Anti-biofilm Effect of Glass Ionomer Cements Incorporated with Chlorhexidine and Bioactive Glass

The effect of glass ionomer cement and resin-modified glass ionomer cement incorporated with chlorhexidine and bioactive glass on antimicrobial activity and physicochemical properties were investigated. The experimental results showed that groups incorporated with 1% chlorhexidine exhibited a significant reduction of optical density values of the bacterial suspension and increased the degradation of Streptococcus mutans biofilm. However, groups incorporated with 10% bioactive glass did not affect the optical density values and the biofilm formation. The mechanical properties of the materials and the polymerization were not influenced by the addition of chlorhexidine. Nevertheless, the compressive strength was lower when the materials were incorporated with bioactive glass. It can be concluded that glass ionomer cements incorporated with chlorhexidine can maintain its mechanical properties as well as reduce early S mutans biofilm formation. Controlled release/sustained release technology may be required to optimize the antibacterial activity of glass ionomer cements incorporated with bioactive glass.

The Setting Chemistry of Glass Ionomer Cement

The setting chemistry of glass ionomer cement was imestigated by using mechanical determination of compressive strength at predetermined intervals,and measurement of structure changes of correspondling fracture sample by means of IR spectra and differential scanning calorimetry（DSC）.Zinc polycarboxylate cement was used as a comparison sample.The compressive strength of glass ionomer cement（GIC） increases with aging.IR spectra and DSC of corresponding fracture sample show the structure changes of the matrix and interface layer comprising of silica gel during the predetermined intervals studied.however,no significant changes occur in the zinc polycarxyolate cement.Hence the structure changes of the matrix and/or interface layer are responsible for compressive strength increasing with aging.The structure changes include the crosslink density,the ratio of complex form to ionic form,the content ratio of Al-PAA to Ca-PAA,the forming and maturing process of the interface layer comprising of silica gel.

Short-term Mechanical Properties of Glass Ionomer Cement

The setting reaction of glass ionomer cement was studied by analyzing and comparing the short-tem mechanical properties of set cement stored in silicone oil, air and distilled water respectively at different temperatures. For the set cement stored at 37 ℃, the strength of the sample in the air reached the maximum value after 24 h, then decreased to about 210 MPa and kept steady. The strength of the sample in water increased continuously and slowly, however, the increasing rate of sample stored in silicone oil was higher than that in the water. At 20 ℃, the increasing rate of compressive strength for sample in air was higher than those in silicone oil and water. The diffusion speed and maintenance of water has significant effects on the mechanical properties of glass ionomer cements.

MICROLEAKAGE OF CLASS V RESIN-MODIFIED GLASS IONOMER CEMENT AND COMPOMER RESTORATIONS IN VITRO

Objective To assess the microleakage of Class V restorations made with two resin-modified glass ionomer cements （RMGICs） and two polyacid-modified composite resins （PMCRs）. Methods Restorations of the four materials （ GC Fuji Ⅱ LC, Vitremer^TM, Dyract AP and F2000^TM ） were placed in facial Class V cavity preparations in forty noncarious human molar teeth. Teeth were randomly assigned to 4 experimental groups of 10 teeth each. After thermal cycling（ ×20, 5 -55℃ ） , the interface between dentin and restorations was spattercoated with gold and observed under scanning electron microscopy （SEM）. Then the square and average width of margin gaps of central 1/3 interface were recorded with image analysis software. Results The data indicated no significant differences between all the restorative materials for both occlusal and gingival margins. Further analysis revealed there were statistically significant differences between occlusal margins and gingival margins for VitremerTM and Dyract AP, respectively. Conclusion None of the tested materials guaranteed margins free of microleakage. Resin-modified glass ionomer cements showed similar margin gaps to the polyacid-modified composite resins tested.

Studies on electrical and thermal properties of dental glass ionomer cement

A commercially available dental Glass Ionomer Cement (GIC) was studied after setting at room temperature (300 K) to understand its DC electrical conductivity, dielectric and thermal properties. The dental GIC’s are supposed to have free mobile charge carriers like F- ions. Interestingly this material loses its conductivity above 80°C and behaves like a non-polar substance. The frequency dependent dielectric studies also indicate the loss of mobile charge carriers in the samples annealed at 80°C. The DSC and TGA studies indicate that the material loses H2O exothermically at 100°C. This is attributed to the onset of a secondary setting reaction.

Effect of anti-biofilm glass–ionomer cement on Streptococcus mutans biofilms

Dental restorative materials with antimicrobial properties can inhibit bacterial colonization, which may result in a reduction of caries at tooth-filling interaction zones. This study aimed to develop antibacterial glass-ionomer cements （GIC） containing a quaternary ammonium monomer （dimethylaminododecyl methacrylate, DMADDM）, and to investigate their effect on material performance and antibacterial properties. Different mass fractions （0, 1.1% and 2.2%） of DMADDM were incorporated into the GIC. The flexure strength, surface charge density, surface roughness and fluoride release were tested. A Streptococcus mutans biofilm model was used. Exopolysaccharides （EPS） staining was used to analyze the inhibitory effect of DMADDM on the biofilm matrix. In addition, biofilm metabolic activity, lactic acid metabolism and the expression of glucosyltransferase genes g/fB, gtfC and gtfD were measured. GIC containing 1.1% and 2.2% DMADDM had flexural strengths matching those of the commercial control （P〉0.1）. DMADDM was able to increase the surface charge density but reduced surface roughness （P〈0.05）. The incorporation of 1.1% and 2.2% DMADDM elevated the release of fluoride by the GIC in the first 2 days （P〈0.05）. The novel DMADDM-modified GIC significantly reduced biofilm metabolic activity （P〈 0.05） and decreased lactic acid production （P〈 0.05）. The quantitative polymerase chain reaction （qPCR） results showed that the expression of gtfB, g/fC and gtfD decreased when mass fractions of DMADDM increased （P〈0.05）. EPS staining showed that both the bacteria and EPS in biofilm decreased in the DMADDM groups. The incorporation of DMADDM could modify the properties of GIC to influence the development of S. mutans biofilms. In this study, we investigated the interface properties of antibacterial materials for the first time. GIC containing DMADDM can improve material performance and antibacterial properties and may contribute to the better management of secondary caries.

Setting kinetics and mechanical properties of flax fibre reinforced glass ionomer restorative materials

Regardless of the excellent properties of glass ionomer cements,their poor mechanical properties limit their applications to non-load bearing areas.This study aimed to investigate the effect of incorporated short,chopped and randomly distributed flax fibers（0,0.5,1,2.5,5 and 25 wt%） on setting reaction kinetics,and mechanical and morphological properties of glass ionomer cements.Addition of flax fibers did not significantly affect the setting reaction extent.According to their content,flax fibers increased the compressive（from 148 to 250 MPa） and flexure strength（from 20 to 42 MPa）.They also changed the brittle behavior of glass ionomer cements to a plastic one.They significantly reduced the compressive（from 3 to 1.3 GPa） and flexure modulus（from 19 to 14 GPa）.Accordingly,flax fiber-modified glass ionomer cements could be potentially used in high-stress bearing areas.

A PQAS-containing glass-ionomer cement for improved antibacterial function

The novel non-leachable poly (quaternary ammonium salt) (PQAS)-containing antibacterial glass- ionomer cement has been developed. Compressive strength (CS) and S. mutans viability were used as tools for strength and antibacterial activity evaluations, respectively. All the specimens were conditioned in distilled water at 37?C prior to testing. Commercial glass-ionomer cement Fuji II LC was used as control. With PQAS addition, the studied cements showed a reduction in CS with 25-95% for Fuji II LC and 13-78% for the experimental cement and a reduction in S. mutans viability with 40-79% for Fuji II LC and 40-91% for the experimental cement. The experimental cement showed less CS reduction and higher antibacterial activity as compared to Fuji II LC. The long-term aging study indicates that the cements are permanently antibacterial with no PQAS leaching. It appears that the experimental cement is a clinically attractive dental restorative that can be potentially used for long- lasting restorations due to its high mechanical strength and permanent antibacterial function.

Preparation and evaluation of a novel antibacterial glass-ionomer cement

A novel antibacterial glass-ionomer cement has been developed. Compressive strength (CS) and S. mutans viability were used to evaluate the mechanical strength and antibacterial activity of the formed cement. Compressive yield strength (YS), modulus (M), diametral tensile strength (DTS) and flexural strength (FS) were also determined. All the formulated antibacterial cements showed a significant antibacterial activity, accompanying with an initial CS reduction. The effect of the synthesized antibacterial polymer loading was significant. Increasing loading from 1% to 20% significantly decreased the S. mutans viability from 3% to 50% and also reduced the initial CS (325 MPa) of the formed cements from 19% to 75%. The cement with 5% antibacterial polymer loading showed 142 MPa, 6.9 GPa, 224 MPa, 52 MPa, and 62 MPa in YS, M, CS, DTS and FS, respectively, as compared to 170, 7.1, 325, 60 and 87 for the experimental cement without antibacterial polymer addition and 141, 6.9, 236, 42 and 53 for Fuji II LC. It was also found that the chlorine-containing antibacterial cement showed better CS values than the bromine-containing cement, with no significant difference in antibacterial activity. The antibacterial cement also showed a similar antibacterial activity to Streptococcus mutans, lactobacillus, Staphylococcus aureus and Staphylococcus epidermidis. The human saliva did not affect the antibacterial activity of the cement. The thirty-day aging study indicates that the cements may have a long-lasting antibacterial function.

The Mechanism of Formation of Glass-Ionomer Cement: A Theoretical Study

A resin-modified glass-ionomer cement (RMGIC) was studied from a computational point of view. We suggest terpolymer formation by reaction of fixation through a combination of acrylic acid (AA), itaconic acid (IA) and an aminoacid derivative (AAD) in different positions. We found that AAD-AA-IA is thermodynamically more stable, but AA-IA-AAD is the combination which can react with glycidyl methacrylate (GM) to form a grafted polymer with two pendant methacrylate groups which can be used later in the process of light-curing. A RMGIC contains a glass powder of calcium-fluoroaluminosilicate acting as the source of cross linking, and for this reason, we have optimized two intramolecular Al3+ tricarboxylate complexes (salt-bridges) formed from the most stable grafted polymers. A possible reaction mechanism for the addition of (GM) to copolymer is proposed.

The Effect of ZnO on the Physicochemical and Mechanical Properties of Aluminosilicate Dental Cements

In this study,the effect of the addition of various amounts of ZnO(0,1,2,and 3 wt.%)to aluminosilicate bioactive glass(BGs)network(SiO_(2)-Al_(2)O_(3)-P_(2)O_(5)-CaF_(2)-CaO-K_(2)O-Na_(2)O)on the mechanical properties of the fabricated glass ionomer cement(GIC)samples was studied.The GIC samples were fabricated by mixing the synthesized aluminosilicate BGs with Riva-self cure liquid.The synthesized aluminosilicate glass was characterized using differential thermal analysis(DTA),X-Ray diffraction(XRD),Fourier-transform infrared spectroscopy(FTIR),and scanning electron microscopy(SEM).Besides,the mechanical properties of GICs were evaluated using Vickers microhardness and Diametral tensile strength(DTS)test.According to DTA analysis,the glass transition temperature(Tg)of aluminosilicate BGs was decreased from 575 to 525°C.According to the results,the aluminosilicate BGs with an amorphous state(~90%)and the grain size of 36μm were synthesized.Doping of the ZnO to glass network up to 3 wt.%could increase the amorphous phase up to 95%and decrease the grain size of the particles up to 28μm.The microhardness and DTS of the GIC samples containing the aluminosilicate BGs were about 677 Hv and 8.5 MPa,respectively.Doping of ZnO to the glass network increased the mentioned values up to 816 Hv and 12.1 MPa,respectively.

A High-Strength Cement System for Improved Dental Restoratives

We have developed and studied a novel high-strength glass-ionomer cement system composed of poly(acrylic acid) with different molecular architectures. These poly(acrylic acid) polymers were synthesized via ATRP technique. The effects of arm number and branching on reaction kinetics, viscosity, and mechanical strengths of the formed polymers and cements were evaluated. The results showed that unlike the star-shaped polymer synthesis both hyperbranched and star-hyperbranched polymers syntheses proceed slowly at the early stage but accelerate at the later stage. The higher the arm number and initiator concentration are, the faster the ATRP reaction was. It was also found that the higher the arm number and branching that the polymer had, the lower the viscosity of the polymer aqueous solution is and the lower the mechanical strengths of the formed cement are. The mechanical strengths of three synthesized polymers-composed experimental cements were very similar to each other but much higher than those of Fuji II LC. The experimental cements were 31% - 53% in CS, 37% - 55% in compressive modulus, 80% - 126% in DTS, 76% - 94% in FS, 4% - 21% in FT and 53% - 96% in KHN higher than Fuji II LC. For wear test, the experimental cements were only 5.4% - 13% of abrasive and 6.4% - 12% of attritional wear depths of Fuji II LC in each wear cycle. The one-month aging study also showed that all the experimental cements increased their CS continuously during 30 days, unlike Fuji II LC.

Improvement of enamel bond strengths for conventional and resin-modified glass ionomers: acid-etching vs. conditioning

Objective:This study deals with the effect of phosphoric acid etching and conditioning on enamel micro-tensile bond strengths(μTBSs)of conventional and resin-modified glass ionomer cements(GICs/RMGICs).Methods:Forty-eight bovine incisors were prepared into rectangular blocks.Highly-polished labial enamel surfaces were either acid-etched,conditioned with liquids of cements,or not further treated(control).Subsequently,two matching pre-treated enamel surfaces were cemented together with one of four cements[two GICs:Fuji I(GC),Ketac Cem Easymix(3M ESPE);two RMGICs:Fuji Plus(GC),RelyX Luting(3M ESPE)]in preparation forμTBS tests.Pre-treated enamel surfaces and cement-enamel interfaces were analyzed by scanning electron microscopy(SEM).Results:Phosphoric acid etching significantly increased the enamelμTBS of GICs/RMGICs.Conditioning with the liquids of the cements produced significantly weaker or equivalent enamelμTBS compared to the control.Regardless of etching,RMGICs yielded stronger enamelμTBS than GICs.A visible hybrid layer was found at certain enamelcement interfaces of the etched enamels.Conclusions:Phosphoric acid etching significantly increased the enamelμTBSs of GICs/RMGICs.Phosphoric acid etching should be recommended to etch the enamel margins before the cementation of the prostheses such as inlays and onlays,using GICs/RMGICs to improve the bond strengths.RMGICs provided stronger enamel bond strength than GICs and conditioning did not increase enamel bond strength.

Computational Study of the Formation Reaction of Polyacid Precursors of Glass-Ionomer Materials

The formation of polyacids in a glass-ionomer cement was computationally modeled. The polyacid modelled is an oligomer made up of three molecules: acrylic acid, itaconic acid and an additional molecule that acts as a spacer group between the previous two. Acryloyl and meta-acryloyl derivatives of some amino acids and related molecules such as N-vinyl pyrrolidone and N-vinyl caprolactam were used as spacer groups. Some of these molecules have been previously used experimentally as spacer groups. In this work the spacer behaviour of 15 different molecules was investigated. To our knowledge, this is the first computational attempt to model some promising molecules to be incorporated into glass-ionomer dental cements. The results revealed the best structural arrangement for the investigated molecules.

ART技术封闭恒牙的3年临床效果观察

目的 :评价非创伤性充填 (ART)技术对恒牙窝沟封闭后 ,封闭剂保留及新生龋病发生情况。方法 :1996年在四川省德阳市 4所中学选取 12～ 13岁儿童 14 0名作 191个ART封闭。采用WHO的ART标准器械 ,德国ESPE公司生产的高强度玻璃离子材料 ,对选择的牙面窝沟进行封闭 ;操作者为经中等口腔专业训练的医生。试验 3年后对ART封闭及牙龋病情况进行评价。结果 :封闭后 1、2、3年的封闭成功率分别为 89.6% ,78.8% ,71.9%。试验后 1年没有新生龋齿的发生 ,试验后 2、3年 ,龋患率较低 ,分别为 1.6% ,2 .8%。结论 :ART封闭试验 3年的保存率较高 ,新生龋发生率低 ;作为恒牙龋病防治的措施是适合和可接受的 ;是一种适合于在学校、社区开展的有效、实用的龋病预防方法。

采用ART技术封闭恒牙防龋的6年临床效果观察

目的:评价非创伤性充填(ART)技术对恒牙窝沟封闭后,封闭剂保留及新生龋损发生情况。方法:1996年在四川省德阳市4所中学选取12～13岁儿童140名作191个牙ART封闭。采用WHO的ART标准器械,德国ESPE公司生产的高强度玻璃离子材料,对选择的牙面窝沟进行封闭;操作者为经中等口腔专业训练的医生。封闭后每年对ART封闭及牙龋损情况进行评价。结果:封闭后1、2、4、6年的完整保留率分别为75.4%、62.5%、50.0%、34.6%;成功率分别为89.6%、78.8%、68.5%、57.9%。试验后1年没有新生龋牙的发生,试验后2、3年,龋患发生率分别为1.6%、2.8%。试验后4年龋病有明显增加,试验4、5、6年后,龋病发生率分别为8.5%、16.1%、15.0%。结论:ART封闭试验3年的保存率较高、新生龋发生率低;试验6年封闭剂保留率虽然有所降低,但其结果还是令人满意的,预防龋病的效果是显著的。但封闭物脱落3年后,若没有重新修复,新龋患率大幅度上升,作为恒牙龋病防治的措施是适合和可接受的;是一种适合于在学校、社区开展的有效、实用的龋病预防方法。

ART和传统充填技术30个月的临床观察与研究

目的 评价 2种ART专用玻璃离子水门汀 (GIC)充填恒磨牙牙合面龋的效果。方法 ART和传统窝洞预备方法 ,FujiIXGP和Ketac-Molar为观察组 ,银汞为对照组。 结果 ART备洞时间是传统方法的 2倍。 30月后 ,2种GICs充填体牙合面磨损重 ,窝沟封闭材料缺损大 ,但无材料差异 ,无窝沟的龋坏 ;材料的颜色早期变化明显。银汞充填体表面着色和边缘破损情况随时间的推移而加重。结论 改良的GIC适用于有选择的恒磨牙牙合面龋的充填。

ART用于乳牙龋充填6个月的研究结果

目的 探索适合我国中小城镇及农村的ART治疗技术 ,评价ART修复乳牙龋的效果。方法 在四川省成都地区选取 4个学校 ,由受过三年训练的中专口腔医生采用该技术对乳牙龋进行充填 ,在一个月内对 112名 6～7岁儿童作了 198个龋洞充填 ,半年以后复查。结果 根据标准 172个判断为“成功” ,成功率为 90 .0 5 %。结论 对于中国不发达地区 ,ART不失为一种有前途的龋病充填治疗方法 ,是可以在农村及中小城镇广泛采用的有前景的防治措施。

铒激光预处理对牙本质、牙釉质粘结强度及CAD/CAM玻璃陶瓷嵌体修复牙体缺损边缘微渗漏的影响

目的:探讨铒激光预处理对牙本质、牙釉质粘结强度及CAD/CAM玻璃陶瓷嵌体修复牙体缺损边缘微渗漏的影响。方法:收集2020年1月—2023年1月口腔外科门诊拔除的新鲜、无龋坏变色、无隐裂智齿62颗,根据预处理方式不同,随机分为铒激光组和磷酸组,每组31颗,每组再随机分为2份,分别用于粘结强度测试(16颗)和微渗漏测试(15颗)。比较2组牙釉质、牙本质抗剪切粘结强度和微渗漏程度及微渗漏评分分布情况。采用SPSS 17.0软件包对数据进行统计学分析。结果:铒激光组牙釉质、牙本质抗剪切粘结强度显著高于磷酸组(P<0.05);铒激光组侧壁、龈壁微渗漏程度显著低于磷酸组(P<0.05),铒激光组侧壁微渗漏评分主要为1分和2分,磷酸组侧壁微渗漏评分主要为2分,2组侧壁微渗漏评分分布相比,差异有统计学意义(P<0.05);铒激光组龈壁微渗漏评分主要为1分和2分,磷酸组龈壁微渗漏评分主要为2分和3分,2组龈壁微渗漏评分分布相比,差异有统计学意义(P<0.05)。结论:铒激光预处理可提高瓷嵌体与牙本质、牙釉质粘结强度,同时还可减少CAD/CAM玻璃陶瓷嵌体微渗漏,增强嵌体边缘密合性。

玻璃离子水门汀在后牙邻面龋齿治疗中的应用价值及对患者咀嚼功能的影响

目的探讨玻璃离子水门汀在后牙邻面龋齿治疗中的应用价值。方法选取2022年1月至2023年9月赣州市妇幼保健院收治的76例后牙邻面龋齿患者作为研究对象,按照密闭信封法将其分为对照组(n=38)与研究组(n=38)。对照组使用银汞合金填充龋洞,研究组使用玻璃离子水门汀填充龋洞。比较两组的修复效果,比较两组治疗前后的牙龈指数(GI)、龈沟出血指数(SBI)、菌斑指数(PLI)附着丧失水平(CAL)及改良曼恩咀嚼协调评估量表(MASA)评分,并比较两组的不良反应发生率。结果研究组的修复有效率高于对照组,差异有统计学意义(P<0.05)。治疗前,两组的各项牙周状况评分的比较,差异无统计学意义(P>0.05)。治疗后,两组患者的SBI、PLI及CAL评分均高于本组治疗前,但研究组的SBI、PLI及CAL评分均低于对照组,差异有统计学意义(P<0.05);两组患者治疗前后的GI评分比较,差异无统计学意义(P>0.05)。治疗前,两组患者的MASA评分比较,差异无统计学意义(P>0.05)。治疗后,两组患者的MASA评分均低于本组治疗前,且研究组评分低于对照组,差异有统计学意义(P<0.05)。两组患者的不良反应总发生率比较,差异无统计学意义(P>0.05)。结论在后牙邻面龋齿治疗中,玻璃离子水门汀应用价值显著,能够提高修复有效率,改善牙周指标,并提高咀嚼功能,且不会增加不良反应风险。