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SOLUBILITY OF FOUR DENTAL LUTING CEMENTS

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Journal of International Dental And Medical Research ISSN 1309-100X<br />

http://www.ektodermaldisplazi.com/journal.htm<br />

Solubility Of Dental Luting Cements<br />

Ali Abdul Wahab Razooki Al-Shekhli<br />

<strong>SOLUBILITY</strong> <strong>OF</strong> <strong>FOUR</strong> <strong>DENTAL</strong> <strong>LUTING</strong> <strong>CEMENTS</strong><br />

Ali Abdul Wahab Razooki Al-Shekhli 1 *<br />

1* B.D.S.,MSc, Ph.D.; Assistant Prof., Faculty of Dentistry, Ajman University of Science & technology, UAE.<br />

Abstract<br />

Solubility is an important feature in assessing the clinical durability of luting cements.<br />

Solubility may cause degradation of the cement, leading to debonding of the restoration and<br />

recurrent decay. The aim of this study was to evaluate and compare water solubility values of luting<br />

resin cement with other three conventional luting cements<br />

Four commercial dental luting cement materials were selected: GIC cement (SP<strong>OF</strong>A<br />

<strong>DENTAL</strong> a.s ,Markova 238), Zinc polycarboxylate cement (SS White Group.P.C.I,Unit 9 Madleaze<br />

Estate, Bristol Road, England), Zinc Phosphate cement (SP<strong>OF</strong>A <strong>DENTAL</strong> a.s Praha, Cernok.) and<br />

Resin cement (Densply Caulk 38 West Clarke Ave,U.S.A). Ten disc specimens were prepared for<br />

each cement material using a stainless steel mold with 10 mm in inner diameter and 2 mm in<br />

thickness. Water solubility of different cement materials were calculated by weighting the samples<br />

before and after water immersion (15 days) and desiccation. Data were analyzed by one-way<br />

ANOVA and Student t-test at 5% level of significance.<br />

Statistical analysis of data by using one-way analysis of variance (ANOVA) revealed that,<br />

there was statistically significant difference (P


Journal of International Dental And Medical Research ISSN 1309-100X<br />

http://www.ektodermaldisplazi.com/journal.htm<br />

Solubility Of Dental Luting Cements<br />

Ali Abdul Wahab Razooki Al-Shekhli<br />

Material and Methods<br />

Four commercial dental luting cement<br />

materials were selected: GIC cement (SP<strong>OF</strong>A<br />

<strong>DENTAL</strong> a.s ,Markova 238), Zinc polycarboxylate<br />

cement (SS White Group.P.C.I,Unit 9 Madleaze<br />

Estate, Bristol Road, England), Zinc Phosphate<br />

cement (SP<strong>OF</strong>A <strong>DENTAL</strong> a.s Praha, Cernok.)<br />

and Resin cement (Densply Caulk 38 West<br />

Clarke Ave,U.S.A).<br />

Ten disc specimens were prepared for<br />

each cement material using a stainless steel<br />

mold with 10 mm in inner diameter and 2 mm in<br />

thickness (Figure 1).<br />

All the cements were mixed according to<br />

the manufacturer's instructions. The materials<br />

were placed in the mould and pressed between<br />

two plastic matrix strips and glass microscope<br />

slides under hand pressure to extrude any<br />

excess material. After specimens were removed<br />

from the mold, any excess material was removed<br />

by gentle, dry grinding on both sides.<br />

The specimens were transferred to an air<br />

oven and dried for 2 hours at 37°C. Then the<br />

specimens were transferred a desiccator<br />

containing silica gel, freshly dried for 2 hours at<br />

20°C. The specimens were weighed using an<br />

analytical balance to an accuracy of ± 0.1 mg.<br />

This cycle was repeated until a constant mass<br />

(m 0 ) was obtained. For each cement material, ten<br />

specimens were prepared (n=10) and placed in a<br />

glass vial containing 20 ml distilled water, The<br />

vials were wrapped in aluminum foil to exclude<br />

light and placed in an incubator at 37°C for 15<br />

days.<br />

The specimens were placed in desiccator<br />

using the same cycle as described above but the<br />

temperature was 58 °C to obtain (m 1 ). This cycle<br />

was repeated until constant mass was obtained.<br />

The values of solubility S were calculated using<br />

the following equations (ISO 4049:2000): S= m 0 -<br />

m 1 /V<br />

Where m 0 is the specimen mass before<br />

water immersion (mg), m 1 is the specimen mass<br />

after immersion and desiccation (mg), and V is<br />

the specimen volume before immersion (mm 3 ).<br />

For each group, the means and standard<br />

deviations for solubility were calculated.<br />

Statistical analysis for cement solubility values<br />

was performed using one-way ANOVA and t-test<br />

at a significance level of 0.05.<br />

Figure 1. The composite stainless steel mould<br />

used in this study.<br />

Results<br />

Table (1) summarizes solubility means<br />

(Figure 2) and standard deviations (in<br />

parenthesis) of glass ionomer, Zinc phosphate,<br />

Zinc polycarboxylate, and resin cement<br />

respectively in µg/mm3.<br />

Statistical analysis of data by using oneway<br />

analysis of variance (ANOVA) revealed that,<br />

there was statistically significant difference<br />

(P


Journal of International Dental And Medical Research ISSN 1309-100X<br />

http://www.ektodermaldisplazi.com/journal.htm<br />

Solubility Of Dental Luting Cements<br />

Ali Abdul Wahab Razooki Al-Shekhli<br />

Figure 2. Solubility means in µg/mm 3 for the<br />

four cement groups.<br />

Table 2. One-way Analysis of Variance (ANOVA)<br />

test.<br />

Further analysis of the data was needed<br />

to examine the differences between different<br />

pairs of groups using the t-test analysis and<br />

indicated that, pairs no. 2, 4 & 5 showed<br />

statistically insignificant difference ( P > 0.05)<br />

while pairs no. 1, 3 & 6 showed statistically<br />

significant difference ( P < 0.05 ) Table (3).<br />

Table 3. t-test for different pairs of cement<br />

groups analysis.<br />

Discussion<br />

Solubility or leaching of cement<br />

components has a potential impact on both its<br />

structural stability and biocompatibility. The rate<br />

of dissolution can be influenced by the conditions<br />

of the test. Other factors may include time of<br />

dissolution, concentration of the solute in the<br />

dissolution medium, pH of the medium, specimen<br />

shape and thickness, and powder/liquid ratio of<br />

cement 17 .<br />

The chemical structure of the solutions<br />

used for in vitro tests is important because it has<br />

to simulate the complexity of the oral<br />

environment. The in vitro tests made are only<br />

static solubility tests because they do not<br />

simulate the pH and temperature changes of the<br />

oral cavity 18 . Clinical conditions vary, even within<br />

the same person, making it virtually impossible to<br />

reproduce a natural environment 19 . It was<br />

reported in previous studies that long–time<br />

storage in water affected the mechanical<br />

properties of the cements 20 .<br />

21<br />

Cattani-Lorente et al. found that<br />

deterioration of the physical properties of the<br />

cements after long–term storage in an aqueous<br />

environment could be related to the water<br />

absorption of these materials. Part of the<br />

absorbed water acted as a plasticizer, inducing a<br />

decrease in strength. Weakening resulted to<br />

erosion and plasticizing effect of water. In our<br />

study, the glass ionomer cement exhibited the<br />

highest mean solubility value followed by zinc<br />

phosphate cement, polycarboxylate cement and<br />

resin cement exhibited the lowest mean solubility<br />

value (Figure 2).<br />

Polycarboxylate cement is much less<br />

soluble during immersion in distilled water. In<br />

contrast, the resin cements are basically<br />

insoluble, but may release small amounts of<br />

unpolymerized monomer constituents. Therefore,<br />

the main cause behind the high solubility values<br />

of the glass ionomer cement could be related to<br />

the fact that, glass ionomer cements are<br />

sensitive to water erosion. It may probably be<br />

due to same hydrolysis of the cement<br />

components. This phenomenon is apparently<br />

aggravated in oral environment due to the<br />

presence of aggressive compounds in the<br />

saliva 22 .<br />

Clinical success with glass ionomer<br />

cements depends on early protection from both<br />

hydration and dehydration. It is weakened by<br />

early exposure to moisture, while desiccation, on<br />

the other hand, produces shrinkage cracks in the<br />

recently set cement 23 . Some studies conclude<br />

that glass ionomer cements are more resistant to<br />

degradation than zinc phosphate cements,<br />

although Knibbs and Walls<br />

24 reported that<br />

marginal defects around crowns appeared<br />

sooner with glass ionomer than with zinc<br />

Volume 3 · Number · 3 · 2010 Page 106


Journal of International Dental And Medical Research ISSN 1309-100X<br />

http://www.ektodermaldisplazi.com/journal.htm<br />

Solubility Of Dental Luting Cements<br />

Ali Abdul Wahab Razooki Al-Shekhli<br />

phosphate, possibly because of the greater<br />

susceptibility of glass ionomer to contamination<br />

by moisture and this finding is in consistence with<br />

the results of this study.<br />

Conclusions<br />

Resin cement had the highest resistance<br />

to solubility followed by polycarboxylate, zinc<br />

phosphate and glass ionomer which exhibited the<br />

least resistance to solubility in this study.<br />

Declaration of Interest<br />

The authors report no conflict of interest<br />

and the article is not funded or supported by any<br />

research grant.<br />

References<br />

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Volume 3 · Number · 3 · 2010 Page 107

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