Types Of Glass Ionomer Cements Research Articles

An in Vitro Assessment of the Retentive Property of Orthodontic Molar Bands Cemented With HY Agent-Containing Glass Ionomer Cement

Introduction: In orthodontic treatments, glass ionomer cements (GICs) are the most extensively used adhesive materials. Through an acid-base reaction with enamel and dentin, they function as chelating agents, creating a chemical bond with stainless steel bands. It has been reported that glass ionomer cement (GIC) containing HY agents along with a complex of zinc fluoride, strontium fluoride, and tannic acid offers enhanced retentive strength. This combination contributes to reduced solubility, promotes remineralization, and improves acid resistance. In this in vitro study, Shofu HY Bond glass ionomer cement (HY GIC) was utilized to compare and evaluate the retentive strength of molar bands cemented with it against Voco Meron (VM GIC), a conventional glass ionomer cement.Materials and Methods: The long axis of fifty extracted maxillary first molars was aligned at 90 degrees to the acrylic resin blocks. Of these teeth, twenty-five were bonded using HY-GIC (group 1), while the remaining twenty-five were bonded with Meron GIC (group 2). The retentive properties of both types of glass ionomer cement were evaluated using universal testing equipment. An independent t-test was employed to compare the retentive strength between the two groups.Results: The average retentive strength of bands bonded with HY-GIC was measured at 14.65 ± 1.37 MPa, while bands using Meron GIC had a strength of 10.75 ± 1.10 MPa. The difference between these two values was statistically significant.Conclusion: There was a significant difference in the retentive strength between the 2 groups with Shofu HY bond GIC being superior.

Assessment of the Microhardness of Three Different Glass Ionomer Cements After Microhydroxyapatite Incorporation: An In Vitro Study.

Aim The study aimed to evaluate the impact of incorporating microhydroxyapatite on the microhardness of three different types of glass ionomer cement. Methodology A total of 120 disc-shaped specimens (7 mm in diameter and 3 mm in height) were prepared for the study, divided into three groups, each containing four subgroups of 10 samples. The materials tested included Zirconomer, conventional glass ionomer cement (CGIC), and resin-modified glass ionomer cement (RMGIC), with the addition of microhydroxyapatite in varying concentrations of 0, 5, 15, and 25 wt%. All specimens were stored in deionized water at 37ºC for 24 hours before being subjected to the Vickers microhardness test. Statistical analysis was performed using one-way ANOVA and Tukey's post hoc honest significance test (HSD) test, with a significance level set at p<0.05. Results The addition of 5 and 15 wt% microhydroxyapatite to Zirconomer and RMGIC significantly increased microhardness (p<0.001). The highest Vickers hardness number (VHN) was observed in the RMGIC group with 5 wt% of microhydroxyapatite. However, the RMGIC group with 25wt% microhydroxyapatite showed a lower VHN compared to the control group (without hydroxyapatite) (p<0.001). Conclusion The incorporation of 5 and 15 wt% microhydroxyapatite enhanced the microhardness of CGIC, RMGIC, and Zirconomer. However, adding 25 wt% of microhydroxyapatite to RMGIC resulted in a reduction in hardness compared to the control group without microhydroxyapatite.

Histological and ultrastructural evaluation of remaining dentin after selective caries removal in primary molars: Ex-vivo study

Aim: In this study, ultrastructural, chemical, and histological analyses of extracted deciduous teeth were performed to analyze the effect of two different types of glass ionomer cements used in association with selective caries removal in deep lesions of deciduous teeth. Methods: A clinical, ex vivo, longitudinal study was conducted. A total of 19 deciduous molars from 9 volunteer patients were used. The teeth were randomly restored with one of two types of glass ionomer cement following the selective caries removal technique. The groups were divided into a control group, which used Fuji IX (GC- Europe, Leuven, Belgium), and a test group, which used Maxxion R (FGM- Joinville, Santa Catarina, Brazil). After exfoliation, the teeth were stored at 4°C and subjected to scanning electron microscopy (SEM), optical microscopy (OM), and energy dispersive spectrometry (EDS). Results: EDS analysis revealed that calcium (Ca) and phosphorus (P) were present in 100% of the specimens in both the control and test groups. Fluoride was found in 60% of the control group specimens and 63% of the test group specimens. OM images showed areas of mineralized dentin in both treatment groups. Conclusions: Selective caries removal for deep lesions in deciduous teeth was shown to be a safe therapeutic protocol, demonstrating signs of dentin mineralization and control of disease progression. Keywords: Carious, Dental Caries Removal; Glass Ionomer Cement; Scanning Electron Microscopy

Evaluation of Flexural Strength and Microhardness of Different Type Glass Ionomer Cements

Abstract Purpose: The aim of this study is to evaluate and compare flexural strength and microhardness of different types of glass ionomer cements (Fuji IX GP® Fast, Riva LC HV, EQUIA Forte Fil). Materials and Methods: A total of 30 samples (n = 10) were prepared for microhardness test, and an additional total of 30 samples (n = 10) were prepared for the flexural strength test. Customized stainless steel molds (25×2×2 mm³) were produced for the flexural strength test, and 10 mm and 2 mm plexiglass molds were produced for the microhardness test. The prepared samples were stored in distilled water in a dark bottle at 37 °C (±1 °C) for 24 hours. A three-point bending test was performed using a universal testing device, and the maximum force values required to fracture the samples were determined in Newton by the device after the fracture. For the Vickers microhardness test measurements were made from different areas of the upper surfaces of each sample and the average of five measurements was calculated in MPa. Results: When comparing the flexural strength values, EQUIA Forte Fil group observed the highest flexural strength value, while Riva LC HV group had lowest flexural strength value. When comparing the microhardness values, EQUIA Forte Fil group showed the highest microhardness value, whereas Riva LC HV group observed the lowest microhardness value. Conclusion: The use of EQUIA Forte Fil, which has the highest microhardness and flexural strength values, and similarly strengthened glass ionomer cements may enhance clinical success. Key Words: glass ionomer cements; microhardness; flexural strength

Evaluation of the Effect of Different Bonding Systems and Restorative Materials on Shear Bond Strength in the Repair of High-Viscosity Glass Ionomer Cement

Aim: High viscosity glass ionomer cements have been produced to increase the mechanical properties of glass ionomer cements. The aim of this study is to determine the appropriate adhesive system and restorative material that can be used in fracture repair of high viscosity glass ionomer cements. Material and Methods: A total of 140 standard size acrylic blocks were used in the study. 14 groups were formed from randomly selected acrylic blocks, with 10 samples in each group. High viscosity glass iomomer cement was placed in the first 13 groups, and resin-modified glass ionomer cement was placed in the last group. After the thermal cycle aging process was applied to all samples, repair restorations were performed with 4 different adhesive systems, 2 different composite resins and 2 different restorative types of glass ionomer cement. After the repair restorations, thermal cycle aging was applied again and the shear bond strengths were evaluated. One-way analysis of variance and Duncan multiple comparison test were used for statistical analysis. Results: The highest shear bond strength values were obtained by the total etch adhesive system (p&lt;0.001). The lowest shear bond strength values were obtained when high-viscosity glass-iomomer cement without adhesive system was restored with high-viscosity glass iomomer cement (p&lt;0.001). Conclusion: For higher shear bond strength values in the repair of high-viscosity glass ionomer cements should use to total etch adhesive systems and composite resin.

Bond Integrity and Microleakage of Orthodontic Bands Cemented by Glass Ionomer Cements Stored in Static Magnetic Field

Aim: Improving the band-tooth bond integrity by glass ionomer cement (GIC) is essential in orthodontic treatments. As, microleakage under bands induced enamel demineralization. Storing the dental material to updated magnets improved their mechanical properties. This research aimed to assess the microleakage of GIC after storing in a static magnetic field (SMF). Material and Methods: Forty premolars and their suitable bands were randomly classified into two main groups according to the types of GIC tested in this research; resin-modified GIC (RMGIC) and conventional GIC (CGIC). Each group was subdivided according to the exposure to SMF before polymerization into two subgroups. CGIC not exposed to SMF (CC), CGIC exposed to SMF (CM), RMGIC not exposed to SMF (LC) and RMGIC exposed to SMF (LM). SMF intensity performed was 0.225 Tesla, exposed for 48 hours at room temperature. The entire tube of RMGIC was inserted in SMF, where the powder of CGIC was stored in SMF. The microleakage under the band was evaluated under a 20× stereomicroscope by dye penetration technique at the cement band interface. Wilcoxon signed-rank test was used for data analysis, p ≤ .05. Results: The main (SD) microleakage of GIC reduced significantly ( p = .043) after being exposed to SMF from 3.1950 (0.632) mm to 1.7095 (0.1176) mm and from 0.8745 (0.1104) mm to 0.6430(0.094) mm for CGIC and RMGIC, respectively. Conclusion: Storing the CGIC powder in (0.225 T) SMF improves band-tooth bond integrity. Additionally, the preservation of RMGIC in SMF minimized the microleakage under orthodontic bands.

Evaluating Glass Ionomer Cement Longevity in the Primary and Permanent Teeth-An Umbrella Review.

The aim of this umbrella review was to evaluate the longevity of glass ionomer cement (GIC) as a restorative material for primary and permanent teeth. Research in the literature was conducted in three databases (MedLine/PubMed, Web of Science, and Scopus). The inclusion criteria were: (1) to be a systematic review of clinical trials that (2) evaluated the clinical longevity of GICs as a restorative material in primary and/or permanent teeth; the exclusion criteria were: (1) not being a systematic review of clinical trials; (2) not evaluating longevity/clinical performance of GICs as a restorative material; and (3) studies of dental restorative materials in teeth with enamel alterations, root caries, and non-carious cervical lesions. Twenty-four eligible articles were identified, and 13 were included. The follow-up periods ranged from 6 months to 6 years. Different types of GICs were evaluated in the included studies: resin-modified glass ionomer cement (RMGIC), compomers, and low- and high-viscosity glass ionomer cement. Some studies compared amalgam and composite resins to GICs regarding longevity/clinical performance. Analyzing the AMSTAR-2 results, none of the articles had positive criteria in all the evaluated requisites, and none of the articles had an a priori design. The criteria considered for the analysis of the risk of bias of the included studies were evaluated through the ROBIS tool, and the results of this analysis showed that seven studies had a low risk of bias; three studies had positive results in all criteria except for one criterion of unclear risk; and two studies showed a high risk of bias. GRADE tool was used to determine the quality of evidence; for the degree of recommendations, all studies were classified as Class II, meaning there was still conflicting evidence on the clinical performance/longevity of GICs and their recommendations compared to other materials. The level of evidence was classified as Level B, meaning that the data were obtained from less robust meta-analyses and single randomized clinical trials. To the best of our knowledge, this is the first umbrella review approaching GIC in permanent teeth. GICs are a good choice in both dentitions, but primary dentition presents more evidence, especially regarding the atraumatic restorative treatment (ART) technique. Within the limitation of this study, it is still questionable if GIC is a good restorative material in the medium/long term for permanent and primary dentition. Many of the included studies presented a high risk of bias and low quality. The techniques, type of GIC, type of cavity, and operator experience highly influence clinical performance. Thus, clinical decision-making should be based on the dental practitioner's ability, each case analysis, and the patient's wishes. More evidence is needed to determine which is the best material for definitive restorations in permanent and primary dentition.

The effect of the static magnetic field on some of the mechanical properties of glass ionomer cements

Objective. The objective of this study was to investigate the impact of storing two distinct types of glass ionomer cement (GIC) in a static magnetic field (SMF) on their mechanical characteristics, namely compressive strength, microhardness and degree of conversion. Methods. In the current investigation, 10 samples of each GIC type were utilized for each test. The entire tube of the resin modified type was preserved in a (SMF) for a duration of 48 hours, whereas just the powder of the conventional type was retained in SMF for the same time period. The SMF was calibrated to a value of 225 Gauss. Special identical molds were prepared for each test. All the tests were performed after 24 incubation period at 37 degrees in deionized water. The final data were analyzed using Wilcoxon Rank test (p ≤0.05). Results. The compressive strength of the conventional type and resin modified type that used in this study were significantly increased after exposed to the SMF from 195.33 (29.6) to 209.286 (11.78) 317.29 (55.4) to 523.38 (13.07) MPa respectively. The degree of conversion was also improved significantly after exposed to SMF, as the conventional type increased from 37.03 to 45.00, while the resin modified type from 42.2 to 59.3, the conventional type improved significantly for microhardness test but the resin modified type improved non-significantly. Conclusion. Storing the GIC in a 225 gauss SMF enhances the mechanical characteristics and the degree of conversion of resin modified and conventional GIC.

Comparative Evaluation of Compressive Strength of Self-cure, Dual-cure, and Light-cure Glass Ionomer Cements in a Simulated Oral Environment: An In Vitro Study.

In primary dentition, glass ionomer cements (GICs) have unique benefits as a restorative material. Various types of GICs are available in the market. In pediatric dentistry, the choice of GI materials is generally focused on handling convenience with adequate consideration for mechanical qualities, including compressive strength to withstand occlusal stresses in the oral environment. To evaluate the compressive strength of self-cure, dual-cure, and light-cure GI-based cements using a universal testing machine. The study population comprised 30 cylindrical restorative blocks for compressive strength assessment. The restorative materials used for the studies were self-cure GIC (ChemFil Rock and GC Fuji IX GP Fast GIC), dual-cure GIC (Equia Forte and Ionolux GIC), and light-cure GIC (GC Fuji II LC and Ketac N 100 GIC). The cylindrical blocks were prepared using prefabricated Teflon mold measuring 4 mm diameter and 6 mm height from respective restorative materials and divided into three major groups and were subdivided into six groups comprising two materials in each group. Using an Instron universal testing machine, compressive strength was assessed. Data obtained were tabulated, and statistical analysis was done using Statistical Package for the Social Sciences (SPSS v22.0) software. On individual comparison of GI-based types of cement, Ketac N100 GIC showed the highest compressive strength, and Fuji IX GP Fast GIC showed the least compressive strength. Light-cure GIC exhibited the highest compressive strength in comparison to dual-cure and self-cure GICs with regard to the nature of curing. Chandru TP, Chandran S, Peedikayil FC, et al. Comparative Evaluation of Compressive Strength of Self-cure, Dual-cure, and Light-cure Glass Ionomer Cements in a Simulated Oral Environment: An In Vitro Study. Int J Clin Pediatr Dent 2023;16(5):707-710.

Comparative Evaluation of Shear Bond Strength of Cention N and Glass Ionomer Cement - An In Vitro Study

Aim: This study compared the shear bond strengths of glass-ionomer cement (GIC) Type IX and Cention N. Materials and Methods: To assess the shear bond strength, 40 samples each of GIC Type IX and Cention N were evaluated. Sample cylinders with dimensions of 4 mm in diameter and 4 mm in height were bonded to the buccal surface of teeth to evaluate the shear bond strength in a universal testing machine with a crosshead speed of 1 mm/min. Results: The shear bond strength of Cention N in comparison to GIC Type IX was statistically highly significant (P &lt; 0.01). Conclusion: The results reached to a conclusion that shear bond strength of Cention N as compared to GIC Type IX was superior.

Comparative evaluation of shear bond strength at the interface of monolithic zirconia with two distinct core build-up materials: An in vitro study.

The study aimed to evaluate and compare the shear bond strength (SBS) at the interface of monolithic zirconia with zirconomer (Zr) core build-up, a new type of glass ionomer cement to monolithic zirconia with composite resin core build-up material. In vitro a comparative study. A total of 32 disk-shaped samples of monolithic zirconia and two distinct core build-up materials: Zr (n = 16) and composite resin (n = 16) were used. The two components, monolithic zirconia with Zr core build-up and monolithic zirconia with composite resin core build-up, were bonded using zirconia primer and self-adhesive, dual-cure cement. The samples were subsequently thermocycled, and the SBS was tested at their interfaces. The failure modes were determined using a stereomicroscope. Data were evaluated using the descriptive analysis for mean, standard deviation, confidence interval, and independent t-test for intergroup comparison. Descriptive analysis, independent t-test, Chi-square test. The mean SBS (megapascals) of monolithic zirconia to Zr core build-up (0.74) was statistically significant when compared to monolithic zirconia with composite resin core build-up material (7.25) (P ≤ 0.001). Zirconomer core build-up showed 100% adhesive failure; composite resin core build-up had 43.8% cohesive, 31.2% mixed, and 25.0% adhesive failures. When evaluating the two core build-up materials' bindings to monolithic zirconia, Zr and composite resin core build-up showed statistically significant differences. Although Zr has been demonstrated to be the optimal core build-up material; however, additional investigation is required to determine how it bonds to monolithic zirconia more effectively.

Comparison of the Adhesion Rate of Implant Cemented Coatings with 3 Types of Glass Ionomer Cement, Zinc Phosphate and Resin on Blinds Made of Adhesive Composite after Thermal Stress

One of the treatment methods in the field of dental prostheses is placing veneers on severely damaged root treated teeth. The holding power of the veneer is one of the important success factors in such treatments, especially when the teeth have short crowns. One of the factors that can affect the strength of the coating on such teeth is cement. In this interventional laboratory study, silver cast alloy coatings were made on 14 identical dies made of Core Max II, and the dies were randomly divided into 3 groups of 10, and in each group, the coatings were made on the die made of Core Max II was cemented with one of zinc phosphate cement (Harward), glass ionomer (Fugi GC) and Panavia (Kurary) F. Based on quantitative analysis, there was a significant difference between three glass ionomer cements, zinc phosphate and Panavia F in terms of setting. An ideal cement should have good mechanical properties to resist functional forces, adhere well to the underlying surface of the coating, and have high stress tolerance. In addition to cement, the type of blind building material and the physical and chemical relationship between adhesive cement and blind building material are also very important.

Evaluation of Fluoride Release in Chitosan-Modified Glass Ionomer Cements

ObjectiveThis study assessed the influence of chitosan nanoparticles on the fluoride-releasing ability of 4 glass ionomer cement (GIC) through an in vitro analysis. MethodsFour types of GIC (type II light cure universal restorative, type II universal restorative, GC Fuji VII, and type IX) were modified with nanochitosan particles; 10% chitosan was added to the glass ionomer liquid. Six specimens for each of the 4 groups were created, using expendable Teflon moulds. Discs of each type of GIC (n = 6) were immersed in deionised water at various time intervals. Electrodes selective for fluoride ions were employed to analyse the amount of released fluoride at 1, 7, 14, 21, and 28 days. ResultsChitosan-modified GICs showed greater fluoride release than conventional GICs at all time points. All samples showed an initial high release of fluoride that tapered off with time. The total amount of fluoride released increased from the 1st day to the 28th day on adding chitosan to all the 4 types of GIC. Amongst those, type IX high-strength posterior extra with chitosan released a considerably higher quantity of fluoride at all time intervals. ConclusionsIn all the experimental groups, adding chitosan to the glass ionomer liquid had an accelerating effect on its fluoride-releasing property.

COMPARATIVE EVALUATION OF COMPRESSIVE STRENGTH OF CENTION N AND TYPE IX GLASS IONOMER CEMENT – AN INVITRO STUDY

BACKGROUND: This study aimed to compare the compressive strength of glass-ionomer cement (GIC) Type IX and Cention N. METHODS: Five samples each of GIC Type IX and Cention N were prepared for testing the compressive strength. Cylinders of the samples measuring 1 cm diameter and 6 mm height were prepared for compressive strength. Testing was done by mounting the samples in a universal testing machine with a crosshead speed of 1 mm/min. RESULTS: The mean compressive strength of Type IX GIC (n=10) was 94.010 with standard deviation ±15.654 while the mean compressive strength of Cention V (n=10) was 125.567 with standard deviation ± 7.890. The values of the compressive strength Cention N were statistically significant (P &lt; 0.5) as compared to GIC Type IX. CONCLUSION: The results suggest significantly higher values for mechanical properties of Cention N as compared to GIC Type IX.

Comparison of Sorption and Solubility Behavior of Four Different Types of Glass Ionomer Luting Cements in Artificial Saliva

Background: Luting cement provides the connection between crowns and tooth structure. The sensitivity, solubility, and decomposition stages of the cement after the hardening stage are still subjects of relative controversy. These characteristics could lead to a poor connection between the braces and the teeth, increased probability of decay, and decalcification. The present study aimed to evaluate the adsorption and solubility of 4 types of glass ionomer cement. Methods: Four luting cements were examined. A total of 10 specimens were prepared for each material following the manufacturer’s instructions, and the sorption and solubility were measured in accordance with the ISO 4049’s. Specimens were immersed in artificial saliva for 30 days, and were evaluated for sorption and solubility by first weighting them before incubation (W1), then immersing them in artificial saliva, dehydrating them in an oven for 24 hours, and weighing them again (W2 and W3, respectively). The data were analyzed using SPSS software version 21. One-way analysis of variance (ANOVA) followed by Tukey post hoc test was used to examine the differences among groups (α = 0.05). Results: As for the both sorption and solubility, there was a significant interaction between the sorption and solubility of all materials (P&lt;0.001). The sorption values in artificial saliva were highest for glass ionomer cement Riva Luting followed by GC Fuji 1 and Cavex, whereas the least value was observed for Meron (P&lt;0.000). As for solubility, it was significantly higher in Cavex followed by GC Fuji1 and Meron, but it was significantly lower in Riva Luting. Conclusions: It was determined that the weight changes of glass ionomer cements significantly varied among all the materials. Riva Luting followed by GC Fuji 1 had the highest water sorption, and the solubility was significantly higher in Cavex followed by GC Fuji1. Meron improved both water sorption and solubility properties among all glass ionomer cements.

Mechanical Assessment of Glass Ionomer Cements Incorporated with Multi-Walled Carbon Nanotubes for Dental Applications

Background: Nanoparticles such as multi-walled carbon nanotubes present resistance, resilience and biocompatibility with human tissues and could be incorporated into glass ionomer cement materials to improve their characteristics. Therefore, the aim of the present study was to evaluate the effect of multi-walled carbon nanotube (MWCNT) incorporation on different glass ionomer cements’ compressive (σc) and diametral tensile strengths (σt). Methods: Eighty (80) specimens were divided into four groups (N = 20/gr) according to the glass ionomer cement type (conventional and high-viscosity) and the presence or absence of multi-walled carbon nanotubes. Samples were kept in water for 24 h prior to the tests. Data were analyzed using two-way ANOVA and Tukey’s test (p = 0.05). Results: For both σc (p = 0.1739) and σt (p = 0.2183), the glass ionomer cements’ viscosity did not influence the results. The presence of MWCNTs decreased the mean compressive strength values (p = 0.0001) and increased the diametral tensile strength (p = 0.0059). For both conventional and high-viscosity glass ionomer cements, the compressive strength values were higher than the tensile strength data. Conclusions: Regardless of the cement viscosity, the multi-walled carbon nanotube incorporation reduced the compressive strength and increased the tensile strength values.

Regenerative Endodontics as the Future Treatment of Immature Permanent Teeth

The regenerative endodontic procedure (REP) is an alternative solution for endodontic treatment of permanent teeth with incomplete root apex development. It results in angiogenesis, reinnervation, and further root formation. Indications for REP include immature permanent teeth with necrotic pulp and inflammatory lesions of the periapical tissues. The main contraindications comprise significant destruction of the tooth tissues and a lack of patient cooperation. We distinguish the following stages of this procedure: disinfection of the canal, delivery of the REP components, closure of the cavity, and follow-up appointments. For effective canal disinfection, the use of both rinsing agents and intracanal medicaments is suggested. Sodium hypochlorite and triple antibiotic paste are used most commonly. Light-activated disinfection is proposed as an alternative method. The prerequisite for the regeneration process of the pulp is the supply of its essential components: stem cells, growth factors, and scaffolds to the canal lumen. Blood clotting, platelet-rich plasma, and platelet-rich fibrin are used for this purpose. For a proper course of REP, it is also necessary to close the tooth canal tightly. For this purpose, mineral trioxide aggregate (MTA), tricalcium silicate (Biodentine), or types of glass ionomer cement are employed. The patient should attend regularly scheduled follow-up appointments and each time undergo a thorough interview, physical and radiological examination. The most important indicator of a successful REP is the continued growth of the root in length and thickness and the closure of the root apex visible on X-rays. Many different proposals for a management protocol have been published; the following paper proposes the authors’ original scheme. Regenerative endodontics is the future of the endodontic treatment of immature permanent teeth; however, it still requires a lot of research to refine and standardize the treatment protocol. The application of tissue engineering methods seems to be promising, also for mature teeth treatment.

An In vitro Comparative Evaluation of Compressive Strength, Diametral Tensile Strength, and Shear Bond Strength of Type II Glass Ionomer Cement, Type IX Glass Ionomer Cement, and Cention N on Primary Molars

Introduction: With various restorative materials available and continuous evolution in the field of research for better restorative materials, it is very important to find a material with maximum desirable properties for restoring a primary tooth. Aim: The aim of the study is to compare the compressive strength, diametral tensile strength, and shear bond strength of glass ionomer cement type II (GIC II), GIC IX, and Cention N on primary tooth. Methods: Cylinder of each restorative material, GIC II (GC Corporation, Tokyo, Japan), GIC IX (GC Corporation, Tokyo, Japan), and Cention N (Ivoclar, Vivadent), of dimension 6 mm diameter × 12 mm height (according to ISO 7489:1986) was prepared to check for compressive strength, and disk of dimension 6 mm diameter × 4 mm height (according to ISO 4049 and ANSI/ADA 27) was prepared to check for diametral tensile strength. Furthermore, following the ISO guidelines 29022:2013, restorative materials from various groups were mixed and placed on the flat buccal/lingual enamel of deciduous teeth bonded to the dentin surface of the tooth were used to check for shear bond strength. All the mixing of the materials and samples making were performed by a single investigator. Universal Testing Machine was used to carry out the tests. The data obtained were subjected to ANOVA followed by post hoc Tukey's test. Intergroup comparison was done with Mann–Whitney test. Results: The compressive strength, diametral tensile strength, and shear bond strength of Cention N (Ivoclar) were significantly higher than GIC II and GIC IX (P = 0.00). Between GIC II and GIC IX, there was statistically significant difference (P = 0.00) in terms of diametral tensile strength and shear bond strength, but no significant difference was seen in terms of compressive strength (P = 0.08). Conclusion: Cention N (Ivoclar) presented with high mechanical strength and can be a good alternative to GIC II and GIC IX for restoration of deciduous teeth.

A Comparison Of Surface Roughness Values of Various Restorative Materials Immersed in Pedodontic Pre- and Probiotics

The present in vitro study aims to evaluate pre- and probiotic liquids' effect on surface roughness values of restorative materials after one month of immersion. 360 disc-shaped samples (5mm x 2mm) were prepared from two types of glass-ionomer cements (GIC), a resin-modified GIC, a compomer, three bulk-fill composites, and one microhybrid composite. After the surfaces were polished, samples were divided into three groups (n = 15) and immersed for 10 minutes daily for one month in either a probiotic sachet, kefir (prebiotic), or artificial saliva. After that, the surface roughness values were measured by a profilometer. Scanning electron microscopy (SEM) evaluations of one sample from tested materials were also added. Statistical data were analyzed using one-way ANOVA and Bonferroni–Dunn tests. One of the GIC materials had significantly rougher surfaces in the probiotic sachet, followed by the compomer (p &lt; 0.05). The compomer showed the roughest surfaces after immersion in kefir, followed by the microhybrid composite (Z250). Probiotic sachets formed rougher surfaces than kefir among samples. SEM images revealed the inorganic filler structures and microcracks on the surfaces. A high-viscosity glass-ionomer cement, Equia Fil Forte, and other composite-based materials tested in the present study can be used in pediatric patients who use pre- and probiotic supplements.

Fluoride release from two types of fluoride-containing orthodontic adhesives: Conventional versus resin-modified glass ionomer cements-An in vitro study.

IntroductionDevelopment of white spot lesions (WSLs) during orthodontic treatment is a common risk factor. Fixation of the orthodontic appliances with glass ionomer cements could reduce the prevalence of WSL’s due to their fluoride release capacities. The purpose of this study was to evaluate differences of fluoride release properties from resin-modified and conventional glass ionomer cements (GICs).MethodsThe resin-modified GICs Fuji ORTHO LC (GC Orthodontics), Meron Plus QM (VOCO), as well as the conventional GICs Fuji ORTHO (GC Orthodontics), Meron (VOCO) and Ketac Cem Easymix (3M ESPE) were tested in this study. The different types of GICs were applied to hydroxyapatite discs according to the manufacturer’s instructions and stored in a solution of TISAB III (Total Ionic Strength Adjustment Buffer III) and fluoride-free water at 37°C. Fluoride measurements were made after 5 minutes, 2 hours, 24 hours, 14 days, 28 days, 2 months, 3 months and 6 months. One factor analysis of variance (ANOVA) was used for the overall comparison of the cumulative fluoride release (from measurement times of 5 minutes to 6 months) between the different materials with the overall level of significance set to 0.05. Tukey’s post hoc test was used for post hoc pairwise comparisons in the cumulative fluoride release between the different materials.ResultsThe cumulative fluoride release (mean ± sd) in descending order was: Fuji ORTHO LC (221.7 ± 10.29 ppm), Fuji ORTHO (191.5 ± 15.03 ppm), Meron Plus QM (173.0 ± 5.89 ppm), Meron (161.3 ± 7.84 ppm) and Ketac Cem Easymix (154.6 ± 6.09 ppm) within 6 months. Analysis of variance detected a significant difference in the cumulative fluoride release between at least two of the materials (rounded p-value < 0.001). Pairwise analysis with Tukey’s post hoc test showed a significant difference in the cumulative fluoride release for all the comparisons except M and MPQM (p = 0.061) and KCE and M (p = 0.517).ConclusionFluoride ions were released cumulatively over the entire test period for all products. When comparing the two products from the same company (Fuji ORTHO LC vs. Fuji ORTHO from GC Orthodontics Europe GmbH and Meron Plus QM vs. Meron from VOCO GmbH, Mannheim, Germany), it can be said that the resin-modified GICs have a higher release than conventional GICs. The highest individual fluoride release of all GICs was at 24 hours. A general statement, whether resin-modified or conventional GICs have a higher release of fluoride cannot be made.