PMID- 29113700 OWN - NLM STAT- MEDLINE DCOM- 20190118 LR - 20220408 IS - 1879-0097 (Electronic) IS - 0109-5641 (Linking) VI - 34 IP - 2 DP - 2018 Feb TI - High performance dental resin composites with hydrolytically stable monomers. PG - 228-237 LID - S0109-5641(17)30330-5 [pii] LID - 10.1016/j.dental.2017.10.007 [doi] AB - OBJECTIVE: The objectives of this project were to: 1) develop strong and durable dental resin composites by employing new monomers that are hydrolytically stable, and 2) demonstrate that resin composites based on these monomers perform superiorly to the traditional bisphenol A glycidyl dimethacrylate/triethylene glycol dimethacrylate (Bis-GMA/TEGDMA) composites under testing conditions relevant to clinical applications. METHODS: New resins comprising hydrolytically stable, ether-based monomer, i.e., triethylene glycol divinylbenzyl ether (TEG-DVBE), and urethane dimethacrylate (UDMA) were produced via composition-controlled photo-polymerization. Their composites contained 67.5wt% of micro and 7.5wt% of nano-sized filler. The performances of both copolymers and composites were evaluated by a battery of clinically-relevant assessments: degree of vinyl conversion (DC: FTIR and NIR spectroscopy); refractive index (n: optical microscopy); elastic modulus (E), flexural strength (F) and fracture toughness (K(IC)) (universal mechanical testing); Knoop hardness (HK; indentation); water sorption (W(sp)) and solubility (W(su)) (gravimetry); polymerization shrinkage (S(v); mercury dilatometry) and polymerization stress (tensometer). The experimental UDMA/TEG-DVBE composites were compared with the Bis-GMA/TEGDMA composites containing the identical filler contents, and with the commercial micro hybrid flowable composite. RESULTS: UDMA/TEG-DBVE composites exhibited n, E, W(sp), W(su) and S(v) equivalent to the controls. They outperformed the controls with respect to F (up to 26.8% increase), K(IC) (up to 27.7% increase), modulus recovery upon water sorption (full recovery vs. 91.9% recovery), and stress formation (up to 52.7% reduction). In addition, new composites showed up to 27.7% increase in attainable DC compared to the traditional composites. Bis-GMA/TEGDMA controls exceeded the experimental composites with respect to only one property, the composite hardness. Significantly, up to 18.1% lower HK values in the experimental series (0.458GPa) were still above the clinically required threshold of approx. 0.4GPa. SIGNIFICANCE: Hydrolytic stability, composition-controlled polymerization and the overall enhancement in clinically-relevant properties of the new resin composites make them viable candidates to replace traditional resin composites as a new generation of strong and durable dental restoratives. CI - Copyright (c) 2017 The Academy of Dental Materials. All rights reserved. FAU - Wang, Xiaohong AU - Wang X AD - Dr. Anthony Volpe Research Center, American Dental Association Foundation, Gaithersburg, MD 20899, USA. FAU - Huyang, George AU - Huyang G AD - Dr. Anthony Volpe Research Center, American Dental Association Foundation, Gaithersburg, MD 20899, USA. FAU - Palagummi, Sri Vikram AU - Palagummi SV AD - Biomaterials Group, Biosystems and Biomaterials Division, National Institute of Standards and Technology, Gaithersburg, MD 20899, USA. FAU - Liu, Xiaohui AU - Liu X AD - Dr. Anthony Volpe Research Center, American Dental Association Foundation, Gaithersburg, MD 20899, USA. FAU - Skrtic, Drago AU - Skrtic D AD - Dr. Anthony Volpe Research Center, American Dental Association Foundation, Gaithersburg, MD 20899, USA. FAU - Beauchamp, Carlos AU - Beauchamp C AD - Materials Science and Engineering Division, National Institute of Standards and Technology, Gaithersburg, MD 20899, USA. FAU - Bowen, Rafael AU - Bowen R AD - Dr. Anthony Volpe Research Center, American Dental Association Foundation, Gaithersburg, MD 20899, USA. FAU - Sun, Jirun AU - Sun J AD - Dr. Anthony Volpe Research Center, American Dental Association Foundation, Gaithersburg, MD 20899, USA. Electronic address: jsun@nist.gov. LA - eng GR - U01 DE023752/DE/NIDCR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20171104 PL - England TA - Dent Mater JT - Dental materials : official publication of the Academy of Dental Materials JID - 8508040 RN - 0 (Acrylic Resins) RN - 0 (Composite Dental Resin) RN - 0 (Composite Resins) RN - 0 (Methacrylates) RN - 0 (Polymethacrylic Acids) RN - 0 (Polyurethanes) RN - 125523-74-2 (urethane dimethacrylate luting resin) RN - 14I47YJ5EY (triethylene glycol dimethacrylate) RN - 3WJQ0SDW1A (Polyethylene Glycols) MH - Acrylic Resins/*chemistry MH - Composite Resins/*chemistry MH - Elastic Modulus MH - Esthetics, Dental MH - Hardness MH - Hydrolysis MH - Materials Testing MH - Methacrylates/*chemistry MH - Polyethylene Glycols/*chemistry MH - Polymerization MH - Polymethacrylic Acids/*chemistry MH - Polyurethanes/*chemistry MH - Spectroscopy, Fourier Transform Infrared MH - Spectroscopy, Near-Infrared MH - Surface Properties OTO - NOTNLM OT - Composition controlled polymerization OT - Dental resin composites OT - Dental resins OT - Hydrolytically stable resins OT - Polymerization stress EDAT- 2017/11/09 06:00 MHDA- 2019/01/19 06:00 CRDT- 2017/11/09 06:00 PHST- 2017/03/31 00:00 [received] PHST- 2017/10/05 00:00 [revised] PHST- 2017/10/18 00:00 [accepted] PHST- 2017/11/09 06:00 [pubmed] PHST- 2019/01/19 06:00 [medline] PHST- 2017/11/09 06:00 [entrez] AID - S0109-5641(17)30330-5 [pii] AID - 10.1016/j.dental.2017.10.007 [doi] PST - ppublish SO - Dent Mater. 2018 Feb;34(2):228-237. doi: 10.1016/j.dental.2017.10.007. Epub 2017 Nov 4.