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Gerdolle Watersorption QI 2008
Gerdolle Watersorption QI 2008
Gerdolle Watersorption QI 2008
Q U I N T E S S E N C E I N T E R N AT I O N A L
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
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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Code Material
(manufacturer) Type Main components Batch No.
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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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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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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be conducted in artificial saliva at different pH 5. Krejci I, Lutz F, Gautschi L. Wear and marginal adap-
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may not reflect later behavior. Therefore, the Prosthodont 2000;13:141–147.
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