Farzaneh Sadat Teimoory Toufal, Alma Kalali, Arvin Attari Navab, Mohadeseh Reyhani, Hamidreza Rezaie, Jafar Javadpour,
Volume 21, Issue 0 (IN PRESS 2024)
Abstract
Glass ionomer cements (GICs) are widely utilized in clinical restorative dental applications, which suffer from poor mechanical strength. Recent research shows that GIC achieves optimal performance when modified with lower percentage of filler materials, particularly when using nanoparticles, due to the resultant increase in surface area and packing density of the cement. Notably, while some modifications show promise, others fail to deliver improvements in material characteristics. This study addressed a gap in the literature by investigating the impact of acidic/basic additives, such as Diopside (CaMgSi2O6) and Zirconia (ZrO2), on the properties of the cement. The reactivity of zirconia and Diopside differ distinctly from traditional calcium-aluminosilicate glass when exposed to acidic conditions in GICs. Also, to clarify the impact of acidity/basicity on filler reactivity during cement setting, the potential mechanical enhancement effects by using nano-sized particles is limited to submicrons. This research incorporated Diopside at concentrations of 2, 4, and 6 wt.%, and zirconia at 8, 10, and 12 wt.% into a glass powder component. Results demonstrated that adding 8 wt.% Zirconia led to a 49% enhancement in compressive strength, also improve microhardness by 16 wt.%, attributed to its non-reactive nature, minimal dissolution, and high inherent strength of ZrO2. In contrast, Diopside had a detrimental effect due to its basic nature compared to that of glass powder. These findings highlight the potential of zirconia as a valuable reinforcing material for the successful mechanical performance of glass ionomer cements. Conversely, basic fillers like diopside appear unsuitable for achieving improved mechanical performance in these systems.
