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Wu Z, Sun K, Wang W, Xue Q, Tonin BSH, Watts DC, Fu J, Wang H. Characterization of dental light-curing resin composites incorporating multiple modified low-shrink monomers. Dent Mater 2024; 40:1244-1251. [PMID: 38871527 DOI: 10.1016/j.dental.2024.05.031] [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: 04/12/2024] [Revised: 05/23/2024] [Accepted: 05/29/2024] [Indexed: 06/15/2024]
Abstract
OBJECTIVE Polymerization shrinkage poses a significant challenge in dental resin composites. The objective of this study is to introduce spiroorthocarbonate monomer 3,9-dimethylene-1,3,5,7-tetraoxa-spiro[5,5]undecane (BMSOC) and epoxy resin monomer 3,4-epoxycyclohexylmethyl-3,4-epoxycyclohexane carboxylate (ECHM-ECHC) into bisphenol-S-bis(3-methacrylato-2-hydroxy propyl)ether (BisS-GMA) based resin composites to develop composites with reduced shrinkage properties. METHODS BMSOC and BisS-GMA were synthesized and thoroughly mixed with ECHM-ECHC, followed by inorganic fillers and photoinitiators. Based on the composition of the resin matrix, five groups of experimental composites were prepared, with traditional bisphenol A-dimethacrylate glycidyl ester (Bis-GMA)/triethylene glycol dimethacrylate (TEGDMA) based composite serving as the control. The polymerization properties, including degree of conversion (DC) and polymerization shrinkage (PS), as well as marginal microleakage, wettability, flexural strength (FS), flexural modulus (FM), and biocompatibility were evaluated. RESULTS The results demonstrated that compared with the control group, the PS of BisS-GMA based composites containing BMSOC and ECHM-ECHC were significantly reduced (P < 0.05), and the lowest PS (0.96 ± 0.08 %) was observed when the ratio of BisS-GMA: (Epoxy + BMSOC) was 4:6. Additionally, the experimental composites also exhibited improved DC, minimal microleakage, low hydrophilicity, enhanced mechanical properties, qualified in vivo biocompatibility, and slight/moderate in vitro biocompatibility. SIGNIFICANCE The resin composites incorporating multiple modified low-shrink monomers are promising for dental applications to prevent various clinical problems caused by PS and extend restoration longevity.
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Affiliation(s)
- Zhongyuan Wu
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
| | - Ke Sun
- Department of Prosthodontics, The Affiliated Hospital of Qingdao University, Qingdao 266000 Shandong, China; School of Stomatology, Qingdao University, Qingdao 266003, China
| | - Wenshun Wang
- Department of Prosthodontics, The Affiliated Hospital of Qingdao University, Qingdao 266000 Shandong, China; School of Stomatology, Qingdao University, Qingdao 266003, China
| | - Qi Xue
- Department of Prosthodontics, The Affiliated Hospital of Qingdao University, Qingdao 266000 Shandong, China; School of Stomatology, Qingdao University, Qingdao 266003, China
| | - Bruna S H Tonin
- Department of Restorative Dentistry, Ribeirão Preto School of Dentistry, University of São Paulo, Ribeirao Preto 14040904 SP, Brazil
| | - David C Watts
- University of Manchester, School of Medical Sciences, Oxford Road, M13 9PL Manchester, UK
| | - Jing Fu
- Department of Prosthodontics, The Affiliated Hospital of Qingdao University, Qingdao 266000 Shandong, China; School of Stomatology, Qingdao University, Qingdao 266003, China.
| | - Hang Wang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
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Martínez-Ruiz EO, González-López JA, Ledezma-Pérez AS, Espinosa-Neira R, Betancourt-Galindo R, Neira-Velázquez MG, Treviño-Martínez ME. Preparation and evaluation of (R)-(-)-carvone-doped polymeric resins as potential antibacterial dental materials. J Mech Behav Biomed Mater 2023; 147:106108. [PMID: 37713745 DOI: 10.1016/j.jmbbm.2023.106108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Revised: 08/19/2023] [Accepted: 09/04/2023] [Indexed: 09/17/2023]
Abstract
OBJECTIVES This study aimed to develop and evaluate resin-based antibacterial materials incorporating carvone for restorative dentistry. The objectives included assessing antimicrobial activity, conversion degree, mechanical properties, hydrolytic and hygroscopic behavior, cytotoxicity, among others. METHODOLOGY Carvone was incorporated into resin-based materials following established protocols. Antimicrobial activity was evaluated against S. Aureus. Conversion degree, polimerization kinetics, mechanical properties, hydrolytic and hygroscopic behavior, cytotoxicity, and other properties were assessed using standardized tests and methodologies. RESULTS Carvone-incorporated materials demonstrated significant antimicrobial activity, minimal changes in conversion degree, comparable mechanical properties, improved hydrolytic and hygroscopic behavior, and lack of cytotoxicity. Antimicrobial resins were obtained due to the hydrophobic nature of carvone and its ability to diffuse through the cell walls of microorganisms, causing membrane damage. The polymerization process yielded successful conversion, ensuring adequate material performance. SIGNIFICANCE This study showcases that incorporating carvone into methacrylate-based resins can confer antimicrobial properties while preserving key material attributes. Antimicrobial activity against S. aureus is achieved without cytotoxicity in human fibroblasts. While flexural properties are affected only at carvone concentrations exceeding 9%, conversion degree and polymerization kinetics remain stable, except for a specific experimental formulation. These findings highlight the balanced integration of carvone. However, further work, including assessing antimicrobial performance against specific strains like S. Mutans and/or C. Albicans, and evaluating long-term effectiveness, is essential to establish the potential of these materials for dental restorations.
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Affiliation(s)
- Erick Osvaldo Martínez-Ruiz
- Departamento de Química Macromolecular y Nanomateriales, Centro de Investigación en Química Aplicada, Blvd. Enrique Reyna 140, C.P. 25294, Saltillo, Coahuila, Mexico
| | - José Abraham González-López
- Departamento de Química Macromolecular y Nanomateriales, Centro de Investigación en Química Aplicada, Blvd. Enrique Reyna 140, C.P. 25294, Saltillo, Coahuila, Mexico.
| | - Antonio Serguei Ledezma-Pérez
- Departamento de Materiales Avanzados, Centro de Investigación en Química Aplicada, Blvd. Enrique Reyna 140, C.P. 25294, Saltillo, Coahuila, Mexico
| | - Roberto Espinosa-Neira
- Departamento de Materiales Avanzados, Centro de Investigación en Química Aplicada, Blvd. Enrique Reyna 140, C.P. 25294, Saltillo, Coahuila, Mexico
| | - Rebeca Betancourt-Galindo
- Departamento de Materiales Avanzados, Centro de Investigación en Química Aplicada, Blvd. Enrique Reyna 140, C.P. 25294, Saltillo, Coahuila, Mexico
| | - María Guadalupe Neira-Velázquez
- Departamento de Química Macromolecular y Nanomateriales, Centro de Investigación en Química Aplicada, Blvd. Enrique Reyna 140, C.P. 25294, Saltillo, Coahuila, Mexico
| | - María Esther Treviño-Martínez
- Departamento de Química Macromolecular y Nanomateriales, Centro de Investigación en Química Aplicada, Blvd. Enrique Reyna 140, C.P. 25294, Saltillo, Coahuila, Mexico.
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Herrera-González AM, Cuevas-Suárez CE. Evaluation of a biobased polycarbonate interpenetrated network in a dental resin composite. J Mech Behav Biomed Mater 2023; 143:105876. [PMID: 37178634 DOI: 10.1016/j.jmbbm.2023.105876] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 04/23/2023] [Accepted: 04/26/2023] [Indexed: 05/15/2023]
Abstract
Silanization of filler particles in a dental resin composite is achieved by the formation of Si-O-Si bonds, however, these bonds are especially vulnerable to hydrolysis because this covalent bond has a significant ionic character due to the electronegativity differences between the atoms. The objective of this study was to evaluate the use of an interpenetrated network (IPN) as alternative of silanization reaction and to assess its effect in selected properties of experimental photopolymerizable resin composites. The interpenetrate network was obtained during the photopolymerization reaction of organic matrix (BisGMA/TEGDMA) with a biobased polycarbonate. Its characterization was performed via FTIR, flexural strength, flexural modulus, depth of cure, sorption water and solubility. A resin composite formulated with non-silanized filler particles was used as control. The IPN with a biobased polycarbonate was successfully synthesized. The results showed that the IPN based resin composite had higher values of flexural strength, flexural modulus, and degree of double bond conversion than the control (p < 0.05). Polymerization shrinkage, water sorption and solubility were statistically significantly lower than the control resin (p < 0.05). Finally, this study shows there were no statistically significant differences for the biocompatibility outcomes (p > 0.05). The biobased IPN replaces the silanization reaction in resin composites, improving physical and chemical properties. Therefore, IPN with a biobased polycarbonate could be potentially useful in the formulation of dental resin composites.
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Affiliation(s)
- Ana M Herrera-González
- Laboratorio de Polímeros, Instituto de Ciencias Básicas e Ingeniería, Universidad Autónoma del Estado de Hidalgo, Carretera Pachuca-Tulancingo Km, 4.5 Colonia Carboneras, Mineral de la Reforma Hidalgo, C.P, 42184, Mexico.
| | - Carlos E Cuevas-Suárez
- Laboratorio de Polímeros, Instituto de Ciencias Básicas e Ingeniería, Universidad Autónoma del Estado de Hidalgo, Carretera Pachuca-Tulancingo Km, 4.5 Colonia Carboneras, Mineral de la Reforma Hidalgo, C.P, 42184, Mexico
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Pidhatika B, Widyaya VT, Nalam PC, Swasono YA, Ardhani R. Surface Modifications of High-Performance Polymer Polyetheretherketone (PEEK) to Improve Its Biological Performance in Dentistry. Polymers (Basel) 2022; 14:polym14245526. [PMID: 36559893 PMCID: PMC9787615 DOI: 10.3390/polym14245526] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 11/17/2022] [Accepted: 11/20/2022] [Indexed: 12/23/2022] Open
Abstract
This comprehensive review focuses on polyetheretherketone (PEEK), a synthetic thermoplastic polymer, for applications in dentistry. As a high-performance polymer, PEEK is intrinsically robust yet biocompatible, making it an ideal substitute for titanium-the current gold standard in dentistry. PEEK, however, is also inert due to its low surface energy and brings challenges when employed in dentistry. Inert PEEK often falls short of achieving a few critical requirements of clinical dental materials, such as adhesiveness, osseoconductivity, antibacterial properties, and resistance to tribocorrosion. This study aims to review these properties and explore the various surface modification strategies that enhance the performance of PEEK. Literatures searches were conducted on Google Scholar, Research Gate, and PubMed databases using PEEK, polyetheretherketone, osseointegration of PEEK, PEEK in dentistry, tribology of PEEK, surface modifications, dental applications, bonding strength, surface topography, adhesive in dentistry, and dental implant as keywords. Literature on the topics of surface modification to increase adhesiveness, tribology, and osseointegration of PEEK were included in the review. The unavailability of full texts was considered when excluding literature. Surface modifications via chemical strategies (such as sulfonation, plasma treatment, UV treatment, surface coating, surface polymerization, etc.) and/or physical approaches (such as sandblasting, laser treatment, accelerated neutral atom beam, layer-by-layer assembly, particle leaching, etc.) discussed in the literature are summarized and compared. Further, approaches such as the incorporation of bioactive materials, e.g., osteogenic agents, antibacterial agents, etc., to enhance the abovementioned desired properties are explored. This review presents surface modification as a critical and essential approach to enhance the biological performance of PEEK in dentistry by retaining its mechanical robustness.
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Affiliation(s)
- Bidhari Pidhatika
- Research Center for Polymer Technology, National Research and Innovation Agency, Republic of Indonesia PRTPL BRIN Indonesia, Serpong, Tangerang Selatan 15314, Indonesia
- Collaborative Research Center for Biomedical Scaffolds, National Research and Innovation Agency of the Republic Indonesia and Universitas Gadjah Mada, Jalan Denta No. 1, Sekip Utara, Yogyakarta 55281, Indonesia
| | - Vania Tanda Widyaya
- Research Center for Polymer Technology, National Research and Innovation Agency, Republic of Indonesia PRTPL BRIN Indonesia, Serpong, Tangerang Selatan 15314, Indonesia
| | - Prathima C. Nalam
- Department of Materials Design and Innovation, University at Buffalo, Buffalo, NY 14260-1900, USA
| | - Yogi Angga Swasono
- Research Center for Polymer Technology, National Research and Innovation Agency, Republic of Indonesia PRTPL BRIN Indonesia, Serpong, Tangerang Selatan 15314, Indonesia
| | - Retno Ardhani
- Department of Dental Biomedical Science, Faculty of Dentistry, Universitas Gadjah Mada, Jalan Denta No. 1, Sekip Utara, Yogyakarta 55281, Indonesia
- Correspondence:
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Bompolaki D, Lubisich EB, Fugolin AP. Resin-Based Composites for Direct and Indirect Restorations: Clinical Applications, Recent Advances, and Future Trends. Dent Clin North Am 2022; 66:517-536. [PMID: 36216444 DOI: 10.1016/j.cden.2022.05.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
Continuous advancements in resin-based composites can make selection of the appropriate system a daunting task for the clinician. This review aims to simplify this process and clarify some new or controversial topics. Various types of composites for direct and indirect applications are discussed, including microfilled and microhybrid composites, nanocomposites, single shade, bulk fill, fiber-reinforced, high temperature/high pressure processed, CAD/CAM, and three-dimensional printable composites. Recent material advancements that lead to improved seal and toughness, degradation resistance, antimicrobial and self-healing capabilities are presented. Future directions are highlighted, such as the development of "smart" materials that are able to interact with the host environment.
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Affiliation(s)
- Despoina Bompolaki
- Restorative Dentistry, Oregon Health & Science University, 2730 S Moody Ave, Room 10N070, Portland, OR 97201, USA.
| | - Erinne Bissonnette Lubisich
- Restorative Dentistry, Oregon Health & Science University, 2730 S Moody Ave, Room 10N070, Portland, OR 97201, USA
| | - Ana Paula Fugolin
- Restorative Dentistry, Oregon Health & Science University, 2730 S Moody Ave, Room 10N070, Portland, OR 97201, USA
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Photopolymerizable dental composite resins with lower shrinkage stress and improved hydrolytic and hygroscopic behavior with a urethane monomer used as an additive. J Mech Behav Biomed Mater 2022; 130:105189. [DOI: 10.1016/j.jmbbm.2022.105189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Revised: 03/14/2022] [Accepted: 03/18/2022] [Indexed: 11/15/2022]
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