Selected physical properties of new resin-modified glass ionomer luting cements

Statement of problem

Two resin-modified glass ionomer (RMGI)-based luting agents have been recently marketed without independent reports of their physical properties.

Mechanical properties of dental luting cements

STATEMENT OF PROBLEM: Dental luting cements fail by microcrack formation and bacterial ingress or by gross failure and crown dislodgment. Both of these failure modes are related to mechanical properties and deformation. PURPOSE: This study evaluated those mechanical properties of cements. METHODS AND MATERIAL. Elastic modulus for 8 representative cements (zinc phosphate, polycarboxylate, glass ionomer, encapsulated glass ionomer, resin-modified glass ionomer, resin composite, and adhesive resin composite) was measured by using a nondestructive technique and evaluated for cement type and storage time (1 hour, 1 day, 1 week, 1 month, 1 year) by 2-way ANOVA (P <.05). Compressive properties (proportional limit, resilience, and toughness), ultimate strengths (compressive, diametral tensile, and flexural), and flexural toughness were determined and evaluated by 2-way ANOVA for 2 crosshead testing rates (5 and 0.5 mm/min) and cement type (P <.05). RESULTS: Cements varied with respect to elastic moduli, compressive proportional limit, compressive resilience, compressive strength, compressive toughness, diametral tensile strength, flexural strength, and flexural toughness. Storage time affected the elastic moduli of different materials in different ways. Elastic moduli of polycarboxylate and glass ionomer cements increased over time, whereas the other materials changed little after the first day. Crosshead rate only significantly affected compressive proportional limit and resilience. CONCLUSIONS: Luting cements differed considerably with respect to mechanical properties.     

The properties of polymerizable luting cements

The properties of a polyacid-modified composite resin and two resin-modified luting cements have been studied. The polyacid-modified composite resin had the slowest setting reaction and, in this respect, it did not conform to the current international standard for luting cements. The compressive strength of all of the materials was studied after varying periods of storage from 24 h to 1 year. The polyacid-modified composite resin showed a distinct dip in strength at 1 month in all of the storage media, but otherwise it showed no significant variation with either age or storage medium. The resin-modified glass-ionomers showed variation at 24 h with storage medium (deionized water, 0.9% NaCl or 20 mmol dm(-3) lactic acid), but thereafter they showed little variation, until 1 year, when Vitremer luting showed a significant decline in strength in pure water. However, at 24 h and when stored in water, all of the materials had strengths that easily exceeded the minimum requirement of the current standard (70 MPa). They all took up water on storage, with diffusion coefficients ranging from 1.32 to 17. 19x10(-7) cm2 s(-1). These values were found to depend on whether the specimens were stored in pure water or in physiological saline. However, equilibrium water contents varied only slightly between water and saline. The polyacid-modified composite resin, Dyract-Cem, took up the least water, as well as showing the smallest variation in strength with age. By contrast, it was more difficult to mix than the other materials and the high viscosity of the paste led to the formation of voids and other imperfections in the specimens.     

A study of the physical and chemical properties of four resin composite luting cements

PURPOSE: This study evaluated the surface microhardness and flexural and compressive strengths of five luting cements and compared the degree of conversion of dual and autopolymerized forms of four resin-based luting cements. MATERIALS AND METHODS: Four resin composite luting cements-Panavia F, Variolink 2, RelyX Unicem Applicap, and RelyX ARC-and a polycarboxylate cement (Durelon, control group) were used in three-point bending, compression, and Vickers hardness tests following water storage for 1 week. Resin composite cements were additionally investigated with both dual and autopolymerization techniques under Fourier transformed infrared spectroscopy. Differences were analyzed using one-way ANOVA. RESULTS: The highest flexural strengths were obtained with Variolink 2 (90 MPa, SD 22), whereas the lowest were observed with Durelon (28 MPa, SD 4). RelyX Unicem showed the highest hardness values (44 HV, SD 5), whereas Variolink 2 gave the lowest (32 HV, SD 6). The highest compressive strengths were obtained with RelyX Unicem (145 MPa, SD 32), whereas the lowest were observed with Durelon (41 MPa, SD 17). For both dual and autopolymerized groups, RelyX ARC showed the highest degrees of conversion (81% and 61%, respectively) and RelyX Unicem had the lowest (56% and 26%, respectively). CONCLUSION: Resin composite luting cements of similar chemical characterizations differed in their physical properties, and polymerization method influenced their degree of conversion.     

Mechanical properties of luting cements after water storage

This study determined the effect of water storage on flexural strength (FS) and compressive strength (CS) of 12 luting cements from different material classes. In addition, the influence of the curing method on the mechanical properties was investigated. The materials examined were two zinc phosphate cements (Harvard cement and Fleck's zinc cement), two glass ionomer cements (Fuji I and Ketac-Cem), three resin-modified glass ionomer cements (Fuji Plus, Fuji Cem and RelyX Luting), four resin cements (RelyX ARC, Panavia F, Variolink II and Compolute) and one self-adhesive universal resin cement (RelyX Unicem). The samples were prepared and tested according to ISO specifications. Specimens for FS and CS were loaded to fracture at a constant crosshead speed of 1 mm/minute. The mechanical properties were measured after the materials were stored in distilled water at a temperature of 37.0 +/- 1.0 degrees C for 24 hours and 150 days after mixing. In a one-way ANOVA, multiple mean value comparisons using Duncan's multiple comparison tests were performed. Resin cements had the highest flexural and compressive strengths, followed by self-adhesive universal resin cement. These materials were statistically stronger than resin-modified glass ionomer cements, glass ionomer cements and zinc phosphate cements.     

Rheology of luting cements

A rheometer has been developed to simulate the extrusion of luting cement from beneath a full crown during seating using clinically realistic shear rates. Five luting cements were studied, and differences in rheological behavior were illustrated. These measurements demonstrate the importance of consideration of the effects of shear rate on viscosity when evaluating a cement for optimal clinical utilization.     

Influence of abutment material and luting cements color on the final color of all ceramics

Abstract

Purpose. The purpose of this study is to evaluate the effects of different abutment materials and luting cements color on the final color of implant-supported all-ceramic restorations. Materials and methods. Ten A₂ shade IPS e.max Press disc shape all-ceramic specimens were prepared (11 × 1.5 mm). Three different shades (translucent, universal and white opaque) of disc shape luting cement specimens were prepared (11 × 0.2 mm). Three different (zirconium, gold-palladium and titanium) implant abutments and one composite resin disc shape background specimen were prepared at 11 mm diameter and appropriate thicknesses. All ceramic specimens colors were measured with each background and luting cement samples on a teflon mold. A digital spectrophotometer used for measurements and data recorded as CIE L*a*b* color co-ordinates. An optical fluid applied on to the samples to provide a good optical connection and measurements on the composite resin background was saved as the control group. ΔE values were calculated from the ΔL, Δa and Δb values between control and test groups and data were analyzed with one-way variance analysis (ANOVA) and mean values were compared by the Tukey HSD test (α = 0.05). Results. One-way ANOVA of ΔL, Δa, Δb and ΔE values of control and test groups revealed significant differences for backgrounds and seldom for cement color groups (p the 0.05). Only zirconium implant abutment groups and gold palladium abutment with universal shade cement group were found to be clinically acceptable (ΔE ≤ 3.0). Conclusion. Using titanium or gold-palladium abutments for implant supported all ceramics will be esthetically questionable and white opaque cement will be helpful to mask the dark color of titanium abutment.     

Porosity of different dental luting cements.

OBJECTIVE: The aim of this in vitro study was to compare open porosity and pore size distribution of different types of luting cements (zinc phosphate and polycarboxylate produced by Harvard Cement, Great Britain, glass-ionomer product GC Fuji I, GC Corporation, Japan, and Panavia F, resin based composite cement, Kurraray Co. Ltd. Japan) using mercury intrusion porosimetry and use it as an additional parameter for ranging the quality of cements used in prosthetics. METHOD: Samples were hand mixed in accordance with the manufacturer's instructions and formed in cylindrical test specimens. Density of samples was determined using a pycnometer while porous structure was estimated using high pressure mercury intrusion porosimeter enabling estimation of pore diameters in interval 7.5-15,000 nm. RESULTS: The polycarboxylate cement posses the highest porosity and specific pore volume among investigated cements. By comparison of the results obtained for zinc phosphate and glass-ionomer cement, it can be observed that according to some textural properties zinc phosphate cement is better choice (smaller specific pore volume and absence of macropores larger than 1 microm) while according to other textural properties the glass-ionomer has advantage (smaller porosity). The resin based composite cement poses the most desired porous structure for prosthetic application among the investigated cements (the lowest porosity and specific pore volume and all identified pores are smaller than 20 nm). SIGNIFICANCE: Based on results of this study, it is possible to estimate the efficiency of luting cements to protect the interior of tooth from penetration of oral fluids, bacteria and bacterial toxins into unprotected dentine.     

Destructive stresses in adhesive luting cements.

In this study, curing shrinkage stress development was monitored in a glass-ionomer and a BisGMA composite luting cement adhesively placed at film thicknesses ranging from 30 to 200 microns. The nature and magnitude of the stress development depended greatly on the formulation and film thicknesses of the lute. The thicker the layer, the faster the stress development in the glass ionomer and the slower in the composite. The contraction stress had a detrimental effect on the cohesive strength of the glass ionomer and on the adhesive strength of the composite cement.     

Haemotoxicity of dental luting cements

A glass ionomer luting cement (AquaCem) shows a relatively low haemolytic activity in comparison with two zinc phosphate cements. Especially the initial irritation by this cement is smaller. Although it is possible that AquaCem particularly, in unfavourable cases, may damage the pulpa dentin system; this is due to the slowly decrease of the haemolytic activity with increasing of the probes. We found that Adhesor showed in dependence of the batches a varying quality.     

Acidic solubility of luting cements

Objectives. Chemical disintegration of luting cements can adversely affect their long term success. The aim of the present study was to assess the susceptibility of zinc phosphate cement, glass ionomer cement and resin cement to erosion at various pH values.Methods. Zinc phosphate and glass ionomer cement samples were eroded in 0.3% citric acid adjusted to pH 3.0, 4.0, 5.0, 6.0 and 7.0 at a temperature of 35 degrees C. A control group was stored in saline. Profilometric readings were performed after 30min and 1h erosion time. Resin cement samples were eroded at pH 3.0 with measurements after 30min, 6h, 24h and 7 days. A saline control group was measured after 7 days.Results. Erosion of zinc phosphate cement was significantly higher at all pH values than erosion of glass ionomer cement with erosion depth increasing with decreasing citric acid pH. No erosion was seen in the control groups. The resin cement did not show any change in surface profile after the 7 day erosion period compared to the control group. Comparison to dental tissues revealed that erosion of glass ionomer cement in vitro was slightly lower than erosion of enamel and dentine. In contrast, erosion of zinc phosphate cement was much higher.     

Conventional and adhesive luting cements

Luting materials for fixed prosthesis must fulfill special requirements in order to retain indirect restorations and fully maintain the integrity of abutments. The main requirements (inhibition of plaque accumulation, sealing of interface, possible antibacterial effects, acceptable solubility, wear, mechanical properties, adhesion, radiopacity, film thickness, type of curing, esthetics, storage, and cost) are reviewed to update clinical criteria on the selection of suitable materials. It can be concluded that there is no ideal luting material on the market. Alleged improvements in the physical data of newer materials do not necessarily result in better clinical performance. Only clinical trials can confirm the assumed benefits of materials.