Gerdolle Watersorption QI 2008

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Q U I N T E S S E N C E I N T E R N AT I O N A L

Water sorption and water solubility


of current luting cements: An in vitro study
David Alain Gerdolle, DDS, MS1/Eric Mortier, DDS, MS2/
Bruno Jacquot, DDS, MS3/Marc M. Panighi, PhD4

Objective: To evaluate the water-sorption characteristics and the solubility behavior of 4


luting cements—2 composite resins (CRs), a polyacid-modified composite resin (PMCR),
and a resin-modified glass-ionomer cement (RMGIC)—according to the ISO 4049 specifi-
cations. Method and Materials: Five disks (15 ! 1 mm) of each material (Variolink II
[CR1; Vivadent], Panavia F [CR2; Kuraray], Resinomer [PMCR; Bisco], and Fuji Plus
[RMGIC; GC]) were prepared according to the manufacturers’ instructions. Specimens
were first desiccated until a consistent mass was obtained. Specimens were immersed for
7 days in distilled water and immediately weighed after this period. Then the disks were
post-desiccated and weighed every day for 35 days. The water sorption and solubility of
each specimen were calculated according to the change in its weight as observed before
and after immersion and desiccation periods. Results: Fuji Plus exhibited the overall high-
er values of water sorption and solubility (P < .001). Of the 3 resin-based luting cements,
Resinomer demonstrated significantly higher water sorption and solubility (P < .001),
whereas Variolink II and Panavia F showed low values and were not significantly different
(P = .2). Conclusions: Behavior of resin-based materials in water varies according to the
composition characteristics. In particular, the high portion of hydrophilic chemical species,
as well as the filler characteristics, provoke very high water sorption and solubility values.
In this way, and within the limitations of this in vitro study, composite resin luting cements
appear to be more suitable than compomers and resin-modified glass-ionomer cements to
meet longevity requirements. (Quintessence Int 2008;39:265.e107–114)

Key words: dental polymers, ISO 4049 specifications, luting cements, solubility, water sorption

Dental composite materials (ie, acrylic shown,3,4 although problems due to micro-
resin–based polymer materials) constitute an leakage have been reported.5 Failures due to
important group of materials in modern pros- deteriorated mechanical properties and
thetic and esthetic dentistry.1 Resin luting wear may be explained by the influence of
cements now account for a growing propor- moisture from the oral environment on the
tion of cement use, because of their ability to luting cement, leading to degradation and
bond to dental tissues and their better subsequent microleakage.6 In oral condi-
mechanical properties compared with con- tions, indeed, prosthodontic restorations are
ventional luting agents.2 Acceptable clinical often close to the gingival crevice and in con-
longevity of composite materials has been tact with the sulcular fluid. Therefore, the lut-
ing cement’s water sorption and solubility
Private practice, Vevey, Switzerland.
1

behavior is of considerable importance from


Senior Lecturer, Conservative Dentistry Department, Faculty of
2
a clinical point of view.
Odontology, Nancy, France.
Fluid uptake into the resin phase may
3
Senior Lecturer, Biomaterials Department, Faculty of
have both beneficial and detrimental conse-
Odontology, Montpellier, France.
quences. The dimensional changes, pro-
Professor and Chairman, Conservative Dentistry Department,
4

Faculty of Odontology, Nancy, France. voked by water uptake, may compensate for
Correspondence: Dr D.A. Gerdolle, rue du Collège 3, 1800
any initial polymerization contraction.7 Hygro-
Vevey, Switzerland. E-mail: davidgerdolle@bluewin.ch scopic expansion may relieve the residual

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Table 1 Luting agents used in the study*

Code Material
(manufacturer) Type Main components Batch No.

CR1 Variolink II (Vivadent) Composite resin Monomers (26.6 wt%): bis-GMA


(13 wt%), UDMA (6.6 wt%),
TEGDMA (7 wt%)
Fillers (73 wt%): silanized barium Base: C09470
glass (38 wt%), ytterbium trifluoride
(25 wt%), Ba-Al-F-silicate glass (5 wt%),
silanized spheroid mixed oxide (wt 5%)
Additional contents (0.4 wt%): catalysts, Catalyst: C09915
stabilizers, pigments
CR2 Panavia F (Kuraray) Composite resin Monomers (21.5 wt%): bis-EMA,
phosphate monomer MDP
Fillers (78 wt%): silanized barium glass, Paste A: 00085A
silanized silicate glass
Additional contents (0.5 wt%): sodium Paste B: 00039A
fluoride, BPO, N,N-diethanol p-toluidine
PMCR Resinomer (Bisco) Polyacid-modified Monomers (41 wt%): bis-GMA (13 wt%),
composite resin DPSDMA (10 wt%), TEGDMA (12 wt%),
(compomer) HEMA (6 wt%)
Fillers (57 wt%): Ba-Al-F-silicate glass
(27 wt%), Sr-silicate glass (25 wt%),
amorphous silicate glass (5 wt%)
Additional contents (2 wt%): sodium fluoride
RMGIC Fuji Plus (GC) Resin-modified Powder: fluoroaluminosilicate Powder: 070881
glass ionomer Liquid: copolymer of acrylic and maleic Liquid: 240781
acid, HEMA, UDMA, water, initiator
Powder/liquid ratio: 2/1
(bis-GMA) bisphenol-A glycidyl methacrylate; (UDMA) urethane dimethacrylate; (TEGDMA) triethylene glycol dimethacrylate; (Ba) bari-
um; (Al) aluminum; (F) fluorine; (bis-EMA) ethoxylated bisphenol-A glycol dimethacrylate; (MDP) 10-methacryloxy dihydrogen phos-
phate; (BPO) benzoyl peroxide; (DPSDMA) diphenylsulfone dimethacrylate; (HEMA) 2-hydroxyethyl methacrylate; (Sr) strontium.
*All information was provided by the manufacturers.

stresses set up inside the resin phase during ite resins (so-called compomers), or the
polymerization shrinkage.8 Swelling of the resin-modified glass-ionomer cements.
resin matrix may also reduce both interfacial Consequently, chemical substances could
gap width and corresponding micro- be re-leased by the material into the environ-
leakage.5 If most polymerization occurs with- ment, bringing into question the biocompati-
in the first minute, fluid sorption takes several bility of dental restoration products.10
days, and during that period, the gap would Residual monomers, fillers, activators, and
become contaminated by salivary microor- inhibitors of polymerization or degradation
ganisms before material expansion can close products such as formaldehyde and
the interfacial fissure.8 On the other hand, the methacrylic acid are thus able to leach out
fluids that penetrate the resin phase will from resin-based materials.10–12 These mole-
act as a plasticizer and may lead to the degra- cules are potentially hazardous to the sur-
dation of the filler resin interface9; it may rounding soft tissues.13 Currently, there are 3
decrease the flexion strength and the elastic main types of luting cement used for bonded
modulus.6 The overall result could gather prosthodontics: composite resin (CR), poly-
together a decrease in mechanical proper- acid-modified composite resin (PMCR), and
ties, a microleakage improvement, and an resin-modified glass-ionomer cement
esthetic failure by cement discoloration. (RMGIC). Although each type is chemically
Conversion of monomers into a polymer and physically different,2 none is ideal nor
network is never complete, either for the com- can be applied in all clinical situations.14
posite resins, the polyacid-modified compos-

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Table 2 Data relating to water sorption and water solubility

Mean water sorption (Wsp) and Mass gain (Mg) and


water solubility (Wsl) (µg/mm–3)* mass loss (Ml) (%)

Material Wsp (SD) Wsl (SD) Mg Ml

CR1 17.9 (1) a 4.8 (1.1) a 0.85 0.23


CR2 21.6 (3.1) a 4.9 (1.4) a 1.16 0.27
PMCR 60.3 (4.3) b 7.9 (1.4) a 3.49 0.48
RMGIC 230.2 (48.9) c 21.7 (3.9) b 11.24 1.18
See Table 1 for more details of materials.
*Results with the same superscript letter are not statistically different.

The purpose of the present in vitro investi- silicon carbide grinding paper until the diam-
gation was to determine the water sorption eter of the final product was maintained with-
characteristics and solubility behavior of 3 in 14.9 ± 0.1 mm average diameter, obtained
resin-based materials (2 composite resins and from 2 measurements at perpendicular
a compomer) and compare them to the same planes with an electronic caliper (Digimatic,
characteristics of a resin-modified glass model 500-181U, Mitutoyo).
ionomer. The hypothesis was that regarding After that, the specimens were immediate-
chemical compositions, there would be no sig- ly placed in a desiccator together with silica
nificant difference among the resin-based lut- gel (Silicagel, Prolabo), and the whole set
ing cements, but the difference between the was stored in an incubator maintained at
resin-based cements and the resin-modified 37˚C ± 1˚C. According to the ISO standard,
glass-ionomer cement would be significant. disks were weighed every day for 35 days
using an analytical balance (Model M-120,
Denver Instrument) with a repeatability of 0.1
mg, until a constant mass (m1) was obtained
METHOD AND MATERIALS (ie, until the mass loss or gain of each sam-
ple was less than ± 0.2 mg in any 24-hour
The luting cements used in the present study period). The volume (V) of the specimens
are listed in Table 1. Five disks of each materi- was then determined by measuring with an
al were made according to the International electronic caliper the specimen diameter
Organization for Standardization (ISO) specifi- from 2 perpendicular planes and the thick-
cation 4049:07-2000.15 Specimens were ness from 5 measurements, 1 at the center
made in a jig consisting of a Teflon mold (15 and 4 at equally spaced points on the speci-
mm in diameter by 1 mm in thickness) com- men circumference. This initial cycle allows
pressed between 2 glass slabs with 50-µm- the “loosely bound” water to be removed, as
thick polyester separating sheets; materials recommended in the ISO standard test.
were packed into the molds, care being taken Each specimen was then suspended in a
to minimize air inclusion. A visible light–poly- flask containing 40 mL of distilled water and
merizing unit with an irradiating diameter of 9 stored in the incubator at 37˚C ± 1˚C. After
mm (Helipar Highlight, 3M ESPE) was used to 12 hours, the specimens were removed,
polymerize the cements. Light-activation ener- washed briefly with water, wiped up with
gy was controlled to assure a minimum value absorbent paper, and shaken in air for 15
of 600 mW/cm2. The light tip was first direct- seconds. Specimens were weighed 1
ed over the center of the sample for 40 sec- minute after removal from the incubator to
onds and then irradiated in 8 peripheral over- record their mass. The same procedure was
lapping sectors for 20 seconds each. The repeated at 24, 36, 48, 96, and 168 hours,
specimens were immediately stored in an when the final mass (m2) was recorded. This
incubator at 37˚C for 15 minutes. The excess second cycle gives a combination of water
material was then removed with a scalpel. The sorption and dissolution of the soluble com-
rim was trimmed and polished with 1,000-grit ponents from the specimen.

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rection multiple comparison procedures (P =


.05) show that RMGIC has significantly high-
er water sorption values than all the other
materials (P < .001). In addition, the water
sorption of the RMGIC was nearly 4 times
that of the PMCR cement and 12 times that
of the composite resin cements. The PMCR
luting agent has significantly higher water
sorption values than the CR1 and CR2 mate-
rials (P < .001), which are not different from
each other (P = .2). Comparison of the water
sorption values at 12, 24, 36, 48, 96, and 168
hours (Fig 1) showed that the water uptake
occurred mostly in the first 24 hours for CR1,
Fig 1 Water sorption kinetic. CR2, and RMGIC, whereas it was achieved
in a more linear way for PMCR.
Regarding solubility, the RMGIC presented
the highest solubility values (P < .001), where-
After weighing, the disks were recondi- as with the 3 resin-based luting cements
tioned at a constant mass (m3) in a desicca- (CR1, CR2, and PMCR), the solubility values
tor and incubator in the same manner as the were not significantly different (P = .15).
stages of initial cycling described before.
This third cycle allows measurement of the
mass loss.
The values for sorption (Wsp) and solubili- DISCUSSION
ty (Wsl) at 168 hours were calculated in
µg/mm–3 for each specimen using the fol- The water sorption measurement actually
lowing equations: measured the net gain in weight of a speci-
men as a result of the ingress of water mole-
Wsp = m2 - m3 Wsl = m1 - m3 cules and egress of monomers and other
V V small molecules.16 From an atomic point
where m1 is the mass (µg) before immer- of view, diffusion mechanisms are a stepwise
sion in water; m2 is the mass (µg) after migration of atoms from site to site. Gen-
immersion in water for 7 days; m3 is the erally, 2 patterns are known for the diffusion
reconditioned mass (µg); and V is the vol- of water through polymeric materials.17 One
ume of the specimen (mm3). Statistical analy- is the pattern following the “free volumetric
sis of the results was conducted with theory,” in which water diffuses through
Kruskal-Wallis tests and Bonferroni correc- microvoids without any mutual relationship
tion multiple comparison tests. to the polar molecules in the material. The
other pattern is called “interaction theory,” in
which water diffuses through the material
binding successively to the hydrophilic
RESULTS groups. In the case where there was a nega-
tive correlation between the diffusion and
The results of the water sorption and solubil- equilibrium water uptake, the latter pattern of
ity are presented in Table 2 for all the materi- diffusion was supposed to occur mainly.17
als tested. The mean values and standard Recently, it has been assumed that both
deviations were calculated for each series approaches could be valid, each one for a
tested. According to the Kruskal-Wallis tests defined specimen family or both simultane-
(P = .05), the luting cements absorbed and ously. However, polymers absorb water to
solubilized in a significantly different way different degrees depending on their micro-
from each other (P = .001). Bonferroni cor- structural and molecular aspects, eg, polarity

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of the molecular structure, presence of pen- or triethylene glycol dimethacrylate (TEG-


dant hydroxyl groups capable of forming DMA), and bifunctional monomers compris-
hydrogen bonds with water, degree of cross- ing 2 carboxylic groups and 2 double-bond
linking of the continuous matrix, presence of functions.20 The functional monomers are
residual water-attracting species, and type, supposed to react concurrently with
dimension, volume, diffusivity, and solubility methacrylates by the common free-radical
of filler particles.12 polymerization and with the cations liberated
Thus, it was not surprising in the present from glass fillers by an acid-base reaction.
study that the most significant water sorption The acid-base reaction is initially limited in
occurred in the RMGIC luting cement. In PMCR because of its anhydrous structure.
fact, this kind of material has a dual-setting Once water infiltrates the PMCR material, a
reaction involving mainly the acid-base reac- belated acid-base reaction is likely to occur.20
tion of conventional glass-ionomer cements Water uptake in PMCR cements thus
and, at the same time, the free-radical poly- involves hydration of the glass filler within the
merization process used in composite resin polymerized material on top of the water
systems. The polymerization of these resin absorbed in large part by the resin matrix.21
components has been claimed to protect This phenomenon is probably responsible in
against attack by moisture during initial set- the present study for the greater amount of
ting.18 In that case, the polymerized structure water absorbed by PMCR than by the com-
contains numerous hydrophilic functional posite resins (CR1 and CR2; see Table 2).
groups (mainly hydroxyethyl methacrylate CR1 and CR2 specimens clearly exhibit-
[HEMA] monomers) in a highly entangled ed less water sorption than PMCR and
matrix and behaves as a synthetic hydrogel, RMGIC. These results are in agreement with
which has the capability to imbibe further other studies, and the hydrophobic nature
water and undergo substantial swelling. of the constituent monomers has been
Hygroscopic expansion has been shown to reported to be the major factor.9 In addition,
occur with microfilled composite materials many other hydrophobic monomers, such as
that only exhibit 2% to 4% water sorption, ethoxylated bisphenol-A glycol dimethacry-
whereas the RMGIC tested in the present late (bis-EMA), have been developed as
study exhibited 11.24% in weight.19 However, alternatives to bis-GMA or UDMA to reduce
the fact that hydrogels have been found to further water sorption values of composite
swell more in distilled water than in aqueous resin materials. A lower water sorption is then
solutions of electrolytes, such as sodium achieved by the elimination of the pendant
chloride, may imply that the amount of water polar groups.22 In the present study, however,
sorption could be less marked clinically than the presence of bis-EMA in the matrix of CR2
in vitro.16 cement did not lead to lower water sorption
However, materials with less HEMA content values than CR1 cement, which contains
are expected to present less water sorption. bis-GMA and UDMA. Nevertheless, though
Compared to RMGIC, PMCR showed in the low, water sorption did occur in composite
present study nearly 4 times less sorbed water. resin cements. Water then permeates the
Polyacid-modified composite resin cements hydrophobic matrix according to 3 mecha-
differ from resin-modified glass-ionomer nisms: direct diffusion into the material
cements in their composition and structure. phase; penetration of microvoids or micro-
They are fabricated of ion-leachable glass damages already present in the material or
particles, identical to those of glass-ionomer generated by water attack; and flow of water
cements, embedded in a polymeric matrix. molecules along the filler-matrix interface.9,18
The matrix is formed principally during the For the latter, it is known that the nature and
dual mode of polymerization of different quality of the links between fillers and matrix
kinds of monomer: modified methacrylates, are also important: A weak adhesion
such as bisphenol glycidyl methacrylate (bis- between fillers and matricial phase may
GMA), urethane dimethacrylate (UDMA), determine routes of a capillary diffusion,
diphenylsulfone dimethacrylate (DPSDMA), which carry and hold water.8,23 In the present

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study, the fillers contained in CR1 and CR2 less than resin-modified glass-ionomers.9,24,27
are silanized, and this may have contributed RMGIC is the luting cement with the highest
to reduce the water sorption for these solubility values, and this may be credited to
cements. the setting reaction between the fluoroalumi-
The water uptake kinetic was also nosilicate and the polyacrylic acid.25 However,
observed over 168 hours, according to the the solubility value of the resin-based materi-
ISO 4049 requirements. The short-term als could imply beneficial, as well as detrimen-
experiment does not exhibit results different tal, biologic consequences. On one hand,
from those in other experiments testing and concerning PMCR, among the sub-
materials for months.19,24 In particular, it was stances leaking out, released fluorides pres-
pointed out in the present study that the larg- ent a cariostatic effect, this phenomenon
er water uptake occurred within the very first occurring particularly during the first week.28
hours of immersion for RMGIC, CR1, and On the other hand, water is not known to be
CR2, whereas it followed a more continuous of any help in the fundamental chemistry of
process for PMCR. This observation may resin-based material, and a high solubility in
reflect the maturity of RMGIC, CR1, and CR2 water could lead to decreased material
at the time of evaluation, even if the RMGIC strength.29 In fact, a major factor for resin-
specimens were predesiccated before based material solubility seems to be the
immersion. monomer conversion rate; residual mono-
It is known indeed that RMGIC, like con- mers solubilize easily, and a lower rate of poly-
ventional glass-ionomer cement, contains merization entails much more solubility.30 In
water as an integral part of its structure, in connection with that, the voids trapped in the
addition to the resin matrix, and as a conse- bulk polymer contain oxygen that may inhibit
quence, the predesiccation method of polymerization and consequently facilitate sol-
assessment of water sorption used in this ubility. In fact, solubility must inevitably
study may lead to higher sorption values.25 depend on the resin matrix, its composition
Nevertheless, during the predesiccation and polymerization, the filler nature, its size
process, it is the “loosely bound” water that is and dispersion within the matrix, as well as
lost by evaporation. The decrease in water the interface characteristics between filler and
sorption observed after 96 hours is then the matrix. Thus, the discrepancies in the solubili-
result of the finishing of the setting reaction, ty results, statistically different or not, may
by conversion of “loosely bound” water (ie, stem from physicochemical variations in the
the amount of water soaked up after immer- different types of polymer.
sion) to “tightly bound” water. The acid-base Finally, the water sorption and solubility
reaction required to achieve cement maturity properties of these 4 luting agents have also
needs some days for RMGIC, as some of the been discussed regarding their clinical han-
water in the cement is replaced by water-sol- dling. In particular, the 3 resin-based materi-
uble monomers.25 CR1 and CR2, like most als, conversely to RMGIC, must be used with
composite resin luting cements, exhibited lit- a bonding agent, which may constitute the
tle postcuring. This accounts for the minimal Achilles’ heel of the bonding chain. Basically,
change in water sorption between 96 and bonding agents have been developed to
168 hours. Concerning PMCR, the regular improve the adhesion of polymer luting
water uptake may reflect the belated but con- cements to dental hard tissues with the inten-
tinuous acid-base reaction occurring after tion of thwarting the polymerization contrac-
the initial polymerization.20 Thus, despite tion and forming a gap-free interface.
moderate initial water sorption values, the Furthermore, if prosthodontic durability must
hygroscopic expansion of the PMCR might be envisaged, the tooth/luting cement inter-
grow gradually and lead to failure of full- face is to be considered when the luting
ceramic reconstructions.26 cement involves no major drawback.
Otherwise, the present solubility results are However, since a previous study31 had
consistent with data found in the literature: shown that bonding agents exhibited values
Composite resins and compomers dissolve of water sorption and solubility 30 to 150

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times higher that of the corresponding resin- CONCLUSIONS


based materials, the integrity of the interface is
now becoming a question of major concern. 1. Due to its hydrophilic nature, as well as to
Deterioration of bonding agents thus opens a the filler characteristics, the resin-modified
gap interface where microorganisms may glass-ionomer luting cement (Fuji Plus)
penetrate and colonize. If adhesives expose a exhibited the significantly highest values of
very small surface area to the oral fluids, the water sorption and water solubility.
fluids have a large contact with dentin. 2. Of the 3 resin-based luting cements,
Dentinal tubules occupy about 20% to 40% of the polyacid-modified composite resin, so-
the midcoronal dentin surface, and water rep- called compomer (Resinomer), demonstrat-
resents approximately 22% of the volume of ed significantly higher water sorption and
dentin.32 Regarding water, 75% of its total water solubility than the composite resin
amount is in the tubules, and 25% is bound in cements (Variolink II and Panavia F), which
the mineralized matrix around mineral crystals showed low values and were not significant-
and/or collagen.33 With time, the tubular fluids ly different from each other.
may consequently damage the bond joint 3. In this way, and within the limitations of
between dentin and the restoration. This this in vitro study, composite resin luting
observation may explain why the clinical cements appear to be more suitable than
results of resin-modified glass-ionomer luting compomers and resin-modified glass iono-
cements seem to be as satisfying as compos- mers to meet longevity requirements.
ite resin cements,3,4 as their theoretical water
behavior seems so questionable.
Further crucial points emerge from the ACKNOWLEDGMENTS
present study. First, ISO 4049 specifications
were conceived to obtain intrinsic polymers’ We thank Dr C. Loos-Ayav (Epidemiology Department,
Brabois Hospital, Nancy, France) for her advice and help
water sorption and solubility values, and are
with the statistical calculations.
used mainly for product control. In the case of
RMGIC, the sequence of experimental events
takes place during the setting procedure,
especially during the acid-base reaction,
which is working for several hours. This may
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