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Dressano D, Salvador MVO, Aguiar FHB, Gonçalves LS, Palin WM, Watts DC, Hadis MA, Lima AF, Marchi GM. Achieving property enhancements in dental resin composites via reduced concentrations of camphorquinone within a ternary initiator system. Dent Mater 2024; 40:1400-1408. [PMID: 38908961 DOI: 10.1016/j.dental.2024.06.022] [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: 04/30/2024] [Revised: 06/14/2024] [Accepted: 06/14/2024] [Indexed: 06/24/2024]
Abstract
OBJECTIVES The study aimed to assess the impact of diphenyliodonium hexafluorophosphate (DPI) on the physicochemical properties of experimental resin composites (ECRs) featuring reduced concentrations of camphorquinone (CQ)/amine. METHODS Five concentrations of CQ (0.125, 0.25, 0.5, 0.75, and 1 mol%) with dimethylaminoethyl amine benzoate (EDAB) in a 1:2 mol% ratio (CQ:EDAB) were incorporated into a 50:50 mass% monomer blend of bisphenol glycidyl methacrylate (BisGMA) and triethyleneglycol dimethacrylate (TEGDMA). An additional 5 groups with the same CQ:EDAB concentrations had 0.5 mol% DPI added. Each resin group contained 60 wt% of 0.7 µm barium-alumino-silicate glass. Light transmission (n = 3), real-time degree of polymerization (n = 3), temperature change during polymerization (n = 5), polymerization shrinkage strain (n = 3), flexural strength, and modulus (n = 12), as well as water sorption and solubility (n = 5), were evaluated. Data were analyzed using two-way ANOVA and Tukey's post-hoc test (α = 0.05). RESULTS Light transmission was reduced in groups containing 0.125 and 0.25 mol% of CQ without DPI. DPI increased temperature, degree and rate of polymerization, despite the reduction in CQ/amine concentration. Additionally, there was an increase in polymerization shrinkage strain, flexural strength and modulus, and a reduction in water sorption and solubility in ECRs with DPI, even with lower concentrations of CQ/EDAB. SIGNIFICANCE DPI improved the assessed properties of composites across various concentrations of CQ/EDAB, showing the benefit of reducing the quantity of CQ used without compromising the properties and curing of the resin composites.
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Affiliation(s)
- Diogo Dressano
- Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Av Limeira, 901 Mail Box 52, Piracicaba, Sao Paulo 13414-903, Brazil
| | | | - Flávio Henrique Baggio Aguiar
- Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Av Limeira, 901 Mail Box 52, Piracicaba, Sao Paulo 13414-903, Brazil
| | - Luciano Souza Gonçalves
- Department of Restorative Dentistry, School of Dentistry, Federal University of Santa Maria, Av. Roraima, 1000 - Camobi, Santa Maria, RS 97105-900, Brazil
| | - William M Palin
- University of Birmingham, College of Medical and Dental Sciences, Institute of Clinical Sciences, 5 Mill Pool Way, Edgbaston, Birmingham B5 7EG, UK
| | - David C Watts
- School of Medical Sciences and Photon Science Institute, Coupland 3 Building, University of Manchester, Oxford Road, Manchester M13 9PL, United Kingdom
| | - Mohammed A Hadis
- University of Birmingham, College of Medical and Dental Sciences, Institute of Clinical Sciences, 5 Mill Pool Way, Edgbaston, Birmingham B5 7EG, UK.
| | - Adriano Fonseca Lima
- Dental Research Division, Paulista University, Rua Doutor Bacelar, 1212, CEP: 04026-002 Sao Paulo, Brazil.
| | - Giselle Maria Marchi
- Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Av Limeira, 901 Mail Box 52, Piracicaba, Sao Paulo 13414-903, Brazil
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Lima AF, Oliveira AAD, Fronza BM, Braga RR, Andia DC. Toxicity and cytokine release from human dental pulp stem cells after exposure to universal dental adhesives cured by single peak and polywave LEDs. Dent Mater 2024; 40:837-841. [PMID: 38570242 DOI: 10.1016/j.dental.2024.03.004] [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: 10/24/2023] [Accepted: 03/21/2024] [Indexed: 04/05/2024]
Abstract
OBJECTIVES to assess the impact of universal adhesives, cured with single-peak and polywave LEDs, on the metabolic activity and cytokine release of human dental pulp stem cells (hDPSCs). In addition, analyze the degree of conversion (DC) of the adhesives cured with the different LEDs. METHODS Discs (5 mm diameter, 1 mm thick) were prepared using three universal adhesives: Single Bond Universal (SBU, 3 M ESPE), Optibond Universal (OBU, Kerr), and Zipbond Universal (ZBU, SDI). These discs were cured for 40 s using a single-peak (DeepCure, 3 M ESPE) or a polywave light-emmiting diode (LED) curing unit (Valo Grand, Ultradent). After 24 h, the specimens were placed in 24-well culture plates, each containing 1 mL of culture medium for 24 h. hDPSCs (1.8 ×104) were seeded in 96-well plates and allowed to grow for 24 h. Subsequently, the cells were exposed to the extracts (culture medium containing eluates from the adhesive discs) for an additional 24 h. Cells not exposed to the extracts were used as a control group. The mitochondrial metabolism was assessed using the MTT assay and the cytokine release evaluated through MAGPIX. The degree of conversion of the adhesives was analyzed using FTIR (n = 5). The results were analyzed by ANOVA two-way and Tukey's test. RESULTS OBU and ZBU eluates caused a statistically significant reduction in mitochondrial metabolism, regardless of the LED used, indicating their cytotoxicity. In contrast, SBU did not significantly affect the MTT results, resembling the control group. A higher release of cytokines IL-1, IL-6, IL-10, and TNF-α were found in association to ZBU. SBU, on the other hand, increased the release of IL-8. OBU did not influenced the cytokine release. SBU presented the higher DC, while OBU and ZBU had similar DC, lower than SBU. SIGNIFICANCE In conclusion, universal adhesives exhibit toxicity towards hDPSCs, but the extent of toxicity varies depending on the adhesive material. ZBU was associated with increased cytokine release, particularly pro-inflammatory mediators, from hDPSCs. The different LEDs did not influenced the cytotoxicity of the evaluated adhesives.
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Affiliation(s)
- Adriano F Lima
- Dental Research Division, Paulista University, Rua Doutor Bacelar, 1212, 04026-002 Sao Paulo, Brazil.
| | | | - Bruna M Fronza
- University of São Paulo, School of Dentistry, Department of Biomaterials and Oral Biology, São Paulo, Brazil
| | - Roberto Ruggiero Braga
- University of São Paulo, School of Dentistry, Department of Biomaterials and Oral Biology, São Paulo, Brazil
| | - Denise Carleto Andia
- Dental Research Division, Paulista University, Rua Doutor Bacelar, 1212, 04026-002 Sao Paulo, Brazil
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Grob B, Simonis M, Liska R, Catel Y. Ethyl-2-(tosylmethyl)acrylate: A promising chain transfer agent for the development of low-shrinkage dental composites. Dent Mater 2023; 39:1013-1021. [PMID: 37734972 DOI: 10.1016/j.dental.2023.09.006] [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: 05/22/2023] [Revised: 08/30/2023] [Accepted: 09/15/2023] [Indexed: 09/23/2023]
Abstract
OBJECTIVE To evaluate the potential of ethyl-2-(tosylmethyl)acrylate (ASEE) as chain transfer agent for the development of low-shrinkage photopolymerizable dental composites. METHODS Composites containing 10, 20 and 30 mol% of ASEE in their organic matrix were formulated. Camphorquinone (CQ)/ethyl 4-(dimethylamino)benzoate (EDAB) (0.33 wt%/0.60 wt%), CQ/EDAB/Ivocerin® (0.33 wt%/0.60 wt%/0.10, 0.25 or 0.50 wt%), CQ/EDAB/SpeedCure 938 (SC-938) (0.33 wt%/0.60 wt%/0.30, 0.50 or 1.00 wt%) and Ivocerin® (0.50 wt%) were used as photoinitiator systems. The glass transition temperature (Tg) and the crosslink density were determined by DMTA measurements. The flexural strength/modulus and ambient light working time were assessed according to ISO 4049. The shrinkage force was evaluated using a universal testing machine. The double bond conversion (DBC) was determined by NIR spectroscopy. DBC, flexural strength and modulus were measured after the storage of the specimens in deionized water at 37 °C for 24 h. The DBC, flexural strength and modulus data were analyzed by one-way ANOVA with p = 0.05 as significance level. RESULTS ASEE-based composites containing the classical initiator system CQ/EDAB exhibited low mechanical properties (flexural strength/modulus) and DBC. The screening of various photoinitiator systems showed that composites based on CQ/EDAB/Ivocerin® (0.33 wt%/0.60 wt%/0.50 wt%), Ivocerin® (0.50 wt%) or CQ/EDAB/SC-938 (0.33 wt%/0.60 wt%/1.00 wt%) were particularly attractive. Indeed, the use of these photoinitiator systems enabled the formulation of composites containing up to 30 mol% ASEE exhibiting excellent mechanical properties, high DBC, good network homogeneity and low shrinkage force values. Interestingly, the addition of SC-938 did not impair the ambient light working time of the uncured composites, whereas the incorporation of 0.50 wt% Ivocerin® resulted in a strong decrease of this value. SIGNIFICANCE The addition of the allyl sulfone ASEE in combination with the initiator system CQ/EDAB/SC-938 (0.33 wt%/ 0.60 wt%/ 1.00 wt%) is a promising strategy to develop low-shrinkage dental composites which exhibit excellent mechanical properties, low shrinkage force, high DBC and suitable ambient light working time.
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Affiliation(s)
- Benjamin Grob
- Ivoclar Vivadent AG, Bendererstrasse 2, FL-9494 Schaan, Liechtenstein
| | - Michael Simonis
- Ivoclar Vivadent AG, Bendererstrasse 2, FL-9494 Schaan, Liechtenstein
| | - Robert Liska
- Institute of Applied Synthetic Chemistry, Technische Universität Wien, Getreidemarkt 9/163 MC, A-1060 Vienna, Austria
| | - Yohann Catel
- Ivoclar Vivadent AG, Bendererstrasse 2, FL-9494 Schaan, Liechtenstein.
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Agostinelli BG, Andia DC, Lima AF. Co-initiators of polymerization can modulate the inflammatory cytokine release without major cytotoxic effects in human dental pulp cells. J Biomed Mater Res B Appl Biomater 2023; 111:1112-1120. [PMID: 36598816 DOI: 10.1002/jbm.b.35218] [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: 05/24/2022] [Revised: 11/16/2022] [Accepted: 12/23/2022] [Indexed: 01/05/2023]
Abstract
To evaluate the cytotoxicity of co-initiators of polymerization and its influence on cytokine release from human dental pulp cells (hDPCs). Cells were isolated from the dental pulp of sound human third molars. The co-initiators dimethylaminoethyl amine benzoate-(EDAB), 2-(dimethylamino)ethyl methacrylate (DMAEMA); 2-Ethylhexyl 4-(dimethylamino)benzoate (EHA) and bis(4-methyl phenyl)iodonium hexafluorophosphate (BPI) were diluted in dimethylsulfoxide (DMSO) at different concentrations. In this way, experimental groups and one control (without treatment) were obtained. hDPCs (10 × 104 cell per well) were seeded on 96 well plates and incubated at 37°C and 5% CO2 for 48 h. After this, the cells were exposed to different concentrations of co-initiators cited for 24 h. After this time, the culture medium was removed, and the mitochondrial metabolism was evaluated by MTT assay, cell death by flow cytometry, and cytokine released (IL-1β, IL6, IL-8, IL-10, and TNF-α) was analyzed by MAGPIX assay. The data were analyzed by ANOVA one-way and Tukey's test. EHA, DMAEMA, and EDAB did not reduce the mitochondrial metabolism. BPI presented high toxicity with remarkable reduction (80%) after exposure to 1 mM. The cell death of all test groups was similar to control. After 24 h treatment, the IL-8 was up-regulated by all compounds, while IL-6 was upregulated after exposure to EHA and downregulated after DMAEMA stimulation. BPI, EHA, EDAB, and DMAEMA can trigger an initial inflammatory response, upregulating the IL-8 secretion in hDPCs in a compound-concentration-dependent manner; however, this was not accompanied by major cytotoxic effects at cell death or mitochondrial-metabolism levels.
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Affiliation(s)
| | | | - Adriano F Lima
- Dental Research Division, Paulista University, Sao Paulo, Brazil
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Fidalgo-Pereira R, Torres O, Carvalho Ó, Silva FS, Catarino SO, Özcan M, Souza JCM. A Scoping Review on the Polymerization of Resin-Matrix Cements Used in Restorative Dentistry. MATERIALS (BASEL, SWITZERLAND) 2023; 16:1560. [PMID: 36837188 PMCID: PMC9961405 DOI: 10.3390/ma16041560] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 02/08/2023] [Accepted: 02/09/2023] [Indexed: 06/18/2023]
Abstract
In dentistry, clinicians mainly use dual-cured or light-cured resin-matrix cements to achieve a proper polymerization of the organic matrix leading to enhanced physical properties of the cement. However, several parameters can affect the polymerization of resin-matrix cements. The main aim of the present study was to perform a scoping review on the degree of conversion (DC) of the organic matrix, the polymerization, and the light transmittance of different resin-matrix cements used in dentistry. A search was performed on PubMed using a combination of the following key terms: degree of conversion, resin cements, light transmittance, polymerization, light curing, and thickness. Articles in the English language published up to November 2022 were selected. The selected studies' results demonstrated that restorative structures with a thickness higher than 1.5 mm decrease the light irradiance towards the resin-matrix cement. A decrease in light transmission provides a low energy absorption through the resin cement leading to a low DC percentage. On the other hand, the highest DC percentages, ranging between 55 and 75%, have been reported for dual-cured resin-matrix cements, although the polymerization mode and exposure time also influence the DC of monomers. Thus, the polymerization of resin-matrix cements can be optimized taking into account different parameters of light-curing, such as adequate light distance, irradiance, exposure time, equipment, and wavelength. Then, optimum physical properties are achieved that provide a long-term clinical performance of the cemented restorative materials.
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Affiliation(s)
- Rita Fidalgo-Pereira
- University Institute of Health Sciences (IUCS), CESPU, 4585-116 Gandra, Portugal
- Center for Interdisciplinary Research in Health (CIIS), Faculty of Dental Medicine (FMD), Universidade Católica Portuguesa (UCP), 3504-505 Viseu, Portugal
| | - Orlanda Torres
- University Institute of Health Sciences (IUCS), CESPU, 4585-116 Gandra, Portugal
| | - Óscar Carvalho
- Center for MicroElectroMechanical Systems (CMEMS-UMINHO), University of Minho, Campus Azurém, 4800-058 Guimarães, Portugal
- LABBELS Associate Laboratory, University of Minho, 4805-017 Guimarães, Portugal
| | - Filipe S. Silva
- Center for MicroElectroMechanical Systems (CMEMS-UMINHO), University of Minho, Campus Azurém, 4800-058 Guimarães, Portugal
- LABBELS Associate Laboratory, University of Minho, 4805-017 Guimarães, Portugal
| | - Susana O. Catarino
- Center for MicroElectroMechanical Systems (CMEMS-UMINHO), University of Minho, Campus Azurém, 4800-058 Guimarães, Portugal
- LABBELS Associate Laboratory, University of Minho, 4805-017 Guimarães, Portugal
| | - Mutlu Özcan
- Division of Dental Biomaterials, Center of Dental Medicine, Clinic of Reconstructive Dentistry, University of Zurich, 8032 Zurich, Switzerland
| | - Júlio C. M. Souza
- University Institute of Health Sciences (IUCS), CESPU, 4585-116 Gandra, Portugal
- Center for MicroElectroMechanical Systems (CMEMS-UMINHO), University of Minho, Campus Azurém, 4800-058 Guimarães, Portugal
- LABBELS Associate Laboratory, University of Minho, 4805-017 Guimarães, Portugal
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Aldhafyan M, Silikas N, Watts DC. Influence of curing modes on monomer elution, sorption and solubility of dual-cure resin-cements. Dent Mater 2022; 38:978-988. [PMID: 35339295 DOI: 10.1016/j.dental.2022.03.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 03/08/2022] [Accepted: 03/08/2022] [Indexed: 02/08/2023]
Abstract
OBJECTIVE To explore the effect of two curing modes, for dual-cure resin cements, on their monomer elution, water sorption and solubility after 30 d water storage and 30 d dry reconditioning. METHODS Eight dual-cure resin-cements were investigated (Bifix SE, Nexus Third Generation, PANAVIA SA, PANAVIA V5, RelyX Ultimate Universal, RelyX Unicem 2, RelyX Universal and SpeedCEM Plus). Six disk-shaped specimens were made per curing mode: light-cure (LC) versus self-cure (SC) to measure amounts of eluted monomers after 30 d of water storage at 37 °C. Ultra-high performance liquid chromatography tandem mass spectrometry (UHPLC MS/MS) was performed to identify and quantify three eluted monomers (Bis-GMA, UDMA and TEGDMA). Water sorption/ solubility specimens were prepared according to ISO 4049. Specimens from each curing mode (LC/SC) were immersed separately in distilled water for 30 d and then reconditioned for 30 d; all at 37 °C. Mass change was measured at different time intervals. Data were analyzed via one-way ANOVA, Tukey post-hoc tests and independent sample t-tests (α = 0.05). RESULTS After 30 d of water storage, the three monomers Bis-GMA, UDMA and TEGDMA were detected in water. All monomers showed a variable extent of elution into water and were significantly higher (p < 0.0001) with SC compared to LC curing modes. BSE had the highest quantity of eluted monomers. After 30 d of water sorption (μg/mm3), all rein-cements showed significantly higher sorption (p < 0.05) of SC compared to LC curing modes except for PV5, RXU and CEM (p > 0.05). After 30 d of water solubility (μg/mm3), all resin-cements showed significantly higher solubility (p < 0.0001) of SC compared to LC curing mode. BSE had the highest water sorption and solubility. The total amounts of eluted monomers correlated positively with solubility: r2 = 0.95 for LC and r2 = 0.93 for SC. SIGNIFICANCE Whenever light access is possible, light curing remains beneficial to reduce the extent of resin degradation and related properties of dual-cure resin cements. BSE showed statistically the highest extent of eluted monomers, sorption and solubility.
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Affiliation(s)
- Mohammed Aldhafyan
- Biomaterials Science, Division of Dentistry, School of Medical Sciences, University of Manchester, UK; Division of Dental Biomaterials Science, College of Dentistry, King Saud University, Saudi Arabia
| | - Nikolaos Silikas
- Biomaterials Science, Division of Dentistry, School of Medical Sciences, University of Manchester, UK.
| | - David C Watts
- Biomaterials Science, Division of Dentistry, School of Medical Sciences, University of Manchester, UK; Photon Science Institute, University of Manchester, UK.
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