Repair of denture base resin using woven metal and glass fiber: Effect of methylene chloride pretreatment

Fatigue survival of endodontically treated teeth restored with different fiber-reinforced composite resin post strategies versus universal 2-piece fiber post system: An in vitro study

STATEMENT OF PROBLEM

Various strategies have been proposed to reduce the cement space of foundation restorations for endodontically treated teeth. However, they may add more operative steps, or the dentist must keep different sizes of drills and posts in stock. A 2-piece universal adjustable post system has been developed to overcome this problem, but whether the system has acceptable fatigue survival performance is unclear.

PURPOSE

The purpose of this in vitro study was to evaluate the fatigue survival and stress distribution of endodontically treated teeth without a ferrule and restored with different glass fiber post strategies versus a recently introduced universal 2-piece fiber post system.

MATERIAL AND METHODS

Bovine incisor roots were randomly assigned to 3 groups as per the post used (n=13): adapted glass fiber post with post space preparation of the same size, composite resin-custom glass fiber post (CTM), and universal 2-piece glass fiber-reinforced composite resin post (UNI). The posts were adhesively luted, the composite resin core was added, and a composite resin crown was produced with computer-aided design and computer-aided manufacturing (CAD-CAM), and then adhesively luted to each core. A fatigue test was performed with the stepwise stress method (10 000 cycles/step; 20 Hz; load=100 N to 750 N; step=50 N) until fracture, and the failure mode analyzed. The stress distribution was evaluated by finite element analysis with the maximum principal stress criteria by following the parameters of the in vitro test. The solids were considered homogeneous, linear, and isotropic, except for the glass fiber post (orthotropic), and a load of 450 N at 30 degrees was applied. The fatigue failure load and the number of cycles for failure were analyzed with Kaplan-Meier and Mantel-Cox (log rank test) (α=.05). The finite element analysis results were analyzed with colorimetric graphs.

RESULTS

The highest fatigue failure load and the number of cycles for failure were found in the UNI system, whereas the lowest results were found in the CTM group. All groups exhibited repairable failures. The finite element analysis showed the lowest stress in root dentin in the UNI system. The CTM system had the largest stress regions at the dentin and dentin-core interface.

CONCLUSIONS

The use of a 2-piece universal glass fiber post system resulted in more fatigue behavior compared with composite resin-custom glass fiber posts.

The impact of nanoparticles-modified repair resin on denture repairs: a systematic review

This study aimed to evaluate the effect of nanoparticles on the mechanical properties of acrylic denture repairs. The review was designed following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines. Database search was conducted involving articles published from 2000 to 2020 using the following keywords: PMMA/nanoparticles, denture repair/nanoparticles, and repair strength/nanoparticles. PubMed/MEDLINE, Embase, Google Scholar, Scopus, and EBSCOhost were used to find only those studies used repair resin reinforced with nanoparticles for denture repairs. Due to variations between nanoparticles types, sizes, and testing properties, the quantitative statistical meta-analysis couldn't be conducted. Therefore, a descriptive data analysis was applied. Out of 379 articles, 8 articles were included; three nanoparticles, zirconium oxide (nano-ZrO2), silicon oxide (nano-SiO2), and aluminum oxide (nano-Al2O3) nanoparticles were used as reinforcements to repair resin. Seven studies investigated the effects of 0.25-7.5 wt.% nano-ZrO2 on the mechanical properties of repaired denture bases and reported positive effects with high concentrations. Two studies study investigated 0.25-0.75 wt% nano-SiO2 and found that low % nano-SiO2 concentrations improved repair strength while, one study showed that 1 and 1.5 wt.% nano-Al2O3 increased the flexural strength. Although nanoparticles offer positive effects on the properties of denture repair, inadequate studies exist. Therefore, further investigations are required. Scientific field of dental Science: Prosthodontics.

Influence of Polymeric Restorative Materials on the Stress Distribution in Posterior Fixed Partial Dentures: 3D Finite Element Analysis

Background: This study evaluated the effect of interim restorative materials (acrylic resin (AR), resin composite (RC) or polyetheretherketone (PEEK) for dental computer-aided design/computer-aided manufacturing (CAD/CAM)) on the stress distribution of a posterior three-unit fixed partial denture. Methods: The abutment teeth (first molar and first premolar) were modeled using the BioCAD protocol containing 1.5 mm of axial reduction and converging axial walls. A static structural analysis was performed in the computer-aided engineering software, and the Maximum Principal Stress criterion was used to analyze the prosthesis and the cement layers of both abutment teeth. The materials were considered isotropic, linearly elastic, homogeneous and with bonded contacts. An axial load (600 N) was applied to the occlusal surface of the second premolar. Results: Regardless of the restorative material, the region of the prosthetic connectors showed the highest tensile stress magnitude. The highest stress peak was observed with the use of RC (129 MPa) compared to PEEK and AR. For the cement layers, RC showed the lowest values in the occlusal region (7 MPa) and the highest values for the cervical margin (14 MPa) compared to PEEK (21 and 12 MPa) and AR (21 and 13 MPa). Conclusions: Different interim restorative materials for posterior fixed partial dentures present different biomechanical behavior. The use of resin composite can attenuate the stress magnitude on the cement layer, and the use of acrylic resin can attenuate the stress magnitude on the connector region.

Influence of Various Chemical Surface Treatments, Repair Materials, and Techniques on Transverse Strength of Thermoplastic Nylon Denture Base

The process of repairing the fractured nylon denture bases and addition of acrylic teeth to the previously worn nylon denture bases has not been widely studied. This study aims to assess the transverse strength of nylon denture bases repaired by various resin materials, different curing techniques, and types of surface treatments. Materials and Methods. One hundred fifty thermoplastic nylon denture base samples were fabricated using plastic patterns measuring 65 × 10 × 2.5 mm (length, width, and thickness, respectively). These samples were then divided into three equal groups. Fifty samples were repaired by microwave heat-polymerization, fifty samples were repaired using the Ivomate autopolymerization, and the other fifty were repaired using light-polymerized acrylic resin. Each of these three groups was further divided into five subgroups of ten samples based on the type of surface treatment. The samples in the control group did not undergo any surface treatment, and the other four groups were chemically surface treated with monomer, acetone, ethyl acetate, and isopropanol, respectively. A three-point bending test was used to calculate the transverse strength values of the samples. Fourier transform infrared (FTIR) analysis was conducted to determine the component of functional groups between the polyamide nylon base and poly(methyl-methacrylate) PMMA repair materials. A polarizing microscope was utilized to investigate the mode of failure at the fracture surfaces. Results. The collected data were analyzed with one-way ANOVA and Sidak's multiple comparison test to show the differences among different groups. For surface treatments, the highest transverse strength values were obtained by monomer-treated samples (18.29 N/mm²); however, the lowest values were obtained in non-surface treated samples (5.58 N/mm²). While for repair techniques, the highest transverse strength values were obtained by microwave processing, followed by Ivomate and then the light-cured polymerization. The means were found to be significant (p < 0.001). FTIR analysis shows the presence of hydrogen bonding which is due to the ester and amid groups which enhance the bond strength of the surface-treated samples. The interface of the polarizing microscope images revealed a cohesive fracture within repair materials rather than the adhesive nature. Conclusion. The microwave-polymerized resin was considered as the most effective repair technique along with monomer chemical etchant which creates a tight adhesion between PMMA and nylon denture base in comparison to other groups.

The Influence of Custom-Milled Framework Design for an Implant-Supported Full-Arch Fixed Dental Prosthesis: 3D-FEA Sudy

The current study aimed to evaluate the mechanical behavior of two different maxillary prosthetic rehabilitations according to the framework design using the Finite Element Analysis. An implant-supported full-arch fixed dental prosthesis was developed using a modeling software. Two conditions were modeled: a conventional casted framework and an experimental prosthesis with customized milled framework. The geometries of bone, prostheses, implants and abutments were modeled. The mechanical properties and friction coefficient for each isotropic and homogeneous material were simulated. A load of 100 N load was applied on the external surface of the prosthesis at 30° and the results were analyzed in terms of von Mises stress, microstrains and displacements. In the experimental design, a decrease of prosthesis displacement, bone strain and stresses in the metallic structures was observed, except for the abutment screw that showed a stress increase of 19.01%. The conventional design exhibited the highest stress values located on the prosthesis framework (29.65 MPa) between the anterior implants, in comparison with the experimental design (13.27 MPa in the same region). An alternative design of a stronger framework with lower stress concentration was reported. The current study represents an important step in the design and analysis of implant-supported full-arch fixed dental prosthesis with limited occlusal vertical dimension.

Does the prosthesis weight matter? 3D finite element analysis of a fixed implant-supported prosthesis at different weights and implant numbers

PURPOSE

This study evaluated the influence of prosthesis weight and number of implants on the bone tissue microstrain.

MATERIALS AND METHODS

Fifteen (15) fixed full-arch implant-supported prosthesis designs were created using a modeling software with different numbers of implants (4, 6, or 8) and prosthesis weights (10, 15, 20, 40, or 60 g). Each solid was imported to the computer aided engineering software and tetrahedral elements formed the mesh. The material properties were assigned to each solid with isotropic and homogeneous behavior. The friction coefficient was set as 0.3 between all the metallic interfaces, 0.65 for the cortical bone-implant interface, and 0.77 for the cancellous bone-implant interface. The standard earth gravity was defined along the Z-axis and the bone was fixed. The resulting equivalent strain was assumed as failure criteria.

RESULTS

The prosthesis weight was related to the bone strain. The more implants installed, the less the amount of strain generated in the bone. The most critical situation was the use of a 60 g prosthesis supported by 4 implants with the largest calculated magnitude of 39.9 mm/mm, thereby suggesting that there was no group able to induce bone remodeling simply due to the prosthesis weight.

CONCLUSION

Heavier prostheses under the effect of gravity force are related to more strain being generated around the implants. Installing more implants to support the prosthesis enables attenuating the effects observed in the bone. The simulated prostheses were not able to generate harmful values of peri-implant bone strain.

The Impact of Polymerization Technique and Glass-Fiber Reinforcement on the Flexural Properties of Denture Base Resin Material

OBJECTIVE

 Different polymerization and reinforcement techniques have been tested to enhance the mechanical characteristics of denture base acrylic resins. The goal of the present study was to evaluate the influence of autoclave polymerization techniques with glass fiber reinforcement on the flexural strength and elastic modulus of polymethyl methacrylate denture base resins.

MATERIALS AND METHODS

 Ninety specimens were fabricated from heat-polymerized acrylic resin and randomly distributed depending on the polymerization technique into three groups (n = 30): water bath polymerization, short-cycle autoclave polymerization, and long-cycle autoclave polymerization. Each group was further divided into three subgroups (n = 10) based on the concentration of glass fiber 0, 2.5, and 5wt%. The flexural strength and elastic modulus were investigated using a universal testing machine. One-way ANOVA and Tukey's post hoc test were performed to analyze the results (α = 0.05).

RESULTS

 The flexural strength and elastic modulus values were significantly higher in 5wt% glass fiber reinforced long-cycle autoclave group in comparison with the other test groups (p < 0.05).

CONCLUSIONS

The long-cycle autoclave polymerization technique with the glass fiber reinforcement significantly increased the flexural strength and elastic modulus of the denture base resin material.

Influence of Different Repair Acrylic Resin and Thermocycling on the Flexural Strength of Denture Base Resin

Background and Objectives: Fractured acrylic denture base is a common occurrence in clinical practice. The effective denture repair procedure is cost-effective, time conserving, and results in lesser time without denture for the patient. Along with various reinforcements and surface modifications; different acrylic resins are investigated in improving the flexural strength of the fractured site. The aim of this study was to evaluate the flexural strength of a polymethyl methacrylate (PMMA) denture base repaired with heat-polymerized (HPA), auto-polymerized (APA) and light-polymerized acrylic (LPA) resins after thermocycling. Materials and Methods: Forty rectangular shaped (50 mm × 25 mm × 3 mm) PMMA specimens were fabricated. Group 1 specimens (n = 10) were kept as controls and the remaining 30 samples were sectioned at the center with a repair site dimension of 3 mm. The samples from three groups (n = 10) were repaired with HPA, APA, and LPA resins, respectively. The specimens were thermocycled for 5000 cycles and subjected to a three-point flexural test. The maximum load required to fracture the specimens was recorded, and further analyzed with ANOVA and the Games-Howell Post hoc test at the significance level p = 0.05. Results: The average maximum load and flexural strength of the control group was 173.60 N and 13.02 Mpa and corresponding values for denture repaired with HPA was 87.36 N and 6.55 Mpa. The corresponding values for APA resin and LPA resins were 62.94 N, 57.51 N, and 4.72 Mpa, 4.06 Mpa, respectively. Conclusions: The PMMA specimens repaired with HPA resins resulted in a significantly higher load to fracture compared to APA resin and LPA resin.

Comparative Effect of Glass Fiber and Nano-Filler Addition on Denture Repair Strength

PURPOSE

To evaluate and compare the effects of glass fiber (GF), Zirconium oxide nanoparticles (nano-ZrO₂ ), and silicon dioxide nanoparticles (nano-SiO₂ ) addition on the flexural strength and impact strength of repaired denture base material.

MATERIALS AND METHODS

Heat-polymerized acrylic resin specimens were fabricated. All specimens were sectioned centrally and beveled creating 2.5 mm repair gap except for 10 controls. Specimen grouping (n = 10/group) was done according to filler concentration of 0%, 0.25%, 0.5%, and 0.75% of auto-polymerized acrylic powder. Modified resin was mixed, packed in the repair gap, polymerized, finished and polished. Three-point bending test and Charpy type impact testing were done. Data were analyzed using one-way-ANOVA and Post-Hoc Tukey test (α = 0.05).

RESULTS

All additives significantly increased flexural strength and impact strength (p < 0.05). Within the modified subgroups, no significant differences were found for GF. Significant increase for nano-ZrO₂ and significant decrease for nano-SiO₂ as the concentration of additive increased were noted for both flexural strength and impact strength. Highest flexural strength was found with 0.75%-nano-ZrO₂ (69.59 ± 2.52MPa) and the lowest was found with 0.75%-nano-SiO₂ (53.82 ± 3.10MPa). The 0.25%-nano-SiO₂ showed the highest impact strength value (2.54 ± 0.21 kJ/m² ) while the lowest impact strength value was seen with 0.75%-nano-SiO₂ (1.54 ± 0.17 kJ/m² ).

CONCLUSION

Nano-filler effect was concentration dependent and its addition to repair resin increased the flexural and impact strengths. The incorporation of 0.75%-ZrO₂ or 0.25%-SiO₂ into repair resin proved to be a promising technique to enhance repair strength and avoid repeated fractures.

The Effect of Surface Treatments on the Shear Bond Strength of Acrylic Resin Denture Base With Different Repair Acrylic Resin: An In Vitro Study

Background:

Fracture of the denture base is a common problem associated with dental prostheses. Fractured denture base surfaces treated with chemical agents and mechanical features have the potential for improved bond strength.

Aim:

The aim of this study was to evaluate the effect of surface treatment on the shear bond strength of heat-cured denture base with different repair acrylic resins.

Materials and Methods:

A total of 100 circular specimens (2-cm diameter × 3.3-mm thickness) were fabricated from heat-cured denture resins (DPI) according to the manufacturer’s instructions. The heat-cured denture base acrylic resin specimens were divided into two groups: In group 1, auto-polymerizing acrylic resin (DPI) was used as a repair resin, and in group 2, light-cured acrylic resin (VLC) was used as the repair resin. Further, the heat-cured denture base acrylic resin specimens were subdivided into five subgroups. The shear bond strength (in megapascal) was measured in a universal testing machine at a crosshead speed of 1 mm/min. The results were subjected for statistical analysis.

Result:

Comparison of mean and standard deviation of shear bond strength between DPI and VLC group using one-way analysis of variance showed that the mean shear bond strength of DPI group is higher than that of VLC group.

Conclusion:

From the study, heat-cured denture base specimens repaired with auto-polymerizing repair resin showed higher mean shear bond strength than the visible light cure resin material.

Effect of zirconium oxide nanoparticles addition on the optical and tensile properties of polymethyl methacrylate denture base material

Background

Polymethyl methacrylate (PMMA) is widely used for the fabrication of removable prostheses. Recently, zirconium oxide nanoparticles (nano-ZrO₂) have been added to improve some properties of PMMA, but their effect on the optical properties and tensile strength are neglected.

Objective

The aim of this study was to investigate the effect of nano-ZrO₂ addition on the translucency and tensile strength of the PMMA denture base material.

Materials and methods

Eighty specimens (40 dumbbell-shaped and 40 discs) were prepared out of heat-polymerized acrylic resin and divided into four groups per test (n=10). The control group for each test included unreinforced acrylic, while the test groups were reinforced with 2.5, 5, and 7.5 wt% nano-ZrO₂. Acrylic resin was mixed according to manufacturer’s instructions, packed, and processed by conventional method. After polymerization, all specimens were finished, polished, and stored in distilled water at 37°C for 48±2 hours. Tensile strength (MPa) was evaluated using the universal testing machine while the specimens’ translucency was examined using a spectrophotometer. Statistical analysis was carried out by SPSS using the paired sample t-test (p≤0.05). A scanning electron microscope was used to analyze the morphological changes and topography of the fractured surfaces.

Results

This study showed that the mean tensile strength of the PMMA in the test groups of 2.5%NZ, 5%NZ, and 7.5%NZ was significantly higher than the control group. The tensile strength increased significantly after nano-ZrO₂ addition, and the maximum increase seen was in the 7.5%NZ group. The translucency values of the experimental groups were significantly lower than those of the control group. Within the reinforced groups, the 2.5%NZ group had significantly higher translucency values when compared to the 5%NZ and 7.5%NZ groups.

Conclusion

The addition of nano-ZrO₂ increased the tensile strength of the denture base acrylic. The increase was directly proportional to the nano-ZrO₂ concentration. The translucency of the PMMA was reduced as the nano-ZrO₂ increased.

Clinical significance

Based on the results of the current study, the tensile strength was improved with different percentages of nano-ZrO₂ additions. However, translucency was adversely affected. Therefore, it is important to determine the appropriate amount of reinforcing nano-ZrO₂ that will create a balance between achieved properties – mechanical and optical.

The Effect of Polymerization Methods and Fiber Types on the Mechanical Behavior of Fiber-Reinforced Resin-Based Composites

PURPOSE

Glass fibers were introduced to increase the fracture resistance of resin-based composites restorations; however, the poor polymerization between fibers and resin-based composite were sometimes noted and can cause debonding and failure. The purpose of this study was to investigate the effects of different polymerization methods as well as fiber types on the mechanical behavior of fiber-reinforced resin-based composites.

MATERIALS AND METHODS

Seventy-five specimens were fabricated and divided into one control group and four experimental groups (n = 15), according to the type of glass fiber (strip or mesh) and polymerization methods (one- or two-step). A 0.2-mm-thick fiber layer was fabricated with different polymerization methods, on top of which a 1.8 mm resin-based composite layer was added to make a bar-shape specimen, followed by a final polymerization. Specimens were tested for flexural strength and flexural modulus. The failure modes of specimens were observed by scanning electron microscopy.

RESULTS

The fiber types showed significant effect on the flexural strength of test specimens (F = 469.48, p < 0.05), but the polymerization methods had no significant effect (F = 0.05, p = 0.82). The interaction between these two variables was not significant (F = 1.73, p = 0.19). In addition, both fiber type (F = 9.71, p < 0.05) and polymerization method (F = 12.17, p < 0.05) affected the flexural modulus of test specimens; however, the interaction between these two variables was not significant (F = 0.40, p = 0.53).

CONCLUSIONS

The strip fibers showed better mechanical behavior than mesh fibers and were suggested for resin-based composites restorations reinforcement; however, different polymerization methods did not have a significant effect on the strength and failure mode of fiber-reinforced resin-based composites.

The Reinforcement Effect of Nano-Zirconia on the Transverse Strength of Repaired Acrylic Denture Base

Objective. The aim of this study was to evaluate the effect of incorporation of glass fiber, zirconia, and nano-zirconia on the transverse strength of repaired denture base. Materials and Methods. Eighty specimens of heat polymerized acrylic resin were prepared and randomly divided into eight groups (n = 10): one intact group (control) and seven repaired groups. One group was repaired with autopolymerized resin while the other six groups were repaired using autopolymerized resin reinforced with 2 wt% or 5 wt% glass fiber, zirconia, or nano-zirconia particles. A three-point bending test was used to measure the transverse strength. The results were analyzed using SPSS and repeated measure ANOVA and post hoc least significance (LSD) test (P ≤ 0.05). Results. Among repaired groups it was found that autopolymerized resin reinforced with 2 or 5 wt% nano-zirconia showed the highest transverse strength (P ≤ 0.05). Repairs with autopolymerized acrylic resin reinforced with 5 wt% zirconia showed the lowest transverse strength value. There was no significant difference between the groups repaired with repair resin without reinforcement, 2 wt% zirconia, and glass fiber reinforced resin. Conclusion. Reinforcing of repair material with nano-zirconia may significantly improve the transverse strength of some fractured denture base polymers.

Reinforcing effect of glass fiber-reinforced composite reinforcement on flexural strength at proportional limit of a repaired denture base resin

Objective: This study evaluated the reinforcing effect of glass fiber-reinforced composite (FRC) reinforcement on flexural strength at the proportional limit (FS-PL) of a repaired denture base resin.

Materials and methods: Repaired denture base resins reinforced with metal and with FRC reinforcement, and that without reinforcement were tested. The ultimate flexural strength, the FS-PL and the elastic modulus of repaired denture base resins were tested. The joint efficiency (times) of the repaired denture base resins on the intact denture base resin was evaluated.

Results: The repaired denture base resins reinforced with metal reinforcement and with FRC reinforcement had significantly higher ultimate flexural strength than the repaired denture base resin without reinforcement (p < 0.05) and were not significantly different from each other (p > 0.05). The FS-PL of a repaired denture base resin reinforced with the FRC reinforcement was similar to that with the metal reinforcement (p > 0.05), and these were significantly higher than the FS-PL of a repaired denture base resin without reinforcement (p < 0.05). The elastic modulus of the repaired denture base resin reinforced with the FRC reinforcement was significantly lower than that with metal reinforcement (p < 0.05) and was significantly higher than that without reinforcement (p < 0.05). The joint efficiency of the FRC reinforced specimen was 0.98.

Conclusion: The FRC reinforcement had a reinforcing effect on the FS-PL of a repaired denture base resin.

Evaluation of shear bond strength of repair acrylic resin to Co-Cr alloy

PURPOSE

The purpose of this study was to investigate the impact of different surface treatment methods and thermal ageing on the bond strength of autopolymerizing acrylic resin to Co-Cr.

MATERIALS AND METHODS

Co-Cr alloy specimens were divided into five groups according to the surface conditioning methods. C: No treatment; SP: flamed with the Silano-Pen device; K: airborne particle abrasion with Al2O3; Co: airborne particle abrasion with silica-coated Al2O3; KSP: flamed with the Silano-Pen device after the group K experimental protocol. Then, autopolymerized acrylic resin was applied to the treated specimen surfaces. All the groups were divided into two subgroups with the thermal cycle and water storage to determine the durability of the bond. The bond strength test was applied in an universal test machine and treated Co-Cr alloys were analyzed by scanning electron microscope (SEM). Two-way analysis of variance (ANOVA) was used to determine the significant differences among surface treatments and thermocycling. Their interactons were followed by a multiple comparison' test performed uing a post hoc Tukey HSD test (α=.05).

RESULTS

Surface treatments significantly increased repair strengths of repair resin to Co-Cr alloy. The repair strengths of Group K, and Co significantly decreased after 6,000 cycles (P<.001).

CONCLUSION

Thermocycling lead to a significant decrease in shear bond strength for air abrasion with silica-coated aluminum oxide particles. On the contrary, flaming with Silano-Pen did not cause a significant reduction in adhesion after thermocycling.

The effect of different chemical surface treatments of denture teeth on shear bond strength: a comparative study

BACKGROUND

The development of better cross linked acrylic resin teeth has solved the problems related to wearing and discoloration of acrylic teeth. The same cross linking at ridge lap region acts as a double edge sword as it weakens the bond between denture base and tooth.

AIM OF STUDY

The purpose of study was to evaluate the effect of surface treatment on the bond strength of resin teeth to denture base resin using monomethyl methacrylate monomer and dichloromethane with no surface treatment acting as control.

SETTINGS AND DESIGN

Denture base cylinder samples in wax (n=180) were made with maxillary central incisor attached at 450 (JIST 6506). These samples were randomly and equally divided into three groups of 60 each. These specimens were then flasked, dewaxed as per the standard protocol.

MATERIALS AND METHODS

Before acrylization, ridge lap area was treated as follows: Group A- no surface treatment act as control, Group B treated with monomethyl methacrylate monomer, Group C treated with dichloromethane. Digitally controlled acryliser was used for acrylization as per manufacturer's instructions and shear bond strength was tested on Universal Testing Machine (Servo Hydraulic, 50kN High Strain, BISS Research).

STATISTICAL ANALYSIS USED

Result was statistically analyzed with One-way analysis of variance (ANOVA) and Post-hoc ANOVA Tukey's HSD test at 5% level of significance.

RESULTS

The application of dichloromethane showed increased bond strength between cross linked acrylic resin teeth and heat cure denture base resin followed by monomethyl methacrylate monomer and control group.

CONCLUSION

The application of dichloromethane on the ridge lap surface of the resin teeth before packing of the dough into the mold significantly increased the bond strength between cross linked acrylic resin teeth and heat cure denture base resin.

Surface treatment with methyl formate-methyl acetate increased the shear bond strength between reline resins and denture base resin

BACKGROUND

Chemical surface treatment increases the shear bond strength (SBS) between hard reline resins (HRRs) and denture base resin.

OBJECTIVE

To evaluate the effect of methyl formate-methyl acetate (MF-MA), when used as a surface treatment agent, on the SBS between denture base resin and different HRRs.

MATERIALS AND METHODS

One hundred and twenty specimens of heat-polymerised acrylic resin denture base (Meliodent(®) ) were divided into 12 groups. These groups comprised denture base relined with three self-polymerised HRRs [Unifast trad(®) (UT), Tokuyama(®) RebaseII Fast (TR), Ufi gel hard(®) (UG)], and treated with their respective Bonding Agent (BA) or by MF:MA solutions at ratios of 35:65, 25:75, and 15:85 for 15 s. The SBS was measured using a Universal Testing Machine. The data were analysed using two-way anova and post hoc Tukey's analysis at p < 0.05.

RESULTS

The highest SBS was in the UT treated with MF:MA at a ratio of 25:75 group, followed by UT treated with MF:MA at ratios of 15:85, 35:65, UT treated with BA, and all UG treated with MF:MA groups. The SBS of the UT treated with MF:MA at a ratio of 25:75 group was significantly higher than those of the groups treated with BA. The SBS of the UG treated with MF:MA groups was significantly higher than control. The TR groups treated with BA or MF:MA groups showed no significant difference in SBS.

CONCLUSION

Surface treatment with MF-MA significantly enhanced the SBS of denture base resin and UT and UG compared to that of the groups treated with BA.

The effect of joint surface contours and glass fiber reinforcement on the transverse strength of repaired acrylic resin: An in vitro study

Background:

Denture fracture is an unresolved problem in complete denture prosthodontics. However, the repaired denture often experiences a refracture at the repaired site due to poor transverse strength. Hence, this study was conducted to evaluate the effect of joint surface contours and glass fiber reinforcement on the transverse strength of repaired acrylic resins.

Materials and Methods:

A total of 135 specimens of heat polymerized polymethyl methacrylate resin of dimensions 64 × 10 × 2.5 mm were fabricated. Fifteen intact specimens served as the control and 120 test specimens were divided into four groups (30 specimens each), depending upon the joint surface contour (butt, bevel, rabbet and round), with two subgroups based on type of the repair. Half of the specimens were repaired with plain repair resin and the other half with glass fibers reinforced repair resin. Transverse strength of the specimens was determined using three-point bending test. The results were analyzed using one-way ANOVA and Tukey post-hoc test (α= 0.05).

Results:

Transverse strength values for all repaired groups were significantly lower than those for the control group (P < 0.001) (88.77 MPa), with exception of round surface design repaired with glass fiber reinforced repair resin (89.92 MPa) which was significantly superior to the other joint surface contours (P < 0.001). Glass fiber reinforced resin significantly improved the repaired denture base resins as compared to the plain repair resin (P < 0.001).

Conclusion:

Specimens repaired with glass fiber reinforced resin and round surface design exhibited highest transverse strength; hence, it can be advocated for repair of denture base resins.

Review of adhesive techniques used in removable prosthodontic practice

There are several benefits in using adhesive technique in removable prosthodontics as well as fixed prosthodontics. Previous studies have examined denture-base surface treatments that improve bond strength between a denture base resin and autopolymerizing repair resin. Dichloromethane and ethyl acetate are organic solvents that swell the denture base surface, thereby permitting diffusion of the acrylic resin. The optimal treatment duration is 5-10 s for dichloromethane and 120 s for ethyl acetate. It was reported that the bond durability of dichloromethane was superiorto that of ethyl acetate. Bonding between metal components and the denture base resin has an important role in the longevity of removable prostheses. The combination of metal conditioners and alumina air-abrasion is effective in fabricating and repairing removable dentures. Acidic monomers (4-META and MDP) are appropriate for base metal alloys, including Co-Cr alloy and titanium alloy, while thione monomers (MTU-6 and VBATDT) are suitable for noble metal alloys such as gold alloy and silver-palladium-copper-gold (Ag-Pd-Cu-Au) alloy. As an alternative to conventional restorations, resin-bonded restorations can provide precisely parallel guide planes with well-made rest seats. Careful consideration should be paid to stabilizing loosened teeth by fixing them with resin-bonded splints or fixed partial dentures.

Comparative evaluation of tensile bond strength of a polyvinyl acetate-based resilient liner following various denture base surface pre-treatment methods and immersion in artificial salivary medium: An in vitro study

BACKGROUND AND AIM

This study was formulated to evaluate and estimate the influence of various denture base resin surface pre-treatments (chemical and mechanical and combinations) upon tensile bond strength between a poly vinyl acetate-based denture liner and a denture base resin.

MATERIALS AND METHODS

A universal testing machine was used for determining the bond strength of the liner to surface pre-treated acrylic resin blocks. The data was analyzed by one-way analysis of variance and the t-test (α =.05).

RESULTS

This study infers that denture base surface pre-treatment can improve the adhesive tensile bond strength between the liner and denture base specimens. The results of this study infer that chemical, mechanical, and mechano-chemical pre-treatments will have different effects on the bond strength of the acrylic soft resilient liner to the denture base.

CONCLUSION

Among the various methods of pre-treatment of denture base resins, it was inferred that the mechano-chemical pre-treatment method with air-borne particle abrasion followed by monomer application exhibited superior bond strength than other methods with the resilient liner. Hence, this method could be effectively used to improve bond strength between liner and denture base and thus could minimize delamination of liner from the denture base during function.

Flexural strength of acrylic resin repairs processed by different methods: water bath, microwave energy and chemical polymerization

Denture fractures are common in daily practice, causing inconvenience to the patient and to the dentists. Denture repairs should have adequate strength, dimensional stability and color match, and should be easily and quickly performed as well as relatively inexpensive.

Factors Affecting the Strength of Denture Repairs

Fracture of dentures is a common clinical finding in daily prosthodontic practice, resulting in great inconvenience to both patient and dentist. A satisfactory repair should be cost-effective, simple to perform, and quick; it should also match the original color and not cause distortion to the existing denture. Different repair materials, surface designs, and mechanical and chemical surface treatments have been recommended in order to obtain stronger repairs. This article reviews some of the available literature with regard to the most important factors that may influence the strength of denture repairs.

Evaluation of shear bond strength of microwaveable acrylic resins in denture repair: a comparative study

OBJECTIVE

Acrylic denture base fracture is a common mode of failure. Heat-cured, auto-polymerized, visible light-cured, and microwaveable acrylic resins have been used as repair materials. The aim of this study was to evaluate the shear bond strength of two microwaveable resins (Acron MC and Justi) and one auto-polymerizing acrylic resin (ProBase Cold) as denture repair materials as opposed to a heat-cured one using the non-flasking procedure after thermocycling and photoaging.

MATERIAL AND METHODS

Ninety cylindrical specimens were made using the Vertex Rapid Simplified heat-cured acrylic resin. Each repair acrylic resin was poured on the specimen's surface using a cylindrical rubber mold with an internal diameter of 8.5 mm. Thirty specimens for each repair material were made. The control group consisted of 10 specimens from each group which were stored in water for 24 h at 37 degrees C; another 10 specimens from each group were subjected to a thermocycling procedure (5-55 degrees C for 1,000 cycles), while the remaining 10 specimens were subjected to a photoaging procedure. Shear bond strength was measured on a universal testing machine and mode of bond failure was examined under a stereomicroscope. Two-way ANOVA and the Bonferroni post hoc test were performed to identify statistical differences at alpha = 0.05.

RESULTS

Justi's shear bond values were significantly inferior to those of ProBase Cold (p <0.05) and Acron MC (p <0.05). ProBase Cold and Acron MC acrylic resins exhibited similar values (p >0.05) of shear bond strength. Thermocycling and photoaging did not affect the shear bond values of any of the materials under investigation (p >0.05).

CONCLUSIONS

ProBase Cold and Acron MC exhibited similar shear bond values. Justi repair material exhibited inferior bond strength compared with that of ProBase Cold and Acron MC. Aging procedures did not affect the bonding properties of any of the repair materials.

Effect of surface preparation using ethyl acetate on the repair strength of denture base resin

OBJECTIVE

The objective of this study was to evaluate the effect of surface preparation using ethyl acetate on the repair strength of a denture base resin.

MATERIAL AND METHODS

Bar specimens were fabricated with a heat-processed denture base resin and cut in half. The repair surfaces of the specimens were treated with ethyl acetate for varying amounts of time before the autopolymerizing repair resin was applied. The specimens were then immersed in 37 degrees C distilled water for 2 days. A three-point bending test was used to determine the transverse strength of the test specimens. Ten specimens prepared using a 120-s application of ethyl acetate and 10 specimens prepared using a 5-s application of dichloromethane were thermocycled at 10,000 cycles (at 5 degrees C and 55 degrees C) with a 60-s dwell time. The morphological changes in the repair surfaces after preparation were observed by scanning electron microscopy.

RESULTS

The repair strength of the denture base resin prepared using ethyl acetate for 120 s (30.6 MPa) was the highest among the results for the various amounts of time tested (p<0.05). There were no significant differences between the repair bond strength both before and after thermocycling of the denture base resin prepared using ethyl acetate for 120 s and that of the denture base resin prepared with dichloromethane for 5 s (p>0.05).

CONCLUSION

Within the limitations of the current study, a 120-s application of ethyl acetate was as effective as a 5-s application of dichloromethane at preparing the surfaces of a denture base resin.

The evaluation of microleakage and bond strength of a silicone-based resilient liner following denture base surface pretreatment

STATEMENT OF PROBLEM

The failure of adhesion between a silicone-based resilient liner and a denture base is a significant clinical problem.

PURPOSE

The purpose of this study was to examine the effects of denture base resin surface pretreatments with different chemical etchants preceding the silicone-based resilient liner application on microleakage and bond strength. The initial effects of chemical etchants on the denture base resin in terms of microstructural changes and flexural strength were also examined.

MATERIAL AND METHODS

Forty-two polymethyl methacrylate (PMMA) denture base resin (Meliodent) specimens consisting of 2 plates measuring 30 x 30 x 2 mm were prepared and divided into 7 groups (n = 6). Specimen groups were treated by immersion in acetone for 30 (A30) or 45 (A45) seconds, methyl methacrylate monomer for 180 (M180) seconds, and methylene chloride for 5 (MC5), 15 (MC15) or 30 (MC30) seconds. Group C had no surface treatment and served as the control. Subsequently, an adhesive (Mollosil) and a silicone-based resilient denture liner (Mollosil) were applied to the treated surfaces, and all specimens were immersed in the radiotracer solution (thalium-201 chloride) for 24 hours. Tracer activity (x-ray counts), as a parameter of microleakage, was measured using a gamma camera. For bond-strength measurement, 84 rectangular PMMA specimens (10 x 10 x 40 mm) were surface-smoothed for bonding and treated with the different chemical etchants using the same previously described group configurations. The adhesive and the silicone-based denture liner were applied to the treated surfaces. Tensile bond-strength (MPa) was measured in a universal testing machine. Flexural strength measurement was performed with 49 PMMA specimens (65 x 10 x 3.3 mm according to ISO standard 1567) in 7 groups (n = 7), with 1 flat surface of each treated with 1 of the chemical etchants preceding adhesive application. The flexural strength (MPa) was measured using a 3-point bending test in a universal testing machine. The data were analyzed by 1-way analysis of variance and the Tukey HSD test (alpha = .05).

RESULTS

Significant differences were found between the groups in terms of microleakage (P < .0001). The lowest microleakage was observed in group M180 (30,000 x-ray counts) and the highest in the control group (44,000 x-ray counts). The mean bond strength to PMMA resin ranged from 1.44 to 2.22 MPa. All treated specimens showed significantly higher bond strength than controls (P < .01). The flexural strength values all significantly differed (P < .05). All experimental specimens that had chemical surface treatments showed lower flexural strength than controls (P < .05).

CONCLUSION

Treating the denture base resin surface with chemical etchants increased the bond strength of silicone-based resilient denture liner to denture base and decreased the microleakage between the 2 materials. Considering the results of both tests together, the use of methyl methacrylate monomer for 180 seconds was found to be the most effective chemical treatment.

Effect of Adhesive Primer Developed Exclusively for Heat-curing Resin on Adhesive Strength between Plastic Artificial Tooth and Acrylic Denture Base Resin

Despite progress in the development of denture base resin and artificial tooth materials, dental clinics are still plagued with artificial teeth falling off the denture base--due to poor bond strength--after denture delivery. Against this background, this study sought to examine the effect and durability of an adhesive primer developed exclusively for heat-curing resin on the adhesive strength of heat-curing denture base acrylic resin to plastic artificial tooth. Test specimens were divided into four groups according to the treatment method of the artificial tooth's test bonding surface: air abrasion, adhesive primer application, adhesive primer application after air abrasion, and pretreatment only (control). After heat curing of acrylic resin onto the bonding surface, shear test was performed for two storage periods: 24-hour versus 100-day water storage. From the results obtained, it was revealed that the evaluated adhesive primer was significantly effective in increasing adhesive strength between artificial tooth and acrylic resin, although specimens were stored in water for 100 days.

The effect of chemical surface treatments of different denture base resins on the shear bond strength of denture repair

STATEMENT OF PROBLEM

Fracture of a repaired denture base often occurs at the junction of the base and repair materials rather than within these materials.

PURPOSE

The purpose of the study was to evaluate the shear bond strengths of 4 denture base acrylic resins following the use of 3 chemical solvents and to examine treated acrylic resin surfaces under a field emission scanning electron microscope (SEM).

MATERIAL AND METHODS

Forty discs (15 mm in diameter and 3 mm thick) were fabricated for each denture base material (a conventionally molded, heat-polymerized [Meliodent, M], an injection-molded, heat-polymerized [SR-Ivocap, I], and a microwave-polymerized [Acron MC, A]) repaired with an autopolymerizing acrylic resin (Meliodent), for a total of 120 specimens, processed according to manufacturers' instructions, embedded in acrylic resin blocks, and divided into 4 groups of 10. One of the groups served as control and had no surface treatment. In the 3 experimental groups, specimen surfaces were treated with chemical etchants by immersion in acetone (ac) for 30 seconds, in methylene chloride (mc) for 30 seconds, or in MMA (mo) for 180 seconds, respectively. Then autopolymerizing acrylic resin (Meliodent) was placed on the treated surfaces using a brass ring (6 mm in diameter and 2 mm in height) to confine the material to a standardized dimension. After 24 hours of storage at 37 degrees C, the shear bond strength (MPa) of the specimens was measured in a universal testing machine. A 2-way analysis of variance and the Tukey HSD test were performed to identify significant differences (alpha=.05). The nature of the failure was noted as adhesive, cohesive, or mixed. The effect of the chemical treatments on the surface of base resins was examined under an SEM.

RESULTS

Chemical treatments increased the bond strength of repair material significantly. Significant differences were found between the control and experimental groups (P<.001). In the control group, M showed the highest (16.7 MPa) bond strength, and A showed the lowest (9.4 MPa). No significant differences were detected between M (18.9 MPa) and A (19.9 MPa) with acetone treatment, or between M (19.3 MPa) and A (20.3 MPa) with methylene chloride treatment. The SEM observations showed that application of chemical etchants produced smoother surfaces than controls.

CONCLUSION

Chemical treatment prior to denture base repair showed significant improvement on the bond strength of the base materials. Although the microwave-polymerized acrylic resin, A, showed the lowest shear bond strength compared to the control groups, the highest percentage increase was obtained with A after chemical treatments.

The static strength and modulus of fiber reinforced denture base polymer

OBJECTIVES

Partial fiber reinforcements have been employed to strengthen dentures both during repair and in the manufacturing process. The reinforcing fibers can be evenly distributed in the denture base polymer or alternatively fiber-rich phase in the denture base polymer can form a separate structure. The aim of this study was to determinate static three-point flexural strength and modulus of denture base polymer that had been reinforced with different fiber reinforcements.

METHODS

The test specimens (3 x 5 x 50 mm) were made of auto-polymerized denture base polymer and reinforced with different fiber reinforcements. The test groups were: (A) no fibers; (B) non-impregnated polyethylene fibers; (C) light-polymerized monomer impregnated glass fibers; (D) porous polymer preimpregnated glass fibers and (E) light-polymerized monomer-polymer impregnated glass fibers. The fibers were oriented parallel to the long axis of the specimen and embedded into the denture base resin on the compression side (n=7) or tension side (n=7). Dry specimens were tested with three-point static flexural strength test set-up at crosshead speed of 5 mm/min.

RESULTS

The statistical analysis by two-way analysis of variance showed that the brand and the location of the fiber reinforcements significantly influenced the flexural strength (p<0.0001). However, the location of the fiber reinforcements did not influence the flexural modulus (p<0.722).

SIGNIFICANCE

The results suggest that impregnated and preimpregnated fibers reinforce denture base polymer more than non-impregnated fibers. Fiber reinforcements placed on the tensile side resulted in considerably higher flexural strength and flexural modulus values compared with same quantity of fibers placed on the compression side.

Flexural strengths of denture base resin repaired with autopolymerizing resin and reinforcements after thermocycle stressing

PURPOSE

Fracture of an acrylic denture base is a common problem in prosthodontic practice. Although various reinforcement methods have been used, when a fractured denture base is repaired with autopolymerizing resin recurrent fractures frequently occur at the repairing interface or adjacent areas. The purpose of this study was to evaluate the maximum flexural load of denture base resin repaired with autopolymerizing resin and several reinforcement systems after thermocycle stressing.

MATERIALS AND METHODS

Rectangular (10 x 70 x 3 mm) flexural specimens were fabricated by repairing a pair of heat-cured denture base resin specimens using autopolymerizing resin and a series of reinforcement materials. The materials included 4 metal wires and a woven glass fiber. Each reinforcement was embedded in the center of the specimens. Flexural specimens repaired without reinforcement were prepared as controls. Specimens were subjected to 50,000 thermocycles (4 approximately 60 degrees C, 1-minute dwell time). A 3-point flexural test was carried out by loading the center of the repaired site at 5 mm/minute crosshead speed with 50 mm span jig supports. The load necessary to cause fracture was recorded for each specimen. All data were statistically analyzed using ANOVA and the Bonferroni/Dunn test (alpha < 0.05).

RESULTS

The average load to fracture of specimens repaired with nonreinforced autopolymerizing resin was 68.4 N after 50,000 thermocycles. Specimens reinforced with 1.2 mm diameter stainless steel wire exhibited the highest value (89.8 N). The value for specimens reinforced with 1.2 mm diameter Co-Cr-Ni wire was 86.6 N. These fracture loads were significantly higher than those for specimens without reinforcement (p < 0.05). Low elasticity reinforcement, such as pure titanium wires, woven metal wire, and woven glass fiber were not effective in increasing the load to fracture values of flexural specimens.

CONCLUSIONS

Specimens reinforced with 1.2 mm diameter stainless steel wires or Co-Cr-Ni wires resulted in significantly higher loads to fracture as compared to specimens without reinforcement. The use of pure titanium wire, woven metal wire, and woven glass fiber did not improve the fracture loads.

Plasma treatment increased shear bond strength between heat cured acrylic resin and self-curing acrylic resin

Self-curing acrylic resin is generally used for the repair of a fractured denture base. However, re-fracture of the repaired denture base resin often occurs because of poor bonding strength between the base resin and self-curing repair resin. The effect of plasma treatment on the shear bond strength between heat cured acrylic resin and the self-cured acrylic was examined. It was revealed that plasma irradiation is effective in increasing the shear bond strength. Plasma irradiation does not cause environmental pollution, as it does not require chemicals. It is a useful method to increase adhesive strength between heat cured acrylic resin and self-curing acrylic resin.