ORIGINAL RESEARCH


https://doi.org/10.5005/jp-journals-10024-3090
The Journal of Contemporary Dental Practice
Volume 22 | Issue 6 | Year 2021

Chemical Characterization and Physical Properties of Dental Restorative Composite Resin with a Novel Multifunctional Cross-linking Comonomer

Jambai Sampathkumar Sivakumar1, Ranganathan Ajay2, Venkatesan Sudhakar3, Chandramohan Ravivarman4, Sundaravadivel Vignesh5, Shafie Ahamed6

1Department of Conservative Dentistry and Endodontics, Vivekanandha Dental College for Women, Tiruchengode, Tamil Nadu, India

2Department of Prosthodontics and Crown and Bridge, Vivekanandha Dental College for Women, Tiruchengode, Tamil Nadu, India

3Department of Conservative Dentistry and Endodontics, Adhi Parasakthi Dental College and Hospital, Melmaruvathur, Tamil Nadu, India

4Department of Conservative Dentistry and Endodontics, Dhanalakshmi Srinivasan Dental College, Perambalur, Tamil Nadu, India

5Department of Conservative dentistry and Endodontics, KSR Institute of Dental Science and Research, Tamil Nadu, India

6Department of Conservative Dentistry and Endodontics, Rajah Muthiah Dental College and Hospital, Tamil Nadu, India

Corresponding Author: Ranganathan Ajay, Department of Prosthodontics and Crown and Bridge, Vivekanandha Dental College for Women, Tiruchengode, Tamil Nadu, India, Phone: +91 8754120490. E-mail: jrangclassiq@gmail.com

How to cite this article: Sivakumar JS, Ajay R, Sudhakar V, et al. Chemical Characterization and Physical Properties of Dental Restorative Composite Resin with a Novel Multifunctional Cross-linking Comonomer. J Contemp Dent Pract 2021;22(6):630–636.

Source of support: Nil

Conflict of interest: None

ABSTRACT

Aim and objective: To chemically characterize restorative composite resin polymerized with 20 wt.% and 40 wt.% dipentaerythritol penta-/hexaacrylate (DPEPHA) comonomer. Furthermore, this study aimed to evaluate the conversion degree (DC) and glass transition temperature (Tg) of the newly formed copolymer.

Materials and methods: The trial groups were photo-polymerized with DPEPHA comonomer, whereas the control group was photo-polymerized only with the propriety resin monomers. Infrared (FTIR) and nuclear magnetic resonance (NMR) spectroscopies were used for establishing copolymerization. The characteristics and composition (mass %) of the surface were explained by field-emission scanning electron microscopy (FESEM) and energy-dispersive X-ray (EDX) spectroscopy, respectively. The DC and Tg of the resultant copolymers were evaluated through FTIR and differential scanning calorimetry, respectively. Appropriate statistical tests with corresponding post hoc tests were employed to compare the medians and means of DC and Tg, respectively.

Results: The formation of a new copolymer P(GEU-Co-DPEPHA) was evident. The DC and Tg of the P(GEU-Co-DPEPHA) copolymer were greater than the control. DPEPHA in the copolymer at 40 wt.% concentration showed the highest DC and Tg.

Conclusion: DPEPHA comonomer addition leads to the formation of a new P(GEU-Co-DPEPHA) copolymer with improved DC and Tg.

Clinical significance: The novel P(GEU-Co-DPEPHA) copolymer may improve the physico-mechanical and biological properties of the restorative composite resin. This would improve the quality of restoration and its in vivo serviceability, thereby imparting a good living quality to the entailed population.

Keywords: Copolymer, Cross-linker, Degree of conversion, Dipentaerythritol penta-/hexaacrylate, Glass transition temperature.

INTRODUCTION

2,2-bis-[4-(2-hydroxy-3-methacryloxypropoxy)phenyl]propane or bisphenol-A-glycerolate dimethacrylate (bis-GMA; G), bisphenol-A-ethoxylate dimethacrylate (bis-EMA), 1,6-bis-(methacryloyloxy-2-ethoxycarbonylamino)-2,4,4-trimethylhexane, known as urethane dimethacrylate monomer (UDMA; U), and triethylene glycol dimethacrylate (TEGDMA; E) are the frequently employed dental dimethacrylate monomers.1,2 Copolymerization of these dimethacrylate monomers in mixtures of various ratios has been achieved.3 Myriad commercial dental composite resins are based on these exemplary mixtures of dimethacrylates.

Low degree of conversion (DC) and reduced possibility of filler addition are primarily due to the extreme viscosity of bis-GMA. Oligoethylene glycol dimethacrylates (TEGDMA; a low-molecular-weight dimethacrylate) are being used to decrease this viscosity and increase the DC and filler load. A rise in polymerization shrinkage, however, is caused by the addition of TEGDMA.4 Bis-EMA and UDMA monomers were developed in response to flaws in bis-GMA. The molecular weights of these monomers are akin to bis-GMA, but with low viscosity. Bis-EMA is less viscous than UDMA, with no hydroxyl groups. Without the use of reactive diluents, a combination of bis-GMA and bis-EMA can be used.3 The viscosity of the UDMA monomer is amplified by the intermolecular hydrogen bonds between urethane species. It is the only dimethacrylate that can be employed discretely as commercial composite matrix due to the acceptable mechanical properties of its homopolymers.5 It can also be synergistically used with bis-GMA as a thinner.3

Unresolved problems in radical polymerization of dimethacrylates include incomplete conversion of double bonds and microgel agglomeration. DC is never complete in such spatially heterogeneous polymer networks containing agglomeration with cross-link density variations.613 Traditionally, composite dental materials achieve a DC of about 50 to 75%.1416 In homopolymer networks of spacious dimethacrylates, such as bis-GMA, the limited conversion can be as low as 50%.1720 Because of the presence of a sol fraction, polymer networks with a DC less than 50% are unsuitable for practical applications.14,21 Some authors recommend a DC of at least 55% for clinical success in dentistry.14 Recently, characterization of the structural heterogeneity of dimethacrylate polymeric networks has been determined quantitatively by the thermal analysis techniques. In the differential scanning calorimetry (DSC) studies to assess glass transition temperature (Tg), changes in heat capacity during glass transition and curing enthalpy are evaluated.22 Tg is the temperature at which the characteristics of the monomer shift from glass to rubber; the available polymer movements are limited below the glass transition temperature. However, above the glass transition, a motion that begins with one atom will pass through the chain and cause detrimental effects on the polymer chains.23 Therefore, DC and Tg are vital parameters governing the in vivo serviceability of restorative composite resins.

Monomeric modifications were not uncommon with acrylic resins that were executed to enhance the physico-mechanical and biological properties of dental restorative composites.2429 However, some pitfalls to be solved remain in the restorative matrix monomers, such as low monomer conversion rate, high polymerization shrinkage, aging, and degradation during service. Therefore, new types of monomers have been developed to meet these deficiencies.

Dipentaerythritol penta-/hexaacrylate (DPEPHA) is a novel multifunctional hydrophobic monomer possessing cross-linking ability, abrasion resistance, surface hardness, and good adhesive property. Phosphorylated form of DPEPHA (phosphate ester monomer) has been used as bonding agents to lute zirconia crowns to the teeth.30,31 However, there are no researches available regarding the use of non-phosphorylated DPEPHA in the dental restorative composite resins. Hence, the present research seeks to develop and evaluate a novel dental composite containing DPEPHA as comonomer.

However, the interaction and copolymerization of the added comonomer with the propriety matrix resin monomers (bis-GMA, TEGDMA, and DUDMA [GEU]) play a vital role as copolymerization determines the properties of the dental restorative composite resins. To enhance the properties of the dental restorative composite with a comonomer, it warrants a prominent interaction between the propriety matrix monomers and the added comonomer. Therefore, the present research aims to characterize and evaluate the physical properties of the photo-activated dental resin composite with DPEPHA.

MATERIALS AND METHODS

Fourier transform infra-red (FTIR), nuclear magnetic resonance (NMR) spectroscopies, and field-emission scanning electron microscopy (FESEM) of the specimens were performed at Central Electro-Chemical Research Institute, Tamil Nadu. Differential scanning calorimetry (DSC) and energy-dispersive X-ray spectroscopy (EDX) were executed at Centralized Instrumentation and Service Laboratory, Annamalai University, Tamil Nadu. Table 1 describes the materials used in the research.

Table 1: Monomers and fillers used in the research
Material Manufacturer Batch/Lot number
Bis-phenol-A glycerolate dimethacrylate Sigma Aldrich Co., St Louis, MO, USA. MKCF9832
Triethylene glycol dimethacrylate STBH8825
2-Diurethane dimethacrylate MKCG8230
Camphorquinone 09003AQV
Dimethyl aminoethyl methacrylate BCCC3073
Dipentaerythritol penta-/hexaacrylate MKCJ0750
Barium oxide 0000097407
Barium fluoride Sisco research laboratories Pvt. Ltd. Maharashtra, India 9409286
Zirconia nanoparticles Nano Research Lab, Jamshedpur, Jharkhand, India 125-02

Matrix Formulation and Photo-polymerization of Control and Trial Groups

The composition of composite matrices of control (G0) and trial groups (G20 and G40) was given in Table 2. The total matrix: filler ratio was 30:70 wt.%. For control matrix (G0), bis-GMA was taken and stirred at 40°C for 10 minutes in an ultrasonic bath. Subsequently, TEGDMA and DUDMA were added. For G20 and G40, DPEPHA was additionally incorporated at 20 wt.% and 40 wt.%, respectively. To this mixture, CQ and DMAEMA were added at a ratio 1:2 and stirred for 3 hours. Eventually, 70 wt.% pre-coupled fillers were incorporated into the resin matrix and stirred for 24 hours. The entire formulation was dried at 37°C in vacuum for 30 minutes and incubated at room temperature until further use.

Table 2: Composition of control and trial matrices
Matrix Composition
G0 Monomeric ingredients: bis-GMA (50 wt.%), TEGDMA (20 wt.%), DUDMA (30 wt.%); GEU. Filler ingredients: BaO (30 wt.%), BaF2 (30 wt.%), ZrO2 (40 wt.%). The total CQ:DMAEMA (1:2) is 1 wt.%
G20 Monomeric ingredients: bis-GMA (40 wt.%), TEGDMA (20 wt.%), DUDMA (20 wt.%), DPEPHA (20 wt.%). Filler ingredients: BaO (30 wt.%), BaF2 (30 wt.%), ZrO2 (40 wt.%). The total CQ:DMAEMA (1:2) is 1 wt.%
G40 Monomeric ingredients: bis-GMA (30 wt.%), TEGDMA (20 wt.%), DUDMA (10 wt.%), DPEPHA (40 wt.%). Filler ingredients: BaO (30 wt.%), BaF2 (30 wt.%), ZrO2 (40 wt.%). The total CQ:DMAEMA (1:2) is 1 wt.%

The matrix material was placed in a Teflon mold with typical dimensions (15 mm diameter, 1 mm thick, n = 10 per group for DC by FTIR spectroscopy). To remove the surfeit matrix material, a clear cellophane sheet was positioned onto the mold’s surface and pressed against a glass tile. The resin matrices were photo-polymerized from both sides for 40 seconds with a light-curing unit (Guilin Woodpecker Medical Instrument Co., Ltd.; Guangxi, China; absorbs light in the 420–480 nm, 650–800 mW cm−2).

FTIR Spectroscopy and Degree of Conversion

The DC of the photo-polymerized specimens of all the groups was determined by FTIR spectroscopy in attenuated total reflection (FTIR-ATR) mode (Tensor 27 model; Bruker Optik, GmbH, Germany) with 4000 to 600 cm−1 scanning range at 4 cm−1 s−1 speed and 64 scans in the final spectrum. First, the FTIR spectra of unpolymerized resin matrices of all the groups were obtained. The FTIR spectra of the photo-polymerized specimens were also measured. Since the organic phase of dental composite monomers is mainly dimethacrylates, the unreacted methacrylate groups were quantified using an absorption (Abs) band of 1638 cm−1 (aliphatic C=C double bonds) and compared to the 1608 cm−1 (C=C double bonds of bis-GMA’s aromatic ring) absorption band, which did not involve in the polymerization. DC was measured by comparing the peak height ratios of aliphatic C=C peak to aromatic C=C peak of polymerized specimens to the unpolymerized specimens. DC% was calculated using the following equation:

21

NMR Spectroscopy

A digital NMR spectrometer (Ascend™ 500; Bruker, GmbH, Germany) was used for recording 1H- and 13C-NMR spectra. For 1H- (n = 1 per group) and 13C-NMR (n = 1 per group), polymerized resin specimens were ground to fine powder. Later, 20 mg (1H-NMR) and 30 mg (13C-NMR) powdered resin specimens were dissolved in 1 mL of deuterated chloroform (CDCl3) in a thin glass tube. Tetramethylsilane served as an internal standard.

FESEM-EDX Spectroscopy

For FESEM-EDX, one prototypical cuboidal specimen (n = 1 per group; 5 × 5 × 3 mm3) was photo-polymerized. The surface topography of the groups was analyzed using a FESEM (Carl Zeiss, Supra 55VP, Germany). The unfinished specimens were mounted on specimen stage, and the beam-specimen distance was adjusted to 10 mm. The chemical constituents of the specimens in mass percent were detected by EDX spectroscopy (JEOL-JSM-IT 200; Tokyo, Japan). The X-ray photon fusilladed the atomic electrons and was detected using EDX spectrometer. An in-built microanalysis software was used to process the graphical representation of the constituents (live analysis).

Glass Transition Temperature

For Tg, the specimens were analyzed in the differential scanning calorimetry (DSC) instrument (Netzsch, STA 449 F3 Jupiter®, Selb, Germany) under nitrogen. Each group had 10 photo-polymerized specimens (n = 10 per group), which were finely ground to powder. Powdered specimens (20 mg) were heated on an aluminum holder to temperatures ranging from 50°C to 200°C at a heating rate of 20°C min−1. Both measurements were performed using data from the second cycle to erase the specimen’s thermal background. Using the built-in program (Proteus®), the Tg was measured by the technique described elsewhere.32

Statistical Analysis

The data analysis was accomplished using the Statistical Package for the Social Sciences software (SPSS Inc., Chicago, IL, USA; version 21.0). According to Kolmogorov–Smirnov test, the data distribution concerning DC was not normally distributed and thus was presented as median and interquartile range. Kruskal–Wallis test was employed to analyze differences between the control and trial specimens, which was followed by post hoc Dunn’s test (α = 0.05). Concerning Tg, the data were normally distributed and the continuous data were presented as mean and standard deviation (SD). The level of significance between the three groups for Tg was tested with one-way analysis of variance (ANOVA). Post hoc Bonferroni test (α = 0.05) was executed to compare the groups. P < 0.05 was considered for statistical significance.

RESULTS

FTIR Spectroscopy

Figure 1 highlights the spectral variations among the groups. The appearance of a peak at 1635.66 cm−1 in G0 [P(GEU)] is attributed to aliphatic C=C stretch (zone II). Peak at 773.46 cm−1 in G0 is attributed to cis-C=C bending of di-substituted alkene moiety (zone V). These peaks in G0 apparently indicate the presence of unreacted residual monomer. Absence of this peak in the G20 and G40 groups implies less or negligible presence of residual monomer content. In the trial groups G20 and G40, peaks at 810.01 cm−1 are attributed to C–H bending corresponding to multi-substituted acrylate moiety, which are absent in the G0 group (zone V). Peak intensities decreased in the trial groups that were attributed to C–N amine stretching and N–H out-of-plane deformation of secondary aliphatic amine at zone IV and zone V. This indicates the reduction of DUDMA concentration in the trial groups. Peaks corresponding to carbonyl moiety (C=O stretch and C–H bend of O=C–H) at zone II and zone III are intensified for the trial groups when compared to G0. The intensified peak at zone I attributed to O–H stretching in the trial groups indicates the presence of alcohol moiety of the DPEPHA comonomer, which is of less significance.

Fig. 1: FTIR spectral differences between the groups

NMR Spectroscopy

The peak signals of 1H-NMR at δ 3.74 to 3.76 and δ 3.93 to 3.95 (┤C-CH2-O-CH2-C├) in the trial groups indicate the presence of DPEPHA. The peak signals of (–CH2H-C(O)O–) at δ 6.13 to 6.14 (G20); δ 6.29 to 6.33 (G40) and (–CH2-ĆH-C(O)O–) at δ 6.37 to 6.41 (G20); δ 6.72 to 6.74 (G40) also confirm the incorporation of DPEPHA in the resin matrix. The peak signals of 13C-NMR at δ 26.05 (G20); δ 29.70 to 29.30 (G40) for tertiary carbon (–ĆH–), peak signal of (┤C-CH2-O-CH2-C├) at δ 31.11 (G20); δ 31.02 (G40), peak signals of (┤C-CH2-O-CH2-C├) and (–CH2–) attached to acrylate moiety at δ 44.11 (G20); δ 43.82 (G40) indicate the presence of DPEPHA in the trial groups. Hence, the appearances of the abovementioned peak intensities in the trial groups attest to the copolymerization of DPEPHA with the propriety resin matrix (GEU) and the formation of a new copolymer P(GEU-Co-DPEPHA). These peak signals are absent in the G0. The peak signals at δ 5.69 and δ 6.24 in 1H-NMR; peak signal at δ 125.70 to 126.21 in 13C-NMR of G0 confirm residual monomer’s presence, which are absent in the trial groups. Figure 2 depicts the detailed schema of the newly formed copolymer P(GEU-Co-DPEPHA).

Fig. 2: Schema of newly formed copolymer P(GEU-Co-DPEPHA). (A) Bis-GMA-G; (B) TEGDMA-E; (C) DUDMA-U; (D) DPEPHA. C=C, potential sites for cross-link copolymerization. r′ is the repeated unit of r

FESEM-EDX Spectroscopy

FESEM analysis showed morphological differences between the control and trial groups. More homogenous material structure was observed in G40, whereas G0 presented a rough and irregular surface. G20 has an intermittent surface character between G0 and G40 (Fig. 3). Hence, the addition of DPEPHA enhanced the surface characteristics of the new copolymer P(GEU-Co-DPEPHA). The elemental composition in mass% of C, O, Zr, Ba, and F of control and trial groups was detected and shown in Table 3. However, the concentration was different in all the groups. The filler contents showed almost similar elemental composition and concentration.

Figs 3A to C: FESEM: (A) G0; (B) G20; (C) G40

Table 3: EDX analysis of the control and trial groups (mass%)
C O Zr Ba F
G0 52.59 26.59 3.88 14.91 2.03
G20 55.04 27.67 2.63 13.36 1.30
G40 56.14 27.86 2.22 12.72 1.06

Degree of Conversion

Figure 4 shows Abs peaks at 1638 cm−1 and 1608 cm−1 for unpolymerized specimens in all the groups, which correspond to unreacted aliphatic C=C. The Abs peak at 1638 cm−1 surprisingly vanished in the polymerized specimens of both trial groups, which is inferred as less or negligible residual monomer. However, for the polymerized specimens of the G0, a weak Abs peak around 1638 cm−1 confirms the existence of unreacted residual monomer. Table 4 presents the medians of the groups and shows significant differences among the groups (p = 0.000). Table 5 shows a statistically significant difference between the groups (p = 0.000) by multiple comparisons. The DC of trial groups was greater than the control group. The DC of G40 was greater than the G20.

Fig. 4: FTIR charts for DC of the groups

Table 4: Kruskal–Wallis test—comparison of median DC among groups
Group DC (%) Mean rank P-value
G0 66.90 5.50 0.000*
G20 80.80 15.50
G40 85.77 25.50
*Asymptotic significances. The significance level is 0.05
Table 5: Post hoc Dunn’s test for DC.
Group comparison Test statistic Standard error Standard test statistic P-value
G0–G20 −10.000 3.937 −2.540 0.000*
G0–G40 −20.000 3.937 −5.080 0.000*
G20–G40 −10.000 3.937 −2.540 0.000*
*Asymptotic significances (two-sided tests). The significance level is 0.05.

Glass Transition Temperature

The mean (SD) Tg (°C) of G0, G20, and G40 groups was 59.53 (0.72), 67.11 (1.06), and 81.50 (0.44), respectively. Significant differences were evident among and between the groups (p = 0.000). The Tg of trial groups was greater than the control. The Tg of G40 was higher than the G20. Hence, the addition of DPEPHA increased the Tg of the new copolymer P(GEU-Co-DPEPHA). Figure 5 illustrates the DSC curves of the groups.

Fig. 5: DSC curves with Tg plot of the groups

DISCUSSION

The effect of copolymerization caused by the addition of the DPEPHA comonomer on the DC and Tg of photo-polymerizable dental restorative composite material was demonstrated in this research. To build the novel P(GEU-Co-DPEPHA) copolymer, the composition of the GEU-based composite resin was chemically changed by adding DPEPHA (20 and 40 wt.%). In the trial groups, peaks at 810.01 cm−1 attributable to C–H bending of multi-substituted acrylate moiety in the FTIR spectra, additional protons attributable to (┤C–CH2–O–CH2–C├), (–CH2–ĆH–C(O)O–), and additional C-atoms attributable to (–ĆH–), (┤CCH2–O–CH2C├), (–CH2–) attached to acrylate moiety in the NMR spectroscopies asserted the formation of the new copolymer P(GEU-Co-DPEPHA). Furthermore, this was corroborated with EDX spectroscopy, demonstrating higher C mass% in trial groups than the control.

Chroszcz and Barszczewska-Rybarek33 developed a novel urethane dimethacrylate monomer with two quaternary ammonium groups and used FTIR-ATR and NMR spectroscopies to validate the chemical structure. FTIR-ATR and NMR spectroscopies were used by Al-Odayni et al.34 to validate the synthesized chlorinated bis-GMA. When compared to bis-GMA, chlorinated bis-GMA displayed stronger DC. FTIR, 1H-NMR, 13C-NMR, and EDX spectroscopies, as well as EDX spectroscopy, were used to ascertain the P(GEU-Co-DPEPHA) copolymer formation in this research.

The DC in the trial groups was higher than in the G0 group. Reactive moieties are responsible for the rate of conversion. For faster reaction kinetics, the acrylic moieties of multifunctional acrylates (DPEPHA) are used instead of the methacrylic moieties of propriety dimethacrylates. The second pendant methacrylate group is prognosticated to be 7.5–10 times less reactive after the first methacrylate group has reacted in dimethacrylates. As a result, the final conversion during polymerization is reduced.35 The acrylic moieties with rapid reaction kinetics in DPEPHA, on the other hand, resulted in increased conversion and in turn decreasing the residual monomer content. The Abs peak at 1638 cm−1 in the FTIR spectra correlates with the presence of unreacted residual monomer (C=C). The absence of the Abs peak at 1638 cm−1 for the P(GEU-Co-DPEPHA) copolymer in this research indicates that it has a higher DC and less residual monomer than the G0.

The flexibility of the monomers can be calculated using viscosity or Tg, and there has previously been a strong correlation found between bis-GMA concentration and Tg, as well as Tg and DC in bis-GMA/TEGDMA systems.36 To ensure the longevity of a dental restoration, the Tg of polymeric resins suggested for use as new restorative materials must be taken into account.37 The Tg of the oligomeric and DPEPHA-prepared specimens is substantially different, meaning that the structure of the polymer was influenced by the pre-reaction. The difference in Tg between the groups is due to a decrease in allyl co-/homopolymerization in the G0, which results in a lower cross-linking density. Furthermore, although the trial groups tested here all had a high Tg, P(GEU-Co-DPEPHA) had better polymer homogeneity, as demonstrated by a narrow glass transition range that was unaffected by oligomerization or copolymerization.38 In the dental literature, the exact relationship between Tg and cross-linkers has yet to be determined. The Tg is determined by the cross-linker type, according to this research. The relationship between Tg and cross-linker form and concentration, on the other hand, is complicated.

DPEPHA was substituted in the GEU resin matrix at concentrations of 20 wt.% and 40 wt.% in this research. DPEPHA’s copolymerizing ability with GEU resin matrix monomers, DC, and Tg greater than 40 wt.% has yet to be tested. Since this is the only analysis of DPEPHA in a restorative composite resin, the findings should be viewed with caution. More studies should be done to see how increasing the concentration of DPEPHA affects mechanical properties and biocompatibility.

CONCLUSION

It can be concluded that there was a firm authentication of copolymerization of DPEPHA comonomer with the propriety GEU resin matrix. Surface topography appeared homogenous and smooth along with high C wt% in P(GEU-Co-DPEPHA) copolymer. The DC and Tg were augmented with the inclusion of DPEPHA in the propriety GEU resin matrix. The P(GEU-Co-DPEPHA) copolymer with 40 wt.% DPEPHA had the highest conversion and Tg.

CLINICAL SIGNIFICANCE

The analysis of copolymerization in dental restorative composite resin by adding a comonomer offers a modification or reinforcement process that is intended to enhance the material’s mechanical properties and biocompatibility. As a result, the efficiency and reliability of the restoration will increase, giving the affected population a better quality of life.

REFERENCES

1. Mitra SB, Sakaguchi RL. Restorative materials - composites and polymers. In: Sakaguchi RL, Powers JM, editors. Craig’s restorative dental materials. 13th ed. St. Louis: Mosby, 2013, pp. 161–198.

2. Vasudeva G. Monomer systems for dental composites and their future. J Calif Dent Assoc 2009;37:389–398. PMID: 19831015

3. Santulli C. Nanostructured composites for dental fillings. In: Swain SK, Jawaid M, editors. Nanostructured polymer composites for biomedical applications. Amsterdam: Elsevier, 2019; pp. 277–294.

4. Peutzfeldt A. Resin composites in dentistry: the monomer systems. Eur J Oral Sci 1997;105:97–116. DOI: 10.1111/j.1600-0722.1997.tb00188.x.

5. El-Banna A, Sherief D, Fawzy AS. Resin based dental composites for tooth filling. In: Khurshid Z, Najeeb S, Zafar MS, et al., editors. Advanced dental biomaterials. Duxford: Wood Head Publishing, 2019, pp. 127–174.

6. Lovell LG, Berchtold KA, Elliot JE, et al. Understanding the kinetics and network formation of dimethacrylate dental resins. Polym Adv Technol 2001;12:335–345. DOI: 10.1002/pat.115.

7. Andrzejewska E. Photopolymerization kinetics of multifunctional monomers. Prog Polym Sci 2001;26:605–665. DOI: 10.1016/S0079-6700(01)00004-1.

8. Dickens H, Stansbury JW, Choi KM, et al. Photopolymerization kinetics of methacrylate dental resins. Macromolecules 2003;36:6043–6053. DOI: 10.1021/ma021675k.

9. Anseth KS, Bowman CN. Kinetic gelation predictions of aggregation in tetrafunctional monomer polymerizations. J Polym Sci B Polym Phys 1995;33:1769–1780. DOI: 10.1021/ma010309i.

10. Hild G. Model networks based on ‘endlinking’ processes: synthesis, structure and properties. Prog Polym Sci 1998;23:1019–1049. DOI: 10.1080/14686996.2019.1618685.

11. Flory PJ. Molecular theory of rubber elasticity. Polymer 1985;17:1–12. DOI: 10.1295/polymj.17.1.

12. Elliott JE, Lovell LG, Bowman CN. Primary cyclization in the polymerization of bis-GMA and TEGDMA: a modeling approach to understanding the cure of dental resins. Dent Mater 2001;17:221–229. DOI: 10.1016/s0109-5641(00)00075-0.

13. Kannurpatti A, Anseth J, Bowman CHN. A research of the evolution of mechanical properties and structural heterogeneity of polymer networks formed by photo-polymerizations of multifunctional (meth)acrylates. Polymer 1998;39:2507–2513. DOI: 10.1016/S0032-3861(97)00585-5.

14. Alshali RZ, Silikas N, Satterthwaite JD. Degree of conversion of bulk-fill compared to propriety resin-composites at two time intervals. Dent Mater 2013;29:e213–e217. DOI: 10.1016/j.dental.2013.05.011.

15. Randolph LD, Palin WM, Bebelman S, et al. Ultra-fast light-curing resin composite with increased conversion and reduced monomer elution. Dent Mater 2014;30:594–604. DOI: 10.1016/j.dental.2014.02.023.

16. Par M, Gamulin O, Marovic D, et al. Raman spectroscopic assessment of degree of conversion of bulk-fill resin composites—Changes at 24 hours post cure. Oper Dent 2015;40:E92–E101. DOI: 10.2341/14-091-L.

17. Sideridou I, Tserki V, Papanastasiou G. Effect of chemical structure on degree of conversion in light-cured dimethacrylate-based dental resins. Biomaterials 2002;23:1819–1829. DOI: 10.1016/s0142-9612(01)00308-8.

18. Gajewski VES, Pfeifer CS, Fróes-Salgado NRG, et al. Monomers used in resin composites: degree of conversion, mechanical properties and water sorption/solubility. Braz Dent J 2012;23:508–514. DOI: 10.1590/s0103-64402012000500007.

19. Stansbury JW. Dimethacrylate network formation and polymer property evolution as determined by the selection of monomers and curing conditions. Dent Mater 2012;28:13–22. DOI: 10.1016/j.dental.2011.09.005.

20. Leprince JG, Palin WM, Hadis MA, et al. Progress in dimethacrylate-based dental composite technology and curing efficiency. Dent Mater 2013;29:139–156. DOI: 10.1016/j.dental.2012.11.005.

21. Moldovan M, Balazsi R, Soanca A, et al. Evaluation of the degree of conversion, residual monomers and mechanical properties of some light-cured dental resin composites. Materials 2019;12:2109. DOI: 10.3390/ma12132109.

22. Krzeminski M, Molinari M, Troyon M, et al. Calorimetric characterization of the heterogeneities produced by the radiation-induced cross-linking polymerization of aromatic diacrylates. Macromolecules 2010;43:3757–3763. DOI: 10.1021/ma902817g.

23. Chung CM, Kim MS, Kim JG, et al. Synthesis and photo polymerization of trifunctional methacrylates and their application as dental monomers. J Biomed Mater Res 2002;62:622–627. DOI: 10.1002/jbm.10359.

24. Ajay R, Suma K, Ali SA. Monomer modifications of denture base acrylic resin: A systematic review and meta-analysis. J Pharm Bioall Sci 2019;11:S112–S125. DOI: 10.4103/JPBS.JPBS_34_19.

25. Viljanen EK, Skrifvars M, Vallittu PK. Dendritic copolymers and particulate filler composites for dental applications: degree of conversion and thermal properties. Dent Mater 2007;23:1420–1427. DOI: 10.1016/j.dental.2006.11.028.

26. Zhang YJ, Zhang DH, Qin CY, et al. Physical and mechanical properties of dental nanocomposites composed of aliphatic epoxy resin and epoxidized aromatic hyperbranched polymers. Polym Compos 2008;30:176–181. DOI: 10.1002/pc.20549.

27. Lukaszczyk J, Janicki B, Frick A. Investigation on synthesis and properties of isosorbide based Bis-GMA analogue. J Mater Sci Mater Med 2012;23:1149–1155. DOI: 10.1007/s10856-012-4594-6.

28. Gauthier MA, Simard P, Zhang Z, et al. Bile acids as constituents for dental composites: in vitro cytotoxicity of (meth)acrylate and other ester derivatives of bile acids. J R Soc Interface 2007;22:1145–1150. DOI: 10.1098/rsif.2007.1018.

29. Fong H, Dickens HS, Flaim GM. Evaluation of dental restorative composites containing polyhedral oligomeric silsesquioxane methacrylate. Dent Mater 2005;21:520–529. DOI: 10.1016/j.dental.2004.08.003.

30. Al-Nabulsi M, Daud A, Yiu C, et al. Co-blend application mode of bulk fill composite resin. Materials 2019;12:2504. DOI: 10.3390/ma12162504.

31. Chen Y, Tay FR, Lu Z, et al.Dipentaerythritol penta-acrylate phosphate – an alternative phosphate ester monomer for bonding of methacrylates to zirconia. Sci Rep 2016;6:39542. DOI: 10.1038/srep39542.

32. Ajay R, Suma K, Sasikala R, et al. Chemical structure and physical properties of heat-cured poly(methyl methacrylate) resin processed with cycloaliphatic comonomer: an in vitro study. J Contemp Dent Pract 2020;21(3):285–290. DOI: 10.4103/jpbs.jpbs_20_20.

33. Chroszcz M, Barszczewska-Rybarek I. Synthesis of novel urethane-dimethacrylate monomer containing two quaternary ammonium groups for applications in dentistry. Proceedings 2020;67:3. DOI: 10.3390/ASEC2020-07548.

34. Al-Odayni A, Alfotawi R, Khan R, et al. Synthesis of chemically modified BisGMA analog with low viscosity and potential physical and biological properties for dental resin composite. Dent Mater 2019;35:1532–1544. DOI: 10.1016/j.dental.2019.07.013.

35. Ruyter IE, Svedsen SA. Remaining methacrylate groups in composite restorative materials. Acta Odontol Scand 1978;40:359–376. DOI: 10.3109/00016357809027569.

36. Morgan DR, Kalachandra S, Shobha HK, et al. Analysis of a dimethacrylate copolymer (Bis-GMA and TEGDMA) network by DSC and C-13 solution and solid-state NMR spectroscopy. Biomaterials 2000;21:1897–1903. DOI: 10.1016/s0142-9612(00)00067-3.

37. Wong K, Boyde A, Howell PGT. A model of temperature transients in dental implants. Biomaterials 2001;20:2795–2797. DOI: 10.1016/s0142-9612(01)00023-0.

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