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Published on: December 20, 2024
Fluoride release from a new glass-ionomer cement
P Neelakantan1, S John, S Anand
1Saveetha University, Conservative Dentistry and Endodontics, Chennai, India. prasanna@totaldentalcare.org
This study compared how much fluoride different dental materials release over time. A new material called nano-ionomer showed high fluoride release after the first few days. Conventional glass-ionomer cement released the most fluoride initially. The nano-ionomer’s filler size may help it release fluoride more steadily. A resin composite served as a control and did not release fluoride. The findings suggest nano-ionomers could be useful for long-term fluoride delivery in dental restorations.
Area of Science:
- Dental materials science
- Restorative dentistry
- Fluoride delivery systems
Background:
Dental restorative materials vary in their ability to release fluoride, which influences caries prevention. While conventional glass-ionomer cements are known for early fluoride release, newer materials like nano-ionomers may offer improved long-term performance. Prior research has shown that surface area and filler composition affect fluoride release rates. However, the specific pattern of fluoride release from nano-ionomers compared to other materials remains unclear. This gap motivated a study to evaluate the fluoride release behavior of a new nano-ionomer material. The study aimed to determine how its nano-sized filler influences fluoride release compared to conventional and resin-modified materials. No prior work had resolved the long-term release pattern of nano-ionomers. Understanding this could help clinicians choose materials that provide sustained fluoride benefits.
Purpose Of The Study:
The study aimed to compare the fluoride release characteristics of a new nano-ionomer material with conventional and resin-modified glass-ionomer cements, as well as other fluoride-releasing restorative materials. The researchers sought to determine whether the nano-ionomer’s filler composition affects its fluoride release pattern. They also wanted to evaluate how the material's surface area to volume ratio influences initial and sustained fluoride release. The motivation was to assess whether nano-ionomers offer superior long-term fluoride delivery compared to traditional materials. The study focused on measuring fluoride release over a 28-day period. The goal was to provide evidence for the material’s potential in caries prevention. The comparison included a compomer and a resin composite as controls. The findings could inform material selection in clinical settings.
Main Methods:
The study used a customized metal mold to fabricate ten specimens from each of six restorative materials. Fluoride release was measured using a fluoride ion-selective electrode connected to an ion analyzer. Measurements occurred every 24 hours for the first seven days and on days 14, 21, and 28. The materials included a nano-ionomer, conventional and resin-modified glass-ionomer cements, a compomer, and a fluoride-releasing resin composite. A resin composite served as a control. The researchers evaluated the initial and sustained release patterns of each material. The study design allowed for direct comparison of fluoride release over time. The data was analyzed using one-way ANOVA followed by Tukey HSD post-hoc tests at a significance level of p=0.05.
Main Results:
The nano-ionomer (Ketac N 100) showed the highest fluoride release after the initial three days. A conventional glass-ionomer cement (GC Fuji II) released the most fluoride during the first three days. All materials except the control and compomer exhibited an initial fluoride burst effect. The compomer and fluoride-releasing resin composite released fluoride at a low, constant level throughout the study. The nano-ionomer’s release pattern was higher than the resin-modified cement after day three. The control material showed no significant fluoride release. The study found that the nano-ionomer’s filler composition may enhance long-term fluoride delivery. These findings suggest that nano-ionomers may offer sustained fluoride benefits compared to other materials.
Conclusions:
The study found that the nano-ionomer material demonstrated a higher fluoride release after the initial burst period compared to other materials. The conventional glass-ionomer cement had the highest initial release in the first three days. The nano-ionomer’s sustained release pattern suggests it may provide longer-term fluoride benefits. The compomer and fluoride-releasing resin composite showed minimal and consistent release over the study period. The control material did not release fluoride. The findings suggest that nano-ionomers may be a viable option for restorations requiring sustained fluoride delivery. The researchers propose that the nano-sized filler composition influences the release pattern. These results may guide clinicians in selecting materials for caries prevention.
Frequently Asked Questions
The nano-ionomer showed the highest fluoride release after the initial three days, suggesting a sustained release pattern.
All materials except the control and compomer showed an initial fluoride burst effect.
The electrode measured fluoride release accurately over time, allowing comparison of release patterns across materials.
The researchers propose that the nano-sized filler's surface area to volume ratio may enhance fluoride release.
Fluoride release was measured every 24 hours for the first seven days and on days 14, 21, and 28.
The study suggests nano-ionomers may offer sustained fluoride release, making them suitable for caries prevention.
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