The effects of boric acid and phosphoric acid on the
compressive strength of glass-ionomer cements
Leon H. Prentice, Martin J. Tyas * , Michael F. Burrow School of Dental Science, University of Melbourne, 711 Elizabeth Street, Parkville, Victoria 3010, Australia Received 25 November 2004; accepted 7 April 2005 KEYWORDS Dental material; Glass-ionomer; Phosphoric acid; Boric acid; Compressive strength; Fluoride glass; Polyalkenoate cement Summary Objectives: Both boric acid (H 3 BO 3 ) and phosphoric acid (H 3 PO 4 ) are components of dental cements, commonly incorporated into glass (as ingredients in the melt) and occasionally added to the powder or liquid components. This study investigated the effect of boric acid addition to an experimental glass-ionomer powder and the effect of phosphoric acid addition to a glass-ionomer liquid on the 24-h compressive strength. Methods: Boric acid powder was added in various concentrations to an experimental glass-ionomer powder and, separately, phosphoric acid was added to an experimental glass-ionomer liquid. Powders and liquids were dosed into capsules at various powder:liquid ratios and cements thus formed were assessed for 24-h compressive strength. Results: Incorporation of boric acid in glass-ionomer powder resulted in a pronounced decrease (p!0.05 at 1% boric acid) in compressive strength. Addition of phosphoric acid produced initially stronger cements (up to 13% increase at 1% phosphoric acid) before also declining. Signicance: The incorporation of less than 2% w/w phosphoric acid in glass-ionomer liquids may improve cement strengths without compromising clinical usefulness. The incorporation of boric acid in glass-ionomer cements is contraindicated. Q 2005 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved. Introduction Glass-ionomer restorative cements derive their chemistry from silicate cements and zinc polyalk- enoates [1], by combining the silica glasses of the rst with polyalkenoic acids from the second. Both boron salts and phosphates are common ingredients in silicate cements [2,3], and phos- phates especially are well-known in glass-ionomer glasses [46]. Previous work on borax (hydrated sodium borate: Na 2 B 4 O 7 .10H 2 O) as a powder addi- tive has suggested its usefulness [7], but no signicant improvements in viscosity, setting characteristics, or strength were noted. Very little information has been published on the roles of either phosphoric acid in glass-ionomer liquid or boric acid as an additive to the powder. The general Dental Materials (2006) 22, 9497 www.intl.elsevierhealth.com/journals/dema 0109-5641/$ - see front matter Q 2005 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved. doi:10.1016/j.dental.2005.04.004 * Corresponding author. Tel.: C61 3 9341 0231; fax: C61 3 9341 0437. E-mail address: m.tyas@unimelb.edu.au (M.J. Tyas). setting reaction of a glass-ionomer cement, whereby divalent cations cause the early cross- linking of the polyalkenoic acids and trivalent (normally aluminium) cations promote maturation, has been widely investigated [8,9]. The role of other species remains uncertain, in particular the role of tartaric acid and other acids. The aim of this investigation was to examine the effects of boric acid addition to a glass-ionomer powder and, separately, phosphoric acid addition to a glass-ionomer liquid. The null hypothesis is that such additions have no effect on the 24-h compres- sive strength of an experimental glass-ionomer cement. Materials and methods Powder and liquid preparation Experimental glass-ionomer powder and liquid were supplied by SDI Ltd, Bayswater, Australia. The powder contained strontium uoroaluminosilicate glass and a powdered polyalkenoic acid; the liquid contained a polyalkenoic acid, tartaric acid, and water. Boric acid (O99%, Sigma-Aldrich Ltd, Sydney, Australia) was ground and sieved through a 150-mm mesh followed by incorporation into the experimental powder (SDI Ltd) at concentrations of 1, 2, 3 and 7% by weight. Unblended powder was used as a control. Four capsules (Riva SC, SDI Ltd) were dosed for each powder, at powder:liquid ratios of 3:1 and 3.55:1, for a total of 40 capsules. Three specimens were prepared for compressive strength testing from each capsule. Separately, 81% orthophosphoric acid (Deltrex Chemicals, Melbourne, Australia) was incorporated into an experimental liquid (SDI Ltd) to produce phosphoric acid concentrations of 1, 2, 3 and 7% by weight. Four capsules were dosed for each liquid at powder:liquid ratios of 3:1 and 3.4:1, following the pilot observation that powder:liquid ratios above 3.4:1 resulted in pastes too viscous for adequate evaluation, for a total of 40 capsules. Again, three specimens were prepared for compressive strength evaluation from each capsule. Compressive strength Compressive strength was evaluated according to ISO9917 [10]. Capsules were activated and mixed in a high-speed mixer (Ultramat 2, SDI Ltd) at (4500G 100) Hz for 10 s. Cylindrical specimens of diameter (4.0G0.1) mm and height (6.0G0.1) mm were prepared in stainless steel split moulds and kept for 1 h at 37 8C in an environment of O80% relative humidity, removed from the moulds and immersed in distilled water at 37 8C. After 23 h, specimens were removed from the water, sanded on 800-grit SiC paper to ensure parallel ends, and loaded axially to fracture on a universal testing machine (Instron 5566, Instron Ltd, Milton Keynes, UK). Data were analyzed with one-way analysis of variance and pairwise t-tests, using a signicance value of pZ0.05. Results Compressive strength Incorporation of boric acid resulted in a signicant reduction in compressive strength of the glass- ionomer cement (p!0.05). Cements with 1% boric acid in the powder exhibited compressive strengths of 88.7 and 95.4 MPa at powder:liquid ratios of 3:1 and 3.55:1, respectively (Table 1), which was signicantly lower than the control (105.1 and 119.8 MPa, respectively). Concentrations of 2, 4, and 8% w/wboric acid were weaker again (Figure 1); addition of 8% boric acid resulted in cements with 24-h compressive strengths of only 42.6 and 46.6 MPa at powder:liquid ratios of 3:1 and 3.55:1, respectively. Compressive strengths for cements incorporating phosphoric acid were greater with liquids incorpor- ating 1 and 2% phosphoric acid, but reduced as the concentration of phosphoric acid increased (Figure 2). Strength maxima at 1% phosphoric acid were 119.4 MPa and 123.5 MPa at powder:liquid ratios of 3:1 and 3.4:1, respectively (Table 2). Table 1 Compressive strength of glass-ionomer cements with boric acid incorporated in powder at two powder:liquid ratios. Compressive strength, MPa % Boric acid in powder Powder:liquid ratio 3:1 3.55:1 0 105.1 (0.3) a 119.8 (8.4) a 1 88.7 (1.3) b 95.4 (1.9) b 2 74.5 (2.7) c 74.4 (4.3) c 4 65.5 (0.4) d 61 (1.2) d 8 46.6 (2.1) e 42.6 (1.1) e Numbers in brackets are SD; superscripts denote signicant differences (p!0.05) within columns. nZ12 for each group. Boric and phosphoric acid additives to GICs 95 Discussion Boric acid The use of boric acid as a reaction modier in phosphoric acid-containing industrial cements, which have some chemical similarities to glass- ionomers, has been previously noted [11]. In these systems, boric acid at 34% by weight in the nal cement contributed to a decrease in the rate of reactivity, without signicant loss of strength. Water uptake of solid boric acid may increase reactivity by reducing the water content available for owability and ion transfer, reducing the degree of nal cross-linking of the polyalkenoate species in the set cement. Boric acid, as HBO 3 2K or BO 3 3K , may act as a weak polyalkenoate cross-linker [12], but this effect is weaker and slower than for metal ions, so it is likely that boric acid interferes with, rather than aids, the acidbase glass-ionomer reaction. Both boric acid and phosphoric acid are triprotic acids, and can be expected to undergo covalent bonding to some extent with the various cationic species released from the glass-ionomer glass during initial acid attack. Boric acid is a very weak acid (pK a Z9.14), which indicates that at the acidic pH conditions in glass-ionomer liquids (typically pHz2), boric acid will most likely remain fully protonated, and hence unreactive. In fact, boric acid takes up water and can be viewed chemically as boron oxide trihydrate, which is only slightly reactive. The boric acid particles may remain only partially reacted in situ, resulting in weakening through dissolution effects in the hydrated matrix. This lack of reactivity and strength reiterated the unique strengthening and rheology modication of tartaric acid [9,13,14]. Phosphoric acid The initial increase in strength of the cement caused by phosphoric acid may be due primarily to the role of phosphoric acid in cross-linking the network. Phosphate in the dentin or enamel structure may contribute to bonding with tooth structure [15,16]; in a similar manner the phospho- ric acid in the matrix may contribute to cross-linking of the carboxylic acid groups, or, as phosphate, precipitate into the glass-ionomer matrix [17]. Previous work has demonstrated the efcacy of calcium phosphate incorporation as an amorphous solid in the powder component [18], though an assessment of the existence and distribution of calcium or strontium phosphates in the nal, set cement may be the topic for a subsequent study. The low dissociation constant for phosphoric acid (pK a Z2.12) ensures its reactivity in the glass- ionomer system. Improvements in strength with 1 or 2% w/w phosphoric acid addition to the liquid may be due to its ability to cross-link the matrix, and act as a matrix-former itself [19]. Several studies have analyzed the role of phosphoric acid in analogous cement formation and in bonding [2022], though none has focused on the role of 0 20 40 60 80 100 120 140 Percentage H 3 PO 4 in liquid C o m p r e s s i v e
S t r e n g t h
( M P a ) P:L ratio 3:1 P:L ratio 3.4:1 10 9 8 7 6 5 4 3 2 1 0 Figure 2 Compressive strength of glass-ionomer cements with phosphoric acid incorporated in liquid at powder:liquid ratios of 3:1 and 3.4:1. 0 20 40 60 80 100 120 140 10 9 8 7 6 5 4 3 2 1 0 Percentage H 3 BO 3 in powder C o m p r e s s i v e
S t r e n g t h
( M P a ) P:L ratio 3:1 P:L ratio 3.55:1 Figure 1 Compressive strength of glass-ionomer cements with boric acid incorporated in powder at powder:liquid ratios of 3:1 and 3.55:1. Table 2 Compressive strength of glass-ionomer cements with phosphoric acid incorporated in liquid at two powder:liquid ratios. Compressive strength, MPa % Phosphoric acid in liquid Powder:liquid ratio 3:1 3.4:1 0 105.1 (0.3) b 119.8 (8.4) a 1 119.4 (1.1) a 123.5 (6.9) a 2 118.7 (2.2) a 117.1 (2.7) a 3 100.9 (1.6) c 102.5 (2.8) b 7 48.2 (2.8) d Unable to form cement Numbers in brackets are SD; superscripts denote signicant differences (p!0.05) within columns. nZ12 for each group. L.H. Prentice et al. 96 phosphoric acid in the acidbase reaction or set cement. Phosphoric acid has been used previously with metal oxides to form cements (e.g. zinc phosphate cement), and a similar cross-linking effect with the strontium and aluminium ions may have caused the signicant strength increase found in the present study. Further work, in particular Fourier-Transform Infra-Red Spectroscopy or Nuclear Magnetic Resonance analysis of the role of phosphoric acid, would further elucidate its poten- tial role in strengthening glass-ionomer cements. Conclusion The null hypothesis was rejected. The addition of 1 to 2% w/w phosphoric acid to glass-ionomer liquids may improve compressive strength of the cements while maintaining clinically useful cement proper- ties. The addition of boric acid to the glass-ionomer cement powder resulted in signicantly decreased strength, and is contra-indicated. Acknowledgements The authors wish to thank SDI Ltd for the supply of materials for this study. References [1] Wilson AD, Kent BE. A newtranslucent cement for dentistry. The glass ionomer cement. Br Dent J 1972;132:1335. [2] Wilson AD. Dental silicate cements: VII. Alternative liquid cement formers. J Dent Res 1968;47:11336. [3] Wilson AD, Kent BE, Batchelor RF. Dental silicate cements. IV. Phosphoric acid modiers. J Dent Res 1968;47:23343. [4] De Barra E, Hill RG. Inuence of alkali metal ions on the fracture properties of glass polyalkenoate (ionomer) cements. Biomaterials 1998;19:495502. [5] De Barra E, Hill RG. Inuence of glass composition on the properties of glass polyalkenoate cements. Part III: inuence of uorite content. Biomaterials 2000;21:5639. [6] Grifn SG, Hill RG. Inuence of glass composition on the properties of glass polyalkenoate cements. Part II: inuence of phosphate content. Biomaterials 2000;21:399403. [7] Bansal RK, Tewari US, Singh P, Murthy DVS. Modied polyalkenoate (glass-ionomer) cementa study. J Oral Rehabil 1995;22:5337. [8] Crisp S, Pringuer MA, Wardleworth D, Wilson AD. Reactions in glass ionomer cements: II. An infrared spectroscopic study. J Dent Res 1974;53:14149. [9] Nicholson JW. Chemistry of glass-ionomer cementsa review. Biomaterials 1998;19:48594. [10] International Organization for Standardization. ISO 9917 Dental water-based cements. Geneva: ISO; 2003. [11] Bannerjee S. Utilization of y ash in construction by improved chemical bonding. In: Third conference on unburned carbon on utility y ash, 1997: National Energy Technology Laboratory; 1997. [12] Bochek AM, Yusupova LD, Zabivalova NM, Petropavlovskii GA. Rheological properties of aqueous H-carboxymethyl cellulose solutions with various additives. Russ J Appl Chem 2002;75:6458. [13] Young AM, Sherpa A, Pearson G, Schottlander B, Waters DN. Use of Raman spectroscopy in the characterisation of the acidbase reaction in glass-ionomer cements. Biomaterials 2000;21:19719. [14] Hill RG, Wilson AD. A rheological study of the role of additives on the setting of glass-ionomer cements. J Dent Res 1988;67:144650. [15] Nicholson JW, Singh G. The use of organic compounds of phosphorus in clinical dentistry. Biomaterials 1996;17: 202330. [16] Davidson CL, Mjor IA. Advances in glass-ionomer cements. Chicago: Quintessence; 1999. [17] Simpson MD, Horner JA, Brewer PD, Eichmiller F, Pashley DH. Effects of aluminum oxalate/glycine pretreat- ment solutions on dentin permeability. Am J Dent 1992;5: 3248. [18] Mazzaoui SA, Burrow MF, Tyas MJ, Dashper SG, Eakins D, Reynolds EC. Incorporation of casein phosphopeptide- amorphous calciumphosphate into a glass-ionomer cement. J Dent Res 2003;82:9148. [19] Li ZC, White SN. Mechanical properties of dental luting cements. J Prosthet Dent 1999;81:597609. [20] Barralet JE, Lilley KJ, Grover LM, Farrar DF, Ansell C, Gbureck U. Cements from nanocrystalline hydroxyapatite. J Mater Sci Mater Med 2004;15:40711. [21] Diaz-Arnold AM, Wistrom DW, Swift Jr EJ. Topical uoride and glass ionomer microhardness. Am J Dent 1995;8:1346. [22] Yoshida Y, van Meerbeek B, Nakayama Y, Snauwaert J, Hellemans L, Lambrechts P, et al. Evidence of chemical bonding at biomaterial-hard tissue interfaces. J Dent Res 2000;79:70914. Boric and phosphoric acid additives to GICs 97