The in vitro assessment of the degree of monomer conversion, biaxial flexural strength, and mineral precipitation on demineralised dentine of novel resin composite containing monocalcium phosphate monohydrate and polylysine
DOI:
https://doi.org/10.2340/biid.v12.44551Keywords:
Resin composite, biaxial flexural strength, monocalcium phosphate monohydrate, polylysine, degree of monomer conversion, remineralisationAbstract
Objective: The development of ion-releasing resin composites is expected to reduce the risk of secondary caries. This study compared the degree of monomer conversion, biaxial flexural strength/modulus, elemental release, and remineralisation potential of a novel ion-releasing dental composite (Renewal MI) containing monocalcium phosphate monohydrate and polylysine.
Materials and methods: The degree of monomer conversion after light curing for 20 s was determined (n = 8). The biaxial flexural strength and modulus after immersion in water for 24 h (n = 8) were evaluated. Additionally, the release of Ca and P after immersion in water for 2 weeks was assessed (n = 3). A disc specimen of the material (n = 1) was attached to the demineralised dentine and then immersed in simulated body fluid for 2 weeks to qualitatively determine mineral precipitation on dentine. The commercial comparison included Filtek Z350 XT, EQUIA Forte HT, FUJI VII, and FUJI II LC.
Results: FUJI II LC demonstrated the highest degree of conversion (97.6%) compared to Renewal MI (57.2%) and Filtek Z350 XT (61.2%). The highest flexural strength was observed in Filtek Z350 XT (271 MPa), followed by MI (135 MPa), FUJI II LC (109 MPa), EQUIA Forte HT (50 MPa), and FUJI VII (35 MPa). The biaxial flexural modulus of Renewal MI (3.2 GPa) was comparable to that of EQUIA FORTE HT (3.8 GPa) and FUJI II LC (3.6 GPa). Ca and P release of MI (11 ppm, 45 ppm) was higher than that of FUJI VII (<0.1 ppm, 0.7 ppm). The precipitation of mineral precipitates in dentinal tubules of demineralised dentine was not detected in all materials.
Conclusion: Renewal MI demonstrated a degree of conversion similar to commercial resin composite but exhibited lower strength. However, its strength was much higher than conventional glass ionomer cements. The material promoted the high release of elements, which was expected to encourage the remineralising actions.
Downloads
References
Freire A, Bento VAA, Jussiani EI, Andrello AC, Marques MCS. Resin composite aggregated S-PRG particles are not superior to non-S-PRG under microcosm biofilm. Sci Rep. 2025;15(1):2173. https://doi.org/10.1038/s41598-024-78396-1 DOI: https://doi.org/10.1038/s41598-024-78396-1
Zhang N, Melo MAS, Weir MD, Reynolds MA, Bai Y, Xu HHK. Do Dental Resin Composites Accumulate More Oral Biofilms and Plaque than Amalgam and Glass Ionomer Materials? Materials (Basel). 2016 Nov 1;9(11):888. DOI: https://doi.org/10.3390/ma9110888
Nedeljkovic I, De Munck J, Vanloy A, Declerck D, Lambrechts P, Peumans M, et al. Secondary caries: prevalence, characteristics, and ap-proach. Clin Oral Investig. 2020;24(2):683–91. https://doi.org/10.1007/s00784-019-02894-0 DOI: https://doi.org/10.1007/s00784-019-02894-0
Dunleavy G, Verma N, Raghupathy R, Jain S, Hofmeister J, Cook R, et al. Inequalities in oral health: estimating the longitudinal economic burden of dental caries by deprivation status in six countries. BMC Public Health. 2024;24(1):3239. https://doi.org/10.1186/s12889-024-20652-0 DOI: https://doi.org/10.1186/s12889-024-20652-0
Laccabue M, Ahlf RL, Simecek JW. Frequency of restoration replacement in posterior teeth for U.S. Navy and Marine Corps personnel. Oper Dent. 2014;39(1):43–9. https://doi.org/10.2341/12-406-C DOI: https://doi.org/10.2341/12-406-C
Owen BD, Guevara PH, Greenwood W. Placement and replacement rates of amalgam and composite restorations on posterior teeth in a military population. US Army Med Dep J. 2017(2–17):88–94.
Mulligan S, Hatton PV, Martin N. Resin-based composite materials: elution and pollution. Br Dent J. 2022;232(9):644–52. https://doi.org/10.1038/s41415-022-4241-7 DOI: https://doi.org/10.1038/s41415-022-4241-7
Ge KX, Quock R, Chu CH, Yu OY. The preventive effect of glass ionomer cement restorations on secondary caries formation: a systematic review and meta-analysis. Dent Mater. 2023;39(12):e1–7. https://doi.org/10.1016/j.dental.2023.10.008 DOI: https://doi.org/10.1016/j.dental.2023.10.008
Gurgan S, Kutuk ZB, Yalcin Cakir F, Ergin E. A randomized controlled 10 years follow up of a glass ionomer restorative material in class I and class II cavities. J Dent. 2020;94:103175. https://doi.org/10.1016/j.jdent.2019.07.013 DOI: https://doi.org/10.1016/j.jdent.2019.07.013
Panetta A, Lopes P, Novaes TF, Rio R, Fernandes GVO, Mello-Moura ACV. Evaluating glass ionomer cement longevity in the primary and permanent teeth-an umbrella review. J Funct Biomater. 2024;15(2):48. https://doi.org/10.3390/jfb15020048 DOI: https://doi.org/10.3390/jfb15020048
Shi N, Peter T, Caplan DJ, Xie XJ, Dang CA, Welhaven A, et al. Predictors of survival of large non-occlusal non-incisal glass-ionomer resto-rations in older adults. Spec Care Dentist. 2024;44(4):1228–35. https://doi.org/10.1111/scd.12981 DOI: https://doi.org/10.1111/scd.12981
Panpisut P, Toneluck A. Monomer conversion, dimensional stability, biaxial flexural strength, and fluoride release of resin-based restora-tive material containing alkaline fillers. Dent Mater J. 2020;39(4):608–15. https://doi.org/10.4012/dmj.2019-020 DOI: https://doi.org/10.4012/dmj.2019-020
Nedeljkovic I, Teughels W, De Munck J, Van Meerbeek B, Van Landuyt KL. Is secondary caries with composites a material-based problem? Dent Mater. 2015;31(11):e247–77. https://doi.org/10.1016/j.dental.2015.09.001 DOI: https://doi.org/10.1016/j.dental.2015.09.001
Alkhouri N, Xia W, Ashley PF, Young AM. Renewal MI dental composite etch and seal properties. Materials (Basel). 2022;15(15):5438. https://doi.org/10.3390/ma15155438 DOI: https://doi.org/10.3390/ma15155438
Alkhouri N, Xia W, Ashley P, Young A. The effect of varying monocalcium phosphate and polylysine levels on dental composite properties. J Mech Behav Biomed Mater. 2023;145:106039. https://doi.org/10.1016/j.jmbbm.2023.106039 DOI: https://doi.org/10.1016/j.jmbbm.2023.106039
Daabash R, Alshabib A, Alqahtani MQ, Price RB, Silikas N, Alshaafi MM. Ion releasing direct restorative materials: key mechanical proper-ties and wear. Dent Mater. 2022;38(12):1866–77. https://doi.org/10.1016/j.dental.2022.09.007 DOI: https://doi.org/10.1016/j.dental.2022.09.007
Albelasy EH, Hamama HH, Chew HP, Montasser M, Mahmoud SH. Clinical performance of two ion-releasing bulk-fill composites in class I and class II restorations: a two-year evaluation. J Esthet Restor Dent. 2024;36(5):723–36. https://doi.org/10.1111/jerd.13193 DOI: https://doi.org/10.1111/jerd.13193
Daabash R, Alqahtani MQ, Price RB, Alshabib A, Niazy A, Alshaafi MM. Surface properties and Streptococcus mutans biofilm adhesion of ion-releasing resin-based composite materials. J Dent. 2023;134:104549. https://doi.org/10.1016/j.jdent.2023.104549 DOI: https://doi.org/10.1016/j.jdent.2023.104549
Zhu H, Liu R, Shang Y, Sun L. Polylysine complexes and their biomedical applications. Eng Regen. 2023;4(1):20–7. https://doi.org/10.1016/j.engreg.2022.11.001 DOI: https://doi.org/10.1016/j.engreg.2022.11.001
Zheng M, Pan M, Zhang W, Lin H, Wu S, Lu C, et al. Poly(α-l-lysine)-based nanomaterials for versatile biomedical applications: current advances and perspectives. Bioact Mater. 2021;6(7):1878–909. https://doi.org/10.1016/j.bioactmat.2020.12.001 DOI: https://doi.org/10.1016/j.bioactmat.2020.12.001
Panpisut P, Liaqat S, Zacharaki E, Xia W, Petridis H, Young AM. Dental composites with calcium / strontium phosphates and polylysine. PLoS One, 2016;11(10):e0164653. https://doi.org/10.1371/journal.pone.0164653 DOI: https://doi.org/10.1371/journal.pone.0164653
Yaghmoor RB, Xia W, Ashley P, Allan E, Young AM. Effect of novel antibacterial composites on bacterial biofilms. J Funct Biomater. 2020;11(3):55. DOI: https://doi.org/10.3390/jfb11030055
Aljabo A, Xia W, Liaqat S, Khan MA, Knowles JC, Ashley P, et al. Conversion, shrinkage, water sorption, flexural strength and modulus of re-mineralizing dental composites. Dent Mater. 2015;31(11):1279–89. https://doi.org/10.1016/j.dental.2015.08.149 DOI: https://doi.org/10.1016/j.dental.2015.08.149
Walters NJ, Xia W, Salih V, Ashley PF, Young AM. Poly(propylene glycol) and urethane dimethacrylates improve conversion of dental composites and reveal complexity of cytocompatibility testing. Dent Mater. 2016;32(2):264–77. https://doi.org/10.1016/j.dental.2015.11.017 DOI: https://doi.org/10.1016/j.dental.2015.11.017
Delgado AHS, Young AM. Methacrylate peak determination and selection recommendations using ATR-FTIR to investigate polymerisation of dental methacrylate mixtures. PLoS One. 2021;16(6):e0252999. https://doi.org/10.1371/journal.pone.0252999 DOI: https://doi.org/10.1371/journal.pone.0252999
Ilie N, Hilton TJ, Heintze SD, Hickel R, Watts DC, Silikas N, et al. Academy of dental materials guidance-resin composites: part I-mechanical properties. Dent Mater. 2017;33(8):880–94. DOI: https://doi.org/10.1016/j.dental.2017.04.013
Koizumi H, Hamama HH, Burrow MF. Evaluation of adhesion of a CPP–ACP modified GIC to enamel, sound dentine, and caries-affected dentine. Int J Adhes Adhes. 2016;66:176–81. https://doi.org/10.1016/j.ijadhadh.2016.01.007 DOI: https://doi.org/10.1016/j.ijadhadh.2016.01.007
Chaichana W, Insee K, Chanachai S, Benjakul S, Aupaphong V, Naruphontjirakul P, et al. Physical/mechanical and antibacterial properties of orthodontic adhesives containing Sr-bioactive glass nanoparticles, calcium phosphate, and andrographolide. Sci Rep. 2022;12(1):6635. DOI: https://doi.org/10.1038/s41598-022-10654-6
Kim HJ, Bae HE, Lee JE, Park IS, Kim HG, Kwon J, et al. Effects of bioactive glass incorporation into glass ionomer cement on demineralized dentin. Sci Rep. 2021;11(1):7016. https://doi.org/10.1038/s41598-021-86481-y DOI: https://doi.org/10.1038/s41598-021-86481-y
British Standard. BS ISO 23317:2014 Implants for surgery. In: In vitro evaluation for apatite-forming ability of implant materials. vol. BS ISO 23317:2014. BSI Standards Limited, Switzerland; 2014.
Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175–91. https://doi.org/10.3758/BF03193146 DOI: https://doi.org/10.3758/BF03193146
Taubock TT, Tarle Z, Marovic D, Attin T. Pre-heating of high-viscosity bulk-fill resin composites: effects on shrinkage force and monomer conversion. J Dent. 2015;43(11):1358–64. https://doi.org/10.1016/j.jdent.2015.07.014 DOI: https://doi.org/10.1016/j.jdent.2015.07.014
Pongprueksa P, De Munck J, Duca RC, Poels K, Covaci A, Hoet P, et al. Monomer elution in relation to degree of conversion for different types of composite. J Dent. 2015;43(12):1448–55. DOI: https://doi.org/10.1016/j.jdent.2015.10.013
Mundim FM, Garcia LdF, Cruvinel DR, Lima FA, Bachmann L, Pires-de-Souza Fde C. Color stability, opacity and degree of conversion of pre-heated composites. J Dent. 2011;39 Suppl 1:e25–9. https://doi.org/10.1016/j.jdent.2010.12.001 DOI: https://doi.org/10.1016/j.jdent.2010.12.001
Moldovan M, Balazsi R, Soanca A, Roman A, Sarosi C, Prodan D, Vlassa M, Cojocaru I, Saceleanu V, Cristescu I. Evaluation of the Degree of Conversion, Residual Monomers and Mechanical Properties of Some Light-Cured Dental Resin Composites. Materials (Basel). 2019 Jun 30;12(13):2109. https://doi.org/10.3390/ma12132109. PMID: 31262014; PMCID: PMC6651104. DOI: https://doi.org/10.3390/ma12132109
Par M, Spanovic N, Taubock TT, Attin T, Tarle Z. Degree of conversion of experimental resin composites containing bioactive glass 45S5: the effect of post-cure heating. Sci Rep. 2019;9(1):17245. https://doi.org/10.1038/s41598-019-54035-y DOI: https://doi.org/10.1038/s41598-019-54035-y
Tihan TG, Ionita MD, Popescu RG, Iordachescu D. Effect of hydrophilic–hydrophobic balance on biocompatibility of poly(methyl methacry-late) (PMMA)–hydroxyapatite (HA) composites. Mater Chem Phys. 2009;118(2–3):265–9. https://doi.org/10.1016/j.matchemphys.2009.03.019 DOI: https://doi.org/10.1016/j.matchemphys.2009.03.019
British Standard. BS EN ISO 4049:2019. Dentistry-Polymer-based restorative materials. Switzerland: BSI Standards; 2019.
Ahmadizenouz G, Esmaeili B, Taghvaei A, Jamali Z, Jafari T, Amiri Daneshvar F, et al. Effect of different surface treatments on the shear bond strength of nanofilled composite repairs. J Dent Res Dent Clin Dent Prospects. 2016;10(1):9–16. https://doi.org/10.15171/joddd.2016.002 DOI: https://doi.org/10.15171/joddd.2016.002
Wang L, Nancollas GH. Calcium orthophosphates: crystallization and dissolution. Chem Rev. 2008;108(11):4628–69. https://doi.org/10.1021/cr0782574 DOI: https://doi.org/10.1021/cr0782574
Huang C, Cao P. Tuning Ca:P ratio by NaOH from monocalcium phosphate monohydrate (MCPM). Mater Chem Phys. 2016;181:159–66. https://doi.org/10.1016/j.matchemphys.2016.06.045 DOI: https://doi.org/10.1016/j.matchemphys.2016.06.045
Zhao J, Liu Y, Sun W-b, Yang X. First detection, characterization, and application of amorphous calcium phosphate in dentistry. J Dent Sci. 2012;7(4):316–23. https://doi.org/10.1016/j.jds.2012.09.001 DOI: https://doi.org/10.1016/j.jds.2012.09.001
Kangwankai K, Sani S, Panpisut P, Xia W, Ashley P, Petridis H, et al. Monomer conversion, dimensional stability, strength, modulus, sur-face apatite precipitation and wear of novel, reactive calcium phosphate and polylysine-containing dental composites. PLoS One. 2017;12(11):e0187757. https://doi.org/10.1371/journal.pone.0187757 DOI: https://doi.org/10.1371/journal.pone.0187757
Bergantin BTP, Di Leone CCL, Cruvinel T, Wang L, Buzalaf MAR, Borges AB, et al. S-PRG-based composites erosive wear resistance and the effect on surrounding enamel. Sci Rep. 2022;12(1):833. DOI: https://doi.org/10.1038/s41598-021-03745-3
Ruengrungsom C, Burrow MF, Parashos P, Palamara JEA. Evaluation of F, Ca, and P release and microhardness of eleven ion-leaching re-storative materials and the recharge efficacy using a new Ca/P containing fluoride varnish. J Dent. 2020;102:103474. https://doi.org/10.1016/j.jdent.2020.103474 DOI: https://doi.org/10.1016/j.jdent.2020.103474
Enax J, Fandrich P, Schulze Zur Wiesche E, Epple M. The remineralization of enamel from saliva: a chemical perspective. Dent J (Basel). 2024;12(11):339. https://doi.org/10.3390/dj12110339 DOI: https://doi.org/10.3390/dj12110339
Skrtic D, Antonucci JM. Dental composites based on amorphous calcium phosphate – resin composition/physicochemical properties study. J Biomater Appl. 2007;21(4):375–93. https://doi.org/10.1177/0885328206064823 DOI: https://doi.org/10.1177/0885328206064823
Panpisut P, Toneluck A, Khamsuk C, Channasanon S, Tanodekaew S, Monmaturapoj N, et al. The development of resin-coating materials for enhancing elemental release of coated glass ionomer cements. Heliyon. 2024;10(14):e34512. https://doi.org/10.1016/j.heliyon.2024.e34512 DOI: https://doi.org/10.1016/j.heliyon.2024.e34512
Vilela HS, Resende MCA, Trinca RB, Scaramucci T, Sakae LO, Braga RR. Glass ionomer cement with calcium-releasing particles: effect on dentin mineral content and mechanical properties. Dent Mater. 2024;40(2):236–43. https://doi.org/10.1016/j.dental.2023.11.005 DOI: https://doi.org/10.1016/j.dental.2023.11.005
Aoba T. Solubility properties of human tooth mineral and pathogenesis of dental caries. Oral Dis. 2004;10(5):249–57. https://doi.org/10.1111/j.1601-0825.2004.01030.x DOI: https://doi.org/10.1111/j.1601-0825.2004.01030.x
El Ouarti I, Lotfi EM, Ben Ali M, Bouklouze A, Abdallaoui F. Enamel demineralization and remineralization pH cycling models in vitro: a SEM-EDX and FTIR study. Odontology. 2025 Jun 27. https://doi.org/10.1007/s10266-025-01136-y. Epub ahead of print. PMID: 40579674. DOI: https://doi.org/10.1007/s10266-025-01136-y
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Munchuporn Pariwatanasak, Saowapa Chadarat, Wisitsin Potiprapanpong, Sukanya Kyopun, Anne M. Young, Piyaphong Panpisut

This work is licensed under a Creative Commons Attribution 4.0 International License.
Biomaterial Investigations in Dentistry is a Diamond Open Access peer-reviewed journal, publishing research in oral biomaterials science. The publishing of articles is free for authors, thanks to the support of Acta Odontologica Scandinavica Society (AOSS), a not-for-profit society. 
