Comparison and evaluation of the effect of polymerization of resin-modified glass ionomer cement and dual-cure resin cement on the crystalline structure of dentin using synchrotron X-ray diffraction and its clinical correlation with postoperative sensitivity

Abstract

Aim: To compare the effect of polymerization of resin-modified glass ionomer cement and dual-cure resin cement on the crystalline structure and to correlate it clinically with postoperative sensitivity. Settings and Design: The evaluation of crystalline strain in the dentin slabs was done using Synchrotron X-ray diffraction. The post operative sensitivity was measured clinically using Schiff’s sensitivity scale. Materials and Methods: A total of 44 extracted and noncarious premolars were collected. Dentin slabs of dimensions 2 mm × 2 mm × 1.5 mm were prepared from the buccal aspect of the extracted teeth. The dentin slabs were then divided into two groups, Group A dual-cured resin cement and Group B resin-modified glass ionomer cement was applied. The dentin slabs first underwent synchrotron X-ray diffraction before and after the application of cement. Forty-two patients who were undergoing complete metal fixed prostheses on vital posterior abutments were selected. In this, 21 vital abutments were included in each group. Tooth preparation and fabrication of complete metal prostheses were done in the conventional manner and cemented using the 2 luting cements in Groups A and B, respectively. Dentinal hypersensitivity was measured using Schiff ’s scale, postcementation, after 1 week and 1 month. Statistical Analysis: Independent t-test was done for comparing the two cements in two cements in terms of lattice strain. Mann–Whitney U-test was done for comparing the cements with respect to dentinal hypersensitivity. Spearman’s correlation coefficient was used for clinical correlation between dentinal hypersensitivity and crystalline strain. Results: The lattice strain generated in dual cure resin cement was higher than that in resin-modified glass ionomer cement and was statistically significant. Postcementation hypersensitivity was higher in dual-cured resin than resin-modified glass ionomer cement but was not statistically significant in the follow-up visits. Spearman’s correlation coefficients did not reveal any significant clinical correlation between lattice strain and dentinal hypersensitivity. Conclusion: Dual cure resin cements generate greater lattice strain as compared to resin modified glass ionomer cements.