Influence of glass composition on the properties of glass polyalkenoate cements. Part III: influence of fluorite content

Solution photo-copolymerization of acrylic acid and itaconic acid: The effect of polymerization parameters on mechanical properties of glass ionomer cements

OBJECTIVE

To synthesize a series of poly (acrylic acid-co-itaconic acid) (P(AA-co-IA)) copolymers with different molecular weights (MWs) through a facile water-based solution photopolymerization and to investigate the operational and mechanical properties of the experimental glass-ionomer (GI) cements made of the ionomers.

METHODS

Thioglycolic acid (TGA) was used as a chain transfer agent to synthesize P(AA-co-IA) ionomers with different MWs through the solution photopolymerization. The chemical structure, MWs, and rheological properties of the copolymers were fully characterized. The GI cements were prepared using the ionomer solutions in different MWs and concentrations. Finally, the operating and mechanical properties of the experimental GI cements were investigated and compared with those of a commercially available GI cement.

RESULTS

The synthesis and composition of the P(AA-co-IA) were approved by spectroscopy analyses. The results revealed that by increasing the TGA content, MW and polydispersity index (PDI) of the synthesized copolymers demonstrate a decreasing trend from 4.5 × 104 g/mol (PDI of 2.45) to 7.4 × 103 g/mol (PDI of 1.62). Accordingly, the viscosity of copolymers decreased with increasing the TGA concentration in the polymerization recipes. Setting times of the cements increased with reducing the MWs and ionomer concentration. The compressive and flexural strengths of GI cements were improved by increasing the MWs, ionomers concentration, and storage time.

SIGNIFICANCE

The solution photopolymerization provides a facile and environmentally safe method to synthesize P(AA-co-IA) copolymers with controlled MWs. The structure-property relationships presented in the study also provide valuable information in the production and improvement of the GI cements.

Effects of the reinforced cellulose nanocrystals on glass-ionomer cements

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.

Modification of glass ionomer cements on their physical-mechanical and antimicrobial properties

OBJECTIVE

The aim of this review was to provide an insight about the factors affecting the properties of glass ionomer cements and provides a review regarding studies that are related to modification of glass ionomer cements to improve their properties, particularly on physical-mechanical and antimicrobial activity.

METHODS

PubMed and Science Direct were searched for papers published between the years 1974 and 2018. The search was restricted to articles written in English related to modification of glass ionomer cements. Only articles published in peer-reviewed journals were included. The search included literature reviews, in vitro, and in vivo studies. Articles written in other languages, without available abstracts and those related to other field were excluded. About 198 peer-review articles in the English language were reviewed.

CONCLUSION

Based on the finding, most of the modification has improved physical-mechanical properties of glass ionomer cements. Recently, researchers have attempted to improve their antimicrobial properties. However, the attempts were reported to compromise the physical-mechanical properties of modified glass ionomer cements.

CLINICAL SIGNIFICANCE

As the modification of glass ionomer cement with different material improved the physical-mechanical and antimicrobial properties, it could be used as restorative material for wider application in dentistry.

The electrical properties and glass transition of some dental materials after temperature exposure

The physicochemical properties of dental materials will remain stable only when these materials in question are resistant to the changes in the oral cavity. The oral environment is subject to large temperature variations. The aim of the study was the assessment of electrical properties and glass transition of some dental materials after temperature exposure. Composite materials, compomers, materials for temporary prosthetic replacement and resin-based pit and fissure sealants were used in the study. The method used was electric conductivity of materials under changing temperature. The order of materials presenting the best characteristics for insulators was as follows: materials for temporary prosthetic replacement, resin-based pit and fissure sealants, composites, and compomers. Thanks to comparisons made between graphs during I and II heating run, the method could be used to observe changes in the heated material and determine whether the changes observed are reversible or permanent. The graphs also provided temperature values which contain information on glass transition during heating. In the oral cavity the effect of the constant temperature stimulus influences maturity of dental materials and improves their properties. But high temperatures over glass transition temperature can cause irreversible deformation and changes of the materials properties, even in a short time.

Addition of bioactive glass to glass ionomer cements: Effect on the physico-chemical properties and biocompatibility

OBJECTIVES

Glass ionomer cements (GICs) are a subject of research because of their inferior mechanical properties, despite their advantages such as fluoride release and direct bonding to bone and teeth. Recent research aims to improve the bioactivity of the GICs and thereby improve mechanical properties on the long term. In this study, two types of bioactive glasses (BAG) (45S5F and CF9) are combined with GICs to evaluate the physico-chemical properties and biocompatibility of the BAG-GIC combinations. The effect of the addition of Al³⁺ to the BAG composition and the use of smaller BAG particles on the BAG-GIC properties was also investigated.

MATERIALS AND METHODS

Conventional aluminosilicate glass (ASG) and (modified) BAG were synthesized by the melt method. BAG-GIC were investigated on setting time, compressive strength and bioactivity. Surface changes were evaluated by Fourier transform infrared (FT-IR), scanning electron microscopy (SEM), EDS and PO₄^3- -and Ca²⁺ uptake in SBF. Biocompatibility of selected BAG-GICs was determined by a direct toxicity assay.

RESULTS

The addition of BAG improves the bioactivity of the GIC, which can be observed by the formation of an apatite (Ap) layer, especially in CF9-containing GICs. More BAG leads to more bioactivity but decreases strength. The addition of Al³⁺ to the BAG composition improves strength, but decreases bioactivity. BAGs with smaller particle sizes have no effect on bioactivity and decrease strength. The formation of an Ap layer seems beneficial to the biocompatibility of the BAG-GICs.

SIGNIFICANCE

Bioactive GICs may have several advantages over conventional GICs, such as remineralization of demineralized tissue, adhesion and proliferation of bone- and dental cells, allowing integration in surrounding tissue. CF9 BAG-GIC combinations containing maximum 10mol% Al³⁺ are most promising, when added in ≤20wt% to a GIC.

Exploring the unexpected influence of the Si:Ge ratio on the molecular architecture and mechanical properties of Al-free GICs

Germanium (Ge)-based glass ionomer cements have demonstrated the ability to balance strength with extended setting times, a unique set of characteristics for aluminum-free glass ionomer cements. However, the mechanical properties of current Ge-based glass ionomer cements significantly deteriorate over time, which jeopardizes their clinical potential. This work explores the effect of incrementally decreasing the Si:Ge ratio in the glass phase of zinc-silicate glass ionomer cements to identify potential mechanisms responsible for the time-induced mechanical instability of Ge-based glass ionomer cements. The influence of Ge was evaluated on the basis of changes in mechanical properties and molecular architecture of the cements over a 180-day period. It was observed that the compressive strength and modulus of the cements were sustained when Si:Ge ratios were ≥1:1, but when Si:Ge ratios are <1:1 these properties decreased significantly over time. These mechanical changes were independent of structural changes in the glass ionomer cement matrices, as the level of metal–carboxylate crosslinks remained constant over time across the various Si:Ge ratios explored. However, it was noted the temporal decline of mechanical properties was proportional to the increased release of degradation byproducts, in particular Ge that was released from the cements in substantially greater quantities than other glass constituents. Unexpectedly, the slowest setting cement (Si:Ge 1:1) was also the strongest; behavior that is uncommon in Si-based glass ionomer cements, supports the potential of Ge-containing glass ionomer cements as injectable bone cements in applications such as percutaneous vertebroplasty.

Conventional glass-ionomer materials: A review of the developments in glass powder, polyacid liquid and the strategies of reinforcement

OBJECTIVES

The development of glass-ionomers (GIs) from the earliest experimental GI formulations to the modern day commercially available GIs was reviewed. The aim of the review was to identify the developments in the glass powder and polyacid liquid constituents of GIs since their inception in the late 1960s.

DATA

The glass powder has undergone major changes from the earliest GI powder formulation (G200) in an effort to enhance the reactivity with the polyacid liquid. The GI liquids have also been optimised by the manufacturers in terms of polyacid composition, molecular weight and concentration to improve the handling characteristics. Despite these developments in the glass powder and polyacid liquid constituents, GIs cannot 'truly' be advocated for the restoration of posterior dentition due to the poor mechanical properties when compared with dental amalgam and resin-based composites (RBCs).

SOURCES

Various attempts to improve the mechanical properties of GIs through substitution of reinforcing fillers to the GI powder or modification of the GI liquid were identified in the dental literature. Despite the claimed improvements in mechanical properties of the modified GIs, a wide variation in mixing and testing conditions was identified which prevented a valid assessment of the reported reinforcement strategies. When investigating a GI reinforcement strategy it is crucial that the mixing and testing conditions are standardised to allow a valid comparison between studies.

STUDY SELECTION

The dental literature reporting the earliest experimental GIs to modern day commercially available GIs (1969-2015) was reviewed. In addition, full-text publications and abstracts published in English reporting various GI reinforcement strategies were included.

CONCLUSION

Nevertheless, major improvements in GI formulations through a reinforcement strategy have yet to be made to enable clinical usage of GIs for the restoration of posterior dentition.

CLINICAL SIGNIFICANCE

GIs chemically are inherently weak but bond to sound tooth structure without the need for preconditioning or removal of sound tooth structure such that improvements in the mechanical properties of GIs would be desirable. Although advances have been made through different GI glass powder and polyacid liquid formulations over the past 40 years, further improvements in the mechanical properties of the current GIs are required to be indicated for the restoration of posterior dentition. The literature is replete with reports on GI reinforcement, however, improved reporting and control of mixing and testing conditions are required for a valid assessment of the reinforcement strategies.

Chemical and structural characterization of glass ionomer cements indicated for atraumatic restorative treatment

Glass ionomer cements (GICs) are restorative materials, which clinical use has increased significantly during the last decade. The aim of the present study was to analyze the chemical constitution and surface morphology of four glass ionomer cements: Maxxion R, VitroFill, Vidrion R and Vitremer. Twelve polyethylene tubes with an internal diameter of 3 and 3 mm in length were prepared, filled and then transferred to a chamber with 95% relative humidity and a temperature of 37°C. The surface morphology of the tested materials was examined by scanning electron microscopy (SEM) and main components were investigated by energy-dispersive X-ray microanalysis (EDX). Scanning electron microscopy revealed irregular and rough external surface. Cracking was not observed. The main constituents were found to be aluminum, silicon, calcium, sodium and fluoride. Phosphorus, sulfur and barium were only observed in Vidrion R, while chlorine were only observed in Maxxion R. Elemental mapping of the outer surface revealed high concentration of aluminum and silicon. Significant irregularities on the surface of the tested materials were observed. The chemical constitution of all GIC was similar.

The influence of particle size and fluorine content of aluminosilicate glass on the glass ionomer cement properties

OBJECTIVE

Glass ionomer cements (GIC) are clinically accepted dental restorative materials mainly due to their direct chemical adhesion to both enamel and dentin and their ability to release fluoride. However, their mechanical properties are inferior compared to those of amalgam and composite. The aim of this study is to investigate if combinations of nano- and macrogranular glass with different compositions in a glass ionomer cement can improve the mechanical and physical properties.

METHODS

Glasses with the composition 4.5 SiO2-3 Al2O3-1.5 P2O5-(5-x) CaO-x CaF2 (x=0 and x=2) were prepared. Of each type of glass, particles with a median size of about 0.73 μm and 6.02 μm were made.

RESULTS

The results show that the setting time of GIC decreases when macrogranular glass particles are replaced by nanogranular glass particles, whereas the compressive strength and Young's modulus, measured after 24 h setting, increase. The effects are more pronounced when the nanogranular glass particles contain fluoride. After thermocycling, compressive strength decreases for nearly all formulations, the effect being most pronounced for cements containing nanogranular glass particles. Hence, the strength of the GIC seems mainly determined by the macrogranular glass particles. Cumulative F--release decreases when the macrogranular glass particles with fluoride are replaced by nanogranular glass particles with(out) fluoride.

SIGNIFICANCE

The present study thus shows that replacing macro- by nanogranular glass particles with different compositions can lead to cements with approximately the same physical properties (e.g. setting time, consistency), but with different physicochemical (e.g. F--release, water-uptake) and initial mechanical properties. On the long term, the mechanical properties are mainly determined by the macrogranular glass particles.

Evaluation of a conventional glass ionomer cement with new zinc formulation: effect of coating, aging and storage agents

OBJECTIVE

The study focused on a recently launched conventional glass ionomer cement (GIC) with a particular chemical formulation of both, filler and acrylic liquid, by analysing its mechanical behaviour in comparison to three conventional GICs. Furthermore, the effect of resin coating and storage conditions was evaluated.

MATERIALS AND METHODS

Three commercially available GICs were chosen: Riva Self Cure (SDI), Fuji IX Fast (GC) and Fuji IX GP Extra/Equia (GC). Additionally a newly developed zinc-containing GIC--ChemFil Rock (Dentsply)--was tested. Mechanical properties were determined at macro- [flexural strength (FS) and modulus of elasticity (E (flexural))] and micro-scale [Vickers hardness (VH) and indentation modulus (E)] after storing coated and uncoated specimens in artificial saliva and distilled water for 7 and 30 days.

RESULTS

ChemFil Rock revealed the highest FS, but the lowest VH and E. The micro-mechanical properties of the analysed GICs did neither benefit from the new zinc formulation nor from resin coating. A resin coating is nevertheless a valuable support for GIC fillings, since it offers the absence of visible surface defects like crazing and voids, and thus, it led to significant improvements in flexural strength. This statement is also valid for ChemFil Rock, contrary to manufacture recommendation. The impact of storage agent and storage duration on the measured properties was low.

CONCLUSIONS

The new development (ChemFil Rock) might represent a promising approach regarding longevity of GIC fillings in molar regions, due to the high flexural strength and the absence of visible surface defects like crazing and voids.

CLINICAL RELEVANCE

All GICs should receive surface protection in order to perform their maximum in stability.

Dental Glass Ionomer Cements as Permanent Filling Materials? – Properties, Limitations and Future Trends

Glass ionomer cements (GICs) are clinically attractive dental materials that have certain unique properties that make them useful as restorative and luting materials. This includes adhesion to moist tooth structures and base metals, anticariogenic properties due to release of fluoride, thermal compatibility with tooth enamel, biocompatibility and low toxicity. The use of GICs in a mechanically loaded situation, however, has been hampered by their low mechanical performance. Poor mechanical properties, such as low fracture strength, toughness and wear, limit their extensive use in dentistry as a filling material in stress-bearing applications. In the posterior dental region, glass ionomer cements are mostly used as a temporary filling material. The requirement to strengthen those cements has lead to an ever increasing research effort into reinforcement or strengthening concepts.

Ion leaching of a glass-ionomer glass: an empirical model and effects on setting characteristics and strength

The release of ions from a glass-ionomer glass, which in the polyacid matrix effects the cross-linking and setting of a cement, can be modelled and initiated by acid-treatment in a dilute acid. This study examined the effect of time of acetic acid leaching on the working time, setting time, and strength of a model GIC. A reactive fluoride glass was immersed in hot acetic acid for 0 (control), 5, 15, 35, 65, 95 and 125 min, filtered and dried. The glass was mixed with an experimental GI liquid in a capsule system and the mixed pastes assessed for working and initial setting time. Compressive strength testing was undertaken according to ISO9917:2003. Immersion time had a significant effect on both working and setting time of the resultant pastes only up to 65 min of immersion, and corresponded with a thin-film ion diffusion model. Compressive strength did not vary significantly with immersion time. The glass-ionomer setting reaction can be conveniently retarded by immersion of the powder in acetic acid, without affecting strength. A reactivity model was developed, whereby the effects of various changes to the leaching process may be usefully examined.

MAS-NMR spectroscopy studies in the setting reaction of glass ionomer cements

OBJECTIVES

The main objective is the characterisation of the setting reaction in glass ionomer cements based on experimental ionomer glasses with different fluorine content and a commercial glass ionomer cement liquid by using 13C CP/MAS-NMR, 29Si, 27Al and 31P MAS-NMR spectroscopy in order to receive information specifically about the cross-linking process.

METHODS

Different fluorine containing glass compositions based on 4.5SiO2-3Al2O3-1.5P2O5-(5-z)CaO-zCaF(2) where z=0-3, were mixed with a commercially available polymer liquid to form glass ionomer cements. The cements were subjected to 27Al, 13C CP/MAS, 29Si, and 31P MAS-NMR analysis.

RESULTS

The 27Al spectra showed clearly the formation of six-fold coordinate Al(VI), that may crosslink the carboxyl groups in the poly-acid molecules. A shift towards to more positive values of the carboxyl peak in the 13C CP/MAS-NMR spectra showed clearly the proton dissociation of the carboxyl groups. A shift towards more negative values was observed in the 29Si MAS-NMR spectra, suggesting formation of hydrated silica gel and consequently formation of additional Si-O-Si bonds. 31P MAS-NMR spectra also reflected changes in the coordination state around a PO4(3-) tetrahedron. Increasing the fluorine content of the glasses resulted generally in increased reactivity during setting, due to promoting cross-linking and repolymerisation of the silicate phase, followed by clear changes in the MAS-NMR spectra.

CONCLUSIONS

The cross-linking process during the setting reaction of glass ionomer cements can be followed by MAS-NMR spectroscopy observing the conversion of Al(IV) to Al(VI). The acid base setting reaction is completed in 1 day and no further significant changes in the MAS-NMR spectra can be observed. Further study is required in order to understand the role of phosphorus.

The effects of boric acid and phosphoric acid on the compressive strength of glass-ionomer cements

OBJECTIVES

Both boric acid (H3BO3) and phosphoric acid (H3PO4) are components of dental cements, commonly incorporated into glass (as ingredients in the melt) and occasionally added to the powder or liquid components. This study investigated the effect of boric acid addition to an experimental glass-ionomer powder and the effect of phosphoric acid addition to a glass-ionomer liquid on the 24-h compressive strength.

METHODS

Boric acid powder was added in various concentrations to an experimental glass-ionomer powder and, separately, phosphoric acid was added to an experimental glass-ionomer liquid. Powders and liquids were dosed into capsules at various powder:liquid ratios and cements thus formed were assessed for 24-h compressive strength.

RESULTS

Incorporation of boric acid in glass-ionomer powder resulted in a pronounced decrease (p < 0.05 at 1% boric acid) in compressive strength. Addition of phosphoric acid produced initially stronger cements (up to 13% increase at 1% phosphoric acid) before also declining.

SIGNIFICANCE

The incorporation of less than 2% w/w phosphoric acid in glass-ionomer liquids may improve cement strengths without compromising clinical usefulness. The incorporation of boric acid in glass-ionomer cements is contraindicated.

Characterisation of commercial ionomer glasses using magic angle nuclear magnetic resonance (MAS-NMR)

Five commercial ionomer glasses (Fuji IX, Ketac Molar, G338, G2, and G2SR) used to produce glass (ionomer) polyalkenoate dental cements were studied. 29Si, 27Al, 31P and 19F magic angle spinning nuclear magnetic resonance (MAS-NMR) Spectroscopy was used to characterise the glasses and the resulting spectra compared with previous studies of model glasses. The 29Si NMR spectra were consistent with Q4(3Al) and Q4(4Al) units being present and agreed with the low non-bridging oxygen contents calculated from the elemental composition. The 27Al NMR spectra typically exhibited three distinct sites at 45-60, 20 and 0 ppm which have been attributed to Al(IV), Al(V) and Al(VI) coordinate aluminium. The presence of Al(V) and Al(VI) are consistent with previous studies of model ionomer glasses. The 31P spectra all exhibited a chemical shift between -8 and -23 ppm with the exception of the Ketac Molar glass, which exhibited a peak at 2-3 ppm consistent with orthophosphate. The chemical shift of 31P in the range -8 to -23 ppm indicates a PO(4) tetrahedra surrounded by 1-4 Al moieties. The (19)F NMR spectra indicated the presence of Al-F-Ca(n) in the G2 and G338 glasses, Al-F-Sr(n) in the G2SR and Fuji IX glasses and crystalline CaF2, LaF3, Al-F-Ca(n) in the Ketac Molar glass. The G338 glass with a high non-bridging oxygen content showed the presence of a F-Ca(n) species. There was also present in all the glasses a peak corresponding to Al-F-Na(n). The intensity of this peak was approximately proportional to the sodium content.