Materials Science and Engineering B 181 (2014) 33–38
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Materials Science and Engineering B
jou rn al hom ep age: www.elsevier.com/locate/mseb
Short communication
Effect of resin chemistry on depth of cure and cytotoxicity of dental
resin composites
V. Susila Anand
a,b
, Venkatesh Balasubramanian
a,∗
a
Rehabilitation Bioengineering Group, Department of Engineering Design, Indian Institute of Technology Madras, Chennai 600036, India
b
Department of Conservative Dentistry and Endodontics, Saveetha Dental College, Saveetha University, Chennai 600077, India
a r t i c l e i n f o
Article history:
Received 29 March 2013
Received in revised form 26 August 2013
Accepted 5 September 2013
Available online 21 September 2013
Keywords:
Dental composite
Degree of conversion
Cytotoxicity
FTIR
Resin elution
a b s t r a c t
New dental composite restorative materials are being introduced aiming to overcome the disadvantages
of contemporary materials. Hence there is a need to analyze the critical properties of these composites to
aid in clinical application. This study aims to comparatively analyze the degree of conversion (DC), resid-
ual reactivity (DBC/reactivity) and cytotoxicity of 2 composites based on different resin chemistry. Ceram
X and Filtek P90 were used in the study to prepare disc shaped samples of 2 mm thickness and 4 mm
diameter. The samples for cytotoxicity were cured for 40 s and those of Fourier Transform Infra-red Spec-
troscopy (FTIR) (DBC/reactivity and DC) for 5 s, 10 s, 20 s and 40 s, at an average intensity of 800 mW/cm
2
with Quartz–Tungsten–Halogen (QTH) light. DC was calculated in 60–100 m thick and 6 mm diameter
samples. Double bonds concentration/reactivity was measured in approximately 80 m thick sections
prepared from the 2 mm thick discs using a hard tissue microtome. The cell viability was scored by Trypan
blue exclusion staining technique at 24 h and 48 h. Both composites showed a progressive increase in dou-
ble bonds/reactivity as the distance from curing probe increased which was inversely proportional to the
curing time. The DC of Filtek P90 was 20% and 96% and that of Ceram X 33% and 50% at 5 s and 40 s, respec-
tively. Ceram X showed statistically significantly higher cell viability score at both 24 h and 48 h than Filtek
P90. The results were statistically analyzed using non-parametric Kruskal–Wallis, Mann–Whitney U and
Wilcoxon Signed Ranks tests. Though DC plays an important role in biocompatibility of dental composites,
other factors like elution may play a significant role and hence need further evaluation.
© 2013 Elsevier B.V. All rights reserved.
1. Introduction
Dental resin composites were developed as an aesthetic and
safer alternative to amalgam restorations [1–4]. Besides their
advantages, clinical studies show that they indeed have much lower
longevity compared to amalgam [5]. The factors contributing to
their poor long term performance are polymerization shrinkage,
marginal gap formation, secondary caries, low fracture toughness
and adverse effects on pulpal health [5–8]. Some of these factors
stem from their resin chemistry [9]. Incomplete polymerization
of dental resin composites and resin-based bonding agents under
clinical conditions result in unreacted resin monomers that may
be released from the resin matrix into the aqueous environment
of oral cavity [10]. All monomers exhibited a dose dependent
cytotoxic effect, and the ranking of the cytotoxicity based on
∗
Corresponding author at: Rehabilitation Bioengineering Group, Department of
Engineering Design, IIT Madras, Chennai 600036, India, Tel.: +91 44 2257 4117;
fax: +91 44 2257 4732.
E-mail addresses: chanakya@iitm.ac.in, chanakya@live.com
(V. Balasubramanian).
TC50 was GMA > TEGDMA > HEMA. The authors also confirmed a
dose-dependent genotoxicity of the resin monomers [10]. Cases of
genotoxicity without cytotoxicity can be found at various concen-
trations of all resin monomers. Thus it is likely that resin monomers
can cause genotoxicity at the concentrations relatively lower than
those for apoptotic effects [11]. Hence newer resin chemistries that
overcome these potential problems are being explored [12–18].
A review of literature reveals that these newer resins do not ful-
fil all the essential requisites for a significantly better resin than
conventional resin matrix [8,13–24]. A dendrimer–methacrylate
copolymer was found to have increased degree of conversion,
but poor mechanical properties [13]. Methacrylated beta Cyclo
Dextrin-based composite formulations containing tri ethylene gly-
col dimethacrylate, 1,10-decamethylenediol dimethacrylate, or
benzyl methacrylate yielded flexural strength and volumetric
shrinkage values comparable to those of the Bis-GMA/tri ethyl-
ene glycol dimethacrylate formulation [14]. Appropriate ratio of
Polyhedral Oligomeric Sil Sequioxane-Methacrylate, Bis-GMA and
TEGDMA was found to result in improved mechanical properties
[15]. Thiol-ene systems were found to have reduced shrinkage
stress, increased polymerization rate, increased functional group
conversion, and decreased leachable species while retaining the
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http://dx.doi.org/10.1016/j.mseb.2013.09.007