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Mechanical Testing of Nano-Modified Dental Cements
Killian Victory, BE.
Mechanical Engineering Project
School of Mechanical and Materials Engineering
MEEN 30120
2014/2015
Principal Supervisor: Dr K. T. Stanton
UCD School of Mechanical and Materials Engineering
Report Submission Form
MEEN 30120: Mechanical Engineering Project
Student Name: Killian Victory
Student Number: 11411368
Report Title: Mechanical Testing of Nano-Modified Dental Cements
Plagiarism
Plagiarism is a serious academic offence and is comprehensively dealt with on UCD’s Registry website [UCD
2010a, UCD 2010b]. It is a student’s responsibility to be familiar with the University’s policy on plagiarism. All
students are encouraged, if in doubt, to seek guidance from an academic member of staff on this issue. The UCD
policy document on plagiarism states that “the University understands plagiarism to be the inclusion of another
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requirements for a module or programme of study, without due acknowledgement either wholly or in part of the
original source of the material through appropriate citation. Plagiarism is a form of academic dishonesty, where
ideas are presented falsely, either implicitly or explicitly, as being the original work of the author. While
plagiarism may be easy to commit unintentionally, it is defined by the act not the intention. The University
advocates a developmental approach to plagiarism and encourages students to adopt good academic practice by
maintaining academic integrity in the presentation of all academic work” [UCD 2010a, UCD 2010b].
[UCD 2010a] Plagiarism Policy and Procedures - UCD Registry.
www.ucd.ie/registry/academicsecretariat/plag_pol_proc.pdf
[UCD 2010b] A Briefing for Students on Academic Integrity and Plagiarism.
www.ucd.ie/registry/academicsecretariat/plag_brief.pdf
Declaration of Authorship
I declare that all material in this submission is my own work except where there is clear acknowledgement and
appropriate reference to the work of others.
Signature: Killian Victory Date: 02/04/2015
Acknowledgements
My greatest thanks to Dr Kenneth Stanton, whose intellect, guidance, and ability to squeeze
meetings into a packed schedule helped me to set out and implement a nice straightforward
project plan. Many other people have helped in many ways, for which I am very thankful.
Kevin Roche who supplied a whole host of supplies; polyacrylic acid, Fuji IX cement,
Advanced Healthcare Ltd glass-ionomer cement, all of his nano-modified glass-ionomer
cements, and also for his guidance on the use of the Tinius Olsen Hounsfield H50KS screw
drive materials testing machine. David Grouse for his fantastic thoughts on how to best mold
the samples, and for his time on the nylon shims. John Gahan for his extensive work at
machining the PTFE mold and his thoughts on the multiple designs shown to him. All of the
administrative and technical staff of Mechanical and Materials Engineering. All of the staff
and students of Mechanical and Materials Engineering who make it such an great place to
work and study, especially the guys in the design room who offer endless advice on CREO
and MATLAB. I would also like to thank my family and friends for their support and
interest; Mom and Dad, who continuously push me to keep up the work, and Elizabeth, for
constantly focusing on the end game.
Abstract (i)
Glass ionomer cements (GICs) are low cost, minimally invasive dental restorative materials;
however their use is limited by poor mechanical properties. Restoring carious teeth in third
world countries is an important global need, ART is the most suitable method for achieving
this, and glass ionomer cements are the material of choice. GICs are particularly suited to 3rd
world work as they are relatively simple to prepare, chemically bond to enamel and dentine,
and release fluoride which has been shown to help further reduce tooth decay. GICs are
suited to a restoration in the primary dentition because of their ability to release fluoride and
to adhere to dental hard tissues, as well as their quick setting time.
It has been hypothesized that through the addition of nanoscale fluorhydroxyapatite (FHA),
one can improve the mechanical properties of GICs. This is due to the fact that FHA mimics
the natural crystals of tooth enamel with additional caries-preventing fluoride. This addition
was carried out by Kevin Roche, a PHD student in UCD. Nanoparticles were first prepared
with different levels of fluoride substitution using a wet precipitation route. Cements were
reinforced with aligned and randomly oriented FHA nanorods of different sizes, as well as
commercial alumina nanoparticles and HA powder. A number of cements were prepared,
varying the molecular weight and concentration of polyacrylic acid. The results of the
compressive strength tests and the Vickers hardness and indentation fracture toughness tests
indicated that some improvements were made to the mechanical properties of the GICs.
However, when it came to the chevron notched fracture toughness testing of the GICs, the
poor working properties caused a number of difficulties. These included dehydration and pre-
cracking, which lead to the results of the testing being inaccurate.
This paper takes another look at the fracture toughness testing of fluorhydroxyapatite glass-
ionomer cements, and attempts to setup a consistent accurate testing method to overcome any
previous difficulties experienced with the fracture toughness testing. Two different samples
of GICs are tested, and one bone cement. The average fracture toughness values were as
follows:
Fuji IX: Average KIvM value: 0.35 ± 0.1 MPa√ 𝑚
AHL GIC: Average KIvM value: 0.33 ± 0.11 MPa√ 𝑚
Stryker Simplex P: Average KIvM value: 1.61 ± 0.1 MPa√ 𝑚
Table of Contents (ii)
Chapter 1: Introduction ..........................................................................................................1
1.1 Introduction, Context, Motivation....................................................................................1
1.2 Research Question / Research Hypothesis / Overall project aim.....................................2
1.3 Project Objectives and Overall Methodology ..................................................................3
1.3.2 Objective...............................................................................................................3
1.3.3 Methodology.........................................................................................................3
Chapter 2: Technical Foundations & Literature Review ...................................................4
2.1 Tooth Decay and Restorative Dental Materials ...............................................................4
2.1.1 Fluoride.................................................................................................................6
2.2 Glass Ionomer Cements ...................................................................................................6
2.2.1 Alumino-Silicate Glass.........................................................................................8
2.2.2 Polyacrylic Acid..................................................................................................10
2.2.3 Setting Reaction .................................................................................................11
2.2.4 Sources of Error..................................................................................................13
2.2.5 Properties ............................................................................................................13
2.1.6 Uses.....................................................................................................................14
2.3 Atraumatic Restorative Treatment .................................................................................15
2.4 Hydroxyapatite Nanoparticles .......................................................................................15
2.4.1 Fluorhydroxyapatite ...........................................................................................17
2.5 Bone Cement .................................................................................................................19
2.6 Fracture Toughness ........................................................................................................20
2.6.1 Chevron Notch Fracture Toughness ..................................................................22
2.6.1.1 Specimen Dimensions .................................................................................23
2.6.1.2 Cracking ......................................................................................................23
Chapter 3: Experimental Method & Design ......................................................................24
3.1 Subject Understanding ...................................................................................................24
3.2 Dimensions and Materials..............................................................................................24
3.3 Cutting............................................................................................................................25
3.4 Molding ..........................................................................................................................29
3.5 Mixing............................................................................................................................34
3.6 Hounsfield Rigs..............................................................................................................35
3.7 Testing............................................................................................................................39
3.7.2 Bone Cement.......................................................................................................42
3.8 Scanning Electron Microscopy ......................................................................................44
Chapter 4: Results..................................................................................................................45
4.1 Scanning Electron Microscopy ......................................................................................45
4.2 Chevron Notch Fracture Toughness Testing..................................................................49
4.2.1 Validity Tests......................................................................................................49
4.2.2 Fuji IX Glass Ionomer Cement...........................................................................50
4.2.3 AHL Glass Ionomer Cement ..............................................................................57
4.2.4 Bone Cement.......................................................................................................58
4.2.5 Fracture Toughness v Time ................................................................................61
4.2.6 Summary of Values.............................................................................................64
4.2.6.1 Fuji IX .........................................................................................................65
4.2.6.2 AHL GIC .....................................................................................................66
4.2.6.3 Stryker Simplex P ........................................................................................66
Chapter 5: Discussions and Conclusions .............................................................................67
5.1 Results ............................................................................................................................67
5.2 Sources of Error in Testing ............................................................................................68
5. Future Work .....................................................................................................................68
References ...................................................................................................................70
Appendix A .................................................................................................................76
Appendix B .................................................................................................................81
Appendix C .................................................................................................................95
Appendix D ...............................................................................................................101
List of Figures (iii)
Figure 1.1: PAA solution and alumina-silicate glass powder before mixing Page 2
Figure 2.1: Cross-section of a tooth Page 5
Figure 2.2: GICs as a filling material, before and after Page 6
Figure 2.3: Fluoride ion Page 6
Figure 2.4: Prismatic enamel structure Page 7
Figure 2.5: Chemical structure for polyacrylic acid Page 11
Figure 2.6: Hydrolysis of Si-O-Al bond. Page 11
Figure 2.7 Glass-ionomer cement setting reaction Page 12
Figure 2.8: Hydroxyapatite nanoparticles. Page 16
Figure 2.9: TEM showing synthesized fluorhydroxyapatite nanoparticles
with highly agglomerated nanorods
Page 18
Figure 2.10: Sample Dimensions as set out in the standard Page 23
Figure 3.1 (a) & (b): Chevron notched specimens Page 25
Figure 3.2: Three cuts to be made to form the chevron notched samples Page 26
Figure 3.3: Diamond edged saw blade of 1.6 mm thickness.
Page 26
Figure 3.4: Failed process of ordering the blade from UKAM Industrial
Superhard Tools in California, USA. Page 27
Figure 3.5 (a) & (b): T200 Saw & Rig Page 28
Figure 3.6: Schematic of saw blade on offer from GSP High Tech Saws
in Zborovice, Czech Republic. Page 29
Figure 3.7: Nylon shim, 4 mm wide & 0.1 mm thick with a 0.6 mm x 1.4
mm handle on top to form the grip groove. Page 30
Figure 3.8 (a) & (b): PTC CREO 3.0 CAD drawing of the PTFE mold,
designed for molding one sample at a time.
Page 31
Figure 3.9: PTC CREO 3.0 CAD dimensions of the PTFE mold. Page 31
Figure 3.10: PTC CREO 3.0 CAD drawing of steel shim. Page 32
Figure 3.11: PTC CREO 3.0 CAD dimensions of steel shim. Page 32
Figure 3.12: PTFE mold and shim in clamp Page 33
Figure 3.13: Dimensions of the chevron groove, as specified in the
standard. Page 33
Figure 3.14: First sample of Fuji IX dental cement, chipped. Page 34
Figure 3.15: Molded sample of Fuji IX dental cement. Page 35
Figure 3.15: Schematic of a sample attached to the Tinius Olsen
Hounsfield H50KS screw drive materials testing machine with rigs as
outlined in the chevron notch fracture toughness testing standard [8]. Page 35
Figure 3.16: Sketch of requirements for Tinius Olsen Hounsfield H50KS
screw drive materials testing machine rigs. Page 36
Figure 3.17 (a), (b), (c) & (d): PTC CREO 3.0 CAD drawings of the
Tinius Olsen Hounsfield H50KS screw drive materials testing machine
rigs. Page 37
Figure 3.18 (a) & (b): Tinius Olsen Hounsfield H50KS screw drive
materials testing machine rigs, idle and in use.
Page 38
Figure 3.19: Gallenkamp vacuum oven. Page 39
Figure 3.20: Molded samples of Fuji IX dental cement just after removal
from the oven. Page 40
Figure 3.21: QMAT 5.48 software plotting force v extension, and
indicating the maximum force.
Page 40
Figures 3.22: Tinius Olsen Hounsfield H50KS screw drive materials
testing machine with rigs in place.
Page 41
Figure 3.23: Stryker Simplex P monomer liwuid and polymer powder
before mixing.
Page 43
Figure 3.24: Fume hut used for the mixing of Simplex P. Page 43
Figure 3.25: Stryker Simplex P during mixing, known as the doughing Page 44
phase.
Figure 4.1: SEM image at a magnification of 150 showing the tip of the
chevron notch. Page 46
Figure 4.2: SEM image at a magnification of 1500 showing the particles
sizes inside the chevron notch area.
Page 47
Figure 4.3: SEM image at a magnification of 1000 showing the chevron
tip of a specimen with the presence of rust.
Page 48
Figure 4.4: SEM image at a magnification of 2000 showing the crack at
the chevron tip propagating downwards into the sample.
Page 49
Figure 4.5: Graphed data from samples Fuji IX 1, 4, 5, & 7. Page 50
Figure 4.6: Sample data that failed a validity test. Page 51
Figure 4.7: Data from sample Fuji IX 6, including retests. Page 52
Figure 4.8: Data from Fuji IX 8 and retest. Page 52
Figure 4.9: Data from Fuji IX 9 and retest. Page 53
Figure 4.10: Data from two tests on ultra-high molecular weight
polyethylene tape. Page 53
Figure 4.11: Data from Fuji IX 10, 11, 12, 13, 14. Page 54
Figure 4.12: Data from Fuji IX 15, 16, 17, 18, 21. Page 54
Figure 4.13: Data from Fuji IX 24, 25, 26, 27, 28, 30, 31. Page 55
Figure 4.14: MATLAB graph of data from Fuji IX 24, 25, 27, 28, 30. The
peaks are indicated by the blue squares. Page 55
Figure 4.15: MATLAB graph of average values data from Fuji IX 24, 25,
27, 28, 30, showing 1 standard deviation from the average. Page 56
Figure 4.16: MATLAB graph of average values data from Fuji IX 24, 25,
27, 28, 30, showing 1 standard deviation from the average.
Page 56
Figure 4.17: Incorrect cracking of GIC sample. Page 57
Figure 4.18: Graphed data from AHL GIC 32, 33, 35, 36, 38, 40, 42. Page 58
Figure 4.19: Graphed data from AHL GIC 44, 45, 47, 50. Page 58
Figure 4.20: Data for bone cement samples 1-5 plotted on Excel Page 59
Figure 4.21: MATLAB graph of data from Stryker Simplex P bone
cement samples 1, 2, 3, 4, 5. The blue squares indicate Fmax.
Page 59
Figure 4.22: MATLAB graph of average values data from Stryker
Simplex P bone cement samples 1, 2, 3, 4, 5, showing 1 standard
deviation from the average. Page 60
Figure 4.23: MATLAB graph of average values data from Stryker
Simplex P bone cement samples 1, 2, 3, 4, 5, showing 1 standard
deviation from the average. Page 60
Figure 4.24 Fuji IX dental cement fracture toughness values v time in the
oven.
Page 63
Figure 4.25: AHL dental cement fracture toughness v time in the oven Page 63
Figure 4.26: Stryker Simplex P bone cement fracture toughness v time in
the oven. Page 64
List of Tables (iv)
Table 2.1: The standard glass composition used in glass-ionomer cements Page 9
Table 2.2: GICs classified based on use Page 15
Table 3.1: Dimensions of Chevron Notch Sample Page 24
Table 4.1: Time for molding and time spent in oven for each sample,
including its fracture toughness value. Page 61, 62
Table 4.2: Yield strength, elastic modulus, fracture toughness, and
breaking point of each sample, as well as a pass/fail of the validity
checks. Page 64, 65
Nomenclature (v)
ART - Atraumatic Restorative Treatment
GIC – Glass Ionomer Cement
PAA – Polyacrylic Acid
FHA - Fluorhydroxyapatite
ASTM – American Society for Testing and Materials
ANOVA – Analysis of Variance
HA – Hydroxyapatite
PTFE - Polytetrafluoroethylene
USD – US Dollar
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Introduction Chapter 1
1.1 Introduction, context, motivation
Human teeth have evolved over millions of years to give us a strong set of teeth that will last
a lifetime. Very recently, in terms of human existence, longer life and sugar rich diets have
begun to destroy our teeth. Evolution would allow for our teeth to adapt and become resistant
to this decay, however, we are destroying our teeth quicker than evolution can take effect and
adapt to save them. This increase in decay in modern times has greatly increased our need for
a greater care for our teeth, and major advancements have been made in the field of dentistry
as a result.
“The past half century has seen the meaning of oral health evolve from a narrow focus on
teeth and gingiva to the recognition that the mouth is the center of vital tissues and functions
that are critical to total health and well-being across the life span”. [1]
These advancements in dentistry have been made a necessity by the effects of longer life and
sugar rich diets. The use of restorative materials in dentistry is an example of the great
advancements that have been made in the 20th century. A fitting example of the
advancements made in the dental industry is the Atraumatic Restorative Treatment (ART).
ART is a relatively inexpensive non-sophisticated, tooth conservative technique that offers
the opportunity for restorative work in remote areas without electricity. [2]
It has been shown
to be a very effective treatment, demonstrating a very high acceptance rate by children, and
has also resulted in the retention of many teeth that otherwise would have been extracted. [3]
Unfortunately, these great advancements are not yet available to all peoples around the globe.
For this to be possible, specialist dental materials that are cheap, easy to use, and have good
working and mechanical properties must become abundantly available. This leaves us
mandated to research dental materials seeking the most suitable ones for widespread use.
Glass polyalkenoate cements, or glass ionomer cements (GICs), are the most common
material used in the ART approach. [4]
They are used because they are relatively simple to
prepare, chemically bond to enamel and dentine, and release fluoride which has been shown
to help reduce further tooth decay. They are also known to exhibit a low coefficient of
thermal expansion and acceptable aesthetic quality. [5]
GICs may also release calcium and
phosphate ions, they have a thin film thickness (<25μm) making them suitable for
2 | P a g e
cementation and luting. GICs set within 10 minutes which is very beneficial in dentistry.
However, they exhibit relatively poor fracture toughness. To form GICs, polyacrylic acid
(PAA) is dissolved in water and mixed with ion leachable alumino-silicate glass powder.
Figure 1.1: PAA solution and alumina-silicate glass powder before mixing.
1.2 Research Question / Research Hypothesis / Overall
project aim
A GIC that exhibits a better fracture toughness is widely sought after. The effect of adding
nanoparticles to GICs is needed to improve the effective lifetime of a number of dental
applications, including ART. These include restorative purposes e.g. fillings, luting cements
which are used to bind prosthetics to teeth, orthodontic cements, and fissure sealants which
cap teeth to prevent further decay. Research was undertaken by Ph.D. student Kevin Roche to
investigate the effects of adding nanoparticles of fluorhydroxyapatite (FHA) to the glass
ionomer cement in order to change the mechanical properties of the cement. [6]
Kevin
performed many different tests on his samples; however, his testing of fracture toughness was
suggested to be excluded due to a number of difficulties that arose. These difficulties include:
“The indentation method being unsuitable as porosity and surface dehydration interfered with
crack formation. The chevron notch method was slightly better but requires careful, time-
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consuming preparation and a large number of tests, so is not suitable for preliminary tests.” [6]
The aim of this project is to properly carry out the testing of the fracture toughness of Kevin
Roche’s nano-modified GICs.
1.3 Project Objectives and Overall Methodology
1.3.1 Objective
To develop a testing method for evaluating the plane-strain chevron notch fracture toughness
of nano-modified dental cements, specifically FHA GICs, and to evaluate the accuracy of
said testing method by testing a number of different GICs, as well as testing Stryker Simplex
P bone cement, and comparing the resulting fracture toughness values with the industry
standard for those materials.
1.3.2 Methodology
Firstly, I had to ascertain any specific requirements needed to carry out the testing.
Cylindrical samples of 4 mm diameter and 6 mm length are to be molded and cut according
to ASTM E-1304 [8]
. Certain materials were organised for testing: Perspex, bone cement, and
GICs. A decision has to be made over whether the samples will be molded with the chevron
notch in them, or molded as cylinders and then cut to the specific dimensions. Rigs have to be
built to allow for cutting, molding, and testing. These rigs are to be attached to the T200 saw,
and the Tinius Olsen Hounsfield H50KS screw drive materials testing machine. Special saws
are required in order to make the cuts. They were ordered from UKAM Industrial Superhard
Tools, in Valencia, California, USA. Two saws are needed to make three cuts if the chevron
notch can’t be molded into the sample. Regardless of approach, the samples must be kept
wet, and at 37°C throughout molding, cutting, storing, and testing. One type of fracture
toughness testing will be undertaken, measuring KIVM; ‘plane-strain chevron notch fracture
toughness relating to extension resistance with respect to a slowly advancing steady-state
crack, based on the maximum force observed before cracking.[8]
Resulting data is graphed
and analysed, including an ANOVA analysis.
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Technical Foundations & Literature
Review Chapter 2
2.1 Tooth Decay and Restorative Dental Materials
A human beings mouth is slightly acidic by nature, with an average pH value of between 5.6
and 7.9. The critical pH with regard to dental erosion is 5.6, meaning when the pH level
drops below this tooth decay occurs. When sugary foods are eaten, they mix with the bacteria
in your mouth to form acid. This acid acts to break down the enamel of teeth. The main
bacterium that produces acid is streptococcus mutans, and the acid this produces is the
biggest culprit in tooth decay. Each time you have a sugary snack or meal, the pH level in
your mouth drops. Depending on the food, it drops to a pH of between 3.8 and 6.5. The pH
level in your mouth will begin to rise after eating; however, it normally takes at least 30
minutes to recover to normal levels. This can be significant, as if a snack (even a polo mint
counts as a sugary snack) is eaten before the pH level recovers, the pH level will remain low,
and this will inevitably lead to a greater risk of tooth decay. [9]
For reasons like this, it is very
important to use materials with a high caries resistance (resistance to decay) in dentistry.
Glass ionomer cements have this high caries resistance thanks to their capacity to reabsorb
fluoride from the oral environment and release it at a later stage. [10]
Glass ionomer cements are filling materials based on the reaction of silicate glass powder and
polyalkenoic acid. The multi-applicable tooth-coloured materials were introduced in 1972 for
use as restorative materials for anterior teeth. They are particularly suitable for the job as
they, they are relatively simple to prepare, chemically bond to enamel and dentine (dentine is
located below the enamel of a tooth and may become exposed through tooth decay, seen in
figure 2.1), and release fluoride which has been shown to help reduce further tooth decay.
They are also known to exhibit a low coefficient of thermal expansion and acceptable
aesthetic quality. [5]
GICs may also release calcium and phosphate ions, they have a thin film
thickness (<25μm) making them suitable for cementation and luting. GICs set within 10
minutes which is very beneficial in dentistry. However, they exhibit relatively poor fracture
toughness.
When a tooth is damaged, it requires a number of things to help itself repair. It uses Ca2+
ions
to repair the crystalline lattice of the enamel. It uses fluoride ions to reduce the risk of further
5 | P a g e
tooth decay by preventing bacterial growth around the edges, and it uses phosphate to treat
insipient dental decay by remineralisation. A high frequency of sugar attacks results in a net
loss of Ca2+
ions. This leads to a breakdown of the hydroxyapatite particles in the enamel.
This breakdown results in de-calcination where firstly a white spot appears, which then
slowly fades to a brown spot and then a black one.
Figure 2.1: Cross-section of a tooth. From [6]
Dental caries involves an imbalance of the interactions between the tooth and the covering
microbial film, leading to demineralisation and degradation of the tooth, and the formation of
caries lesions [13]
. Bacteria destroy the enamel by mixing with sugar to produce an acid, and
lead to a decrease in the pH, eroding the tooth. Ions in the saliva help to repair the decay
damage. The net rate of mineral loss or gain is dependent on the balance between these two
processes [14]
. If mineral loss is dominant or the caries lesion has grown too large, then some
restorative dental work must be undertaken. This typically involves cleaning the lesion and
replacing lost enamel or dentine with a restorative material (figure 2.2).
The ideal qualities looked for in filling materials are as follows: [9]
 Aesthetic
 Biocomposite
 Bonds well to teeth
 Releases fluoride
GICs have all of these qualities making them ideal for a large range of dental applications, as
previously mentioned.
6 | P a g e
Figure 2.2: GICs as a filling material, before and after. From [38]
2.1.1 Fluoride
Fluoride is hugely beneficial when present in restorative dental materials. It improves the
working characteristics of the cement. It lowers the fusion temperature, increases the strength
of the cement when set, and it enhances translucency. The absorption of fluoride from GIC
into dental plaque is impressive. After 28 days, plaque, accumulated around GIC restorations
in enamel blocks carried by patients using removable intraoral appliances, contained over six
times more fluoride than similar restorations with composite resin. [18]
Figure 2.3: Fluoride ion. From [39]
2.2 Glass Ionomer Cements
GICs are extremely simple to use, simply scraping out the cavity with hand tools is the only
preparation required. They must be mixed from hot gum to cold gum, and be put in place
before hardening begins. They usually set within 10 minutes. After this, continual cross-
linking for the next 24 hours allows for increased hardness. Hardening slows after the first
day, but doesn’t come to a complete stop until several months after input. Unfortunately,
glass ionomer cements often exhibit poor fracture toughness. They lack the necessary
strength, toughness, and wear resistance to survive in a load-bearing environment. This limits
their uses to smaller cavities or fissures. Hence, the aim of current research is to improve the
7 | P a g e
working and mechanical properties of GICs. This will in turn allow applications of ART to
extend around the globe.
A theoretical solution to this problem can be found by looking at tooth enamel. Enamel is a
nanocomposite, consisting of millions of tiny ceramic crystals of HA surrounded by organic
material. The hydroxyapatite forms in a flattened hexagonal shape and the enamel apatite
structures form a prismatic structure (figure 2.4). Acid etch technique using acid primers used
to make surface of enamel more amenable. [10]
Figure 2.4: Prismatic enamel structure. From [40]
It can be seen that enamel also has a hierarchical structure, placing the nanocrystals in large
groups, resulting in organised micro-scale prisms. The structure of enamel exceeds all of the
dental materials used today in hardness, toughness, and chemical stability.
It has been hypothesized that incorporating a similar structure into GICs may help them to
replicate some of the strong mechanical properties exhibited by enamel, making them much
more effective in the dental field. The challenge for us is to find ways to control the growth
and assembly of biomimetic nanoparticles in GICs. [6]
Working on the nanoscale presents
many challenges, and these will have to be overcome to succeed in producing glass ionomer
cement with good mechanical properties.
The GIC material to be tested was investigated in a thesis by Kevin Roche. [6]
Fluorhydroxyapatite nanoparticles were used to reinforce the glass ionomer cement.
Specifically, FHA nanoparticles were added to hand-mixed glass-ionomer cements suitable
8 | P a g e
for use in ART with the hope that they might improve the mechanical. Three different aspects
of this topic were emphasised: fluoride substitution in fluorhydroxyapatite nanoparticles;
modification of these nanoparticles for improved mixing with glass ionomer cements; and the
effect of nanoparticles on the working and mechanical properties of the cements. [6]
As previously mentioned, to form GICs, an aqueous polyalkenoic acid, polyacrylic acid
(PAA), is dissolved in water and mixed with ion leachable alumino-silicate glass powder.
Conventional GICs were first introduced in 1972 by Wilson and Kent. When the powder and
liquid are mixed together, an acid-base reaction occurs to form the cement.
GICs can be either high viscosity or low viscosity, depending on the ratio of the glass powder
to the polyalkenoic acid. It has been reported that high viscosity GICs are more successful in
ART. The type of application predetermines the viscosity of the cement, which can be
adjusted by varying the particle size, particle distribution and the powder:liquid ratio.
The use of GICs is often limited in clinics due to its relatively inferior mechanical properties
and sensitivity to initial desiccation and moisture. [20]
2.2.1 Alumino-Silicate Glass
Glass is a non-crystalline material typically containing silicon. In the case of GICs, they also
contain a significant level of alumina. A polymer that comprises repeat units of both
electrically neutral repeating units and a fraction of ionized units covalently bonded to the
polymer backbone as pendant moieties is called an ionomer. [15]
GICs consist of a mix of the
two.
GICs are usually split up into 5 different categories:
1 Conventional glass ionomer cements
2 Metal-reinforced glass ionomer cements (addition of silver-amalgam alloy powder to
conventional materials increased the physical strength of the cement and provided
radiodensity)
3 Hybrid ionomer cements (combine an acid-base reaction of the traditional glass ionomer
with a self-cure amine-peroxide polymerization reaction)
4 Resin modified glass ionomer cements (conventional glass ionomer cements with
addition of HEMA and photoinitiators)
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5 Tri-cure glass ionomer cements (incorporate a chemical curing tertiary amine-peroxide
reaction to polymerize the methacrylate double bonds along with the photo-initiation and
acid-base ionic reaction)
The resin-modified glass ionomer cement has shown advantageous mechanical and adhesive
properties compared with conventional GICs [21]
. However, the biological effects and
cytotoxicity of this type of material remain to be clarified [22, 23]
. The resin-modified glass
ionomer cements generally have a much lower release of fluoride than the conventional glass
ionomer materials. Some types have also demonstrated significant water absorption. [16]
Metal-reinforced glass ionomer cements fall short on the aesthetic quality and therefore are
considered old fashioned. The addition of calcium oxide, phosphorous pentoxide, silicon
dioxide and aluminium oxide yields diametral tensile strengths and flexural strengths
between 2 and 4.5 times higher than unmodified GICs. [29]
A typical composition of the alumina-silicate glass in conventional GICs is shown in Table
2.1. However, it should be noted that compositions can vary significantly.
Component Weight %
SiO2 28.9
Al2O3 14.2
ALF3 11
CaF2 12.8
NaF 12.8
AlPO4 24.2
Table 2.1: The standard glass composition used in glass-ionomer cements. From [11]
The glass powder used was supplied by Advanced Healthcare in Kent in the United
Kingdom. It must be acid soluble to be used in producing GIC. The raw materials are fused
together to form a uniform amorphous solid by heating them to temperatures between 1100
°C and 1500 °C. A high amount of alumina in the glass increases its reactivity with the liquid.
10 | P a g e
The intended size of the glass particles ranges from 15 µm to 50 µm. The maximum particle
size is 15 µm for luting agents and 50 µm for restorative cements.
William Carty et al. [12]
investigated the different amounts of alumina that can be dissolved in
silicate glasses incorporating the glass formation boundary. Chemical impurities in the oxide
ceramics typically segregate to the grain boundary, and it is thought that the grain boundary
chemistry is a result of the glass forming boundary. They investigated the effect glass growth
had on the impurities. They found that the amount of alumina that can be dissolved in the
glass is temperature dependent. As temperatures increase, the potential amount of alumina in
the glass increases. If the glass composition exceeds the glass forming boundary, conditions
are then favourable for growth. Crystal growth improves the strength and toughness of the
glass, depending on the amount of alumina present.
2.2.2 Polyacrylic Acid
Polyacrylic acid (figure 2.5) incorporates all synthetic high molecular weight polymers of
acrylic acid. The PAA is dissolved in water before being mixed with the glass. A number of
different polyacrylic acids with different molecular weights were available for use, including:
E5, E7, E9, and E11. This is an important factor in the choice of polyacrylic acid as an
increase in the molecular weight (or concentration) of polyacrylic acid will lead to an
increase in the strength of the set cement. However, choosing a high molecular weight
polyacrylic acid also has some downsides; it will increase viscosity which makes handling
and manipulation more difficult. Fracture toughness and toughness increase with both PAA
molar mass and concentration. [17]
A suitable PAA will increase reactivity, decrease viscosity
and reduce the tendency for gelation (solidification). Tartaric acid is often included in the
PAA mixture as it can help to control the setting time (it increases hardening speed).
Polyacrylic acid is hygroscopic, brittle and colourless in nature with a glass transition
temperature of nearly 106 °C. At temperatures above 200 °C to 250 °C, it loses water and
becomes an insoluble cross-linked polymer anhydride. Solubility of dried PAA in water
increases with rise in temperatures. Concentrated solutions of PAA in water are thixotropic in
nature.
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Figure 2.5: Chemical structure for polyacrylic acid. From [41]
2.2.3 The setting reaction
An acid-base reaction occurs during setting. It occurs between the acidic polyelectrolyte and
the alumina-silicate glass. The hydrolysis of Si-O-Al bonds is considered the first step in the
reaction, releasing cations which then cross-link the polyacid (figure 2.6). The polyacid
attacks the glass particles to release cations and Fluoride ions, leaving only a salt gel matrix.
During the initial setting in the first 3 hours calcium ions react with polycarboxylate chains.
Figure 2.6: Hydrolysis of Si-O-Al bond. From [11]
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Figure 2.7: Glass-ionomer cement setting reaction. From [6]
For 48 hours, the trivalent aluminium ions react, decomposing 20 % - 30 % of the glass by
proton attack. The fluoride and phosphate ions are insoluble salts and complexes. The sodium
ions produce a silica gel. When the cement is fully set the structure is a composite of glass
particles surrounded by silica gel in a matrix of poly-anions which are cross-linked by ionic
bridges. There are small particles of silica gel containing fluorite crystallites within this
matrix. It is during this process that the GIC can chemically bond to enamel and dentine. This
bonding is attributed to the phosphate and Ca2+
ions, and is more successful on a clean
surface. Acid etching is used to ensure the required cleanliness without removing too much of
the calcium ions. In the reaction, the aluminium ions replace the Ca2+
ions, and some sodium
ions may replace the hydrogen ions of carboxylic groups. The remaining ions are uniformly
dispersed.
The setting reaction can be split into three phases – dissolution, gelation, and hardening.
Dissolution consists of when the powder and liquid are mixed, the acid attacks the silica gel,
the glass loses its Al, Ca, Na, and F ions, and the acid releases its H ions, which diffuse to the
glass. Gelation consists of the divalent Ca ions reacting with carboxyl groups of the acid.
Finally, hardening consists of the trivalent Al ions crosslinking the polymer. As the reaction
‘matures’ the cross linked phase becomes hydrated due to the water in the mixture. The
amount of water in the mixture is very important as it initially serves as the reaction medium,
and then it slowly hydrates the cross linked agents. This is crucial in achieving a stable gel
structure.
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2.2.4 Sources of error in GIC applications
The following manipulative considerations for GIC must be satisfied to avoid errors, i.e. to
avoid a short retention life:
 Clean and dry tooth surface
 Excess cement must be removed at the appropriate time
 The consistency of the cement (poorly mixed results in an incomplete coating) to
allow for a complete coating of the surface irregularities
 Allow for natural gelation and hardening without disturbance
 Protection of the restoration surface must be ensured to prevent cracking or
dissolution.
2.2.5 Properties
 The setting time is less than ten minutes. [9]
Complete setting takes less than 24 hours.
When used as luting cement the chemistry is altered so that the setting time is less
than four minutes.
 The film thickness of GICs is roughly 15-25 µm (similar to that of zinc phosphate
cement).
 GICs are reasonably aesthetically pleasing, as they are tooth coloured, and can be
produced in different shades. Resin-modified GICs have increased translucency,
although they usually suffer on the surface finish, and discolouration has been
observed after polishing.
 A strong bond is achieved between the cement and the dental hard tissues is realised
through an ionic exchange at the boundary. Polyalkenoate chains enter the molecular
surface of dental apatite, replacing phosphate ions. Calcium ions are displaced equally
with the phosphate ions so as to maintain electrical equilibrium. This leads to the
development of an ion-enriched layer of cement that is firmly attached to the tooth.
[19]
 The shear bond strength of conventional glass ionomer cements to conditioned
enamel and dentin is relatively low, varying from 3 to 7 MPa. This is essentially a
measurement of the tensile strength of the cement.
 The coefficient of thermal expansion in GICs is close to that of dental hard tissues
resulting in good margin adaptation.
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 They exhibit a relative lack of strength and low wear resistance. Their low flexural
strength leaves them very brittle, this is more so evident in low-viscosity GICs.
When used as luting agents, the chemistry of the GICs and hence the mechanical and working
properties are altered. The GIC becomes more intrinsically adhesive, yet is weaker than
amalgam and composite.
For luting agents:
Mixing time: 45 to 60 seconds
Setting time: 2 minutes
Working time: 2 minutes
Total time: 4.5 minutes at 23 °C
2.2.6 Uses
Classifying GICs based on use results in 9 categories of GIC. These are as follows:
Uses Treatment
Type I: For luting cements
Type II: For restorations
Type III: Liners and bases
Type IV: Fissure sealants
Type V: Orthodontic Cements
Type VI: Core build up
Type VII: Fluoride releasing
Type VIII: ART
Type IX: Posterior restorative
Table 2.2: GICs classified based on use.
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2.3 Atraumatic Restorative Treatment
Atraumatic Restorative Treatment is a method of caries management that was primarily
developed for use in 3rd
World countries around the globe. It is a relatively inexpensive non-
sophisticated, tooth conservative technique that offers the opportunity for restorative work in
remote areas without electricity. [2]
In these regions, there are few dental facilities and the
populations need for them is high. It is well recognized by the World Health Organization.
The technique is simple, handheld instruments are used to break through the enamel and
remove all of the caries possible. After that, the cavity is filled using a high-viscosity GIC.
This results in increased strength under functional loads. Restoring carious teeth in third
world countries is an important objective, ART is the most suitable method for achieving this,
and glass ionomer cements are the material of choice. They are particularly suited to 3rd
world work as they have shown remarkable success when used in restorative dental work for
children. GICs are suited to a restoration in the primary dentition because of their ability to
release fluoride and to adhere to dental hard tissues. Also, because, they only require a short
time to fill the cavity, glass ionomer cements present an additional advantage when treating
young children.
2.4 Hydroxyapatite nanoparticles
Hydroxyapatite (HA) is a naturally occurring mineral form of calcium apatite. HA is part of
the complex apatite group, and it is the hydroxyl endmember. The OH- ion can be replaced
by fluoride or chloride, producing fluorapatite or chlorapatite. Pure hydroxylapatite powder is
white in colour. Biomimetics is the imitation of elements of nature in human applications.
HA (figure 2.8) is classed as a biomimetic nanoparticle thanks to its excellent bioactivity (it
has the same basic building blocks as enamel), and this makes it very suitable for use in ART.
16 | P a g e
Figure 2.8: Hydroxyapatite nanoparticles. From [7]
Hydroxyapatite can be synthesized following the reaction equation below:
10 Ca(OH)2 + 6 H3PO4 → Ca10(PO4) 6(OH)2 + 18H2O
Ulrich Lochbauer [28]
carried out some work on reactive fibre reinforced glass ionomer
cements in May 2010, after which he recommended the inclusion of HA. His work included
the addition of silver-tin alloy particles into the GIC matrix to increase strength and
toughness. He noted an increase in fracture toughness but a decrease in fluoride release. He
suggested the addition of hydroxyapatite to increase bonding strength.
Yap et al. evaluated hydroxyapatite-ionomer hybrid cements that were heated at 800°C for 4
hours. The hydroxyapatite cements showed significant hardness over regular GICs. However,
the heating effects were material dependent and had some positive and some negative effects
[30]
.
The addition of HA into GIC enhances and hastens the rate of development of the cement’s
fracture toughness, maintains long-term bond strength to dentin and does not impede
sustained fluoride release. [32]
Hydroxyapatite (HA) plays an important role in orthopedics and dentistry due to its excellent
bioactivity. Its remarkably similar nature to enamel helps with osseointegration. However,
thermal decomposition and poor resistance to corrosion in an acid environment have
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restricted HA’s applications. It has been suggested that fluorhydroxyapatite would result in a
more stable setting.
2.4.1 Fluorhydroxyapatite
Fluorhydroxyapatite was added to the GIC to improve the working mechanical properties
(figure 2.9). Novel XRD1
and FTIRS2
methods of measuring fluoride substitution were used
to measure the amount of fluoride present in the nanoparticles [6]
. These were found to be
more accurate and more practical than more commonly used bulk chemical methods, such as
the F-electrode, which cannot distinguish apatite fluoride from other fluoride containing
phases, such as calcium difluoride. XRD and FTIRS also provide structural information that
is as critical to the biochemical properties of the particles as the fluoride content.
Figure 2.9: TEM showing synthesized fluorhydroxyapatite nanoparticles with highly
agglomerated nanorods. From [6]
1
X-ray diffraction is an analytical technique used primarily for the identification of
compounds through the interaction of a monochromatic x-ray beam and the crystalline
specimen. In this technique crystalline atoms cause a beam of incident X-rays to diffract off a
specimen into many specific directions. By measuring the angles and intensities of these
diffracted beams in the chamber, a crystallographer can ascertain information about the
crystal structure of an unknown substance.
2
Fourier transform infrared spectroscopy is a technique which is used to obtain an infrared
spectrum of absorption, emission, photoconductivity or Raman scattering of a solid, liquid or
gas. An FTIR spectrometer simultaneously collects high spectral resolution data over a wide
spectral range.
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A ‘biomimetic’ route was also studied where FHA was precipitated via octacalcium
phosphate as an intermediate phase, in a manner more similar to natural tooth enamel. The
highly elongated blade-like particles produced by this route closely resemble natural enamel
crystals and are well suited to forming highly aligned nanostructures.
Chen Y and Miao X [24]
tested several fluorhydroxyapatite ceramics with the generic
chemical formula Ca10(PO4)6(OH)(2-2x)F2x, where x = 0.0, 0.2, 0.4, 0.6, 0.8, & 1.0.
X > 0.4 showed much improved thermal stability and a greater resistance to corrosion. These
results were indicated via thermogravimetric analysis, and corrosion testing using a 2.5 wt. %
citric acid solution. It was also noted that the fluorine addition into the HA matrix slowed the
densification of the FHA ceramics.
Behroozibakhsh et al. undertook an experiment to determine the effect of nano-
fluorohydroxyapatite on defected enamel and remineralization process. The evaluation of
remineralized samples by AFM and SEM images showed the demineralized enamel surfaces
were covered with synthetic powders after 7 days. This indicated that fluorhydroxyapatite
nano-particles may contribute to the repair of demineralized enamel with overlaying on
defective areas and can be used as an enamel remineralizing agent. [25]
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2.5 Bone Cement
Bone cement will also be used in this project, as a further step to validate the accuracy of the
method used. Bone cement has been used since the middle of the 20th
century to relatively
successfully secure artificial joints. Bone cement plays the important role of an elastic zone
when filling the free space between the prosthesis and the bone. This is necessary because the
human hip is acted on by approximately up to 1 kN.
Bone cement is made up of 2 Main Components:
• Polymer (powder)
• Monomer (liquid)
These two components are made up of a blend of ingredients which give each type of bone
cement its unique characteristics.
Simplex P Bone Cement Polymer Ingredients
• 75% Methyl Methacrylate Styrene Copolymer
• 15% Polymethylmethacrylate
• 10% Barium Sulfate
PMMA began its uses clinically in the 1940s in plastic surgery. Comprehensive clinical tests
of the compatibility of bone cements with the body were conducted before their use in
surgery. The excellent tissue compatibility and biomimetics of PMMA allowed bone cements
to osseointegrate well and therefore bone cement is suitable for use within the human body.
Nowadays, bone cement is considered a reliable anchorage material with its ease of use in
clinical practice and particularly because of its proven long survival rate with cemented-in
prostheses.
While mixing, the bone cement viscosity changes over time from a runny liquid into a dough-
like state that can be safely applied and then finally hardens into solid hardened material. The
set time can vary depending on which cement is in use. During the exothermic free-radical
polymerization process, the cement heats up. This polymerization heat reaches temperatures
of around 82-86 °C in the body [44]
. This temperature is superior to the critical level for the
protein denaturation in the body. The cause of the low polymerization temperature in the
20 | P a g e
body is the relatively thin cement coating, which should not exceed 5 mm, and the
temperature dissipation via the large prosthesis surface and the flow of blood.
Gentamycin, when used in combination with tobramycin, in bone cement, shows a
synergistic effect, with a 68% greater elution of tobramycin (P = 0.024), and 103% greater
elution of vancomycin from the bone cement (P = 0.007), compared to controls containing
only one antibiotic [44]
.
Fracture of the poly(methyl methacrylate) bone cement mantle may lead to the loosening and
ultimate failure of cemented total joint prostheses. The addition of certain fibers to the bone
cement increases fracture resistance and may reduce, if not eliminate, in vivo fracturing.
Titanium has been noted as one of these fibers. Topoleski and Ducheyne [47]
found that
scanning electron microscopy revealed important toughening mechanisms such as
fiber/matrix debonding, local fracture path alteration, and ductile fiber deformation and
fracture when titanium fibers were added at a 5 % content. However, fiber fracture was
observed supplying evidence that the critical fiber length was exceeded.
2.6 Fracture Toughness
In engineering structures, particularly heat-treated steels, cracks are likely to arise from weld
defects, inclusions, surface damage, etc. and it is necessary to design structures with the
knowledge that cracks are already present and capable of propagation at stresses below the
macroscopic yield stress as measured in a tensile test. [26]
Fracture toughness is a measurement of a material’s ability to resist catastrophic failure and is
a better indicator of clinical strength than average stress-based tests [27]
. It describes the
ability of a material containing a crack to resist fracture, and is one of the most important
properties of any material for many design applications. It is an important factor in choosing
dental materials as low fracture toughness can result in the failure of a treatment, especially in
an acidic load-bearing environment. A fracture toughness parameter is now being employed
to measure the tendency of cracks of given dimensions to propagate under particular stress
conditions. The general procedure in measuring the fracture toughness parameter is to
introduce a crack of suitable size into a specimen of suitable dimension and geometry. The
specimen is then loaded slowly and the crack extension measured up until the critical
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condition. The linear-elastic fracture toughness of a material is determined from the stress
intensity factor at which a thin crack in the material begins to grow.
A number of types of fracture toughness testing are available to be undertaken, measuring KIV
(plane-strain chevron notch fracture toughness relating to extension resistance with respect to
a slowly advancing steady-state3
crack), KIVj (relating to extension resistance with respect to
sporadically advancing crack), and KIVM (based on the maximum force observed before
cracking i.e. no loading-unloading cycles are required) [8]
. Due to the fact that the Tinius
Olsen Hounsfield H50KS screw drive materials testing machine is not able to run loading-
unloading cycles, only KIVM is viable.
Mitchell et al. [31]
evaluated the fracture toughness of glass ionomer luting cements and
determined whether or not the method of mixing GICs influenced the value obtained. The
resin modified cements showed the highest fracture toughness, and the capsulated cements
were more likely to resist clinical failure than the hand-mixed cements. Kevin Roche [6]
spent
some time collaborating with Mitchell et al. in Belfast; “Some synthesis and testing of glass
ionomer cements was carried out at Queen’s University Belfast with Dr Christina Mitchell
and Dr Nicholas Dunne.”
Kevin concluded that the dispersed nanoparticles are “unlikely to lead to any significant
improvement in hand-mixed GICs for ART, as the requirements for good mixing properties
are constantly in competition with the requirements for good mechanical properties.”[6]
It is
required that the nanoparticles be homogeneously mixed throughout the matrix, which is very
difficult with hand-mixed GICs and can often lead to poorer working properties. Kevin
achieved good mechanical properties evident through compressive strength tests using the
Tinius Olsen Hounsfield H50KS screw drive materials testing machine, and Vickers hardness
and indentation fracture toughness testing using a Vickers Indenter. He attempted to carry out
some plane-strain chevron notch fracture toughness testing as well but discovered that his
results were insufficient due to a number of difficulties encountered regarding the working
conditions of the GICs, which slowed down the testing. “The indentation method being
unsuitable as porosity and surface dehydration interfered with crack formation. The chevron
3
Defined as, a crack that has advanced slowly until the crack-tip plastic zone size and crack-
tip sharpness no longer change with further crack extension. Although crack-tip conditions
can be a function of crack velocity, the steady-state crack-tip conditions for metals have
appeared to be independent of the crack velocity within the range attained by the loading
rates specified in this test method.
22 | P a g e
notch method was slightly better but requires careful, time-consuming preparation and a large
number of tests, so is not suitable for preliminary tests.” [6] This project will attempt to
overcome any difficulties that arose due to poor working conditions and comprehensively
investigate the chevron notch fracture toughness of the glass-ionomer cements.
2.6.1 Chevron Notch Fracture Toughness
The method undertaken in this project covers the determination of planestrain (chevron-
notch) fracture toughnesses, KIv or KIvM, of metallic materials. Fracture toughness by this
method is relative to a slowly advancing steady state crack initiated at a chevron-shaped
notch, and propagating in a chevron-shaped ligament. This test method uses either chevron-
notched rod specimens of circular cross section, or chevron-notched bar specimens of square
or rectangular cross section. [8]
The fracture toughness was calculated by the following formula:
𝐾𝐼𝑣𝑀 =
(𝐹 𝑚𝑎𝑥)(𝑌∗𝑚)
(𝐵)(√ 𝑊)
(eq. 1)
Fmax was extracted for the graphed data for each sample.
Y*m4
for the chevron notch used is 29.21. This value is specified in the standard for chevron
notch fracture toughness testing [8]
. It is specific to a chevron notched rod specimen with a
width to length ratio of 1.45. The value of 29.21 was derived from the following: Y* =
exp[C0 + C1 r + C2 r2
+ C3 r3
+ C4 r4
], where C0 = 5.052, C1 = −9.488, C2 = 19.78, C3 =
−18.48, and C4 = 6.921. These values were extrapolated from equations in [42]
. Y* is the
dimensionless stress intensity factor for a crack, and Y*m is the minimum value of this and
indicates the critical crack length.
B is the diameter of the chevron notched rod, and W is the length.
4
Defined as, a dimensionless parameter that relates the applied force and specimen geometry
to the resulting crack-tip stress-intensity factor in a chevron-notch specimen test.
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2.6.1.1 Specimen Dimensions
The dimensions of the specimen must meet the following specifications, seen in figure 2.10
below. The cross sectional area of the short rod chevron notched specimen is 1.256637x10-5
m2
.
Figure 2.10: Sample Dimensions as set out in the standard. From [8]
2.6.1.2 Cracking
Deviation of the crack from the intended fracture plane can result from one or more of the
following:
(a) Inexact centering of the chevron slots (the intended crack plane) in the specimen,
(b) Strong residual stresses in the test specimen,
(c) Strong anisotropy in toughness, in which the toughness in the intended crack plane
is substantially larger than the toughness in another crack orientation, or
(d) Coarse grained or heterogeneous material.
24 | P a g e
Experimental Method & Design Chapter 3
3.1 Subject Understanding
Firstly, I had to obtain a significant understanding of the subject matter. I achieved this by
studying two comprehensive standards on the matter of plane strain fracture toughness;
Metallic Materials – Determination of Plane-Strain Fracture Toughness (ISO 12737:2010)
[33]
, and the Standard Test Method for Plane-Strain (Chevron-Notch) Fracture Toughness of
Metallic Materials, E 1304 -97. [8]
I was able to read a number of papers on the subject matter
including Kevin Roche’s Biomimetic Nanostructures in Dental Cements [6]
. Richard Van
Noort’s Introduction to Dental Materials [10]
was also used to achieve a greater understanding
of glass-ionomer cements. I proceeded to ascertain information about the required dimensions
of the samples, and the required testing processes from the latter sample; ASTM E-1304 [8]
.
3.2 Dimensions and Materials
The dimensions of the samples, following the specifics from figure 2.9, have been laid out as
follows:
Rod diameter (B) 4 mm
Rod length (W) 6 mm
Grip groove width (T) 1.4 mm
Grip groove depth (S) 0.6 mm
Distance to load line (x) 0.4 mm
Chevron Notch Thickness (t) 0.12 mm
Distance to chevron tip (a0) 1.925 mm
Angle of chevron tip (θ) 52.8°
Table 3.1: Dimensions of Chevron Notch Sample
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Figure 3.1 (a) & 3.1 (b): Chevron notched specimens.
Certain materials were sourced for the initial testing: Persex, bone cement, and glass-ionomer
cement. A small Perspex rod of a 4 mm diameter was purchased online. The glass-ionomer
cement was received from Kevin Roche [6]
. There were a number of samples available, such
as radiopaque posterior Fuji IX (initially received from Dr Christina Mitchell [31]
), and AHfil
(initially received from Advanced Healthcare Ltd. In Kent, UK), and the Stryker Simplex P
bone cement was received from Dr Kenneth Stanton of UCD, Ireland.
3.3 Cutting
There was a simple cylindrical mold (made from polytetrafluoroethylene) of height 6 mm,
and diameter 4 mm available. Therefore, a suitable method of shaping the samples to the
desired specifications (according to ASTM E-1304 [8]
) was required. A few different methods
of cutting the sample were considered; circular saw cutting, CNC cutting, and laser cutting.
Electrode sparking was also considered as an option. Ultimately circular saw cutting was
opted for out of ease of use. Regardless of approach, the samples must be kept wet, and at
37°C throughout molding, cutting, storing, and testing. This is an attempt to control the
working properties of the GIC, in order to minimize the difficulties encountered.
After molding, three separate cuts must be made to the sample in order to form the chevron
notched specimen. The first cut (the grip groove cut) is to be made by a blade of 1.6 mm in
thickness, and the second and third cuts (the diagonal chevron notch cuts) are to be made by a
blade of 100 μm in thickness. See figure 3.2 for the area of cutting. A T200 circular saw
cutter located in UCD’s school of mechanical and materials engineering was to be used for
the cuts.
(a) (b)
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Figure 3.2: Three cuts to be made to form the chevron notch specimens.
The 1.6 mm thick blade was purchased from City Saw Services Ltd. in Dublin, Ireland. It was
diamond edged steel, had an outer diameter of 180 mm, a bore size of 15.9 mm, and a zero
tooth count.
Figure 3.3: Diamond edged saw blade of 1.6 mm thickness.
100 μm is extremely thin and required a specifically manufactured circular saw blade to be
purchased. This blade was specified to be either diamond edged steel or diamond edged
tungsten carbide. The outer diameter was to be 125 mm, the bore size 15.9 mm, and a tooth
count of zero. A large number of manufacturers from around the world were contacted
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regarding the manufacture of this blade, but there were many issues experienced during the
process of ordering the blade, as seen in figure 3.4.
Figure 3.4: Failed process of ordering the blade from UKAM Industrial Superhard Tools in
California, USA.
2014
•2014
Oct 15
•Initial contact looking for saw blade within Ireland made via email
Oct 24
•Initial contact looking for saw blade within Ireland made via email
Nov 1
•UKAM Industrial, California, USA. reply with promise of blade
Nov 3
•Specific 100 micron circular saw blade ordered from UKAM. Advised 4 -
5 weeks lead time
Nov 26
•Emailed UKAM for update
Dec 3
•Emailed UKAM for update
Dec 5
• UKAM replied - Order still being processed
Dec 14
•Emailed UKAM for update
Dec 20
•Manufacturing underway
•Finished in one week
2015
•2015
Jan 1
•Emailed UKAM for update
Jan 4
•Rang UKAM for update
•Blade has been shipped - 3 weeks for delivery
Jan 27
•Rang UKAM for update
•Blade should have arrived, they will check up on it
Feb 1
•Blade had not been shipped
•It is being shipped now
Feb 15
•UKAM call to say that they haven't even made the blade and that it will
not be possible to make it.
28 | P a g e
In order to make the cuts to the sample with the 1.6 mm thick and 0.1 mm thick circular saw
blades, I needed to design a rig. During the time outlined in figure 3.4, a simple rig was
designed to fit onto the T200. This rig was subsequently built by John Gahan, a technician in
the school of mechanical and materials engineering in UCD. The rig has the ability to rotate
and can move laterally towards the saw so that the saw can cut at any intended angle. The
rig can also twist through exactly 180°, this is necessary to ensure that cuts 2 & 3
(above) can be made without having to dislodge the chevron notched specimen from the
rig.
Figure 3.5 (a) & (b): T200 Saw & Rig.
After the struggle with UKAM Industrial Superhard Tools, pursuit of a 0.1 mm thick saw
blade continued. The further search for a 100 μm circular saw blade returned a number of
potential opportunities for purchase. Unfortunately, none of the contacted companies could
manufacture a blade so specific in such a small quantity, at a suitable cost, and within the
desired time period. FANXI Tools in Zhejiang, China quoted 4,500 USD for the required
blade, which was out of budget. GSP High Tech Saws in Zborovice, Czech Republic offered
the closest possible solution to the saw blade. The schematics of the blade they produce can
be seen in figure 3.6 below. It was perfect on the dimensions, and they are able to produce it
with a zero tooth count. However, if ordered, this blade would not have arrived in time for the
completion of this project.
(a) (b)
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Figure 3.6: Schematic of saw blade on offer from GSP High Tech Saws in Zborovice, Czech
Republic.
3.4 Molding
After failing to secure the required saw blade, it was decided to re-evaluate the method of
cutting the specimen. CNC cutting, laser cutting, and electrode sparking were all considered
too expensive. Therefore, it was left to consider making the sample with the grooves molded
into it. This would be beneficial as it would eradicate the need for cutting, and cutting can
contribute to failure in samples with poor working conditions, i.e. the FHA GIC’s tested by
Kevin Roche [6]
. The issue with this method was how to get the cement sample out of the
mold without damaging a mold or breaking the specimen. This is particularly difficult with
the chevron groove down the middle of the specimen being 100 μm thick. It was
hypothesised to mold the 100 μm cut into the specimen with paper, and burn it out after
setting. This was ruled out however, due to the fact that the cement must be kept at 37 °C and
in a 100 % humid environment during the molding and testing. It was further hypothesised to
30 | P a g e
make a little shim that would fit into a cylindrical mold and produce the sample shape
needed. Design of this shim and mold began immediately.
The initial design for the mold and shim was drawn on Solidworks, to the required
dimensions, and can be seen in Appendix A. 20 copies of the shim were produced first, made
of nylon. These can be seen in figure 3.7 below. The mold was designed to be steel where a
PTFE spray would be used as a release agent, and to incorporate 20 molds at once. This
turned out to be impossible due to restrictions with the mixing of the GICs and getting them
into the oven at 37 °C and 100 % humidity. With these restrictions, it is only possible to mold
1 or 2 samples at the same time.
Figure 3.7: Nylon shim, 4 mm wide & 0.1 mm thick with a 0.6 mm x 1.4 mm handle on top
to form the grip groove.
After the nylon shim was produced, it was necessary to test the glass-ionomer cement on it
and see how badly it sticks. Unfortunately, even with the use of a polytetrafluoroethylene
spray, the GIC could not be removed from the nylon shim without damaging it. Therefore,
the nylon shim was unusable. The nylon was also very flimsy at this specification. It was
noted that the shim should be a stronger stiffer material.
Both the mold and shim were redesigned at this point. Both the mold and shim were drawn
up on PTC CREO 3.0 and designed to be made from PTFE and steel, respectively.
31 | P a g e
Figure 3.8 (a) & (b): PTC CREO 3.0 CAD drawing of the PTFE mold, designed for molding
one sample at a time.
Figure 3.9: PTC CREO 3.0 CAD dimensions of the PTFE mold.
(a) (b)
32 | P a g e
Figure 3.10: PTC CREO 3.0 CAD drawing of steel shim.
Figure 3.11: PTC CREO 3.0 CAD dimensions of steel shim.
33 | P a g e
John Gahan, a technician in UCDs school of mechanical and materials engineering produced
the mold from PTFE, and the shim was produced by glueing two 0.65 mm thick pieces of
steel shim onto a middle, bigger piece of 0.1 mm thick steel shim. The chevron notch was
then cut from the 0.1 mm piece of shim to complete the piece. Two molds and two shims
were produced for testing. A single one of each of these can be seen in figure 3.12.
Figure 3.12: PTFE mold and shim in clamp.
The 0.1 mm thick steel shim was shaved down at the triangular cut to fit the dimensions
specified in figure 3.13 below.
Figure 3.13: Dimensions of the chevron groove, as specified in the standard.
34 | P a g e
3.5 Mixing
Initial testing with the PTFE mold and shaved steel shim worked well; however, the first
sample made had not been mixed properly, resulting in chipping upon removal from the mold
(figure 3.14). This problem was exacerbated by the fact that no release agent was used during
the molding.
Figure 3.14: First sample of Fuji IX dental cement, chipped.
To mix a sample of Fuji IX, one spoon of alumina-silicate glass powder is mixed with one
drop of polyacrylic acid, in the ratio of 15:8. The cement is mixed on a PTFE board using a
steel spatula. A medical scalpel is used to tidy up the excess cement on the mold. A clamp is
used to secure the mold while in the oven. After a number of practices mixing, the specimen
shape seen below was achieved.
35 | P a g e
Figure 3.15: Molded sample of Fuji IX dental cement.
3.6 Hounsfield Rigs
In order to correctly test these samples, I was required to design a rig that would fit onto the
Tinius Olsen Hounsfield H50KS screw drive materials testing machine and hook into the grip
groove that had been molded into the samples. The Tinius Olsen Hounsfield H50KS screw
drive materials testing machine will then pull the specimen apart.
Figure 3.15: Schematic of a sample attached to the Tinius Olsen Hounsfield H50KS screw
drive materials testing machine with rigs as outlined in the chevron notch fracture toughness
testing standard [8]
.
36 | P a g e
A rough sketch allowed me to get a better understanding of what would be required from the
Tinius Olsen Hounsfield H50KS screw drive materials testing machine rigs. This can be seen
in figure 3.16 below.
Figure 3.16: Sketch of requirements for Tinius Olsen Hounsfield H50KS screw drive
materials testing machine rigs.
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These rigs were then drawn up on PTC CREO 3.0, as seen below.
Figure 3.17 (a), (b), (c) & (d): PTC CREO 3.0 CAD drawings of the Tinius Olsen
Hounsfield H50KS screw drive materials testing machine rigs.
These designs were slightly altered during production of the pieces in order to have one end
made from an M8 x 1.25 screw. The finished product can be seen below.
(a)
(b)
(d)(c)
38 | P a g e
Figure 3.18 (a) & (b): Tinius Olsen Hounsfield H50KS screw drive materials testing machine
rigs, idle and in use.
With the ability to mold a sample correctly, and the rigs to test them, testing began.
(a)
(b)
39 | P a g e
3.7 Testing
One spoon of alumina-silicate glass powder is mixed with one drop of the polyacrylic acid, in
the ratio of 15:8. The mixing phase of GICs should ideally be completed in 45 seconds [28]
.
The sample cement is immediately put into the mold, and then the shim, which is covered in
a release agent5
, is pushed into the cement mixture, taking its place in the mold. The mold is
clamped, and immediately put into an oven (figure 3.19) at 37 °C and 100 % humidity.
Figure 3.19: Gallenkamp vacuum oven.
Through the experimental testing, it was realised that the best possible time to remove the
sample from the mold is right at the end of the samples setting time (7-10 minutes). The
further the sample is into its hardening phase, i.e. the longer the sample is left in the mold, the
harder it is to remove from the mold without cracking. It was also found that removing the
specimen from the mold after 7-10 minutes as opposed to one hour was more beneficial in the
effort to ensure the sample was safely removed from the mold than including extra amounts
of either a PTFE or silicone release agent. After the 7-10 minutes in the mold, the sample is
removed from the mold and immediately put back into the oven at 37 °C and 100 % humidity
on a wet towel. The sample is then left in the oven for roughly another 23 hours and 50
minutes. Using this method, it is possible to make two samples every 15-20 minutes,
including time for cleaning the mixing equipment.
5
Initially a PTFE spray was used as the release agent. However, after 23 samples had been tested, a switch was
made to a silicone spray. This silicone spray worked better than the original PTFE spray.
40 | P a g e
Figure 3.20: Molded samples of Fuji IX dental cement just after removal from the oven.
The samples are brought straight from the oven to the Tinius Olsen Hounsfield H50KS screw
drive materials testing machine. The Tinius Olsen Hounsfield H50KS screw drive materials
testing machine must be setup with rigs in place in order to allow a quick test to be carried
out. It is important to test the samples before any significant dehydration occurs. The Tinius
Olsen Hounsfield H50KS screw drive materials testing machine runs QMAT 5.48 software
(figure 3.21) which enables the measurement of displacement and force via a 1 kN load cell.
The data for extension and force is then graphed and exported to Excel. The QMAT 5.48
software also provides info on the materials yield strength and elastic modulus.
Figure 3.21: QMAT 5.48 software plotting force v extension, and indicating the maximum
force.
41 | P a g e
All of the tests for the Fuji IX and the AHL GIC are carried out at a speed of 1 mm/min. The
tests on the Stryker Simplex P are carried out at 5 mm/min. This is to ensure that cracking
occurs between 15 seconds and 60 seconds into the test time. The environment for testing is
in air at atmospheric pressure, and room temperature (≈ 25 ° C).
Figures 3.22: Tinius Olsen Hounsfield H50KS screw drive materials testing machine with
rigs in place.
The specimens are inspected by hand after testing to ensure that all validity tests have been
passed. It is very important to check that the chevron notch was positioned correctly and that
the crack propagated along the chevron notch.
KIVM (plane-strain chevron notch fracture toughness relating to extension resistance with
respect to a slowly advancing steady-state crack based on the maximum force observed
before cracking) can then be calculated for the material by using eq. 1.
𝐾𝐼𝑣𝑀 =
(𝐹 𝑚𝑎𝑥)(𝑌∗𝑚)
(𝐵)(√ 𝑊)
(eq. 1)
This method allows the fracture toughness of a brittle material to be measured with a very
small amount of material and without the need for a pre-crack. [34]
Therefore it is well suited
to the testing of GICs. If the crack is not a slowly advancing steady state crack initiated at the
42 | P a g e
chevron notch, then an unloading/reloading cycle would be necessary to accurately determine
the fracture toughness.
3.7.2 Bone Cement
There is no difference in testing bone cement on the Tinius Olsen Hounsfield H50KS screw
drive materials testing machine. There is however, a difference in the way the cement is
mixed. The bone cement tested for this project is Simplex P from Stryker in Limerick,
Ireland. It is made up of the following, in the form of a polymer (powder) and a monomer
(liquid), as seen in figure 3.23:
• 75% Methyl Methacrylate Styrene Copolymer
• 15% Polymethylmethacrylate
• 10% Barium Sulfate
The monomer is toxic until it is mixed into the polymer, therefore, mixing must be done in a
vacuum fume hut (figure 3.24) under great care6
. After the mixture has reached its doughing
phase (figure 3.25), it is no longer toxic. For each ml of the monomer, you must add 2 grams
of the polymer. Once the mixture is doughy (after about a minute), it should be taken out and
placed into the mold. After this step, the method is similar to the dental cement. However, the
bone cements setting time is longer than the dental cements. It needs to be left in the mold for
greater than 20 minutes so that it can be removed with deformation. Also the bone cement is
left to set at ambient temperature, it does not go in the oven.
6
Ayatollahi, and Karimzadeh [46]
found that their fracture toughness results indicated that the
vacuum-mixed cement has significantly higher fracture toughness compared with the hand-
mixed ones.
43 | P a g e
Figure 3.23: Stryker Simplex P monomer liwuid and polymer powder before mixing.
Figure 3.24: Fume hut used for the mixing of Simplex P.
44 | P a g e
Figure 3.25: Stryker Simplex P during mixing, known as the doughing phase.
3.8 Scanning Electron Microscopy
A scanning electron microscope (SEM) scans a focused electron beam over a surface to
create an image. The electrons in the beam interact with the sample, producing various
signals that can be used to obtain information about the surface topography and composition.
[36]
45 | P a g e
Results Chapter 4
4.1 Scanning Electron Microscopy
A Hitachi tabletop microscope TM-1000 was used to carry out SEM analysis on samples of
the Fuji IX. This was undertaken to determine whether or not the crack in the specimen was
propagating along the chevron notch. Images of the samples were taken at magnifications of
150, 600, 1000, 1500, 2000, & 5000. A large number of samples had a coating of rust over
the molded part of the specimen which made them unusable for SEM. This was due to steel
shim rusting while in the humid environment in the oven. Also, the magnification of 5000
was relatively unusable due to the lens not being able to focus correctly at that magnification.
The first SEM image which was taken at a magnification of 150 can be seen below in figure
4.1. It shows the tip of the chevron notch after cracking in great detail. It should be noted that
the molded surface (to the right and bottom of the image) is smoother than the chevron notch.
The chevron notch is the area where the crack propagates, hence, this is to be expected in the
specimen. There are however, a few noticeable cracks in the molded surface. This is
attributed to dehydration of the specimen during its time in the oven. Although it is possible
that the cracks are a result of residual stresses in the material that formed during testing.
46 | P a g e
Figure 4.1: SEM image at a magnification of 150 showing the tip of the chevron notch.
The magnification of 1500 shows the particle sizes within the sample in great detail.
Backscattered electrons are sensitive to the atomic mass of the nuclei they scatter
from.[37]
As a result, elements with a heavier atomic mass, which backscatter more
efficiently, appear brighter than lighter elements in a backscattered electron image. The glass
particles contain Calcium which has an atomic mass of 40.078 atomic mass units, hence, the
glass particles appear bright in SEM. Due to this and to the fact that the lighter shaped
particles are sharp edged, it is concluded that the lighter particles are the alumina-silicate
glass particles inside the Fuji IX. These glass particles are seen to range from 10 μm up to 40
μm in diameter. This is just slightly smaller than the expected 15-50 μm diameters
47 | P a g e
Figure 4.2: SEM image at a magnification of 1500 showing the particles sizes inside the
chevron notch area.
In figure 4.3 below, a rusted sample can be seen. The rust is present to the top and right of the
chevron tip. These SEM images are unusable because the rust is difficult to distinguish from
the glass particles. The iron in the rust makes them appear brightly, leading to the difficulties.
There are also a number of large dark particles seen in figure 4.3; these are particles of
polytetrafluoroethylene, which was used as a release agent in the molding process. These
particles are slightly larger than the glass particles, ranging from 10-45 μm.
48 | P a g e
Figure 4.3: SEM image at a magnification of 1000 showing the chevron tip of a specimen
with the presence of rust.
At a magnification of 2000, the detailed extent of the cracks direction and depth can be seen.
Figure 4.4 shows a slightly faulty specimen, where the crack propagated down into the
sample, as opposed to travelling along the chevron notch.
49 | P a g e
Figure 4.4: SEM image at a magnification of 2000 showing the crack at the chevron tip
propagating downwards into the sample.
4.2 Chevron Notch Fracture Toughness Testing
4.2.1 Validity tests
A number of samples have been excluded from the following results due to the fact that they
either broke during molding or during the setup for testing, or the results obtained failed a
validity test. The following validity tests were carried out on each result:
 Sample dimensions must be accurate to that which is specified in the standard (figure
2.1. (from section 2.6.1.1))
 The specimens lateral dimension, B, is equal to or greater than 1.25 (KIvM /σYS)2
 If the max force occurs early in the test, the crack must be allowed to rest well,
otherwise the test is invalid.
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 If the actual crack surface deviates from the intended crack plane, as defined by the
chevron slots, by more than 0.1 mm, then the test is invalid.
 Values of max force occurring early in the test, before a point corresponding to the
slope ratio 1.2rc, are considered invalid.
 Smooth crack growth is required for a test to be valid
4.2.2 Fuji IX glass ionomer cement
The first samples tested were Fuji IX. The initial samples were attached to the Tinius Olsen
Hounsfield H50KS screw drive materials testing machine rigs using tape as it was a struggle
to attach them without. The tape used was ultra-high molecular weight polyethylene with a
low co-efficient of friction. The specimens were inspected after cracking to ensure that the
crack propagated along the chevron notch. All samples recorded below passed this test. The
results were graphed using Excel, and then MATLAB was used in order to read in the data,
clean it up, and plot the results including an average with a standard deviation7
of one. The
code used in MATLAB can be seen in appendix B. The fracture toughness value was
calculated from eq. 1 in section 2.6.1.
Figure 4.5: Graphed data from samples Fuji IX 1, 4, 5, & 7.
7
In statistics, the standard deviation is a measurement used to quantify the amount of
variation or dispersion of a set of data values. It is calculated by 𝜎 = √
∑ (𝑥 𝑖−𝑥̅)𝑛
𝑖=1
𝑛−1
0
1
2
3
4
5
6
0 0.2 0.4 0.6 0.8 1 1.2
Force (N)
Extension (mm)
Fuji IX 1
Fuji IX 4
Fuji IX 5
Fuji IX 7
51 | P a g e
Noticeably sample Fuji IX 6 is left out of this graph. The tape on this sample was wrongly
attached during testing which lead to the Tinius Olsen Hounsfield H50KS screw drive
materials testing machine recording incorrect data. This is an example of data that failed a
validity test and therefore has been excluded from calculations. It can be seen below in figure
4.6.
Figure 4.6: Sample data that failed a validity test.
Fuji IX sample 6 was also excluded from figure 4.5. This was due to the fact that although the
sample cracked, it did not fully break. Therefore, it was retested a number of times until full
breaking.
0
20
40
60
80
100
120
140
160
0 0.2 0.4 0.6 0.8 1
Force (N)
Extension (mm)
52 | P a g e
Figure 4.7: Data from sample Fuji IX 6, including retests.
After doing the retests on sample 6, it was apparent that some factor was causing peaks in the
data. To evaluate this, samples Fuji IX 8 & Fuji IX 9 were tested and retested once in the
same fashion. Both Fuji IX 8 & Fuji IX 9 recorded reasonable force measurements on the
initial testing, and Fuji IX 9’s retest went as expected. Fuji IX 8, however, showed some very
high initial readings on its retest.
Figure 4.8: Data from Fuji IX 8 and retest.
0
0.5
1
1.5
2
2.5
3
3.5
4
0 0.2 0.4 0.6 0.8 1
Force (N)
Extensions (mm)
Fuji IX 6
Retest 1
Retest 2
Retest 3
Retest 4
Retest 5
0
0.5
1
1.5
2
2.5
3
3.5
0 0.05 0.1 0.15 0.2 0.25 0.3 0.35
Force (N)
Extension (mm)
Fuji IX 8
Retest
53 | P a g e
Figure 4.9: Data from Fuji IX 9 and retest.
The data from these retests was skewed slightly so some testing was carried out with just the
ultra-high molecular weight polyethylene tape and no specimen present. The first test had the
taped wrapped relatively tightly, and the second test had it wrapped relatively loosely. The
results can be seen in figure 4.10 below.
Figure 4.10: Data from two tests on ultra-high molecular weight polyethylene tape.
It can be seen here that the inclusion of the tape throws off the data regardless of how it is
placed upon the specimen while it is being tested in the Tinius Olsen Hounsfield H50KS
0
1
2
3
4
5
6
0 0.05 0.1 0.15 0.2 0.25 0.3
Force (N)
Extension (mm)
Fuji IX 9
Retest
0
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
0 0.2 0.4 0.6 0.8
Force (N)
Extension (mm)
Tape 1
Tape 2
54 | P a g e
screw drive materials testing machine. The remainder of the testing was done without the use
of the ultra-high molecular weight polyethylene tape.
Figure 4.11: Data from Fuji IX 10, 11, 12, 13, 14.
There are a few instances of slipping that occur while using the Tinius Olsen
Hounsfield H50KS screw drive materials testing machine. This can be seen below in figure
4.12 while looking at the graphed data for sample Fuji IX 21.
Figure 4.12: Data from Fuji IX 15, 16, 17, 18, 21.
0
1
2
3
4
5
6
7
0 0.02 0.04 0.06 0.08 0.1 0.12 0.14
Force (N)
Extension (mm)
Fuji IX 10
Fuji IX 11
Fuji IX 12
Fuji IX 13
Fuji IX 14
0
0.5
1
1.5
2
2.5
3
3.5
0 0.1 0.2 0.3
Force (N)
Extension (mm)
Fuji IX 15
Fuji IX 16
Fuji IX 17
Fuji IX 18
Fuji IX 21
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Figure 4.13: Data from Fuji IX 24, 25, 26, 27, 28, 30, 31.
The data was also plotted on MATLAB
Figure 4.14: MATLAB graph of data from Fuji IX 24, 25, 27, 28, 30. The peaks are indicated
by the blue squares.
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Figure 4.15: MATLAB graph of average values data from Fuji IX 24, 25, 27, 28, 30, showing
1 standard deviation from the average.
Figure 4.16: MATLAB graph of average values data from Fuji IX 24, 25, 27, 28, 30, showing
1 standard deviation from the average.
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These results all show force readings of mainly between 3 and 5 MPa√ 𝑚 which is within the
range sought after. There are a few outliers that managed to bypass the initial validity tests,
but were removed from the ANOVA analysis after their results were way outside the
expected range. As the test method at this stage seemed reliable and accurate, testing
progressed onto other materials.
4.2.3 AHL glass ionomer cement
After testing on the Fuji IX sufficiently verified the testing method, glass ionomer cement
that was received from Advanced Healthcare, Kent, UK, via Kevin Roche. The specimens
were inspected after testing to ensure that the crack propagated along the chevron notch. Both
AHL GIC 32 and AHL GIC 35 nearly failed the validity tests. The crack propagation in both
of these specimens occurred initially along the chevron notch tip, but then deviated and cut
through the specimen. This resulted in the specimen breaking as seen in figure 4.17. The
effects of this deviation can be seen in figure 4.18. The same issue occurred with sample
AHL GIC 45. This can be seen clearly in figure 4.19.
Figure 4.17: Incorrect cracking of GIC sample.
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Figure 4.18: Graphed data from AHL GIC 32, 33, 35, 36, 38, 40, 42.
Figure 4.19: Graphed data from AHL GIC 44, 45, 47, 50.
4.2.4 Bone Cement
The last material to be tested in this project was Simplex P bone cement from Stryker in
Limerick, Ireland. The specimens were inspected after cracking to ensure that the crack
propagated along the chevron notch. All samples recorded below passed this test. The data
0
1
2
3
4
5
6
0 0.1 0.2 0.3
Force (N)
Extension (mm)
AHL GIC 32
AHL GIC 33
AHL GIC 35
AHL GIC 36
AHL GIC 38
AHL GIC 40
AHL GIC 42
0
0.5
1
1.5
2
2.5
3
3.5
0 0.05 0.1 0.15 0.2
Force (N)
Extension (mm)
AHL GIC 44
AHL GIC 45
AHL GIC 47
AHL GIC 50
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for the bone cement was recorded steadily over a long period of time. The testing was run at
0.5 mm/min for all samples to ensure cracking within 60 seconds.
Figure 4.20: Data for bone cement samples 1-5 plotted on Excel.
Figure 4.21: MATLAB graph of data from Stryker Simplex P bone cement samples 1, 2, 3, 4,
5. The blue squares indicate Fmax.
0
2
4
6
8
10
12
14
16
18
20
0 0.5 1 1.5 2
Force (N)
Extension (mm)
Bone Cement 5
Bone Cement 4
Bone Cement 3
Bone Cement 2
Bone Cement 1
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Figure 4.22: MATLAB graph of average values data from Stryker Simplex P bone cement
samples 1, 2, 3, 4, 5, showing 1 standard deviation from the average.
Figure 4.23: MATLAB graph of average values data from Stryker Simplex P bone cement
samples 1, 2, 3, 4, 5, showing 1 standard deviation from the average.
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Singular plots of some of the samples on MATLAB can be seen in Appendix C.
4.2.5 Fracture Toughness v Time
Sample Time in mold Total time in oven Fracture Toughness
Fuji IX 1 15 minutes 22.5 hours 0.345989 MPa√ 𝑚
Fuji IX 2 15 minutes 23 hours 12.85281 MPa√ 𝑚
Fuji IX 4 11 minutes 29.5 hours 0.477659 MPa√ 𝑚
Fuji IX 5 10 minutes 29.5 hours 0.336561 MPa√ 𝑚
Fuji IX 6 8 minutes 29 hours 0.336247 MPa√ 𝑚
Fuji IX 7 8 minutes 29.5 hours 0.270255 MPa√ 𝑚
Fuji IX 8 9 minutes 29 hours 0.270255 MPa√ 𝑚
Fuji IX 9 10 minutes 29 hours 0.449377 MPa√ 𝑚
Fuji IX 10 9 minutes 28 hours 0.292252 MPa√ 𝑚
Fuji IX 11 9 minutes 28 hours 0.534256 MPa√ 𝑚
Fuji IX 12 9 minutes 27.5 hours 0.254542 MPa√ 𝑚
Fuji IX 13 9 minutes 27.5 hours 0.537367 MPa√ 𝑚
Fuji IX 14 8 minutes 24 hours 0.540478 MPa√ 𝑚
Fuji IX 15 10 minutes 26.5 hours 0.289141 MPa√ 𝑚
Fuji IX 16 9 minutes 26 hours 0.201088 MPa√ 𝑚
Fuji IX 17 11 minutes 25.5 hours 0.260859 MPa√ 𝑚
Fuji IX 18 9 minutes 24 hours 0.292252 MPa√ 𝑚
Fuji IX 21 9 minutes 25.5 hours 0.273397 MPa√ 𝑚
Fuji IX 24 12 minutes 24.5 hours 0.270286 MPa√ 𝑚
Fuji IX 25 8 minutes 24 hours 0.314218 MPa√ 𝑚
Fuji IX 26 8 minutes 24 hours 0.276508 MPa√ 𝑚
Fuji IX 27 8 minutes 24 hours 0.380211 MPa√ 𝑚
Fuji IX 28 9 minutes 24 hours 0.53105 MPa√ 𝑚
Fuji IX 30 7 minutes 24 hours 0.333073 MPa√ 𝑚
Fuji IX 31 18 minutes 24 hours 0.345706 MPa√ 𝑚
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AHL GIC 32 8 minutes 25 hours 0.172806 MPa√ 𝑚
AHL GIC 33 8 minutes 25 hours 0.282825 MPa√ 𝑚
AHL GIC 35 8 minutes 19.5 hours 0.03771 MPa√ 𝑚
AHL GIC 36 8 minutes 19.5 hours 0.30168 MPa√ 𝑚
AHL GIC 38 9 minutes 19.5 hours 0.461947 MPa√ 𝑚
AHL GIC 40 8 minutes 19.5 hours 0.333073 MPa√ 𝑚
AHL GIC 42 9 minutes 19 hours 0.553111 MPa√ 𝑚
AHL GIC 44 42 minutes 28.5 hours 0.270286 MPa√ 𝑚
AHL GIC 45 37 minutes 28.5 hours 0.050277 MPa√ 𝑚
AHL GIC 47 12 minutes 22.5 hours 0.298569 MPa√ 𝑚
AHL GIC 50 7 minutes 22 hours 0.307996 MPa√ 𝑚
Stryker Simplex P 1 7 minutes 24.5 hours 1.578161 MPa√ 𝑚
Stryker Simplex P 2 8 minutes 24.5 hours 1.657352 MPa√ 𝑚
Stryker Simplex P 3 9 minutes 24 hours 1.770482 MPa√ 𝑚
Stryker Simplex P 4 8 minutes 24 hours 1.615871 MPa√ 𝑚
Stryker Simplex P 5 8 minutes 24 hours 1.464089 MPa√ 𝑚
Table 4.1: Time for molding and time spent in oven for each sample, including its
fracture toughness value.
It can be seen from both figure 4.24 and figure 4.25 below that there is no strong
correlation between fracture toughness and time in the oven once it is in and around the
24 hour mark.
63 | P a g e
Figure 4.24 Fuji IX dental cement fracture toughness values v time in the oven.
Figure 4.25: AHL dental cement fracture toughness v time in the oven.
0
0.1
0.2
0.3
0.4
0.5
0.6
0 10 20 30 40
Fracture
Toughness
(MPa√𝑚)
Time in Oven (Hours)
0
0.1
0.2
0.3
0.4
0.5
0.6
0 10 20 30 40
Fracture
Toughness
(MPa√𝑚)
Time in Oven (Hours)
64 | P a g e
Figure 4.26: Stryker Simplex P bone cement fracture toughness v time in the oven.
4.2.6 Summary of values
Sample
Yield
Strength
(MPa)
E-Mod
(Mpa)
Fracture
Toughness, KIvM
(Mpa√ 𝑚)
Point of
Cracking
(mm)
Passed
Validity
Checks
Fuji IX 1 0.0425 1.015 0.345989 0.47 
Fuji IX 2 0.0297 0.464 12.85281
Fuji IX 4 0.041 0.389 0.477659 0.07 
Fuji IX 5 0.0423 0.356 0.336561 0.38
Fuji IX 6 0.0459 0.389 0.336247 0.28 
Fuji IX 7 0.0292 0.334 0.270255 0.17 
Fuji IX 8 0.0291 3.34 0.270255 0.13 
Fuji IX 9 0.0688 9.82 0.449377 0.22 
Fuji IX 10 0.0771 10.12 0.292252 0.05 
Fuji IX 11 0.0354 3.96 0.534256 0.025 
Fuji IX 12 0.03167 4.24 0.254542 0.006 
Fuji IX 13 0.03562 3.4 0.537367 0.034 
Fuji IX 14 0.03458 2.56 0.540478 0.056 
Fuji IX 15 0.1292 5.36 0.289141 0.096 
Fuji IX 16 0.0125 4.68 0.201088 0.127 
Fuji IX 17 0.1813 1.012 0.260859 0.106 
Fuji IX 18 0.1792 3.92 0.292252 0.048 
Fuji IX 21 0.0291 4.12 0.273397 0.035 
Fuji IX 24 0.2062 6.92 0.270286 0.054 
Fuji IX 25 0.2521 7.08 0.314218 0.035 
Fuji IX 26 0.3521 3.54 0.276508 0.095 
Fuji IX 27 0.2188 7.11 0.380211 0.022 
Fuji IX 28 0.2292 8.53 0.53105 0.059 
0
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.8
2
23.9 24 24.1 24.2 24.3 24.4 24.5 24.6
Force (N)
Time in Oven (Hours)
65 | P a g e
Fuji IX 30 0.1548 5.32 0.333073 0.056 
Fuji IX 31 0.1234 3.39 0.345706 0.07 
Sample
Yield
Strength
(Mpa)
E-Mod
(Mpa)
Fracture
Toughness, KIvM
(Mpa√ 𝑚)
Point of
Cracking
(mm)
Passed
Validity
Checks
AHL GIC 32 0.0146 4.15 0.172806 0.02 
AHL GIC 33 0.0208 4.37 0.282825 0.045 
AHL GIC 35 0.023 3.52 0.03771 0.058
AHL GIC 36 0.3063 2.95 0.30168 0.06 
AHL GIC 38 0.2208 2.31 0.461947 0.14 
AHL GIC 40 0.0543 4.59 0.333073 0.08 
AHL GIC 42 0.1792 6.1 0.553111 0.12 
AHL GIC 44 0.0062 3.01 0.270286 0.022 
AHL GIC 45 0.0284 2.5 0.050277
AHL GIC 47 0.0145 2.98 0.298569 0.055 
AHL GIC 50 0.1979 3.1 0.307996 0.132 
Sample
Yield
Strength
(Mpa)
E-Mod
(Mpa)
Fracture
Toughness, KIvM
(Mpa√ 𝑚)
Point of
Cracking
(mm)
Passed
Validity
Checks
Stryker Simplex P 1 1.596 4.9 1.578161 0.344 
Stryker Simplex P 2 1.046 6.35 1.657352 0.405 
Stryker Simplex P 3 1.231 6.1 1.770482 0.672 
Stryker Simplex P 4 1.245 7.2 1.615871 0.748 
Stryker Simplex P 5 0.869 5.5 1.464089 0.412 
Table 4.2: Yield strength, elastic modulus, fracture toughness, and breaking point of each
sample, as well as a pass/fail of the validity checks.
4.2.6.1 Fuji IX:
Average KIvM value: 0.35 Mpa√ 𝑚
Standard deviation: 0.1 Mpa√ 𝑚
Average yield strength: 0.104431 MPa
Average elastic modulus: 4.05476 MPa
Average point of cracking: 0.11225 mm
66 | P a g e
4.2.6.2 AHL GIC:
Average KIvM value: 0.33 Mpa√ 𝑚
Standard deviation: 0.11 Mpa√ 𝑚
Average yield strength: 0.096909 MPa
Average elastic modulus: 3.598182 MPa
Average point of cracking: 0.732 mm
4.2.6.3 Stryker Simplex P:
Average KIvM value: 1.61 MPa√ 𝑚
Standard deviation: 0.1 Mpa√ 𝑚
Average yield strength: 1.1974 MPa
Average elastic modulus: 6.01 MPa
Average point of cracking: 0.5162 mm
A more detailed analysis of the statistical significance of these results can be seen in
Appendix D.
67 | P a g e
Discussions and Conclusions Chapter 5
5.1 Results
The average KIvM value recorded for Fuji IX GC was 0.35 ± 0.1 Mpa√ 𝒎. The average
KIvM value recorded for AHL GIC was 0.33 ± 0.11 Mpa√ 𝒎.
Ulrich Lochbauer [28]
found that the fracture toughness value for glass-ionomer cement
was between 0.1 and 0.6 MPa√ 𝑚.
Ilie et al. [51]
found KIc values for GICs to be on average 0.45 Mpa√ 𝑚.
Bagheri et al. [25]
found KIc values for Fuji IX to be 0.34 Mpa√ 𝑚 after 48 hours, and
values for KIc for Fuji IX GC to be 0.44 Mpa√ 𝑚 after 48 hours. As the results seen in this
project were slightly lower than this, but also tested after 24 hours, not 48, there is a
strong correlation between the industries standards results and the Fuji IX GC results.
Mitchell et al. [31]
found the value of fracture toughness for Fuji I to be 0.34 Mpa√ 𝑚 and
Fuji Cap I to be 0.37 Mpa√ 𝑚. These are very similar products to Fuji IX, again showing
that the obtained results are accurate.
The average KIvM value recorded for Stryker Simplex P was 1.61 ± 0.1 Mpa√ 𝒎.
Ayatollahi and Karimzadeh [46]
found that the fracture toughness value for bone cement,
although by the nano-indentation test, to be between 2.1 and 2.9 MPa√ 𝑚.
Lewis et al. [48]
found that the respective values for the fracture toughness of three
different groups; 4-N,N dimethyl p-toluidine, 4-N,N dimethylaminobenzyl oleate, 4-N,N
dimethylaminobenzyl laurate, were 1.94 ± 0.05, 2.06 ± 0.09, and 2.00 ± 0.07 MPa√ 𝑚
respectively.
K. Brown [49]
wrote that the PMMA bone cement specimens he tested were all between
1.25 – 1.38 MPa√ 𝑚.
Most notably, Webb and Spencer [50]
measured the mean fracture toughness (KIc) of
Stryker Simplex P to be 1.52 – 2.02 MPa√ 𝑚.
This indicates that obtaining an average fracture toughness value for Stryker Simplex P
of 1.61 ± 0.1 MPa√ 𝑚 is well within the industry standard range of values.
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements
Mechanical Testing of Nano-Modified Dental Cements

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Mechanical Testing of Nano-Modified Dental Cements

  • 1. Mechanical Testing of Nano-Modified Dental Cements Killian Victory, BE. Mechanical Engineering Project School of Mechanical and Materials Engineering MEEN 30120 2014/2015 Principal Supervisor: Dr K. T. Stanton
  • 2. UCD School of Mechanical and Materials Engineering Report Submission Form MEEN 30120: Mechanical Engineering Project Student Name: Killian Victory Student Number: 11411368 Report Title: Mechanical Testing of Nano-Modified Dental Cements Plagiarism Plagiarism is a serious academic offence and is comprehensively dealt with on UCD’s Registry website [UCD 2010a, UCD 2010b]. It is a student’s responsibility to be familiar with the University’s policy on plagiarism. All students are encouraged, if in doubt, to seek guidance from an academic member of staff on this issue. The UCD policy document on plagiarism states that “the University understands plagiarism to be the inclusion of another person’s writings or ideas or works, in any formally presented work (including essays, theses, projects, laboratory reports, examinations, oral, poster or slide presentations) which form part of the assessment requirements for a module or programme of study, without due acknowledgement either wholly or in part of the original source of the material through appropriate citation. Plagiarism is a form of academic dishonesty, where ideas are presented falsely, either implicitly or explicitly, as being the original work of the author. While plagiarism may be easy to commit unintentionally, it is defined by the act not the intention. The University advocates a developmental approach to plagiarism and encourages students to adopt good academic practice by maintaining academic integrity in the presentation of all academic work” [UCD 2010a, UCD 2010b]. [UCD 2010a] Plagiarism Policy and Procedures - UCD Registry. www.ucd.ie/registry/academicsecretariat/plag_pol_proc.pdf [UCD 2010b] A Briefing for Students on Academic Integrity and Plagiarism. www.ucd.ie/registry/academicsecretariat/plag_brief.pdf Declaration of Authorship I declare that all material in this submission is my own work except where there is clear acknowledgement and appropriate reference to the work of others. Signature: Killian Victory Date: 02/04/2015
  • 3. Acknowledgements My greatest thanks to Dr Kenneth Stanton, whose intellect, guidance, and ability to squeeze meetings into a packed schedule helped me to set out and implement a nice straightforward project plan. Many other people have helped in many ways, for which I am very thankful. Kevin Roche who supplied a whole host of supplies; polyacrylic acid, Fuji IX cement, Advanced Healthcare Ltd glass-ionomer cement, all of his nano-modified glass-ionomer cements, and also for his guidance on the use of the Tinius Olsen Hounsfield H50KS screw drive materials testing machine. David Grouse for his fantastic thoughts on how to best mold the samples, and for his time on the nylon shims. John Gahan for his extensive work at machining the PTFE mold and his thoughts on the multiple designs shown to him. All of the administrative and technical staff of Mechanical and Materials Engineering. All of the staff and students of Mechanical and Materials Engineering who make it such an great place to work and study, especially the guys in the design room who offer endless advice on CREO and MATLAB. I would also like to thank my family and friends for their support and interest; Mom and Dad, who continuously push me to keep up the work, and Elizabeth, for constantly focusing on the end game.
  • 4. Abstract (i) Glass ionomer cements (GICs) are low cost, minimally invasive dental restorative materials; however their use is limited by poor mechanical properties. Restoring carious teeth in third world countries is an important global need, ART is the most suitable method for achieving this, and glass ionomer cements are the material of choice. GICs are particularly suited to 3rd world work as they are relatively simple to prepare, chemically bond to enamel and dentine, and release fluoride which has been shown to help further reduce tooth decay. GICs are suited to a restoration in the primary dentition because of their ability to release fluoride and to adhere to dental hard tissues, as well as their quick setting time. It has been hypothesized that through the addition of nanoscale fluorhydroxyapatite (FHA), one can improve the mechanical properties of GICs. This is due to the fact that FHA mimics the natural crystals of tooth enamel with additional caries-preventing fluoride. This addition was carried out by Kevin Roche, a PHD student in UCD. Nanoparticles were first prepared with different levels of fluoride substitution using a wet precipitation route. Cements were reinforced with aligned and randomly oriented FHA nanorods of different sizes, as well as commercial alumina nanoparticles and HA powder. A number of cements were prepared, varying the molecular weight and concentration of polyacrylic acid. The results of the compressive strength tests and the Vickers hardness and indentation fracture toughness tests indicated that some improvements were made to the mechanical properties of the GICs. However, when it came to the chevron notched fracture toughness testing of the GICs, the poor working properties caused a number of difficulties. These included dehydration and pre- cracking, which lead to the results of the testing being inaccurate. This paper takes another look at the fracture toughness testing of fluorhydroxyapatite glass- ionomer cements, and attempts to setup a consistent accurate testing method to overcome any previous difficulties experienced with the fracture toughness testing. Two different samples of GICs are tested, and one bone cement. The average fracture toughness values were as follows: Fuji IX: Average KIvM value: 0.35 ± 0.1 MPa√ 𝑚 AHL GIC: Average KIvM value: 0.33 ± 0.11 MPa√ 𝑚 Stryker Simplex P: Average KIvM value: 1.61 ± 0.1 MPa√ 𝑚
  • 5. Table of Contents (ii) Chapter 1: Introduction ..........................................................................................................1 1.1 Introduction, Context, Motivation....................................................................................1 1.2 Research Question / Research Hypothesis / Overall project aim.....................................2 1.3 Project Objectives and Overall Methodology ..................................................................3 1.3.2 Objective...............................................................................................................3 1.3.3 Methodology.........................................................................................................3 Chapter 2: Technical Foundations & Literature Review ...................................................4 2.1 Tooth Decay and Restorative Dental Materials ...............................................................4 2.1.1 Fluoride.................................................................................................................6 2.2 Glass Ionomer Cements ...................................................................................................6 2.2.1 Alumino-Silicate Glass.........................................................................................8 2.2.2 Polyacrylic Acid..................................................................................................10 2.2.3 Setting Reaction .................................................................................................11 2.2.4 Sources of Error..................................................................................................13 2.2.5 Properties ............................................................................................................13 2.1.6 Uses.....................................................................................................................14 2.3 Atraumatic Restorative Treatment .................................................................................15 2.4 Hydroxyapatite Nanoparticles .......................................................................................15 2.4.1 Fluorhydroxyapatite ...........................................................................................17 2.5 Bone Cement .................................................................................................................19 2.6 Fracture Toughness ........................................................................................................20 2.6.1 Chevron Notch Fracture Toughness ..................................................................22 2.6.1.1 Specimen Dimensions .................................................................................23 2.6.1.2 Cracking ......................................................................................................23 Chapter 3: Experimental Method & Design ......................................................................24 3.1 Subject Understanding ...................................................................................................24 3.2 Dimensions and Materials..............................................................................................24 3.3 Cutting............................................................................................................................25 3.4 Molding ..........................................................................................................................29 3.5 Mixing............................................................................................................................34 3.6 Hounsfield Rigs..............................................................................................................35 3.7 Testing............................................................................................................................39
  • 6. 3.7.2 Bone Cement.......................................................................................................42 3.8 Scanning Electron Microscopy ......................................................................................44 Chapter 4: Results..................................................................................................................45 4.1 Scanning Electron Microscopy ......................................................................................45 4.2 Chevron Notch Fracture Toughness Testing..................................................................49 4.2.1 Validity Tests......................................................................................................49 4.2.2 Fuji IX Glass Ionomer Cement...........................................................................50 4.2.3 AHL Glass Ionomer Cement ..............................................................................57 4.2.4 Bone Cement.......................................................................................................58 4.2.5 Fracture Toughness v Time ................................................................................61 4.2.6 Summary of Values.............................................................................................64 4.2.6.1 Fuji IX .........................................................................................................65 4.2.6.2 AHL GIC .....................................................................................................66 4.2.6.3 Stryker Simplex P ........................................................................................66 Chapter 5: Discussions and Conclusions .............................................................................67 5.1 Results ............................................................................................................................67 5.2 Sources of Error in Testing ............................................................................................68 5. Future Work .....................................................................................................................68 References ...................................................................................................................70 Appendix A .................................................................................................................76 Appendix B .................................................................................................................81 Appendix C .................................................................................................................95 Appendix D ...............................................................................................................101
  • 7. List of Figures (iii) Figure 1.1: PAA solution and alumina-silicate glass powder before mixing Page 2 Figure 2.1: Cross-section of a tooth Page 5 Figure 2.2: GICs as a filling material, before and after Page 6 Figure 2.3: Fluoride ion Page 6 Figure 2.4: Prismatic enamel structure Page 7 Figure 2.5: Chemical structure for polyacrylic acid Page 11 Figure 2.6: Hydrolysis of Si-O-Al bond. Page 11 Figure 2.7 Glass-ionomer cement setting reaction Page 12 Figure 2.8: Hydroxyapatite nanoparticles. Page 16 Figure 2.9: TEM showing synthesized fluorhydroxyapatite nanoparticles with highly agglomerated nanorods Page 18 Figure 2.10: Sample Dimensions as set out in the standard Page 23 Figure 3.1 (a) & (b): Chevron notched specimens Page 25 Figure 3.2: Three cuts to be made to form the chevron notched samples Page 26 Figure 3.3: Diamond edged saw blade of 1.6 mm thickness. Page 26 Figure 3.4: Failed process of ordering the blade from UKAM Industrial Superhard Tools in California, USA. Page 27 Figure 3.5 (a) & (b): T200 Saw & Rig Page 28 Figure 3.6: Schematic of saw blade on offer from GSP High Tech Saws in Zborovice, Czech Republic. Page 29 Figure 3.7: Nylon shim, 4 mm wide & 0.1 mm thick with a 0.6 mm x 1.4 mm handle on top to form the grip groove. Page 30 Figure 3.8 (a) & (b): PTC CREO 3.0 CAD drawing of the PTFE mold, designed for molding one sample at a time. Page 31 Figure 3.9: PTC CREO 3.0 CAD dimensions of the PTFE mold. Page 31
  • 8. Figure 3.10: PTC CREO 3.0 CAD drawing of steel shim. Page 32 Figure 3.11: PTC CREO 3.0 CAD dimensions of steel shim. Page 32 Figure 3.12: PTFE mold and shim in clamp Page 33 Figure 3.13: Dimensions of the chevron groove, as specified in the standard. Page 33 Figure 3.14: First sample of Fuji IX dental cement, chipped. Page 34 Figure 3.15: Molded sample of Fuji IX dental cement. Page 35 Figure 3.15: Schematic of a sample attached to the Tinius Olsen Hounsfield H50KS screw drive materials testing machine with rigs as outlined in the chevron notch fracture toughness testing standard [8]. Page 35 Figure 3.16: Sketch of requirements for Tinius Olsen Hounsfield H50KS screw drive materials testing machine rigs. Page 36 Figure 3.17 (a), (b), (c) & (d): PTC CREO 3.0 CAD drawings of the Tinius Olsen Hounsfield H50KS screw drive materials testing machine rigs. Page 37 Figure 3.18 (a) & (b): Tinius Olsen Hounsfield H50KS screw drive materials testing machine rigs, idle and in use. Page 38 Figure 3.19: Gallenkamp vacuum oven. Page 39 Figure 3.20: Molded samples of Fuji IX dental cement just after removal from the oven. Page 40 Figure 3.21: QMAT 5.48 software plotting force v extension, and indicating the maximum force. Page 40 Figures 3.22: Tinius Olsen Hounsfield H50KS screw drive materials testing machine with rigs in place. Page 41 Figure 3.23: Stryker Simplex P monomer liwuid and polymer powder before mixing. Page 43 Figure 3.24: Fume hut used for the mixing of Simplex P. Page 43 Figure 3.25: Stryker Simplex P during mixing, known as the doughing Page 44
  • 9. phase. Figure 4.1: SEM image at a magnification of 150 showing the tip of the chevron notch. Page 46 Figure 4.2: SEM image at a magnification of 1500 showing the particles sizes inside the chevron notch area. Page 47 Figure 4.3: SEM image at a magnification of 1000 showing the chevron tip of a specimen with the presence of rust. Page 48 Figure 4.4: SEM image at a magnification of 2000 showing the crack at the chevron tip propagating downwards into the sample. Page 49 Figure 4.5: Graphed data from samples Fuji IX 1, 4, 5, & 7. Page 50 Figure 4.6: Sample data that failed a validity test. Page 51 Figure 4.7: Data from sample Fuji IX 6, including retests. Page 52 Figure 4.8: Data from Fuji IX 8 and retest. Page 52 Figure 4.9: Data from Fuji IX 9 and retest. Page 53 Figure 4.10: Data from two tests on ultra-high molecular weight polyethylene tape. Page 53 Figure 4.11: Data from Fuji IX 10, 11, 12, 13, 14. Page 54 Figure 4.12: Data from Fuji IX 15, 16, 17, 18, 21. Page 54 Figure 4.13: Data from Fuji IX 24, 25, 26, 27, 28, 30, 31. Page 55 Figure 4.14: MATLAB graph of data from Fuji IX 24, 25, 27, 28, 30. The peaks are indicated by the blue squares. Page 55 Figure 4.15: MATLAB graph of average values data from Fuji IX 24, 25, 27, 28, 30, showing 1 standard deviation from the average. Page 56 Figure 4.16: MATLAB graph of average values data from Fuji IX 24, 25, 27, 28, 30, showing 1 standard deviation from the average. Page 56 Figure 4.17: Incorrect cracking of GIC sample. Page 57 Figure 4.18: Graphed data from AHL GIC 32, 33, 35, 36, 38, 40, 42. Page 58 Figure 4.19: Graphed data from AHL GIC 44, 45, 47, 50. Page 58
  • 10. Figure 4.20: Data for bone cement samples 1-5 plotted on Excel Page 59 Figure 4.21: MATLAB graph of data from Stryker Simplex P bone cement samples 1, 2, 3, 4, 5. The blue squares indicate Fmax. Page 59 Figure 4.22: MATLAB graph of average values data from Stryker Simplex P bone cement samples 1, 2, 3, 4, 5, showing 1 standard deviation from the average. Page 60 Figure 4.23: MATLAB graph of average values data from Stryker Simplex P bone cement samples 1, 2, 3, 4, 5, showing 1 standard deviation from the average. Page 60 Figure 4.24 Fuji IX dental cement fracture toughness values v time in the oven. Page 63 Figure 4.25: AHL dental cement fracture toughness v time in the oven Page 63 Figure 4.26: Stryker Simplex P bone cement fracture toughness v time in the oven. Page 64
  • 11. List of Tables (iv) Table 2.1: The standard glass composition used in glass-ionomer cements Page 9 Table 2.2: GICs classified based on use Page 15 Table 3.1: Dimensions of Chevron Notch Sample Page 24 Table 4.1: Time for molding and time spent in oven for each sample, including its fracture toughness value. Page 61, 62 Table 4.2: Yield strength, elastic modulus, fracture toughness, and breaking point of each sample, as well as a pass/fail of the validity checks. Page 64, 65 Nomenclature (v) ART - Atraumatic Restorative Treatment GIC – Glass Ionomer Cement PAA – Polyacrylic Acid FHA - Fluorhydroxyapatite ASTM – American Society for Testing and Materials ANOVA – Analysis of Variance HA – Hydroxyapatite PTFE - Polytetrafluoroethylene USD – US Dollar
  • 12. 1 | P a g e Introduction Chapter 1 1.1 Introduction, context, motivation Human teeth have evolved over millions of years to give us a strong set of teeth that will last a lifetime. Very recently, in terms of human existence, longer life and sugar rich diets have begun to destroy our teeth. Evolution would allow for our teeth to adapt and become resistant to this decay, however, we are destroying our teeth quicker than evolution can take effect and adapt to save them. This increase in decay in modern times has greatly increased our need for a greater care for our teeth, and major advancements have been made in the field of dentistry as a result. “The past half century has seen the meaning of oral health evolve from a narrow focus on teeth and gingiva to the recognition that the mouth is the center of vital tissues and functions that are critical to total health and well-being across the life span”. [1] These advancements in dentistry have been made a necessity by the effects of longer life and sugar rich diets. The use of restorative materials in dentistry is an example of the great advancements that have been made in the 20th century. A fitting example of the advancements made in the dental industry is the Atraumatic Restorative Treatment (ART). ART is a relatively inexpensive non-sophisticated, tooth conservative technique that offers the opportunity for restorative work in remote areas without electricity. [2] It has been shown to be a very effective treatment, demonstrating a very high acceptance rate by children, and has also resulted in the retention of many teeth that otherwise would have been extracted. [3] Unfortunately, these great advancements are not yet available to all peoples around the globe. For this to be possible, specialist dental materials that are cheap, easy to use, and have good working and mechanical properties must become abundantly available. This leaves us mandated to research dental materials seeking the most suitable ones for widespread use. Glass polyalkenoate cements, or glass ionomer cements (GICs), are the most common material used in the ART approach. [4] They are used because they are relatively simple to prepare, chemically bond to enamel and dentine, and release fluoride which has been shown to help reduce further tooth decay. They are also known to exhibit a low coefficient of thermal expansion and acceptable aesthetic quality. [5] GICs may also release calcium and phosphate ions, they have a thin film thickness (<25μm) making them suitable for
  • 13. 2 | P a g e cementation and luting. GICs set within 10 minutes which is very beneficial in dentistry. However, they exhibit relatively poor fracture toughness. To form GICs, polyacrylic acid (PAA) is dissolved in water and mixed with ion leachable alumino-silicate glass powder. Figure 1.1: PAA solution and alumina-silicate glass powder before mixing. 1.2 Research Question / Research Hypothesis / Overall project aim A GIC that exhibits a better fracture toughness is widely sought after. The effect of adding nanoparticles to GICs is needed to improve the effective lifetime of a number of dental applications, including ART. These include restorative purposes e.g. fillings, luting cements which are used to bind prosthetics to teeth, orthodontic cements, and fissure sealants which cap teeth to prevent further decay. Research was undertaken by Ph.D. student Kevin Roche to investigate the effects of adding nanoparticles of fluorhydroxyapatite (FHA) to the glass ionomer cement in order to change the mechanical properties of the cement. [6] Kevin performed many different tests on his samples; however, his testing of fracture toughness was suggested to be excluded due to a number of difficulties that arose. These difficulties include: “The indentation method being unsuitable as porosity and surface dehydration interfered with crack formation. The chevron notch method was slightly better but requires careful, time-
  • 14. 3 | P a g e consuming preparation and a large number of tests, so is not suitable for preliminary tests.” [6] The aim of this project is to properly carry out the testing of the fracture toughness of Kevin Roche’s nano-modified GICs. 1.3 Project Objectives and Overall Methodology 1.3.1 Objective To develop a testing method for evaluating the plane-strain chevron notch fracture toughness of nano-modified dental cements, specifically FHA GICs, and to evaluate the accuracy of said testing method by testing a number of different GICs, as well as testing Stryker Simplex P bone cement, and comparing the resulting fracture toughness values with the industry standard for those materials. 1.3.2 Methodology Firstly, I had to ascertain any specific requirements needed to carry out the testing. Cylindrical samples of 4 mm diameter and 6 mm length are to be molded and cut according to ASTM E-1304 [8] . Certain materials were organised for testing: Perspex, bone cement, and GICs. A decision has to be made over whether the samples will be molded with the chevron notch in them, or molded as cylinders and then cut to the specific dimensions. Rigs have to be built to allow for cutting, molding, and testing. These rigs are to be attached to the T200 saw, and the Tinius Olsen Hounsfield H50KS screw drive materials testing machine. Special saws are required in order to make the cuts. They were ordered from UKAM Industrial Superhard Tools, in Valencia, California, USA. Two saws are needed to make three cuts if the chevron notch can’t be molded into the sample. Regardless of approach, the samples must be kept wet, and at 37°C throughout molding, cutting, storing, and testing. One type of fracture toughness testing will be undertaken, measuring KIVM; ‘plane-strain chevron notch fracture toughness relating to extension resistance with respect to a slowly advancing steady-state crack, based on the maximum force observed before cracking.[8] Resulting data is graphed and analysed, including an ANOVA analysis.
  • 15. 4 | P a g e Technical Foundations & Literature Review Chapter 2 2.1 Tooth Decay and Restorative Dental Materials A human beings mouth is slightly acidic by nature, with an average pH value of between 5.6 and 7.9. The critical pH with regard to dental erosion is 5.6, meaning when the pH level drops below this tooth decay occurs. When sugary foods are eaten, they mix with the bacteria in your mouth to form acid. This acid acts to break down the enamel of teeth. The main bacterium that produces acid is streptococcus mutans, and the acid this produces is the biggest culprit in tooth decay. Each time you have a sugary snack or meal, the pH level in your mouth drops. Depending on the food, it drops to a pH of between 3.8 and 6.5. The pH level in your mouth will begin to rise after eating; however, it normally takes at least 30 minutes to recover to normal levels. This can be significant, as if a snack (even a polo mint counts as a sugary snack) is eaten before the pH level recovers, the pH level will remain low, and this will inevitably lead to a greater risk of tooth decay. [9] For reasons like this, it is very important to use materials with a high caries resistance (resistance to decay) in dentistry. Glass ionomer cements have this high caries resistance thanks to their capacity to reabsorb fluoride from the oral environment and release it at a later stage. [10] Glass ionomer cements are filling materials based on the reaction of silicate glass powder and polyalkenoic acid. The multi-applicable tooth-coloured materials were introduced in 1972 for use as restorative materials for anterior teeth. They are particularly suitable for the job as they, they are relatively simple to prepare, chemically bond to enamel and dentine (dentine is located below the enamel of a tooth and may become exposed through tooth decay, seen in figure 2.1), and release fluoride which has been shown to help reduce further tooth decay. They are also known to exhibit a low coefficient of thermal expansion and acceptable aesthetic quality. [5] GICs may also release calcium and phosphate ions, they have a thin film thickness (<25μm) making them suitable for cementation and luting. GICs set within 10 minutes which is very beneficial in dentistry. However, they exhibit relatively poor fracture toughness. When a tooth is damaged, it requires a number of things to help itself repair. It uses Ca2+ ions to repair the crystalline lattice of the enamel. It uses fluoride ions to reduce the risk of further
  • 16. 5 | P a g e tooth decay by preventing bacterial growth around the edges, and it uses phosphate to treat insipient dental decay by remineralisation. A high frequency of sugar attacks results in a net loss of Ca2+ ions. This leads to a breakdown of the hydroxyapatite particles in the enamel. This breakdown results in de-calcination where firstly a white spot appears, which then slowly fades to a brown spot and then a black one. Figure 2.1: Cross-section of a tooth. From [6] Dental caries involves an imbalance of the interactions between the tooth and the covering microbial film, leading to demineralisation and degradation of the tooth, and the formation of caries lesions [13] . Bacteria destroy the enamel by mixing with sugar to produce an acid, and lead to a decrease in the pH, eroding the tooth. Ions in the saliva help to repair the decay damage. The net rate of mineral loss or gain is dependent on the balance between these two processes [14] . If mineral loss is dominant or the caries lesion has grown too large, then some restorative dental work must be undertaken. This typically involves cleaning the lesion and replacing lost enamel or dentine with a restorative material (figure 2.2). The ideal qualities looked for in filling materials are as follows: [9]  Aesthetic  Biocomposite  Bonds well to teeth  Releases fluoride GICs have all of these qualities making them ideal for a large range of dental applications, as previously mentioned.
  • 17. 6 | P a g e Figure 2.2: GICs as a filling material, before and after. From [38] 2.1.1 Fluoride Fluoride is hugely beneficial when present in restorative dental materials. It improves the working characteristics of the cement. It lowers the fusion temperature, increases the strength of the cement when set, and it enhances translucency. The absorption of fluoride from GIC into dental plaque is impressive. After 28 days, plaque, accumulated around GIC restorations in enamel blocks carried by patients using removable intraoral appliances, contained over six times more fluoride than similar restorations with composite resin. [18] Figure 2.3: Fluoride ion. From [39] 2.2 Glass Ionomer Cements GICs are extremely simple to use, simply scraping out the cavity with hand tools is the only preparation required. They must be mixed from hot gum to cold gum, and be put in place before hardening begins. They usually set within 10 minutes. After this, continual cross- linking for the next 24 hours allows for increased hardness. Hardening slows after the first day, but doesn’t come to a complete stop until several months after input. Unfortunately, glass ionomer cements often exhibit poor fracture toughness. They lack the necessary strength, toughness, and wear resistance to survive in a load-bearing environment. This limits their uses to smaller cavities or fissures. Hence, the aim of current research is to improve the
  • 18. 7 | P a g e working and mechanical properties of GICs. This will in turn allow applications of ART to extend around the globe. A theoretical solution to this problem can be found by looking at tooth enamel. Enamel is a nanocomposite, consisting of millions of tiny ceramic crystals of HA surrounded by organic material. The hydroxyapatite forms in a flattened hexagonal shape and the enamel apatite structures form a prismatic structure (figure 2.4). Acid etch technique using acid primers used to make surface of enamel more amenable. [10] Figure 2.4: Prismatic enamel structure. From [40] It can be seen that enamel also has a hierarchical structure, placing the nanocrystals in large groups, resulting in organised micro-scale prisms. The structure of enamel exceeds all of the dental materials used today in hardness, toughness, and chemical stability. It has been hypothesized that incorporating a similar structure into GICs may help them to replicate some of the strong mechanical properties exhibited by enamel, making them much more effective in the dental field. The challenge for us is to find ways to control the growth and assembly of biomimetic nanoparticles in GICs. [6] Working on the nanoscale presents many challenges, and these will have to be overcome to succeed in producing glass ionomer cement with good mechanical properties. The GIC material to be tested was investigated in a thesis by Kevin Roche. [6] Fluorhydroxyapatite nanoparticles were used to reinforce the glass ionomer cement. Specifically, FHA nanoparticles were added to hand-mixed glass-ionomer cements suitable
  • 19. 8 | P a g e for use in ART with the hope that they might improve the mechanical. Three different aspects of this topic were emphasised: fluoride substitution in fluorhydroxyapatite nanoparticles; modification of these nanoparticles for improved mixing with glass ionomer cements; and the effect of nanoparticles on the working and mechanical properties of the cements. [6] As previously mentioned, to form GICs, an aqueous polyalkenoic acid, polyacrylic acid (PAA), is dissolved in water and mixed with ion leachable alumino-silicate glass powder. Conventional GICs were first introduced in 1972 by Wilson and Kent. When the powder and liquid are mixed together, an acid-base reaction occurs to form the cement. GICs can be either high viscosity or low viscosity, depending on the ratio of the glass powder to the polyalkenoic acid. It has been reported that high viscosity GICs are more successful in ART. The type of application predetermines the viscosity of the cement, which can be adjusted by varying the particle size, particle distribution and the powder:liquid ratio. The use of GICs is often limited in clinics due to its relatively inferior mechanical properties and sensitivity to initial desiccation and moisture. [20] 2.2.1 Alumino-Silicate Glass Glass is a non-crystalline material typically containing silicon. In the case of GICs, they also contain a significant level of alumina. A polymer that comprises repeat units of both electrically neutral repeating units and a fraction of ionized units covalently bonded to the polymer backbone as pendant moieties is called an ionomer. [15] GICs consist of a mix of the two. GICs are usually split up into 5 different categories: 1 Conventional glass ionomer cements 2 Metal-reinforced glass ionomer cements (addition of silver-amalgam alloy powder to conventional materials increased the physical strength of the cement and provided radiodensity) 3 Hybrid ionomer cements (combine an acid-base reaction of the traditional glass ionomer with a self-cure amine-peroxide polymerization reaction) 4 Resin modified glass ionomer cements (conventional glass ionomer cements with addition of HEMA and photoinitiators)
  • 20. 9 | P a g e 5 Tri-cure glass ionomer cements (incorporate a chemical curing tertiary amine-peroxide reaction to polymerize the methacrylate double bonds along with the photo-initiation and acid-base ionic reaction) The resin-modified glass ionomer cement has shown advantageous mechanical and adhesive properties compared with conventional GICs [21] . However, the biological effects and cytotoxicity of this type of material remain to be clarified [22, 23] . The resin-modified glass ionomer cements generally have a much lower release of fluoride than the conventional glass ionomer materials. Some types have also demonstrated significant water absorption. [16] Metal-reinforced glass ionomer cements fall short on the aesthetic quality and therefore are considered old fashioned. The addition of calcium oxide, phosphorous pentoxide, silicon dioxide and aluminium oxide yields diametral tensile strengths and flexural strengths between 2 and 4.5 times higher than unmodified GICs. [29] A typical composition of the alumina-silicate glass in conventional GICs is shown in Table 2.1. However, it should be noted that compositions can vary significantly. Component Weight % SiO2 28.9 Al2O3 14.2 ALF3 11 CaF2 12.8 NaF 12.8 AlPO4 24.2 Table 2.1: The standard glass composition used in glass-ionomer cements. From [11] The glass powder used was supplied by Advanced Healthcare in Kent in the United Kingdom. It must be acid soluble to be used in producing GIC. The raw materials are fused together to form a uniform amorphous solid by heating them to temperatures between 1100 °C and 1500 °C. A high amount of alumina in the glass increases its reactivity with the liquid.
  • 21. 10 | P a g e The intended size of the glass particles ranges from 15 µm to 50 µm. The maximum particle size is 15 µm for luting agents and 50 µm for restorative cements. William Carty et al. [12] investigated the different amounts of alumina that can be dissolved in silicate glasses incorporating the glass formation boundary. Chemical impurities in the oxide ceramics typically segregate to the grain boundary, and it is thought that the grain boundary chemistry is a result of the glass forming boundary. They investigated the effect glass growth had on the impurities. They found that the amount of alumina that can be dissolved in the glass is temperature dependent. As temperatures increase, the potential amount of alumina in the glass increases. If the glass composition exceeds the glass forming boundary, conditions are then favourable for growth. Crystal growth improves the strength and toughness of the glass, depending on the amount of alumina present. 2.2.2 Polyacrylic Acid Polyacrylic acid (figure 2.5) incorporates all synthetic high molecular weight polymers of acrylic acid. The PAA is dissolved in water before being mixed with the glass. A number of different polyacrylic acids with different molecular weights were available for use, including: E5, E7, E9, and E11. This is an important factor in the choice of polyacrylic acid as an increase in the molecular weight (or concentration) of polyacrylic acid will lead to an increase in the strength of the set cement. However, choosing a high molecular weight polyacrylic acid also has some downsides; it will increase viscosity which makes handling and manipulation more difficult. Fracture toughness and toughness increase with both PAA molar mass and concentration. [17] A suitable PAA will increase reactivity, decrease viscosity and reduce the tendency for gelation (solidification). Tartaric acid is often included in the PAA mixture as it can help to control the setting time (it increases hardening speed). Polyacrylic acid is hygroscopic, brittle and colourless in nature with a glass transition temperature of nearly 106 °C. At temperatures above 200 °C to 250 °C, it loses water and becomes an insoluble cross-linked polymer anhydride. Solubility of dried PAA in water increases with rise in temperatures. Concentrated solutions of PAA in water are thixotropic in nature.
  • 22. 11 | P a g e Figure 2.5: Chemical structure for polyacrylic acid. From [41] 2.2.3 The setting reaction An acid-base reaction occurs during setting. It occurs between the acidic polyelectrolyte and the alumina-silicate glass. The hydrolysis of Si-O-Al bonds is considered the first step in the reaction, releasing cations which then cross-link the polyacid (figure 2.6). The polyacid attacks the glass particles to release cations and Fluoride ions, leaving only a salt gel matrix. During the initial setting in the first 3 hours calcium ions react with polycarboxylate chains. Figure 2.6: Hydrolysis of Si-O-Al bond. From [11]
  • 23. 12 | P a g e Figure 2.7: Glass-ionomer cement setting reaction. From [6] For 48 hours, the trivalent aluminium ions react, decomposing 20 % - 30 % of the glass by proton attack. The fluoride and phosphate ions are insoluble salts and complexes. The sodium ions produce a silica gel. When the cement is fully set the structure is a composite of glass particles surrounded by silica gel in a matrix of poly-anions which are cross-linked by ionic bridges. There are small particles of silica gel containing fluorite crystallites within this matrix. It is during this process that the GIC can chemically bond to enamel and dentine. This bonding is attributed to the phosphate and Ca2+ ions, and is more successful on a clean surface. Acid etching is used to ensure the required cleanliness without removing too much of the calcium ions. In the reaction, the aluminium ions replace the Ca2+ ions, and some sodium ions may replace the hydrogen ions of carboxylic groups. The remaining ions are uniformly dispersed. The setting reaction can be split into three phases – dissolution, gelation, and hardening. Dissolution consists of when the powder and liquid are mixed, the acid attacks the silica gel, the glass loses its Al, Ca, Na, and F ions, and the acid releases its H ions, which diffuse to the glass. Gelation consists of the divalent Ca ions reacting with carboxyl groups of the acid. Finally, hardening consists of the trivalent Al ions crosslinking the polymer. As the reaction ‘matures’ the cross linked phase becomes hydrated due to the water in the mixture. The amount of water in the mixture is very important as it initially serves as the reaction medium, and then it slowly hydrates the cross linked agents. This is crucial in achieving a stable gel structure.
  • 24. 13 | P a g e 2.2.4 Sources of error in GIC applications The following manipulative considerations for GIC must be satisfied to avoid errors, i.e. to avoid a short retention life:  Clean and dry tooth surface  Excess cement must be removed at the appropriate time  The consistency of the cement (poorly mixed results in an incomplete coating) to allow for a complete coating of the surface irregularities  Allow for natural gelation and hardening without disturbance  Protection of the restoration surface must be ensured to prevent cracking or dissolution. 2.2.5 Properties  The setting time is less than ten minutes. [9] Complete setting takes less than 24 hours. When used as luting cement the chemistry is altered so that the setting time is less than four minutes.  The film thickness of GICs is roughly 15-25 µm (similar to that of zinc phosphate cement).  GICs are reasonably aesthetically pleasing, as they are tooth coloured, and can be produced in different shades. Resin-modified GICs have increased translucency, although they usually suffer on the surface finish, and discolouration has been observed after polishing.  A strong bond is achieved between the cement and the dental hard tissues is realised through an ionic exchange at the boundary. Polyalkenoate chains enter the molecular surface of dental apatite, replacing phosphate ions. Calcium ions are displaced equally with the phosphate ions so as to maintain electrical equilibrium. This leads to the development of an ion-enriched layer of cement that is firmly attached to the tooth. [19]  The shear bond strength of conventional glass ionomer cements to conditioned enamel and dentin is relatively low, varying from 3 to 7 MPa. This is essentially a measurement of the tensile strength of the cement.  The coefficient of thermal expansion in GICs is close to that of dental hard tissues resulting in good margin adaptation.
  • 25. 14 | P a g e  They exhibit a relative lack of strength and low wear resistance. Their low flexural strength leaves them very brittle, this is more so evident in low-viscosity GICs. When used as luting agents, the chemistry of the GICs and hence the mechanical and working properties are altered. The GIC becomes more intrinsically adhesive, yet is weaker than amalgam and composite. For luting agents: Mixing time: 45 to 60 seconds Setting time: 2 minutes Working time: 2 minutes Total time: 4.5 minutes at 23 °C 2.2.6 Uses Classifying GICs based on use results in 9 categories of GIC. These are as follows: Uses Treatment Type I: For luting cements Type II: For restorations Type III: Liners and bases Type IV: Fissure sealants Type V: Orthodontic Cements Type VI: Core build up Type VII: Fluoride releasing Type VIII: ART Type IX: Posterior restorative Table 2.2: GICs classified based on use.
  • 26. 15 | P a g e 2.3 Atraumatic Restorative Treatment Atraumatic Restorative Treatment is a method of caries management that was primarily developed for use in 3rd World countries around the globe. It is a relatively inexpensive non- sophisticated, tooth conservative technique that offers the opportunity for restorative work in remote areas without electricity. [2] In these regions, there are few dental facilities and the populations need for them is high. It is well recognized by the World Health Organization. The technique is simple, handheld instruments are used to break through the enamel and remove all of the caries possible. After that, the cavity is filled using a high-viscosity GIC. This results in increased strength under functional loads. Restoring carious teeth in third world countries is an important objective, ART is the most suitable method for achieving this, and glass ionomer cements are the material of choice. They are particularly suited to 3rd world work as they have shown remarkable success when used in restorative dental work for children. GICs are suited to a restoration in the primary dentition because of their ability to release fluoride and to adhere to dental hard tissues. Also, because, they only require a short time to fill the cavity, glass ionomer cements present an additional advantage when treating young children. 2.4 Hydroxyapatite nanoparticles Hydroxyapatite (HA) is a naturally occurring mineral form of calcium apatite. HA is part of the complex apatite group, and it is the hydroxyl endmember. The OH- ion can be replaced by fluoride or chloride, producing fluorapatite or chlorapatite. Pure hydroxylapatite powder is white in colour. Biomimetics is the imitation of elements of nature in human applications. HA (figure 2.8) is classed as a biomimetic nanoparticle thanks to its excellent bioactivity (it has the same basic building blocks as enamel), and this makes it very suitable for use in ART.
  • 27. 16 | P a g e Figure 2.8: Hydroxyapatite nanoparticles. From [7] Hydroxyapatite can be synthesized following the reaction equation below: 10 Ca(OH)2 + 6 H3PO4 → Ca10(PO4) 6(OH)2 + 18H2O Ulrich Lochbauer [28] carried out some work on reactive fibre reinforced glass ionomer cements in May 2010, after which he recommended the inclusion of HA. His work included the addition of silver-tin alloy particles into the GIC matrix to increase strength and toughness. He noted an increase in fracture toughness but a decrease in fluoride release. He suggested the addition of hydroxyapatite to increase bonding strength. Yap et al. evaluated hydroxyapatite-ionomer hybrid cements that were heated at 800°C for 4 hours. The hydroxyapatite cements showed significant hardness over regular GICs. However, the heating effects were material dependent and had some positive and some negative effects [30] . The addition of HA into GIC enhances and hastens the rate of development of the cement’s fracture toughness, maintains long-term bond strength to dentin and does not impede sustained fluoride release. [32] Hydroxyapatite (HA) plays an important role in orthopedics and dentistry due to its excellent bioactivity. Its remarkably similar nature to enamel helps with osseointegration. However, thermal decomposition and poor resistance to corrosion in an acid environment have
  • 28. 17 | P a g e restricted HA’s applications. It has been suggested that fluorhydroxyapatite would result in a more stable setting. 2.4.1 Fluorhydroxyapatite Fluorhydroxyapatite was added to the GIC to improve the working mechanical properties (figure 2.9). Novel XRD1 and FTIRS2 methods of measuring fluoride substitution were used to measure the amount of fluoride present in the nanoparticles [6] . These were found to be more accurate and more practical than more commonly used bulk chemical methods, such as the F-electrode, which cannot distinguish apatite fluoride from other fluoride containing phases, such as calcium difluoride. XRD and FTIRS also provide structural information that is as critical to the biochemical properties of the particles as the fluoride content. Figure 2.9: TEM showing synthesized fluorhydroxyapatite nanoparticles with highly agglomerated nanorods. From [6] 1 X-ray diffraction is an analytical technique used primarily for the identification of compounds through the interaction of a monochromatic x-ray beam and the crystalline specimen. In this technique crystalline atoms cause a beam of incident X-rays to diffract off a specimen into many specific directions. By measuring the angles and intensities of these diffracted beams in the chamber, a crystallographer can ascertain information about the crystal structure of an unknown substance. 2 Fourier transform infrared spectroscopy is a technique which is used to obtain an infrared spectrum of absorption, emission, photoconductivity or Raman scattering of a solid, liquid or gas. An FTIR spectrometer simultaneously collects high spectral resolution data over a wide spectral range.
  • 29. 18 | P a g e A ‘biomimetic’ route was also studied where FHA was precipitated via octacalcium phosphate as an intermediate phase, in a manner more similar to natural tooth enamel. The highly elongated blade-like particles produced by this route closely resemble natural enamel crystals and are well suited to forming highly aligned nanostructures. Chen Y and Miao X [24] tested several fluorhydroxyapatite ceramics with the generic chemical formula Ca10(PO4)6(OH)(2-2x)F2x, where x = 0.0, 0.2, 0.4, 0.6, 0.8, & 1.0. X > 0.4 showed much improved thermal stability and a greater resistance to corrosion. These results were indicated via thermogravimetric analysis, and corrosion testing using a 2.5 wt. % citric acid solution. It was also noted that the fluorine addition into the HA matrix slowed the densification of the FHA ceramics. Behroozibakhsh et al. undertook an experiment to determine the effect of nano- fluorohydroxyapatite on defected enamel and remineralization process. The evaluation of remineralized samples by AFM and SEM images showed the demineralized enamel surfaces were covered with synthetic powders after 7 days. This indicated that fluorhydroxyapatite nano-particles may contribute to the repair of demineralized enamel with overlaying on defective areas and can be used as an enamel remineralizing agent. [25]
  • 30. 19 | P a g e 2.5 Bone Cement Bone cement will also be used in this project, as a further step to validate the accuracy of the method used. Bone cement has been used since the middle of the 20th century to relatively successfully secure artificial joints. Bone cement plays the important role of an elastic zone when filling the free space between the prosthesis and the bone. This is necessary because the human hip is acted on by approximately up to 1 kN. Bone cement is made up of 2 Main Components: • Polymer (powder) • Monomer (liquid) These two components are made up of a blend of ingredients which give each type of bone cement its unique characteristics. Simplex P Bone Cement Polymer Ingredients • 75% Methyl Methacrylate Styrene Copolymer • 15% Polymethylmethacrylate • 10% Barium Sulfate PMMA began its uses clinically in the 1940s in plastic surgery. Comprehensive clinical tests of the compatibility of bone cements with the body were conducted before their use in surgery. The excellent tissue compatibility and biomimetics of PMMA allowed bone cements to osseointegrate well and therefore bone cement is suitable for use within the human body. Nowadays, bone cement is considered a reliable anchorage material with its ease of use in clinical practice and particularly because of its proven long survival rate with cemented-in prostheses. While mixing, the bone cement viscosity changes over time from a runny liquid into a dough- like state that can be safely applied and then finally hardens into solid hardened material. The set time can vary depending on which cement is in use. During the exothermic free-radical polymerization process, the cement heats up. This polymerization heat reaches temperatures of around 82-86 °C in the body [44] . This temperature is superior to the critical level for the protein denaturation in the body. The cause of the low polymerization temperature in the
  • 31. 20 | P a g e body is the relatively thin cement coating, which should not exceed 5 mm, and the temperature dissipation via the large prosthesis surface and the flow of blood. Gentamycin, when used in combination with tobramycin, in bone cement, shows a synergistic effect, with a 68% greater elution of tobramycin (P = 0.024), and 103% greater elution of vancomycin from the bone cement (P = 0.007), compared to controls containing only one antibiotic [44] . Fracture of the poly(methyl methacrylate) bone cement mantle may lead to the loosening and ultimate failure of cemented total joint prostheses. The addition of certain fibers to the bone cement increases fracture resistance and may reduce, if not eliminate, in vivo fracturing. Titanium has been noted as one of these fibers. Topoleski and Ducheyne [47] found that scanning electron microscopy revealed important toughening mechanisms such as fiber/matrix debonding, local fracture path alteration, and ductile fiber deformation and fracture when titanium fibers were added at a 5 % content. However, fiber fracture was observed supplying evidence that the critical fiber length was exceeded. 2.6 Fracture Toughness In engineering structures, particularly heat-treated steels, cracks are likely to arise from weld defects, inclusions, surface damage, etc. and it is necessary to design structures with the knowledge that cracks are already present and capable of propagation at stresses below the macroscopic yield stress as measured in a tensile test. [26] Fracture toughness is a measurement of a material’s ability to resist catastrophic failure and is a better indicator of clinical strength than average stress-based tests [27] . It describes the ability of a material containing a crack to resist fracture, and is one of the most important properties of any material for many design applications. It is an important factor in choosing dental materials as low fracture toughness can result in the failure of a treatment, especially in an acidic load-bearing environment. A fracture toughness parameter is now being employed to measure the tendency of cracks of given dimensions to propagate under particular stress conditions. The general procedure in measuring the fracture toughness parameter is to introduce a crack of suitable size into a specimen of suitable dimension and geometry. The specimen is then loaded slowly and the crack extension measured up until the critical
  • 32. 21 | P a g e condition. The linear-elastic fracture toughness of a material is determined from the stress intensity factor at which a thin crack in the material begins to grow. A number of types of fracture toughness testing are available to be undertaken, measuring KIV (plane-strain chevron notch fracture toughness relating to extension resistance with respect to a slowly advancing steady-state3 crack), KIVj (relating to extension resistance with respect to sporadically advancing crack), and KIVM (based on the maximum force observed before cracking i.e. no loading-unloading cycles are required) [8] . Due to the fact that the Tinius Olsen Hounsfield H50KS screw drive materials testing machine is not able to run loading- unloading cycles, only KIVM is viable. Mitchell et al. [31] evaluated the fracture toughness of glass ionomer luting cements and determined whether or not the method of mixing GICs influenced the value obtained. The resin modified cements showed the highest fracture toughness, and the capsulated cements were more likely to resist clinical failure than the hand-mixed cements. Kevin Roche [6] spent some time collaborating with Mitchell et al. in Belfast; “Some synthesis and testing of glass ionomer cements was carried out at Queen’s University Belfast with Dr Christina Mitchell and Dr Nicholas Dunne.” Kevin concluded that the dispersed nanoparticles are “unlikely to lead to any significant improvement in hand-mixed GICs for ART, as the requirements for good mixing properties are constantly in competition with the requirements for good mechanical properties.”[6] It is required that the nanoparticles be homogeneously mixed throughout the matrix, which is very difficult with hand-mixed GICs and can often lead to poorer working properties. Kevin achieved good mechanical properties evident through compressive strength tests using the Tinius Olsen Hounsfield H50KS screw drive materials testing machine, and Vickers hardness and indentation fracture toughness testing using a Vickers Indenter. He attempted to carry out some plane-strain chevron notch fracture toughness testing as well but discovered that his results were insufficient due to a number of difficulties encountered regarding the working conditions of the GICs, which slowed down the testing. “The indentation method being unsuitable as porosity and surface dehydration interfered with crack formation. The chevron 3 Defined as, a crack that has advanced slowly until the crack-tip plastic zone size and crack- tip sharpness no longer change with further crack extension. Although crack-tip conditions can be a function of crack velocity, the steady-state crack-tip conditions for metals have appeared to be independent of the crack velocity within the range attained by the loading rates specified in this test method.
  • 33. 22 | P a g e notch method was slightly better but requires careful, time-consuming preparation and a large number of tests, so is not suitable for preliminary tests.” [6] This project will attempt to overcome any difficulties that arose due to poor working conditions and comprehensively investigate the chevron notch fracture toughness of the glass-ionomer cements. 2.6.1 Chevron Notch Fracture Toughness The method undertaken in this project covers the determination of planestrain (chevron- notch) fracture toughnesses, KIv or KIvM, of metallic materials. Fracture toughness by this method is relative to a slowly advancing steady state crack initiated at a chevron-shaped notch, and propagating in a chevron-shaped ligament. This test method uses either chevron- notched rod specimens of circular cross section, or chevron-notched bar specimens of square or rectangular cross section. [8] The fracture toughness was calculated by the following formula: 𝐾𝐼𝑣𝑀 = (𝐹 𝑚𝑎𝑥)(𝑌∗𝑚) (𝐵)(√ 𝑊) (eq. 1) Fmax was extracted for the graphed data for each sample. Y*m4 for the chevron notch used is 29.21. This value is specified in the standard for chevron notch fracture toughness testing [8] . It is specific to a chevron notched rod specimen with a width to length ratio of 1.45. The value of 29.21 was derived from the following: Y* = exp[C0 + C1 r + C2 r2 + C3 r3 + C4 r4 ], where C0 = 5.052, C1 = −9.488, C2 = 19.78, C3 = −18.48, and C4 = 6.921. These values were extrapolated from equations in [42] . Y* is the dimensionless stress intensity factor for a crack, and Y*m is the minimum value of this and indicates the critical crack length. B is the diameter of the chevron notched rod, and W is the length. 4 Defined as, a dimensionless parameter that relates the applied force and specimen geometry to the resulting crack-tip stress-intensity factor in a chevron-notch specimen test.
  • 34. 23 | P a g e 2.6.1.1 Specimen Dimensions The dimensions of the specimen must meet the following specifications, seen in figure 2.10 below. The cross sectional area of the short rod chevron notched specimen is 1.256637x10-5 m2 . Figure 2.10: Sample Dimensions as set out in the standard. From [8] 2.6.1.2 Cracking Deviation of the crack from the intended fracture plane can result from one or more of the following: (a) Inexact centering of the chevron slots (the intended crack plane) in the specimen, (b) Strong residual stresses in the test specimen, (c) Strong anisotropy in toughness, in which the toughness in the intended crack plane is substantially larger than the toughness in another crack orientation, or (d) Coarse grained or heterogeneous material.
  • 35. 24 | P a g e Experimental Method & Design Chapter 3 3.1 Subject Understanding Firstly, I had to obtain a significant understanding of the subject matter. I achieved this by studying two comprehensive standards on the matter of plane strain fracture toughness; Metallic Materials – Determination of Plane-Strain Fracture Toughness (ISO 12737:2010) [33] , and the Standard Test Method for Plane-Strain (Chevron-Notch) Fracture Toughness of Metallic Materials, E 1304 -97. [8] I was able to read a number of papers on the subject matter including Kevin Roche’s Biomimetic Nanostructures in Dental Cements [6] . Richard Van Noort’s Introduction to Dental Materials [10] was also used to achieve a greater understanding of glass-ionomer cements. I proceeded to ascertain information about the required dimensions of the samples, and the required testing processes from the latter sample; ASTM E-1304 [8] . 3.2 Dimensions and Materials The dimensions of the samples, following the specifics from figure 2.9, have been laid out as follows: Rod diameter (B) 4 mm Rod length (W) 6 mm Grip groove width (T) 1.4 mm Grip groove depth (S) 0.6 mm Distance to load line (x) 0.4 mm Chevron Notch Thickness (t) 0.12 mm Distance to chevron tip (a0) 1.925 mm Angle of chevron tip (θ) 52.8° Table 3.1: Dimensions of Chevron Notch Sample
  • 36. 25 | P a g e Figure 3.1 (a) & 3.1 (b): Chevron notched specimens. Certain materials were sourced for the initial testing: Persex, bone cement, and glass-ionomer cement. A small Perspex rod of a 4 mm diameter was purchased online. The glass-ionomer cement was received from Kevin Roche [6] . There were a number of samples available, such as radiopaque posterior Fuji IX (initially received from Dr Christina Mitchell [31] ), and AHfil (initially received from Advanced Healthcare Ltd. In Kent, UK), and the Stryker Simplex P bone cement was received from Dr Kenneth Stanton of UCD, Ireland. 3.3 Cutting There was a simple cylindrical mold (made from polytetrafluoroethylene) of height 6 mm, and diameter 4 mm available. Therefore, a suitable method of shaping the samples to the desired specifications (according to ASTM E-1304 [8] ) was required. A few different methods of cutting the sample were considered; circular saw cutting, CNC cutting, and laser cutting. Electrode sparking was also considered as an option. Ultimately circular saw cutting was opted for out of ease of use. Regardless of approach, the samples must be kept wet, and at 37°C throughout molding, cutting, storing, and testing. This is an attempt to control the working properties of the GIC, in order to minimize the difficulties encountered. After molding, three separate cuts must be made to the sample in order to form the chevron notched specimen. The first cut (the grip groove cut) is to be made by a blade of 1.6 mm in thickness, and the second and third cuts (the diagonal chevron notch cuts) are to be made by a blade of 100 μm in thickness. See figure 3.2 for the area of cutting. A T200 circular saw cutter located in UCD’s school of mechanical and materials engineering was to be used for the cuts. (a) (b)
  • 37. 26 | P a g e Figure 3.2: Three cuts to be made to form the chevron notch specimens. The 1.6 mm thick blade was purchased from City Saw Services Ltd. in Dublin, Ireland. It was diamond edged steel, had an outer diameter of 180 mm, a bore size of 15.9 mm, and a zero tooth count. Figure 3.3: Diamond edged saw blade of 1.6 mm thickness. 100 μm is extremely thin and required a specifically manufactured circular saw blade to be purchased. This blade was specified to be either diamond edged steel or diamond edged tungsten carbide. The outer diameter was to be 125 mm, the bore size 15.9 mm, and a tooth count of zero. A large number of manufacturers from around the world were contacted
  • 38. 27 | P a g e regarding the manufacture of this blade, but there were many issues experienced during the process of ordering the blade, as seen in figure 3.4. Figure 3.4: Failed process of ordering the blade from UKAM Industrial Superhard Tools in California, USA. 2014 •2014 Oct 15 •Initial contact looking for saw blade within Ireland made via email Oct 24 •Initial contact looking for saw blade within Ireland made via email Nov 1 •UKAM Industrial, California, USA. reply with promise of blade Nov 3 •Specific 100 micron circular saw blade ordered from UKAM. Advised 4 - 5 weeks lead time Nov 26 •Emailed UKAM for update Dec 3 •Emailed UKAM for update Dec 5 • UKAM replied - Order still being processed Dec 14 •Emailed UKAM for update Dec 20 •Manufacturing underway •Finished in one week 2015 •2015 Jan 1 •Emailed UKAM for update Jan 4 •Rang UKAM for update •Blade has been shipped - 3 weeks for delivery Jan 27 •Rang UKAM for update •Blade should have arrived, they will check up on it Feb 1 •Blade had not been shipped •It is being shipped now Feb 15 •UKAM call to say that they haven't even made the blade and that it will not be possible to make it.
  • 39. 28 | P a g e In order to make the cuts to the sample with the 1.6 mm thick and 0.1 mm thick circular saw blades, I needed to design a rig. During the time outlined in figure 3.4, a simple rig was designed to fit onto the T200. This rig was subsequently built by John Gahan, a technician in the school of mechanical and materials engineering in UCD. The rig has the ability to rotate and can move laterally towards the saw so that the saw can cut at any intended angle. The rig can also twist through exactly 180°, this is necessary to ensure that cuts 2 & 3 (above) can be made without having to dislodge the chevron notched specimen from the rig. Figure 3.5 (a) & (b): T200 Saw & Rig. After the struggle with UKAM Industrial Superhard Tools, pursuit of a 0.1 mm thick saw blade continued. The further search for a 100 μm circular saw blade returned a number of potential opportunities for purchase. Unfortunately, none of the contacted companies could manufacture a blade so specific in such a small quantity, at a suitable cost, and within the desired time period. FANXI Tools in Zhejiang, China quoted 4,500 USD for the required blade, which was out of budget. GSP High Tech Saws in Zborovice, Czech Republic offered the closest possible solution to the saw blade. The schematics of the blade they produce can be seen in figure 3.6 below. It was perfect on the dimensions, and they are able to produce it with a zero tooth count. However, if ordered, this blade would not have arrived in time for the completion of this project. (a) (b)
  • 40. 29 | P a g e Figure 3.6: Schematic of saw blade on offer from GSP High Tech Saws in Zborovice, Czech Republic. 3.4 Molding After failing to secure the required saw blade, it was decided to re-evaluate the method of cutting the specimen. CNC cutting, laser cutting, and electrode sparking were all considered too expensive. Therefore, it was left to consider making the sample with the grooves molded into it. This would be beneficial as it would eradicate the need for cutting, and cutting can contribute to failure in samples with poor working conditions, i.e. the FHA GIC’s tested by Kevin Roche [6] . The issue with this method was how to get the cement sample out of the mold without damaging a mold or breaking the specimen. This is particularly difficult with the chevron groove down the middle of the specimen being 100 μm thick. It was hypothesised to mold the 100 μm cut into the specimen with paper, and burn it out after setting. This was ruled out however, due to the fact that the cement must be kept at 37 °C and in a 100 % humid environment during the molding and testing. It was further hypothesised to
  • 41. 30 | P a g e make a little shim that would fit into a cylindrical mold and produce the sample shape needed. Design of this shim and mold began immediately. The initial design for the mold and shim was drawn on Solidworks, to the required dimensions, and can be seen in Appendix A. 20 copies of the shim were produced first, made of nylon. These can be seen in figure 3.7 below. The mold was designed to be steel where a PTFE spray would be used as a release agent, and to incorporate 20 molds at once. This turned out to be impossible due to restrictions with the mixing of the GICs and getting them into the oven at 37 °C and 100 % humidity. With these restrictions, it is only possible to mold 1 or 2 samples at the same time. Figure 3.7: Nylon shim, 4 mm wide & 0.1 mm thick with a 0.6 mm x 1.4 mm handle on top to form the grip groove. After the nylon shim was produced, it was necessary to test the glass-ionomer cement on it and see how badly it sticks. Unfortunately, even with the use of a polytetrafluoroethylene spray, the GIC could not be removed from the nylon shim without damaging it. Therefore, the nylon shim was unusable. The nylon was also very flimsy at this specification. It was noted that the shim should be a stronger stiffer material. Both the mold and shim were redesigned at this point. Both the mold and shim were drawn up on PTC CREO 3.0 and designed to be made from PTFE and steel, respectively.
  • 42. 31 | P a g e Figure 3.8 (a) & (b): PTC CREO 3.0 CAD drawing of the PTFE mold, designed for molding one sample at a time. Figure 3.9: PTC CREO 3.0 CAD dimensions of the PTFE mold. (a) (b)
  • 43. 32 | P a g e Figure 3.10: PTC CREO 3.0 CAD drawing of steel shim. Figure 3.11: PTC CREO 3.0 CAD dimensions of steel shim.
  • 44. 33 | P a g e John Gahan, a technician in UCDs school of mechanical and materials engineering produced the mold from PTFE, and the shim was produced by glueing two 0.65 mm thick pieces of steel shim onto a middle, bigger piece of 0.1 mm thick steel shim. The chevron notch was then cut from the 0.1 mm piece of shim to complete the piece. Two molds and two shims were produced for testing. A single one of each of these can be seen in figure 3.12. Figure 3.12: PTFE mold and shim in clamp. The 0.1 mm thick steel shim was shaved down at the triangular cut to fit the dimensions specified in figure 3.13 below. Figure 3.13: Dimensions of the chevron groove, as specified in the standard.
  • 45. 34 | P a g e 3.5 Mixing Initial testing with the PTFE mold and shaved steel shim worked well; however, the first sample made had not been mixed properly, resulting in chipping upon removal from the mold (figure 3.14). This problem was exacerbated by the fact that no release agent was used during the molding. Figure 3.14: First sample of Fuji IX dental cement, chipped. To mix a sample of Fuji IX, one spoon of alumina-silicate glass powder is mixed with one drop of polyacrylic acid, in the ratio of 15:8. The cement is mixed on a PTFE board using a steel spatula. A medical scalpel is used to tidy up the excess cement on the mold. A clamp is used to secure the mold while in the oven. After a number of practices mixing, the specimen shape seen below was achieved.
  • 46. 35 | P a g e Figure 3.15: Molded sample of Fuji IX dental cement. 3.6 Hounsfield Rigs In order to correctly test these samples, I was required to design a rig that would fit onto the Tinius Olsen Hounsfield H50KS screw drive materials testing machine and hook into the grip groove that had been molded into the samples. The Tinius Olsen Hounsfield H50KS screw drive materials testing machine will then pull the specimen apart. Figure 3.15: Schematic of a sample attached to the Tinius Olsen Hounsfield H50KS screw drive materials testing machine with rigs as outlined in the chevron notch fracture toughness testing standard [8] .
  • 47. 36 | P a g e A rough sketch allowed me to get a better understanding of what would be required from the Tinius Olsen Hounsfield H50KS screw drive materials testing machine rigs. This can be seen in figure 3.16 below. Figure 3.16: Sketch of requirements for Tinius Olsen Hounsfield H50KS screw drive materials testing machine rigs.
  • 48. 37 | P a g e These rigs were then drawn up on PTC CREO 3.0, as seen below. Figure 3.17 (a), (b), (c) & (d): PTC CREO 3.0 CAD drawings of the Tinius Olsen Hounsfield H50KS screw drive materials testing machine rigs. These designs were slightly altered during production of the pieces in order to have one end made from an M8 x 1.25 screw. The finished product can be seen below. (a) (b) (d)(c)
  • 49. 38 | P a g e Figure 3.18 (a) & (b): Tinius Olsen Hounsfield H50KS screw drive materials testing machine rigs, idle and in use. With the ability to mold a sample correctly, and the rigs to test them, testing began. (a) (b)
  • 50. 39 | P a g e 3.7 Testing One spoon of alumina-silicate glass powder is mixed with one drop of the polyacrylic acid, in the ratio of 15:8. The mixing phase of GICs should ideally be completed in 45 seconds [28] . The sample cement is immediately put into the mold, and then the shim, which is covered in a release agent5 , is pushed into the cement mixture, taking its place in the mold. The mold is clamped, and immediately put into an oven (figure 3.19) at 37 °C and 100 % humidity. Figure 3.19: Gallenkamp vacuum oven. Through the experimental testing, it was realised that the best possible time to remove the sample from the mold is right at the end of the samples setting time (7-10 minutes). The further the sample is into its hardening phase, i.e. the longer the sample is left in the mold, the harder it is to remove from the mold without cracking. It was also found that removing the specimen from the mold after 7-10 minutes as opposed to one hour was more beneficial in the effort to ensure the sample was safely removed from the mold than including extra amounts of either a PTFE or silicone release agent. After the 7-10 minutes in the mold, the sample is removed from the mold and immediately put back into the oven at 37 °C and 100 % humidity on a wet towel. The sample is then left in the oven for roughly another 23 hours and 50 minutes. Using this method, it is possible to make two samples every 15-20 minutes, including time for cleaning the mixing equipment. 5 Initially a PTFE spray was used as the release agent. However, after 23 samples had been tested, a switch was made to a silicone spray. This silicone spray worked better than the original PTFE spray.
  • 51. 40 | P a g e Figure 3.20: Molded samples of Fuji IX dental cement just after removal from the oven. The samples are brought straight from the oven to the Tinius Olsen Hounsfield H50KS screw drive materials testing machine. The Tinius Olsen Hounsfield H50KS screw drive materials testing machine must be setup with rigs in place in order to allow a quick test to be carried out. It is important to test the samples before any significant dehydration occurs. The Tinius Olsen Hounsfield H50KS screw drive materials testing machine runs QMAT 5.48 software (figure 3.21) which enables the measurement of displacement and force via a 1 kN load cell. The data for extension and force is then graphed and exported to Excel. The QMAT 5.48 software also provides info on the materials yield strength and elastic modulus. Figure 3.21: QMAT 5.48 software plotting force v extension, and indicating the maximum force.
  • 52. 41 | P a g e All of the tests for the Fuji IX and the AHL GIC are carried out at a speed of 1 mm/min. The tests on the Stryker Simplex P are carried out at 5 mm/min. This is to ensure that cracking occurs between 15 seconds and 60 seconds into the test time. The environment for testing is in air at atmospheric pressure, and room temperature (≈ 25 ° C). Figures 3.22: Tinius Olsen Hounsfield H50KS screw drive materials testing machine with rigs in place. The specimens are inspected by hand after testing to ensure that all validity tests have been passed. It is very important to check that the chevron notch was positioned correctly and that the crack propagated along the chevron notch. KIVM (plane-strain chevron notch fracture toughness relating to extension resistance with respect to a slowly advancing steady-state crack based on the maximum force observed before cracking) can then be calculated for the material by using eq. 1. 𝐾𝐼𝑣𝑀 = (𝐹 𝑚𝑎𝑥)(𝑌∗𝑚) (𝐵)(√ 𝑊) (eq. 1) This method allows the fracture toughness of a brittle material to be measured with a very small amount of material and without the need for a pre-crack. [34] Therefore it is well suited to the testing of GICs. If the crack is not a slowly advancing steady state crack initiated at the
  • 53. 42 | P a g e chevron notch, then an unloading/reloading cycle would be necessary to accurately determine the fracture toughness. 3.7.2 Bone Cement There is no difference in testing bone cement on the Tinius Olsen Hounsfield H50KS screw drive materials testing machine. There is however, a difference in the way the cement is mixed. The bone cement tested for this project is Simplex P from Stryker in Limerick, Ireland. It is made up of the following, in the form of a polymer (powder) and a monomer (liquid), as seen in figure 3.23: • 75% Methyl Methacrylate Styrene Copolymer • 15% Polymethylmethacrylate • 10% Barium Sulfate The monomer is toxic until it is mixed into the polymer, therefore, mixing must be done in a vacuum fume hut (figure 3.24) under great care6 . After the mixture has reached its doughing phase (figure 3.25), it is no longer toxic. For each ml of the monomer, you must add 2 grams of the polymer. Once the mixture is doughy (after about a minute), it should be taken out and placed into the mold. After this step, the method is similar to the dental cement. However, the bone cements setting time is longer than the dental cements. It needs to be left in the mold for greater than 20 minutes so that it can be removed with deformation. Also the bone cement is left to set at ambient temperature, it does not go in the oven. 6 Ayatollahi, and Karimzadeh [46] found that their fracture toughness results indicated that the vacuum-mixed cement has significantly higher fracture toughness compared with the hand- mixed ones.
  • 54. 43 | P a g e Figure 3.23: Stryker Simplex P monomer liwuid and polymer powder before mixing. Figure 3.24: Fume hut used for the mixing of Simplex P.
  • 55. 44 | P a g e Figure 3.25: Stryker Simplex P during mixing, known as the doughing phase. 3.8 Scanning Electron Microscopy A scanning electron microscope (SEM) scans a focused electron beam over a surface to create an image. The electrons in the beam interact with the sample, producing various signals that can be used to obtain information about the surface topography and composition. [36]
  • 56. 45 | P a g e Results Chapter 4 4.1 Scanning Electron Microscopy A Hitachi tabletop microscope TM-1000 was used to carry out SEM analysis on samples of the Fuji IX. This was undertaken to determine whether or not the crack in the specimen was propagating along the chevron notch. Images of the samples were taken at magnifications of 150, 600, 1000, 1500, 2000, & 5000. A large number of samples had a coating of rust over the molded part of the specimen which made them unusable for SEM. This was due to steel shim rusting while in the humid environment in the oven. Also, the magnification of 5000 was relatively unusable due to the lens not being able to focus correctly at that magnification. The first SEM image which was taken at a magnification of 150 can be seen below in figure 4.1. It shows the tip of the chevron notch after cracking in great detail. It should be noted that the molded surface (to the right and bottom of the image) is smoother than the chevron notch. The chevron notch is the area where the crack propagates, hence, this is to be expected in the specimen. There are however, a few noticeable cracks in the molded surface. This is attributed to dehydration of the specimen during its time in the oven. Although it is possible that the cracks are a result of residual stresses in the material that formed during testing.
  • 57. 46 | P a g e Figure 4.1: SEM image at a magnification of 150 showing the tip of the chevron notch. The magnification of 1500 shows the particle sizes within the sample in great detail. Backscattered electrons are sensitive to the atomic mass of the nuclei they scatter from.[37] As a result, elements with a heavier atomic mass, which backscatter more efficiently, appear brighter than lighter elements in a backscattered electron image. The glass particles contain Calcium which has an atomic mass of 40.078 atomic mass units, hence, the glass particles appear bright in SEM. Due to this and to the fact that the lighter shaped particles are sharp edged, it is concluded that the lighter particles are the alumina-silicate glass particles inside the Fuji IX. These glass particles are seen to range from 10 μm up to 40 μm in diameter. This is just slightly smaller than the expected 15-50 μm diameters
  • 58. 47 | P a g e Figure 4.2: SEM image at a magnification of 1500 showing the particles sizes inside the chevron notch area. In figure 4.3 below, a rusted sample can be seen. The rust is present to the top and right of the chevron tip. These SEM images are unusable because the rust is difficult to distinguish from the glass particles. The iron in the rust makes them appear brightly, leading to the difficulties. There are also a number of large dark particles seen in figure 4.3; these are particles of polytetrafluoroethylene, which was used as a release agent in the molding process. These particles are slightly larger than the glass particles, ranging from 10-45 μm.
  • 59. 48 | P a g e Figure 4.3: SEM image at a magnification of 1000 showing the chevron tip of a specimen with the presence of rust. At a magnification of 2000, the detailed extent of the cracks direction and depth can be seen. Figure 4.4 shows a slightly faulty specimen, where the crack propagated down into the sample, as opposed to travelling along the chevron notch.
  • 60. 49 | P a g e Figure 4.4: SEM image at a magnification of 2000 showing the crack at the chevron tip propagating downwards into the sample. 4.2 Chevron Notch Fracture Toughness Testing 4.2.1 Validity tests A number of samples have been excluded from the following results due to the fact that they either broke during molding or during the setup for testing, or the results obtained failed a validity test. The following validity tests were carried out on each result:  Sample dimensions must be accurate to that which is specified in the standard (figure 2.1. (from section 2.6.1.1))  The specimens lateral dimension, B, is equal to or greater than 1.25 (KIvM /σYS)2  If the max force occurs early in the test, the crack must be allowed to rest well, otherwise the test is invalid.
  • 61. 50 | P a g e  If the actual crack surface deviates from the intended crack plane, as defined by the chevron slots, by more than 0.1 mm, then the test is invalid.  Values of max force occurring early in the test, before a point corresponding to the slope ratio 1.2rc, are considered invalid.  Smooth crack growth is required for a test to be valid 4.2.2 Fuji IX glass ionomer cement The first samples tested were Fuji IX. The initial samples were attached to the Tinius Olsen Hounsfield H50KS screw drive materials testing machine rigs using tape as it was a struggle to attach them without. The tape used was ultra-high molecular weight polyethylene with a low co-efficient of friction. The specimens were inspected after cracking to ensure that the crack propagated along the chevron notch. All samples recorded below passed this test. The results were graphed using Excel, and then MATLAB was used in order to read in the data, clean it up, and plot the results including an average with a standard deviation7 of one. The code used in MATLAB can be seen in appendix B. The fracture toughness value was calculated from eq. 1 in section 2.6.1. Figure 4.5: Graphed data from samples Fuji IX 1, 4, 5, & 7. 7 In statistics, the standard deviation is a measurement used to quantify the amount of variation or dispersion of a set of data values. It is calculated by 𝜎 = √ ∑ (𝑥 𝑖−𝑥̅)𝑛 𝑖=1 𝑛−1 0 1 2 3 4 5 6 0 0.2 0.4 0.6 0.8 1 1.2 Force (N) Extension (mm) Fuji IX 1 Fuji IX 4 Fuji IX 5 Fuji IX 7
  • 62. 51 | P a g e Noticeably sample Fuji IX 6 is left out of this graph. The tape on this sample was wrongly attached during testing which lead to the Tinius Olsen Hounsfield H50KS screw drive materials testing machine recording incorrect data. This is an example of data that failed a validity test and therefore has been excluded from calculations. It can be seen below in figure 4.6. Figure 4.6: Sample data that failed a validity test. Fuji IX sample 6 was also excluded from figure 4.5. This was due to the fact that although the sample cracked, it did not fully break. Therefore, it was retested a number of times until full breaking. 0 20 40 60 80 100 120 140 160 0 0.2 0.4 0.6 0.8 1 Force (N) Extension (mm)
  • 63. 52 | P a g e Figure 4.7: Data from sample Fuji IX 6, including retests. After doing the retests on sample 6, it was apparent that some factor was causing peaks in the data. To evaluate this, samples Fuji IX 8 & Fuji IX 9 were tested and retested once in the same fashion. Both Fuji IX 8 & Fuji IX 9 recorded reasonable force measurements on the initial testing, and Fuji IX 9’s retest went as expected. Fuji IX 8, however, showed some very high initial readings on its retest. Figure 4.8: Data from Fuji IX 8 and retest. 0 0.5 1 1.5 2 2.5 3 3.5 4 0 0.2 0.4 0.6 0.8 1 Force (N) Extensions (mm) Fuji IX 6 Retest 1 Retest 2 Retest 3 Retest 4 Retest 5 0 0.5 1 1.5 2 2.5 3 3.5 0 0.05 0.1 0.15 0.2 0.25 0.3 0.35 Force (N) Extension (mm) Fuji IX 8 Retest
  • 64. 53 | P a g e Figure 4.9: Data from Fuji IX 9 and retest. The data from these retests was skewed slightly so some testing was carried out with just the ultra-high molecular weight polyethylene tape and no specimen present. The first test had the taped wrapped relatively tightly, and the second test had it wrapped relatively loosely. The results can be seen in figure 4.10 below. Figure 4.10: Data from two tests on ultra-high molecular weight polyethylene tape. It can be seen here that the inclusion of the tape throws off the data regardless of how it is placed upon the specimen while it is being tested in the Tinius Olsen Hounsfield H50KS 0 1 2 3 4 5 6 0 0.05 0.1 0.15 0.2 0.25 0.3 Force (N) Extension (mm) Fuji IX 9 Retest 0 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 0 0.2 0.4 0.6 0.8 Force (N) Extension (mm) Tape 1 Tape 2
  • 65. 54 | P a g e screw drive materials testing machine. The remainder of the testing was done without the use of the ultra-high molecular weight polyethylene tape. Figure 4.11: Data from Fuji IX 10, 11, 12, 13, 14. There are a few instances of slipping that occur while using the Tinius Olsen Hounsfield H50KS screw drive materials testing machine. This can be seen below in figure 4.12 while looking at the graphed data for sample Fuji IX 21. Figure 4.12: Data from Fuji IX 15, 16, 17, 18, 21. 0 1 2 3 4 5 6 7 0 0.02 0.04 0.06 0.08 0.1 0.12 0.14 Force (N) Extension (mm) Fuji IX 10 Fuji IX 11 Fuji IX 12 Fuji IX 13 Fuji IX 14 0 0.5 1 1.5 2 2.5 3 3.5 0 0.1 0.2 0.3 Force (N) Extension (mm) Fuji IX 15 Fuji IX 16 Fuji IX 17 Fuji IX 18 Fuji IX 21
  • 66. 55 | P a g e Figure 4.13: Data from Fuji IX 24, 25, 26, 27, 28, 30, 31. The data was also plotted on MATLAB Figure 4.14: MATLAB graph of data from Fuji IX 24, 25, 27, 28, 30. The peaks are indicated by the blue squares.
  • 67. 56 | P a g e Figure 4.15: MATLAB graph of average values data from Fuji IX 24, 25, 27, 28, 30, showing 1 standard deviation from the average. Figure 4.16: MATLAB graph of average values data from Fuji IX 24, 25, 27, 28, 30, showing 1 standard deviation from the average.
  • 68. 57 | P a g e These results all show force readings of mainly between 3 and 5 MPa√ 𝑚 which is within the range sought after. There are a few outliers that managed to bypass the initial validity tests, but were removed from the ANOVA analysis after their results were way outside the expected range. As the test method at this stage seemed reliable and accurate, testing progressed onto other materials. 4.2.3 AHL glass ionomer cement After testing on the Fuji IX sufficiently verified the testing method, glass ionomer cement that was received from Advanced Healthcare, Kent, UK, via Kevin Roche. The specimens were inspected after testing to ensure that the crack propagated along the chevron notch. Both AHL GIC 32 and AHL GIC 35 nearly failed the validity tests. The crack propagation in both of these specimens occurred initially along the chevron notch tip, but then deviated and cut through the specimen. This resulted in the specimen breaking as seen in figure 4.17. The effects of this deviation can be seen in figure 4.18. The same issue occurred with sample AHL GIC 45. This can be seen clearly in figure 4.19. Figure 4.17: Incorrect cracking of GIC sample.
  • 69. 58 | P a g e Figure 4.18: Graphed data from AHL GIC 32, 33, 35, 36, 38, 40, 42. Figure 4.19: Graphed data from AHL GIC 44, 45, 47, 50. 4.2.4 Bone Cement The last material to be tested in this project was Simplex P bone cement from Stryker in Limerick, Ireland. The specimens were inspected after cracking to ensure that the crack propagated along the chevron notch. All samples recorded below passed this test. The data 0 1 2 3 4 5 6 0 0.1 0.2 0.3 Force (N) Extension (mm) AHL GIC 32 AHL GIC 33 AHL GIC 35 AHL GIC 36 AHL GIC 38 AHL GIC 40 AHL GIC 42 0 0.5 1 1.5 2 2.5 3 3.5 0 0.05 0.1 0.15 0.2 Force (N) Extension (mm) AHL GIC 44 AHL GIC 45 AHL GIC 47 AHL GIC 50
  • 70. 59 | P a g e for the bone cement was recorded steadily over a long period of time. The testing was run at 0.5 mm/min for all samples to ensure cracking within 60 seconds. Figure 4.20: Data for bone cement samples 1-5 plotted on Excel. Figure 4.21: MATLAB graph of data from Stryker Simplex P bone cement samples 1, 2, 3, 4, 5. The blue squares indicate Fmax. 0 2 4 6 8 10 12 14 16 18 20 0 0.5 1 1.5 2 Force (N) Extension (mm) Bone Cement 5 Bone Cement 4 Bone Cement 3 Bone Cement 2 Bone Cement 1
  • 71. 60 | P a g e Figure 4.22: MATLAB graph of average values data from Stryker Simplex P bone cement samples 1, 2, 3, 4, 5, showing 1 standard deviation from the average. Figure 4.23: MATLAB graph of average values data from Stryker Simplex P bone cement samples 1, 2, 3, 4, 5, showing 1 standard deviation from the average.
  • 72. 61 | P a g e Singular plots of some of the samples on MATLAB can be seen in Appendix C. 4.2.5 Fracture Toughness v Time Sample Time in mold Total time in oven Fracture Toughness Fuji IX 1 15 minutes 22.5 hours 0.345989 MPa√ 𝑚 Fuji IX 2 15 minutes 23 hours 12.85281 MPa√ 𝑚 Fuji IX 4 11 minutes 29.5 hours 0.477659 MPa√ 𝑚 Fuji IX 5 10 minutes 29.5 hours 0.336561 MPa√ 𝑚 Fuji IX 6 8 minutes 29 hours 0.336247 MPa√ 𝑚 Fuji IX 7 8 minutes 29.5 hours 0.270255 MPa√ 𝑚 Fuji IX 8 9 minutes 29 hours 0.270255 MPa√ 𝑚 Fuji IX 9 10 minutes 29 hours 0.449377 MPa√ 𝑚 Fuji IX 10 9 minutes 28 hours 0.292252 MPa√ 𝑚 Fuji IX 11 9 minutes 28 hours 0.534256 MPa√ 𝑚 Fuji IX 12 9 minutes 27.5 hours 0.254542 MPa√ 𝑚 Fuji IX 13 9 minutes 27.5 hours 0.537367 MPa√ 𝑚 Fuji IX 14 8 minutes 24 hours 0.540478 MPa√ 𝑚 Fuji IX 15 10 minutes 26.5 hours 0.289141 MPa√ 𝑚 Fuji IX 16 9 minutes 26 hours 0.201088 MPa√ 𝑚 Fuji IX 17 11 minutes 25.5 hours 0.260859 MPa√ 𝑚 Fuji IX 18 9 minutes 24 hours 0.292252 MPa√ 𝑚 Fuji IX 21 9 minutes 25.5 hours 0.273397 MPa√ 𝑚 Fuji IX 24 12 minutes 24.5 hours 0.270286 MPa√ 𝑚 Fuji IX 25 8 minutes 24 hours 0.314218 MPa√ 𝑚 Fuji IX 26 8 minutes 24 hours 0.276508 MPa√ 𝑚 Fuji IX 27 8 minutes 24 hours 0.380211 MPa√ 𝑚 Fuji IX 28 9 minutes 24 hours 0.53105 MPa√ 𝑚 Fuji IX 30 7 minutes 24 hours 0.333073 MPa√ 𝑚 Fuji IX 31 18 minutes 24 hours 0.345706 MPa√ 𝑚
  • 73. 62 | P a g e AHL GIC 32 8 minutes 25 hours 0.172806 MPa√ 𝑚 AHL GIC 33 8 minutes 25 hours 0.282825 MPa√ 𝑚 AHL GIC 35 8 minutes 19.5 hours 0.03771 MPa√ 𝑚 AHL GIC 36 8 minutes 19.5 hours 0.30168 MPa√ 𝑚 AHL GIC 38 9 minutes 19.5 hours 0.461947 MPa√ 𝑚 AHL GIC 40 8 minutes 19.5 hours 0.333073 MPa√ 𝑚 AHL GIC 42 9 minutes 19 hours 0.553111 MPa√ 𝑚 AHL GIC 44 42 minutes 28.5 hours 0.270286 MPa√ 𝑚 AHL GIC 45 37 minutes 28.5 hours 0.050277 MPa√ 𝑚 AHL GIC 47 12 minutes 22.5 hours 0.298569 MPa√ 𝑚 AHL GIC 50 7 minutes 22 hours 0.307996 MPa√ 𝑚 Stryker Simplex P 1 7 minutes 24.5 hours 1.578161 MPa√ 𝑚 Stryker Simplex P 2 8 minutes 24.5 hours 1.657352 MPa√ 𝑚 Stryker Simplex P 3 9 minutes 24 hours 1.770482 MPa√ 𝑚 Stryker Simplex P 4 8 minutes 24 hours 1.615871 MPa√ 𝑚 Stryker Simplex P 5 8 minutes 24 hours 1.464089 MPa√ 𝑚 Table 4.1: Time for molding and time spent in oven for each sample, including its fracture toughness value. It can be seen from both figure 4.24 and figure 4.25 below that there is no strong correlation between fracture toughness and time in the oven once it is in and around the 24 hour mark.
  • 74. 63 | P a g e Figure 4.24 Fuji IX dental cement fracture toughness values v time in the oven. Figure 4.25: AHL dental cement fracture toughness v time in the oven. 0 0.1 0.2 0.3 0.4 0.5 0.6 0 10 20 30 40 Fracture Toughness (MPa√𝑚) Time in Oven (Hours) 0 0.1 0.2 0.3 0.4 0.5 0.6 0 10 20 30 40 Fracture Toughness (MPa√𝑚) Time in Oven (Hours)
  • 75. 64 | P a g e Figure 4.26: Stryker Simplex P bone cement fracture toughness v time in the oven. 4.2.6 Summary of values Sample Yield Strength (MPa) E-Mod (Mpa) Fracture Toughness, KIvM (Mpa√ 𝑚) Point of Cracking (mm) Passed Validity Checks Fuji IX 1 0.0425 1.015 0.345989 0.47  Fuji IX 2 0.0297 0.464 12.85281 Fuji IX 4 0.041 0.389 0.477659 0.07  Fuji IX 5 0.0423 0.356 0.336561 0.38 Fuji IX 6 0.0459 0.389 0.336247 0.28  Fuji IX 7 0.0292 0.334 0.270255 0.17  Fuji IX 8 0.0291 3.34 0.270255 0.13  Fuji IX 9 0.0688 9.82 0.449377 0.22  Fuji IX 10 0.0771 10.12 0.292252 0.05  Fuji IX 11 0.0354 3.96 0.534256 0.025  Fuji IX 12 0.03167 4.24 0.254542 0.006  Fuji IX 13 0.03562 3.4 0.537367 0.034  Fuji IX 14 0.03458 2.56 0.540478 0.056  Fuji IX 15 0.1292 5.36 0.289141 0.096  Fuji IX 16 0.0125 4.68 0.201088 0.127  Fuji IX 17 0.1813 1.012 0.260859 0.106  Fuji IX 18 0.1792 3.92 0.292252 0.048  Fuji IX 21 0.0291 4.12 0.273397 0.035  Fuji IX 24 0.2062 6.92 0.270286 0.054  Fuji IX 25 0.2521 7.08 0.314218 0.035  Fuji IX 26 0.3521 3.54 0.276508 0.095  Fuji IX 27 0.2188 7.11 0.380211 0.022  Fuji IX 28 0.2292 8.53 0.53105 0.059  0 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.8 2 23.9 24 24.1 24.2 24.3 24.4 24.5 24.6 Force (N) Time in Oven (Hours)
  • 76. 65 | P a g e Fuji IX 30 0.1548 5.32 0.333073 0.056  Fuji IX 31 0.1234 3.39 0.345706 0.07  Sample Yield Strength (Mpa) E-Mod (Mpa) Fracture Toughness, KIvM (Mpa√ 𝑚) Point of Cracking (mm) Passed Validity Checks AHL GIC 32 0.0146 4.15 0.172806 0.02  AHL GIC 33 0.0208 4.37 0.282825 0.045  AHL GIC 35 0.023 3.52 0.03771 0.058 AHL GIC 36 0.3063 2.95 0.30168 0.06  AHL GIC 38 0.2208 2.31 0.461947 0.14  AHL GIC 40 0.0543 4.59 0.333073 0.08  AHL GIC 42 0.1792 6.1 0.553111 0.12  AHL GIC 44 0.0062 3.01 0.270286 0.022  AHL GIC 45 0.0284 2.5 0.050277 AHL GIC 47 0.0145 2.98 0.298569 0.055  AHL GIC 50 0.1979 3.1 0.307996 0.132  Sample Yield Strength (Mpa) E-Mod (Mpa) Fracture Toughness, KIvM (Mpa√ 𝑚) Point of Cracking (mm) Passed Validity Checks Stryker Simplex P 1 1.596 4.9 1.578161 0.344  Stryker Simplex P 2 1.046 6.35 1.657352 0.405  Stryker Simplex P 3 1.231 6.1 1.770482 0.672  Stryker Simplex P 4 1.245 7.2 1.615871 0.748  Stryker Simplex P 5 0.869 5.5 1.464089 0.412  Table 4.2: Yield strength, elastic modulus, fracture toughness, and breaking point of each sample, as well as a pass/fail of the validity checks. 4.2.6.1 Fuji IX: Average KIvM value: 0.35 Mpa√ 𝑚 Standard deviation: 0.1 Mpa√ 𝑚 Average yield strength: 0.104431 MPa Average elastic modulus: 4.05476 MPa Average point of cracking: 0.11225 mm
  • 77. 66 | P a g e 4.2.6.2 AHL GIC: Average KIvM value: 0.33 Mpa√ 𝑚 Standard deviation: 0.11 Mpa√ 𝑚 Average yield strength: 0.096909 MPa Average elastic modulus: 3.598182 MPa Average point of cracking: 0.732 mm 4.2.6.3 Stryker Simplex P: Average KIvM value: 1.61 MPa√ 𝑚 Standard deviation: 0.1 Mpa√ 𝑚 Average yield strength: 1.1974 MPa Average elastic modulus: 6.01 MPa Average point of cracking: 0.5162 mm A more detailed analysis of the statistical significance of these results can be seen in Appendix D.
  • 78. 67 | P a g e Discussions and Conclusions Chapter 5 5.1 Results The average KIvM value recorded for Fuji IX GC was 0.35 ± 0.1 Mpa√ 𝒎. The average KIvM value recorded for AHL GIC was 0.33 ± 0.11 Mpa√ 𝒎. Ulrich Lochbauer [28] found that the fracture toughness value for glass-ionomer cement was between 0.1 and 0.6 MPa√ 𝑚. Ilie et al. [51] found KIc values for GICs to be on average 0.45 Mpa√ 𝑚. Bagheri et al. [25] found KIc values for Fuji IX to be 0.34 Mpa√ 𝑚 after 48 hours, and values for KIc for Fuji IX GC to be 0.44 Mpa√ 𝑚 after 48 hours. As the results seen in this project were slightly lower than this, but also tested after 24 hours, not 48, there is a strong correlation between the industries standards results and the Fuji IX GC results. Mitchell et al. [31] found the value of fracture toughness for Fuji I to be 0.34 Mpa√ 𝑚 and Fuji Cap I to be 0.37 Mpa√ 𝑚. These are very similar products to Fuji IX, again showing that the obtained results are accurate. The average KIvM value recorded for Stryker Simplex P was 1.61 ± 0.1 Mpa√ 𝒎. Ayatollahi and Karimzadeh [46] found that the fracture toughness value for bone cement, although by the nano-indentation test, to be between 2.1 and 2.9 MPa√ 𝑚. Lewis et al. [48] found that the respective values for the fracture toughness of three different groups; 4-N,N dimethyl p-toluidine, 4-N,N dimethylaminobenzyl oleate, 4-N,N dimethylaminobenzyl laurate, were 1.94 ± 0.05, 2.06 ± 0.09, and 2.00 ± 0.07 MPa√ 𝑚 respectively. K. Brown [49] wrote that the PMMA bone cement specimens he tested were all between 1.25 – 1.38 MPa√ 𝑚. Most notably, Webb and Spencer [50] measured the mean fracture toughness (KIc) of Stryker Simplex P to be 1.52 – 2.02 MPa√ 𝑚. This indicates that obtaining an average fracture toughness value for Stryker Simplex P of 1.61 ± 0.1 MPa√ 𝑚 is well within the industry standard range of values.