Design and development of isocyanatoacrylates as dental adhesives

Biocompatible alkyl cyanoacrylates and their derivatives as bio-adhesives

Cyanoacrylate adhesives and their homologues have elicited interest over the past few decades owing to their applications in the biomedical sector, extending from tissue adhesives to scaffolds to implants to dental material and adhesives, because of their inherent biocompatibility and ability to polymerize solely with moisture, thanks to which they adhere to any substrate containing moisture such as the skin.

Comparison of four silane primers and an isocyanate primer for bonding of tri-n-butylborane resin to a leucite-reinforced glass ceramic

PURPOSE

The purpose of the present study was to compare the effectiveness of an isocyanate monomer and four different silane monomers as primer components for bonding a leucite-reinforced glass ceramic (GN-Ceram Block).

METHODS

Four different methyl-methacrylate based primers, each with three different concentrations (1, 4, or 16wt%) of 2-methacryloxyethylisocyanate (MOI), 3-methacryloxypropylmethyldimethoxysilane (MDS), 3-methacryloxypropyltrimethoxysilane (MTS), and 3-acryloxypropyltrimethoxysilane (ATS) were prepared. A commercially available silane primer (ESPE™Sil) was also used as a control. The GN-Ceram Block specimen was ground with silicon carbide paper, rinsed, primed, and then bonded to a resin composite disk using a tri-n-butylborane-initiated self-curing luting agent. After 24-h immersion in water, the shear bond strengths were determined.

RESULTS

The highest level of bond strength was obtained with 4wt% MTS (45.2 MPa) and 4wt% ATS (38.7 MPa), followed by 4wt% MOI (29.8 MPa), ESPE™Sil (28.1 MPa), and 4wt% MDS (27.9 MPa). For each MTS, ATS, MOI, and MDS, the bond strengths for concentrations of 4wt% and 16wt% were not significantly different. No significant differences were found between 4wt% ATS, 4wt% MOI, ESPE™Sil, and 4wt% MDS. The use of any of these primers led to a significant increase in bond strength compared to an unprimed control (13.8 MPa).

CONCLUSIONS

The type and concentration of monomers dissolved in the primer influence the bond strength between a tri-n-butylborane resin and a leucite-reinforced glass ceramic GN-Ceram Block. The effectiveness of MOI was found to be comparable to that of MDS, ATS, and ESPE™Sil, but inferior to that of MTS.

Novel priming and crosslinking systems for use with isocyanatomethacrylate dental adhesives

OBJECTIVES

(a) to design, formulate and evaluate prototype primers and a crosslinking agent for use with isocyanatomethacrylate-based comonomer adhesives and (b) to establish correlations between bond strength and solubility parameter differences between the adhesives and etched dentin, and the permeability coefficients of the adhesives.

METHODS

Equimolar mixtures of 2-isocyanatoethyl methacrylate (IEM) and a methacrylate comonomer were formulated with tri-n-butyl borane oxide (TBBO) as the free radical initiator to have cure times of 6-10 min. Shear bond strengths to dentin were determined for each adhesive mixture (n = 7) using standard testing protocols. Shear bond strengths for the three systems were also determined after application of "reactive primers" to the dentin surface. The "reactive primers" contained 10-20 parts by weight of the respective comonomer mixture and 3.5 parts by weight TBBO in acetone. Solubility parameters difference values (delta delta) and permeability coefficients (P) were approximated for each adhesive system and correlated with shear bond strength values. Additionally, a crosslinking agent was prepared by bulk reaction of an equimolar mixture containing IEM and a methacrylate comonomer. The effects of crosslinker addition on: (a) the setting time of IEM; and (b) the setting times and initiator requirements of selected IEM/comonomer mixtures were determined.

RESULTS

Shear bond strength values (MPa): IEM/HEMA 13.6 +/- 2.0 (no primer), 20.1 +/- 2.0 (with primer); IEM/HETMA 9.3 +/- 3.3 (no primer), 20.8 +/- 8.1 (with primer); IEM/AAEMA 13.6 +/- 1.9 (no primer), 17.3 +/- 3.2 (with primer). Also, approximated permeability coefficients showed a significant correlation (r = +0.867, p < 0.001) with shear bond strength values. Crosslinker addition studies with IEM/4-META: (a) at 5-9 mol% reduced the setting time of IEM polymerization by 79%; and (b) at 6 mol% reduced initiator level requirements 60-70% to achieve a comparable setting time, and decreased setting times by ca. 75% for a given initiator level with selected IEM/methacrylate adhesive systems.

SIGNIFICANCE

The shear bond strengths of isocyanatomethacrylate-based dental adhesives can be enhanced by using reactive primers; their setting times and initiator requirements can be improved using a dimethacrylate crosslinker. Approximated permeability coefficients may be useful as indicators of bonding performance for dentin adhesive systems.

Cytotoxicity of polymerized commercial cyanoacrylate adhesive on cultured human oral fibroblasts

Cyanoacrylate (CA) has been used as both a commercial and tissue adhesive. Dentists may have had the experience of patients repairing their own acrylic-based dentures using a cyanoacrylate (CA) adhesive known as 'super glue'. This study evaluated the cytotoxicity of commercial CA adhesives when fully polymerized, as well as the toxicity of substances released from polymerized commercial CA adhesives after incubation of these materials for various periods of time. Toxicity was tested on cultured oral fibroblasts. Dead cells found around the various CA-coated filter papers constituted inhibitory zones which varied from 200-1000 microns and which persisted for two weeks. Control oral fibroblasts grew to approach the wax-coated filter paper. Cell viability testing using MTT and crystal violet staining methods supported the conclusion that polymerized CA-coated filter paper released substances that are toxic to cells, while wax-coated filter paper gave the same result as the control. The crystal violet staining method was also used to investigate the cytotoxicity of various CA materials after incubation for one, three, seven and 14 days and showed that CA continued to release cytotoxic substances at about the same level for at least two weeks. It can be concluded that, if CA adhesive is used for repair of broken dentures, it will release substances which are toxic to human oral fibroblast cells. This release of substances may persist for at least two weeks.

Design, formulation, and evaluation of isocyanatoacrylate copolymer dental adhesives

Experiments have recently been completed to explore the development of isocyanatoacrylate copolymers as new dental adhesives. A main goal of this work was to test the utility of solubility parameter differences between the candidate adhesives and etched dentin as a predictor of relative bond strength. All candidate adhesive mixtures contained 2-isocyanatoethyl methacrylate (IEM), a selected amount of tri-n-butylborane oxide (TBBO) initiator, and one of 13 methacrylate comonomers. Reactivity ratios were computed for comonomer pairs as indicators of relative reactivity. The concentration of TBBO was optimized for each comonomer mixture to obtain working times of 2-6 min and setting times of 6-10 min. The solubility parameter difference Deltadelta (J/cm(3))(1/2) was calculated for each test mixture with respect to an etched dentin substrate, as an approximation of wetting ability. Using standard techniques for shear bond strength evaluation, mean shear bond strength values ranging between 7-15.5 MPa were obtained for comonomer adhesives in bonding Z-100 composite to treated dentin. Shear bond strength values showed a good correlation (r = -0.612, P </= 0.05) with solubility parameter differences. This study illustrates the usefulness of reactivity ratios and solubility parameters in the design and development of effective dentin bonding agents.

Polymers in dentistry

There is a wide choice of materials available for restorative dentistry covering a range of requirements. Fundamental knowledge about the properties of the polymers in use in dentistry is an advantage as it provides information relevant to clinical practice. Dentistry, perhaps, has the unique distinction of using the widest variety of materials, ranging from polymers, metal and metal alloys, ceramics, inorganic salts and composite materials. In the present paper, polymers and polymer composites used directly or indirectly for restorations, prostheses or for production of appliances in dentistry is discussed.