Highlights
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The TTM monomer was synthesized to replace the BisGMA in dental composites.
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The TTM-based composite resin has mechanical properties similar than the control.
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The use of TTM monomer allows the preparation of BisGMA-free composite resin.
Abstract
Objective
The use of the BisGMA as base monomer in dental composites has been questioned because of bisphenol A (BPA) is used as raw material in its synthesis, and BPA possess estrogenic potential associated to several health problems. This study describes the synthesis of the trimethacrylate tris(4-hydroxyphenyl)methane triglycidyl methacrylate (TTM) monomer and evaluate its effect when used as base monomer in the formulation of experimental photopolymerizable composite resins.
Methods
The TTM monomer was synthesized by a nucleophilic acyl substitution. Its chemical structure was confirmed via 1 H and 13 C NMR spectroscopy and FTIR spectroscopy. Experimental composite resins were formulated by mixing TTM, triethyleneglycol dimethacrylate (TEGDMA) and inorganic fillers. A BisGMA/TEGDMA based composite resin was prepared and used as control to compare several physicochemical properties. Cell viability assay was used for cytotoxicity evaluation.
Results
TTM was successfully synthesized with quantitative yields. The results showed that the TTM-based composite resin had similar values of flexural strength, elastic modulus, degree of conversion and polymerization shrinkage than the control (p > 0.05). Water sorption and solubility were statistically significantly higher than the control (p < 0.05), however they complied the requirements stablished by the ISO 4049. Finally, this study shows there were no statistically significant differences for the biocompatibility outcomes (p = 0.345).
Significance
TTM monomer could be potentially useful in the formulation of BisGMA free composite resins, which could mean to minimize the human exposure to BPA.
References
- [1]. Ferracane J.L.: Resin composite—state of the art. Dent Mater 2011; 27: pp. 29-38
- [2]. Moszner N., and Salz U.: Recent developments of new components for dental adhesives and composites. Macromol Mater Eng 2007; 292: pp. 245-271
- [3]. Gajewski V.E.S., Pfeifer C.S., Fróes-Salgado N.R.G., Boaro L.C.C., and Braga R.R.: Monomers used in resin composites: degree of conversion, mechanical properties and water sorption/solubility. Braz Dent J 2012; 23: pp. 508-514
- [4]. Söderholm K.J., and Mariotti A.: BIS-GMA-based resins in dentistry: are they safe? J Am Dent Assoc 1999; 130 : pp. 201-209
- [5]. Joskow R., Barr D.B., Barr J.R., Calafat A.M., Needham L.L., and Rubin C.: Exposure to bisphenol A from bis-glycidyl dimethacrylate-based dental sealants. J Am Dent Assoc 2006; 137 : pp. 353-362
- [6]. Kingman A., Hyman J., Masten S.A., Jayaram B., Smith C., Eichmiller F., et al: Bisphenol A and other compounds in human saliva and urine associated with the placement of composite restorations. J Am Dent Assoc 2012; 143 : pp. 1292-1302
- [7]. Akeroyd J.M., and Maserejian N.N.: Composite restorations may lead to increased concentrations of salivary and urinary BPA . J Evid Based Dent Pract 2013; 13 : pp. 64-66
- [8]. McKinney C., Rue T., Sathyanarayana S., Martin M., Seminario A.L., and Derouen T.: Dental sealants and restorations and urinary bisphenol a concentrations in children in the 2003-2004 national health and nutrition examination survey. J Am Dent Assoc 2014; 145: pp. 745-750
- [9]. Maserejian N.N., Trachtenberg F.L., Wheaton O.B., Calafat A.M., Ranganathan G., Kim H.Y., et al: Changes in urinary bisphenol A concentrations associated with placement of dental composite restorations in children and adolescents. J Am Dent Assoc 2016; 147: pp. 620-630
- [10]. Löfroth M., Ghasemimehr M., Falk A., and Vult von Steyern P.: Bisphenol A in dental materials—existence, leakage and biological effects. Heliyon 2019; 5:
- [11]. Coetzee J.F.: Recommended methods for purification of solvents and tests for impurities. Pergamon Press, 1982.
- [12]. International Organization for Standarization : ISO 4049:2009 Dentistry polymer based restorative materials.
- [13]. Yap A.U., and Teoh S.H.: Comparison of flexural properties of composite restoratives using the iso and mini-flexural tests. J Oral Rehabil 2003; 30: pp. 171-177
- [14]. International Organization for Standarization : ISO 17304:2013 Dentistry—polymerization shrinkage: method for determination of polymerization shrinkage of polymer-based restorative materials.
- [15]. Atai M., Watts D., and Atai Z.: Shrinkage strain-rates of dental resin-monomer and composite systems. Biomateriales 2005; 26: pp. 5015-5020
- [16]. Taylor D.F., Kalachandra S., Sankarapandian M., and McGrath J.E.: Relationship between filler and matrix resin characteristics and the properties of uncured composite pastes. Biomaterials 1998; 19: pp. 197-204
- [17]. Sokolov A.P., Kunal K., Robertson C.G., Pawlus S., and Hahn S.F.: Role of chemical structure in fragility of polymers: a qualitative picture. Macromolecules 2008; 41 : pp. 7232-7238
- [18]. Heintze S.D., Ilie N., Hickel R., Reis A., Loguercio A., and Rousson V.: Laboratory mechanical parameters of composite resins and their relation to fractures and wear in clinical trials—a systematic review. Dent Mater 2017; 33: pp. 101-114
- [19]. Benetti A.R., Peutzfeldt A., Lussi A., and Flury S.: Resin composites: modulus of elasticity and marginal quality. J Dent 2014; 42 : pp. 1185-1192
- [20]. Rueggeberg F.A., Maher F.T., and Kelly M.T.: Thermal properties of a methyl methacrylate-based orthodontic bonding adhesive. Am J Orthod Dentofacial Orthop 1992; 101 : pp. 342-349
- [21]. Sideridou I., Tserki V., and Papanastasiou G.: Effect of chemical structure on degree of conversion in light-cured dimethacrylate-based dental resins. Biomaterials 2002; 23 : pp. 1819-1829
- [22]. Ferracane J.L., and Greener E.H.: The effect of resin formulation on the degree of conversion and mechanical properties of dental restorative resins. J Biomed Mater Res 1986; 20 : pp. 121-131
- [23]. Leprince J.G., Palin W.M., Hadis M.A., Devaux J., and Leloup G.: Progress in dimethacrylate-based dental composite technology and curing efficiency. Dent Mater 2013; 29 : pp. 139-156
- [24]. Srivastava R., Wolska J., and Walkowiak-Kulikowska V.: Fluorinated bis-GMA as potential monomers for dental restorative composite materials. Eur Polym J 2017; 90: pp. 334-343
- [25]. Yin M., Liu F., and He J.: Preparation and characterization of Bis-GMA free dental resin system with synthesized dimethacrylate monomer TDDMMA derived from tricyclo[5.2.1.0(2,6)]-decanedimethanol. J Mech Behav Biomed Mater 2016; 57: pp. 157-163
- [26]. Stansbury J.W.: Dimethacrylate network formation and polymer property evolution as determined by the selection of monomers and curing conditions. Dent Mater 2012; 28 : pp. 13-22
- [27]. Prakki A., Cilli R., Vieira I.M., Dudumas K., and Pereira J.C.: Water sorption of CH3- and CF3-Bis-GMA based resins with additives. J Appl Oral Sci 2012; 20 : pp. 472-477
- [28]. De Paula F.C., Valentin R.D.S., Borges B.C.D., Medeiros M.C.D.S., De Oliveira R.F., and Da Silva A.O.: Effect of instrument lubricants on the surface degree of conversion and crosslinking density of nanocomposites. J Esthet Restor Dent 2016; 28 : pp. 85-91
- [29]. Murray P.E., García Godoy C., and García Godoy F.: How is the biocompatibilty of dental biomaterials evaluated? Med Oral Patol Oral Cir Bucal 2007; 12: pp. 258-266
- [30]. Pissiotis E., and Spanberg L.S.W.: Toxicity of Pulpispad using four different cell types. Int Endod J 1991; 24: pp. 249-257
- [31]. Donadio M., Jiang J., He J., Wang Y.H., Safavi K.E., and Zhu Q.: Cytotoxicity evaluation of Activ GP and Resilon sealers in vitro. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol 2009; 107: pp. 74-78
- [32]. Lee M.J., Kim M.J., Kwon J.S., Lee S.B., and Kim K.M.: Cytotoxicity of light-cured dental materials according to different sample preparation methods. Materials (Basel) 2017; 14: pp. 3
- [33]. Mazzaoui S.A., Burrow M.F., Tyas M.J., Rooney F.R., and Capon R.J.: Long-term quantification of the release of monomers from dental resin composites and a resin-modified glass ionomer cement. J Biomed Mater Res 2002; 63: pp. 299-305