Development of novel dental cements. I. Formulation of aluminoborate glasses

Machine learning as a tool to design glasses with controlled dissolution for healthcare applications

The advancement of glass science has played a pivotal role in enhancing the quality and length of human life. However, with an ever-increasing demand for glasses in a variety of healthcare applications - especially with controlled degradation rates - it is becoming difficult to design new glass compositions using conventional approaches. For example, it is difficult, if not impossible, to design new gene-activation bioactive glasses, with controlled release of functional ions tailored for specific patient states, using trial-and-error based approaches. Notwithstanding, it is possible to design new glasses with controlled release of functional ions by using artificial intelligence-based methods, for example, supervised machine learning (ML). In this paper, we present an ensemble ML model for reliable prediction of time- and composition-dependent dissolution behavior of a wide variety of oxide glasses relevant for various biomedical applications. A comprehensive database, comprising of over 1300 data-records consolidated from original glass dissolution experiments, has been used for training and subsequent testing of prediction performance of the ML model. Results demonstrate that the ensemble ML model can predict chemical degradation behavior of glasses in aqueous solutions over a wide range of pH relevant for their usage in a human body where the environment can be highly acidic (for example, pH = 3), for example, due to secretion of citric acid by osteoclasts, or highly alkaline (pH ≈10) due to the release of alkali cations from bioactive glasses. Outcomes of this study can be leveraged to design glasses with controlled dissolution behavior in various biological environments. STATEMENT OF SIGNIFICANCE: In this paper, we present an ensemble machine learning (ML) model for prediction of dissolution behavior of a wide variety of oxide glasses relevant for various biomedical applications. The results demonstrate that the ML model can predict the chemical degradation behavior of glasses in aqueous solutions over a wide range of pH relevant for their usage in a human body where the environment can be highly acidic (for example, pH = 3), for example, due to secretion of citric acid by osteoclasts, or highly alkaline (pH ≈10) due to the release of alkali cations from bioactive glasses. Outcomes of this study can be leveraged to design new biomedical glasses with controlled (desired) dissolution behavior in various biological environments.

The role of poly(acrylic acid) in conventional glass polyalkenoate cements

Glass polyalkenoate cements (GPCs) have been used in dentistry for over 40 years. These novel bioactive materials are the result of a reaction between a finely ground glass (base) and a polymer (acid), usually poly(acrylic acid) (PAA), in the presence of water. This article reviews the types of PAA used as reagents (including how they vary by molar mass, molecular weight, concentration, polydispersity and content) and the way that they control the properties of the conventional GPCs (CGPCs) formulated from them. The article also considers the effect of PAA on the clinical performance of CGPCs, including biocompatibility, rheological and mechanical properties, adhesion, ion release, acid erosion and clinical durability. The review has critically evaluated the literature and clarified the role that the polyacid component of CGPCs plays in setting and maturation. This review will lead to an improved understanding of the chemistry and properties of the PAA phase which will lead to further innovation in the glass-based cements field.

Conventional glass-ionomer materials: A review of the developments in glass powder, polyacid liquid and the strategies of reinforcement

OBJECTIVES

The development of glass-ionomers (GIs) from the earliest experimental GI formulations to the modern day commercially available GIs was reviewed. The aim of the review was to identify the developments in the glass powder and polyacid liquid constituents of GIs since their inception in the late 1960s.

DATA

The glass powder has undergone major changes from the earliest GI powder formulation (G200) in an effort to enhance the reactivity with the polyacid liquid. The GI liquids have also been optimised by the manufacturers in terms of polyacid composition, molecular weight and concentration to improve the handling characteristics. Despite these developments in the glass powder and polyacid liquid constituents, GIs cannot 'truly' be advocated for the restoration of posterior dentition due to the poor mechanical properties when compared with dental amalgam and resin-based composites (RBCs).

SOURCES

Various attempts to improve the mechanical properties of GIs through substitution of reinforcing fillers to the GI powder or modification of the GI liquid were identified in the dental literature. Despite the claimed improvements in mechanical properties of the modified GIs, a wide variation in mixing and testing conditions was identified which prevented a valid assessment of the reported reinforcement strategies. When investigating a GI reinforcement strategy it is crucial that the mixing and testing conditions are standardised to allow a valid comparison between studies.

STUDY SELECTION

The dental literature reporting the earliest experimental GIs to modern day commercially available GIs (1969-2015) was reviewed. In addition, full-text publications and abstracts published in English reporting various GI reinforcement strategies were included.

CONCLUSION

Nevertheless, major improvements in GI formulations through a reinforcement strategy have yet to be made to enable clinical usage of GIs for the restoration of posterior dentition.

CLINICAL SIGNIFICANCE

GIs chemically are inherently weak but bond to sound tooth structure without the need for preconditioning or removal of sound tooth structure such that improvements in the mechanical properties of GIs would be desirable. Although advances have been made through different GI glass powder and polyacid liquid formulations over the past 40 years, further improvements in the mechanical properties of the current GIs are required to be indicated for the restoration of posterior dentition. The literature is replete with reports on GI reinforcement, however, improved reporting and control of mixing and testing conditions are required for a valid assessment of the reinforcement strategies.

Degradable borate glass polyalkenoate cements

Glass polyalkenoate cements (GPCs) containing aluminum-free borate glasses having the general composition Ag2O-Na2O-CaO-SrO-ZnO-TiO2-B2O3 were evaluated in this work. An initial screening study of sixteen compositions was used to identify regions of glass formation and cement compositions with promising rheological properties. The results of the screening study were used to develop four model borate glass compositions for further study. A second round of rheological experiments was used to identify a preferred GPC formulation for each model glass composition. The model borate glasses containing higher levels of TiO2 (7.5 mol %) tended to have longer working times and shorter setting times. Dissolution behavior of the four model GPC formulations was evaluated by measuring ion release profiles as a function of time. All four GPC formulations showed evidence of incongruent dissolution behavior when considering the relative release profiles of sodium and boron, although the exact dissolution profile of the glass was presumably obscured by the polymeric cement matrix. Compression testing was undertaken to evaluate cement strength over time during immersion in water. The cements containing the borate glass with 7.5 mol % TiO2 had the highest initial compressive strength, ranging between 20 and 30 MPa. No beneficial aging effect was observed-instead, the strength of all four model GPC formulations was found to degrade with time.

Site connectivities in sodium aluminoborate glasses: multinuclear and multiple quantum NMR results

In a series of sodium aluminoborate glasses, we have applied triple-quantum magic-angle spinning (3QMAS) 17O NMR to obtain high-resolution information about the connections among various network structural units, to explore the mixing of aluminum and boron species. Oxygen-17 3QMAS spectra reveal changes in connectivities between AlO4 ([4]Al), AlO5 and AlO6 ([5,6]Al), BO3 ([3]B) and BO4 ([4]B) units, by quantifying populations of bridging oxygens such as Al-O-Al, Al-O-B and B-O-B and of non-bridging oxygens. Several linkages such as [4]Al-O-[4]Al and three-coordinated oxygen associated with [5,6]Al in Al-O-Al, [4]Al-O-[4]B, [4]Al-O-[3]B and [5,6]Al-O-[3]B in Al-O-B as well as [4]B-O-[3]B and [3]B-O-[3]B in B-O-B can be distinguished for the first time. The fractions of these linkages were calculated from models of random mixing and of mixing with maximum avoidance of tetrahedral-tetrahedral linkages. The results suggest that the structure of all of glasses in this study is well approximated by the latter model. However, the energetic "penalty" for formation of [4]Al-O-[4]B may be somewhat less than for [4]Al-O-[4]Al and [4]B-O-[4]B. In general, the new results presented here are similar to those obtained on glasses in this system by 27Al{11B} REDOR NMR (J. Phys. Chem. B 104 (2000) 6541), but provide considerably more detail on network connectivity and ordering schemes.

Modified polyalkenoate (glass-ionomer) cement--a study

Conventional glass-ionomer cements with varying amounts (5-15%) of borax (Na2B4O7.10H2O) as modifier were prepared. These mixtures were spatulated with an aqueous solution of polyacrylic acid with a powder to liquid (P/L) ratio of 1.5:1. Properties such as working time, setting time, compressive strength, diametral tensile strength, solubility and fluoride release of these cements were determined. It was observed that the working time and setting time of the resultant cements shortened with the addition of borax. Certain physical properties such as compressive and diametral tensile strength, solubility and disintegration of these glass-ionomer cements deteriorated with borax addition but fluoride release from them was unaffected.

Development of novel dental cements. II. Cement properties

Following earlier work, three novel aluminoborate glasses have been studied as potential cement components. Factors studied include the effect of batch size on composition and manipulative characteristics, and the effect of tartaric acid and conditions of storage on mechanical properties. It was concluded that two materials have potential for application as dental luting agents.