1
|
Trinca RB, Vela BF, Dos Santos Vilela H, Braga RR. Ion release mechanisms in composites containing CaP particles and hydrophilic monomers. Dent Mater 2024; 40:1047-1055. [PMID: 38772841 DOI: 10.1016/j.dental.2024.05.008] [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: 03/26/2024] [Revised: 05/03/2024] [Accepted: 05/03/2024] [Indexed: 05/23/2024]
Abstract
OBJECTIVE To investigate the effect of hydrophilic/permeable polymer matrices on water sorption/solubility (WS/SL), Ca2+ release, mechanical properties and hydrolytic degradation of composites containing dicalcium phosphate dihydrate (DCPD) particles. METHODS Six composites were tested, all with 10 vol% of glass particles and either 30 vol% or 40 vol% DCPD. Composites containing 1BisGMA:1TEGDMA in mols (at both inorganic levels) were considered controls. Four materials were formulated where 0.25 or 0.5 of the BisGMA/TEGDMA was replaced by pyromellitic dianhydride glycerol dimethacrylate (PMGDM)/ polyethylene glycol dimethacrylate (PEGDMA). Composites were tested for degree of conversion (FTIR spectroscopy), WS/SL (ISO 4049) and Ca2+ release (inductively coupled plasma optical emission spectroscopy). Fracture toughness (FT) and biaxial flexural strength/modulus (BFS/FM) were determined after 24 h and 60 days in water. The contributions of diffusional and relaxational mechanisms to Ca2+ release kinetics were analyzed using the semi-empirical Salim-Peppas model. Data were analysed by ANOVA/Tukey test (alpha: 0.05). RESULTS WS/SL was higher for composites containing PMGDM/PEGDMA compared to the controls (p < 0.001). Only at 40% DCPD the 0.5 PMGDM/PEGDMA composite showed statistically higher Ca2+ release than the control. Relaxation diffusion was the main release mechanism. Initial FT was not negatively affected by matrix composition. BFS (both DCPD fractions) and FM (30% DCPD) were lower for composites with hydrophilic/permeable networks (p < 0.01). After 60 days in water, composites with PMGDM/PEGDMA presented significant reductions in FT, while all composites had reductions in BFS/FM. SIGNIFICANCE Increasing matrix hydrophilicity/permeability significantly increased Ca2+ release only at a high DCPD fraction.
Collapse
Affiliation(s)
- Rafael Bergamo Trinca
- University of São Paulo School of Dentistry, Department of Biomaterials and Oral Biology, Av. Prof. Lineu Prestes, 2227, São Paulo, SP 05508-000, Brazil
| | - Beatriz Fonseca Vela
- University of São Paulo School of Dentistry, Department of Biomaterials and Oral Biology, Av. Prof. Lineu Prestes, 2227, São Paulo, SP 05508-000, Brazil
| | - Handially Dos Santos Vilela
- University of São Paulo School of Dentistry, Department of Biomaterials and Oral Biology, Av. Prof. Lineu Prestes, 2227, São Paulo, SP 05508-000, Brazil
| | - Roberto Ruggiero Braga
- University of São Paulo School of Dentistry, Department of Biomaterials and Oral Biology, Av. Prof. Lineu Prestes, 2227, São Paulo, SP 05508-000, Brazil.
| |
Collapse
|
2
|
Niem T, Hübner A, Wöstmann B. Water absorption in artificial composites: Curse or blessing? Dent Mater 2024:S0109-5641(24)00117-9. [PMID: 38811272 DOI: 10.1016/j.dental.2024.05.018] [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: 12/18/2023] [Revised: 03/22/2024] [Accepted: 05/13/2024] [Indexed: 05/31/2024]
Abstract
OBJECTIVES This study evaluated the impact of mutable water uptake on the durability of mechanical properties and the long-term reliability of artificial composites. METHODS Three resin-based CAD/CAM restorative materials (CRMs) were investigated in three-point bending tests to calculate flexural strength (FS), modulus of elasticity (ME), modulus of resilience (MR), modulus of toughness (MT), and elastic recovery (ER). All specimens (n = 180) were stored under the same conditions and tested in four subsets (n = 15 per material) that were respectively withdrawn after repeated thermocycling (5000 cycles; 5-55 °C, H2O) and repetitive drying (7 d; 37 °C, air). For every specimen, weight differences were determined per storage condition. Likewise, loss tangent data were separately recorded via dynamic mechanical analysis to reliably assess damping characteristics. RESULTS Repeated thermocycling always induced weight increase and a concurrent significant loss in all mechanical properties except for MT and ER of a polymethylmethacrylate-based CRM. Drying consistently provoked weight loss and raised mechanical properties to initial values. Weight increase, however, enhanced loss tangent values and accordingly distinct damping characteristics, whereas weight decrease markedly lowered damping properties. SIGNIFICANCE Water uptake repeatedly induced a decrease in common mechanical properties but concurrently increased damping behavior. Invertible equilibrium processes were found with no evidence for permanent material degradation.
Collapse
Affiliation(s)
- Thomas Niem
- Department of Prosthodontics, Justus-Liebig University, Schlangenzahl 14, 35392 Giessen, Germany.
| | - Antje Hübner
- Department of Prosthodontics, Justus-Liebig University, Schlangenzahl 14, 35392 Giessen, Germany
| | - Bernd Wöstmann
- Department of Prosthodontics, Justus-Liebig University, Schlangenzahl 14, 35392 Giessen, Germany
| |
Collapse
|
3
|
Mondal K, Rockne KJ, Drummond JL, O'Brien EP, Chen CC, Hanley L. Dental composite biodeterioration in the presence of oral Streptococci and extracellular metabolic products. J Dent 2024; 142:104861. [PMID: 38278316 DOI: 10.1016/j.jdent.2024.104861] [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: 12/09/2023] [Revised: 01/21/2024] [Accepted: 01/23/2024] [Indexed: 01/28/2024] Open
Abstract
OBJECTIVE Secondary caries is a primary cause of early restoration failure. While primary dental caries has been extensively researched, our knowledge about the impact of secondary caries on dental restorations is relatively limited. In this study, we examined how different clinically relevant microbially-influenced environments impact the degradation of nano-filled (FIL) and micro-hybrid (AEL) dental composites. METHODS Material strength of two commercial dental composites was measured following incubation in aqueous media containing: i) cariogenic (Streptococcus mutans) and non-cariogenic bacteria (Streptococcus sanguinis) grown on sucrose or glucose, ii) abiotic mixtures of artificial saliva and sucrose and glucose fermentation products (volatile fatty acids and ethanol) in proportions known to be produced by these microorganisms, and iii) abiotic mixtures of artificial saliva and esterase, a common oral extracellular enzyme. RESULTS Nano-filled FIL composite strength decreased in all three types of incubations, while micro-hybrid AEL composite strength only decreased significantly in biotic incubations. The strength of both composites was statistically significantly decreased in all biotic incubations containing both cariogenic and non-cariogenic bacteria beyond that induced by either abiotic mixtures of fermentation products or esterase alone. Finally, there were no statistically significant differences in composite strength decrease among the tested biotic conditions. CONCLUSIONS The results show that conditions created during the growth of both cariogenic and non-cariogenic oral Streptococci substantially reduce commercial composite strength, and this effect warrants further study to identify the mechanism(s). CLINICAL SIGNIFICANCE Dental biofilms of oral Streptococci bacteria significantly affect the mechanical strength of dental restorations.
Collapse
Affiliation(s)
- Karabi Mondal
- Department of Civil, Materials, and Environmental Engineering, University of Illinois-Chicago, Chicago, IL, USA
| | - Karl J Rockne
- Department of Civil, Materials, and Environmental Engineering, University of Illinois-Chicago, Chicago, IL, USA.
| | - James L Drummond
- Professor Emeritus of Restorative Dentistry, University of Illinois Chicago, Chicago, IL, USA
| | - Evan P O'Brien
- Department of Civil, Materials, and Environmental Engineering, University of Illinois-Chicago, Chicago, IL, USA
| | - Chien-Chia Chen
- Department of Chemistry, University of Illinois-Chicago, Chicago, IL, USA
| | - Luke Hanley
- Department of Chemistry, University of Illinois-Chicago, Chicago, IL, USA
| |
Collapse
|
4
|
Țuculină MJ, Staicu AN, Munteanu MC, Cumpătă CN, Dimitriu B, Rîcă AM, Beznă MC, Popa DL, Popescu AD, Țîrcă T. Study on the Restoration of Class II Carious Cavities by Virtual Methods: Simulation of Mechanical Behavior. J Funct Biomater 2023; 14:354. [PMID: 37504849 PMCID: PMC10381501 DOI: 10.3390/jfb14070354] [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: 06/11/2023] [Revised: 07/02/2023] [Accepted: 07/03/2023] [Indexed: 07/29/2023] Open
Abstract
The restoration of class II cavities is predominantly carried out with composite materials. Due to the high failure rate in restoring this type of cavity, composite materials with much-improved properties and new application techniques have been promoted. The study aimed to analyze the mechanical behavior of several topical composite materials (nanocomposites, nanohybrids and ormocer) using different application techniques. In a lower second molar, a class II occlusal cavity was prepared. As filling materials, we used the following combinations: Admira Fusion and Admira Fusion Flow, Grandio and Grandio Flow, Filtek Supreme XT and Filtek Supreme Flow. These were applied using a snow plow, injection molded and Bichacho techniques. Three-dimensional scanning of the molar with the prepared cavity was performed, and then scanning of each layer of added composite material was performed, obtaining three-dimensional models. The virtual molar models were analyzed with software specific to the finite element analysis method, where their physical-mechanical properties were entered and assigned to the components of the virtual molar. Simulations at high forces specific to bruxism were then carried out and analyzed, and compared. The values of displacements and strain, for all six analyzed situations, are relatively small (range from 5.25 × 10-6-3.21 × 10-5 for displacement, 6.22 × 10-3-4.34 × 10-3 for strain), which validates all three methods and the materials used. As far as the stress values are concerned, they are similar for all methods (250-300 MPa), except for the snow plow and injection-molded techniques using Grandio and Grandio Flow composites, where the maximum von Mises stress value was more than double (approximately 700 MPa). When using the combination of Grandio and Grandio Flow materials, the 1 mm thickness of the fluid composite layer was found to have a major influence on occlusal forces damping as opposed to 0.5 mm. Therefore, the Bichacho technique is indicated at the expense of the snow plow and injection-molded techniques. The composite materials used by us in this study are state-of-the-art, with clear indications for restoring cavities resulting from the treatment of carious lesions. However, their association and application technique in the case of Class II cavities is of clinical importance for resistance to masticatory forces.
Collapse
Affiliation(s)
- Mihaela Jana Țuculină
- Department of Endodontics, Faculty of Dentistry, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania
| | - Adela Nicoleta Staicu
- Department of Endodontics, Faculty of Dentistry, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania
| | - Maria Cristina Munteanu
- Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania
| | - Cristian Niky Cumpătă
- Faculty of Dental Medicine, University Titu Maiorescu of Bucharest, 67A Gheorghe Petrascu Str., 031593 Bucharest, Romania
| | - Bogdan Dimitriu
- Department of Endodontics, Faculty of Dentistry, University of Medicine and Pharmacy Carol Davila Bucharest, 050474 Bucharest, Romania
| | - Ana Maria Rîcă
- Department of Endodontics, Faculty of Dentistry, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania
| | - Maria Cristina Beznă
- Department of Pathophysiology, Faculty of Dentistry, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania
| | - Dragoș Laurențiu Popa
- Department of Automotive, Transportation and Industrial Engineering, Faculty of Mechanics, University of Craiova, 200478 Craiova, Romania
| | - Alexandru Dan Popescu
- Department of Endodontics, Faculty of Dentistry, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania
| | - Tiberiu Țîrcă
- Department of Oro-Dental Prevention, Faculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania
| |
Collapse
|
5
|
Alhotan A, Raszewski Z, Alamoush RA, Chojnacka K, Mikulewicz M, Haider J. Influence of Storing Composite Filling Materials in a Low-pH Artificial Saliva on Their Mechanical Properties-An In Vitro Study. J Funct Biomater 2023; 14:328. [PMID: 37367292 DOI: 10.3390/jfb14060328] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 06/17/2023] [Accepted: 06/18/2023] [Indexed: 06/28/2023] Open
Abstract
Restorative composites are subjected to various influences in the oral cavity environment, such as high or low temperatures, the mechanical force generated during mastication, colonization of various microorganisms, and low pH, which may result from ingested food and the influence of microbial flora. This study aimed to investigate the effect of a recently developed commercial artificial saliva (pH = 4, highly acidic) on 17 commercially available restorative materials. After polymerization, the samples were stored in an artificial solution for 3 and 60 days and subjected to crushing resistance and flexural strength tests. The surface additions of the materials were examined in terms of the shapes and sizes of the fillers and elemental composition. When stored in an acidic environment, the resistance of the composite materials was reduced by 2-12%. Larger compressive and flexural strength resistance values were observed for composites that could be bonded to microfilled materials (invented before 2000). This may result from the filler structure taking an irregular form, which results in a faster hydrolysis of silane bonds. All composite materials meet the standard requirements when stored for a long period in an acidic environment. However, storage of the materials in an acid environment has a destructive impact on the materials' properties.
Collapse
Affiliation(s)
- Abdulaziz Alhotan
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh P.O. Box 12372, Saudi Arabia
| | | | - Rasha A Alamoush
- Department of Prosthodontics, School of Dentistry, The University of Jordan, Amman 11942, Jordan
| | - Katarzyna Chojnacka
- Department of Advanced Material Technologies, Faculty of Chemistry, Wroclaw University of Science and Technology, Smoluchowskiego 25, 50-372 Wroclaw, Poland
| | - Marcin Mikulewicz
- Division of Facial Abnormalities, Department of Dentofacial Orthopaedics and Orthodontics, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, Poland
| | - Julfikar Haider
- Department of Engineering, Manchester Metropolitan University, Manchester M1 5GD, UK
| |
Collapse
|
6
|
Islam MS, Nassar M, Elsayed MA, Jameel DB, Ahmad TT, Rahman MM. In Vitro Optical and Physical Stability of Resin Composite Materials with Different Filler Characteristics. Polymers (Basel) 2023; 15:polym15092121. [PMID: 37177267 PMCID: PMC10180670 DOI: 10.3390/polym15092121] [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: 03/22/2023] [Revised: 04/22/2023] [Accepted: 04/26/2023] [Indexed: 05/15/2023] Open
Abstract
The objective of this study was to compare the physical and optical stability of resin composite materials with different filler characteristics. Ninety-six resin composite blocks (6 mm × 6 mm × 2 mm) were prepared using four different types of resin composite, divided into four groups. Specimens from the same material were randomly divided into four groups (n = 6) and allocated for Vickers hardness (VH), water sorption, solubility (WS/SL), and staining and aging challenges tests. One-way ANOVA showed significant differences in microhardness (p = 0.0001), WS (p = 0.0001), and SL (p = 0.003) among the tested groups. Beautifil II LS recorded the highest hardness, and CharmFil®Flow had the lowest value. Beautifil Injectable X and II LS showed negative WS, whereas the other groups had positive values. All groups showed positive SL. Repeated measures ANOVA showed significant color parameter alteration in the tested groups (p = 0.0001). All groups showed significant color shifting after one week of the staining challenge. Repeated measures ANOVA showed a significant color parameter (p = 0.0001) and weight (p = 0.001) alteration after the aging challenge. The optical and physical stability of resin composites may vary according to filler characteristics. Clinicians should choose the composite as per the desired outcome.
Collapse
Affiliation(s)
- Md Sofiqul Islam
- RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al-Khaimah P.O. Box 12973, United Arab Emirates
| | - Mohannad Nassar
- Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah P.O. Box 27272, United Arab Emirates
| | - Mohamed Ahmed Elsayed
- RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al-Khaimah P.O. Box 12973, United Arab Emirates
- Department of Endodontics, Faculty of Dentistry, Assiut University, Assiut 71515, Egypt
| | - Dania Burhan Jameel
- RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al-Khaimah P.O. Box 12973, United Arab Emirates
| | - Thana Tariq Ahmad
- RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al-Khaimah P.O. Box 12973, United Arab Emirates
| | - Muhammed Mustahsen Rahman
- RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al-Khaimah P.O. Box 12973, United Arab Emirates
| |
Collapse
|
7
|
Mańka-Malara K, Szerszeń M, Górski B, Tanabe G, Ueno T, Mierzwińska-Nastalska E. Disinfection and Isotonic Drinks' Influence on Hardness and Color Stability of Ethylene-Vinyl-Acetate Copolymer Mouthguards Used in Martial Arts: An In Vitro Study. Polymers (Basel) 2023; 15:polym15081822. [PMID: 37111969 PMCID: PMC10146693 DOI: 10.3390/polym15081822] [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: 03/02/2023] [Revised: 03/19/2023] [Accepted: 04/07/2023] [Indexed: 04/29/2023] Open
Abstract
This in vitro study aimed to evaluate the hardness and color change of an ethylene-vinyl-acetate copolymer (EVA) material for mouthguards after exposition to different cleaning agent solutions and isotonic drinks. Four hundred samples were prepared and divided into four equinumerous groups (n = 100), in which there were 25 samples from each color of EVA (red, green, blue and white). The hardness, using the digital durometer, and the color coordinates (CIE L*a*b*), using the digital colorimeter, were measured before the first exposition and after 3 months of exposition to spray disinfection and incubation in the oral cavity temperature, or immersion in isotonic drinks. The values of Shore A hardness (HA) and color change (ΔE-calculated by Euclidean distance) were statistically analyzed using the Kolmogorov-Smirnov test, multiple comparison ANOVA/Kruskal-Wallis and appropriate post-hoc tests. Statistically significant changes in color and hardness between the tested groups were demonstrated after the use of agents predestined for disinfecting the surface of mouthguards on the tested samples. There were no statistically significant differences in color and hardness between the groups immersed in isotonic sport drinks potentially consumed by competitors practicing combat sports using mouthguards. Despite the changes in color and hardness after the use of disinfectants, the deviations were minor and limited to specific colors of the EVA plates. The intake of isotonic drinks practically did not change either the color or the hardness of the samples, regardless of the tested color of the EVA plates.
Collapse
Affiliation(s)
| | - Marcin Szerszeń
- Department of Prosthodontics, Medical University of Warsaw, 02-097 Warsaw, Poland
| | - Bartłomiej Górski
- Department of Periodontal and Oral Mucosa Diseases, Medical University of Warsaw, 02-097 Warsaw, Poland
| | - Gen Tanabe
- Department of Sports Dentistry, Tokyo Medical and Dental University, 113-8510, Tokyo, Japan
| | - Toshiaki Ueno
- Department of Sports Dentistry, Tokyo Medical and Dental University, 113-8510, Tokyo, Japan
- Department of Sports Dentistry, Meikai University School of Dentistry, 350-0248, Saitama, Japan
| | | |
Collapse
|
8
|
Pimentel ES, França FMG, Turssi CP, Basting RT, Vieira-Junior WF. Effects of in vitro erosion on surface texture, microhardness, and color stability of resin composite with S-PRG fillers. Clin Oral Investig 2023:10.1007/s00784-023-04968-6. [PMID: 36995429 DOI: 10.1007/s00784-023-04968-6] [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: 11/24/2022] [Accepted: 03/19/2023] [Indexed: 03/31/2023]
Abstract
OBJECTIVES To evaluate the effect of acid erosion on different physical properties of resin composite with S-PRG (surface pre-reacted glass) fillers, by conducting simulations of intrinsic and extrinsic sources. MATERIALS AND METHODS Cylindrical samples (Ø6 vs. 2 mm) of a conventional nanohybrid resin composite (Forma, Ultradent) and of a nanohybrid resin composite with S-PRG filler (Beautifil II, Shofu) were exposed to erosive cycling (5 days), based on (n=12) remineralizing solution (control); 0.3% citric acid (pH=2.6); or 0.01 M hydrochloric acid (pH=2). Roughness (Ra), microhardness (KHN), and color (CIEL*a*b*, CIEDE2000, and Vita scale (SGU)) factors were analyzed at the initial and final time points, and the general color changes (ΔEab, ΔE00, ΔSGU) were calculated. Final images were obtained using scanning electron microscopy (SEM). The data were evaluated by generalized models, Mann-Whitney, Wilcoxon, Kruskal-Wallis, and Dunn tests (α=0.05). RESULTS Regarding KHN, there was no difference between the groups or the time periods (p = 0.74). As for Ra, there was a significant increase in the Ra of both composites after cycling with hydrochloric acid, but only the resin composite with S-PRG filler showed a change in Ra after cycling with citric acid (p = 0.003). After cycling with citric and hydrochloric acid, the highest Ra values were found for the resin composite with S-PRG filler (p < 0.0001), corroborating the result of images (SEM) indicating loss of filler and porosities in this material. The resin composite with S-PRG filler showed higher ΔEab and ΔE00, in addition to more negative ΔSGU values and lower L* values after exposure to both acids, compared to the control (p < 0.05). CONCLUSION The acidic conditions altered the roughness and color stability of the materials tested, pointing out that the resin composite containing S-PRG filler showed greater degradation of its physical properties than the conventional resin composite. CLINICAL RELEVANCE Bioactive materials are relevant, considering that their properties interact with dental hard tissues; however, the S-PRG-based resin composite showed greater degradation under acidic conditions than the conventional resin composite.
Collapse
Affiliation(s)
- Eliene Soares Pimentel
- Faculdade São Leopoldo Mandic, Instituto de Pesquisas São Leopoldo Mandic, Rua José Rocha Junqueira, 13, Campinas, SP, CEP, 13045-755, Brazil
| | - Fabiana Mantovani Gomes França
- Faculdade São Leopoldo Mandic, Instituto de Pesquisas São Leopoldo Mandic, Rua José Rocha Junqueira, 13, Campinas, SP, CEP, 13045-755, Brazil
| | - Cecilia Pedroso Turssi
- Faculdade São Leopoldo Mandic, Instituto de Pesquisas São Leopoldo Mandic, Rua José Rocha Junqueira, 13, Campinas, SP, CEP, 13045-755, Brazil
| | - Roberta Tarkany Basting
- Faculdade São Leopoldo Mandic, Instituto de Pesquisas São Leopoldo Mandic, Rua José Rocha Junqueira, 13, Campinas, SP, CEP, 13045-755, Brazil
| | - Waldemir Francisco Vieira-Junior
- Faculdade São Leopoldo Mandic, Instituto de Pesquisas São Leopoldo Mandic, Rua José Rocha Junqueira, 13, Campinas, SP, CEP, 13045-755, Brazil.
| |
Collapse
|
9
|
Can Modification with Urethane Derivatives or the Addition of an Anti-Hydrolysis Agent Influence the Hydrolytic Stability of Resin Dental Composite? Int J Mol Sci 2023; 24:ijms24054336. [PMID: 36901766 PMCID: PMC10001746 DOI: 10.3390/ijms24054336] [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: 01/16/2023] [Revised: 02/13/2023] [Accepted: 02/17/2023] [Indexed: 02/24/2023] Open
Abstract
Due to the questionable durability of dental restorations, there is a need to increase the lifetime of composite restoration. The present study used diethylene glycol monomethacrylate/4,4'-methylenebis(cyclohexyl isocyanate) (DEGMMA/CHMDI), diethylene glycol monomethacrylate/isophorone diisocyanate (DEGMMA/IPDI) monomers, and bis(2,6-diisopropylphenyl)carbodiimide (CHINOX SA-1) as modifiers of a polymer matrix (40 wt% urethane dimethacrylate (UDMA), 40 wt% bisphenol A ethoxylateddimethacrylate (bis-EMA), and 20 wt% triethyleneglycol dimethacrylate (TEGDMA)). Flexural strength (FS), diametral tensile strength (DTS), hardness (HV), sorption, and solubility were determined. To assess hydrolytic stability, the materials were tested before and after two aging methods (I-7500 cycles, 5 °C and 55 °C, water and 7 days, 60 °C, 0.1 M NaOH; II-5 days, 55 °C, water and 7 days, 60 °C, 0.1 M NaOH). The aging protocol resulted in no noticeable change (median values were the same as or higher than the control value) or a decrease in the DTS value from 4 to 28%, and a decrease in the FS value by 2 to 14%. The hardness values after aging were more than 60% lower than those of the controls. The used additives did not improve the initial (control) properties of the composite material. The addition of CHINOX SA-1 improved the hydrolytic stability of composites based on UDMA/bis-EMA/TEGDMA monomers, which could potentially extend the service life of the modified material. Extended studies are needed to confirm the possible use of CHINOX SA-1 as an antihydrolysis agent in dental composites.
Collapse
|
10
|
ÇALIŞKAN A, ALAGÖZ LGÜLEÇ, IRMAK Ö. Shade matching potential of one-shade resin composites used for restoration repair. Dent Mater J 2023; 42:158-166. [PMID: 36543191 DOI: 10.4012/dmj.2022-125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
To evaluate shade matching ability of one-shade composites used for repair of different resin-based restorative materials. Two one-shade composites or one layering composite of 1 mm thickness were placed over non-aged or aged 3 different base materials of 1 mm thickness to simulate repair. Two millimeters thick base samples were prepared and used for reference (n=12). Shade measurements of reference and repair groups were performed with dental spectrophotometer and color difference (ΔE00) were calculated according to CIEDE2000. Data were analyzed using three-way ANOVA followed by Tukey's test (α=0.05). Regardless of aging and base materials, repairing with layering composite yielded lower ΔE00 than repair of one-shade composites (p<0.05). Repair of non-aged and aged GrandioDisc with any repair composite led to higher ΔE00 values than repair of other base materials (p<0.05). Shade matching performance of one-shade composites for repair of different non-aged or aged resin-based material was not clinically acceptable.
Collapse
Affiliation(s)
- Aziz ÇALIŞKAN
- Department of Restorative Dentistry, Faculty of Dentistry, Near East University
| | - Laden GÜLEÇ ALAGÖZ
- Department of Restorative Dentistry, Faculty of Dentistry, Final International University
| | - Özgür IRMAK
- Department of Restorative Dentistry, Faculty of Dentistry, Cyprus Health and Social Sciences University
| |
Collapse
|
11
|
Aidaros NH, Abdou A. Effect of contamination of bulk-fill flowable resin composite with different contaminants during packing on its surface microhardness and compressive strength: in vitro study. BMC Oral Health 2022; 22:446. [PMID: 36253744 PMCID: PMC9575198 DOI: 10.1186/s12903-022-02495-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 10/10/2022] [Indexed: 11/23/2022] Open
Abstract
Background Proper isolation and restoration of class V subgingival cavities are technique sensitive, thus the resin composite restoration is liable to contamination. This in vitro study was conducted to evaluate the surface microhardness and compressive strength of bulk-fill flowable resin composite after being contaminated during its packing. Methods Resin composite discs were prepared using split mold. The contaminated specimens were allocated into four groups (n = 20) according to the contaminant used: hemostatic agent (Group 1), alcohol (Group 2), artificial saliva (Group 3) and powdered gloves (Group 4). The non-contaminated specimens (n = 20) were used as control group. The surface microhardness and compressive strength of each group were tested 1-day post-photocuring (n = 5) and 1 month post-photocuring (n = 5). Values were presented as mean, standard deviation values and confidence intervals. Results The surface microhardness of all groups didn’t show a significant difference for different tested groups except for alcohol which showed a significant reduction on surface microhardness compared to control at 1 day post-photocuring (p = 0.001). The highest compressive strength mean values at 1 day and 1 month post-photocuring were recorded in control groups (110.42 MPa and 172.87 MPa respectively), followed by alcohol groups, then hemostatic agent groups, followed by artificial saliva with the least value recorded in powdered gloves groups (56.71 MPa and 49.5 MPa respectively).
Conclusions Contamination of bulk-fill flowable resin composite with hemostatic agent, alcohol, artificial saliva, or powdered gloves during its packing decreased its compressive strength after 1 month post-photocuring rather than affecting its surface microhardness. Supplementary Information The online version contains supplementary material available at 10.1186/s12903-022-02495-6.
Collapse
Affiliation(s)
- Nawal Hassan Aidaros
- Restorative Dentistry Department, Faculty of Dentistry, Ahram Canadian University (ACU), Industrial Zone, 6th of October City, Giza, Egypt.
| | - Ahmed Abdou
- Division of Biomaterials, Prosthetic Dentistry Department, Faculty of Dentistry, King Salman International University, El Tur, South Sinai, Egypt
| |
Collapse
|
12
|
Bekeschus S, Miebach L, Pommerening J, Clemen R, Witzke K. Biological Risk Assessment of Three Dental Composite Materials following Gas Plasma Exposure. Molecules 2022; 27:molecules27144519. [PMID: 35889393 PMCID: PMC9322037 DOI: 10.3390/molecules27144519] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Revised: 07/08/2022] [Accepted: 07/09/2022] [Indexed: 02/06/2023] Open
Abstract
Gas plasma is an approved technology that generates a plethora of reactive oxygen species, which are actively applied for chronic wound healing. Its particular antimicrobial action has spurred interest in other medical fields, such as periodontitis in dentistry. Recent work has indicated the possibility of performing gas plasma-mediated biofilm removal on teeth. Teeth frequently contain restoration materials for filling cavities, e.g., resin-based composites. However, it is unknown if such materials are altered upon gas plasma exposure. To this end, we generated a new in-house workflow for three commonly used resin-based composites following gas plasma treatment and incubated the material with human HaCaT keratinocytes in vitro. Cytotoxicity was investigated by metabolic activity analysis, flow cytometry, and quantitative high-content fluorescence imaging. The inflammatory consequences were assessed using quantitative analysis of 13 different chemokines and cytokines in the culture supernatants. Hydrogen peroxide served as the control condition. A modest but significant cytotoxic effect was observed in the metabolic activity and viability after plasma treatment for all three composites. This was only partially treatment time-dependent and the composites alone affected the cells to some extent, as evident by differential secretion profiles of VEGF, for example. Gas plasma composite modification markedly elevated the secretion of IL6, IL8, IL18, and CCL2, with the latter showing the highest correlation with treatment time (Pearson’s r > 0.95). Cell culture media incubated with gas plasma-treated composite chips and added to cells thereafter could not replicate the effects, pointing to the potential that surface modifications elicited the findings. In conclusion, our data suggest that gas plasma treatment modifies composite material surfaces to a certain extent, leading to measurable but overall modest biological effects.
Collapse
Affiliation(s)
- Sander Bekeschus
- ZIK plasmatis, Leibniz Institute for Plasma Science and Technology (INP), Felix-Hausdorff-Str. 2, 17489 Greifswald, Germany; (L.M.); (J.P.); (R.C.)
- Correspondence: ; Tel.: +49-3834-554-3948
| | - Lea Miebach
- ZIK plasmatis, Leibniz Institute for Plasma Science and Technology (INP), Felix-Hausdorff-Str. 2, 17489 Greifswald, Germany; (L.M.); (J.P.); (R.C.)
- Department of General, Vascular, Thoracic, and Visceral Surgery, Greifswald University Medical Center, Ferdinand-Sauerbruch-Str., 17475 Greifswald, Germany
| | - Jonas Pommerening
- ZIK plasmatis, Leibniz Institute for Plasma Science and Technology (INP), Felix-Hausdorff-Str. 2, 17489 Greifswald, Germany; (L.M.); (J.P.); (R.C.)
- Department of Oral, Maxillofacial, and Plastic Surgery, Greifswald University Medical Center, Ferdinand-Sauerbruch-Str., 17475 Greifswald, Germany;
| | - Ramona Clemen
- ZIK plasmatis, Leibniz Institute for Plasma Science and Technology (INP), Felix-Hausdorff-Str. 2, 17489 Greifswald, Germany; (L.M.); (J.P.); (R.C.)
| | - Katharina Witzke
- Department of Oral, Maxillofacial, and Plastic Surgery, Greifswald University Medical Center, Ferdinand-Sauerbruch-Str., 17475 Greifswald, Germany;
| |
Collapse
|
13
|
Kumar D, Bolskar RD, Mutreja I, Jones RS. Methacrylate Polymers With “Flipped External” Ester Groups: A Review. FRONTIERS IN DENTAL MEDICINE 2022. [DOI: 10.3389/fdmed.2022.923780] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Current resin composites have favorable handling and upon polymerization initial physical properties that allow for efficient material replacement of removed carious tooth structure. Dental resin composites have long term durability limitations due to the hydrolysis of ester bonds within the methacrylate based polymer matrix. This article outlines the importance of ester bonds positioned internal to the carbon-carbon double bond in current methacrylate monomers. Water and promiscuous salivary/bacterial esterase activity can initiate ester bond hydrolysis that can sever the polymer backbone throughout the material. Recent studies have custom synthesized, with the latest advances in modern organic chemical synthesis, a novel molecule named ethylene glycol bis (ethyl methacrylate) (EGEMA). EGEMA was designed to retain the reactive acrylate units. Upon intermolecular polymerization of vinyl groups, EGEMA ester groups are positioned outside the backbone of the polymer chain. This review highlights investigation into the degradation resistance of EGEMA using buffer, esterase, and microbial storage assays. Material samples of EGEMA had superior final physical and mechanical properties than traditional ethylene glycol dimethacrylate (EGDMA) in all degradation assays. Integrating bioinformatics-based biodegradation predictions to the experimental results of storage media analyzed by LC/GC-MS revealed that hydrolysis of EGEMA generated small amounts of ethanol while preserving the strength bearing polymer backbone. Prior studies support investigation into additional custom synthesized methacrylate polymers with “flipped external” ester groups. The long term goal is to improve clinical durability compared to current methacrylates while retaining inherent advantages of acrylic based chemistry, which may ease implementation of these novel methacrylates into clinical practice.
Collapse
|