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Background and Objectives: Caredyne ZIF-C is a novel, capsule-mixed zinc-containing prototype glass ionomer cement (GIC). Zinc ions are reported to inhibit root dentin demineralization, dentin collagen degradation, bacterial growth, acid production, and in vitro bacterial biofilm formation. However, the effectiveness of GICs against initial root caries lesions is unclear. Therefore, this study aimed to evaluate the efficacy of GICs, especially the new zinc-containing Caredyne ZIF-C GIC, as tooth-coating materials in patients with initial active root caries. Materials and Methods: A total of 58 lesions in 47 older adults (age > 65 years) were randomly allocated to one of the following three groups: Caredyne ZIF-C, Fuji VII (a conventional GIC), and sodium fluoride (NaF). All the lesions were treated with the assigned materials without removing the infected dentin, and the rates of dental plaque attachment and coating material fall-out were evaluated after 3, 6, and 12 months. The failure rate was defined as the number of teeth that needed restoration due to caries progression. Results: The plaque attachment rates tended to be lower in the material-coated root surfaces than in the healthy exposed root surfaces after 3, 6, and 12 months, although the differences among the three groups were not significant. Moreover, the coating material fall-out rate tended to be lower in the Caredyne ZIF-C group than in the Fuji VII group. There was no significant difference in the failure rate among the three groups at the 12 months mark. Conclusions: Though this pilot study offers a new direction for suppressing the progression of initial active root caries by controlling plaque attachment using GICs including Caredyne ZIF-C, clinical studies with a larger sample size are needed. [ABSTRACT FROM AUTHOR]

This study investigated the influence of incorporating Biosilicate® on the physico-mechanical and biological properties of glass ionomer cement (GIC). This bioactive glass ceramic (23.75% Na2O, 23.75% CaO, 48.5% SiO2, and 4% P2O5) was incorporated by weight (5%, 10%, or 15%) into commercially available GICs (Maxxion R and Fuji IX GP). Surface characterization was made by SEM (n = 3), EDS (n = 3), and FTIR (n = 1). The setting and working (S/W time) times (n = 3) and compressive strength (CS) were analyzed (n = 10) according to ISO 9917-1:2007. The ion release (n = 6) was determined and quantified by ICP OES and by UV-Vis for Ca, Na, Al, Si, P, and F. To verify cell cytotoxicity, stem cells from the apical papilla (SCAP) were exposed to eluates (n = 3, at a ratio of 1.8 cm2/mL) and analyzed 24 h post-exposure. Antimicrobial activity against Streptococcus mutans (ATCC 25175, NCTC 10449) was analyzed by direct contact for 2 h (n = 5). The data were submitted for normality and lognormality testing. One-way ANOVA and Tukey's test were applied for the working and setting time, compressive strength, and ion release data. Data from cytotoxicity and antimicrobial activity were submitted for Kruskal–Wallis' testing and Dunn's post hoc test (α = 0.05). Among all experimental groups, only those with 5% (wt) of Biosilicate® showed better surface quality. Only M5% showed a comparable W/S time to the original material (p = 0.7254 and p = 0.5912). CS was maintained for all Maxxion R groups (p > 0.0001) and declined for Fuji IX experimental groups (p < 0.0001). The Na, Si, P, and F ions released were significantly increased for all Maxxion R and Fuji IX groups (p < 0.0001). Cytotoxicity was increased only for Maxxion R with 5% and 10% of Biosilicate®. A higher inhibition of S. mutans growth was observed for Maxxion R with 5% of Biosilicate® (less than 100 CFU/mL), followed by Maxxion R with 10% of Biosilicate® (p = 0.0053) and Maxxion R without the glass ceramic (p = 0.0093). Maxxion R and Fuji IX presented different behaviors regarding Biosilicate® incorporation. The impacts on physico-mechanical and biological properties were different depending on the GIC, but therapeutic ion release was increased for both materials. [ABSTRACT FROM AUTHOR]

To evaluate the microleakage and dentin shear bond strength of two glass containing restorative materials, Zirconomer and Cention N, and to compare them with a conventional glass ionomer cement (GIC) (GC Fuji II). Zirconomer (Shofu) and GC Fuji II (GC Corp.) are self-curing GICs whereas Cention N (IvoclarVivadent) also offers a self-curing option as well as the option of light-curing using an adhesive. For evaluating microleakage, standardized class V cavities were prepared on the buccal surface of 30 premolars. The cavities were restored with one of the three restorative materials (n = 10) according to manufacturers' instructions, Cention N being used with an adhesive (Te-EconomBond, IvoclarVivadent) and in the light-curing mode. After restoration and thermocycling, the microleakage assessment was made under a stereomicroscope at 40x magnification following immersing of the teeth in 0.5% methylene blue dye and buccolingual sectioning. For evaluating dentin shear bond strength, the occlusal surface of the 30 premolars was ground flat, and cylinders of the three restorative materials (n = 10) were bonded to the occlusal surface according to manufacturers' instructions, Cention N being used with an adhesive (Te-EconomBond, IvoclarVivadent) and in the light-curing mode. Following 24-h storage at 100% humidity, the dentin shear bond strength was measured and the fracture mode was determined under a stereomicroscope at 10× magnification. Data were statistically analyzed using Mann–Whitney and Scheffé tests (p =.05). Cention N displayed significantly less microleakage than did Zirconomer and GC Fuji II at occlusal as well as the gingival margins. Dentin shear bond strength varied significantly between 5.15 and 9.89 MPa with Cention N showing the highest bond strength and GC Fuji II the lowest. In this in vitro evaluation, Cention N consistently performed better than the conventional GIC (GC Fuji II) as well as Zirconomer. [ABSTRACT FROM AUTHOR]

Introduction: This study aimed to investigate the effect of G-Coat Plus (GCP) on the shear punch strength (SPS) of conventional glass ionomer cements (CGICs) and resin composites (RCs). Materials and methods: In this experimental study, four groups of restorative materials (two CGICs (Equia Forte Fil and Fuji Bulk), and two RCs (Aura Bulk fil and Filtek Z250) were used. Twenty specimens were prepared for each material. GCP was applied on the first subgroup (n= 10). The specimens were stored in distilled water at 37°C, and SPS values were measured after 24 hours. Two-way analysis of variance and independent t test were used for data analysis. Results: RCs showed significant higher SPS values compared to the CGICs (P < 0.001). All materials tested showed increased SPS values after applying GCP (P < 0.05). Conclusion: Applying GCP significantly improves the SPS of tooth-colored restorative materials used in this study. [ABSTRACT FROM AUTHOR]

In view of the need for aesthetics, restorations of teeth will typically be completed using tooth colored restorative materials. With the advent of biomimetic restorative materials, such as glass ionomer cements (GIC), much greater emphasis is now being placed on how well such materials can resist the challenge of acids that are present in foods and drinks, or gastric contents that are regurgitated. This laboratory study compared the dissolution and behavior of five GIC materials (GC Fuji® VII, GC Fuji® Bulk, GC Fuji® IX Fast, Fuji® IX Extra and GC Equia® Forte Fil) when exposed to three acids (citric acid, phosphoric acid and lactic acid), versus ultrapure deionized water, which was used as a control. Discs of each material GIC were submerged in solutions and percentage weight changes over time determined. Subsequently, the GIC materials were also placed as a part of standardized Class II sandwich restorations in bovine teeth (n = 20), and submerged in the solutions, and the extent of GIC dissolution and protection of the adjacent tooth was scored. Weight loss increased with time and with acid concentration. Overall, the most soluble material was GC Fuji® IX Extra, while GC Fuji® IX Fast and GC Fuji® Bulk were less soluble, and the least soluble material was GC Equia® Forte Fil. The most destructive solution for both the discs and for GIC restorations in teeth was 10% citric acid, while the least destructive acid was 0.1% lactic acid. The more recent GIC materials GC Fuji® Bulk and GC Equia® Forte Fil showed increased acid resistance over the older GIC materials, and this further justifies their use in open sandwich Class II restorations in more hostile environments. [ABSTRACT FROM AUTHOR]

No study has previously investigated and compared whether resin coating could prevent the effect of dehydration on flexural strengths and porosities of high powder-liquid and resin-modified glass ionomer cements (HPL-GIC and RM-GIC). The purpose of this study is to investigate the effect of resin coating on flexural strengths and porosities of HPL-GIC and RM-GIC under a dry condition. HPL-GIC (Equia Forte Fil) or RM-GIC (Fuji II LC) was mixed and loaded into a mold to create a bar-shaped specimen, n = 12 of each. The specimens were randomly divided into two groups, coated and uncoated , n = 6 of each. In the coated group, a resin coating agent (Equia Forte Coat) was applied and light cured for 20 s. After 72 h, each specimen was dried and scanned to detect porosities (% volume) using micro-computed tomography. After scanning, flexural strength (MPa) of the specimen was tested using a three-point bending method. Porosities of HPL-GIC were significantly higher than RM-GIC, either coated or uncoated group (p <.05). Flexural strengths of coated and uncoated HPL-GIC were 41.47 ± 0.89 and 15.32 ± 1.15 MPa that were significantly lower than those of RM-GIC at 104.77 ± 3.97 and 52.90 ± 2.17 MPa (p <.05). Flexural strengths of coated GICs were significantly higher than uncoated GICs (p <.05). Resin coating increased flexural strengths of GICs under dry condition. HPL-GIC had higher porosities and lower flexural strength than RM- GIC. [ABSTRACT FROM AUTHOR]

Objectives: To evaluate and compare the effectiveness of resin- and varnish-based surface protective agents on Glass Ionomer Cement (GIC). The different surface protective agents used were: VaselineV®, GC Fuji VARNISHTM (varnish), G-Coat PlusTM (resin) and EQUIAV® Coat (resin). Method: Thirty-six identical specimens of GIC were made. Six specimens were used in preparation of standard solution and remaining thirty were divided into five groups with six specimens in each group. Each test specimen was coated with one of the surface protecting agent except for the control group. The specimens were immersed separately into 1 ml of 0.05% methylene blue solution for 24 h and then rinsed with deionised water and further immersed into tubes containing 1ml of 65% nitric acid. Specimens, once completely dissolved in nitric acid solution, were filtered and centrifuged. The supernatant was used to determine the absorbance using a spectrophotometer. The effectiveness of the surface protecting agents for the GIC was recorded in micrograms of dye per specimen, where low values indicate good protection. Result: Tukey HSD test revealed that GC Fuji VARNISHTM (varnish; mean = 21.25 mg/ml), G-Coat PlusTM (resin; mean = 30.39 mg/ml) and EQUIAV® Coat (resin; mean = 9.32 mg/ml) were statistically not significantly different to each other and were effective in protecting the surface of GIC. Significance: The study found that there was a statistically significant difference between control and GC Fuji VARNISHTM, G-Coat PlusTM and EQUIAV® Coat. The three agents were found to be equally effective in protecting the surface of GIC. [ABSTRACT FROM AUTHOR]

The purpose of this study was to evaluate the effect of ionizing radiation from high energy X-ray on fluoride release, surface roughness, flexural strength, and surface chemical composition of the materials. The study groups comprised five different restorative materials: Beautifil II, GCP Glass Fill, Amalgomer CR, Zirconomer, and Fuji IX GP. Twenty disk-shaped specimens (8x2 mm) for fluoride release and 20 bar-shaped specimens (25 x 2x 2 mm) for flexural strength were prepared from each material. Each material group was divided into two subgroups: irradiated (IR) and non-irradiated (Non-IR). The specimens from IR groups were irradiated with 1.8 Gy/day for 39 days (total IR = 70.2 Gy). The amount of fluoride released into deionized water was measured using a fluoride ion-selective electrode and ion analyzer after 24 hours and on days 2, 3, 7, 15, 21, 28, 35, and 39 (n = 10). The flexural strength was evaluated using the three-point bending test (n = 10). After the period of measurement of fluoride release, seven specimens (n = 7) from each group were randomly selected to evaluate surface roughness using AFM and one specimen was randomly selected for the SEM and EDS analyses. Data were analyzed with two-way ANOVA and Tukey tests (p = 0.05). The irradiation significantly increased fluoride release and surface roughness for Amalgomer CR and Zirconomer groups (p < 0.05). No significant change in flexural strength of the materials was observed after irradiation (p > 0.05). The ionizing radiation altered the amount of fluoride release and surface roughness of only Amalgomer CR and Zirconomer. The effect could be related to the chemical compositions of materials. [ABSTRACT FROM AUTHOR]

Aims and Objectives: To analyze the microleakage of nano-hydroxyapatite-silica glass ionomer cement (nano-HA-SiO2-GIC) and compare it with conventional glass ionomer cement (cGIC). Materials and Methods: Twenty caries-free human premolar teeth were used. A standardized box-shaped class V cavity was prepared on the buccal surfaces at the cemento-enamel junction, with the occlusal margin (OM) set on enamel and gingival margin (GM) was placed on the cementum. Teeth were randomly assigned to two experimental groups of 10 teeth each and restored as follows: group 1, cGIC (Fuji IX) and group 2, nano-HA-SiO2 GIC. After 24 h of immersion in distilled water, the teeth were thermocycled (500 cycles and 5°C-55°C). Following that, the teeth were placed in 2% methylene blue solution and stored at room temperature for 24 h. The microleakage along the tooth-restoration interface was recorded. Independent sample t-test (two-tailed) was used to analyze the data. Results with P < 0.5 were considered statistically significant. Results: Microleakage in general was greater at GMs as compared to OMs for both the materials. Nano-HA-SiO2-GIC exhibited lower microleakage at occlusal level (0.2 ± 0.42) as compared to cGIC (0.5 ± 0.71), whereas, at GM nano-HA-SiO2-GIC displayed significantly less microleakage (2.7 ± 0.67) compared to cGIC (3 ± 0.00). Conclusion: Nano-HA-SiO2 glass ionomers showed less microleakage both at OMs and GMs compared to that at cGIC (Fuji IX). [ABSTRACT FROM AUTHOR]

• More calcium ions were released from the new materials, more calcium bound to carboxyl groups in the matrix. • Biphasic release occurs before Fluoride recharge and monophasic release occurs after recharge. • New materials suppressed S. mutans growth and biofilm formation. • We produced cement by reinforcing the material properties of conventional GIC-based sealant. The aim of this study was to investigate the chemical and biological properties of newly developed bioactive cements, modified such that they are largely composed of calcium, phosphate and fluoride. We investigated whether newly developed bioactive cements have the potential to further protect surrounding hard tissue and enhance remineralization of demineralized tissue by additional ion release. We developed four types of novel GIC based on Fuji VII, modified with phosphate and fluoride and calcium. Compressive strength tests were performed following JIS T6607 methods. Ion release of calcium, phosphate and fluoride after 24 h storage were determined using atomic absorption spectroscopy, colorimetry and an ion-specific electrode. Fluoride releases and recharge were measured at 1, 3, 6, 12, 24 and 168 h. Viability was determined by colony-forming units. Inhibitions of biofilm formation and cell proliferation activity were measured. The GIC groups showed no significant differences in compressive strength after 1 and 7 days. The rates of fluoride ion release from newly developed GICs were significantly greater than those of Fuji VII, Fuji III and BS. All materials except TM can be recharged with fluoride ions. Compared with the control group, which did not release fluoride ions, all materials showed significantly stronger antibacterial effects. The newly developed GICs and BS showed less biofilm formation than Fuji VII and Fuji III. Three of four newly developed GICs modified with calcium, phosphate and fluoride ions were found to be superior to other sealant materials. [ABSTRACT FROM AUTHOR]

To evaluate the effect of thermocycling on shear bond strength of Fuji IX glass ionomer cement and a novel glass ionomer cement (Ketac Universal) to dentin. A total of 40 extracted human molars were divided into 4 groups (n = 10). The occlusal surfaces were ground flat to expose dentin using diamond discs. Dentin surfaces were treated according to manufacturers' instructions, and restorative materials were applied onto a plastic mold of 3mm height and 4mm diameter. The shear bond strength of Ketac Universal and conventional Fuji IX glass ionomer cements was evaluated after 24 h using Instron Universal Testing Machine at a crosshead speed of 0.5 mm/min before and after the specimens were subjected to thrmocycling. There was no statistical difference in the shear bond strength of Ketac Universal and Fuji IX glass ionomer cement before thermocycling. However, after thermocycling, Fuji IX GIC showed significantly higher shear bond strength. Thermocycling affected the shear bond strength of the two glass ionomer cements tested. Fuji IX demonstrated significantly higher shear bond strength as compared to Ketac Universal when subjected to thermocycling. [ABSTRACT FROM AUTHOR]

Background: Glass ionomer cements that form an inevitable part of pediatric restorative dentistry are inherently sensitive to moisture. The influence of different drying techniques on the shear bond strength of glass ionomer cements to primary teeth dentin has not been established.Aims: The purpose of the study was to evaluate the effects of different drying methods for different drying time periods on the shear bond strength of GC Fuji IX to primary tooth dentine.Subjects and Methods: A total of 135 caries-free primary teeth were selected and ground to a flat dentinal surface. Specimens were randomly divided into three groups - air dry, blot dry, and suction dry of 45 specimens each. Of these, 15 specimens each were dried for 2 s, 5 s, and 10 s. GC Fuji IX was condensed into Teflon molds, and the specimens were subjected to shear bond strength testing.Results: The mean shear bond strength values for the different time intervals were analyzed with analysis of variance test. In the air-dry group, the maximum shear bond strength values were obtained when the specimens were dried for 5 s and the least when dried for 2 s (P = 0.00). In the blot-dry and suction-dry groups, the highest values were obtained when the specimens were dried for 10 s and least for 2 s (P = 0.039 and 0.000, respectively).Conclusions: Among the three drying methods employed in the study, the maximum shear bond strength of the glass ionomer restoration was observed in the air-dry group. [ABSTRACT FROM AUTHOR]

The purpose of this in vitro study was to evaluate erosive wear and change in color of high-viscosity glass ionomer cements after pH cycling in two erosive media. There were 3 experimental groups with 22 samples each, (I) EQUIA Forte HT without coat, (II) Fuji IX and (III) Ketac Universal Aplicap. Each group was randomly divided into three subgroups (n = 6–8) further exposed to different environments, (1) distilled water, (2) green tea (pH 3.78) and (3) Aceto balsamico vinegar (pH 3.0). Mass and L* a* b* values were recorded before and after pH cycling. The samples in subgroups 2 and 3 were exposed to the acidic media two times a day for 10 min, over a period of 14 days. The differences among materials and erosive effects of the three media were tested using three-way analyses of variance with post hoc LSD test at the significance level p < 0.05. The effect of pH cycling in Aceto balsamico and green tea was degrading for all three materials. pH cycling in Aceto balsamico caused significantly higher erosive wear than pH cycling in Fuzetea and storage in distilled water, in all materials (p < 0.05). pH cycling in both acidic media and in the control group resulted in a significant change in L* a* and b* (p < 0.05). The L* value decreased significantly and the a* and b* values increased significantly (p < 0.05). [ABSTRACT FROM AUTHOR]

The purpose of this study was to improve interfacial interaction between basalt fibers (BF) and glass ionomer cement (GIC) matrix with grafting amine terminated urea-based oligomer (DIEDA) onto the surface of BF. The DIEDA-BF was prepared by the reaction between 3-aminopropyl- triethoxysilane (APS) modified BF with Isophorone diisocyanate (IPDI) and followed with ethylenediamine (EDA). The reaction was repeated to obtain three generations of DIEDA-BF which were marked as DIEDA-BF-G 1 , DIEDA-BF-G 2 , and DIEDA-BF-G 3 , respectively. X-ray photoelectron spectroscopy (XPS) was used to characterize DIEDA-BF. 3D morphology analysis was taken to investigate the variation of BF after being treated with EDA. Three-point bending-test, compressive strength (CS) test, and fracture toughness (FT) were used to evaluate the reinforcement effect of DIEDA-BF on commercial GIC (GC Fuji IX). Water sorption (WS) and solubility (SL) were measured according to the mass variation at fixed time intervals. The changes of flexural strength (FS) and modulus (FM) after water immersion were used to evaluate the water-aging resistance of DIEDA-BF reinforced GIC. Pure GIC and APS reinforced GIC (APS-GIC) were used as double control groups. The XPS analysis indicated that DIEDA was successfully grafted onto the surface of BF. 3D morphology analysis revealed that BF could be corroded in EDA, thus DIEDA-BF-G 3 had lower N content on the surface than DIEDA-BF-G 2. The results of mechanical tests showed that DIEDA-BF-G 1 and DIEDA-BF-G 2 had the best reinforcement effect. The DIEDA-BF-G 1 reinforcement GIC (DIEDA-BF-G 1 -GIC) was chosen for WS, SL, and water aging resistance test further. The results showed that all fiber reinforced GICs had higher WS than pure GIC, and the relationship in SL between fiber reinforced GICs and pure GIC varied with immersion time. The FS of DIEDA-BF-G 1 -GIC decreased after one week of water immersion, and had no variation after prolonging the immersion time. After three months of water immersion, DIEDA-BF-G 1 -GIC still had much higher FS than pure GIC and APS-BF-GIC. DIEDA could improve the interfacial interaction between BF and GIC matrix. After long term of water immersion, DIEDA-BF reinforced GIC still had FS higher than 50 MPa, which even met the ISO requirement in FS for dental resin composite. Therefore, GIC/DIEDA modified BF composite had potential to be used in stress bearing areas in dentistry. [ABSTRACT FROM AUTHOR]