Bonding acrylic teeth to acrylic resin denture bases: a review

Expediting the Rehabilitation of Severely Resorbed Ridges Using a Combination of CAD-CAM and Analog Techniques: A Case Report

With the life expectancy increasing, there is a growing need for prosthetic dental treatments to restore the oral health, function, and quality of life of edentulous patients. Presently, only a few articles are available describing the oral rehabilitation of patients with severely resorbed ridges with milled complete dentures. This clinical case report provides a straightforward protocol consisting of a combination of analog and digital techniques for the rehabilitation of edentulous patients with severely resorbed ridges with milled fixed and removable complete dentures. This technique permits the minimization of the number of appointments, improves patient comfort, allows for the digital archiving of important clinical data, and permits the manufacture of prostheses with improved mechanical properties. These favorable outcomes were achieved by using the patient's existing PMMA complete denture as a custom tray for a final impression with light-bodied Polyvinylsiloxane. Subsequently, the resulting models were digitized, and a digital complete denture was designed and manufactured in an expedited manner using CAD-CAM techniques. Therefore, this case report highlights the potential of CAD/CAM technology to predictably restabilize oral functions and improve patients' quality of life.

A comparison of the shear bond strength between denture teeth and denture base resins manufactured either conventionally or with a 3D printer

STATEMENT OF PROBLEM

Limited information is available on the shear bond strength (SBS) between denture teeth and denture base resins fabricated using a stereolithography (SLA) 3-dimensional (3D) printer.

PURPOSE

The purpose of this in vitro study was to evaluate the SBS between denture teeth and the denture base resins produced with the conventional method and with a 3D printer.

MATERIAL AND METHODS

Conventional or 3D printed denture teeth were included in the study. The denture base resins were manufactured either conventionally or with a 3D printer. Four subgroups were tested: conventional teeth-conventional base resin (CT-CB), conventional teeth-printed base resin (CT-PB), printed teeth-conventional base resin (PT-CB), and printed teeth-printed base resin (PT-PB). The maxillary molars were combined with Ø5×2.5-mm-cylindrical denture base resin. Shear bond testing was performed by applying a parallel force to the denture teeth-denture base resin interface by using a blade-edge chisel with a crosshead speed of 1 mm/min until failure occurred. SBS and elastic modulus (EM) were recorded. One-way ANOVA followed by the Dunnett T3 post hoc test was used for the statistical analysis (α=.05). The failure modes of the specimens were also analyzed.

RESULTS

A statistically significant difference (P<.05) was found between the evaluated groups for the SBS and EM values. PT-PB showed the highest SBS value (15.4 ±2.7 MPa), and CT-PB showed the lowest (0.9 ±0.7 MPa). The PT-CB group showed the highest EM value (62.74 ±20.80 GPa), and the CT-PB group showed the lowest (29.46 ±28.40 GPa). The CT-CB and CT-PB specimens showed mostly adhesive failure; none of the PT-PB specimens showed adhesive failure.

CONCLUSIONS

Three-dimensional printing led to a better bond between the denture teeth and the denture base resin compared with the conventional method. Although these findings need to be supported by clinical studies, the use of 3D printers is appropriate in the production of denture teeth and denture bases.

Application of Laser Treatment in Adhesive Bonding of Liners to Polymethyl Methacrylate Denture Resins: A Systematic Review and Meta-Analysis

Objective: This systematic review and meta-analysis aimed to assess the influence of laser treatment on adhesive bonding of liners to polymethyl methacrylate (PMMA) denture base resins. Methods: The focused question was: "Does the application of laser treatment (Intervention) influence the adhesive bonding strength (Outcome) of liners to PMMA denture base resins (Population) as compared with untreated or unconditioned surfaces (Control)?" In vitro and clinical reports as well as reports on influence of laser treatments on bonding strength of liners to PMMA denture resins in comparison with untreated surfaces were included. Reports without any control group[s], without any application of laser[s] for PMMA denture bases that did not utilize PMMA denture bases, and not evaluate bond strength of PMMA denture base resins were excluded. An electronic search was conducted on PubMed, Scopus, and Web of Science. Meta-analyses were performed for calculating the standard mean difference (SMD) with a 95% confidence interval (95% CI). Results: Nine of the 12 included studies found that laser irradiation treatment produced significant surface texture alterations of the PMMA denture base and improved the adhesion between the PMMA denture base and soft lining. According to the meta-analysis, tensile bond strength showed an SMD of -2.49% (95% CI: -3.89 to -1.08; p = 0.0005), suggesting a statistically significant difference between the control and test groups (i.e., favoring laser-treated samples than untreated samples). Regarding shear bond strength scores, the outcomes showed an SMD of -2.24% (95% CI: -3.79 to -0.69; p = 0.005), suggesting a statistically significant difference between the control and test groups (i.e., favoring laser-treated samples than untreated samples). Conclusions: Despite the high heterogeneity among the included studies, it can be concluded that laser treatment might improve the bonding strengths of liners to PMMA denture base resins as compared with untreated surfaces. To validate the aforementioned conclusions, further verification is required through the implementation of well-designed randomized controlled trials with large sample sizes.

Bond strength of CAD/CAM denture teeth to a denture base resin in a milled monolithic unit

Purpose Herein, the bond strength (BS) of denture teeth to a denture base resin in a milled monolithic unit was investigated and compared with those of 3D printed teeth to a 3D printed denture base and prefabricated teeth to a heat-cured acrylic resin before and after thermocycling.Methods Sixty specimens of a denture tooth attached to a cylindrical denture base were fabricated following ISO Standard 19736. Three fabrication techniques-3D printing, conventional compression molding, and milling using monolithic technology-were employed to mill teeth and denture base parts as a single unit. The BS was investigated before and after thermocycling. Data were statistically analyzed using the Kruskal-Wallis test with Bonferroni correction (α = 0.05).Results Before thermocycling, the mean BS of the milled group was significantly higher than that of the conventional group (P = 0.002). The 3D printed group showed no statistically significant difference from the milled (P = 0.051) and conventional (P = 0.824) groups. After thermocycling, although the mean BS values of the milled (P = 0.00) and 3D printed 
(P = 0.01) groups were significantly higher than that of the conventional group, there was no significant difference between them (P = 0.226). Only the BS of the conventional group was significantly reduced by thermocycling (P = 0.00).Conclusions The milled monolithic fabrication technique, which eliminates the need for a bonding step, offered a promising combination of high-precision digital fabrication and a significantly high BS. The BS of the conventional group significantly decreased after thermocycling.

Adhesion of Conventional, 3D-Printed and Milled Artificial Teeth to Resin Substrates for Complete Dentures: A Narrative Review

BACKGROUND

One type of failure in complete or partial dentures is the detachment of resin teeth from denture base resin (DBR). This common complication is also observed in the new generation of digitally fabricated dentures. The purpose of this review was to provide an update on the adhesion of artificial teeth to denture resin substrates fabricated by conventional and digital methods.

METHODS

A search strategy was applied to retrieve relevant studies in PubMed and Scopus.

RESULTS

Chemical (monomers, ethyl acetone, conditioning liquids, adhesive agents, etc.) and mechanical (grinding, laser, sandblasting, etc.) treatments are commonly used by technicians to improve denture teeth retention with controversial benefits. Better performance in conventional dentures is realized for certain combinations of DBR materials and denture teeth after mechanical or chemical treatment.

CONCLUSIONS

The incompatibility of certain materials and lack of copolymerization are the main reasons for failure. Due to the emerging field of new techniques for denture fabrication, different materials have been developed, and further research is needed to elaborate the best combination of teeth and DBRs. Lower bond strength and suboptimal failure modes have been related to 3D-printed combinations of teeth and DBRs, while milled and conventional combinations seem to be a safer choice until further improvements in printing technologies are developed.

Feldspar-Modified Methacrylic Composite for Fabrication of Prosthetic Teeth

This study was aimed at investigating poly(methyl methacrylate) (PMMA), modified with a silanized feldspar filler at 10 wt.% and 30 wt.%, as a dental material system for the production of prosthetic teeth. Samples of this composite were subjected to a compressive strength test, three-layer methacrylic teeth were fabricated with the said materials, and their connection to a denture plate was examined. The biocompatibility of the materials was assessed via cytotoxicity tests on human gingival fibroblasts (HGFs) and Chinese hamster ovarian cells (CHO-K1). The addition of feldspar significantly improved the material's compressive strength, with neat PMMA reaching 107 MPa, and the addition of 30% feldspar raising it up to 159 MPa. As observed, composite teeth (cervical part made of neat PMMA, dentin with 10 wt.%, and enamel with 30 wt.% of feldspar) had good adhesion to the denture plate. Neither of the tested materials revealed any cytotoxic effects. In the case of hamster fibroblasts, increased cell viability was observed, with only morphological changes being noticed. Samples containing 10% or 30% of inorganic filler were determined to be safe for treated cells. The use of silanized feldspar to fabricate composite teeth increased their hardness, which is of significant clinical importance for the duration of use of non-retained dentures.

The Shear Bond Strength between Milled Denture Base Materials and Artificial Teeth: A Systematic Review

The data about bond strength between digitally produced denture base resins and artificial teeth are scarce. Several studies investigated shear bond strength values of milled denture base resins and different types of artificial teeth. The purpose of the present study was to compare and evaluate the available evidence through a systematic review. A bibliographic search was conducted in PubMed, Scopus, and Web of Science to assess adequate studies published up to 1 June 2022. This review followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The appropriate studies that determined the shear bond strength values between milled denture base resins and artificial teeth were selected. The initial search identified 103 studies, which were included in the PRISMA 2020 flow diagram for new systematic reviews. Three studies met the inclusion criteria, and all of them present a moderate risk of bias (score 6). Two studies found no statistical differences between heat-polymerized and CAD/CAM (milled) denture base materials when attached with different types of artificial teeth, while one study showed higher values of CAD/CAM (milled) denture base materials. Bonding agents ensure bonding strength at least similar to the conventional methods. In order to improve the quality of future studies, it would be advantageous to use a larger number of specimens with standardized dimensions and a blinded testing machine operator to decrease the risk of bias.

The Effect of Acrylic Surface Preparation on Bonding Denture Teeth to Cellulose Fiber-Reinforced Denture Base Acrylic

Patients who require dental prosthetic restoration using frame dentures in the front part of the mouth very frequently report that teeth fall out of their dentures. However, the available scientific papers are insufficient to compare the various methods of improving the connection between the denture base and the artificial tooth and choosing the best solution. This paper focuses on providing all parameters, enabling the reproduction of tests, and accounting for all variables. The paper uses an original method of creating grooves, sandpaper, sandblasting, and cutting the acrylate layer with a burr in one and two directions. Developed surfaces were additionally subjected to detailed examination. This study used 180 specimens divided into three groups and subjected to various environments (dry, artificial saliva, and thermocycles). Shearing and tensile strength tests were performed. The best results were obtained with a carbide burr. The increase in connection durability was as follows in the case of the shear test: 116.47% in dry samples, 155.38% in samples soaked in artificial saliva, and 46.59% in samples after thermocycles. The increase in tensile resistance was: 198.96% in a dry environment, 88.10% before being soaked in artificial saliva, and 94.04% after thermocycles.

In Vitro Analysis of Shear Stress: CAD Milled vs Printed Denture Base Resins with Bonded Denture Tooth

PURPOSE

As the fabrication of computer-aided design (CAD) milled and 3D printed denture base resins with bonded denture teeth increase in popularity, there is a need for research comparing the shear bond stress of milled and printed denture base resins with bonded denture teeth to that of a conventional heat processed denture base.

MATERIALS AND METHODS

Denture base resin specimens (n = 9) were fabricated according to manufacturers' instructions using a novel test design. Two milled (Ivobase CAD PMMA, Ivoclar Vivadent and Polident PMMA, Polident Dental) and two 3D printed (Denture Base LP Resin, Formlabs and Lucitone Digital Print, Dentsply Sirona) materials were used. Conventional heat processed polymethylmethacrylate was used as the control (Lucitone 199, Dentsply Sirona). Denture teeth (VITA Vitapan XL T44, #8, VITA Zahnfabrik) were bonded to their respective bases using denture tooth bonding agent (Ivobase CAD bonding system, Ivoclar). Specimens were aged in water for 600 hours at 37°C and loaded until failure in a Universal testing machine. Shear bond stress was calculated. All specimens were evaluated for mode of failure and select specimens under scanning electron microscope and vertical scanning interferometry. Data were analyzed with one-way ANOVA followed by Tukey test (IBM SPSS) and fracture analysis performed.

RESULTS

Shear stress was highest for the heat processed control (mean = 180 N ±26.76) and Polident test groups (mean = 180 N ± 34.90). Milled specimens were not significantly different from the control (p = 0.076 for IvoBase CAD and 1.00 for Polident), while the printed groups were significantly different from the control (p = 0.012 for Formlabs Denture Base Resin and p = 0.00 for Carbon Lucitone Digital Print). Milled denture base resins performed similarly to heat processed denture base resin and better than 3D printed denture bases.

CONCLUSION

For complete denture wearers, all resin materials used in this study may be clinically acceptable, as the sheer stress for all groups was higher than the reported maximum biting force of complete denture patients. However, for implant retained prostheses, the incorporation of additional retentive features should be considered when bonding denture teeth to printed bases. More research is needed to evaluate methods to increase the bond strength of denture teeth to printed denture base resins.

Evaluation of Shear Bond Strength Between Denture Teeth and 3D-Printed Denture Base Resin

PURPOSE

The aim of this study was to evaluate the bond strength between two types of artificial teeth with a 3D-printed denture base resin using different bonding agents.

MATERIALS & METHODS

Two types of artificial teeth were evaluated: 3D-printed (Cosmos TEMP) and prefabricated polymethylmethacrylate (Biotone) bonded to cylinders (2.5 mm in height and 5 mm in diameter) of 3D-printed denture bases (Cosmos Denture designing by Meshmixer and printed by Flashforge Hunter DLP Resin 3D Printer). Two combinations between denture base and artificial teeth were eveluated: Cosmos Denture - Biotone, n = 30, and Cosmos Denture - Cosmos TEMP, n = 30. For each combination, the specimens were randomly distributed according to the bonding agent: 1. autopolymerized acrylic resin-Duralay, n = 10; 2. 3D-printed resin Cosmos TEMP, n = 10; and 3. methylmethacrylate monomer (MMA) + 3D-printed resin Cosmos TEMP, n = 10, totaling 60 specimens. The application of MMA was done conditioning the tooth surface for 180 seconds; the other agents were applied on the same surface. The virtual design of the 3D-printed resin teeth was obtained by scanning the first maxillary molar of the prefabricated teeth as the same protocol of cylinders. The control group (n = 10) was a conventional heat-polymerized denture base resin (Lucitone 550) bonded to the prefabricated resin teeth (Biotone). The shear bond tests were performed by applying a perpendicular force to the artificial tooth - denture base resin, through a chisel at 1mm / min until failure. Two-way ANOVA and Bonferroni post hoc tests (α = 0.05) were used for multiple comparisons.

RESULTS

For the Biotone tooth, the bond strength was significantly higher using MMA + Cosmos TEMP (10.04 MPa), and similar to the control (11.84 MPa, p = 0.484). For the 3D-printed tooth (Cosmos TEMP), the bond strength using the agents Cosmos TEMP (9.57 MPa) and MMA + Cosmos TEMP (12.72 MPa) were similar to the control (11.84 MPa, p = 0.169 and p = 1, respectively), but different from each other (p = 0.016).

CONCLUSIONS

From the results, it is recommended to use: MMA + Cosmos TEMP bonding agent for the Biotone tooth; and Cosmos TEMP or MMA + Cosmos TEMP bonding agents for the Cosmos TEMP tooth, both attached to the 3D-printed denture resin Cosmos Denture. This article is protected by copyright. All rights reserved.

Effect of retention hole designs in artificial teeth on failure resistance of the connection with thermoplastic resin

This study aimed to evaluate the effect of retention hole designs in artificial teeth on failure resistance of the connection with a thermoplastic denture base resin. Artificial teeth with the following retention hole designs were attached to polyester and polyamide resins: no hole, vertical hole, horizontal hole, and vertical and horizontal holes. An artificial tooth with no hole attached to polymethyl methacrylate was prepared as the control. The load was applied until connection failure occurred between the artificial tooth and resin, and failure resistance was detected. Although the control showed the highest resistance, the artificial tooth with vertical and horizontal holes showed higher resistance than those with other retention hole designs in both thermoplastic resins. Providing vertical and horizontal retention holes in artificial teeth may be effective in improving failure resistance of the connection with thermoplastic resins.

Comparison of Microhardness of Artificial Teeth with Different Contents After Waiting in Various Liquids

Objectives: This study aimed to assess the long-term microhardness of different artificial teeth after waiting in liquids of various pH values. Materials and Methods: Four different artificial teeth [conventional PMMA(Ivostar) as control group), double cross-linked PMMA(DCL), micro-filled composite resin(VivodentPE), nanohybrid composite resin(PhonaresiII)] were used for the study. After the samples fixed on acrylic blocks were immersed in distilled water at 37˚C for 24 hours, initial microhardness (T0) measurements were performed. Randomly selected samples from each group were immersed in liquids with different pH values (artificial saliva, kefir, orange juice, cola). Measurements repeated on the 7th day on the same samples were recorded as T1, and measurements repeated on the 14th day were recorded as T2. The data obtained were evaluated in the SPSS 22.0 program. Friedman and Kruskall Wallis tests were used to compare of the groups. Results: While the highest initial microhardness averages were found in the Phonares II group, the lowest average belongs to the Ivostar group. Microhardness findings of all materials measured at different times were obtained in the order of T0>T1>T2. When the data of samples aged in different liquids are compared, significant differences are observed (p0.05) Conclusions: A decrease in microhardness of materials that are immersed in liquids with different pH values for a long time was observed, and the microhardness of the materials exposed to these solutions is adversely affected.

Comparative Effect of Different Surface Treatments on the Shear Bond Strength of Two Types of Artificial Teeth Bonded To Two Types of Denture Base Resins

PURPOSE

This in vitro study aims to assess the impact of various surface treatments on the shear bond strength (SBS) of two types of artificial teeth and denture base resins (DBRs).

MATERIALS AND METHODS

Two types of DBRs (CAD/CAM-milled and heat-polymerized) and two types of denture teeth (acrylic and composite) were investigated. Teeth were cut into slices (5 × 5 × 2 mm) and divided according to surface treatment into four subgroups (n = 10): no treatment (control), air abrasion (Alumina-blasting; AB), bur roughening, and dichloromethane (DCM) subgroups. According to manufacturer recommendations, the treated tooth slices were bonded to the acrylic disk of DBRs. The SBS test was performed using a universal testing machine. ANOVA was used for results analysis followed by Tukey's post hoc tests (α = 0.05).

RESULTS

DCM and AB increased the SBS of acrylic teeth to heat-polymerized DBR compared with other groups (p < 0.001). All surface treatments showed no significant difference in CAD/CAM DBR with acrylic teeth (p = 0.059; AB, p = 0.319; bur roughening, p = 0.895; DCM), while there was a significant decrease in SBS with composite teeth (p ˂ 0.001). Between teeth, acrylic teeth showed a statistically significant increase in SBS compared to composite teeth (p < 0.001).

CONCLUSION

AB and DCM application improved the SBS for acrylic teeth with the heat-polymerized DBR when compared with the untreated group, but none of the surface treatment agents showed significant improvement with CAD/CAM DBR. All surface treatment agents reduced the SBS for composite teeth with CAD/CAM DBR while AB only increased the SBS with heat-polymerized DBR.

Numerical Analysis of the Bond Strength between Two Methacrylic Polymers by Surface Modification

The creation of acrylic dentures involves many stages. One of them is to prepare the surfaces of artificial teeth for connection with the denture plates. The teeth could be rubbed with a chemical reagent, the surface could be developed, or retention hooks could be created. Preparation of the surface is used to improve the bond between the teeth and the plate. Choosing the right combination affects the length of denture use. This work focuses on a numerical analysis of grooving. The purpose of this article is to select the shape and size of the grooves that would most affect the quality of the bond strength. Two types of grooves in different dimensional configurations were analyzed. The variables were groove depth and width, and the distance between the grooves. Finally, 24 configurations were obtained. Models were analyzed in terms of their angular position to the loading force. Finite element method (FEM) analysis was performed on the 3D geometry created, which consisted of two polymer bodies under the shear process. The smallest values of the stresses and strains were characterized by a sample with parallel grooves with the grooving dimensions width 0.20 mm, thickness 0.10 mm, and distance between the grooves 5.00 mm, placed at an angle of 90°. The best dimensions from the parallel (III) and cross (#) grooves were compared experimentally. Specimens with grooving III were not damaged in the shear test. The research shows that the shape of the groove affects the distribution of stresses and strains. Combining the selected method with an adequately selected chemical reagent can significantly increase the strength of the connection.

Bonding Behavior of Conventional PMMA towards Industrial CAD/CAM PMMA and Artificial Resin Teeth for Complete Denture Manufacturing in a Digital Workflow

When applying a digital workflow, custom artificial resin teeth have to be integrated into a milled complete denture base, using polymethylmethacrylate (PMMA) applied with a powder–liquid technique. Debonding of denture teeth from dentures is reported to be a frequent complication. No evidence is provided as to which method of surface treatment may enhance the bonding strength. The bonding strength between artificial teeth and PMMA (Group A, n = 60), as well as between the PMMA and industrial PMMA (Group B, n = 60), was investigated following no treatment, monomer application, sandblasting, oxygen plasma, and nitrogen plasma treatment. Surface-roughness values and SEM images were obtained for each group. Shear bond strength (SBS) and fracture mode were analyzed after thermocycling. Within Group A, statistically significant higher SBS was found for all surface treatments, except for nitrogen plasma. In Group B, only nitrogen plasma showed a statistically lower SBS compared to the reference group which was equivalent to all surface treatments. Conclusions: Within the limitations of the present study, the monomer application can be proposed as the most effective surface-treatment method to bond custom artificial teeth into a milled PMMA denture base, whereas nitrogen plasma impairs the bonding strength.

Comparison of shear bond strengths of different types of denture teeth to different denture base resins

PURPOSE

To determine the shear bond strengths of different denture base resins to different types of prefabricated teeth (acrylic, nanohybrid composite, and cross-linked) and denture teeth produced by computer-aided design/computer-aided manufacturing (CAD/CAM) technology.

MATERIALS AND METHODS

Prefabricated teeth and CAD/CAM (milled) denture teeth were divided into 10 groups and bonded to different denture base materials. Groups 1-3 comprised of different types of prefabricated teeth and cold-polymerized denture base resin; groups 4-6 comprised of different types of prefabricated teeth and heat-polymerized denture base resin; groups 7-9 comprised of different types of prefabricated teeth and CAD/CAM (milled) denture base resin; and group 10 comprised of milled denture teeth produced by CAD/CAM technology and CAD/CAM (milled) denture base resin. A universal testing machine was used to evaluate the shear bond strength for all specimens. One-way ANOVA and Tukey post-hoc test were used for analyzing the data (α=.05).

RESULTS

The shear bond strengths of different groups ranged from 3.37 ± 2.14 MPa to 18.10 ± 2.68 MPa. Statistical analysis showed significant differences among the tested groups (P<.0001). Among different polymerization methods, the lowest values were determined in cold-polymerized resin.There was no significant difference between the shear bond strength values of heat-polymerized and CAD/CAM (milled) denture base resins.

CONCLUSION

Different combinations of materials for removable denture base and denture teeth can affect their bond strength. Cold-polymerized resin should be avoided for attaching prefabricated teeth to a denture base. CAD/CAM (milled) and heat-polymerized denture base resins bonded to different types of prefabricated teeth show similar shear bond strength values.

Bond strength of artificial teeth to thermoplastic denture base resin for injection molding

This research was conducted to investigate the bond strength between artificial teeth and a thermoplastic denture base resin for injection molding with different surface preparations for use in flexible resin removable partial dentures. Composite resin denture teeth and acrylic denture resin teeth were bonded to three types of thermoplastic denture base resins for injection molding (polyamide, polyester, and polycarbonate) and a conventional heat-polymerized polymethyl methacrylate (PMMA) resin (control). The ridge lap surfaces of the artificial teeth were classified into four groups based on the type of ridge lap surface treatment applied (n=10): no treatment, ethyl acetate, small T-shaped tunnel, and large T-shaped tunnel. The specimens were tested for bond strength. The results showed that the ethyl acetate treatment was ineffective for enhancing the bond strength (p>0.05) between the artificial teeth and thermoplastic denture base resin for injection molding, whereas the T-shaped tunnel was quite effective in this regard (p<0.05).

Assessing Tensile Bond Strength Between Denture Teeth and Nano-Zirconia Impregnated PMMA Denture Base

Purpose

This study evaluated tensile bond strength (TBS) between anterior acrylic teeth and denture bases made of high-impact heat-cured acrylic resin (HI PMMA) impregnated with zirconia nanoparticles.

Materials and Methods

A total of 30 specimens (each specimen containing a set of six upper anterior teeth) were fabricated from HI PMMA denture base acrylic resin reinforced with different weight concentrations of zirconia nanoparticles: 0% (control), 1.5%, 3%, 5%, 7% and 10%. TBS was tested according to a British standard (BS EN ISO 22112: 2017). A one-way analysis of variance (ANOVA) was employed with a Tukey post-hoc test.

Results

TBS values between the anterior teeth (central and lateral incisors and canine) and HI-PMMA denture base groups containing 7 wt.% (261.5 ± 66.0 N, 172.5 ± 57.4 N and 271.9 ± 86.3 N) and 10 wt.% (332.1 ± 122.9 N, 165.4 ± 48.7 N and 301.6 ± 73.2 N) zirconia were significantly lower compared to the control group (645.4 ± 84.8 N, 306.1 ± 81.6 N and 496.7 ± 179.1 N) and the other nanocomposite groups. However, TBS values for HI PMMA with 1.5 wt.% (534.4 ± 115.3 N, 304.7 ± 86.4 N, 514.0 ± 143.2 N), 3 wt.% (685.7 ± 159.6 N, 281.1 ± 78.3 N, 462.6 ± 122.1 N) and 5 wt.% (514.5 ± 134.3 N, 229.8 ± 67.3 N, 387.2 ± 99.4 N) zirconia showed slightly lower values than that of the control group but these were not significant. Failure modes between the teeth and denture base nanocomposites were predominantly cohesive fractures, which were clinically acceptable according to the Standard.

Conclusion

The addition of zirconia nanoparticles to HI PMMA denture base at high concentration (7 wt.% and 10 wt. %) significantly (p<0.05) reduced the bonding strength for all types of anterior teeth compared to the control group.

Shear bond strength between CAD/CAM denture base resin and denture artificial teeth when bonded with resin cement

PURPOSE

The bond strengths between resin denture teeth with various compositions and denture base resins including conventional and AD/CAM purposed materials were evaluated to find influence of each material.

MATERIALS AND METHODS

Cylindrical rods (6.0 mm diameter × 8.0 mm length) prepared from pre-polymerized CAD/CAM denture base resin blocks (PMMA Block-pink; Huge Dental Material, Vipi Block-Pink; Vipi Industria) were bonded to the basal surface of resin teeth from three different companies (VITA MFT®; VITA Zahnfabrik, Endura Posterio®; SHOFU Dental, Duracross Physio®; Nissin Dental Products Inc.) using resin cement (Super-Bond C&B; SUN MEDICAL). As a control group, rods from a conventional heat-polymerizing denture base resin (Vertex™ Rapid Simplified; Vertex-Dental B.V. Co.) were attached to the resin teeth using the conventional flasking and curing method. Furthermore, the effect of air abrasion was studied with the highly cross-linked resin teeth (VITA MFT®) groups. The shear bond strengths were measured, and then the fractured surfaces were examined to analyze the mode of failure.

RESULTS

The shear bond strengths of the conventional heat-polymerizing PMMA denture resin group and the CAD/CAM denture base resin groups were similar. Air abrasion to VITA MFT® did not improve shear bond strengths. Interfacial failure was the dominant cause of failure for all specimens.

CONCLUSION

Shear bond strengths of CAD/CAM denture base materials and resin denture teeth using resin cement are comparable to those of conventional methods.

Prosthodontic Applications of Polymethyl Methacrylate (PMMA): An Update

A wide range of polymers are commonly used for various applications in prosthodontics. Polymethyl methacrylate (PMMA) is commonly used for prosthetic dental applications, including the fabrication of artificial teeth, denture bases, dentures, obturators, orthodontic retainers, temporary or provisional crowns, and for the repair of dental prostheses. Additional dental applications of PMMA include occlusal splints, printed or milled casts, dies for treatment planning, and the embedding of tooth specimens for research purposes. The unique properties of PMMA, such as its low density, aesthetics, cost-effectiveness, ease of manipulation, and tailorable physical and mechanical properties, make it a suitable and popular biomaterial for these dental applications. To further improve the properties (thermal properties, water sorption, solubility, impact strength, flexural strength) of PMMA, several chemical modifications and mechanical reinforcement techniques using various types of fibers, nanoparticles, and nanotubes have been reported recently. The present article comprehensively reviews various aspects and properties of PMMA biomaterials, mainly for prosthodontic applications. In addition, recent updates and modifications to enhance the physical and mechanical properties of PMMA are also discussed.

Bond Strength of Denture Teeth to Heat-Cured, CAD/CAM and 3D Printed Denture Acrylics

PURPOSE

To establish the fracture toughness (K_1C ) and flexural bond strength of commercially available denture teeth to heat cured, CAD/CAM and 3D printed denture-based resins (DBRs).

MATERIALS AND METHODS

Three types of DBRs (Heat cure, CAD-milled and 3D printed) and four different types of commercial denture teeth (Unfilled PMMA, double cross-linked PMMA, PMMA with nanofillers and 3D printed resin teeth) were investigated. DBR and epoxy embedded denture teeth (n = 30 per group) specimen beams (25 × 4 × 3 mm) were fabricated. The testing ends of all the specimens were surface treated, bonded and processed according to manufacturer's instructions. Twenty specimens were thermal cycled to simulate the effects of 6 and 12 months intraorally. A 4-point bend test, using the chevron-notched beam method was done and K_1C (MPa ·m^1/2 ) and flexure bond strength (MPa) were calculated. All specimens were analysed for the mode of failure under the light microscope and selected specimens under scanning electron microscope. Results were statistically analysed using ANOVA (SPSS Ver 24).

RESULTS

The mean K_1C was the highest for the teeth bonded to the heat-cured DBR group (1.09 ± 0.24), followed by CAD/CAM (0.43 ± 0.05) and 3D printed groups (0.17 ± 0.01). Differences were statistically significant (p < 0.01). Within each group, aging showed statistically significantly lower values but no statistical significance between the mean K_1C and flexural bond strength (p = 0.36). The dominant mode of failure was cohesive in the CAD/CAM groups and adhesive in the heat-cured and 3D printed groups.

CONCLUSION

Teeth bonded to heat-cured DBRs produced the highest K_1C .The bond strength decreased significantly with aging. Teeth bonded to CAD/CAM and 3D printed DBRs showed significantly lower bond strength, with no significant influence of aging.

Double-Layer Surface Modification of Polyamide Denture Base Material by Functionalized Sol-Gel Based Silica for Adhesion Improvement

PURPOSE

Limited surface treatments have been proposed to improve the bond strength between autopolymerizing resin and polyamide denture base materials. Still, the bond strength of autopolymerizing resins to nylon polymer is not strong enough to repair the fractured denture effectively. This study aimed to introduce a novel method to improve the adhesion of autopolymerizing resin to polyamide polymer by a double layer deposition of sol-gel silica and N-2-(aminoethyl)-3-aminopropyltrimethoxysilane (AE-APTMS).

MATERIALS AND METHODS

The silica sol was synthesized by acid-catalyzed hydrolysis of tetraethylorthosilicate (TEOS) as silica precursors. Polyamide specimens were dipped in TEOS-derived sol (TS group, n = 28), and exposed to ultraviolet (UV) light under O₂ flow for 30 minutes. UV-treated specimens were immersed in AE-APTMS solution and left for 24 hours at room temperature. The other specimens were either immersed in AE-APTMS solution (AP group, n = 28) or left untreated (NT group, n = 28). Surface characterization was investigated by fourier transform infrared spectroscopy (FTIR) and atomic force microscopy (AFM). Two autopolymerizing resins (subgroups G and T, n = 14) were bonded to the specimens, thermocycled, and then tested for shear bond strength with a universal testing machine. Data were analyzed with one-way ANOVA followed by Tukey's HSD (α = 0.05).

RESULTS

FTIR spectra of treated surfaces confirmed the chemical modification and appearance of functional groups on the polymer. One-way ANOVA revealed significant differences in shear bond strength among the study groups. Tukey's HSD showed that TS_T and TS_G groups had significantly higher shear bond strength than control groups (p = 0.001 and p < 0.001, respectively). Moreover, bond strength values of AP_T were statistically significant compared to controls (p = 0.017).

CONCLUSION

Amino functionalized TEOS-derived silica coating is a simple and cost-effective method for improving the bond strength between the autopolymerizing resin and polyamide denture base.

CLINICAL IMPLICATIONS

Amino-functionalized silica coating could represent a more applicable and convenient option for improving the repair strength of autopolymerizing resin to polyamide polymer.

Effect of potentially chromogenic beverages on shear bond strength of acrylic denture teeth to heat-polymerized denture base resins

Background:

Detachment of denture acrylic resin artificial teeth from denture base resin is one of the most common problems presented by denture wearers. Purpose: This study investigated the shear bond strength (SBS) and fracture type of bonding interface of two commercial acrylic teeth (Vipi Dent Plus e Biolux) to two denture base resins (Vipi Cril e Lucitone 550) after immersion in potentially chromogenic beverages (coffee, cola soft drink, and red wine) or control solution (distilled water).

Materials and Methods:

Maxillary central incisor acrylic teeth were placed at 45° to denture base resin and submitted to short polymerization cycle according to manufacturers. Specimens were divided according to the combination tooth/resin/solution (n = 8) and submitted to bond strength tests in a universal testing machine MTS-810 (0.5 mm/min). Subsequently, fracture area was analyzed by stereomicroscope at a magnification of ×10 and categorized into adhesive, cohesive, or mixed failure.

Results:

The bond strength of teeth/denture base resins interface was not significantly affected by tested solutions (P > 0.087), except for Biolux teeth immersed in coffee (P < 0.01). In all conditions, the Vipi Dent Plus teeth showed higher bond strength to Lucitone and Vipi Cril resins when compared to Biolux teeth (P < 0.003). All specimens’ failure modes were cohesive.

Conclusions:

The SBS of acrylic teeth to denture base resins was not generally influenced by immersion in the tested staining beverages.

Effect of Disinfection on the Bond Strength between Denture Teeth and Microwave-Cured Acrylic Resin Denture Base

PURPOSE

Denture tooth debonding is a common complication for denture wearers; however, the effect of complete denture disinfection on bonding between denture teeth and acrylic resin remains unclear. The aim of this study was to evaluate the effect of disinfection methods on the bond strength between denture teeth and microwave-cured acrylic resin denture base.

MATERIALS AND METHODS

Three commercial brands of denture teeth (Trilux, Biolux, Vipi Dent Plus) and one microwave-cured acrylic resin denture base were tested. Each brand of denture teeth was divided into seven groups (n = 6; estimated by partial Eta squared). The specimenss of groups H and Cl were immersed in 1% sodium hypochlorite and 4% chlorhexidine digluconate for 7 days, respectively. In group Br, the specimens were subjected to toothbrush simulation under 200 g of force for 20,000 cycles. In groups Br-H and Br-Cl, the specimens were brushed and further disinfected with 1% sodium hypochlorite and 4% chlorhexidine digluconate, respectively. In control groups 1 (Co1) and 2 (Co2), the specimens were stored in distilled water for 50 ± 2 hours and 7 days, respectively. Shear bond strength testing was performed at the resin/tooth interface in a universal testing machine at a 1 mm/min crosshead speed. The failure pattern was quantified and classified into adhesive, cohesive, or mixed. Data were analyzed using two-way ANOVA and Tukey HSD test (α = 0.05).

RESULTS

Disinfection with 1% sodium hypochlorite (p = 0.031), brushing (p < 0.0001), and association of brushing with either 1% sodium hypochlorite (p < 0.0001) or 4% chlorhexidine digluconate (p = 0.01) reduced the bond strength between denture teeth and microwave-cured acrylic resin denture base. All commercial brands of denture teeth presented a similar bond strength (p > 0.05). The failure pattern was predominantly adhesive independent of the disinfection method and denture tooth brand.

CONCLUSIONS

Disinfection with sodium hypochlorite, brushing, and the association of mechanical and chemical methods reduced the bond strength between denture tooth and microwave-cured acrylic resin denture base.

Bond Strength of Artificial Teeth Attached to a Microwave-Polymerized Denture Base Resin after Immersion in Disinfectant Solutions

PURPOSE

To evaluate the bond strength between two types of acrylic resin teeth and a microwave denture base resin after immersion in disinfectant solutions for 180 days.

MATERIALS AND METHODS

Eighty specimens made of acrylic resin teeth (Biotone and Biotone IPN) attached to a microwave polymerized denture base resin (Nature-Cryl MC) were divided into eight groups (n = 10) according to the treatment (distilled water-control, 2% chlorhexidine digluconate, 1% sodium hypochlorite and sodium perborate solution-Corega Tabs). The shear strength tests (MPa) were carried out using a universal testing machine with a 0.5 mm/min speed. Data analysis was performed using ANOVA and multiple comparison Student-Newman-Keuls post hoc test (α = 0.05).

RESULTS

Biotone IPN showed similar results among the groups (distilled water, 8.25 ± 1.81 MPa; chlorhexidine, 7.81 ± 3.34 MPa; hypochlorite, 7.75 ± 3.72 MPa; and Corega Tabs, 7.58 ± 2.27 MPa, whereas Biotone showed significantly lower shear bond strength values for the groups immersed in Corega Tabs (5.25 ± 3.27 MPa) and chlorhexidine (6.08 ± 2.35 MPa).

CONCLUSIONS

Soaking the dentures in 1% sodium hypochlorite could be recommended as a disinfectant solution for dentures fabricated with conventional acrylic resin denture teeth and microwave denture base resin. For dentures fabricated with IPN teeth and microwave denture base resin, all the soaking solutions evaluated in this study could be suggested to denture wearers.

Microtensile bond strength of different acrylic teeth to high-impact denture base resins

PURPOSE

This study evaluated the effect of denture base acrylic, denture tooth composition, and ridge-lap surface treatment on the microtensile bond strength (μTBS) of three commercially available denture teeth and two injection denture processing systems.

MATERIALS AND METHODS

Sixteen experimental groups were formed (n = 3), according to denture tooth surface treatment (no treatment or surface treatment recommended by the manufacturer), denture base processing technique and acrylic (SR-Ivocap-Ivocap Plus or Success-Lucitone 199), and tooth type-composition at bonding interface (BlueLine DCL-PMMA, Portrait IPN-PMMA, Phonares II-PMMA, Phonares II-NHC). Rectangular bar specimens with a 1 mm(2) cross sectional area were fabricated and subsequently thermocycled at 10,000 cycles between 5°C and 55°C with a 15-second dwell time. Select specimens underwent μTBS testing in a universal testing machine with a 1 kN load cell at 0.5 mm/min crosshead speed. Data were analyzed statistically by two and three-way ANOVA and Tukey post hoc test (α = 0.05).

RESULTS

Mean μTBS ranged between 56.2 ± 5.6 and 60.8 ± 5.0 N/mm(2) for the Ivocap Plus specimens and 13.3 ± 5.12 to 60.1 ± 6.0 N/mm(2) for the Lucitone 199 specimens. Among the Ivocap specimens, BlueLine DCL and Phonares II NHC had significantly higher μTBS than Portrait IPN to Ivocap Plus acrylic. There were no statistically significant differences among Blueline, Phonares II PMMA, and Phonares II NHC, or between Phonares II PMMA and Portrait IPN. Within the Luctione 199 specimens, there was a significantly higher μTBS for BlueLine DCL and Phonares II NHC denture teeth with the manufacturer-recommended surface treatment when compared to control surface. BlueLine, Portrait, and Phonares II PMMA groups achieved significantly higher mean μTBS than the Phonares II NHC group. There were no statistically significant differences among BlueLine, Portrait, and Phonares II PMMA groups.

CONCLUSION

When evaluating the μTBS of PMMA and NHC denture teeth to base resins, a stronger bond was achieved using materials produced by the same manufacturer. Within the Luctione 199 specimens, the Phonares II NHC group demonstrated significantly lower bond strength than other specimens, suggesting that gross ridge-lap reduction of NHC denture teeth is not recommended if a base acrylic by a different manufacturer from the tooth is going to be used.

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.

Effect of different adhesives combined with two resin composite cements on shear bond strength to polymeric CAD/CAM materials

This study tested the impact of different adhesives and resin composite cements on shear bond strength (SBS) to polymethyl methacrylate (PMMA)- and composite-based CAD/CAM materials. SBS specimens were fabricated and divided into five main groups (n=30/group) subject to conditioning: 1. Monobond Plus/Heliobond (MH), 2. Visio.link (VL), 3. Ambarino P60 (AM), 4. exp. VP connect (VP), and 5. no conditioning-control group (CG). All cemented specimens using a. Clearfil SA Cement and b. Variolink II were stored in distilled water for 24 h at 37 °C. Additionally, one half of the specimens were thermocycled for 5,000 cycles (5 °C/55 °C, dwell time 20 s). SBS was measured; data were analyzed using descriptive statistics, four- and one-way ANOVA, unpaired two-sample t-test and Chi(2)-test. CAD/CAM materials without additional adhesives showed no bond to resin composite cements. Highest SBS showed VL with Variolink II on composite-based material, before and after thermocycling.

The impact of polymerization method on tensile bond strength between denture base and acrylic teeth

Failure of the bond between acrylic teeth and the denture base resin interface is one of the major concern in prosthodontics. The new generation of denture bases that utilize alternate polymerization methods are being introduced in the market. The aim of the study is to evaluate the influence of polymerization methods on bonding quality between the denture base and artificial teeth. Sixty test specimens were prepared (20 in each group) and were polymerized using heat, microwave and visible light curing. The tensile strength was recorded for each of the samples, and the results were analyzed statistically. The light-activated Eclipse™ System showed the highest tensile strength, followed by heat curing. The microwave-cured samples exhibited the least bonding to the acrylic teeth. Within the limitations of this study, it can be concluded that the new generation of light-cured denture bases showed significantly better bonding to acrylic teeth and can be used as an alternative to the conventional heat-polymerized denture base.

Shear bond strength of denture teeth to two chemically different denture base resins after various surface treatments

PURPOSE

Debonding of acrylic teeth from the denture base remains a major problem in prosthodontics. The objective of this study was to evaluate the effect of various surface treatments on the shear bond strength of the two chemically different denture base resins-polymethyl methacrylate (PMMA) and urethane dimethacrylate (UDMA).

MATERIALS AND METHODS

Two denture base resins, heat-cured PMMA (Meliodent) and light-activated UDMA (Eclipse), were used in this study. A total of 60 molar acrylic denture teeth were randomly separated into four groups (n = 15), according to surface treatment: acrylic untreated (group AC), Eclipse untreated (group EC), treated with eclipse bonding agent (group EB), and Er:YAG laser-irradiated eclipse (group EL). Shear bond strength test specimens were prepared according to the manufacturers' instructions. Specimens were subjected to shear bond strength test by a universal testing machine with a 1 mm/min crosshead speed. The data were analyzed with one-way ANOVA and post hoc Tukey-Kramer multiple comparison tests (α = 0.05).

RESULTS

The highest mean bond strength was observed in specimens of group EB, and the lowest was observed in group EC specimens. A statistically significant difference in shear bond strength was found among all groups (p < 0.001), except between groups EC and EL (p = 0.61).

CONCLUSION

The two chemically different denture base polymers showed different shear bond strength values to acrylic denture teeth. Laser-irradiation of the adhesive surface was found to be ineffective on improving bond strength of acrylic denture teeth to denture base resin. Eclipse bonding agent should be used as a part of denture fabrication with the Eclipse Resin System.

Bonding of acrylic denture teeth to MMA/PMMA and light-curing denture base materials: the role of conditioning liquids

OBJECTIVES

The connection between resin denture teeth and the denture base is essential for the integrity of partial and full dentures. The aim of the present study was to analyse the bond strength of acrylic denture teeth to two light curing denture base materials compared to the gold-standard (MMA/PMMA) using different conditioning liquids.

METHODS

The ridge laps of 220 identical denture teeth were ground and pre-treated using different conditioning liquids (MMA, an experimental conditioning liquid as well as the two commercially available liquids Palabond and Versyo.bond). The denture base materials (PalaXpress, Versyo.com, Eclipse) were applied using a split mould to obtain tensile bond strength specimens of identical shape. Ten specimens per test group were either stored in water for 24h or thermocycled (5000×, 5-55°C) prior to tensile bond strength testing (cross-head speed 10mm/min). Data was subjected to parametric statistics (α=0.05).

RESULTS

The three-way ANOVA revealed a significant influence of the material, pre-treatment as well as the storage. PalaXpress showed the highest bond strength (24.3MPa) of all materials tested after TC, whereas the use of MMA led to the most constant results. Lower values were recorded for Versyo.com (17.5MPa) and Eclipse (10.4MPa) bonded with Versyo.bond.

CONCLUSIONS

The results indicate that MMA/PMMA based denture base resins provide reliable and durable bond strength to acrylic denture teeth. Using light-curing denture base materials requires the application of appropriate conditioning liquids to obtain acceptable bond strength. The use of MMA affects bond strength to light-curing denture base materials.

CLINICAL SIGNIFICANCE

The pre-treatment of denture teeth is critical regarding their bond-strength to denture base materials and in turn for the integrity of removable full and partial dentures. Light-curing denture base resins are more sensitive to the correct tooth pre-treatment compared to conventional MMA/PMMA materials, requiring specific conditioning liquids.

Effect of pre-processing methods on bond strength between acrylic resin teeth and acrylic denture base resin

OBJECTIVES

This study evaluated the effects of various pre-processing methods on the bond strength between resin and denture teeth.

BACKGROUNDS

Debonding of acrylic resin teeth from denture base material is a problem for patients wearing complete dentures.

MATERIALS AND METHODS

Four experimental groups (n = 30) were investigated by subjecting tooth-resin bonding to tensile loading. Specimens were prepared and tested according to the methods of the International Standards Organization (ISO 22112:2005) using a special assembly. Four pre-processing surface treatments of teeth were applied: (i) ST(1), no treatment applied (control); (ii) ST(2) , wax solvent (Dewaks, Faber Kimya & Ilaç, Turkey); (iii) ST(3), boiling water followed by conditioning with methyl methacrylate (MMA) monomer (Meliodent, Bayer Dental, Germany); (iv) ST(4), boiling water followed by wax solvent agent and finally MMA monomer application. Bond strength test was performed using a universal testing machine.

RESULTS

All the strength values of the test groups were within clinically acceptable limits. The lowest values were from the ST(1) group and the highest values were in the ST(4) group.

CONCLUSIONS

Wax elimination methods affected bonding strength. Application of wax solvent and MMA monomer to the ridge lap surfaces of the teeth gave the best results. In clinical practice, this application procedure may decrease the bonding failure of denture teeth.

Effect of ridge lap surface treatment and thermocycling on microtensile bond strength of acrylic teeth to denture base resins

This study evaluated the effect of denture base polymer type (heat- and microwave-polymerized), ridge lap surface treatment (with and without methyl methacrylate-MMA etching) and thermocycling on the microtensile bond strength (µTBS) of Biotone acrylic teeth. Flat-ground, ridge-lap surface of posterior artificial teeth were bonded to cylinders of each denture base resin, resulting in the following groups (n=6): G1a - Clássico/with MMA etching; G1b - Clássico/without MMA etching; G2a - OndaCryl/with MMA etching; G2b - OndaCryl/without MMA etching. Rectangular bar specimens with a cross-sectional area of 1 mm² were prepared. Half of the bars in each group were thermocycled (5,000 cycles between 4ºC and 60ºC). µTBS testing was performed in an universal testing machine at a crosshead speed of 0.5 mm/min. Data were analyzed statistically by three-way ANOVA (α=0.05). There was no statisticaly significant difference (p>0.05) for the factors (resin, surface treatment,and thermocycling) or their interactions. The mean µTBS values (MPa) and standard deviations were as follows: Thermocycling - G1a: 41.00 (14.00); G1b: 31.00 (17.00); G2a: 50.00 (27.00); G2b: 40.00 (18.00); No thermocycling - G1a: 37.00 (14.00); G1b: 43.00 (25.00); G2a: 43.00 (14.00); G2b: 40.00 (27.00). The µTBS of Biotone artificial teeth to the denture base acrylic resins was not influenced by the polymer type, surface treatment or thermocycling.

Bond strength between a silica glass-fiber-reinforced composite and artificial polymer teeth

OBJECTIVE

A resin-bonded prosthesis is preferred when conservation of abutment tooth structure is required, although a problem with such systems is bonding between the fixed partial denture material and a polymer pontic. The aim of this study was to investigate the bond strength of a silica glass-fiber-reinforced composite to polymer teeth compared with the bond strength of a proprietary heat-polymerized denture base polymer and also between a layer of the polymerized matrix polymer of the experimental base material and an additional layer of the same material.

MATERIAL AND METHODS

Polymeric artificial maxillary incisors and two heat-polymerized base materials (ProBase Hot and an experimental formulation) were used. Three test groups (each n=6) were prepared: bonding between artificial tooth and an experimental composite (group-TC), bonding between tooth and ProBase Hot (group-TP), and bonding between experimental base material and experimental base material (group-BB). The content of inorganic particles of teeth was determined by combustion analysis. The bond strengths were measured in shear with a universal testing machine and the data were analyzed by one-way ANOVA and post-hoc Scheffé test (p<0.05). After failure, the fracture surfaces were examined by optical microscopy.

RESULTS

The content of inorganic particles in the teeth was low. There is no statistically significant difference in bond strength between the groups.

CONCLUSIONS

Bond strength of the experimental composite to artificial polymer teeth was as good as that of a conventional heat-polymerized denture base polymer. The strong bonding between the experimental material and artificial teeth makes this combination suitable for resin-bonded prostheses.

Resistência de união entre dentes artificiais e resinas acrílicas para base protética

A resistência de união entre dente artificial e resina acrílica para base protética foi avaliada sob a influência de duas marcas comerciais de dentes artificiais (Biotone e Trilux) e de três resinas acrílicas, sendo duas polimerizadas convencionalmente em banho de água (QC-20 e Lucitone 550) e uma resina polimerizada por meio da energia de microondas (Acron-MC). As avaliações foram realizadas por meio de um ensaio mecânico de cisalhamento através da aplicação de uma carga perpendicular à interface dente-resina. Os resultados indicaram que, para a mesma resina, a resistência foi semelhante, independentemente do tipo de dente utilizado. Para os dois tipos de dente avaliados, as resinas Acron MC e Lucitone 550 apresentaram valores de resistência de união entre dente artificial e resina acrílica estatisticamente semelhantes e superiores em relação à resina QC-20.