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Self-adhesive resin cements: pH-neutralization, hydrophilicity, and hygroscopic expansion stress

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Abstract

Objectives

The objective of the study was to investigate the relationship between pH-neutralization, hydrophilicity, and free hygroscopic expansion stress of self-adhesive resin cements (SARCs) after storage in artificial saliva.

Materials and methods

The SARCs RelyX Unicem Automix 2 (RX2, 3 M ESPE), iCEM (iCEM, Heraeus) and Maxcem Elite (MCE, Kerr) were under investigation in this study. Cylinders (height × diameter, 6 × 4mm) were prepared from each material and stored in artificial saliva (7d at 37 °C). Cylinder height was measured at baseline and after 7 days. After storage, the compression modulus was measured to calculate the free hygroscopic expansion stress. For pH-neutralization and hydrophilicity assessment, disks (height × diameter, 1 × 1.5 mm) were prepared, covered with electrolyte, and monitored over 24 h at 37 °C. Hydrophilicity was assessed using the static sessile drop technique at baseline and at different time intervals up to 24 h. Data were analyzed using one-way ANOVA and post hoc Student-Newman-Keuls test (S-N-K, α = 0.05).

Results

After 24 h, RX2 (pH24h 4.68) had a significantly higher (p < 0.05) pH-value than MCE (pH24h 4.2) and iCEM (pH24h 3.23). iCEM showed the significantly highest hydrophilicity (p < 0.05) after 24 h (θ24h 85.02°), while MCE resulted lower (θ24h 113.01°) in comparison with RX2 (θ24h 108.11°). The resulting hygroscopic expansion stress of iCEM (29.15 MPa) was significantly higher (p < 0.05) compared to RX2 (14.5 MPa) and MCE (21.02 MPa).

Conclusions

The material with lowest pH-neutralization capacity displayed higher hydrophilicity after 24 h and higher hygroscopic expansion stress after 7 days compared to those with high pH-neutralization.

Clinical significance

Remnant hydrophilicity due to low pH-neutralization of SARCs could lead to cement interface stress build-up and long-term failure of silicate ceramic restorations.

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Acknowledgments

The present work was performed by Ms. Lena Rödel in fulfillment of the requirements for obtaining the degree “Dr. med. dent..”

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Authors and Affiliations

  1. Dental Clinic 1—Operative Dentistry and Periodontology, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Glückstr. 11, 91054, Erlangen, Germany

    Lena Roedel, Vera Bednarzig, Renan Belli, Anselm Petschelt, Ulrich Lohbauer & José Zorzin

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  1. Lena Roedel
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  2. Vera Bednarzig
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  3. Renan Belli
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  4. Anselm Petschelt
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  5. Ulrich Lohbauer
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  6. José Zorzin
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Correspondence to José Zorzin.

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The authors declare that they have no conflict of interest.

Funding

The work was supported by Dental Clinic 1—Operative Dentistry and Periodontology of the Friedrich-Alexander University Erlangen-Nürnberg.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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For this type of study, formal consent is not required.

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Roedel, L., Bednarzig, V., Belli, R. et al. Self-adhesive resin cements: pH-neutralization, hydrophilicity, and hygroscopic expansion stress. Clin Oral Invest 21, 1735–1741 (2017). https://doi.org/10.1007/s00784-016-1947-4

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  • DOI: https://doi.org/10.1007/s00784-016-1947-4

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