Mechanical and dentin bond strength properties of the nanosilver enriched glass ionomer cement

Bond strength and surface roughness assessment of novel antimicrobial polymeric coated dental cement

Resin cement integrated with zein-incorporated magnesium oxide nanoparticles has previously been found to inhibit oral microbes and decrease bacterial biofilm. However, the bond strength and surface features of this biomaterial have yet to be investigated. The objective of this study was to evaluate the shear bond strength, mode of fracture, and surface roughness of resin cement modified with zein-incorporated magnesium oxide nanoparticles. Characterization of the cement was performed by X-ray diffraction, field emission scanning electron microscopy, and Fourier transform infrared spectroscopy. 126 human teeth were divided into 3 groups and cemented to lithium disilicate ceramic using resin cement with zein-incorporated magnesium oxide nanoparticles at concentrations of 0%, 1%, and 2% (n = 42). 21 samples of each group were subjected to the shear bond strength test, while the other 21 underwent thermocycling for 10,000 cycles before the test, after which all samples were evaluated for the mode of fracture. To assess surface roughness, resin cement disks were analyzed by a profilometer before and after undergoing thermocycling for 10,000 cycles. The shear bond strength of the cement with 1% and 2% nanoparticles was significantly higher than the control before thermocycling. The mode of fracture was found to be mainly adhesive with all groups, with the unmodified cement presenting the highest cohesive failure. There was no significant difference in surface roughness between the groups before or after thermocycling. The addition of zein-incorporated magnesium oxide nanoparticles to resin cement improved or maintained the shear bond strength and surface roughness of the resin cement.

Effect of Incorporating Date Seeds Microparticles on Compressive Strength and Microhardness of Conventional Glass Ionomer (an In VitroStudy)

Background

This study aimed to evaluate the effect of incorporating date seeds (DS) microparticles on the compressive strength and microhardness of conventional glass ionomer cement properties following aging in artificial saliva.

Material and Methods

Date seeds powder was prepared and added to the conventional glass ionomer cement at concentrations of 3% and 5% by weight. To prepare the samples, a silicon mold was utilized, with dimensions of 6 mm in height and 4 mm in diameter. These samples were then divided into three main groups: group I; unmodified GICs serving as the control, group II; GICs with a 3% weight of DS, and group III; GICs with a 5% weight of DS. The compressive strength and microhardness of the samples were subsequently measured and compared across the three groups, after being stored in artificial saliva for two different time intervals: one day and 30 days. Fourier transform infrared (FTIR) analysis was conducted to determine the nature of the DS and the GIC-DS composite. At the same time, a scanning electron microscope (SEM) was employed to investigate the surface characteristics of the samples.

Results

The measurement values after 24 hours showed that the DS addition had significantly increased the compressive strength but had no effect on the microhardness. However, after aging there was a significant increase in the microhardness and a significant decrease in the compressive strength of the DS groups compared to the control group.

Conclusions

The addition of date seeds powder showed an enhancing effect on the microhardness over time but adversely affected the compressive strength of the material. Key words:Artificial saliva, natural resources, waste materials, dental restoration, mechanical properties.

Mapping the Dental Applications of Nanosilver Fluoride: A Narrative Review

Advances in nanotechnology have been changing the face of dentistry with their diverse range of dental applications. Silver nanoparticles (AgNPs) are a relatively new breakthrough in dentistry.

Aim

The main objective of this paper is to discuss the current progress in the field of dentistry and highlight the aspects regarding silver nanoparticle incorporation, emphasizing the properties, applications, and advantages of nanosilver fluoride (NSF) that it brings to dentistry.

Materials and methods

An extensive electronic scientific search was conducted on published articles in various databases, such as Medline (PubMed), CENTRAL (Cochrane), Scopus, and Web of Science, using the search terms AgNPs, nano dentistry, caries prevention, and oral health. Further brief communications, randomized controlled trials (RCT), in vitro research, and animal studies written in English were also considered. Case reports, editorial reviews, and opinion letters were excluded from the first phase of our research.

Results

Pertaining to various kinds of literature reviews in journals, around 345 articles were retrieved. After screening, about 28 articles met all the selection criteria, focusing on NSF for the contemporary management of dental caries, emphasizing microinvasive therapeutic methods that can successfully halt the progression of caries at the initial level and minimize the loss of sound tooth structure.

Conclusion

Due to its exceptional properties and wide range of clinical applications, AgNPs incorporated in fluoride may be employed as an effective, affordable, and improved anticaries agent that brings about superior enhancements in the fields of orthodontics, restorative dentistry, and pediatric and preventive dentistry.

How to cite this article

Thimmaiah C, Thomas NA, Baskaradoss JK, et al. Mapping the Dental Applications of Nanosilver Fluoride: A Narrative Review. Int J Clin Pediatr Dent 2024;17(7):833-837.

Assessing the Impact of Nano-Graphene Oxide Addition on Surface Microhardness and Roughness of Glass Ionomer Cements: A Laboratory Study

Background

Nanomaterials, including nano-graphene oxide (nGO), have emerged as promising modifiers for dental materials. Therefore, this study investigated the effect of incorporating nGO into conventional glass ionomer cement (CGIC) and resin-modified glass ionomer cement (RMGIC) on surface roughness and hardness.

Methods

Sixty disk-shaped specimens (2 × 6 mm) were divided into six groups: CGIC, RMGIC, CGIC with 1 wt.% nGO, CGIC with 2 wt.% nGO, RMGIC with 1 wt.% nGO, and RMGIC with 2 wt.% nGO. Surface roughness (Ra) and Vickers microhardness (VHN) were measured using a surface profilometer and Vickers microhardness tester, respectively. Statistical analysis employed the Kruskal-Wallis and Mann-Whitney tests (p <0.05).

Results

The microhardness of RMGICs significantly increased with 1% and 2% nGO (p=0.017, P=0.001, respectively), while CGICs showed a significant decrease in VHN with nGO incorporation (p=0.001). VHN values of all CGIC groups were significantly higher than those of all RMGIC groups (p=0.001). Mean surface roughness values for all CGICs were significantly higher than those of RMGIC groups (p=0.001). Within the RMGIC groups, mean Ra values of RMGIC + 1 wt.% nGO and RMGIC + 2 wt.% nGO groups decreased significantly compared to the RMGIC control group (p=0.001, p=0.001, respectively). Among CGIC groups, mean Ra values of 1 wt.% and 2 wt.% nGO/CGIC groups were significantly higher than the CGIC control group (p=0.016, p=0.001).

Conclusion

Incorporating nGO into RMGICs increased surface microhardness while reducing surface roughness, offering potential advantages for clinical applications. Conversely, adding nGO to CGICs increased surface roughness and decreased surface hardness. These findings emphasize the potential benefits of utilizing nGO in RMGICs and their implications in clinical practice.

Incorporation of Nanomaterials in Glass Ionomer Cements-Recent Developments and Future Perspectives: A Narrative Review

Glass ionomer cements (GICs), restorative materials with commercial availability spanning over five decades, are widely applied due to their advantages (including bio-compatibility, fluoride release, or excellent bonding properties). However, GICs have shortcomings. Among the disadvantages limiting the application of GICs, the poor mechanical properties are the most significant. In order to enhance the mechanical or antimicrobial properties of these materials, the addition of nanomaterials represents a viable approach. The present paper aims to review the literature on the application of different types of nanomaterials for the enhancement of GICs' mechanical and antimicrobial properties, which could lead to several clinical benefits, including better physical properties and the prevention of tooth decay. After applying the described methodology, representative articles published in the time period 2011-present were selected and included in the final review, covering the modification of GICs with metallic nanoparticles (Cu, Ag), metallic and metalloid oxide nanoparticles (TiO₂, ZnO, MgO, Al₂O₃, ZrO₂, SiO₂), apatitic nanomaterials, and other nanomaterials or multi-component nanocomposites.

Effect of Different Concentrations of Silver Nanoparticles on the Quality of the Chemical Bond of Glass Ionomer Cement Dentine in Primary Teeth

Background: The nanotechnologies have been applied for dental restorative materials manufacturing such as glass ionomer cement, composites, tooth regeneration, and endodontic sealers. The study aimed to investigate the chemical bond of conventional glass ionomer cement and to evaluate the addition of different concentrations of silver nanoparticles (AgNPs) on the quality of the chemical bond of glass ionomer cement to primary dentin.

Methods: Silver nanoparticle (AgNP) powder was added in concentrations of 0.2, 0.4, and 0.6% to the conventional powder of GIC Fuji II. Then, the powder was added to the liquid and mixed with the recommended powder/liquid ratio of 3.6:1 g. The Fourier-transform infrared spectra (FTIR) of teeth with 0.2%, 0.4%, and 0.6% w/w of silver nanoparticles in GIC fills and the control tooth were obtained. The conventional glass ionomer was used as a control group. The control and the plain silver tooth were subjected to FTIR analysis using an ATR–FTIR spectrophotometer (ThermoFisher Scientific, Waltham, MA, United States) with zinc selenide (ZnSe) ATR crystal (attenuated total reflection) and OPUS v7.5 software. All spectra were recorded in the range of 500–3,500 cm⁻¹ in the transmission mode with an ATR module.

Results: The AgNPs added at 0.2, 0.4, and 0.6% concentration to GIC provided some information in the context of bond interaction with the dentin. Various bond peaks were seen for calcium, carbonate, phosphate, and amide. In our study, only the amide and phosphate were generated. The amide peaks were almost similar to the control, 0.2%, 0.4%, and 0.6%, with the peaks in the range of 1250–1650 cm⁻¹. There was a clear shift in the phosphate peak from the control, 0.2, and 0.4%, which was about 1050 cm⁻¹, whereas for 0.6%, there was a clear shift from 1050 cm⁻¹ to 880 cm⁻¹.

Conclusion: GIC supplemented with AgNPs showed that a concentration above 0.4% of AgNPs altered the bond quality in dentin interaction. In conclusion, adding AgNPs at a minimal level improves the mechanical properties and maintains the same bond quality as GIC.

Polymeric Dental Nanomaterials: Antimicrobial Action

This review aims to describe and critically analyze studies published over the past four years on the application of polymeric dental nanomaterials as antimicrobial materials in various fields of dentistry. Nanoparticles are promising antimicrobial additives to restoration materials. According to published data, composites based on silver nanoparticles, zinc(II), titanium(IV), magnesium(II), and copper(II) oxide nanoparticles, chitosan nanoparticles, calcium phosphate or fluoride nanoparticles, and nanodiamonds can be used in dental therapy and endodontics. Composites with nanoparticles of hydroxyapatite and bioactive glass proved to be of low efficiency for application in these fields. The materials applicable in orthodontics include nanodiamonds, silver nanoparticles, titanium(IV) and zinc(II) oxide nanoparticles, bioactive glass, and yttrium(III) fluoride nanoparticles. Composites of silver nanoparticles and zinc(II) oxide nanoparticles are used in periodontics, and nanodiamonds and silver, chitosan, and titanium(IV) oxide nanoparticles are employed in dental implantology and dental prosthetics. Composites based on titanium(IV) oxide can also be utilized in maxillofacial surgery to manufacture prostheses. Composites with copper(II) oxide nanoparticles and halloysite nanotubes are promising materials in the field of denture prosthetics. Composites with calcium(II) fluoride or phosphate nanoparticles can be used in therapeutic dentistry for tooth restoration.

Antimicrobial Efficacy of Glass Ionomer Cement in Incorporation with Biogenic Zingiber officinale Capped Silver-Nanobiotic, Chlorhexidine Diacetate and Lyophilized Miswak

In the present study, Zingiber officinale is used for the synthesis of Zingiber officinale capped silver nanoparticles (ZOE-AgNPs) and compares the antimicrobial efficacy and compressive strength of conventional glass ionomer cement (GIC) combined with ZOE-AgNPs, lyophilized miswak, and chlorhexidine diacetate (CHX) against oral microbes. Five groups of the disc-shaped GIC specimens were prepared. Group A: lyophilized miswak and GIC combination, Group B: ZOE-AgNPs and GIC combinations, Group C: CHX and GIC combination, Group D: ZOE-AgNPs + CHX + GIC; Group E: Conventional GIC. Results confirmed the successful formation of ZOE-AgNPs that was monitored by UV-Vis sharp absorption spectra at 415 nm. The X-ray diffractometer (XRD) and transmission electron microscope (TEM) results revealed the formation of ZOE-AgNPs with a mean size 10.5-14.12 nm. The peaks of the Fourier transform infrared spectroscopy (FTIR) were appearing the involvement of ZOE components onto the surface of ZOE-AgNPs which played as bioreducing, and stabilizing agents. At a 24-h, one-week and three-week intervals, Group D showed the significantly highest mean inhibitory zones compared to Group A, Group B, and Group C. At microbe-level comparison, Streptococcus mutans and Staphylococcus aureus were inhibited significantly by all the specimens tested except group E when compared to Candida albicans. Group D specimens showed slightly higher (45.8 ± 5.4) mean compressive strength in comparison with other groups. The combination of GIC with ZOE-AgNPs and chlorhexidine together enhanced its antimicrobial efficacy and compressive strength compared to GIC with ZOE-AgNPs or lyophilized miswak or chlorhexidine combination alone. The present study revealed that The combination of GIC with active components of ZOE-AgNPs and chlorhexidine paves the way to lead its effective nano-dental materials applications.

Effect of zinc oxide nanoparticles on physical and antimicrobial properties of resin-modified glass ionomer cement

Background:

To improve the limitations, many modifications in the resin-modified glass ionomer (RMGI) composition have been proposed. In this study, we evaluated the effect of different concentrations of zinc oxide (ZnO) nanoparticles incorporated into RMGI cement on its physical and antimicrobial properties.

Materials and Methods:

In this in vitro study, ZnO nanoparticles with 0–4 wt.% concentrations were incorporated into RMGI. The following tests were carried out: (a) Antibacterial activity against Streptococcus mutans tested by disc diffusion method, (b) mechanical behavior assessment by measuring flexural strength (FS) and flexural modulus (FM), (c) micro-shear bond strength (μ-SBS), and (d) fluoride and zinc release. Data were analyzed using the statistical tests of ANOVA, t-test, and Tukey's HSD post hoc in SPSS V22. The level of significancy was 0.05.

Results:

In the disc diffusion method, specimens with 2 wt.% ZnO nanoparticles showed the highest antimicrobial efficacy (P < 0.05). After 1 month of water storage, no significant difference was observed in FS and FM of the samples (P > 0.05). In 2 wt.% ZnO nanoparticles group, μSBS increased in the first 7 days but decreased by 17% after one month, which showed a significant difference with that of the control group. The fluoride release did no change in the ZnO nanoparticle-containing group compared with the control group at all time intervals.

Conclusion:

Incorporation of 2 wt.% ZnO nanoparticles into the RMGI cement adds antimicrobial activity to the cement without sacrificing FS and fluoride release properties, while decreased μSBS.

Effect of Nanostructures on the Properties of Glass Ionomer Dental Restoratives/Cements: A Comprehensive Narrative Review

Overall perspective of nanotechnology and reinforcement of dental biomaterials by nanoparticles has been reported in the literature. However, the literature regarding the reinforcement of dental biomaterials after incorporating various nanostructures is sparse. The present review addresses current developments of glass ionomer cements (GICs) after incorporating various metallic, polymeric, inorganic and carbon-based nanostructures. In addition, types, applications, and implications of various nanostructures incorporated in GICs are discussed. Most of the attempts by researchers are based on the laboratory-based studies; hence, it warrants long-term clinical trials to aid the development of suitable materials for the load bearing posterior dentition. Nevertheless, a few meaningful conclusions are drawn from this substantial piece of work; they are as follows: (1) most of the nanostructures are likely to enhance the mechanical strength of GICs; (2) certain nanostructures improve the antibacterial activity of GICs against the cariogenic bacteria; (3) clinical translation of these promising outcomes are completely missing, and (4) the nanostructured modified GICs could perform better than their conventional counterparts in the load bearing posterior dentition.

Comparison between the effect of adding microhydroxyapatite and chitosan on surface roughness and Microhardness of resin modified and conventional glass ionomer cements

Background

This study aimed to compare the effect of chitosan (CH) and hydroxyapatite (HP) on the surface roughness and microhardness of a conventional glass ionomer cement (CGIC) and a resin modified glass ionomer cement (RMGIC).

Material and Methods

60 disk-shaped specimens (2mm x 6mm) were prepared in 6 groups; group I: CGIC, group II: RMGIC, group III: CGIC + 15% volume CH solution in liquid, group IV: CGIC +10% weight micro-HP in powder, group V: RMGIC + 15% volume CH, group VI: RMGIC + 10% weight micro-HP. After storage in deionized water at room temperature for 24 hours, the surface roughness and microhardness of the specimens were measured using a surface profilometer and Vickers microhardness (VHN) tester, respectively. Data were analyzed using two-way ANOVA, Tukey HSD test and paired t-test (P<0.05).

Results

The microhardness values of RMGIC and CGIC decreased significantly with the addition of micro-HP (P<0.001). None of the CH-containing GICs showed significant changes in microhardness (P = 0.552). The VHN values of CGIC were higher than RMGIC, regardless of the added substance (P<0.001). The surface roughness (Ra) values (μm) of both RMGIC and CGIC decreased significantly with the addition of CH (P = 0.004). The incorporation of micro-HP into GICs did not have a significant effect on surface roughness values (P = 0.700). The RMGIC showed less Ra values compared to the CGIC regardless of the added substance (P<0.001). The lowest and highest Ra values were observed in RMGIC + CH and CGIC + micro-HP groups, respectively.

Conclusions

The addition of CH to GIC and RMGIC reduced the surface roughness and did not have an adverse effect on the microhardness. Mixing GIC and RMGIC with micro-HP resulted in microhardness reduction and did not affect the surface roughness.

Key words:Glass ionomer, hydroxyapatite, chitosan, hardness, surface roughness

The effect of bacterial cellulose nanocrystals on the shear bond strength of resin modified glass ionomer cement to dentin

Background

The present study aimed to investigate the effect of bacterial cellulose nanocrystals (BCNC) on the shear bond strength (SBS) of resin modified glass ionomer cement (RMGIC) to dentin.

Material and Methods

A total of 48 freshly extracted intact third molars were randomly divided into four main groups with three different concentrations (0.3%, 0.5% and 1% wt) of BCNC with RMGIC and control group without BCNC. These specimens were kept in distilled water at 37° C for 24h. Shear bond strength was examined, using the universal testing machine. Kruskal-Wallis test and Dunn`s post-hoc test were applied for analysis of data. P<0.05 was considered as the level of significance.

Results

The addition of a 1%wt of BCNC to the RMGIC led to a significant increase in the shear bond strength (7.17 ± 2.14) compared to the control group (2.09 ± 1.80) (P=0.007). The shear bond strength was improved up to 343%.

Conclusions

It was found that the incorporation of 1% wt BCNC to the RMGICs enhanced the SBS properties of the RMGIC significantly. Modifying RMGIC with BCNC might be advantageous in terms of improving the restorative material. Key words:Bacterial cellulose nanocrystals, RMGIC, Shear bond strength.

Microshear Bond Strength of Nanoparticle-Incorporated Conventional and Resin-Modified Glass Ionomer to Caries-Affected Dentin

The purpose of this study was to assess the influence of three different types of nanoparticles (silver (SNPs), titanium dioxide (TNPs), and zinc oxide (ZNPs)) on the microshear bond strength of conventional glass ionomer cement (CGIC) and resin-modified glass ionomer cement based on whether CGIC or RMGIC is used with four subgroups (based on the incorporation of SNPs, ZNPs, and TNPs in addition to a control subgroup) (n = 12) as follows: CGIC, CGIC + TNP, CGIC + ZNP, CGIC + SNP, RMGIC, RMGIC + TNP, RMGIC + ZNP, and RMGIC + SNP. After 24 hours, the μSBS of specimens was tested and the obtained data were analyzed using two-way ANOVA and Tukey's HSD test. The obtained results showed that the incorporation of TNPs in two glass ionomers was not statistically significant compared with the control subgroups (p > 0.05). In the first group, the highest and lowest mean μSBS were, respectively, observed in the CGIC + SNP subgroup and CGIC + ZNP subgroup. In the second group, RMGIC + ZNP and RMGIC + SNP, respectively, showed the highest and lowest mean μSBS compared to the other subgroups. According to the results, it can be concluded that TNPs can be incorporated into both CGIC and RMGIC without compromising the bond strength of glass ionomers. SNPs and ZNPs can be, respectively, added to CGICs and RMGICs to improve the bond strength of the restoration.

Effects of Bacterial Cellulose Nanocrystals on the Mechanical Properties of Resin-Modified Glass Ionomer Cements

OBJECTIVES

 The purpose of this study was to evaluate the effect of bacterial cellulose nanocrystals (BCNCs) on the mechanical properties of resin-modified glass ionomer cements (RMGICs) including compressive strength (CS), diametral tensile strength (DTS), and modulus of elasticity (E).

MATERIALS AND METHODS

 BCNCs were incorporated into RMGIC at various concentrations (0.3, 0.5, and 1 wt%). Unmodified RMGIC was used as the control group. The specimens were stored in distilled water at 37°C for 24 hours. CS and DTS, as well as modulus of elasticity, were evaluated using a universal testing machine. The nanostructure of BCNCs was observed via field emission scanning electron microscopy.

STATISTICAL ANALYSIS

 One-way analysis of variance and post-hoc Tukey tests were used for data analysis. Level of significance was at p < 0.05.

RESULTS

 The addition of BCNCs to RMGIC led to an increase in all of the tested mechanical properties compared with the control group, with a significant increase observed for 1 wt% BCNC. CS and DTS improved up to 23%, and modulus of elasticity increased by 44%.

CONCLUSIONS

 The addition of BCNCs to the RMGIC improved the mechanical properties, including CS, elastic modulus, and DTS. Thus, the newly developed RMGICs with BCNCs might represent an ideal and promising novel dental material in restorative dentistry.

The Effects of Silver, Zinc Oxide, and Titanium Dioxide Nanoparticles Used as Dentin Pretreatments on the Microshear Bond Strength of a Conventional Glass Ionomer Cement to Dentin

Aim

This study was conducted to evaluate the effects of three nanoparticle solutions used as dentin pretreatments on the microshear bond strength (µSBS) of a conventional glass ionomer cement (GIC) to dentin.

Materials and Methods

Ninety intact human molars were used after sectioning their occlusal surfaces to expose flat dentin surfaces. The specimens were randomly assigned to nine groups (n = 10). Group A was the control group (without using the cavity disinfectant). In groups B, C, D, and E, the prepared dentin surfaces were treated with 1 cc 2% chlorhexidine (CHX), 0.1% silver nanoparticle (SNP), 0.1% titanium dioxide nanoparticle (TNP), and 0.1% zinc oxide nanoparticle (ZNP) solutions for 1 minute, respectively, before applying the conditioner. CHX, SNPs, TNPs, and ZNPs were applied for 1 minute after applying the conditioner in groups F, G, H, and I, respectively. The specimens were restored with a conventional GIC and underwent µSBS testing after 24 hours. The data were analyzed using the one-way analysis of variance and Tukey’s test (p=0.05).

Results

The applications of the nanoparticles (SNP, TNP, and ZNP) after the conditioner were associated with significantly greater µSBS values compared to that of the control group (p values < 0.05). Significantly higher µSBS values were observed when TNP or ZNP was applied after the conditioner compared to their applications before the conditioner (p values < 0.05). The highest µSBS values were observed when TNP was applied after the conditioner.

Conclusion

Dentin pretreatment with the nanoparticles after applying the conditioner enhanced the bond strength of the GIC to dentin compared with the control group. The best results were obtained for the TNPs applied after the conditioner.

Enhancing the Mechanical Properties of Glass-Ionomer Dental Cements: A Review

This paper reviews the strategies that have been reported in the literature to attempt to reinforce glass-ionomer dental cements, both conventional and resin-modified. These cements are widely used in current clinical practice, but their use is limited to regions where loading is not high. Reinforcement might extend these applications, particularly to the posterior dentition. A variety of strategies have been identified, including the use of fibres, nanoparticles, and larger particle additives. One problem revealed by the literature survey is the limited extent to which researchers have used International Standard test methods. This makes comparison of results very difficult. However, it does seem possible to draw conclusions from this substantial body of work and these are (1) that powders with conventional particle sizes do not reinforce glass-ionomer cements, (2) certain fibres and certain nanoparticles give distinct improvements in strength, and (3) in the case of the nanoparticles these improvements are associated with differences in the morphology of the cement matrix, in particular, a reduction in the porosity. Despite these improvements, none of the developments has yet been translated into clinical use.