Objective The aim of this review was to provide an insight about the factors affecting the properties of glass ionomer cements and provides a review regarding studies that are related to modification of glass ionomer cements to improve their properties, particularly on physical‐mechanical and antimicrobial activity. Methods PubMed and Science Direct were searched for papers published between the years 1974 and 2018. The search was restricted to articles written in English related to modification of glass ionomer cements. Only articles published in peer‐reviewed journals were included. The search included literature reviews, in vitro, and in vivo studies. Articles written in other languages, without available abstracts and those related to other field were excluded. About 198 peer‐review articles in the English language were reviewed. Conclusion Based on the finding, most of the modification has improved physical‐mechanical properties of glass ionomer cements. Recently, researchers have attempted to improve their antimicrobial properties. However, the attempts were reported to compromise the physical‐mechanical properties of modified glass ionomer cements. Clinical significance As the modification of glass ionomer cement with different material improved the physical‐mechanical and antimicrobial properties, it could be used as restorative material for wider application in dentistry.
The aim of this study was to investigate the effects of adding a nano zirconia-silica-hydroxyapatite (nanoZrO2-SiO2-HA) composite synthesized using a one-pot sol-gel technique to a conventional glass ionomer cement (GIC), which was then characterized using X-ray diffraction (XRD). Following the characterization studies, further investigations were carried out after the addition of nanoZrO2-SiO2-HA to cGIC (GIC nanoZrO2-SiO2-HA) at various percentages (~5% to 9%) to compare their fracture toughness, color stability, and sorption- solubility in relation to cGIC (Fuji IX). The XRD diffractogram indicated the presence of peaks for ZrO2, SiO2, and HA. The fracture toughness of GIC 5%nanoZrO2-SiO2-HA was statistically higher than that of other percentages of GIC nanoZrO2-SiO2-HA and cGIC. The highest values recorded were fracture toughness ( 1.35 ± 0.15 MPa . m 1 / 2 ), leading to an increase of ∼57%, as compared to cGIC. Overall, the color change ( Δ E ) values for GIC 5% nano Zr-Si-HA group were lower than those of cGIC over a one-month period and were between slight and perceptible. In addition, GIC 5%nanoZrO2-SiO2-HA recorded lower sorption values ( 23.64 ± 2.3 μ gm m − 3 ) as compared to cGIC ( 36.28 ± 2.6 μ gm m − 3 ) and higher solubility ( 66.46 ± 2.4 μ gm m − 3 ) as compared to cGIC ( 56.76 ± 1.6 μ gm m − 3 ). The addition of nanoZrO2-SiO2-HA to cGIC significantly enhanced its physicomechanical properties. Based on the results of our study, GIC nanoZrO2-SiO2-HA has the potential to be suggested as a restorative dental material with diverse applications ranging from cavity restoration, core build-up, and as a luting material.
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