Novel self-healing dental luting cements with microcapsules for indirect restorations

作者:Wu, Junling*; Zhang, Qiang; Weir, Michael D.; Oates, Thomas W.; Zhou, Chuanjian*; Chang, Xiaofeng*; Xu, Hockin H. K.
来源:Journal of Dentistry, 2017, 66: 76-82.
DOI:10.1016/j.jdent.2017.08.006

摘要

Objectives: Dental luting cements are widely used to bond indirect restorations to teeth. Microcracks often lead to cement failures. The objectives of this study were to develop the first self-healing luting cement, and investigate dentin bond strength, mechanical properties, crack-healing, and self-healing durability in water-aging for 6 months. @@@ Methods: Microcapsules of poly(urea-formaldehyde) (PUF) shells with triethylene glycol dimethacrylate (TEGDMA) as healing liquid were synthesized. Cement contained bisphenol A glycidyl dimethacrylate, TEGDMA, 4-methacryloyloxyethyl trimellitic and glass fillers. Microcapsules were added at 0%, 2.5%, 5%, 7.5%, 8.5%, 9.5% and 10%. Dentin shear bond strength was measured using extracted human teeth. Flexural strength and elastic modulus were measured. Single edge V-notched beams were used to measure fracture toughness (K-IC) and self-healing. Specimens were water-aged at 37 degrees C for 6 months and then tested for self-healing durability. @@@ Results: Adding 7.5% microcapsules into cement achieved effective self-healing, without adverse effects on dentin bond strength and virgin mechanical properties (p > 0.1). Excellent self- healing of 68%-77% recovery was obtained. Six months of water-aging did not decrease the self-healing efficiency, compared to 1 d (p > 0.1), indicating that the self-healing property did not degrade in water-aging. @@@ Conclusions: A self-healing dental luting cement was developed for the first time. It contained fine microcapsules and exhibited an excellent self-healing efficiency, even after being immersed in water for 6 months. Clinical significance: The self-healing cement is promising for cementing crowns and bridges and other adhesive cement applications, to heal cracks and increase restoration longevity.