SOLUBILITY OF FOUR DENTAL LUTING CEMENTS
SOLUBILITY OF FOUR DENTAL LUTING CEMENTS
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 />
1998 Apr;25(4): 285-91.<br />
16- Umino A, Nikaido T, Tsuchiya S, Foxton RM, Tagami J.<br />
Confocal laser scanning microscopic observations of secondary<br />
caries inhibition around different types of luting cements. Am J<br />
Dent 2005 Aug;18(4):245-50.<br />
17- Wison AD. Specification test for the solubility and disintegration<br />
of dental cements: a critical evaluation of its meaning. J Dent<br />
Res 1976 Sep-Oct;55(5):721-9.<br />
18- Yap A, Lee CM. Water sorption and solubility of resin-modified<br />
polyalkenoate cements. J Oral Rehabil 1997; 24: 310-314.<br />
19- Macorra JC, Praides G. Conventional and adhesive luting<br />
cements. Clin Oral Invest 2002; 6: 198-204.<br />
20- Cattani-Lorente MA, Godin C, Meyer JM. Mechanical behavior<br />
of glass ionomer cements affected by long–term storage in<br />
water. Dent Mater 1994; 10: 37-44.<br />
21- Cattani-Lorente MA, Dupuis V, Payan J, Moya F, Meyer JM.<br />
Effect of water on the physical properties of resin-modified<br />
glass ionomer cements. Dent Mater 1999; 15: 71- 79.<br />
22- Fukasawa M, Matsuya S, Yamane M. The mechanism for<br />
erosion of glass-ionomer cements in organic-acid buffer<br />
solutions. J Dent Res 1990; 69: 1175-1179.<br />
23- McLean JW Clinical applications of glass ionomer cements.<br />
Oper Dent 1992; 17: 184-190.<br />
24- Knibbs PJ, Walls AWG. A laboratory and clinical evaluation of<br />
three dental luting cements. J Oral Rehabil 1989; 16: 467-473.<br />
1- Phillips RW, Swartz ML, Lund MS, Moore BK, Vickery J. In vivo<br />
disintegration of luting cements. J Am Dent Assoc 1987;<br />
114:489-492.<br />
2- Watts DC, Kisumbi BK, Toworfe GK. Dimensional changes of<br />
resin/ionomer restoratives in aqueous and neutral media. Dent<br />
Mater 2000; 16:89-96.<br />
3- Yesil Z. Üç farkli yapistirici simanin tutuculuk kuvvetlerinin<br />
incelenmesi (The comparison of bond strength of three different<br />
adhesive cements). Atatürk Üniv Dis Hek Fak Derg 1998; 8:34-<br />
38.<br />
4- Bayindir F, Yesil Duymus Z, Yanikoglu N. Daimi yapistirma<br />
isleminde kullanilan dört farkli simanin mikrosizintisinin<br />
karsilastirilmasi (The investigation of microleakage of four<br />
different cements for use in permanent cementation). Atatürk<br />
Üniv Dis Hek Fak Derg 2001; 1:22-26.<br />
5- Yesil Duymus Z D rt geçici yapistirma simaninin tutuculuk<br />
kuvvetlerinin incelenmesi (The examination of retentive strength<br />
of four temporary cement). Ege Üniv Dis Hek Fak Derg 2000;<br />
3:121-126.<br />
6- Mesu FP. Degradation of luting cements measured in vitro. J<br />
Dent Res 1982; 61:665-672.<br />
7- Mitra SB. Adhesion to dentin and physical properties of a lightcured<br />
glass-ionomer liner/base. J Dent Res 1991; 70:72-74.<br />
8- Nicholson JW, Aggarwal A,Czarnecka B,Limanowska- Shaw H.<br />
The rate of change of pH of lactic acid exposed to glassionomer<br />
dental cements. Biomaterials 2000; 21:1989-1993.<br />
9- Patel M, Tawfik H, Myint Y, Brocklehurst D, Nicholson JW.<br />
Factors affecting the ability of dental cements to alter the pH<br />
lactic acid solutions. J Oral Rehabil 2000; 27:1030-1033.<br />
10- Lewin WA. An evaluation of the film thickness of resin luting<br />
agents. J Prosthet Dent 1989; 62:175-178.<br />
11- White SN, Sorensen JA, Kang SK, Caputo AA. Microleakage of<br />
new crown and fixed partial denture luting agents. J Prosthet<br />
Dent 1992; 67:156-161.<br />
12- Aboush YEH, Jerkins CBG. The bonding of an adhesive resin<br />
cement to single and combined adherent encountered in resin<br />
bonded bridge work. Brit Dent J 1991; 171:166-169.<br />
13- Cardash HS, Baharav H, Pilo R, Ben-Amar A. The effect of<br />
porcelain color on the hardness of luting composite resin<br />
cement. J Prosthet Dent 1993; 69:620- 623.<br />
14- Hasegawa EA, Boyer DB, Chan DC. Hardening of dual-cured<br />
cements under composite resin inlays. J Prosthet Dent 1991;<br />
66:187-192.<br />
15- Yoshida K, Tanagawa M, Atsuta M. In vitro solubility of three<br />
types of resin and conventional luting cements. J Oral Rehabil<br />
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