaid
- Department of Conservative Dentistry and Endodontics, K.M. Shah Dental College, Sumandeep Vidyapeeth University, Vadodara, Gujarat, India
| | - Nimisha Chinmay Shah
- Department of Conservative Dentistry and Endodontics, K.M. Shah Dental College, Sumandeep Vidyapeeth University, Vadodara, Gujarat, India
| | - Priyanka Shripad Bilgi
- Department of Conservative Dentistry and Endodontics, K.M. Shah Dental College, Sumandeep Vidyapeeth University, Vadodara, Gujarat, India
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45
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Effect of ultrasound application during setting on the mechanical properties of high viscous glass-ionomers used for ART restorations. J Adv Res 2015; 6:805-10. [PMID: 26644916 PMCID: PMC4642176 DOI: 10.1016/j.jare.2014.06.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2014] [Revised: 06/03/2014] [Accepted: 06/03/2014] [Indexed: 11/21/2022] Open
Abstract
This study was conducted to evaluate the effect of ultrasound application on the surface microhardness (VHN) and diametral tensile strength (DTS) of three high viscous glass-ionomer restorative materials (HVGIRMs). For each test (VHN and DTS), a total of 180 specimens were prepared from three HVGIRMs (Ketac-Molar Aplicap, Fuji IX GP Fast, and ChemFil Rock). Specimens of each material (n = 60) were further subdivided into three subgroups (n = 20) according to the setting modality whether ultrasound (20 or 40 s) was applied during setting or not (control). Specimens within each subgroup were then equally divided (n = 10) and tested at 24 h or 28 days. For the VHN measurement, five indentations, with a 200 g load and a dwell time for 20 s, were made on the top surface of each specimen. The DTS test was done using Lloyd Testing machine at a cross-head speed of 0.5 mm/min. Ultrasound application had no significant effect on the VHN. Fuji IX GP Fast revealed the highest VHN value, followed by Ketac-Molar Aplicap, and the least was recorded for ChemFil Rock. Fuji IX GP Fast and Ketac-Molar Aplicap VHN values were significantly increased by time. ChemFil Rock recorded the highest DTS value at 24 h and was the only material that showed significant improvement with both US application times. However, this improvement did not sustain till 28 days. The ultrasound did not enhance the surface microhardness, but its positive effect on the diametral tensile strength values was material and time dependent.
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Rodrigues DS, Buciumeanu M, Martinelli AE, Nascimento RM, Henriques B, Silva FS, Souza JCM. Mechanical Strength and Wear of Dental Glass-Ionomer and Resin Composites Affected by Porosity and Chemical Composition. ACTA ACUST UNITED AC 2015. [DOI: 10.1007/s40735-015-0025-9] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Green D, Mackenzie L, Banerjee A. Minimally invasive long-term management of direct restorations: the ‘5 rs’. ACTA ACUST UNITED AC 2015; 42:413-6, 419-21, 423-6. [DOI: 10.12968/denu.2015.42.5.413] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- David Green
- StR in Restorative Dentistry, Birmingham Dental Hospital, London, UK
| | - Louis Mackenzie
- General Dental Practitioner and Clinical Lecturer, College of Dental and Medical Sciences, School of Dentistry, University of Birmingham, London, UK
| | - Avijit Banerjee
- Professor of Cariology and Operative Dentistry; Hon Consultant/Clinical Lead, Restorative Dentistry, KCL Dental Institute at Guy's Hospital, King's Health Partners, London, UK
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48
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How mobile are protons in the structure of dental glass ionomer cements? Sci Rep 2015; 5:8972. [PMID: 25754555 PMCID: PMC4354011 DOI: 10.1038/srep08972] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2014] [Accepted: 02/12/2015] [Indexed: 01/25/2023] Open
Abstract
The development of dental materials with improved properties and increased longevity can save costs and minimize discomfort for patients. Due to their good biocompatibility, glass ionomer cements are an interesting restorative option. However, these cements have limited mechanical strength to survive in the challenging oral environment. Therefore, a better understanding of the structure and hydration process of these cements can bring the necessary understanding to further developments. Neutrons and X-rays have been used to investigate the highly complex pore structure, as well as to assess the hydrogen mobility within these cements. Our findings suggest that the lower mechanical strength in glass ionomer cements results not only from the presence of pores, but also from the increased hydrogen mobility within the material. The relationship between microstructure, hydrogen mobility and strength brings insights into the material's durability, also demonstrating the need and opening the possibility for further research in these dental cements.
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Shiozawa M, Takahashi H, Iwasaki N, Wada T, Uo M. Effect of immersion time of restorative glass ionomer cements and immersion duration in calcium chloride solution on surface hardness. Dent Mater 2014; 30:e377-83. [PMID: 25193782 DOI: 10.1016/j.dental.2014.08.366] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2013] [Revised: 03/25/2014] [Accepted: 08/08/2014] [Indexed: 11/26/2022]
Abstract
OBJECTIVES The objective of this study was to evaluate the effect of immersion time of restorative glass ionomer cements (GICs) and immersion duration in calcium chloride (CaCl2) solution on the surface hardness. METHODS Two high-viscosity GICs, Fuji IX GP and GlasIonomer FX-II, were selected. Forty-eight specimens were randomly divided into two groups. Sixty minutes after being mixed, half of them were immersed in a 42.7wt% CaCl2 solution for 10, 30, or 60min (Group 1); the remaining specimens were immersed after an additional 1-week of storage (Group 2). The surface hardness of the specimens was measured and analyzed with two-way ANOVA and the Tukey HSD test (α=0.05). The surface compositions were examined using energy-dispersive X-ray spectroscopy and X-ray photoelectron spectroscopy. RESULTS The surface hardness of Group 1 significantly increased as the immersion duration in CaCl2 increased; that of Group 2 significantly increased only after 60-minute CaCl2 immersion. After CaCl2 immersion, the amounts of Ca increased as the immersion duration increased. The surface hardness after CaCl2 immersion significantly correlated with the amount of Ca in Group 1, but not in Group 2. The binding energy of the Ca2p peak was similar to that of calcium polyalkenoate. These findings indicated that the Ca ions from the CaCl2 solution created chemical bonds with the carboxylic acid groups in the cement matrix. SIGNIFICANCE Immersion of GICs in CaCl2 solution at the early stage of setting was considered to enhance the formation of the polyacid salt matrix; as a result, the surface hardness increased.
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Affiliation(s)
- Maho Shiozawa
- Removable Partial Prosthodontics, Department of Masticatory Function Rehabilitation, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan
| | - Hidekazu Takahashi
- Oral Biomaterials Engineering, Course of Oral Health Engineering, School of Oral Health Care Sciences, Faculty of Dentistry, Tokyo Medical and Dental University, Tokyo, Japan.
| | - Naohiko Iwasaki
- Oral Biomaterials Engineering, Course of Oral Health Engineering, School of Oral Health Care Sciences, Faculty of Dentistry, Tokyo Medical and Dental University, Tokyo, Japan
| | - Takahiro Wada
- Advanced Biomaterials, Department of Restorative Sciences, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan
| | - Motohiro Uo
- Advanced Biomaterials, Department of Restorative Sciences, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan
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Antibacterial properties of metal and metalloid ions in chronic periodontitis and peri-implantitis therapy. Acta Biomater 2014; 10:3795-810. [PMID: 24704700 DOI: 10.1016/j.actbio.2014.03.028] [Citation(s) in RCA: 59] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2013] [Revised: 03/07/2014] [Accepted: 03/26/2014] [Indexed: 12/21/2022]
Abstract
Periodontal diseases like periodontitis and peri-implantitis have been linked with Gram-negative anaerobes. The incorporation of various chemotherapeutic agents, including metal ions, into several materials and devices has been extensively studied against periodontal bacteria, and materials doped with metal ions have been proposed for the treatment of periodontal and peri-implant diseases. The aim of this review is to discuss the effectiveness of materials doped with metal and metalloid ions already used in the treatment of periodontal diseases, as well as the potential use of alternative materials that are currently available for other applications but have been proved to be cytotoxic to the specific periodontal pathogens. The sources of this review included English articles using Google Scholar™, ScienceDirect, Scopus and PubMed. Search terms included the combinations of the descriptors "disease", "ionic species" and "bacterium". Articles that discuss the biocidal properties of materials doped with metal and metalloid ions against the specific periodontal bacteria were included. The articles were independently extracted by two authors using predefined data fields. The evaluation of resources was based on the quality of the content and the relevance to the topic, which was evaluated by the ionic species and the bacteria used in the study, while the final application was not considered as relevant. The present review summarizes the extensive previous and current research efforts concerning the use of metal ions in periodontal diseases therapy, while it points out the challenges and opportunities lying ahead.
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