Antibacterial effects of glass ionomers

Glass ionomer cements have been shown to possess antimicrobial activity. Proposed mechanisms of action include acidity and fluoride. It was the purpose of this study to determine the antimicrobial effect of 11 glass ionomer cements, their individual powder and liquid components and one resin-bonded liner containing high fluoride ionomer glass against Streptococcus mutans #6715. The role of fluoride and pH in the antibacterial activity was also studied. Using agar diffusion assay methodology, the following results were obtained. All of the glass ionomer cements were inhibitory against S. mutans. The antibacterial cements and slurries that were tested for fluoride, released the ion in excess of reported minimum inhibitory values. The antimicrobial activity of the liquid components, that were tested for the effects of pH changes, was totally lost when the pH was adjusted to 5. The resin bonded liner was inactive against S. mutans and did not release inhibitory concentrations of fluoride. These results indicate that freshly-mixed glass ionomer cements are antimicrobial against S. mutans and that the mechanism of action is probably a function of both fluoride and pH although additional factors may be involved.     

Effect of different glass ionomers on the acid production and electrolyte metabolism of Streptococcus mutans Ingbritt.

In order to study the effects of different glass ionomers on the metabolism of Streptococcus mutans, test slabs of freshly mixed conventional glass ionomer (Fuji), silver glass ionomer (Ketac-Silver), composite (Silux), and 2-week-old Fuji were fitted into the bottom of a test tube. A plaque-like layer of S. mutans strain Ingbritt was centrifuged onto the test slabs, and the samples were incubated for 20 h in 1.7% (w/v) sucrose solution. For freshly mixed Fuji and Ketac-Silver, the pH fall was significantly smaller than for old Fuji and composite. These materials also released the largest amount of fluoride into the fluid phase. Incubation with glass ionomer materials led to an increase in the cellular concentration of fluoride in bacteria, but intracellular fluoride did not correlate with the fall in pH. The lowest pH was associated with the lowest cellular magnesium content. Ketac-Silver released large amounts of calcium in the fluid phase, and the cellular calcium content was doubled in this group. The results show that freshly mixed glass ionomers affect acid production and electrolyte metabolism of S. mutans in vitro. The effect of conventional glass ionomer, however, seems to disappear after a few weeks. The effects of calcium and silver released by cermet glass ionomer deserve further study.     

四种玻璃离子充填材料释氟性与溶解性的研究

目的 比较4种玻璃离子充填材料短期内氟离子释放能力和溶解性,为临床选择充填材料提供依据.方法 实验选取1种传统型玻璃离子水门汀(SC),2种高强度玻璃离子水门汀FujiⅨ(F9)和Ketac Moler(KM),1种树脂改良型玻璃离子水门汀FujiIILC (F2LC),和1种复合树脂Z100( CR,3M)共5种材...     

Antibacterial effects of light-cured liners

Light-cured liners and glass ionomers have recently been introduced and it has not been established if they are antimicrobial. This study determined the effectiveness of several light-cured liners against Streptococcus mutans #6715. Fluoride release and pH determination tests were performed to define their antibacterial activity. After evaluation with agar diffusion methodology, two of the light-cured glass ionomers were considered inhibitory. These two liners released fluoride into the agar in excess of the minimum inhibitory value of 20 ppm. The other four materials released fluoride below reported inhibitory values, failed to lower the pH below 4.0 and were ineffective against Streptococcus mutans. The findings suggested that light-cured glass ionomers react similarly to conventionally-cured glass ionomers regarding antibacterial activity against Streptococcus mutans. It also indicated that antibacterial activity was dependent upon a lower pH. Fluoride release may not be as important to the mechanism of action; however, it cannot be ruled out.     

Ion release from copper phosphate cement and influence on Streptococcus mutans growth in vitro: a comparative study

The aim of this study was to compare the effects of a black copper cement (BCC), an established restorative material (a conventional glass ionomer cement) and two temporary restorative materials (a zinc phosphate and a zinc polycarboxylate cement) on the growth of Streptococcus mutans in vitro, and to correlate bacterial growth with ion release from each material. Test specimens were eluted in either 0.1 M lactic acid, pH 4, or 0.1 M sodium chloride, pH 7. At 2 days, 7 days, 28 days and 6 months, eluates were inoculated with S. mutans and bacterial growth was recorded. Metal ion (Cu(2+), Zn(2+ )and Mg(2+)) and fluoride release were measured. At most immersion times, the different materials had a statistically significant inhibitory effect on bacterial growth compared to the respective control, at both pH levels. The inhibitory effect decreased with time and in most cases was associated with high levels of ion release at the beginning of the experimental period, followed by significantly lower levels. For BCC, there were statistically significant relationships between the median rates of growth of S. mutans in the presence of BCC eluates and the median values for release of copper and zinc, although not magnesium. Of the different materials, BCC demonstrated greatest antibacterial activity.     

Fluoride release and antibacterial properties of new-generation tooth-colored restoratives

The aim of this study was to compare the amounts and pattern of fluoride release and antibacterial properties of new-generation restoratives over a 35-day period. Materials evaluated included fluoride-releasing composites (Tetric, Experimental X), compomers (Dyract, Compoglass), and a resin-modified glass-ionomer cement (Fuji II LC). A conventional glass ionomer (Fuji II Cap) was used as a control for fluoride-release testing. Five samples of each restorative material were evaluated for daily fluoride release over a 35-day period by means of ion chromatography. Ranking of materials from least to greatest total fluoride release over 35 days was as follows: Tetric < Experimental X < Dyract < Fuji II LC < Compoglass < Fuji II Cap. Fuji II Cap had significantly greater fluoride release than all other materials evaluated. Fuji II Cap, Fuji II LC, and Compoglass had similar patterns of fluoride release characterized by a high initial release that was many times that released later. The fluoride-releasing composites evaluated stopped releasing fluoride by day 14. Antibacterial testing was conducted using the agar diffusion inhibitory test. Five samples of each restorative were assessed at baseline and weekly intervals up to 35 days. The microorganisms used were Lactobacillus casei, Streptococcus mutans, and Streptococcus sobrinus. IRM, a zinc oxide/eugenol cement, was used as the baseline control. None of the restorative materials evaluated affected the growth of L casei, S sobrinus, or S mutans at all time periods including baseline, where fluoride was detected in the agar beneath the specimen disks. There was no correlation noted between fluoride-release potential and antibacterial properties.     

载银纳米二氧化钛对玻璃离子水门汀抑菌性的影响

目的:研究载银纳米二氧化钛(Nano.Ag-TiO₂)对玻璃离子水门汀(glass ionomer cement,GIC)抑菌性的影响。方法:向玻璃离子水门汀中添加质量比为0%、1%、2%、3%、4%、5%的载银纳米二氧化钛,通过机械方法搅拌均匀后,调和并快速填入模具中。观察试件对变形链球菌的抑菌效果和抑菌长效性。结果:随着载银纳米二氧化钛质量分数的增加,对变形链球菌的抑菌率提高了,其较空白组有显著差异(P<0.05);自然老化组的抑菌率没有明显变化。添加载银纳米二氧化钛为3%组的抑菌率达到90%以上。结论:添加载银纳米二氧化钛的玻璃离子具有良好的抗菌性,且抗菌效果持久稳定。     

Fluoride release and uptake by aged resin-modified glass ionomers and a polyacid-modified resin composite

Little has been reported of the relationship of fluoride release and weight loss, and the effects of use of different fluoride agents on restorations, for the new generation of glass ionomer cements. The objectives of this study were to compare fluoride release of fresh and aged specimens of a polyacid-modified resin composite (Dyract), and of three resin-modified glass ionomer cements (Fuji II LC, Photac-Fil, Vitremer); and to correlate fluoride release and weight loss of aged specimens after recharging with three different fluoride agents. All materials showed high initial fluoride release immediately after uptake when using the agents. However, the levels of fluoride release dropped rapidly soon afterwards. Although initial fluoride release was significantly different between Dyract and the three resin-modified glass ionomers, when different fluoride agents were used on aged specimens after recharging, no significant differences were found after the first few hours. Linear regression analyses also showed no correlation between cumulative fluoride release and weight loss. Possible beneficial oral health effects may only be expected by frequent exposure of these materials to fluoride agents.     

Fluoride release, weight loss and erosive wear of modern aesthetic restoratives.

OBJECTIVE: In this investigation, the in vitro sustained fluoride release, weight loss and erosive wear of three conventional glass ionomer cements (Fuji IX, ChemFil Superior, Ketac-Silver), three resin-modified glass ionomer cements (Fuji II LC, Vitremer, Photac-Fil), a polyacid-modified resin composite (Dyract), and a resin composite control material (Z100) were compared. METHODS: The amounts of fluoride released and weight changes were measured for 12 weeks using a fluoride electrode with TISAB III buffer. After 12 weeks, the specimens were recharged with fluoride using 2 mL of 1.23% APF gel. The recharged specimens were assessed for the amounts of fluoride released and weight changes over another 12 weeks. At the end of the experiment, the specimens were examined with SEM and surface profilometry. RESULTS: All materials, with the exception of Z100, showed the highest initial fluoride release rates during the first 2 days, dropping quickly over 2 weeks and becoming largely stabilised after 5 weeks, in an exponential mode. The recharging of the specimens with APF gel caused a large increase in the amounts of fluoride released during the first 2 days only. Analyses for all cements showed strong correlations between mean weight loss and cumulative fluoride release over a 5-week period following the application of the APF gel. SEM and surface profilometry found that roughness increased from the polyacid-modified resin composite to the conventional glass ionomer cements. CONCLUSIONS: APF gel caused erosive wear of the glass ionomer cements especially, and the wear correlated well with the weight losses. To minimise surface erosion, APF gel should not be used on these cements, especially as the recharging effects are transitory.     

Surface roughness and weight loss of esthetic restorative materials related to fluoride release and uptake.

The objective of this study was to assess the surface roughness of eight esthetic restorative materials and the relationship with weight changes during fluoride release and uptake. Five specimens each of ChemFil Superior, Fuji IX Dyract, Fuji II LC, Vitremer, Photac-Fil, Ketac-Silver, and Z100 (control) were prepared and immersed in 2 ml of artificial saliva at 37 degrees C. The changes in specimen weight and fluoride release were monitored for 12 weeks. This protocol was repeated after recharging the specimens with 1.23% APF gel for 12 more weeks. The immersed and fresh specimens for each material were then examined with SEM and surface profilometry. There was a significant weight loss for all glass ionomer cements following APF gel application (P < 0.01), which correlated with fluoride release (r = 0.89-0.98). Mean roughness (Ra) measurements and SEM showed that roughness increased from the resin composite to the conventional glass ionomer cements. The marked erosive effect of APF gel on glass ionomer restorations could increase surface colonization by plaque micro-organisms, and reduce the longevity of the restorations.     

Fluoride release from glass ionomer cements and resin composites coated with a dentin adhesive.

OBJECTIVES: This laboratory study compared the effect of surface coatings on patterns and amounts of fluoride released from four glass ionomer cements and two fluoride-containing resin composites. METHODS: Twelve cylinders of each material were prepared in a polyethylene mold. The experimental groups (n = 6) were coated with one layer of an adhesive resin (3M Scotchbond Multipurpose Adhesive), while the control groups (n = 6) remained uncoated. Cumulative fluoride release into deionized water was measured on days 1, 2, 3, 7, 14, 21 and 28 using an ion analyzer. Total fluoride release after 28 days was analyzed for significant differences among materials using one-way ANOVA and Student-Newman-Keuls test (p < 0.05). RESULTS: The total amounts of fluoride release from the coated samples were found to be significantly less than the uncoated samples for all materials, except Solitaire. The uncoated samples released a total amount of fluoride of between 2.3 and 85.4 ppm, while the coated samples released a total amount of fluoride of between < 0.2 and 24.1 ppm. Similar patterns of fluoride release were found in coated and uncoated samples. SIGNIFICANCE: The results indicated that the application of a dentin adhesive coating did not completely prevent fluoride release from glass ionomer cements and fluoridated resin composites, although the amounts were significantly less. Clinically, it suggests that a continued release of fluoride from glass ionomer cements and fluoridated resin composites is possible after placing a thin layer of resin adhesive. The clinical significance of these findings is not known.     

Fluoride release of glass ionomer-based luting cements in vitro.

STATEMENT OF PROBLEM: There is considerable variation in generic formulation and in reported fluoride release from resin-modified glass ionomer luting cements. PURPOSE: This study compared fluoride release from 2 generically similar resin-modified glass ionomer luting cements (Vitremer and Advance) with release from 2 conventional glass ionomer luting cements (Ketac-Cem and Fuji I). MATERIAL AND METHODS: Ten specimen disks of each of the 4 luting cements were fabricated and immersed in deionized water in individual polystyrene jars. The jars were stored in a humidor at 37 degrees C between test periods. At the same time each day, for 28 days, fluoride release from each specimen disk was measured in parts per million by testing the storage water. RESULTS: The 4 luting cements tested showed an initial high concentration of fluoride release during the first week, followed by a gradual decrease over the study period. Vitremer luting cement demonstrated the greatest mean cumulative fluoride release in parts per million over the study period (198), followed by Fuji I (140), Ketac-Cem (110), and Advance (99) luting cements. CONCLUSIONS: Resin-modified glass ionomer luting cements showed fluoride release comparable to the conventional glass ionomer luting cements. Vitremer luting cement released more fluoride over the 28-day period than the other cements.     

Long-term F release from glass ionomer cements

Fluoride release from three commercial glass ionomer filling cements and three glass ionomer luting cements was measured in the laboratory over a 12-month period. Fluoride release from these glass ionomer cements was compared with that released from a silicate, silicophosphate, and a fluoride-containing polycarboxylate cement. The fluoride released from the glass ionomer cements throughout the one-year period was similar, both in quantity and pattern, to that released by the silicate cement. The silicophosphate cement tended to release fluoride in somewhat lesser amounts, while the amount of fluoride released by the polycarboxylate was negligible after the first few days. Analysis of these data indicates that these glass ionomer cements probably possess anticariogenic properties similar to those of silicate cement.     

Antibacterial potential of contemporary dental luting cements

The aims of this investigation were to evaluate the antibacterial activities of different types of dental luting cements and to compare antibacterial action during and after setting. Agar diffusion testing was used to evaluate the antibacterial properties of seven types of dental luting cements (glass ionomer cements (GICs), resin modified GICs, resin composite, zinc oxide eugenol, zinc oxide non-eugenol, zinc phosphate, zinc polycarboxylate cements) on Streptococcus mutans bacteria. Instantly mixed zinc phosphate cements showed the strongest antibacterial activity in contrast to the non-eugenol, eugenol and resin cements that did not show any antibacterial effects. Non-hardened glass ionomer, resin modified and zinc polycarboxylate cements exhibited moderate antibacterial action. Hardened cements showed weaker antibacterial activities, than those ones applied right after mixing.     

In vitro study of antibacterial and antiadhesive activities of fluoride-containing light-cured fissure sealants and a glass ionomer liner/base against oral bacteria

The aim of this study was to estimate the antibacterial and anti-adhesive properties of light-cured pit-and-fissure sealants containing fluoride (Teethmate F-1, TF; UltraSea-1 XT, US) or not containing fluoride (Teethmate A, TA)- and glass ionomer liner/base containing fluoride (Vitrebond, VB) against oral bacteria in vivo. VB inhibited the growth of S. mutans, S. oralis and L. casei aerobically and anaerobically, and TA and US inhibited the growth of only S. mutans aerobically. The numbers of adherent cells mediated by insoluble glucan for all materials were lower than that for the control tooth. The numbers of adhesional cells not mediated by insoluble glucan were larger than that for the control tooth. VB showed the highest concentration of fluoride released throughout the four-week observation period, and had the highest pH value. In this study, VB showed superior antibacterial action and fluoride-release compared with the other three materials.     

Glass ionomer cements as a fluoride release system in vivo

Fluoride release to saliva from three glass ionomer cements, Vitrabond, Ketac-Fil, and ChemFil II, was followed for six weeks in vivo. Colony forming units (CFU) of S. mutans present in saliva before and after placement of glass ionomer restorations were analysed. Thirty-six children received 1-6 glass ionomer cement restorations of one of the three materials. Unstimulated saliva was collected and analysed before insertion of restorations (baseline measurement), immediately after treatment, after 3 weeks and after 6 weeks. The fluoride concentration was measured according to a method slightly modified from Ekstrand (1977) and Duckworth et al. (1987). Baseline concentration of fluoride was between 0.038 and 0.050 ppm. Immediately after placement of GIC restorations, fluoride concentrations increased to 0.8 for ChemFil II and 1.2 ppm for Ketac-Fil and Vitrabond. After 3 weeks, concentrations of released fluoride decreased about 35% for all three materials, and after 6 weeks, concentrations decreased another 30%. However, still after 6 weeks, the fluoride concentrations of unstimulated saliva was 10 times higher than the baseline values. The more restored teeth surfaces the higher was the saliva fluoride concentration found. The prevalence of S. mutants in saliva decreased after placement of the GIC restorations.     

Fluoride release from glass ionomer cement in vivo and in vitro

The aims of this study were to investigate in vivo the release of fluoride from three glass ionomer cements (GICs) Vitrebond, Ketac-Fil and ChemFil II into the saliva of preschool children for a 1-year period and also to study in vitro the release-absorption-release of fluoride from the same GICs for 16 weeks. In the first part of the study, glass ionomer restorations were placed in primary teeth in preschool children. Unstimulated saliva was collected and the fluoride in the saliva was measured before placement of the restorations, immediately after, after 3 weeks, after 6 weeks, and after 1 year. In the second part of the study, test specimens of GICs were placed in deionized water and the release of fluoride was measured weekly for 16 weeks. At week 12, samples were exposed to fluoride toothpaste. The concentration of fluoride in saliva was 0.04 ppm before placement of the restorations. After three weeks it had increased to 0.8 ppm and the level remained as high as 0.3 ppm even after 1 year. In the laboratory study the tested glass ionomer cements showed a capacity to absorb fluoride from the fluoride toothpaste and then release it. It is concluded that glass ionomer cement can act as a rechargeable slow release fluoride device.     

不同品牌玻璃离子水门汀氟释放的比较

目的：离体比较临床用不同品牌及固化方式的玻璃离子水门汀（ＧＩＣ）氟释放情况，为临床使用含氟充填材料防龋提供理论依据。方法：４种ＧＩＣ，分别为Ｓｈｏｆｕ，青浦，Ｃｈｅｍｆｉｌ３种化学固化型和ＶｉｔｒｅｍｅｒＴＭ光固化型ＧＩＣ，离子选择电极法测量材料在去离子水中氟释放量。结果：所有测试材料在实验期间都能在去离子水中持续释放氟，ＶｉｔｅｒｍｅｒＴＭ、Ｓｈｏｆｕ、Ｃｈｅｍｆｉｌ和青浦分别为（２１．１１±９．７６）μｇ、（８．０８±４．４３）μｇ、（６．５２±３．２８）μｇ，（１７．６７±６．９３）μｇ（Ｐ＜０．０１）。结论：不同品牌及固化方式的ＧＩＣ氟释放能力不同，树脂基因引入玻璃离子水门汀并不影响其氟释放能力。     

Class II glass ionomer/silver cermet restorations and their effect on interproximal growth of mutans streptococci

The release of fluoride from glass ionomer materials is one of the most important features of this newly implemented material, and the remineralization effects of this phenomenon have been documented (Hicks and Silverstone 1986). This paper examines the effects of glass ionomer/silver cermet restorations on the plaque levels of interproximal mutans streptococci. Fifteen patients with Class II lesions in primary molars were selected for study. Interproximal plaque samples were obtained from each of the lesion sites and from one caries-free site approximal to a primary molar. One lesion was restored with composite resin to serve as a treated control to the glass ionomer/silver cermet (Ketac Silver, ESPE/Premier Sales Corp., Norristown, Pennsylvania) test site. A sound (unaltered) interproximal site served as the untreated control site. Plaque samples were collected before and at one week, one month, and three months post-treatment. Samples were serially diluted to enable colony counts of mutans streptococci. One week post-treatment counts showed that the glass ionomer/silver cermet restorations significantly reduced (P less than 0.05) the approximal plaque levels of mutans streptococci. Conversely, the untreated and treated control sites did not exhibit reductions in approximal plaque levels of mutans streptococci. These results indicate that glass ionomer restorations may be inhibitory to the growth of mutans streptococci in dental plaque approximal to this restorative material in the primary dentition.     

Antibacterial properties of 4 orthodontic cements.

BACKGROUND: White spot lesions are observed in nearly 50% of patients undergoing orthodontic treatment. Long-lasting antibacterial properties of orthodontic cements can reduce this phenomenon. METHODS: The antibacterial properties of 4 orthodontic cements were evaluated by direct contact test (DCT) and agar diffusion test (ADT). With the DCT technique, octet specimens of glass ionomer (CX-Plus; Shofu, Kyoto, Japan), reinforced glass ionomer (GC Fuji ORTHO LC; GC Corporation, Tokyo, Japan), and 2 composite (Transbond XT and Transbond Plus; 3M Unitek, Monrovia, Calif) orthodontic cements were placed on the sidewalls of wells of a 96-microtiter plate. Streptococcus mutans cells (ca. 1 x 10(6) ) were placed on the surface of each specimen for 1 hour at 37 degrees C. Then, fresh media was added to each well, and bacterial growth was monitored for 16 hours with a temperature-controlled spectrophotometer. This was repeated on specimens aged in phosphate-buffered saline for 1 day, 1 week, and 1 month. The ADT was performed by placing specimens in wells punched in agar plates. RESULTS: Measurement of the halo in bacterial lawn after 48 hours showed that only the glass ionomer cement (CX-Plus) produced an inhibition zone (1.2 mm around the sample). Results at the DCT showed that only the reinforced glass ionomer cement (GC Fuji ORTHO LC) exhibited potent antibacterial activity, which lasted 1 week and diminished over the next 3 weeks. CONCLUSIONS: The reinforced glass ionomer cement possessed the most potent and long-lasting antibacterial activity.