Journal of Oral Rehabilitation 2001 28; 26–32
Fluoride release from glass – ionomer cements, compomers
and resin composites
G. VERMEERSCH, G. LELOUP & J. VREVEN Department of Operative Dentistry, Dental School, Universite ´
Catholique de Louvain, Brussels, Belgium
SUMMARY The short and long-term fluoride release ever, it was impossible to correlate the fluoride
release of the materials by their type (conventional of 16 products (seven conventional glass – ionomers,
five light-activated glass – ionomers, two polyacid- or resin-modified glass – ionomers, polyacid-
modified resin composites and two resin com- modified resin composite and resin composite) ex-
posites) commercialized as fluoride-releasing cept if we compared the products from the same
manufacturer. The link between fluoride release materials were measured. A potential link between
the material type and its level of fluoride release and an acid–base reaction seems to be confirmed.
was researched. The fluoride release was evaluated The glass – ionomer composition (glass particles and
after different time intervals. Initial fluoride release polyacid’s type, powder/liquid ratio) should have
more influence on fluoride release than material from all materials was highest during the first 24 h
and decreased sharply over the first week. Some type.
groups of materials appeared to be significantly
different after, respectively, 7 and 91 days. How- KEYWORDS: compomer, fluoride, glass – ionomer
Introduction
The ability of a material to inhibit recurrent caries
formation is an important clinical property. Glass –
ionomer cements (GIC) have been used for more than
20 years and it is well known that a major advantage
with this group is their potential caries inhibition
(Hicks & Flaitz, 1992; Dunne et al., 1996) due to their
release of fluoride (Forsten, 1990; Momoi & McCabe,
1993; Takahashi, Emilson & Birkhed, 1993; Diaz-
Arnold et al., 1995; Miller et al., 1995; Tam, Chan &
Yim, 1997) and their antibacterial activity (Feather-
stone, 1994; Seppa ¨ , Korhonen & Nutinen, 1995; Friedl
et al., 1997). However, those conventional glass –
ionomer cements should be protected from both mois-
ture contamination and dehydration during the early
stages of setting to avoid a considerable reduction of
physical properties. This led to the development of
light-cured or resin-modified glass – ionomer cements,
which contained the essential components of both an
aqueous glass – ionomer and a light-curable resin. This
kind of material combines some advantages of resin
composites, longer working time and rapid setting, and
some advantages of conventional glass – ionomer, spon-
taneous adhesion to dental tissues (Mount, 1994;
Sidhu & Watson, 1995; Vargas, Fortin & Swift, 1995)
with a substantial fluoride release (Takahashi, Emilson
& Birkhed, 1993; Diaz-Arnold et al., 1995; Forsten,
1995; Seppa ¨ et al., 1995; de Araujo et al., 1996; Friedl et
al., 1997; Tam, Chan & Yim, 1997). Mitra (1991)
reported that the fluoride release from a light-activated
glass–ionomer cement was not hindered by the pres-
ence of light-activated resin. Momoi & McCabe (1993)
confirmed that resin-modified glass – ionomers had a
potential for releasing fluoride equivalent to that of
conventional cements. At the present time, with a
preventive approach to the control of dental caries,
manufacturers produce many dental materials which
should be able to release fluoride to their environment.
These new fluoride-releasing materials belong to the
© 2001 Blackwell Science Ltd 26