polymers
Article
Release and Recharge of Fluoride Ions from Acrylic Resin
Modified with Bioactive Glass
Zbigniew Raszewski
1
, Danuta Nowakowska
2
, Wlodzimierz Wieckiewicz
2
and Agnieszka Nowakowska-Toporowska
2,
*
Citation: Raszewski, Z.;
Nowakowska, D.; Wieckiewicz, W.;
Nowakowska-Toporowska, A.
Release and Recharge of Fluoride
Ions from Acrylic Resin Modified
with Bioactive Glass. Polymers 2021,
13, 1054. https://doi.org/10.3390/
polym13071054
Academic Editor:
Evangelia Vouvoudi
Received: 20 February 2021
Accepted: 19 March 2021
Published: 27 March 2021
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4.0/).
1
Spofa Dental Kerr Company, 506-01 Jiˇ cin, Czech Republic; Zbigniew.Raszewski@kavokerr.com
2
Department of Prosthodontics, Wroclaw Medical University, 50-425 Wroclaw, Poland;
danuta.nowakowska@umed.wroc.pl (D.N.); protetyka.stom@umed.wroc.pl (W.W.)
* Correspondence: agnieszka.nowakowska-toporowska@umed.wroc.pl
Abstract: Background: Oral hygiene is essential for maintaining residual dentition of partial denture
wearers. The dental material should positively affect the oral environment. Fluoride-releasing dental
materials help to inhibit microbial colonization and formation of plaque as well as to initiate the
remineralization process in the early cavity area. Aim: To evaluate fluoride ion release and recharge
capacity, sorption, and solubility of polymethyl methacrylate (PMMA) dental resin modified with
bioactive glass addition. Materials and methods: Two bioactive glass materials (5 wt% Kavitan,
10 wt% Kavitan, and 10 wt% Fritex) and pure 10 wt% NaF were added to dental acrylic resin. After
polymerization of the modified resins, the release levels of fluoride anions were measured based
on color complex formation by using a spectrophotometer after 7, 14, 28, and 35 days of storage in
distilled water at 37
◦
C. Subsequently, specimens were brushed with a fluoride-containing tooth
paste on each side for 30 s, and the fluoride recharge and release potential was investigated after 1, 7,
and 14 days. Sorption and solubility after 7 days of storage in distilled water was also investigated.
Results: The acrylic resins with addition of 10% bioactive glass materials released fluoride ions for
over 4 weeks (from 0.14 to 2.27 μg/cm
2
). The amount of fluoride ions released from the PMMA resin
with addition of 10 wt% Fritex glass was higher than that from the resin with addition of 10 wt%
Kavitan. The acrylic resin containing 10 wt% NaF released a high amount of ions over a period of
1 week (1.58 μg/cm
2
), but the amount of released ions decreased rapidly after 14 days of storage. For
specimens containing 5 wt% Kavitan glass, the ion-releasing capacity also lasted only for 14 days.
Fluoride ion rechargeable properties were observed for the PMMA resin modified with addition of
10 wt% Fritex glass. The ion release levels after recharge ranged from 0.32 to 0.48 μg/cm
2
. Sorption
values ranged from 10.23 μm/mm
3
for unmodified PMMA resin to 12.11 μm/mm
3
for specimens
modified with 10 wt% Kavitan glass. No significant differences were found regarding solubility
levels after 7 days. Conclusions: The addition of 10 wt% Fritex and 10 wt% Kavitan bioactive glass
materials to heat-cured acrylic resin may improve its material properties, with bioactive fluoride ion
release ability lasting for over 4 weeks. The resin modified with 10 wt% Fritex glass could absorb
fluoride ions from the toothpaste solution and then effectively release them. Addition of fluoride
releasing fillers have a small effect on sorption and solubility increase of the modified PMMA resin.
Clinical significance: The addition of bioactive glass may be promising in the development of the
novel bioactive heat-cured denture base resin.
Keywords: PMMA; bioactive acrylic resin; glass filler; fluoride release; fluoride recharge
1. Introduction
Colonization of the oral cavity by bacteria and formation of dental and denture plaque
result in the initiation of caries lesions [1]. Caries is particularly problematic for patients
wearing partial removable dentures. The denture base covers the oral mucosa and a large
part of the teeth surface, thereby making it difficult to maintain proper oral hygiene of these
Polymers 2021, 13, 1054. https://doi.org/10.3390/polym13071054 https://www.mdpi.com/journal/polymers