Professional Documents
Culture Documents
in a minimal dimensional change. It was shown the incubator during initial setting time of the cement.
that under wet conditions glass ionomer cements Heat was applied with a soldering iron (Lötstation MLS-
maintained their original dimensions upon heating. 48, McVoice, Verzeuge, Germany). The active tip of
Rafeek [2008] showed that heat treatment of the soldering iron was 5 mm in diameter. The soldering
conventional GICs seemed to have no significant effect iron was set to 80±2°C and applied on one surface of
on the compressive strength, fluoride release and the specimens in the study group for 2 minutes. The
modulus on stress relaxation characteristics. samples were kept in distilled water at 37°C and all
O’Brıen et al. [2010] investigated the effects of tests were carried out 24 hours after the setting of glass
various energy sources on the upper and lower surface ionomer cements. Eighty specimens were prepared
hardness of a setting GIC and showed that preheating and then divided into 4 groups. The effect of heat on
GIC capsules prior to mixing resulted in superior the mechanical properties of conventional GICs was
hardness values. evaluated by measuring compressive strength, flexural
Thermal response of glass ionomer cements when strength, microhardness and temperature rising in the
heated is a very important clinical implication for the test materials was also measured and noted.
longevity of the restored tooth [Yan et al., 2007].
The objective of this study was to assess the effect Compressive strength
of heat application on the mechanical properties and Cylindrical specimens were prepared in stainless steel
microstructure of conventional GICs. It was also the molds [ISO] of 4 mm in diameter and 6 mm in height.
subject of this study to analyse the heat transfer degree Heat was applied only on the circular surface of the
through the specimens. cylinder, and a universal testing machine (Shımadzu
AG-IS 100kN Autograph, Japan) was used on the
heated surface for compressive strength test at a
Materials and methods loading rate of 0.5 mm/min.
70
275
250 60
Compressive strength (Mpa)
225
Fig. 1 Compressive strength of Fuji IX and Amalgomer CR. Fig. 2 Flexural strength of Fuji IX and Amalgomer CR.
Thickness 2 mm 4 mm 6 mm
105 Fuji IX 33.3 ±2.6ºC 32.5 ± 2.0ºC 31.5 ± 1.0ºC
Amalgomer CR 37.3 ± 1.0ºC 34.5 ± 1.6ºC 31.9 ± 0.9ºC
90
45 Results
was applied to the surface of the Amalgomer, the mean cement matrix was increased in the SEM evaluation
surface hardness was measured as 65.4(±8.5) VHN. [Kuter et al., 2010] this was particularly evident at SEM
Significant differences in micro-hardness were found on the heated specimens.
between control and heated groups (p<0.05) (Fig 3). Algera et al. [2005] showed that heat may contribute
Temperatures measured at the bottom of the to acceleration of the reaction by de-clustering
specimens after heat application on the top surface are glass particles and enhancing the diffusion of the
shown in Table 3 and it can be seen that temperature reaction components. SEM evaluation did not show
rising in both materials was inconsiderable. de-clustering of the glass particles or a reduction of
porosity in that study [Algera et al., 2005]. Kuter et
al. [2010] showed that the portion of GICs specimens
Discussion closer to the heat were affected to a greater extent.
In that study the top part where heat was applied had
The effect of heat on the setting reaction is likely a better and more meaningful differentiation. The
to make the polyalkenoic acid more active [Woolford, bottom part had a lesser differentiation after the heat
1994]. When the acid gets in contact with the surface treatment. Voids decreased, texture became denser
of the glass, it is able to break down the surface of and there were particles with larger sizes with the heat
the glass more readily. It increases the rate at which applied. These results showed that application of heat
the ions are leached and released from the glass. The affected the top portion where heat was applied more
total effect of all these accelerated reactions produces than the lower portion and for this reason, mechanical
a more rapid formation of the calcium polyalkeonate strength of heated GICs specimens highly increased
matrix. Gu and Fu [2004] showed thar particle size only microhardness.
of GICs increases after heat application. This is due Kleverlaan et al. [2004] showed that an increase in
to particle agglomeration, coalescence and growth at compressive strength of the Fuji IX was found with
high temperatures. Particle size distribution influenced the heat and ultrasonic application. No significant
the mechanical properties of glass ionomer cements differences in compressive strengths of the Fuji IX heat
significantly [Gu et al., 2004]. and control groups were found 24 hours later, in this
The thermal behaviour of GICs is different because of study. However, Kleverlaan et al. [2004] stored the
interaction with water from the environment [Carrick samples in lubricants, in order to prevent dehydration,
and McCabe, 2007]. Thermal behaviour may be and the glass ionomer cement was placed between
affected by the original P/L ratio and the structure of two heated metal elements for 5 minutes. Algera et
the set cement [Yan et al., 2007]. The matrix of GICs al. [2005] showed that materials cured in oil reached
contains loosely bound water as well as tightly bound a significantly higher compressive strength compared
water [Wilson and McLean, 1998]. Depending on to storage in water. Jones et al. [2007] showed that
the environment, loosely bound water is easily lost or the temperature rise on the samples lubricated with
gained, depending on the level of moisture/humidity in oil were greater than samples lubricated with water.
the wet or dry environment. Wilson et al. [1998] showed For this reason, the results of our study did not show a
that the water content and especially the loosely bound similarity with that study, since all of the samples in our
water in GICs depends on the P/L ratio and the storage study were stored in water according to ISO [ISO] and
method. A great amount of mass loss was observed heat was applied for 2 minutes from one surface of the
in GICs after heating in a dry environment [Yan et glass ionomer cement.
al., 2007]. The mass loss of GICs in wet conditions is When Rafeek [2008] carried out his study with
significantly lower. samples stored in water, like in our study, he showed
Yan et al. [2007] showed that all the GICs tested that compressive strength values between the control
in their study lost weight during the heating process and the heat-treated conventional GICs specimens were
and the greatest P/L ratios produced the lowest not statistically different.
final weight loss. The lowest P/L ratio produced the There were no statistically significant differences
greatest contraction after heating. The water content in flexural strengths of Fuji IX in both groups. On the
and ıts relative mobility in the GICs matrix have been contrary, when the heat was applied to the Amalgomer,
considered as major factors in determining the thermal its mean flexural strength reached a value that was
response behaviour of GICs. The ratio of reinforcing higher than that of Amalgomer control, and this time
glass-core and matrix affects the diffusion of water in significant differences were noted. When temperature
the glass ionomer matrix [Davies et al., 1993]. When is high, the P/L ratio can increase due to evaporation
GICs are mixed at a high initial P/L ratio, the ratio of of the liquid, which results in high strength of materials
reinforcing glass core in the matured cement matrix is [Kleverlaan et al., 2004]. Increasing the P/L ratio can
increased. Decreasing the P/L ratio reduces the amount improve the mechanical properties of the glass ionomer
of the reinforcing fillers in the matrix [Fleming et al., cements. Fuji IX is a condensable glass ionomer cement,
2003]. The ratio of reinforcing glass core in the matured but Amalgomer CR is a ceramic-reinforced glass ionomer
cement and Fuji IX has higher P/L ratio. Thus, Fuji IX that and less retention areas on the glass ionomer cements.
further increasing P/L ratio, due to the heat application, However, further research is necessary to establish the
did not lead to higher flexural strength values. potential effect of heat and long-term results of the
When a temperature of 700C was applied on the restorations.
glass ionomer cement (Fuji IX Fast) with soldering
iron, the temperature in the pulp chamber showed a
maximum rise of 2.50C after 60 seconds [Algera et al., References
2005]. Kleverlaan et al. [2004] showed that when a
temperature of 700C was applied on the glass ionomer › Algera TJ, Kleverlaan CJ, De Gee AJ, Prahl-Andersen B, Feilzer AJ. The
cement (Fuji IX) for 5 minutes on both surfaces, the influence of accelerating the setting rate by ultrasound or heat on the
bond strength of glass ionomers used as orthodontic bracket cements.
temperature of the glass ionomer rose from 34.60C to
Eur J Orthod 2005;27(5):472-6.
45.30C. When the temperature of 80±20C was applied › Carrick T.E, McCabe J.F. Temperature mediated coefficient of dimensional
on one surface on the GICs 2, 4, or 6 mm thick (Fuji IX change of dental tooth-colored restorative materials. Dent Mat
and Amalgomer CR) for 2 minutes at room temperature 2007;20:435.
(23±1°C), temperature rising of both glass ionomer › Croll TP. Glass ionomers for infants, children, and adolescents. J Am Dent
cements was inconsiderable through the glass ionomer Assoc 1990;120(1):65-8.
› Davies EH, Sefton J, Wilson AD. Preliminary study of factors affecting
cement.
the fluoride release from glass-ionomer cements. Biomaterials.
On the other hand, significant differences in 1993;14(8):636-9.
microhardness were reported between the control and › Fleming G.L.P, Farooq AA, Barralet JE. Influence of powder/liquid mixing
the heated groups of Fuji IX and Amalgomer CR. Wang ratio on the performance of a restorative glass-ionomer dental cement.
and Darvell showed the Amalgomer CR was sensitive to Biomaterials 2003;24(23):4173-9.
moisture and the same caused a deterioration by surface › Gu YW, Fu YQ. Heat treatment and thermally induced crystallization of
glass ionomer cement. Thermochimica Acta 2004;423:107-112.
degradation [Wang and Darwell, 2009]. However, it › Gu YW, Yap AU, Cheang P, Kumar R. Spheroidization of glass powders for
has been shown in this study that application of heat glass ionomer cements. Biomaterials 2004;25(18):4029-35.
improved the strength of the GICs, at least the surface › International Standard (ISO) 9917-1:2003 (E) Water based cements.
strengths of the cement. As heat transfer in this study › Jones CS, Billington RW, Pearson GJ. The effects of lubrication on the
can not be conducted all the way through the specimens, temperature rise and surface finish of amalgam and composite resin. J
the significant improvements in microhardness were Dent 2007;35(1):36-42.
› Kuter B, Eden E, ¸Sen BH. The effect of heat on the surface properties
obtained in the areas that were adjacent to the surfaces of conventional glass ionomer cements:SEM evaluation. Balk J Stom
where heat was applied, whereas no increase in 2010;14(2):65-71.
compressive strength of GICs was observed. Kuter et al. › Kilpatrick NM. Glass ionomer cements: their application in children, Part
[2010] also showed that the top parts where heat was 1. Dent Update 1996;23(6):236-8.
applied had a better and more significant differentiation › Kleverlaan CJ, Van Duinen RN, Feilzer AJ. Mechanical properties of glass
and the bottom parts had less differentiation in the SEM ionomer cements affected by curing methods. Dent Mat 2004;20(1):45-
50.
evaluation. Increasing microhardness with heat yields › O’Brien T, Shoja-Assadi F, Lea SC, Burke FJT, Palin WM. Extrinsic energy
higher abrasion resistance values and less retention sources affect hardness through depth during set of glass-ionomer
zones on the GICs surfaces. It could be strongly thought cement. J Dent 2010;38(6):490-5.
that heat application could be an alternative in the › Rafeek R.N. The effect of heat treatment on selected properties of a
prevention of harmful effects of oral liquids on the conventional and a resin-modified glass cement. J Mater Sci: Mater Med
outer surface of GICs which are sensitive to moisture for 2008;19:1913-20.
› Skrinjaric K, Vranic DN, Glavina D, Skrinjaric I. Heat-treated glass ionomer
a period of 24 hours. Since it is very difficult to prevent cement fissure sealants: retention after 1 year follow-up. İnt J of Paediatr
saliva contamination on application area, especially in Dent 2008;18:368-73.
children, heat application on the glass ionomer cements › Towler MR, Bushby AJ, Billington RW, Hill RG. A preliminary comparison
may be useful in paediatric dentistry. of the mechanical properties of chemically cured and ultrasonically cured
glass ionomer cements, using nano-indentation techniques. Biomaterials
2001;22(11):1401-6.
› Wang Y, Darwell BW. Hertzian load-bearing capacity of a ceramic-
Conclusion reinforced glass ionomer cement stored wet and dry. Dent Mat
2009;25:952-5.
We can conclude that the application of heat may › Wilson A.D and McLean J.W. Glass ionomer cement.
improve the characteristics of GICs, especially on the (Chicago:Quintessence) 1998. Pg43.
surface. Therefore, it may be easily expected that the › Wilson AD, Kent BE . A new translucent cement for dentistry. The glass
application of heat increases greatly the microhardness ionomer cement. Br Dent J 1972;132(4):133-5.
› Woolford MJ. Effect of radiant heat on the surface hardness of glass
of GICs, whereas the application of heat increases the polyalkenoate (ionomer) cement. J Dent 1994;22(6):360-3.
flexural strength to a relatively lower extent. Heat should › Yan Z, Sidhu S.K, Carrick T.E, McCabe J.F. Response to thermal stimuli of
be applied on the surface of the glass ionomer cements glass ionomer cements. Dent Mat 2007;23:597-600.
to avoid contact with oral liquid, particularly after initial › Yan Z, Sidhu S.K, McCabe J.F. The influence of microstructure on thermal
setting time and to provide higher abrasion resistance response of glass ionomers. J Mater Sci: Mater Med 2007;18:1163-6.