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Keywords:

  • dental composite;
  • nanoparticles;
  • whisker reinforcement;
  • flexural strength;
  • elastic modulus;
  • Ca and PO4 release;
  • tooth caries

Abstract

Clinical data indicate that secondary caries and restoration fracture are the most common problems facing tooth restorations. Our ultimate goal was to develop mechanically-strong and caries-inhibiting dental composites. The specific goal of this pilot study was to understand the relationships between composite properties and the ratio of reinforcement filler/releasing filler. Nanoparticles of monocalcium phosphate monohydrate (MCPM) were synthesized and incorporated into a dental resin for the first time. Silicon carbide whiskers were fused with silica nanoparticles and mixed with the MCPM particles at MCPM/whisker mass ratios of 1:0, 2:1, 1:1, 1:2, and 0:1. The composites were immersed for 1–56 days to measure Ca and PO4 release. When the MCPM/whisker ratio was changed from 0:1 to 1:2, the composite flexural strength (mean ± SD; n = 5) decreased from 174 ± 26 MPa to 138 ± 9 MPa (p < 0.05). A commercial nonreleasing composite had a strength of 112 ± 14 MPa. When the MCPM/whisker ratio was changed from 1:2 to 1:1, the Ca concentration at 56 days increased from 0.77 ± 0.04 mmol/L to 1.74 ± 0.06 mmol/L (p < 0.05). The corresponding PO4 concentration increased from 3.88 ± 0.21 mmol/L to 9.95 ± 0.69 mmol/L (p < 0.05). Relationships were established between the amount of release and the MCPM volume fraction vMCPM in the resin: [Ca]= 42.9 vmath image, and [PO4] = 48.7 vmath image. In summary, the method of combining nanosized releasing fillers with reinforcing fillers yielded Ca- and PO4-releasing composites with mechanical properties matching or exceeding a commercial stress-bearing, nonreleasing composite. This method may be applicable to the use of other Ca–PO4 fillers in developing composites with high stress-bearing and caries-preventing capabilities, a combination not yet available in any dental materials. © 2006 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 2006