The ion release behaviours and water sorption of novel resin-based calcium phosphate cement

Abstract

Calcium phosphate-filled restorative materials were developed to provide calcium (Ca) and phosphate (PO4) ions, which have been proposed to enhance remineralization of demineralized tooth structure. Recently, tricalcium phosphate (TCP)-filled restorative materials were introduced as an alternative to amorphous calcium phosphate. The TCP filler has a more crystalline structure than ACP and is therefore potentially stronger. The aim of the present study was to examine TCP-filled restorative resins at different concentration levels at different time intervals to characterize the concentrations of Ca and PO4 ions released, and to measure the water sorption (WS) of these resins. An in vitro study was conducted by formulating resin composite using TCP as the filler mixed with EBPADMA, HmDMA, and HEMA as the resin matrix. One-hundred- sixty samples were prepared, 40 samples of each filler concentration (30 percent, 40 percent, 50 percent, and 60 percent) by weight. From each filler concentration, 5 samples of each of the 8 time points (time intervals of 4 h, 8 h, 12 h, 24 h, 3 d, 7 d, 14 d, and 21 d) were immersed in 100-ml deionized water. Calcium and PO4 ions were measured using atomic absorption spectroscopy and light spectroscopy, respectively. Water sorption (WS) was measured according to ISO 4049 specification and then the WS and the diffusion coefficient were calculated. The significance level was set at p = 0.001. The results indicated that Ca and PO4 ion release increased with increasing filler level at a rate faster than being linear. In addition, WS results were very high and failed to meet the ISO 4049 specification requirement. Diffusion coefficient results were also high. One-way ANOVA test for only 21-day data revealed that there is a statistically significant difference in filler level percent, and two-way ANOVA testing revealed that there is a statistically significant interaction between time and filler level percent on the Ca, PO4 released and WS. It can be concluded that the concentrations of Ca and PO4 released and WS were affected by composition of the monomers, filler level and type, dispersion, and the absence of coupling agent. Although this TCP-filled restorative material may release Ca and PO4, it cannot serve as a restorative material due to high WS values. Further study is needed to improve the material and evaluate its ability in promoting remineralization of the tooth structure in order for it to serve its purpose.