Electron spin resonance (ESR) spectroscopy was used to gain insight at the
molecular level into the curing of bone cement. Methyl methacrylate was pol
ymerized using a N,N-dimethyl-p-toluidine (TD)/benzoyl peroxide (BPO) redox
system in the presence of polymethyl methacrylate (PMMA) powder. The conve
ntional nine-lint ESR spectrum for the growing polymer radical was detected
at the gel stage of polymerization. While the optimum free radical concent
ration was observed near the equimolar amine/BPO concentration, Excess amin
e led to a change in the chemical structure of the trapped radical and inhi
bited the polymerization process. At a high amine/BPO ratio the nine-line s
ignal disappeared and a three-line nitroxide-based radical appeared. The ap
pearance of this nitroxide signal seems to depend on the amine/BPO molar ra
tio and on the presence of PMMA. An excess amount of amine with respect to
BPO was found to inhibit the polymerization process. When BPO was removed,
the system still polymerized but with a longer gelation time and a lower ra
dical concentration. These results demonstrate that trapped free radicals i
n the bulk polymerization of MMA convert to polymeric peroxides that act as
initiators in bone cement. When the accelerator 4-dimethylamino phenethyl
alcohol (TDOH) was used, a higher radical concentration was observed in the
polymerizing system. TDOH shows potential for being a more effective accel
erator than TD for bone cement curing. (C) 1999 John Wiley & Sons, Inc.