Analysis on the Performance of Nano-Composite Resin Dental Restorative Materials

Abstract

After long-term use of resin materials for dental repair, plaque is easy to accumulate on the surface to form biofilms, which can cause caries. Although antibacterial agents are applied to oral resins, the antibacterial ability, mechanical performance, and biocompatibility of the material have to be considered. In this study, the cationic polymer NPVP with different lengths of alkyl chain is adopted to modify the carbon–nanodiamond (CND), and hydroxyethyl methacrylate (HEMA) is introduced to reduce the cytotoxicity of the modified particles and improve the compatibility with the resin matrix. Among the multiple composite samples obtained, MND-H10 shows the best de-aggregation effect, with a particle size of 70 nm. In addition, it plays a good antibacterial effect against Gram-negative bacteria (GNB) Escherichia coli (E. coli) and Gram-positive bacteria (GPB) Staphylococcus aureus (S. aureus). On this basis, the polymerizable antibacterial nano-composite particles (modified nano-diamonds, MNDs) are prepared and polymerized with the resin matrix Bisphenol A bis-methyl/glycidyl acrylate (Bis-GMA)/Triglycol dimethacrylate (TEGDMA) to construct an antibacterial dental repair material. After testing, the Vickers hardness, flexural strength, and flexural modulus of the 0.6 wt% modified resin material all increase by more than 45%. Due to the addition of nano-particles, the material shows a certain antibacterial ability, an increased hydrophilicity, and antibacterial adhesion ability. 10 patients with clinically defective or missing dentition during June 2017 to October 2017 are selected from the affiliated hospitals of the college, who are treated with the threaded implants. After a year of clinical observation, the threaded implants have achieved better osseointegration results.