Fabrication, characterization, and optimization selection of ceramic particulate reinforced dental restorative composite materials

The objective of the article is to explore the fabrication of dental restorative composite materials and the ranking order using the preference selection index (PSI) as a multi criteria decision making (MCDM) technique under a set of conflict performance defining criteria (PDCs). The polymer matrix of the dental restorative composite was prepared using bisphenol a-glycidyl methacrylate (55 wt.%), triethylene glycol dimethacrylate (44 wt.%), camphorquinone (0.3 wt.%), and ethyl 4-(dimethylamino) benzoate (0.7 wt.%). Five different dental restorative composite material compositions were fabricated using hybrid nSiO2-TiO2 particulates with a variation of nSiO2 (0, 2, 4, 6, 8 wt.%) while TiO2 is constant (15 wt.%). The results revealed that an increasing trend has been found in compressive strength, flexural strength, Vickers hardness, etc., while a decreasing trend has been shown in depth of cure, polymerization shrinkage, degree of conversion etc. The performance analysis of five dental composite formulations via the PSI method shows the following ranking order: nS4 > nS6 > nS2 > nS0 > nS8. The obtained experimental results are associated with the ranking order of the different sets of dental composite formulations. Hence, the preference selection index approach is one of the best techniques among MCDM techniques for ranking under different PDCs.

Effect of Adhesive Resin as a Modeling Liquid on Elution of Resin Composite Restorations

Background. Adhesive resin is increasingly used as a modeling liquid for composite. Based on previous studies, elution of some components from the composite mass negatively affects the oral tissues. Since few studies have focused on the effect of adhesive resin on composite mass, this study aimed to investigate the effect of dental adhesion factors as modeling liquid on the elution of substances from composite restorations. Materials and Methods. Sixty-four composite specimens (6 × 2 mm diameter × height) were prepared in four groups (n = 16) by using a Teflon ring. Composite mass was incrementally applied in four layers (0.5 mm). The control group contained no material between the layers, but other groups had one of the single bond, SE bond, and wetting resin adhesives between the layers. Specimens were immersed in distilled water and methanol. The amount of released triethylene glycol dimethacrylate (TEGDMA), urethane dimethacrylate (UDMA), and camphorquinone (CQ) was monitored by gas chromatography after 24 hours and 7 days. Data were analyzed with SPSS software through Kruskal–Wallis and Mann–Whitney U tests (α = 0.05). Results. The highest rate of released TEGDMA comonomer was seen in the wetting resin group in the water medium. The highest rate of released UDMA monomer was seen in SE bond and wetting resin groups in the methanol medium after 24 hours. The highest amount of released CQ in the methanol medium was observed in the SE bond group after 7 days. Conclusion. Single bond adhesive can be used as modeling liquid since it has no significant effect on the elution of components from composite mass. Whereas, wetting resin and SE bond adhesives are not suitable to be used as modeling liquid due to the high amounts of released TEGDMA and UDMA.

Tailored Adhesion Properties of Acrylate Adhesives on Al Alloys by the Addition of Mn-Al–LDH

The goal of this study was to investigate the effect of the structure of Mn-Al layered double hydroxide (LDH) on the adhesion behavior of composite adhesives on two Al alloys (L3005 and L8079). The composite adhesives were made out of the UV-curing Bisphenol A glycidylmethacrylate/triethylene glycol dimethacrylate (BT) as polymer matrix and the addition of 1, 3, and 5 wt. % of Mn-Al LDH as adhesion enhancers. Adhesion was evaluated by using the micro Vickers hardness testing procedure. The wetting angle of composite adhesives to the Al substrates was measured and compared to the adhesion parameter b obtained from the microhardness tests. The highest increase in adhesion was observed for BT with 5 wt. % of Mn-Al LDH on L3005 substrate, which was more than 15 times higher than the adhesion for the neat BT. The morphological segregation of composite adhesives after the contact with Al substrates was examined by optical microscopy and a higher compatibility of Mn-Al LDH particles with L3005 substrate was found. The methods used for the adhesion properties assessment suggested that the Mn-Al LDH was the best adhesion enhancer of the BT matrix for L3005 substrate containing a higher content of Mn and surface hydroxyl groups.

TEGDMA (Triethylene Glycol Dimethacrylate) Induces Both Caspase-Dependent and Caspase-Independent Apoptotic Pathways in Pulp Cells

Monomers leached from resin-based composites (RBCs) may reach intrapulpal concentrations of the millimolar (mM) range, which could contribute to inflammation. The aim of this investigation was to assess the cytotoxicity of triethylene glycol dimethacrylate (TEGDMA) monomers on pulp cells as well as to identify molecular mechanisms leading to apoptosis. Pulp cells were harvested from molars extracted for orthodontic reasons and cultured through an explant method. To assess cytotoxicity, cells underwent a 5-day exposure to 0.75, 1.5, and 3 mM TEGDMA and were subject to cell counting and WST-1 staining. Based on the findings, cells were subsequently exposed to 0.1, 0.2, 0.75, 1.5, and 3 mM TEGDMA for 24 h to uncover the details of apoptosis. Changes in the production or cleavage of the apoptosis-specific proteins caspase-8, caspase-9, caspase-3, caspase-12, and Apoptosis-Inducing Factor (AIF) were measured by Western blot. The 5-day study showed concentration- and time-dependent cytotoxicity. Significant cell death was detected after 24 h with TEGDMA concentrations of 1.5 and 3 mM. One-day exposure to TEGDMA led to the activation of caspase-8, -9, -3, and -12 and an increased AIF production. Results suggest that relevant concentrations of TEGDMA monomers, leached from RBCs, induce apoptosis in pulp cells through both caspase-dependent as well as caspase-independent mechanisms. Endoplasmic reticulum stress and the activation of caspase-independent apoptotic pathways may be further mechanisms by which monomers induce apoptosis in pulp cells.

A Low-Viscosity BisGMA Derivative for Resin Composites: Synthesis, Characterization, and Evaluation of Its Rheological Properties

This study aimed to synthesize new bisphenol A-glycidyl methacrylate (BisGMA) derivatives, targeting a reduction in its viscosity by substituting one of its OH groups, the leading cause of its high viscosity, with a chlorine atom. Hence, this monochloro-BisGMA (mCl-BisGMA) monomer was synthesized by Appel reaction procedure, and its structure was confirmed using Fourier transform infrared spectroscopy, 1H and 13C-nuclear magnetic resonance spectroscopy, and mass spectroscopy. The viscosity of mCl-BisGMA (8.3 Pa·s) was measured under rheometry conditions, and it was found to be more than 65-fold lower than that of BisGMA (566.1 Pa·s) at 25 °C. For the assessment of the viscosity changes of model resins in the presence of mCl-BisGMA, a series of resin matrices, in which, besides BisGMA, 50 wt % was triethylene glycol dimethacrylate, were prepared and evaluated at 20, 25, and 35 °C. Thus, BisGMA was incrementally replaced by 25% mCl-BisGMA to obtain TBC0, TBC25, TBC50, TBC75, and TBC100 blends. The viscosity decreased with temperature, and the mCl-BisGMA content in the resin mixture increased. The substantial reduction in the viscosity value of mCl-BisGMA compared with that of BisGMA may imply its potential use as a dental resin matrix, either alone or in combination with traditional monomers. However, the various properties of mCl-BisGMA-containing matrices should be evaluated.