Polyacid-modified composite resins ("compomers") and their use in clinical dentistry.
OBJECTIVE
This paper describes the chemistry and properties of polyacid-modified composite resins ("compomers") designed for use in clinical dentistry, and reviews the literature in this area.


METHODS
Information has been obtained from over 50 published articles appearing in the dental and biomaterials literature, with studies being principally identified through MedLine.


RESULTS
Published work shows that polyacid-modified composite resins constitute a discrete class of polymeric repair material for use in dentistry. Their distinction is that they contain hydrophilic components, and these cause water to be drawn into the material following cure. This triggers an acid-base reaction, and gives the materials certain clinically-desirable properties (fluoride release, buffering capability) that are also associated with glass-ionomer cements. The water uptake leads to a decline in certain, though not all, physical properties. However, clinical studies have shown these materials to perform acceptably in a variety of applications (Class I, Class II and Class V cavities, as fissure sealants and as orthodontic band cements), especially in children's teeth.


CONCLUSIONS
Polyacid-modified composite resins constitute a versatile class of dental repair material, whose bioactivity confers clinical advantages, and which are particularly useful in children's dentistry.
Nicholson
John W
JW
Department of Chemical and Pharmaceutical Sciences, University of Greenwich, Medway Campus, Chatham, Kent ME4 4TB, UK. J.W.Nicholson@gre.ac.uk
D001672:Biocompatible Materials / Q000737:chemistry; D002021:Buffers; D002327:Cariostatic Agents / Q000737:chemistry; D020770:Compomers / Q000737:chemistry*; D003764:Dental Materials / Q000737:chemistry*; D003793:Dental Restoration, Permanent; D005459:Fluorides / Q000737:chemistry; D006801:Humans; D011108:Polymers / Q000737:chemistry; D014867:Water / Q000737:chemistry
D001672:Biocompatible Materials; D002021:Buffers; D002327:Cariostatic Agents; D020770:Compomers; D003764:Dental Materials; D011108:Polymers; D014867:Water; D005459:Fluorides