International Journal of Clinical Pediatric Dentistry

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VOLUME 18 , ISSUE 2 ( February, 2025 ) > List of Articles

ORIGINAL RESEARCH

An Innovative Phyto-mediated Nanocomposite-modified Glass Ionomer Cement: A Detailed Study on Synthesis, Cytotoxicity, Anti-inflammatory Effects, Antimicrobial Activity, Mechanical Performance, and Solubility

Aleena Alex, Rajeshkumar Shanmugam

Keywords : Modified-glass ionomer cement, Nanomaterials, Phytomedicine, Restorative dentistry

Citation Information : Alex A, Shanmugam R. An Innovative Phyto-mediated Nanocomposite-modified Glass Ionomer Cement: A Detailed Study on Synthesis, Cytotoxicity, Anti-inflammatory Effects, Antimicrobial Activity, Mechanical Performance, and Solubility. Int J Clin Pediatr Dent 2025; 18 (2):181-190.

DOI: 10.5005/jp-journals-10005-3071

License: CC BY-NC 4.0

Published Online: 20-03-2025

Copyright Statement:  Copyright © 2025; The Author(s).


Abstract

Background: Glass ionomer cement (GIC), or polyalkenoate cement, is popular for esthetic restorations due to its tooth-bonding ability but suffers from low mechanical strength, abrasion resistance, and moisture sensitivity, leading to the search for better alternatives. Aim: To evaluate the cytotoxicity, anti-inflammatory, antimicrobial, mechanical properties, and solubility of phyto-mediated nanocomposite-modified GIC. Materials and methods: Chitosan-titanium-zirconia-hydroxyapatite (Ch-Ti-Zr-HA) nanocomposites were synthesized using a single-step phyto-mediated process and added to GIC at 3, 5, and 10% concentrations (groups I, II, and III), with conventional GIC as the control (group IV). Characterization was done, and the effects on cytotoxicity, anti-inflammatory response, antimicrobial activity, compressive strength, flexural strength, microhardness, and solubility were assessed and analyzed using one-way analysis of variance (ANOVA) and the Tukey post hoc test. Results: Characterization confirmed all particles were within the nanoscale. A 10 wt% concentration of phyto-mediated Ch-Ti-Zr-HA nanocomposite enhanced antimicrobial activity against Streptococcus mutans and Lactobacillus. It also improved compressive strength (197.29 ± 0.253 MPa), flexural strength (34.71 ± 0.223 MPa), and microhardness (50.35 ± 0.232 MPa) compared to conventional GIC (p ≤ 0.05). Solubility was lowest at 10% (0.053 ± 0.005), followed by 5% (0.056 ± 0.005), 3% (0.086 ± 0.005), and conventional GIC (0.113 ± 0.005), with significance (p < 0.05). Toxicological analysis showed no significant toxicity, and anti-inflammatory properties were stable. The modified GIC with phyto-mediated nanocomposite shows potential as a dental restorative material, especially in regions of high stress. Conclusion: Our findings indicate that 10% phyto-mediated Ch-Ti-Zr-HA nanocomposite-modified GIC excels in antibacterial activity, compressive and flexural strength, microhardness, and solubility, outperforming conventional GIC and showing potential for enhanced dental applications.


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  1. Yamakami SA, Ubaldini ALM, Sato F, et al. Study of the chemical interaction between a high-viscosity glass ionomer cement and dentin. J Appl Oral Sci 2018;26:e20170384. DOI: 10.1590/1678-7757-2017-0384
  2. Pavithra AS, Paulraj J, Rajeshkumar S, et al. Comparative evaluation of antimicrobial activity and compressive strength of conventional and thyme-modified glass ionomer cement. Ann Dent Spec 2023;11(1):70–77. DOI: 10.51847/FrmCSw6TqP
  3. Sun L, Yan Z, Duan Y, et al. Improvement of the mechanical, tribological and antibacterial properties of glass ionomer cements by fluorinated graphene. Dent Mater. 2018;34(6):e115–e127. DOI: 10.1016/j.dental.2018.02.006
  4. Paulraj J, Nagar P. Antimicrobial efficacy of triphala and propolis modified glass ionomer cement: an in vitro study. Int J Clin Pediatr Dent 2020;13(5):457–462. DOI: 10.5005/jp-journals-10005-1806
  5. Hebling J, Giro EM, Costa CA. Human pulp response after an adhesive system application in deep cavities. J Dent 1999;27:557. DOI: 10.1016/s0300-5712(99)00034-2
  6. Mahalakshmi S, Chowdhary N, Shivanna V. et al. Comparative evaluation of mechanical properties of conventional glass Ionomer cement incorporated with nonfluoridated remineralizing agents. Int J Clin Pediatr Dent 2024;17(2):125–129. DOI: 10.5005/jp-journals-10005-2728
  7. Nishanthine C, Miglani R, Indira R, et al. Evaluation of fluoride release in chitosan-modified glass lonomer cements. Int Dent J 2022;72(6):785–791. DOI: 10.1016/j.identj.2022.05.005
  8. Moheet IA, Luddin N, Ab Rahman I, et al. Novel nano-hydroxyapatite-silica–added glass ionomer cement for dental application: evaluation of surface roughness and sol-sorption. Polym Polym Compos 2020;28(5):299–308. DOI: 10.1177/0967391119874678
  9. Arita K, Yamamoto A, Shinonaga Y, et al. Hydroxyapatite particle characteristics influence the enhancement of the mechanical and chemical properties of conventional restorative glass ionomer cement. Dent Mater J 2011;30:672–683.
  10. Shiekh RA, Ab Rahman I, Luddin N. Modification of glass ionomer cement by incorporating hydroxyapatite-silica nano-powder composite: sol-gel synthesis and characterization. Ceram Int 2014;40:3165–3170.
  11. Rajabzadeh G, Salehi S, Nemati A, et al. Enhancing glass ionomer cement features by using the HA/YSZ nanocomposite: a feed forward neural network modelling. J Mech Behav Biomed Mater 2014;29:317–327.
  12. Silva VV, Lameiras FS, Lobato ZI. Biological reactivity of zirconia-hydroxyapatite composites. J Biomed Mater Res 2002;63:583–590.
  13. Rahman IA, Ghazali NAM, Bakar WZW, et al. Modification of glass ionomer cement by incorporating nanozirconia-hydroxyapatite-silica nano-powder composite by the one-pot technique for hardness and aesthetics improvement. Ceram Int 2017;43:13247–13253.
  14. Rahman IA, Masudi SAM, Luddin N, et al. One-pot synthesis of hydroxyapatite-silica nanopowder composite for hardness enhancement of glass ionomer cement (GIC). B Mater Sci 2014;37:213–219.
  15. Moheet IA, Luddin N, Ab Rahman I, et al. Evaluation of mechanical properties and bond strength of nano-hydroxyapatite-silica added glass ionomer cement. Ceram Int 2018;44:9899–9906.
  16. Marit SS, Anita A, Wendt KL, et al. Dental caries in children and adolescents. In: Koch G, Poulsen S, Espelid I, Dorte H, editors. Pediatric Dentistry: A Clinical Approach. 3rd ed. Hoboken: John Wiley & Sons; 2016. p. 102.
  17. Sharmila R, Maiti S, Jessy P. Comparative analysis of abrasion resistance in relation to different temporary acrylic crown material using tooth brush simulator-an in vitro study. Int J Dentistry Oral Sci 2021;8(4):2153–2157. DOI: 10.19070/2377-8075-21000425
  18. Takaki P, Vieira M, Bommarito S. Maximum bite force analysis in different age groups. Int Arch Otorhinolaryngol 2014;18:272–276.
  19. Mount GJ. Some physical and biological properties of glass ionomer cement. Int Dent J 1995;45:135–140.
  20. Showkat I, Chaudhary S, Sinha AA, et al. Comparative evaluation of flexural strength of conventional glass ionomer cement and glass ionomer cement modified with chitosan, titanium dioxide nanopowder and nanohydroxyapatite: an in vitro study. Int J Clin Pediatr Dent 2023;16:S72–S76. DOI: 10.5005/jp-journals-10005-2617
  21. Elsaka SE, Hamouda IM, Swain MV. Titanium dioxide nanoparticles addition to a conventional glassionomer restorative: influence on physical and antibacterial properties. J Dent 2011;39:589–598. DOI: 10.1016/j.jdent.2011.05.006
  22. Ilancheran P, Paulraj J, Maiti S, et al. Green synthesis, characterization, and evaluation of the antimicrobial properties and compressive strength of hydroxyapatite nanoparticle-incorporated glass ionomer cement. Cureus 2024;16(4):e58562. DOI: 10.7759/cureus.58562
  23. Gu YW, Yap AU, Cheang P, et al. Effects of incorporation of HA/ZrO2 into glass ionomer cement (GIC). Biomaterials 2005;26:713–720.
  24. Alatawi RAS, Elsayed NH, Mohamed WS. Influence of hydroxyapatite nanoparticles on the properties of glass ionomer cement. J Mater Res Technol 2019;8:344–349. DOI: 10.1016/j.jmrt.2018.01.010
  25. Shinonaga Y, Arita K, Nishimura T, et al. Effects of porous-hydroxyapatite incorporated into glass-ionomer sealants. Dent Mater J 2015;34:196–202. DOI: 10.4012/dmj.2014-195
  26. Zaki ZM, Niazy MA, Zaazou MH, et al. Effect of incorporation of nano-hydroxyapatite particles on the clinical performance of conventional and resin-modified glass ionomer cement in class V cavities: split-mouth, randomized controlled trial. Bull Natl Res Cent 2021;45:199. DOI: 10.1186/s42269-021-00655-2
  27. Tiwari S, Kenchappa M, Bhayya D, et al. Antibacterial activity and fluoride release of glass-ionomer cement, compomer and zirconia reinforced glass-ionomer cement. J Clin Diagn Res 2016;10:90–93. DOI: 10.7860/JCDR/2016/16282.7676
  28. Surabhilakshan SL, Gopinath AS, Joseph S, et al. Comparative evaluation of fluoride release and recharge of zirconia-reinforced, resin-modified, and conventional glass ionomer cements. World J Dent 2021;12:469–473. DOI: 10.5005/jp-journals-10015-1877
  29. Kukreja R, Singla S, Bhadoria N, et al. An in vitro study to compare the release of fluoride from glass ionomer cement (Fuji IX) and zirconomer. Int J Clin Pediatr Dent 2022;15:35–37. DOI: 10.5005/jp-journals-10005-2141
  30. Ibrahim MA, Meera Priyadarshini B, Neo J, et al. Characterization of chitosan/TiO2 nano-powder modified glass-ionomer cement for restorative dental applications. J Esthet Restor Dent 2017;29(2):146–156. DOI: 10.1111/jerd.12282
  31. Sajjad A, Bakar WZW, Mohamad D, et al. Characterization and enhancement of physico-mechanical properties of glass ionomer cement by incorporating a novel nano zirconia silica hydroxyapatite composite synthesized via sol-gel. AIMS Mater Sci 2019;6(5):730–747. DOI: 10.3934/matersci.2019.5.730
  32. Moshaverinia A, Ansari S, Moshaverinia M, et al. Effects of incorporation of hydroxyapatite and fluoroapatite nanobioceramics into conventional glass ionomer cements (GIC). Acta Biomater 2008;4:432–440. DOI: 10.1016/j.actbio.2007.07.011
  33. Hussainy SN, Nasim I, Thomas T, et al. Clinical performance of resin-modified glass ionomer cement, flowable composite, and polyacid-modified resin composite in noncarious cervical lesions: one-year follow-up. J Conserv Dent 2018;21:510. DOI: 10.4103/JCD.JCD_51_1835
  34. Saini R, Vaddamanu SK, Kanji MA, et al. Comparison of the antibacterial properties of Resin cements with and without the addition of nanoparticles: a systematic review. BMC Oral Health 2024;24(1):1426. DOI: 10.1186/s12903-024-05013-y
  35. Singer L, Bierbaum G, Kehl K, et al. Evaluation of the flexural strength, water sorption, and solubility of a glass ionomer dental cement modified using phytomedicine. Materials (Basel) 2020;13(23):5352. DOI: 10.3390/ma13235352
  36. Moheet IA, Luddin N, Rahman IA, et al. Modifications of glass ionomer cement powder by addition of recently fabricated nano-fillers and their effect on the properties: a review. Eur J Dent 2019;13:470–477. DOI: 10.1055/s-0039-1693524
  37. Arita K, Lucas ME, Nishino M. The effect of adding hydroxyapatite on the flexural strength of glass ionomer cement. Dent Mater J 2003;22:126–136.
  38. Brito CR, Velasco LG, Bonini GA, et al. Glass ionomer cement hardness after different materials for surface protection. J Biomed Mater Res A 2010;93(1):243–246. DOI: 10.1002/jbm.a.32524
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