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Relationship between the strength of glass ionomers and their adhesive strength to metals.

OBJECTIVES: The objective of this study was to examine the possible correlation between the strength of glass ionomers and their adhesive strength to metals. METHODS: Three different brands of glass ionomers mixed at four different P/L ratios were evaluated. The compressive and diametral tensile strengths of the cements were determined. The shear bond strengths were determined between four different types of dental casting alloys and the cement made with the different P/L ratios. RESULTS: Significant (p < 0.05) increases in the bond strength to any of the metal surfaces were found in the cement specimens mixed at the highest P/L ratio compared to those mixed at the lowest P/L ratio. For two glass ionomers (FI and DNT), the specimens prepared at the highest P/L ratio showed significantly greater diametral tensile strength than those prepared at the lowest P/L ratio (p < 0.05). SIGNIFICANCE: The present study showed a significant correlation between diametral tensile strengths and bond strengths. It is suggested that the use of glass ionomers with high mechanical strength is an important factor of enhancing the adhesion to metal surfaces.

Adhesiveness↗

An FTIR study on the setting mechanism of resin-modified glass ionomer restoratives.

OBJECTIVES: An experimental method was used to assess the glass ionomer and resinous character in three "dual-cure" (Fuji II LC, Photac-Fil, Variglass) and a "triple-cure" (Vitremer) resin-modified glass ionomer restoratives to evaluate their acid-base and free-radical setting mechanisms. METHODS: Four groups (A-D) of three specimens (5 x 4 x 1 mm) were prepared from each material and subjected to the following treatments: A: mixing; B,C: mixing, 60 s irradiation, 20 min dark/dry storage; and D: mixing, 20 min dark/dry storage and then 60 s irradiation. Micro-multiple internal reflectance FTIR spectroscopy was used to determine: 1) the curing efficiency of the products immediately after irradiation; 2) the effect of irradiation 20 min after dark/dry storage on the curing efficiency; and 3) the extent of the acid-base reaction on irradiated and non-irradiated specimens after 20 min dark/dry storage. RESULTS: The curing efficiency immediately after irradiation was determined from the percentage of residual double bonds which ranged from 33-50% for these materials. Irradiation after 20 min dark/dry storage significantly reduced curing efficiency in all the products, except Variglass. The latter showed no acid-base reaction under the conditions of this study. Non-irradiated specimens after the dark storage period demonstrated higher carboxylate yields compared to their irradiated analogues. Non-irradiated specimens from Vitremer had the highest carboxylate yield and a curing efficiency of approximately 50% residual double bonds. SIGNIFICANCE: Photopolymerization seemed to greatly reduce the acid-base reaction during the early setting stages of resin-modified glass ionomer restoratives. The free-radical formation rates are slower than those achieved by chemically initiated polymerization, but they produce adequate conversion and high carboxylate salt yields. This study demonstrated an experimental model for identification and characterization of the acid-base reaction in water-containing resinmodified glass ionomer restoratives.

Acid-Base Equilibrium↗

Effect of the application of dentin primers and a dentin bonding agent on the adhesion between the resin-modified glass-ionomer cement and dentin.

OBJECTIVES: This study was designed to evaluate the influence of the application of dentin primer and/or dentin bonding agent on the adhesion of a resin-modified glass-ionomer cement to dentin. METHODS: Bovine dentin was pretreated with Dentin Conditioner or EDTA 3-2 solution, primed by an experimental dentin primer, and applied with a dentin bonding agent. A resin-modified glass-ionomer cement, Fuji II LC, was then adhered to the dentin. The tensile bond strength between the light-cured glass-ionomer cement and the pretreated dentin was measured. The components of the experimental dentin primers were 2-hydroxyethyl methacrylate (HEMA), glyceryl methacrylate (GM) and a water-soluble photo-polymerization initiator, 2-hydroxy-3-(3,4-dimethyl-9-oxo-9H-thioxanthen-2-yloxy)-N,N, N-trimethyl-1- propanaminium chloride (OTX). Significant differences in the data were examined by an analysis of variance and Scheffe's test for multiple comparisons between the means at p = 0.05. RESULTS: A significantly higher mean bond strength between the Fuji II LC and dentin was obtained by EDTA 3-2 pretreatment, QTX/GM priming, and LB Bond application. This value was comparable with that obtained with the resin composite system. Scanning electron microscopy observation showed the formation of a hybrid layer with a thickness of 1-1.5 microns. SIGNIFICANCE: The data obtained in this investigation suggest that the adhesion of Fuji II LC to dentin is closer to that provided by a resin composite system than to that of conventional glass-ionomer cements.

Adhesiveness↗

Effect of the substitution of M2O3 (M = La, Y, In, Ga, Al) for CaO on the bioactivity of 2.5CaO x 2SiO2 glass.

Glasses were prepared whose compositions are defined by the following general formula: (2.5 - x)CaO x x/3M2O3 x 2SiO2 (0 < or = x < or = 0.6) (M = Ga, Al, In). Their bioactivity was studied "in vitro" by soaking the glasses in a simulated body fluid (SBF). The consequent formation of calcium phosphate layer was studied by means of electron microscopy (EM) equipped with an energy-dispersive system (EDS) for elemental analysis and Infrared (IR) spectroscopy. The results are compared to the literature relative to the substitution of La2O3 and Y2O3 for CaO. It is observed that, in general, the substitution of M2O3 for CaO in the binary CaO-SiO2 glass composition progressively reduces the ability to form a calcium phosphate layer on the surfaces exposed to simulated body fluid (SBF). The composition limit can be related to the ionic field strength of the substituting cation and to the CaO content of the base glass. According to the mechanism reported in the literature a silica gel-like surface layer initially forms on the surfaces exposed to SBF. The observed results can be attributed to the effect of the substitution of M2O3 for CaO on the acidic properties of the silanolic groups.

Aluminum↗

In vitro behavior of silicate glass coatings on Ti6A14V.

The in vitro response in simulated body fluid (SBF) of silicate glass coatings on Ti6A14V was evaluated. Glasses belonging to the SiO2-CaO-MgO-Na2O-K2O-P2O5 system were used to prepare 50-70 m thick coatings on Ti6Al4V, employing a simple enameling technique. Glasses with silica content higher than 55 wt% can be used to prepare coatings that do not crack or delaminate and exhibit good adhesion to the alloy. It has been found that coatings with silica content lower than 60 wt% are more susceptible to corrosion and precipitate carbonated hydroxyapatite on their surface during in vitro tests. However, these coatings have a higher thermal expansion than the metal and are under tension. After 2 months in SBF cracks grow in the coating that reach the glass/metal interface and initiate delamination. Glasses with silica content higher than 60 wt% are more resistant to corrosion and have lower thermal expansion. These coatings do not crack but they do not precipitate apatite even after 2 months in SBF.

Alloys↗

Chemistry of glass-ionomer cements: a review.

Studies of the setting of glass-ionomer cements have been carried out for over twenty years, and there is now a considerable body of information concerning the steps that lead to the conversion of a freshly mixed cement paste into a solid, durable dental restorative. This paper reviews these studies, paying particular attention to more recent work. The conclusion is that glass-ionomers consist of interpenetrating networks of inorganic and organic components forming a matrix in which particles of unreacted glass are embedded. However, there remain uncertainties over aspects of the setting chemistry, for example over the role of (+)-tartaric acid in the setting reaction, and over the nature of the fluoride species which form during the reaction. The chemistry of resin-modified glass-ionomers is also discussed and shown to be more complex than that of the simple cements. The presence of the resin component slows down the ionic cure reaction of the conventional cement, and leads to both a significant exotherm and a set material capable of absorbing water reversibly. The paper concludes that the microstructure of the set cement depends completely on chemical composition and the kinetics of the setting process, and that an understanding of the setting chemistry of these materials is thus important for optimal clinical use.

Biocompatible Materials↗

Analysis of reactions in glass-polyalkenoate/resin systems by dielectric impedance spectroscopy.

The principles of impedance spectroscopy are surveyed, with consideration of both low and high impedance dielectric biomaterials where the response mechanisms are dominated, respectively, by dipolar relaxation and ionic charge migration. The situation of dental biomaterials is considered with special reference to glass-ionomer polyelectrolyte systems and to the impedance changes that may arise in consequence of setting mechanisms. Measurements have been conducted using both static and frequency-dependent potentials; where appropriate, with a high impedance interface and frequency-response analyser. Data are presented for the control situation of poly(methyl methacrylate) (PMMA) and for a series of glass-ionomer and resin-modified glass-ionomer biomaterials. It is observed that in the glass-polyalkenoate (G-PA) materials, ionic conduction and polarization are the dominant factors contributing to the impedance. This contrasts with the dipolar relaxation characteristic of PMMA. It is concluded that a more extended programme of data-acquisition is required, where possible from a 'homologous' series of formulations, to lay a firm foundation of mechanistic interpretation.

Biocompatible Materials↗

Behaviour of human osteoblasts cultured on bioactive glass coatings.

Two new formulations of bioactive glasses were used as coatings on titanium alloy (TiAl6V4) implants for prosthetic applications in the orthopaedic field. The biocompatibility of these bioglasses, as well as their osteoconductive properties, were assessed by employing primary cultures of human osteoblasts. A nonbioactive glass, the titanium alloy and polystyrene surface were used as controls. The results obtained demonstrated that the two bioglasses elicited a rapid and strong proliferative response by osteoblasts, which spread, formed a close layer and then expressed the specific osteoblastic marker i.e. osteocalcin. In comparison, cells grew on the nonbioactive glass to a much minor extent, similar to that of polystyrene control, showing individual cellular elements not forming a compact sheet, but expressed levels of osteocalcin clearly higher than both the polystyrene control and the two bioglasses. Finally, a very low proliferative rate of osteoblasts and the synthesis of hardly detectable osteocalcin amounts were observed with the titanium alloy. In conclusion, our studies indicate that the new bioactive glasses are effective in stimulating osteoblast growth and differentiation.

Alloys↗

Water sorption, solubility and effect of post-curing of glass fibre reinforced polymers.

Different polymer matrices are used for dental glass fibre composites. The aims of this study were to determine water sorption and solubility of glass fibre composites with different polymer matrices. In addition, the effect of post-curing of matrix polymers with heat on the water sorption and solubility values was investigated. Commercial one-phase and two-phase (powder-liquid) monomer systems were used in polymer matrix of E-glass fibre composite. Rhombic unreinforced and fibre reinforced test specimens were polymerized by autopolymerization or by light only, or additionally post-cured with heat. Water sorption and solubility determination method was based on ISO/DIS 1567-1997 draft for international standard with 7 d immersion time. In addition, water sorption was measured at second time for 30 d immersion time to determine saturation time of test specimens by water. Five test specimens of unreinforced polymer and reinforced polymer were tested and the quantity of fibres was determined by combustion analysis. Water sorption values of different brands of polymer matrices ranged from 0.9 to 8.3 wt% (P < 0.001, ANOVA). High sorption values were explained by microscopic voids in the polymer matrix and by composition of polymer matrix. Solubility values ranged from 0.02 to 2.5 wt% (P < 0.001, ANOVA). Generally, fibre inclusion and post-curing of polymer matrix reduced water sorption and solubility. The results of this study suggest that the water sorption and solubility of fibre composites varies according to the brand of polymer matrix and homogenity of polymer matrix. Water sorption of polymer matrix might influence hydrolytic stability of polymer-glass fibre composite.

Adsorption↗

Analysis of fungal communities on historical church window glass by denaturing gradient gel electrophoresis and phylogenetic 18S rDNA sequence analysis.

Besides lichens and bacteria, fungi play a crucial role in the biodeterioration of historical glass. In the present paper, the fungal diversity on the surface of two historical church window glasses was investigated by 18S rDNA-based denaturing gradient gel electrophoresis (DGGE) analysis. 566-bp 18S rDNA-specific clone libraries were constructed with primer set NS1/NS2+10. Positive clones were reamplified with primer sets EF4/518rGC (426-bp fragments) and NS26/518rGC (316-bp fragments), amplicons were screened by DGGE and clustered according to their position in DGGE. Results indicated that fungal 18S rDNA clone libraries should be screened with at least two different primer sets to obtain the maximum number of different clones. For phylogenetic sequence analyses, clone inserts were sequenced and compared with 18S rDNA sequences listed in the EMBL database. Similarity values ranged from 93.7% to 99.81% to known fungi. Analyses revealed complex fungal communities consisting of members and relatives of the genera Aspergillus, Aureobasidium, Coniosporum, Capnobotryella, Engyodontium, Geomyces, Kirschsteiniothelia, Leptosphaeria, Rhodotorula, Stanjemonium, Ustilago, and Verticillium. The genera Geomyces and Aureobasidium were present on both glass surfaces. Some genera had not been detected on historical glass so far.

Art↗

Radiographic screening for glass foreign bodies--what does a "negative" foreign body series really mean?

This study was designed to provide percentages of radiographic detection of small glass foreign bodies and to compare the detection rates (sensitivity) of two-view posteroanterior and lateral with those of four-view posteroanterior, lateral, and right and left obliques screening radiographs. Three sizes (0.5, 1.0, and 2.0 mm, maximum dimension) of beer bottle glass fragments were inserted into chicken legs and radiographed. Three staff radiologists reviewed the films independently. With two-view radiography, the 2.0-, 1.0-, and 0.5-mm glass fragments exhibited 99%, 83%, and 61% average detection rates, respectively. An analysis of variance and a Tukey's range test demonstrated that the variation in the average detection rate with respect to size was statistically significant (P less than .01). X2 Analysis failed to demonstrate a statistically significant (P greater than .05) increase in average detection rates with four-view radiography. The results of this study indicate that the size of the glass foreign body is often the limiting factor for radiographic detection and that 0.5- to 2.0-mm fragments represent a "limited detection" size range. Furthermore, two-view radiography is appropriate and more cost-effective than four-view radiography for screening purposes.

Analysis of Variance↗

Growth of fibroblasts and epithelioid cells on a new machinable bioactive glass ceramic in comparison with non-reactive materials.

In this study scanning electron microscopy (SEM) was used to investigate the substrate attachment, cell spreading and growth properties of fibroblasts and epithelioid cells on a newly developed machinable bioactive glass ceramic. The morphogenetic reactions of cell cultured on bioactive ceramic were compared with those of identical cells cultured on non-reactive glass and vitreous carbon. The adhesion, subsequent spreading and the growth appearance of fibroblasts and epithelioid cells on the surface of machinable glass ceramics are similar to those on nonreactive materials. Our findings concerning the behaviour of cell populations in vitro on the surface of a new machinable glass ceramic allow the conclusion that this implant material is adhesive for cells and biocompatible.

Animals↗

Fluoride release from glass-ionomer and compomer restorative materials: 6-month data.

OBJECTIVES: To investigate the daily fluoride release of two glass ionomers (Ketac-Fil and ChemFil Superior) and two compomers (Compoglass and Dyract Restorative) over 6 months. METHODS: A pilot study evaluated the time taken for sample solutions to equilibrate to establish an appropriate time period for sample solution storage between fluoride ion measurements. In the main study storage water replacement and fluoride ion determination was made daily using a specific ion electrode, TISAB buffer and standard solutions for calibration. RESULTS: Equilibration of fluoride concentration in aqueous solution occurred in under 48 h for all materials. Total fluoride released (microgram mm-2) after 6 months by Ketac-Fil (30.6, s.d. 4.9) was significantly greater than ChemFil Superior (12.7, s.d. 2.5), Compoglass (10.4, s.d. 1.0) and Dyract Restorative (7.7, s.d. 1.7) (P < 0.05). Daily fluoride release at 24 h and 10 days was significantly higher for the glass ionomers than the compomers (P < 0.05). After 40 days the daily fluoride release (microgram mm-2) from ChemFil Superior (0.05, s.d. 0.01) was not significantly different from Compoglass (0.04, s.d. 0.01) and Dyract Restorative (0.03, s.d. 0.00) (P > 0.05). Daily fluoride release from Ketac-Fil remains significantly higher than the compomers at 3 and 6 months (P < 0.05). CONCLUSIONS: Specimens stored in water equilibrate rapidly, suggesting the rate at which storage water is changed may alter the relative fluoride release rates of materials. This important fact is often overlooked. Fluoride release from the glass ionomers is initially higher than for the compomers. Fluoride release from glass ionomers falls rapidly to approach levels released by compomers. Compomers produce no initial burst of fluoride and levels of release remain relatively constant.

Aluminum Silicates↗

Enamel and dentine shear bond strength of two resin modified glass ionomers and two resin based adhesives.

OBJECTIVES: The purpose of this in vitro study was to compare the shear bond strength to enamel and dentine of two resin modified glass ionomers (Fuji Bond L.C. and Vitrebond) and two resin based adhesives (Prime&Bond 2.1 and Scotchbond Multi-Purpose). METHODS: A total of 120 bond sites were prepared on either enamel (n = 60) or dentine (n = 60) on human molars by grinding the teeth flat with a 600 grit sandpaper. Each tooth substrate group was divided into four groups (n = 15) to match each material. Each of the four material systems was applied, according to the manufacturers instructions, to the bond sites. On top of the placed material, a microfilled composite was placed in a 2.5 mm diameter matrix and light-cured for 40 s. All specimens were thermocycled 500 times (5-55 degrees C). Shear bond strength values were determined 120 h after bonding using a Zwick testing machine. One-way ANOVA was used to determine whether significant differences (p < 0.05) existed among the material groups on enamel and dentine. Pairwise comparisons were used to determine significant differences (p < 0.05) among the four products. RESULTS: The ANOVA revealed strong significant differences on enamel (p = 0.0001) and dentine (p = 0.0172). The enamel bond strength values of the two resin based adhesives were significantly higher than one of the resin modified glass ionomers (Vitrebond), while the other resin modified glass ionomers did not differ from Scotchbond Multi-Purpose. On dentine, however, Vitrebond performed significantly better than the two resin based adhesives. CONCLUSIONS: The investigated resin modified glass ionomers bonded better to dentine surfaces than to enamel surfaces, while the investigated resin based adhesive systems bonded better to enamel than to dentine.

Adhesives↗

Clinical behaviour of glass ionomer restorations in primary teeth.

OBJECTIVE: To compare a silver-reinforced glass ionomer material (cermet) with a resin-modified glass ionomer in minimal Class II preparations in primary teeth. METHODS: Matched pairs of primary molars with approximal caries that required operative treatment were used. Each cavity was filled with either Vitremer or Ketac-Silver. The restorations were followed for at least 36 months and examined annually using bitewing radiographs and clinical inspections. Impressions were taken at each recall and models were examined microscopically. RESULTS: After 36 months, one of the resin-modified glass ionomer (RMGI) restorations and 13 (26.5%) of the silver cermet restorations had failed. The RMGI failed because of secondary caries, while most of the failures of the silver cermet fillings were marginal defects alone or in combination with secondary caries. The median survival time (MST) for the silver cermet restorations was 37 months. The RMGI restorations had a MST exceeding 42 months, but MST could not be calculated exactly because of the low failure rate during the study period. CONCLUSIONS: The resin-modified glass ionomer had the overall best performance of the two materials under comparison. The silver cermet material cannot be recommended for Class II restorations in primary teeth.

Cermet Cements↗

Glass particles in footwear of members of the public in south-eastern Australia--a survey.

A total of 776 pairs of shoes collected from random members of the public in south-eastern Australia were examined for the presence of glass fragments. From the samples collected a total of 110 fragments were recovered from 57 pairs of shoes (7.3% of the pairs examined). This study shows that the prevalence of glass fragments in footwear is dependent upon the area of the shoe from which the fragments were recovered. A much higher percentage of shoes were found to have fragments embedded in the sole (5.9%) than in the upper area of the shoe (1.9%). These shoes were also more likely to have multiple fragments from multiple sources of glass. Only a very small percentage of shoes contained fragments in both the upper and the sole (0.3%). These findings and their significance for the interpretation of glass evidence involving footwear are discussed in this study.

Adolescent↗

Self-diffusion in fluids in porous glass: confinement by pores and liquid adsorption layers.

Diffusion coefficients of 10 different polar and nonpolar liquids filled in porous glasses with mean pore diameters of 4 or 30 nm were determined with the aid of the NMR field-gradient technique. In the time scale of these experiments (0.3 to 500 ms) diffusion coefficients were found to be time independent. Within the experimental error, no influence of the polarity of the adsorbate can be stated. The diffusion coefficients of all investigated fluids in glass with 4 and 30 nm pores were reduced by factors of 0.17 and 0.63, respectively, relative to the bulk values. This relatively weak reduction can be explained by considering the known porosities of the adsorbents. The second objective of this study was to examine the diffusion behaviour below the melting point of adsorbates in porous glass. Fluids confined in pores do not freeze at the bulk freezing temperatures. In this respect, two phases must be distinguished. A maximal two monolayer thick film adsorbed on the inner surfaces does not crystallize at all, whereas the "free" fraction of the fluid in the pores freezes at reduced temperatures according to the Gibbs-Thompson relation. The nonfrozen surface layers form a network in which self-diffusion can be investigated. Experiments have been carried out with cyclohexane. A reduction factor of 0.06 was found relative to the extrapolated values of the entirely unfrozen fluid in porous glass with a mean pore diameter of 30 nm. It is, thus, demonstrated that molecules in adsorption layers virtually retain their translational degrees of freedom along the surfaces. The lowering of the diffusivity is mainly due to the geometric restriction rather than to the interaction with the surface.

Diffusion↗

In vivo effect of a resin-modified glass ionomer cement on enamel demineralization around orthodontic brackets.

Because the risk of dental caries increases with the use of orthodontic appliances and its control cannot depend only on the patient's self-care, this study evaluated the effect of a glass ionomer cement on reducing enamel demineralization around orthodontic brackets. Fourteen orthodontic patients were randomly divided into 2 groups of 7; they received 23 brackets fitted to their premolars, bonded with either Concise (3M Dental Products, St Paul, Minn), a composite resin (control group), or Fuji Ortho LC (GC America, Chicago, Ill), a resin-modified glass ionomer cement (experimental group). The volunteers lived in a city that has fluoridated water, but they did not use fluoridated dentifrices during the study. After 30 days, the teeth were extracted and longitudinally sectioned; in the enamel around the brackets, demineralization was assessed by cross-sectional microhardness. The determinations were made at the bracket edge cementing limits, and at occlusal and cervical points 100 and 200 microm away from them. In all of these positions, indentations were made at depths from 10 to 90 microm from enamel surface. Analysis of variance showed statistically significant effects for position, material, depth, and their interactions (P<.05). The Tukey test showed that the glass ionomer cement was statistically more efficient than the control, reducing enamel demineralization in all analyses (P<.05). The use of glass ionomer cement for bonding can be encouraged because it decreases the development of caries around orthodontic brackets.

Acrylic Resins↗