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Journal of Oral Rehabilitation 2001 28; 1106±1115

Water sorption and solubility of dental composites


and identi®cation of monomers released in an aqueous
environment
È R T E N G R E N * , H . W E L L E N D O R F ², S . K A R L S S O N * & I . E . R U Y T E R ²
U. O *Department of
Prosthetic Dentistry/Dental Materials Science, GoÈteborg University, Sweden, and ²Scandinavian Institute of Dental Materials, Haslum, Norway

SUMMARY Water sorption and solubility of six decrease and increase. The resin composition in¯u-
proprietary composite resin materials were ences the water sorption and solubility behaviour of
assessed, and monomers eluted from the organic composite resin materials. The HPLC analysis of
matrix during water storage identi®ed. Water sorp- eluted components revealed that triethyleneglycol
tion and solubility tests were carried out with the dimethacrylate (TEGDMA) was the main monomer
following storage times: 4 h, 24 h and 7, 60 and released. Maximal monomer concentration in the
180 days. After storage, water sorption and solu- eluate was observed after 7 days. During the test
bility were determined. Eluted monomers were period, quanti®able quantities of urethanedimeth-
analysed by high performance liquid chromatogra- acrylate (UEDMA) monomer were observed,
phy (HPLC). Correlation between the retention time whereas 2,2-bis[4-(2-hydroxy-3-methacryloyloxy-
of the registered peak and the reference peak was propoxy)-phenyl]propane (Bis-GMA) was only
observed, and UV-spectra con®rmed the identity. found in detectable quantities. No detectable quan-
The results showed an increase in water sorption tities of bisphenol-A were observed during the test
until equilibrium for all materials with one excep- period.
tion. The solubility behaviour of the composite resin KEYWORDS : composite resins, dental materials,
materials tested revealed variations, with both mass resin cements, solubility, sorption

Chemical degradation is usually caused by oxidation


Introduction
processes and/or hydrolysis where water plays an
Dental composite materials are today widely used not important role in the degradation process (Ruyter,
only because of their aesthetic properties but also for 1995; Terselius, 1995). Water sorption in composite
the ability to adhere to tooth substance. Dental com- materials is a diffusion-controlled process and occurs
posite materials consist mainly of ®ller particles and a mainly in the resin matrix (Braden et al., 1976; Braden
polymer matrix based on different monomers, dimers & Clarke, 1984). The time-factor and the ®ller content
and/or oligomers of methacrylates and/or acrylates, of the composite material will affect the water sorption
together with additives. characteristics (SoÈderholm et al., 1984; éysaed & Ruyter,
Degradation and erosion of dental composite mater- 1986a). Water molecules diffuse into the material,
ials will occur (Geurtzen, 1998) as a result of incomplete triggering the chemical degradation and resulting in the
polymerization and in¯uence of oral ¯uids, especially formation of degradation products, which can be
water (Ruyter, 1995). The degree of degradation released, from the material (Ruyter, 1995; Geurtzen,
depends on the chemical composition of the monomers, 1998). Water diffusion will also lead to erosion of the
dimers and oligomers, the degree of cross-linking in the composite resin material caused by release of unreacted
polymerized matrix, the degree of conversion and the monomers (residual monomers) (GoÈpferich, 1996).
environmental impact (Ferracane, 1994). Erosion of ®ller particles will also take place because

ã 2001 Blackwell Science Ltd 1106


DEGRADATION OF COMPOSITE RESIN MATERIALS 1107

of the degradation processes (SoÈderholm, 1981; SoÈder- materials for crown and bridge application, and cemen-
holm et al., 1984). These erosion processes will result in tation are sparse (Inoue & Hayashi, 1982; Ferracane
mass loss of the dental composite material. & Condon, 1990).
The release of organic degradation products is depend- As water has an important role in the process of
ent on the size of the molecules, where smaller mole- releasing substances and studies on composite crown
cules are presumed to have enhanced mobility and and bridge materials and composite resin cements are
should therefore be eluted faster than larger molecules. sparse, the aim of this study was to:
Data elucidating this are still scarce, however (Ferracane, (i) assess the water sorption and solubility of one
1994; Geurtzen, 1998). It has been shown that residual restorative, two crown and bridge composite materials,
monomers are the main components released from and three composite resin cements, and
cured dental composite materials, occurring within the (ii) identify monomers eluted from the organic matrix
®rst 7 days from placement (éysaed et al., 1988; Ruyter, during water storage.
1995). Triethyleneglycol dimethacrylate (TEGDMA) has
been identi®ed as the main substance released from
Materials and methods
dental composites (Braden & Pearson, 1981; Inoue &
Hayashi, 1982; Geurtzen, 1998; Vaubert et al., 1999).
Specimen preparation
Small amounts of other monomers such as 2,2-bis
[4-(2-hydroxy-3-methacryloyloxypropoxy)-phenyl]- The six different composite resin materials included in
propane (Bis-GMA) and urethanedimethacrylate the study are presented in Table 1. They differ from each
(UEDMA) as well as additives may also be eluted into other with respect to resin matrix, ®ller loading and
water (Spahl & Budzikiewics, 1994; Spahl et al., 1998). mode of curing (Table 1). The complete composition of
The main analytical methods used for the determin- the materials tested were given by the manufacturers,
ation of substances eluted from the cured composite con®dential however, and can therefore not be accounted
material are gas chromatography (GC) and high per- for in detail. The specimens (n ˆ 200) were produced in
formance liquid chromatography (HPLC), if necessary a stainless steel mould (diameter: 15 ‹ 1 mm, thickness:
combined with mass spectrometry (MS) (Ruyter 0á5 ‹ 0á1 mm) and cured (Table 2).
& éysaed, 1988; Ruyter, 1995). Gas chromatography
is a useful method for analyses of low molecular weight
Water sorption and solubility
components with good thermal stability. Analysis of
larger components, soluble and non-volatile reactive The water sorption/solubility test was performed ac-
compounds is preferably carried out with HPLC (Ruyter cording to ISO 4049 (1988) with the exception that the
& éysaed, 1988). specimens were weighed shortly after production (m1).
Within 3 min after curing, they were placed singly in a
polyethylene (PEL) container (Nalge Nunc Interna-
Clinical relevance
tional, USA) in 5 mL of double-distilled water (ISO
Degradation of the composite material will lead to 3696, 1987). The specimens of each material were
reduced mechanical properties (éysaed & Ruyter, divided into ®ve groups with 5±15 specimens in each
1986b) and clinical drawbacks (Jokstad et al., 1994). group and stored at 37 ‹ 1 °C for 4 h, 24 h and 7, 60 or
In addition to the loss of the mechanical properties, 180 days. A blank, i.e. a sample of water, was stored
some of the released organic components are potent under the same conditions and for the same period of
sensitive/irritative agents, inducing irritant and/or time as each group of the test samples.
delayed allergic reactions (Inoue & Hayashi, 1982; After completing the storage periods, water sorption
Kanerva et al., 1995; Ruyter, 1995; Hume & Gerzina, (Wsp) and solubility (Wsl) were measured and calculated
1996; O È rtengren et al., 1999). It is therefore important as described below:
to have an understanding of degradation and erosion Wsp ˆ m2 ÿ m3 †=V
processes taking place in dental composite materials
and to identify substances released from the materials. where m2 is the mass of the specimen in lg, after
Previous studies have been carried out using experi- immersion in water, m3 is the reconditioned mass in lg
mental composites whereas studies on composite resin of the specimen and V is the specimen volume in mm3.

ã 2001 Blackwell Science Ltd, Journal of Oral Rehabilitation 28; 1106±1115


1108 È R T E N G R E N et al.
U. O

Table 1. Composite resin materials used in the study. Indicated compositions are based on information in the material safety data sheets
(MS/DS) from the manufacturers

Material (code) Batch No. Matrix based on Filler

Alcaglass (AG) 917610 Bis-GMA Silica (fumed)


Crown and Bridge 1,3-Glycerol- Alcaline glass composite material
(Ivoclar/Vivadent, Liechstenstein) dimethacrylate Ytterbiumtri¯uoride
UEDMA Ba-Al-¯uorsilikateglass
C & B Cement (CB) 069309 (catalyst) Bis-GMA Silica (fused)
Composite cement 079039 (base) dimethacrylate monomers Silica (amorphus)
(Bisco, USA) Glass frit
Sodium ¯uoride
Sono-Cem (SC) 105 34457 (catalyst) Bis-GMA Quartz
Composite cement 102 34459 (base) TCDDMA Silica
(ESPE, Germany)
Targis (TG) 910053 Bis-GMA Barium-glass
Crown and Bridge DDDMA Mixed oxides composite material
(Ivoclar/Vivadent, Liechstenstein) UEDMA Silica
TPH Spectrum (ST) 9704 000689 Bis-GMA-adduct Barium-
Composite restorative Bis-EMA Aluminum-
material TEGDMA Borosilicate-glass
(Dentsply/DeTrey, Germany) Silica
Vario-Link II (VL) 906566 (catalyst) Bis-GMA Barium-glass
Composite cement 911375 (base) UEDMA Mixed oxides
(Ivoclar/Vivadent, Liechstenstein) TEGDMA Ytterbium-tri¯uoride

Bis-GMA = Bis-phenol-A-glycidyl-dimethacrylate, UEDMA = urethane dimethacrylate, TEGDMA = triethyleneglycol dimethacrylate,


Bis-EMA = ethoxylated bisphenol-A-dimethacrylate, DDDMA = decandiol dimethacrylate, TCDDMA = bis-(methacryloyloxymethyl)
tricyclo[5á2.1á02,6] decane.

Table 2. Shade and curing scheme


Curing Curing Preparation Mixing
of the composite resin materials
Material Shade initiation time time (min) Mix time (s)
used in the study
AG ± Light* 40 s ´ 9
CB Universal Chemical 15 1:1 15
TG Incisal S2 Light** 20 s ´ 9
SC A3 Chemical 6 1:1 30
Light* 40 s ´ 9
ST A3 Light* 40 s ´ 9
VL Universal Chemical 6 1:1 30
Light* 40 s ´ 9

*The materials AG, SC, ST and VL were light-cured with an Optilux 400 (serial no. 4212876;
Demetron Res. Corp., Danburg, CT, USA) with an 8-mm light tip in nine overlapping sections
(ISO 4049 1988). The materials SC and VL were light-cured 6 min after the start of mixing.
**The material TG was light-cured with a XL 3000 curing light (serial no. 1029933M, St Paul,
MN, USA) through a mylar ®lm in nine overlapping sections. Thereafter the material was cured
in a light curing oven (Targis power; Ivoclar, Liechstenstein), program 1 ¢Targis-VerguÈtung-
sprogramm¢.

Wsl ˆ m1 ÿ m3 †=V Monomer leakage and HPLC


where m1 is the mass of the specimen in lg before The storage water was transferred to a refrigerator
immersion in water. immediately after the specimen had been removed

ã 2001 Blackwell Science Ltd, Journal of Oral Rehabilitation 28; 1106±1115


DEGRADATION OF COMPOSITE RESIN MATERIALS 1109

until analysis could be carried out. The analysis of by the composites TG³ and ST§, both of which showed
organic substances released from the matrix as well as higher water sorption values (just below 15 lg/mm3).
reference substances of known compounds in the The other two composite cements used in the study,
matrix (Table 1) was carried out by HPLC with the CB¶ and VL³, showed even higher sorption values
following conditions: (25 lg/mm3) and the highest sorption values (over
Column: Chromsep-steel column*, 250 mm length, 40 lg/mm3) were observed for AG at 180 days of water
4á6 mm in diameter. Octadecylsilane treated SiO2 storage. All differences in water sorption behaviour
(Chromsphere 5 C18) with a particle size of 5 lm. between the materials were shown to be statistically
Mobile phase: CH3CN/H2O. The optimal mobile signi®cant (P < 0á05, Wilcoxon's signed rank sum test)
phase was used for each material/reference material. except for the difference recorded between the two
Flow speed: 0á8 mL min±1. composite cements VL and CB (P ˆ 0á67, Wilcoxon's
Detection: UV: 205 and 225 nm. signed rank sum test).
Temperature: Constant at room temperature. A statistically signi®cant increase (P < 0á05, Scheffe's
Injection: 20 lL `loop'. F-test) in water sorption was recorded for all materials
The results of the analyses are presented as follows: over the test period (4 h±180 days) with a levelling off
ND ˆ not detectable; D ˆ detectable, with the limit for at the end of the storage period (60±180 days) with the
detection at S/N ˆ 2:1 (signal to noise); Q ˆ quanti®- exception of the material AG, which showed increasing
able, with the limit for quanti®able amounts set at water sorption, veri®ed by regression analysis.
S/N ˆ 10:1 (signal to noise).

Water solubility
Statistics
The results for solubility are presented in Fig. 2. A
The mean value and standard deviation were calculated signi®cantly increased solubility in line with the mass
for each series. Differences in water sorption and decrease in the reconditioned specimen was shown for
solubility within each material with increasing time the composite cements SC (4 h±180 days) and CB
were tested for signi®cance using analysis of variance (4 h±7 days) (P < 0á05, Scheffe F-test). The slightly less
(Scheffe's F-test). Differences between the various hydrophilic composite cement SC, showed a moder-
series of materials were tested for signi®cance using ately increasing solubility. The increase between 24 h
Wilcoxon's signed rank sum test. A signi®cance level of and 180 days was statistically signi®cant (P < 0á05,
5% was used. ScheffeÂ's F-test).
Together with the above statistical methods, addi- A statistically signi®cant decrease in mass loss was
tional regression analysis for linear trend was per- shown for the materials VL and TG over the test period
formed for the water sorption behaviour. For water 4 h±180 days (P < 0á05, Scheffe's F-test). The material
solubility, additional variance analyses (Bon-Ferroni TG even showed a mass increase at 180 days.
and Duncan) were carried out because of the different According to the measurements of mass loss, the
solubility behaviour within and between the materials. material ST had approximately the same solubility at
Neither of the additional methods changes the conclu- all storage times. The material AG showed increased
sions based on the statistics. solubility, in accordance with the mass decrease.
However, the changes in solubility over time were
not shown to be statistically signi®cant, either
Results
with Scheffe's F-test or with the additional statistical
methods used.
Water sorption
Differences in water solubility over the test period
The results for water sorption are presented in Fig. 1. between the materials were shown to be statistically
The composite cement SC² was shown to have the signi®cant (P < 0á05, Wilcoxon's signed rank sum
lowest water sorption during the test period, followed test) except for the difference recorded between the
³
Ivoclar/Vivadent, Liechstenstein.
§
*Chrompack, Berger op zoom, the Netherlands. Dentsply/DeTrey, Konstanz, Germany.
² ¶
ESPE, Seefeld, Germany. Bisco, Schaumburg, IL, USA.

ã 2001 Blackwell Science Ltd, Journal of Oral Rehabilitation 28; 1106±1115


1110 È R T E N G R E N et al.
U. O

Fig. 1. Mean values and standard deviation for water sorption (lg/mm3) of the composite resin materials tested after 4 h, 24 h, 7, 60 and
180 days of water storage.

Fig. 2. Mean values and standard deviation for water solubility (lg/mm3) of the composite resin materials tested after 4 h, 24 h, 7, 60 and
180 days of water storage.

materials SC and ST (P ˆ 0á29, Wilcoxon's signed rank were already registered after 4 h of storage for the
sum test) and CB and AG (P ˆ 0á23, Wilcoxon's signed materials CB, ST and VL.
rank sum test). The results showed a maximum concentration of
monomers in the storage water after 7 days, exempli-
®ed by TEGDMA in Figs 3±5. Detectable quantities of
HPLC±UV analysis
Bis-GMA were found in the storage water for the
Results for released monomers are given in Table 3. materials CB, TG and VL. Detectable and quanti®able
Correlation between the retention time of the regis- quantities of UEDMA were found in the storage water for
tered peak and the reference peak was observed and the materials AG, TG and VL. The material AG showed
UV-spectra con®rmed the identity. quanti®able release of 1,3-glyceroldimethacrylate after
The monomer TEGDMA was the main substance 4 and 24 h but after longer storage the monomer could
found in the storage water and quanti®able quantities not be detected in the storage water. In this study,

ã 2001 Blackwell Science Ltd, Journal of Oral Rehabilitation 28; 1106±1115


DEGRADATION OF COMPOSITE RESIN MATERIALS 1111

Table 3. Organic substances


Material Organic substance 4h 24 h 7 days 60 days 180 days
released from the composite resin
materials tested at the different AG Bis-GMA ND ND ND ND ND
storage times UEDMA D (3) D (4) ND ND ND
ND (2) ND (1)
1,3-Glycerol Q Q (2) ND ND ND
dimethacylate D (1)
ND (2)

CB Bis-GMA D D D D D
Bis-EMA ND ND ND ND ND
TEGDMA Q Q Q Q Q (2)
D (3)

TG Bis-GMA D D D D D
DDDMA ND ND ND D (1) ND
ND (4)
UEDMA D Q Q Q D

SC TCDDMA ND ND ND ND ND
Bis-GMA ND ND ND ND ND

ST Bis-GMA ND ND ND ND ND
Bis-EMA ND ND ND ND ND
TEGDMA Q Q Q ND ND

VL Bis-GMA D (2) D D (4) D (2) ND


ND (3) ND (1) ND (2)
UEDMA D Q (1) Q (2) Q (2) ND
D (4) D (3) D (2)
TEGDMA Q Q Q Q ND

ND = Not detectable, D = detectable, with the limit for detection at S/N = 2:1 (signal to noise),
Q = Quanti®able, with the limit for quanti®able amounts set at S/N = 10:1 (signal to noise).
Numbers in parantheses refer to the numbers of repetitive observations of a total of ®ve (four)
analyses.
No number indicates same result for ®ve analyses.

Fig. 4. (A) Release from cured VL after 1-day water storage. Peak 1
Fig. 3. (A) Reference chromatogram of TEGDMA, (B) Release represents an impurity in water, which is also observed in the
from cured VL after 4 h' water storage. Peak 1 represents an blank solution. Peak 2 represents quanti®able TEGDMA. Peak 3
impurity in water, which is also observed in the blank represents detectable UEDMA. (B) Reference chromatogram of
solution. Peak 2 represents quanti®able TEGDMA. Peak 3 UEDMA. (C) Reference chromatogram of Bis-GMA. The chroma-
represents detectable UEDMA. The chromatograms are registered tograms are registered at 205 nm with a mobile phase of:
at 205 nm with a mobile phase of: 70% CH3CN/30% H2O. 70% CH3CN/30% H2O.

ã 2001 Blackwell Science Ltd, Journal of Oral Rehabilitation 28; 1106±1115


1112 È R T E N G R E N et al.
U. O

the majority of the dental composite materials tested


(Fig. 1). However, the materials showed a wide range
in the magnitude of water sorption at equilibrium.
These differences in water sorption between the
different materials could be explained by differences
in matrix composition (Table 1). The material SC,
which is a composite resin cement, showed less water
sorption than the other materials even after 180 days.
This could be explained by the matrix formulation of
Bis-GMA and the hydrophobic monomer bis(metha-
cryloyloxyethyl)-tricyclo[5á2.1á02,6]decane.Polymerized
materials from mixtures with a high concentration of
hydrophobic monomers will show less water sorption
Fig. 5. (A) Release from cured VL after 7-day water storage. Peak 1
represents an impurity in water, which is also observed in the than materials polymerized from more hydrophilic
blank solution. Peak 2 represents quanti®able TEGDMA. Peak 3 monomers within the matrix (éysaed & Ruyter,
represents detectable UEDMA. Peak 4 represents detectable 1986a). The latter could explain why AG still showed
Bis-GMA. (B) Release from cured VL after 60-day water storage. an increase in water sorption after 180 days of water
Peak 1 represents an impurity in water, which is also observed in
storage. The matrix in AG is based on the monomers
the blank solution. Peak 2 represents quanti®able TEGDMA. Peak
3 represents quanti®able UEDMA. Peak 4 represents detectable
UEDMA, Bis-GMA and 1,3-glyceroldimethacrylate. The
Bis-GMA. (C). Release from cured VL after 180-days water latter two have hydroxyl groups, increasing the water
storage. Peak 1 represents an impurity in water, which is also sorption. The polar nature of such a polymer matrix
observed in the blank solution. No peaks were detected for and the presence of ether linkages are of importance for
TEGDMA, UEDMA or Bis-GMA. The chromatograms are regis- water sorption and hygroscopic expansion of composite
tered at 205 nm with a mobile phase of: 70% CH3CN/30% H2O.
resin materials (Peutzfeldt, 1997). Results presented by
Pearson and Longman (1989) showed less water
neither any detectable nor any quanti®able quantities sorption from a composite based on UEDMA (less
of monomers were registered in the storage water for hydrophilic monomer) compared with composites
the material SC, in spite of the moderate decrease in based on Bis-GMA. Braden (1984) found that compo-
mass during the test period. sites based on TEGDMA alone exhibited higher diffu-
No detectable quantities of bisphenol-A were sion coef®cients than composites based on a blend of
observed in the eluates during the test period. UEDMA and TEGDMA. The difference was explained
by a higher degree of crosslinking in the latter case. As
crosslinking of the matrix is often correlated to the
Discussion
degree of conversion, it would also be expected that the
Water has an important role in the chemical degrada- water sorption will increase with a decreased degree of
tion of composite materials, resulting in both hydro- conversion of the material. However, Rueggeberg and
lytic reactions and swelling of the material (Ruyter, Craig (1988) found that water sorption was a poor
1995; Terselius, 1995; Geurtzen, 1998). In that respect, predictor for the degree of conversion. Therefore,
the water sorption and solubility behaviour of compo- crosslinking of the matrix seems to be more important
site materials is of great interest. Water uptake in for water sorption kinetics (diffusion coef®cient) but
composite materials mainly takes place in the resin has a limited in¯uence on water sorption per volume.
matrix and is a diffusion-controlled process, the As shown in the present study, water sorption seems to
diffusion coef®cient decreasing with the concentration be in¯uenced by the af®nity to water depending on the
of water in the matrix (Braden et al., 1976; Braden quantity of hydroxyl groups within the matrix, creating
& Clarke, 1984). Therefore, a reduction in the rate of hydrogen bonds with water. The monomer TEGDMA
water uptake is to be expected with increasing storage does not contain any hydroxyl groups but still has some
time. af®nity to water because of the water compatible ether-
In the present study, the expected rate reduction in linkage structure within the molecule. Braden and
water uptake at increased storage times was shown for Davy (1986) reported that matrix compositions of

ã 2001 Blackwell Science Ltd, Journal of Oral Rehabilitation 28; 1106±1115


DEGRADATION OF COMPOSITE RESIN MATERIALS 1113

ethylene glycol dimethacrylates (constituting ether- products, which typically have some acid±base func-
linkages) increased water sorption in composite resin tionality (GoÈpferich, 1996; Geurtzen, 1998).
matrices. Ferracane (1994) reported that 5±10% of unbonded
Braden and Clarke (1984) and éysaed and Ruyter substances in composite material was released into an
(1986a) reported higher water uptake in composite aqueous solution (2 wt% of the resin matrix), and
materials with low ®ller content (i.e. high resin Tanaka et al. (1991) found that small monomers were
content) compared with materials with higher ®ller extracted in considerably higher quantities than the
content. The latter may also partly explain why SC, in large monomers. Small molecules have enhanced
spite of the hydrophilic mer-unit Bis-GMA within the mobility and will be eluted faster than larger molecules
matrix, still has less water sorption than the other (Gedde, 1995). In the present study, TEGDMA, one of
materials. the smallest molecules in the composite resin materials
The solubility behaviour of composite resin materials tested, was the major monomer eluted (three of the six
besides the previous factors described, will also be materials). This result is in line with other studies
affected by the type of ®ller used, the treatment of (Braden & Pearson, 1981; Inoue & Hayashi, 1982;
the ®ller (i.e. silane treatment) (SoÈderholm, 1981; Geurtzen, 1998; Vaubert et al., 1999). MuÈller et al.
SoÈderholm et al., 1984) as well as air voids within (1997) found that twice as much TEGDMA leached
the composite resin material (éysaed & Ruyter, 1986a), out from an experimental composite based on Bis-GMA/
often leading to a decrease of mass of the material. TEGDMA as from a UEDMA/TEGDMA-based composite
In the present study, all materials showed different resin material. This can be explained by a higher degree
water solubility values. Two materials, TG and VL, of curing because of enhanced mobility of the UEDMA
showed a decreasing loss of mass during the test period and TEGDMA molecules. The detectable quantities of
and TG showed a mass increase after 180 days in spite the high-molecular mass substances Bis-GMA and
of monomer leakage from the material (Fig. 2 and UEDMA released from the materials CB, TG and VL,
Table 3). One possible explanation for the increased might also be explained by the degree of curing of the
mass of TG is chemical reactions with water within the materials (i.e. less degree of curing), depending on the
composite. The glass ®ller and metal oxides in the mobility of the molecules as well as the blend monomer
composite material can hydrolyse with the formation formulation (MuÈller et al., 1997), and the initiator/
of metal hydroxides as reaction products, i.e. addition activator, inhibitor system used (Asmussen, 1982).
of water (SoÈderholm et al., 1984; Kildahl & Ruyter, In the present study, the release of the degradation
1997). product, bisphenol-A, could not be detected in the
The HPLC analyses showed the highest concentration aqueous eluates from the materials tested. In a study,
of monomers in the storage water after 7 days, in line where bisphenol-A was observed, dimethacrylate
with other studies (éysaed et al., 1988; Ruyter, 1995). monomers containing the bisphenol-A unit were
Ferracane (1994) has stated some factors of importance treated with an alkaline or acidic aqueous solution at
for the release of unbond substances from polymerized 100 °C (Olea et al., 1996). Under these vigorous
dental composites: conditions, hydrolysis of hydrolysable substances such
(i) The monomer±polymer conversion determine as Bis-GMA results in formation of the individual
the quantity of leachable components, structural components, i.e. bisphenol-A, methacrylic
(ii) The composition and solubility parameters of acid and glycerol. It has been established that Bis-GMA,
the solvent which is used for extraction in¯uence the used in composite restorative materials can be resolved
kinetics and mechanism of elution processes, and into several components (Ruyter & Sjùvik, 1981). The
(iii) Size as well as chemical characteristics of the Bis-GMA samples contain several isomers such as linear
leachable substances determine the diffusion through and a single-branched Bis-GMA in a ratio of approxi-
the polymer network. mately 3:1. In addition, a double-branched isomer
Progressive degradation changes the microstructure of (» 2%) will be present, and the monomethacrylate
the bulk through the formation of pores, via which derivative of Bis-GMA has been observed as an
oligomers, residual monomers, degradation products impurity (Ruyter & éysaed, 1988). The Bis-GMA
and additives can be released. Along with this, the pH derivatives with higher molecular masses have also
inside the pores may begin to be affected by degradation been observed (Ruyter & éysaed, 1987), together with

ã 2001 Blackwell Science Ltd, Journal of Oral Rehabilitation 28; 1106±1115


1114 È R T E N G R E N et al.
U. O

several impurities (not identi®ed). However, Bis-GMA of BRADEN , M. (1984) Water absorption characteristics of dental
poor quality containing impurities such as bisphenol-A micro®ne composite ®lling materials. II Experimental materials.
Biomaterials, 5, 373.
can result in release of bisphenol-A from the polymer-
BRADEN , M., CAUSTON , E.E. & CLARKE , R.L. (1976) Diffusion of
ized material. Bisphenol-A may therefore be regarded water in composite ®lling materials. Journal of Dental Research,
as an impurity rather than a degradation product from 55, 738.
Bis-GMA when a composite is exposed to the oral BRADEN , M. & CLARKE , R.L. (1984) Water absorption character-
conditions. istics of dental micro®ne composite ®lling materials. I Proprie-
tary Materials. Biomaterials, 5, 369.
BRADEN , M. & DAVY , K.W.M. (1986) Water absorption character-
Conclusions istics of some un®lled resins. Biomaterials, 7, 474.
BRADEN , M. & PEARSON , G.J. (1981) Analysis of aqueous extracts
Within the limitations of this study, it is concluded that from ®lled resins. Journal of Dental Research, 9, 141.
the resin matrix composition is important for the water FERRACANE , J.L. (1994) Elution of leachable components from
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the Swedish Foundation for Health Care Sciences and KILDAHL , K.K. & RUYTER , I.E. (1997) How different curing
Allergy Research (A 96015). methods affect mechanical properties of composites for inlays
when tested in dry and wet conditions. European Journal of Oral
We thank Bo Eriksson (Nordic School of Public
Science, 105, 353.
Health) for his advice and help with the statistical MU È LLER , H., OLSSON , S. & So
ULLER È DERHOLM , K.J. (1997) The effect of
calculations, John Gulliver for grammatical corrections comonomer composition, silane heating and ®ller type on
and Dentsply/DeTrey (Germany), Ivoclar/Vivadent aqueous TEGDMA lechability in model resin composites.
(Liechtenstein), ESPE (Germany) and Bisco (USA) for European Journal of Oral Science, 105, 362.
OLEA , N., PULGAR , R., PEEREZ
 REZ , P., OLEA -SERRANO , F., RIVAS , A.,
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