Improving mechanical properties of glass ionomer cements with fluorhydroxyapatite nanoparticles Kevin J. Roche and Kenneth T. Stanton School of Mechanical and Materials Engineering, University College Dublin, Belfield, Dublin 4, Ireland. Abstract Glass ionomer cements show great potential as low cost, minimally invasive dental restorative materials. However, their use is limited by relatively poor mechanical properties, especially fracture toughness. One possibility for improving their fracture toughness is through the addition of fluorhydroxyapatite nanoparticles, which resemble the crystals found in tooth enamel. Hydroxyapatite and fluorhydroxyapatite nanoparticles with fluoride substitution levels ranging from 0 to ∼95% and a small amount of AB-type carbonate substitution have been prepared and added to commercially available Fuji IX glass ionomer cement to examine the effect of the nanoparticles on the cement mechanical properties. The fluoride substitution level and other nanoparticle properties were accurately determined using a combined approach of XRD, XPS, TEM and FTIR. The material was in the form of agglomerated single crystal nanorods with volume average dimensions of approximately 30 × 30 × 60–80 nm. This combination of chemistry and morphology closely resembles the crystals in enamel and makes these particles perfect candidates for producing reinforced glass ionomer dental restorative materials. Preliminary tests have been carried to assess the affect of these particles on the compressive strength, hardness, and fracture toughness of Fuji IX hand mixed cement. A significant increase was found for hardness, but no significant change was found for fracture toughness or compressive strength, although there appeared to be a slight trend of increasing compressive strength with wt% nanoparticle addition. The results indicate that the mixing procedure must be carefully controlled to obtain the desired mechanical effect without degrading the working properties of the cement. 1 1 Introduction Three quarters of Irish fifteen year olds suffer some level of tooth decay, and essentially the entire population experiences it at some stage in their life [1]. Increasing life expectancy and richer diets have made restorative dental materials more and more necessary throughout the world. To meet this universal need restorative materials must be affordable, simple to prepare without expensive equipment, long lasting, and suitable for a wide range of restorations. Atraumatic restorative treatment (ART) has been developed as a low cost restorative technique that can be performed using only simple hand tools with minimal training and minimal loss of healthy tooth material [2, 3]. It is primarily designed to make dental care more accessible in poor communities, but is also advantageous in richer communities due to reduced patient trauma [4]. ART involves simply scraping clean the cavity and filling it with a self-adhesive material. The self-adhesive property of the material is crucial as it removes the need to shape the surrounding tooth to mechanically retain the filling. This in turn removes the need for power tools or local anesthetic in most cases, making it possible to carry out the procedure with minimal resources. Glass ionomer cements (GICs) are the preferred material for the ART approach [4, 5]. They are simple to prepare, chemically bond to enamel and dentine, and release fluoride which has been shown to help reduce further tooth decay [6–11]. They are prepared by mixing a solid aluminosilicate glass powder and a liquid mixture of mainly polyacrylic acid (PAA) and water. Upon mixing, the acid attacks the glass, leading to the release of cations that cross-link the PAA to form a gel which then hardens. Despite their advantages the type and size of restorations that can be carried out with GICs are limited by their mechanical properties, particularly fracture toughness. As a result, improving the mechanical properties of GICs has received a lot of attention. As well as optimising the glass and polyacid properties [9, 12, 13], this can be done by adding a reinforcing filler material [11, 14–17]. Fluorhydroxyapatite (Ca10 (PO4 )6 (OH)2−x Fx , FHA)is an excellent candidate as a filler material for GICs. The OH and F ions occupy the same space in the crystal structure, and can be mixed in any ratio; 100% OH (x=0) is hydroxyapatite (HA) and 100% F (x=2) is fluorapatite (FA). The mineral phase of teeth is essentially impure HA [18, 19] and makes up approximately 98% of tooth enamel [20] by weight. The HA is found in a complex hierarchical structure of HA nanoparticles and organic components [20–23] and contains a range of impurities including fluoride [21, 23–30]. The close similarity between FHA and natural enamel means that synthetic FHA nanoparticles can be expected to have excellent biocompatibility and form a strong chemical bond with the GIC polyacid to maximise their effect on the mechanical properties. The fluoride concentration can also be controlled to 2 help protect the enamel surrounding the restoration. These advantages have lead to a lot of interest in HA and FHA as reinforcing phases for GICs, especially in nanoparticle form [11, 14–16, 31]. By synthesising FHA nanoparticles with controlled fluoride substitution we can produce particles tailored for improving the mechanical and cariostatic properties of GICs. The precise level of fluoride substitution must be known, so several techniques have been used to accurately measure the level of fluoride substitution in FHA particles produced in the present study. Initial tests of the mixing and mechanical properties of FHA reinforced GICs have also been carried out. 2 2.1 Experimental Method HA and FHA Synthesis HA and FHA particles were prepared by a wet precipitation process similar to those used in previous studies [32–36]. There are a number of variations to this approach, and some factors have been identified as critical to the final result; notably pH, temperature, reactant concentration, mixing rate and aging time [37–40]. To produce HA, 5.55 g of CaCl2 (technical grade, Sigma-Aldrich, USA) and 4 g of (NH4 )2 HPO4 (>97 %, BDH Chemicals, England) were dissolved separately in 100 ml deionised water (DIW), giving a theoretical Ca/P ratio of 1.6375; lower than stoichiometric HA (1.67) but closer to that found in enamel (1.63) [20]. The phosphate solution was placed in a round bottom flask and heated to boiling point under reflux conditions and continuous mechanical stirring. The pH of each solution was then adjusted to 10 by adding 0.8 M NH4 OH and the calcium solution was added dropwise to the phosphate solution over 30 mins using a peristaltic pump. Once all the calcium solution was added the mixture was allowed to age at boiling temperature for 1 hr, then the heat was removed and the mixture allowed to age for a further 23 hrs. The precipitate was then washed 3 times in DIW using a centrifuge. Half of each batch was dried overnight at 104◦ C and half was resuspended in DIW. The same process was used to produce FHA, except that various amount of NH4 F were added to the phosphate solution to supply F− ions. Eight separate batches were prepared with theoretical fluoride substitution rates ranging from 0 to 250 %. The theoretical fluoride substitution level refers to the level of substitution if all the fluoride is assumed to be incorporated into the FHA. Batches are identified by their theoretical substitution level, i.e. ‘F25’ refers to 25% theoretical fluoride substitution. Carbonate impurities are common in HA synthesised in air as atmospheric CO2 is incorporated into the structure [24, 25, 34, 37]. The carbonate ion can substitute for either 3 hydroxyl (A-type), phosphate (B-type) or both (AB-type) [41–43]. All syntheses were carried out in air and no attempt was made to control the atmosphere, as it was thought that a small amount of carbonate substitution might well be beneficial due to the similarity with biological HA [20, 21]. 2.2 Nanoparticle Characterisation Synthesised nanoparticles were characterised by x-ray diffraction (XRD), transmission electron microscopy (TEM), Fourier transform infrared spectroscopy (FTIR) and x-ray photoelectron spectroscopy (XPS). XRD was carried out using a Seimens D500 diffractometer (Munich, Germany) with Bragg-Brentano geometry and a CuKα source. The angular range was 20-60◦ 2θ, the step size was 0.02◦ and the time per step was 5 s. 45 mg of the sample were mixed by hand with 5 mg of silicon as an internal reference for amorphous phase quantification, and the mixture pressed flat onto a glass microscope slide. MAUD [44] Rietveld refinement software was used to interpret the results. A separate scan of lanthanum hexaboride (LaB6 ) was used to establish the instrument parameters. TEM images were recorded with a FEI Tecnai G2 20 Twin microscope (Oregon, USA) with a tungsten filament and CCD camera, at an accelerating voltage of 200 kV. Samples were prepared by dropping very dilute suspensions of particles in DIW on formvar/carbon copper TEM grids (Agar Scientific, England) and allowing them to dry in air. XPS spectra were recorded in the range 50–1000 eV on a VG Microlab 310F (Sussex, UK) at a resolution of 0.5 eV. High resolution scans (0.1 eV) of individual peaks were recorded for quantitative analysis. Results were analysed using the peak fitting software ‘XPSPeak’ (Raymund Kwok). FTIR spectra were recorded using a Bruker Vertex 70 spectrometer (Ettlingen, Germany) in the range 400–4000 cm−1 . Samples were prepared by hand mixing 5 mg of the sample with 50 mg KBr with a mortar and pestle and pressing the mixture into a 12 mm diameter disk under a pressure of 50 MPa for 3 mins. Sixty four scans were recorded for each spectrum and all spectra were baseline corrected with the ‘Opus 7’ (Bruker) software package using the ‘rubber band’ technique. 2.3 GIC Preparation Fuji IX GP (GC Corporation, Tokyo, Japan) was used as a reference cement and as a basis for modified cement formulations as it has been used by several previous investigations of GIC mechanical properties [16, 45, 46]. Modified cements were prepared by dispersing HA in the liquid component of the cement prior to mixing the cement according to the manufacturers specification. Only HA was used for initial testing as the results were expected 4 to be similar for HA and FHA. Dispersion was initially carried out using a combination of hand mixing and ultrasonication in an ultrasonic bath (Decon FS300, Sussex, England) for 90 mins for compressive strength tests. After initial compressive strength tests it was decided to switch from an ultrasonic bath to an ultrasonic probe (MSE Soniprep 150, London, England) in an attempt to improve dispersion of the nanoparticles. Particles were dispersed for 90 s in the PAA liquid at an amplitude of 10 µm. A maximum of 0.5 wt% HA was added, as larger amounts required longer dispersion times and lead to excessive heating of the mixture. 2.4 GIC Characterisation Compressive strength testing was carried out according to ISO 9917 [47]. Cylindrical samples were prepared with height 6±0.1 mm and diameter 4±0.1 mm and stored in DIW for 24 hrs. Testing was then carried out at a cross head speed of 1 mm/min using a Hounsfield H50KS universal testing machine (Tinius Olsen, Surrey, UK). The plane strain fracture toughness (KIc ) of cements with up to 0.5 wt% HA was measure using the short rod chevron notch teqhnique [48]. Cylindrical specimens were prepared according to ASTM E-1304 [49] and fracture under a tensile load in a universal testing machine (Lloyd Instruments LRXPlus, Sussex, England). 12 samples were prepared for each mixture, however many of these did not fracture in the chevron as required by the test and had to be discarded. Chevron notch samples for each cement were mounted and gold sputter coated for viewing by scanning electron microscopy (SEM). Cylindrical samples were mounted, ground and polished to a flat surface for hardness and indentation toughness testing. These samples were kept hydrated during polishing and stored at 100% relative humidity at room temperature. Hardness was measured using the Vickers hardness method with a diamond pyramid indenter with an angle of 136◦ and a load of 2 kg. Three samples were tested for each cement mixture and the hardness was measured at five points on each sample. √ Indentation fracture toughness (KIc,idt (MPa m)) was also measured using the Vickers method, according to Equation 1: KIc,idt = ψb P 3 ! (1) c02 where ψb is the half angle of the Vickers indenter, P is the load (MN), and c0 is the radial crack length (m). These measurements were taken from the same indents used for hardness measurement. The results of mechanical tests were analysed by single factor analysis of variance (ANOVA) to test for statistical significance (P < 0.05). 5 3 3.1 Results and Discussion XPS XPS results show only a small amount of carbonate carbon impurity and no other species (Table 1). Figure 1 show a representative spectrum from F100. The primary peaks are labeled and other peaks are attributed to secondary orbitals of the same elements. O Intensity Ca F C P 0 200 400 600 800 1000 B.E. (eV) Figure 1: XPS spectrum of F0 with primary peaks labeled. All samples showed similar spectra, with changes only in the flourine (685-695 eV) and carbon (280-290 eV) regions. XPS could not distinguish phase impurities detected using XRD. It was therefore necessary to break down the total atomic concentrations into contributions from each phase based on XRD quantitative results (Table 1). Calcite (CaCO3 ) and fluorite (CaF2 ) were assumed to be stoichiometric when calculating the relative contributions. The Ca/P ratio Test Total sample Fsub (%) Ca/P P/C (CO3 ) C (CO3 ) wt% F0 F50 F100 F150 0 1.63 20.9 0.47 60 1.69 15.1 0.92 89 1.79 20.2 0.73 112 2.00 33.4 0.36 FHA only Fsub (%) Ca/P P/C (CO3 ) C (CO3 ) wt% 0 1.61 30.9 0.46 47 1.64 23.2 0.60 66 1.72 27.3 0.56 82 1.89 50.2 0.25 Table 1: XPS results showing total measure values and values calculated after calcite and fluorite contributions were removed. An Fsub value of 112 % is clearly impossible, so relying on XPS alone leads to errors. Using phase composition results from XRD analysis to remove the F contribution of fluorite gives a more accurate measurement for the F concentration in FHA. 6 increased significantly with F substitution from 1.61 in F0 to 1.89 in F150, with most of the change occurring at high F levels. Fluorine and phosphorous can combine in several ways in solution, so it seems likely that they form compounds such as fluorophosphoric acid, which remove some of the available ions from the precipitation reaction [50, 51]. A large carbon peak is present in each sample due to adsorbed atmospheric hydrocarbons, which is common in XPS studies and can be excluded from the sample analysis [52, 53]. Unfortunately this peak largely drowns out the carbonate signal and makes it more difficult to estimate the level of carbonate substitution. Nevertheless a clear drop in carbonate substitution was seen in F150, which was also visible in FTIR results. 3.2 XRD Details of the XRD refinement are shown in Table 2. The small residual errors indicate that the model is a good fit to the data, however the residual plot shows some areas of imperfection (Figure 2), most likely due to inhomogeneous particle size (see Section 3.3) and small amounts of carbonate impurities (see Sections 3.1 and 3.4). Small amounts of fluorite (CaF2 ) and calcite (CaCO3 ) formed along with FHA; the amount of calcite was fairly constant and ranged from approximately 1.2 to 1.5 wt% whereas the amount of fluorite increased with fluoride concentration from 0 to 5.8 wt% (Figure 2). No other crystalline or amorphous phases were detected. Test a (Å) c (Å) [h00] (nm) [h00] (nm) CaF2 (wt%) CaCO3 (wt%) Rw Rexp σ F0 9.4525(3e-4) 6.89851(5e-5) 32.7(0.1) 79.4(2.8) 0 1.2328803 6.471 4.036 1.603 F25 9.4400 6.89972 33.6 80.4 0.60 1.1909174 6.509 4.070 1.599 F50 9.4282 6.90093 28.5 67.8 0.86 1.5507183 6.134 4.045 1.516 F75 9.4227 6.90150 25.5 56.6 1.34 1.3017212 5.761 4.010 1.437 F100 9.4151 6.90215 27.1 60.2 1.68 1.0286785 6.208 4.055 1.531 F150 9.4068(2e-4) 6.90356(2e-5) 32(0.1) 72.6(0.4) 2.61(0.06) 1.3685037 5.900 4.424 1.440 F200 9.4055 6.90332 32.7 71.5 4.66 1.3175359 6.365 4.740 1.554 F250 9.4048 6.90387 35.4 76.2 5.81 1.469094 6.175 4.025 1.534 Intensity1/2 [Count1/2] Table 2: Details of Rietveld analysis for each test. Values in ( ) show 1 standard deviation. Rexp is the residual experimental error, Rw is the total residual error, and σ is the goodness of fit. 60.0 40.0 20.0 Calcite FHA Fluorite Silicon 30.0 40.0 50.0 60.0 2-Theta [degrees] Figure 2: Representative XRD spectrum and residual plot of F100. Other spectra showed only minor peak changes. 7 6.905 9.45 6.904 90 6.902 9.43 6.901 9.42 c (Å) 6.903 9.44 a (Å) 100 6.9 9.41 6.899 9.4 6.898 0 50 100 150 200 Calculated F substitution (%) 9.46 80 70 60 50 XRD a fit 40 30 XRD c fit 20 XPS data 10 XPS fit 0 0 250 100 200 Theoretical F substitution (%) Theoretical F substitution (%) (a) (b) Figure 3: (a) The effect of fluoride substitution on the unit cell parameters and the least squares fit to the data. Standard deviations were estimated for F0 (a=3.2e-4, c=4.7e-5) and F150 a=2.3e-4, c=2.4e-5) but were to small to be shown on the graph. (b) Calculated fluorine substitution level based on unit cell dimensions and XPS data vs theoretical fluorine substitution level. There is some disagreement between the two dimensions, but both are close to the XPS data. 3.2.1 Unit cell dimensions Figure 3(a) shows the change in unit cell dimensions with increasing fluoride substitution. In both cases, exponential functions of the form y = y0 ± ∆y(1 − e −f A ) (2) where y is the unit cell dimension, y0 is the unit cell dimension for pure HA, ∆y is the difference in unit cell dimension between HA and FA, f is the theoretical fluoride substitution level, and A is a constant; provided a good fit to the data. Assuming the unit cell dimensions change linearly with degree of fluoride substitution, as is generally expected [28, 54], the fitted functions can be used to estimate the actual degree of fluoride substitution for a given theoretical level (Figure 3(b)). However the unit cell parameters are also affected by carbonate content [43] and this may cause errors in the calculated values if the carbonate content changes between samples. Although there is some difference between the values calculated from the a and c unit cell dimensions, the XPS data lie between the two curves (Figure 3(b)). This shows that both axes are slightly biased in opposite directions (Figure 3(b)) but that the overall agreement is good. The difference can be explained by carbonate substitution; A-type substitution has been found to cause an expansion of the a-axis and a contraction of the c-axis, while B-type has the opposite affect [42, 43]. The effect of AB-type substitution is more variable as it depends on the relative amount of A and B-type. 8 3.2.2 Crystallite Morphology Figure 4(a) shows the volume averaged crystallite dimensions measured by XRD as a function of fluoride concentration. All batches are clearly nanoscale rods with volume average dimensions of approximately 30 × 30 × 60–80 nm with the long axis in the [00l] direction. A slight linear decrease in aspect ratio with increasing fluoride concentration and a minimum at F75–F100 are clear from Figure 4(b). The [00l] dimension shows a similar pattern, while the [h00] dimension shows the minimum at F75 but no overall slope(Figure 4(a)). 90 2.45 Crystallite aspect ratio 80 Crystallite size (nm) 2.5 00l h00 70 60 50 40 30 2.4 2.35 2.3 2.25 2.2 2.15 2.1 20 ‐50 0 50 100 150 200 Theoretical F substitution (%) 250 ‐50 300 0 50 100 150 200 250 300 Theoretical F substitution (%) (a) Average crystallite dimensions as calculated by (b) Crystallite aspect ratio [00l]/[h00] showing a Rietveld analysis, showing a minimum for F75. general decrease with increasing fluoride substitution and a sharp minimum at F75–F100. Figure 4: Effect of F substitution on average particle (a) size and (b) aspect ratio. Error bars show 1 standard deviation. 3.3 TEM TEM images show hexagonal rod shaped particles of similar sizes to the crystal dimensions predicted by XRD, indicating that each particle is a single crystal. It is clear from Figure 5 that particles are highly agglomerated when dried and there is significant variation in particle size within each sample; a large number of small particles can be seen along with a few much larger ones. At higher magnification (Figure 6) the hexagonal shape of some particles is apparent and crystal planes are shown to be continuous within each particle, confirming that the particles are single crystals. 3.4 FTIR FTIR results are consistent with XRD and XPS, showing a small amount of carbonate and no other impurities (Figure 7(a)). The two large peak groups at 550–650 and 1000– − −1 1150 cm−1 are mainly due to PO3− in F0 that 4 with a contribution from OH at 633 cm 9 (a) (b) Figure 5: TEM of (a) F0 and (b) F150. Both show significant particle size distribution but F150 appears to have slightly more uniform particles with lower aspect ratios. Figure 6: TEM of F150 with high magnification inset highlighting hexagonal morphology and crystal planes. 10 F0 F50 F100 F200 F25 F75 F150 F250 F0 F25 F50 F75 F100 F150 F200 F250 OH‐OH 400 Absorbance (au) Absorbance (au) OH‐F‐HO 900 1400 1900 2400 2900 3400 3900 600 Wavenumber (cm‐1) F‐OH‐F 650 700 750 800 Wavenumber (cm‐1) (a) (b) Figure 7: (a) FTIR spectra of F0 and F100 showing characteristic peaks of FHA: phosphate at 550-650 cm−1 and 1000-1150 cm−1 ; hydroxyl at 3570 and 633 cm−1 . Small carbonate peaks appear at 1400-1550 and 870 cm−1 . (b) OH-F region of FTIR spectra showing the changing bond structure in the hydroxyl channels. The hydroxyl peak shifts significantly as the composition changes from predominantly OH (633 cm−1 ) to predominantly F (745 cm−1 ). At intermediate levels, OH ions are present in several different bond states with either F ions or other OH ions, resulting in multiple peaks. The total intensity in this region decreases as OH ions are substituted by F ions. reduces intensity and shifts to higher wavelengths with increasing F substitution. These groups, along with the OH− peak at 3570 and smaller phosphate peaks at 471 and 2000 cm−1 constitute the characteristic spectrum of HA [55, 56]. The peaks between 640 and 745 cm−1 in fluoride containing samples are attributed to the effect of OH-F interactions on the OH bond [28, 54, 57]. The broad peaks at 1640 and 3450 cm−1 can be attributed to absorbed or combined H2 O [39, 58] and small carbonate peaks are evident at 1400– 1550 cm−1 and 870 cm−1 [39, 41, 59]. These carbonate peaks are consistent with AB-type carbonate substitution, and show a small reduction with increasing F substitution which is most likely responsible for the slight variation between XRD and XPS results. Figure 7(b) shows the 600–800 cm−1 region of the spectra. F0 contains a single OH− peak at 633 cm−1 , which becomes several smaller peaks in the 620–650 cm−1 region in intermediate samples, and finally a single small peak at ∼745 cm−1 in F150,F200, and F250. Others have found that this single small peak suggests that these samples have greater than 75% F substitution; consistent with the present XRD and XPS results[28, 54, 57]. The large peak shift and the formation of multiple intermediate peaks is as a result of the formation of OH–F hydrogen bonds and the change in predominant bond type as the OH/F ratio changes; from long chains of OH–OH, through to OH..OH-F–HO..HO, OH–F–OH–F, and finally F..F–OH–F..F. This is disccussed in more detail in other work [54, 57]. For 11 220 Compressive Strength (MPa) 215 210 205 200 195 190 185 180 175 170 ‐1 0 1 2 3 wt% HA 4 5 6 Figure 8: Compressive strength of cements with added HA nanoparticles. There is a general trend of increasing compressive strength with wt% HA, although the standard deviation is high (p = 0.2). n=9 for 0 wt% and n=3 for other wt%. the purpose of the present work it is most important to note that the difference between consecutive spectra in Figure 7(b) decreases with increasing F substitution, in agreement with the present XRD and XPS data. 3.5 Compressive Strength Compressive samples with up to 5 wt% HA were initially prepared by adding HA nanoparticles to the liquid component of Fuji IX and dispersing for 90 mins in an ultrasonic bath. Figure 8 shows a general increase in compressive strength with wt% HA addition, however the standard deviation is high and the sample number is low. Although the HA appears to have improved the strength, it seriously degraded the working properties of the cement so that consistency between samples was poor and some batches could not be mixed at all. It is clear that although addition of HA can be beneficial, the preparation procedure needs to be improved to obtain reliable results, even with low quantities of nanoparticle addition. 3.6 Chevron Notch Fracture Toughness No statistically significant change in KIc was found for any of the HA modified cements however there appears to be a slight visible trend of increasing KIc (Figure 9). There was significant scatter in the data due to the difficulty of preparing samples with perfect geometry and the low fracture toughness of the material. The cement had a high tendency to chip during cutting, causing uneven surfaces and uncontrollable surface cracks prior to testing. Examining the fracture surfaces under SEM showed significant porosity in all samples which may have added to the scatter in the data (Figure 10). HA agglomerates of several 12 0.45 0.4 KIc (Mpa√m) 0.35 0.3 0.25 0.2 0.15 0.1 0.05 0 control .1 wt% HA .2 wt% HA .5 wt% HA Figure 9: Plane strain fracture toughness of HA modified and unmodified GIC. No statistically significant change was observed (p = 0.29), although there is a very slight visible upward trend. microns in size were visible (Figure 10(b)) indicating that complete dispersion of the HA was not achieved. The poor dispersion could explain why the addition of HA had no significant effect on fracture toughness, as most of the material is essentially free of HA. 3.7 Vickers Hardness and Indentation Fracture Toughness As with plane strain fracture toughness, there was no significant change in indentation fracture toughness (Figure 11(a)). However, unlike KIc , the KIc,idt values actually appear slightly lower with HA. The porosity of the cements caused significant inconsistency in measuring the crack length for KIc,idt as the crack path was altered by pores. Vickers hardness shows a small but significant increase from 70.1 HV2 to 76.3 HV2 with 0.5 wt% HA addition. This test was much more consistent than fracture toughness tests, due to having a more robust test procedure, and shows that even small quantities of nanoparticles can improve the mechanical properties of the cement. 4 Conclusion Fluorhydroxyapatite nanoparticles have been synthesised and shown to have chemistry and morphology similar to that of human enamel with additional fluoride. These particles are ideal candidates for improving the mechanical properties of glass ionomer dental cements. In-depth characterisation of these particles was carried out to accurately measure their size, shape, and compostition, espescially fluoride content. Initial mechanical testing of modified cements suggests that these particles can increase compressive strength and hardness of the cement, but that the method of incorporating the nanoparticles is crucial to realising the benefits and avoiding unwanted effects on the 13 (a) (b) Figure 10: SEM of (a) Control cement and (b) with 0.5 wt% HA (F0). Both show significant porosity and have similar fracture patterns. HA nanoparticles are visible in (b) as agglomerates up to several microns in size. 2 85 1.8 1.6 Vickers Hardness (HV2) 80 KIc,idt (MPa√m) 1.4 1.2 1 0.8 0.6 0.4 75 70 65 0.2 0 60 control .1 wt% HA .2 wt% HA .5 wt% HA control (a) .1 wt% HA .2 wt% HA .5 wt% HA (b) Figure 11: Vickers test results for (a) Indentation fracture toughness and (b) Hardness. Single factor ANOVA showed no significant change for toughness (p = 0.16) but there was a significant increase in hardness (p = 9.5e−5 ) with HA addition. 14 working properties of the cement. No significant change in fracture toughness was detected with up to 0.5 wt% hydroxyapatite nanoparticles. The high surface to mass ratio of the nanoparticles makes them difficult to disperse, resulting in inconsistent mixing of the cement. Further development of the mixing method will be required to produce a working cement with significant improvements in mechanical properties. Acknowledgments This work was supported by the Irish Research Council for Science, Engineering and Technology under the Embark Initiative and was carried out in collaboration with clinical dentists and mechanical engineers at Queen’s University Belfast. We thank the UCD Conway Institute for providing access to their TEM facilities. 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