Citation Information :
Venugopal P, Kumaran P, Varma BR, Janardhanan SK, Xavier AM. In Vitro Evaluation of Incorporation of Zirconium Oxide Nanoparticle and Antibiotics on the Physical Properties of Glass Ionomer Cement. World J Dent 2023; 14 (1):21-26.
Aims and objectives: To evaluate and compare the compressive strength and fluoride release of conventional glass ionomer cement (GIC) with zirconium oxide (ZrO2) nanoparticle and antibiotic-enriched glass ionomer cement.
Materials and methods: A total of 30 specimens in three groups comprising group I (control): Fuji IX GIC, group II A: 3% ZrO2 nanoparticles + GIC, group II B: 1.5% ZrO2 nanoparticles + GIC, group III A: 3% (ciprofloxacin + cefuroxime = 1:1) + GIC, and group III B: 1.5% (ciprofloxacin + cefuroxime = 1:1) + GIC were prepared in a transparent polyethylene tubing of 10 × 4 mm dimension. All the prepared specimens were stored in distilled water (37°C) for 24 hours. Compressive strength and fluoride release were evaluated using the universal testing machine (UTM) and Orion 940 ion analyzer, respectively. Then the values were compared. To test the statistical significance of the comparison of compressive strength and fluoride release between the groups, the Kruskal–Wallis test and Bonferroni multiple-comparison tests were used.
Results: The mean compressive strength was observed to be highest with group II A (94.13 MPa ± 1.81) and least with group III A (62.80 MPa ± 1.53). The highest and lowest mean fluoride releases after 24 hours were observed in group II A (18.40 ppm ± 1.32) and group I (10.10 ± 0.36), respectively. However, the difference in the amount of fluoride released from group II A was not statistically significant at the end of 7 days.
Conclusion: Zirconium oxide enriched GIC (3% w/w) has added fluoride release and compressive strength than antibiotic enriched GIC and conventional GIC.
Clinical significance: Modifications of GIC have substantially improved the physio-mechanical properties. The application of ZrO2 nanoparticles significantly increased the compressive strength and fluoride release of GIC.
Sidhu SK, Nicholson JW. A review of glass-ionomer cements for clinical dentistry. J Funct Biomater 2016;7(3):16. DOI: 10.3390/jfb7030016
Lin A, McIntyre NS, Davidson RD. Studies on the adhesion of glass-ionomer cements to dentin. J Dent Res 1992;71(11):1836–1841. DOI: 10.1177/00220345920710111401
Cho SY, Cheng AC. A review of glass ionomer restorations in the primary dentition. J Can Dent Assoc 1999;65(9):491–495.
Fleming GJ, Farooq AA, Barralet JE. Influence of powder/liquid mixing ratio on the performance of a restorative glass-ionomer dental cement. Biomaterials 2003;24(23):4173–4179. DOI: 10.1016/s0142-9612(03)00301-6
Mittal S, Soni H, Sharma DK, et al. Comparative evaluation of the antibacterial and physical properties of conventional glass ionomer cement containing chlorhexidine and antibiotics. J Int Soc Prev Community Dent 2015;5(4):268–275. DOI: 10.4103/2231-0762.161754
Prabhakar AR. Antibacterial activity, fluoride release, and physical properties of an antibiotic-modified glass ionomer cement. Pediatr Dent 2013;35(5):411–415.
Yesilyurt C, Er K, Tasdemir T, et al. Antibacterial activity and physical properties of glass-ionomer cements containing antibiotics. Oper Dent 2009;34(1):18–23. DOI: 10.2341/08-30
Gjorgievska E, Van Tendeloo G, Nicholson JW, et al. The incorporation of nanoparticles into conventional glass-ionomer dental restorative cements. Microsc Microanal 2015;21(2):392–406. DOI: 10.1017/S1431927615000057
Mazzaoui SA, Burrow MF, Tyas MJ, et al. Incorporation of casein phosphopeptide-amorphous calcium phosphate into a glass-ionomer cement. J Dent Res 2003;82(11):914–918. DOI: 10.1177/154405910308201113
Al Zraikat H, Palamara JE, Messer HH, et al. The incorporation of casein phosphopeptide-amorphous calcium phosphate into a glass ionomer cement. Dent Mater 2011;27(3):235–243. DOI: 10.1016/j.dental.2010.10.008
Yli-Urpo H, Närhi T, Söderling E. Antimicrobial effects of glass ionomer cements containing bioactive glass (S53P4) on oral micro-organisms in vitro. Acta Odontol Scand 2003;61(4):241–246. DOI: 10.1080/00016350310004719
Bajraktarova-Valjakova E, Korunoska-Stevkovska V, Kapusevska B, et al. Contemporary dental ceramic materials, a review: chemical composition, physical and mechanical properties, indications for use. Open Access Maced J Med Sci 2018;6(9):1742–1755. DOI: 10.3889/oamjms.2018.378
Prentice LH, Tyas MJ, Burrow MF. The effect of particle size distribution on an experimental glass-ionomer cement. Dent Mater 2005;21(6):505–510. DOI: 10.1016/j.dental.2004.07.016
Xie D, Brantley WA, Culbertson BM, et al. Mechanical properties and microstructures of glass-ionomer cements. Dent Mater 2000;16(2):129–138. DOI: 10.1016/s0109-5641(99)00093-7
Prentice LH, Tyas MJ, Burrow MF. The effects of boric acid and phosphoric acid on the compressive strength of glass-ionomer cements. Dent Mater 2006;22(1):94–97.
Joshi RS, Gokhale NS, Hugar SM, et al. Comparative evaluation of antibacterial efficacy of conventional glass-ionomer cement and bulk-fill alkasite material when combined with doxycycline and double antibiotic paste containing ciprofloxacin and metronidazole against Streptococcus mutans and Lactobacillus spp: an in vitro study. J Indian Soc Pedod Prev Dent 2020;38(4):361–386. DOI: 10.4103/JISPPD.JISPPD_143_20
Alobiedy AN, Alhille AH, Al-Hamaoy AR. Mechanical properties enhancement of conventional glass ionomer cement by adding zirconium oxide micro and nanoparticles. J Eng 2019;25(2):72–81. DOI: 10.31026/j.eng.2019.02.05
Gu YW, Yap AU, Cheang P, et al. Effects of incorporation of HA/ZrO(2) into glass ionomer cement (GIC). Biomaterials 2005;26(7):713–720. DOI: 10.1016/j.biomaterials.2004.03.019
Souza JC, Silva JB, Aladim A, et al. Effect of zirconia and alumina fillers on the microstructure and mechanical strength of dental glass ionomer cements. Open Dent J 2016;10:58–68. DOI: 10.2174/1874210601610010058
Khoroushi M, Keshani F. A review of glass-ionomers: from conventional glass-ionomer to bioactive glass-ionomer. Dent Res J (Isfahan) 2013;10(4):411–420. DOI: 10.4103/1735-3327.118464
Crisp S, Lewis BG, Wilson AD. characterization of glass-ionomer cements. 2. effect of the powder: liquid ratio on the physical properties. J Dent 1976;4(6):287–290. DOI: 10.1016/s0300-5712(76)80008-5
Billington RW, Williams JA, Pearson GJ. Variation in powder/liquid ratio of restorative glass-ionomer cement used in dental practice. Br Dent J 1990;169(6):164–167. DOI: 10.1038/sj.bdj.4807311
Kumari PD, Khijmatgar S, Chowdhury A, et al. Factors influencing fluoride release in atraumatic restorative treatment (ART) materials: a review. J Oral Biol Craniofac Res 2019;9(4):315–320. DOI: 10.1016/j.jobcr.2019.06.015
Basso GR, Della Bona Á, Gobbi DL, et al. Fluoride release from restorative materials. Braz Dent J 2011;22(5):355–358. DOI: 10.1590/s0103-64402011000500001
Upadhyay S, Rao A, Shenoy R. Comparison of the amount of fluoride release from nanofilled resin modified glass ionomer, conventional and resin modified glass ionomer cements. J Dent (Tehran) 2013;10(2):134–140.
Silva KG, Pedrini D, Delbem AC, et al. Microhardness and fluoride release of restorative materials in different storage media. Braz Dent J 2007;18(4):309–13. DOI: 10.1590/s0103-64402007000400007
Marsh PD, Bradshaw DJ. The effect of fluoride on the stability of oral bacterial communities in vitro. J Dent Res 1990;69(2):668–671. DOI: 10.1177/00220345900690S129