Comparison Of Element Release From Glass Ionomer Cement With Various Coating Agents

Eko Hadianto  - 

(*) Corresponding Author
DOI: 10.30659/medali.8.2.162-170

Background: GIC is very susceptible to contamination especially within 24 hours after mixing during the setting reaction. To protect against this, a coating agent can be applied. This study aims to determine the difference in fluoride release levels in Glass Ionomer Cement using coating agents such as EQUIA Coat, Varnish, and Cocoa Butter.

Method: 21 cylindrical samples were prepared from conventional GIC (GC Fuji type II) and divided into 3 groups (groups I, II, and III) of 7 each. Group I samples were coated with EQUIA Forte Coat, group II with Varnish, and group III with Cocoa Butter. Each group of samples was stored in glass bottles soaked in distilled water for 7 days in an incubator at 37˚C. The fluoride release was measured using a 2010 DR spectrophotometer, while Alumina, natrium, Kalium, and Calcium releases were measured by an ICP-OES assay. The data obtained were analyzed comparatively using one-way ANOVA and the Kruskall-Wallis statistical test.

Result: EQUIA Forte Coat showed the lowest concentration of released particles of Aluminum, Kalium, Natrium, and Fluoride, while the highest concentration was found in the Varnish group.

Conclusion: The results concluded that EQUIA Forte Coat can seal GIC material well. Nevertheless, particles released in all groups are still considered to be safe for clinical usage.

Keywords: Coating agent, GIC, particle release, alumina, fluorida, Natrium, Calcium, Kalium

  1. Garg N and AG. Texbook of Operative Dentistry. 3rd ed. Garg NM, editor. New Delhi, London: The Health Sciences Publisher; 2015. 40 p.
  2. Almuhaiza M. Glass-ionomer cements in restorative dentistry: A critical appraisal. J Contemp Dent Pract. 2016;
  3. Soeprapto A. Pedoman dan Tatalaksana Praktik Kedokteran Gigi. 1st ed. Wijaya E, editor. Purwokerto; 2016.
  4. Bhargava A, Kurien J, Kumar G vinaya, Sangur R. Basic Dntal Materials. 4th ed. Vol. 53, Acta Universitatis Agriculturae et Silviculturae Mendelianae Brunensis. 2016. 1689–1699 p.
  5. McCabe J, Walls AW. Applied dental materials. 9th ed. 2018.
  6. Learning M, Cookbook R. Textbook of Preclinical Conservative Dentistry. 2nd ed. 2017.
  7. Shahid S, Duminis T. Glass Ionomer Cement: Chemistry and Its Applications in Dentistry. Advanced Dental Biomaterials. Elsevier Ltd; 2019. 175–195 p.
  8. Mensudar R, Sukumaran VG. To evaluate the effect of surface coating on three different types glass ionomer restorations. Biomed Pharmacol J. 2015;
  9. Astrinata S, Ediati S, Almujadi. Lama Pemberian Semen Ionomer Kaca ( SIK ) Berlapis. Keperawatan, Jur Dent Gigi Assist Spec Kemenkes, Poltekkes. 2014;1(2):96–9.
  10. Kamatham R, Reddy S. Surface Coatings on Glass Ionomer Restorations in Pediatric Dentistry-Worthy or Not. J Indian Soc Pedod Prev Dent. 2013;31(4):229–33.
  11. Gorseta K, Glavina D, Skrinjaric T, Czarnecka B, Nicholson JW. The Effect of Petroleum Jelly, Light Cured Varnish and Different Storage Media on The Flexural Strength of Glass Ionomer Dental Cements. Acta Biomater Odontol Scand. 2016;2(1):55–9.
  12. Kishore GVS, Sai-Sankar AJ, Pratap-Gowd MJS, Sridhar M, Pranitha K, Sai-Krishna VS. Comparative Evaluation of Fluoride Releasing Ability of Various Restorative Materials After The Application of Surface Coating Agents – An in-vitro Study. J Clin Diagnostic Res. 2016;10(12):ZC38–41.
  13. Ismayanti D, Triaminingsih S, Eriwati YK. The Effect Of Salivary Ph On Diametral Tensile Strength Of Resin Modified Glass Ionomer Cement Coated With Coating Agent. J Phys Conf Ser. 2017;884(1).
  14. Türkün LS, Kanik O. A Prospective Six Year Clinical Study Evaluating Reinforced Glass Ionomer Cements With Resin Coating on Posterior Teeth: Quo vadis? Oper Dent. 2016;41(6):587–98.
  15. Dey S, Giri B. Fluoride Fact on Human Health and Health Problems: A Review. Med Clin Rev. 2016;02(01):1–6.
  16. Kishore GVS, Sai-Sankar AJ, Pratap-Gowd MJS, Sridhar M, Pranitha K, Sai-Krishna VS. Comparative evaluation of fluoride releasing ability of various restorative materials after the application of surface coating agents – An in-vitro study. J Clin Diagnostic Res. 2016;
  17. Dunitz M. An Atlas of Glass Ionomer Cements. 3rd ed. Mount GJ, editor. Francis: Taylor & Francis e-library; 2002.
  18. Khurshid Z dkk. Advanced Dental Biomaterials. Khurshid, Najeeb, Zafar S, editor. India: ELSEVIER; 2019.
  19. Okte Z, Bayrak S, Fidanci UR, Sel T. Fluoride and Aluminum Release from Restorative Materials using Ion Chromatography. J Appl Oral Sci. 2012;20(1):27–31.
  20. Sidhu S, Nicholson J. A review of glass-ionomer cements for clinical dentistry. J Funct Biomater. 2016;7(3):16.
  21. Kanjevac T, Milovanovic M, Volarevic V, L. Lukic M, Arsenijevic N, Markovic D, et al. Cytotoxic Effects of Glass Ionomer Cements on Human Dental Pulp Stem Cells Correlate with Fluoride Release. Med Chem (Los Angeles). 2012;8(1):40–5.
  22. Martínez-Mier EA. Fluoride: Its metabolism, toxicity, and role in dental health. J Evidence-Based Complement Altern Med. 2012;17(1):28–32.
  23. Corkins MR. Aluminum Effects in Infants and Children. Pediatrics. 2019;144(6).
  24. Kumar V, Gill KD. Oxidative stress and mitochondrial dysfunction in aluminium neurotoxicity and its amelioration: A review. Neurotoxicology [Internet]. 2014;41:154–66. Available from: http://dx.doi.org/10.1016/j.neuro.2014.02.004
  25. Bondy SC. Low levels of Aluminum Can Lead to Behavioral and Morphological Changes Associated with Alzheimer’s Disease and Age-Related Neurodegeneration. Neurotoxicology. 2016;52:222–9.
  26. Aydin N, Karaoğlanoğlu S, Aybala-Oktay E, Çetinkaya S, Erdem O. Investigation of water sorption and aluminum releases from high viscosity and resin modified glass ionomer. J Clin Exp Dent. 2020;12(9):e844–51.
  27. Czarnecka B, Limanowska-Shaw H, Nicholson JW. Buffering and Ion Release by A Glass Ionomer Cement Under Near Neutral and Acidic Conditions. Biomaterials. 2002;23(13):2783–8.
  28. Nahzi MYI, Puspitasari D, Purwanti Z, Hatta I, Sukmana BI, Huldani, et al. The Effect of Salbutamol Sulfate Exposures on The Amount of Fluoride Ion, Calcium Ion and Aluminum Ion Release from GIC. Int J Pharm Res. 2020;12(3):2162–7.
  29. Kim DA, Abo-Mosallam HA, Lee HY, Kim GR, Kim HW, Lee HH. Development of a Novel Aluminum Free Glass Ionomer Cement Based on Magnesium/Strontium Silicate Glasses. Mater Sci Eng C. 2014;42:665–71.
  30. Habib S. Fluoride Releasing/Recharging Ability of Bulk-Fill and Resin Modified Glass Ionomer Cements After the Application of Different Surface Coating Agents: An In -Vitro Study. Adv Dent J. 2020;2(3):80–92.
  31. Singh H, Acharya Rashmi S, Pai S, Kini S. Comparative evaluation of fluoride release from two different glass ionomer cement and a novel alkasite restorative material – An in vitro study. Pesqui Bras Odontopediatria Clin Integr. 2020;20:1–6.
  32. Uğurlu M. How Do the Surface Coating and One‑Year Water Aging Affect the Properties of Fluoride‑Releasing Restorative Materials? Niger J Clin Pract. 2020;22:1070–7.
  33. Tyagi S, Thomas AM, Sinnappah-Kang ND. A comparative evaluation of resin- and varnish-based surface protective agents on glass ionomer cement – a spectrophotometric analysis. Biomater Investig Dent. 2020;7(1):25–30.
  34. Gemalmaz D, Yoruc B, Ozcan M, Alkumru HN. Effect of early water contact on solubility of glass ionomer luting cements. J Prosthet Dent. 1998;80(4):474–8.
  35. Navazesh M, Kumar SKS. Measuring salivary flow. J Am Dent Assoc. 2008;139(May):35S-40S.
  36. Shatat F. The effect of resin based coatings on fluoride release of glass ionomer cement, an in vitro study. 2018;(April).
  37. Rajic VB, Miletic I, Gurgan S, Peros K. Fluoride Release from Glass Ionomer with Nano Filled Coat and Varnish. ACTASTOMATOLOGICACROATIC A. 2018;52(4):307–13.
  38. Ramadan A, Ali M, Bayoumi R. Effect of Abrasive Containing Whitening Dentifrices on Surface Characteristics and Color Stability of Two Aesthetic Restorative Materials. Al-Azhar Dent J Girls. 2020;7(4):537–46.
  39. Pinkham JR, Casamassimo P. Pediatric Dentistry. 4th ed. Rudolph P, editor. Vol. 57, Dental Clinics of North America. 2005.
  40. Bajwa NK, Pathak A. Change in surface roughness of esthetic restorative materials after exposure to different immersion regimes in a cola drink. ISRN Dent. 2014;2014.
  41. Sungkar S. Peran Kondisioner Pada Ahesi Bahan Restorasi Semen Ionomer Kaca Dengan Struktur Dentin. Cakradonya Dent J. 2014;6(2):678–744.
  42. Nagpal A, Garg A, Amita. Textbook of Operative Dntistry. 3rd ed. Nisha G, editor. 2015.
  43. Vitória LA, Aguiar TR, Santos PRB, Cavalcanti AN, Mathias P. Changes in Water Sorption and Solubility of Dental Adhesive Systems after Cigarette Smoke. ISRN Dent. 2013;2013:1–5.
  44. Kucukyilmaz E, Savas S, Kavrik F, Yasa B, Botsali M. Fluoride release/recharging ability and bond strength of glass ionomer cements to sound and caries-affected dentin. Niger J Clin Pract. 2017;20(2):226–34.
  45. Lari Z, Ezoji F, Gholinia H, Author C, Khodadadi E. Evaluation of wear resistance and fluoride release from glass ionomer covered with nanofilled self-adhesive coat: An in vitro study. Casp J Dent Res. 2021;10(1):27–34.
  46. Kanduti D, Sterbenk P, Artnik and. Fluoride: a Review of Use and Effects on Health. Mater Socio Medica. 2016;28(2):133.

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