Polymerization Shrinkage and Degree of Conversion of New Zirconia-Reinforced Rice Husk Nanohybrid Composite

Effect of preheating and curing lamp distance on the degree of conversion of four nanohybrid resins: An in vitro study

Background

Inadequate polymerization of resins is a major cause of failure in dental restorations. This study aimed to evaluate the hypothesis that both polymerization distance and preheating of four nanohybrid resins significantly affect their degree of conversion (DC).

Material and Methods

Four A2-colored nanohybrid resins were selected: Filtek Z250 XT (3M), Tetric N-Ceram (Ivoclar), Zafira (New Stetic), and Spectra Smart (Dentsply). These resins were chosen due to their varied compositions. Forty-eight discs (6 mm diameter, 2 mm thickness) were manufactured, with 24 discs preheated to 39°C. All discs were polymerized for 40 seconds at distances of 1 mm and 6 mm using the Bluephase N lamp (Ivoclar Vivadent), operating at 385-515 nm and 1200 mW/cm². The polymerized discs were stored in distilled water at 37°C for 24 hours, and the DC was measured using Fourier-transform infrared spectroscopy (FTIR). Statistical analysis was performed using one-way ANOVA and independent samples t-tests.

Results

No statistically significant differences in DC were observed between samples preheated to 39°C and those at room temperature (p> 0.05). Zafira exhibited the highest DC, significantly higher than Z250 XT in all groups (p< 0.005) and higher than Tetric N-Ceram on the surface (p< 0.05). Significant differences were also found between Zafira and Spectra Smart in specific conditions (p< 0.05). No significant differences in DC were found between polymerization distances of 1 mm and 6 mm. Uniform polymerization was achieved throughout the resin discs.

Conclusions

Preheating nanohybrid resins to 39°C had no statistically significant impact on their degree of conversion. Acceptable DC values were achieved using a high-intensity lamp for 40 seconds, even at a curing distance of 6 mm. Among the tested resins, Zafira demonstrated the highest DC under various conditions, significantly outperforming Z250 XT, Tetric N-Ceram, and Spectra Smart in specific comparisons. Key words:Nanohybrid composite, polymerization, degree of conversion.

The effect of detox solution on color stability, roughness, and microhardness of monochromatic universal composite resins

BACKGROUND

Currently, the advantages of monochromatic universal composite resin restorative materials have increased their use in dentistry. Accordingly, the optical, surface and mechanical properties of these materials have become more important. This study aimed to evaluate the effect of detox solution on discoloration, surface roughness (SR), and microhardness of different monochromatic universal composite resins (Omnichroma [O], Zenchroma [Z], Vittra [V], and Charisma Diamond One [CDO]). Another aim of this study was to evaluate the monomer conversion degree (DC) of the materials.

METHODS

A total of 80 specimens were prepared to evaluate the materials (n = 10). After the initial measurements, the specimens were immersed in a red detox solution for 21 days. Statistical data analysis was performed using one-way ANOVA and Tukey's multiple comparisons.

RESULTS

The ∆E values of Z were highest on the 21st day. There was an increase in the SR values of the materials immersed in the detox solution. On the 21st day, top surface microhardness of O was lower than the other materials. There was no statistically significant difference at DC values among material groups.

CONCLUSIONS

The use of detox solutions for a commercially recommended period of 21 days is suggested. However, this usage period can cause discoloration in restorative materials. Furthermore, especially in the initial one-week period, detox solution may have a negative impact on the microhardness of the materials. In light of all these data, we recommend the cautious use of detox solutions to prevent adverse effects on restorative materials.

In-situ photo-crosslinkable elastomer based on polyalphaolefin/halloysite nanohybrid

In this research, new injectable and in situ photocurable elastomeric nanohybrids have been fabricated from polyalphaolefin (PAO) resins and halloysite nanofiller. In this regard, the co-oligomerization of long α-olefin monomers (C6, C8 and C10) with alkenol counterparts was carried out via a simple cationic route to provide OH-functionalized PAOs. The newly formed PAO type copolymer resins as well as halloysite nanoclay were then equipped with photocurable CC bonds containing an acrylate moiety. After the characterization of the final chemical substances and also of the intermediate structures, experimentally and computationally by means of Density Functional Theory (DFT) calculations, the neat treated PAO and PAO/halloysite nanohybrids were subjected to a curing process by visible light irradiation (λ ∼ 475 nm, blue light). The crosslinking efficiency of the neat resins and the formed nanohybrid was evaluated using shrinkage strain-time curves and equilibrium swelling method. The suggested nanohybrid is not only biocompatible (96 % in the MTT assay), and hydrophilic (with a water contact angle of 61°), but also exhibits an easy, fast and robust curing process with great potential for coating and sealing technologies for medical devices.

Effect of Thermo-mechanical Cycling on Fracture Resistance of Different CAD/CAM Crowns: An In Vitro Study

AIM

To evaluate the effect of thermo-mechanical cycling (TMC) on fracture resistance of different computer-aided design/computer-aided manufacture (CAD/CAM) crowns.

MATERIALS AND METHODS

A total of 42 CAD/CAM crowns were fabricated on epoxy resin maxillary first premolar teeth and divided into three groups (n = 14) according to the material used: IPS e.max CAD (Ivoclar Vivadent) lithium disilicate (LD), Vita ENAMIC (VE) (VITA Zahnfabrik), Tetric CAD (Ivoclar Vivadent). Also, each group was subdivided into two equal subgroups according to TMC (n = 7). Subgroups (O) without TMC and subgroup (W) with TMC (5-55°C, 30 second, 75,000 cycles). All samples in each group were cemented with a universal bond (Tetric N bond universal) and adhesive resin cement (Variolink Esthetic DC) (Ivoclar Vivadent). Subsequently, the samples were loaded to failure in a universal testing machine at a crosshead speed of 1 mm/min, and the fracture pattern and the fracture resistance in each group were recorded.

RESULTS

Fracture resistance was analyzed by one-way analysis of variance (ANOVA) test, followed by Tukey's post hoc test for pairwise comparison. Fracture resistance showed a significant difference between the tested groups before and after TMC; IPS e.max CAD has the highest value (1233.35 ± 97.72, 1165.73 ± 199.54 N) followed by Tetric CAD (927.62 ± 42.5, 992.04 ± 53.46 N) and Vita ENAMIC has lowest value (506.49 ± 74.24, 354.69 ± 90.36 N).

CONCLUSION

Thermo-mechanical cycling affected the fracture resistance of both polymer-based CAD/CAM crowns.

CLINICAL SIGNIFICANCE

For dental practitioners, both IPS e.max CAD and Tetric CAD can be used clinically for posterior teeth, providing satisfactory results and resistance to fracture. How to cite this article: Elmokadem MI, Haggag KM, Mohamed HR. Effect of Thermo-mechanical Cycling on Fracture Resistance of Different CAD/CAM Crowns: An In Vitro Study. J Contemp Dent Pract 2024;25(1):29-34.

Efficacy of Rice Husk Nanosilica as A Caries Treatment (Dentin Hydroxyapatite and Antimicrobial Analysis)

OBJECTIVE

 Rice husk nanosilica has a porous, amorphous structure with a silica (SiO2) surface. Silica interacts with calcium ions to form hydroxyapatite and can induce the formation of reactive oxygen species (ROS), which harm microorganisms. This research determines the effect of rice husk nanosilica on the increase in dentin hydroxyapatite and its antimicrobial effects against Streptococcus mutans.

MATERIALS AND METHODS

 We divided 27 dental cavity samples into three groups (n = 9). Group 1: normal dentin, Group 2: demineralized dentin, Group 3: demineralized dentin treated with rice husk nanosilica. The samples were analyzed using X-ray diffraction (XRD) to evaluate the formation of dentin hydroxyapatite. To analyze the viability of S. mutans after exposure to 2% nanosilica rice husk, we conducted an antimicrobial MTT assay.

STATISTICAL ANALYSIS

 The Kruskal-Wallis test evaluates the formation of dentin hydroxyapatite, and the t-test evaluates the viability of S. mutans.

RESULTS

 There was an increase in the amount of dentin hydroxyapatite after the application of rice husk nanosilica compared with the control group (normal dentin), and 2% rice husk nanosilica had an antimicrobial effect (p < 0.005) in the group exposed to it.

CONCLUSION

 Rice husk nanosilica can induce the formation of dentin hydroxyapatite and has antimicrobial effects.

Novel Antibacterial Copolymers Based on Quaternary Ammonium Urethane-Dimethacrylate Analogues and Triethylene Glycol Dimethacrylate

The growing scale of secondary caries and occurrence of antibiotic-resistant bacterial strains require the development of antibacterial dental composites. It can be achieved by the chemical introduction of quaternary ammonium dimethacrylates into dental composites. In this study, physicochemical and antibacterial properties of six novel copolymers consisting of 60 wt. % quaternary ammonium urethane-dimethacrylate analogues (QAUDMA) and 40 wt. % triethylene glycol dimethacrylate (TEGDMA) were investigated. Uncured compositions had suitable refractive index (RI), density (d_m), and glass transition temperature (Tg_m). Copolymers had low polymerization shrinkage (S), high degree of conversion (DC) and high glass transition temperature (Tg_p). They also showed high antibacterial effectiveness against S. aureus and E. coli bacterial strains. It was manifested by the reduction in cell proliferation, decrease in the number of bacteria adhered on their surfaces, and presence of growth inhibition zones. It can be concluded that the copolymerization of bioactive QAUDMAs with TEGDMA provided copolymers with high antibacterial activity and rewarding physicochemical properties.

Novel dental composite resin derived from rice husk natural biowaste: A systematic review and recommendation for future advancement

OBJECTIVES

This review aimed to summarize contemporary evidence related to dental composite resin derived from rice husk biowaste and its potential future advancement. This review paper included the techniques for synthesis, characterization, and preparation of rice husk composite resin. Focus was also given to the flexural strength and modulus, compressive strength, wear rate, hardness, surface roughness, color stability, polymerization shrinkage, degree of conversion, and their application onto root canal treated teeth.

MATERIAL AND METHODS

A search of English peer-reviewed literature (January 1960-February 2021) was conducted from electronic databases (PubMed Central, Cochrane, LILACS, Science Direct, Web of Science, SIGLE, EMBASE, EBSCO, Medline, and Google Scholar).

RESULTS

11 articles and a book section were finally selected for qualitative analysis. Studies concluded that the physicomechanical properties and the color stability of rice husk dental composites showed comparable results to conventional dental composites. Incorporation of zirconia nanopowder into rice husk dental composite increased the compressive strength and hardness values, associated with lower shrinkage, a high degree of conversion, and improved fracture strength when applied on root canal treated teeth.

CONCLUSIONS

Due to its low cost, eco-friendliness, and acceptable clinical performances, rice husk dental composite resin can be considered as an alternative to conventional composites.

CLINICAL SIGNIFICANCE

Dental composite resin derived from rice husk silica demonstrated excellent performance, which could potentially substitute currently available composite resins. This review will give new insight to clinicians and researchers on the usage of natural biowaste mass in the field of dental restorative materials.

Physicochemical and Mechanical Properties of Bis-GMA/TEGDMA Dental Composite Resins Enriched with Quaternary Ammonium Polyethylenimine Nanoparticles

Modification of dental monomer compositions with antimicrobial agents must not cause deterioration of the structure, physicochemical, or mechanical properties of the resulting polymers. In this study, 0.5, 1, and 2 wt.% quaternary ammonium polyethylenimine nanoparticles (QA-PEI-NPs) were obtained and admixed with a Bis-GMA/TEGDMA (60:40) composition. Formulations were then photocured and tested for their degree of conversion (DC), polymerization shrinkage (S), glass transition temperature (T_g), water sorption (WS), solubility (SL), water contact angle (WCA), flexural modulus (E), flexural strength (σ), hardness (HB), and impact resistance (a_n). We found that the DC, S, Tg, WS, E, and HB were not negatively affected by the addition of QA-PEI-NPs. Changes in these values rarely reached statistical significance. On the other hand, the SL increased upon increasing the QA-PEI-NPs concentration, whereas σ and a_n decreased. These results were usually statistically significant. The WCA values increased slightly, but they remained within the range corresponding to hydrophilic surfaces. To conclude, the addition of 1 wt.% QA-PEI-NPs is suitable for applications in dental materials, as it ensures sufficient physicochemical and mechanical properties.

Nanoparticles of Quaternary Ammonium Polyethylenimine Derivatives for Application in Dental Materials

Various quaternary ammonium polyethylenimine (QA-PEI) derivatives have been synthesized in order to obtain nanoparticles. Due to their antibacterial activity and non-toxicity towards mammalian cells, the QA-PEI nanoparticles have been tested extensively regarding potential applications as biocidal additives in various dental composite materials. Their impact has been examined mostly for dimethacrylate-based restorative materials; however, dental cements, root canal pastes, and orthodontic adhesives have also been tested. Results of those studies showed that the addition of small quantities of QA-PEI nanoparticles, from 0.5 to 2 wt.%, led to efficient and long-lasting antibacterial effects. However, it was also discovered that the intensity of the biocidal activity strongly depended on several chemical factors, including the degree of crosslinking, length of alkyl telomeric chains, degree of N-alkylation, degree of N-methylation, counterion type, and pH. Importantly, the presence of QA-PEI nanoparticles in the studied dental composites did not negatively impact the degree of conversion in the composite matrix, nor its mechanical properties. In this review, we summarized these features and functions in order to present QA-PEI nanoparticles as modern and promising additives for dental materials that can impart unique antibacterial characteristics without deteriorating the products' structures or mechanical properties.