An in vitro investigation of a poly(vinyl phosphonic acid) based cement with four conventional glass-ionomer cements. Part 1: Flexural strength and fluoride release.

OBJECTIVE: To investigate the flexural strength and fluoride release of four conventional glass-ionomer cements: Ketac-Molar (KM), HiFi (HF), Vivaglass Fil (VF), Ketac-Fil (KF) and a newly developed glass polyphosphonate cement, Diamond Carve (DC). METHOD: Disc specimens (10 mm diameter, 1 mm thick) were prepared and mould stored at 37 degrees C. After one hour, the specimens were removed from their mould and immersed in 20 ml of deionised water until required for testing. Biaxial flexural strength was determined at 1 hour and at 1, 7, 30 and 90 days after the start of mixing. Measurements of fluoride release from the specimens were carried out at 2 hours and at 1, 3, 7, 14, 30, 60 and 90 days after the start of mixing using a fluoride ion selective electrode. The results were analysed using ANOVA and student 't' tests. RESULTS: All the materials displayed different flexural strength patterns. KM and DC became stronger whilst KF and VF plateaued in strength with time. HF peaked in strength and then became weaker. At 90 days, the mean flexural strengths in decreasing order was as follows: KM > or = VF > or = DC > or = HF > KF. An initial fast rate of fluoride release followed by a slower but steady release of fluoride was observed in each of the materials. The mean cumulative fluoride release in decreasing order was as follows: VF > KF > or = HF > DC > KM. VF released significantly higher level and KM significantly lower level of fluoride than the other materials. CONCLUSIONS: The acid used to form the cement could not be used to predict changes in cement strength behaviour with respect to time. DC increased in strength with time and its flexural strength at 90 days was comparable to that of HF and VF. The cumulative and rate of fluoride release varied for the materials. DC had a low fluoride release consistent with a fast setting material with good early resistance to water.

An in vitro investigation of a poly (vinyl phosphonic acid) based cement with four conventional glass-ionomer cements Part 2: Maturation in relation to surface hardness.

OBJECTIVE: To investigate the surface hardness of four conventional glass-ionomer cements: Ketac-Molar (KM), HiFi (HF), Vivaglass Fil (VF), Ketac-Fil (KF) and a newly developed glass polyphosphonate based cement, Diamond Carve (DC) at different maturation times in water and to investigate the effects of early water exposure on their surface hardness. METHOD: Disc specimens (10 mm diameter, 1 mm thick) were prepared and mould stored at 37 degrees C. The effect of different maturation times (15, 30 and 60 min) and storage in water over 24 h after those maturation times on surface hardness was determined using a microindentor with a Vickers diamond indentor. The results of the surface hardness tests were analysed using Mann-Whitney non-parameteric statistics (p < or = 0.05). The working (WT) and setting (ST) times of the cements were also measured using a modified Wilson oscillating rheometer. RESULTS: All the materials became harder after 24 h immersion in water. HF, VF and DC showed initial sensitivity to a short maturation time, but only HF was adversely affected by early moisture exposure. KF and KM were least sensitive to short maturation time or early water exposure. DC had the shortest and HF the longest WT and ST. HF and VF had a high WT:ST ratio of 1:7 and 1:9, respectively. CONCLUSIONS: A short maturation time (of 15 min) and early exposure to water did not adversely affect the surface hardness of KF, KM, VF and DC. DC, based on poly(vinyl phosphonic acid), had the shortest WT and ST. Poly(acrylic acid) based HF and VF had a long ST in relation to their WT.