A Comparative Evaluation of Fluoride ion Release and Alkalizing Potential of Recent Restorative Materials: An In-vitro Study.
Bioactive materials
Abstract
Aim: To evaluate and compare fluoride ion release and alkalizing effect by Bulkfill composite (Cention-N), Giomer (Shofu Beautifil II) and Compomer (Dyract eXtra)
Objectives: To evaluate and Compare fluoride ion release and alkalizing effect of alkasite restorative material, Cention-N, Beautifill II and Dyract eXtra in neutral and acidic pH solution and to conclude which material has the best alkalizing and fluoride ion releasing property.
Materials and Methodology: Straight hand piece ( NSK , Japan ),Micro motor (Unicorn Denmart, India), Diamond disc (0.15mm) and diamond finishing burs (Shofu, Japan), Airotor (NSK, Japan), Cention-N (Ivoclar, Lichtenstein), Beautifil II (Shofu, Japan), Dyract eXtra (Dentsply, Sirona).
Freshly extracted permanent human mandibular molars(samples). Total number of freshly extracted permanent mandibular molars were 45. Each tooth was sectioned from the CEJ level and the root was discarded. Further, each coronal segment was sectioned into four parts mesiodistally and buccolingually. Thus, a total of 180 samples was obtained from 45 teeth. These samples (n=180) were divided in 3 groups with each group containing 60 samples each. Group A (Cention-N)- 60 samples; Group B (Beautifil II)- 60 samples and Group C (Dyract eXtra)- 60 samples. The samples were subdivided into two equal subgroups (n=10) on the basis of pH (acidic pH–4, neutral pH–6.8) of the solution used for testing. The subgroups representing acidic pH were AA, BA, and CA, and subgroups representing neutral pH were AN, BN and CN. Finally, each of the subgroups was further divided into three groups on the basis of duration (7 days, 14 days, and 21 days) for which testing was done.
One-hundred and eighty plastic containers were prepared each containing 5 ml of deionized water/acidic medium. Ten samples from each of the subgroup was stored in each of these plastic containers. After 24 h, the containers was thoroughly shaken; samples were removed; and the storage medium was collected. The samples were then re-immersed in the plastic container-containing fresh 5 mL of deionized water. The same procedure was repeated for 7 days for subgroups –AN7, BN 7, CN 7, AA 7, BA 7, and CA 7, for 14 days for subgroups –AN14, BN 14, CN 14 and AA 14, BA 14, and CA 14, and for 21 days for subgroups –AN 21, BN 21, CN 21 and AA21, BA 21, and CA 21.
The cumulative fluoride ion release and change in pH was assessed at the end of 7 days, 14 days, and 21 days utilizing spectrophotometer and pH meter, respectively. The data thus obtained was statistically analyzed using ANOVA-F, Paired “t”, and Unpaired t-test.
RESULT: Cention N showed the highest fluoride ion release as well as alkalizing potential.
CONCLUSION: All restorative materials released fluoride at all time intervals viz 7, 14 and 21 days. Cention N showed the highest fluoride ion release when compared to Beautifil II and Dyracte Xtra. All restorative materials showed an increase in pH at all time durations viz 7, 14 and 21 days. Cention N showed the highest pH change or alkalizing potential followed by DyracteXtra and Beautifil II.
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