Translucency of nanoparticle-reinforced PMMA denture base material: An in-vitro comparative study

Translucency measurement system based on a polarized camera

This paper proposes a measurement system capable of estimating the transmittance and haze values of a composite object. The system, comprising a polarized camera, linear polarizer, and backlight, was calibrated to obtain four phase polarization images. Forty-one samples, which covered a wide range of transmittance and haze values, were manufactured to assist in correlating the polarization images and the referenced ground truth from the BKY-Gardner instrument. After the data regression, two linear equations were selected to estimate the transmittance and haze values of transparent objects. The verification experiment for 52 samples demonstrated that the proposed method accurately estimated the transmittance of the samples with a coefficient of determination (R 2) as high as 0.96 and an average error of less than 4.1%. The haze estimation had an R 2 of 0.94 and an average error of 5.08%. Pseudo color maps were used to present the different transmittance and haze values of a single object. The proposed system can perform image-based translucency measurements and obtain individual values of a composite object.

Color stability, surface, and physicochemical properties of three-dimensional printed denture base resin reinforced with different nanofillers

Various materials have been introduced for the three-dimensional (3D) printing of dentures. In this study, the color stability and surface and physicochemical properties of 3D-printed denture base resins with four types of nanofiller particles were evaluated. Al2O3, ZnO, CeZr, and SiO2 nanofillers were added to a 3D printable denture base-resin matrix and subjected to digital light processing. The specimens were immersed in Coke, coffee, black tea, or distilled water for 6 days. For the assessment of color differences, 6 samples were analyzed using a spectrophotometer. In a separate investigation, surface properties of 10 samples were examined, while a different set of 6 samples was used to analyze water sorption and solubility. All experimental groups exhibited higher color stability in Coke than the control group. However, the groups containing ZnO and CeZr had lower color stability in coffee and black tea than the control group. Moreover, they had agglomerated nanofillers and lower gloss than the control group. Compared with that of the control group, the contact angle of the CeZr group and microhardness of the ZnO group were not significantly different. Water sorption was higher in the Al2O3 group, whereas the solubility of the experimental and control groups was not statistically significant. The results demonstrated the significant effect of ZnO and CeZr nanofillers on the color stability of the dentures when exposed to discoloring beverages. These results will facilitate the development of fillers that enhance the resistance of 3D printed denture base resins to discoloration in the oral environment.

Evaluating the Translucency, Surface Roughness, and Cytotoxicity of a PMMA Acrylic Denture Base Reinforced with Bioactive Glasses

The colonisation of the surface of removable acrylic dentures by various types of microorganisms can lead to the development of various diseases. Therefore, the creation of a bioactive material is highly desirable. This study aimed to develop a denture base material designed to release bioactive ions into the oral environment during use. Four types of bioactive glasses (BAG)-S53P4, Biomin F, 45S5, and Biomin C-were incorporated into the PMMA acrylic resin, with each type constituting 20 wt.% (10 wt.% non-silanised and 10% silanised) of the mixture, while PMMA acrylic resin served as the control group. The specimens were subsequently immersed in distilled water, and pH measurements of the aqueous solutions were taken every seven days for a total of 38 days. Additionally, surface roughness and translucency measurements were recorded both after preparation and following seven days of immersion in distilled water. The cytotoxicity of these materials on human fibroblast cells was evaluated after 24 and 48 h using Direct Contact and MTT assays. Ultimately, the elemental composition of the specimens was determined through energy-dispersive X-ray (EDX) spectroscopy. In general, the pH levels of water solutions containing BAG-containing acrylics gradually increased over the storage period, reaching peak values after 10 days. Notably, S53P4 glass exhibited the most significant increase, with pH levels rising from 5.5 to 7.54. Surface roughness exhibited minimal changes upon immersion in distilled water, while a slight decrease in material translucency was observed, except for Biomin C. However, significant differences in surface roughness and translucency were observed among some of the BAG-embedded specimens under both dry and wet conditions. The composition of elements declared by the glass manufacturer was confirmed by EDX analysis. Importantly, cytotoxicity analysis revealed that specimens containing BAGs, when released into the environment, did not adversely affect the growth of human gingival fibroblast cells after 48 h of exposure. This suggests that PMMA acrylics fabricated with BAGs have the potential to release ions into the environment and can be considered biocompatible materials. Further clinical trials are warranted to explore the practical applications of these materials as denture base materials.

Formulation, optimization and characterization of raloxifene hydrochloride loaded PLGA nanoparticles by using Taguchi design for breast cancer application

Multidrug resistance in breast cancer and the associated side-effects of anticancer therapies are significant hurdles in chemotherapy-based treatment. Biodegradable polymeric nano-based targeted drug delivery technologies showed tremendous advantages in targeted local delivery with limited off-targeted side effects. Therefore, there is a persistent need to develop targeted nanomedicine systems for treatment of breast cancer. The current research attempted to develop poly (lactic-co-glycolic acid) nanoparticles loaded with raloxifene by modified emulsification solvent diffusion evaporation method to improve oral bioavailability by using Taguchi design. It was observed that the optimized formulation (1:4 drug to polymer ratio) poly (lactic-co-glycolic acid) showed a mean particle size and Polydispersity index of 218 ± 23.7 nm and 0.231 ± 0.04, respectively. The entrapment efficiency was found to be 82.30% ± 1.02%. In vitro drug delivery was found to be 92.5% ± 1.48% in 40 h. The nanoparticles were to remain stable at 2°C-8°C even after 30 days. Differential scanning calorimetry and Fourier transform infrared spectroscopy characterization techniques showed that there was no interaction between the drug and excipient. Stability studies indicate that polymeric nanoparticles were stable at 2°C-8°C after 6 months. Raloxifene nanoparticles may be the most potent targeting moieties to treat highly invasive and metastatic MCF-7 breast cancer cells.

Bioactive Glass-Enhanced Resins: A New Denture Base Material

BACKGROUND

The creation of the denture base material with bioactive properties that releases ions and produces hydroxyapatite.

METHODS

Acrylic resins were modified by the addition of 20% of four types of bioactive glasses by mixing with powders. Samples were subjected to flexural strength (1, 60 days), sorption and solubility (7 days), and ion release at pH 4 and pH 7 for 42 days. Hydroxyapatite layer formation was measured using infrared.

RESULTS

Biomin F glass-containing samples release fluoride ions for a period of 42 days (pH = 4; Ca = 0.62 ± 0.09; P = 30.47 ± 4.35; Si = 22.9 ± 3.44; F = 3.1 ± 0.47 [mg/L]). The Biomin C (contained in the acrylic resin releases (pH = 4; Ca = 41.23 ± 6.19; P = 26.43 ± 3.96; Si = 33.63 ± 5.04 [mg/L]) ions for the same period of time. All samples have a flexural strength greater than 65 MPa after 60 days.

CONCLUSION

The addition of partially silanized bioactive glasses allows for obtaining a material that releases ions over a longer period of time.

CLINICAL SIGNIFICANCE

This type of material could be used as a denture base material, helping to preserve oral health by preventing the demineralization of the residual dentition through the release of appropriate ions that serve as substrates for hydroxyapatite formation.

Dispersion and Homogeneity of MgO and Ag Nanoparticles Mixed with Polymethylmethacrylate

This study aims to examine the impact of the direct and indirect mixing techniques on the dispersion and homogeneity of magnesium oxide (MgO) and silver (Ag) nanoparticles (NPs) mixed with polymethylmethacrylate (PMMA). NPs were mixed with PMMA powder directly (non-ethanol-assisted) and indirectly (ethanol-assisted) with the aid of ethanol as solvent. X-ray diffraction (XRD), energy-dispersive X-ray spectroscopy (EDX), and scanning electron microscope (SEM) were used to evaluate the dispersion and homogeneity of MgO and Ag NPs within the PMMA-NPs nanocomposite matrix. Prepared discs of PMMA-MgO and PMMA-Ag nanocomposite were analyzed for dispersion and agglomeration by Stereo microscope. XRD showed that the average crystallite size of NPs within PMMA-NP nanocomposite powder was smaller in the case of ethanol-assisted mixing compared to non-ethanol-assisted mixing. Furthermore, EDX and SEM revealed good dispersion and homogeneity of both NPs on PMMA particles with ethanol-assisted mixing compared to the non-ethanol-assisted one. Again, the PMMA-MgO and PMMA-Ag nanocomposite discs were found to have better dispersion and no agglomeration with ethanol-assisted mixing when compared to the non-ethanol-assisted mixing technique. Ethanol-assisted mixing of MgO and Ag NPs with PMMA powder obtained better dispersion, better homogeneity, and no agglomeration of NPs within the PMMA-NP matrix.

3D-Printable Denture Base Resin Containing SiO2 Nanoparticles: An In Vitro Analysis of Mechanical and Surface Properties

PURPOSE

To evaluate the flexural strength (FS), impact strength (IS), surface roughness (Ra), and hardness of 3D-printed resin incorporating silicon dioxide nanoparticles (SNPs).

MATERIALS AND METHODS

A total of 320 acrylic specimens were fabricated with different dimensions according to test specifications and divided into a control group of heat denture base resin, and 3 test groups (80/test (n = 10) of unmodified, 0.25 wt%, and 0.5 wt% SNPs modified 3D-printed resin. 10,000 thermal cycles were performed to half of the fabricated specimens. FS, IS (Charpy impact), Ra, and hardness were evaluated and the collected data was analyzed with ANOVA followed by Tukey's post hoc test (α = 0.05).

RESULTS

Incorporating SNPs into 3D-printed resin significantly increased the FS, IS (at 0.5%) and hardness compared to unmodified 3D-printed resin (p < 0.001). However, the FS of pure 3D-printed and 3D/SNP-0.50% resin and IS of all 3D-printed resin groups were significantly lower than the control group (p < 0.0001). Hardness of 3D/SNP-0.25% and 3D/SNP-0.50% was significantly higher than control and unmodified 3D-printed resin (p < 0.0001), with insignificant differences between them. The Ra of all 3D-printed resin groups were significantly higher than control group (p < 0.001), while insignificant difference was found between 3D-printed groups. Thermal cycling significantly reduced FS and hardness for all tested groups, while for IS the reduction was significant only in the control and 3D/SNP-0.50% groups. Thermal cycling significantly increased Ra of the control group and unmodified 3D-printed resin (p < 0.001).

CONCLUSION

The addition of SNPs to 3D-printed denture base resin improved its mechanical properties while Ra was not significantly altered. Thermal cycling adversely affected tested properties, except IS of unmodified 3D-printed resin and 3D/SNP-0.25%, and Ra of modified 3D-printed resin.

Influence of ZrO2 Nanoparticle Addition on the Optical Properties of Denture Base Materials Fabricated Using Additive Technologies

This study investigated the translucency of 3D-printed denture base resins modified with zirconium dioxide nanoparticles (ZrO₂NPs) under thermal cycling. A total of 110 specimens were fabricated and divided into 3 groups according to the materials, i.e., heat-polymerized resin, and 3D-printed resins (NextDent, and ASIGA). The 3D-printed resins were modified with 0, 0.5, 1, 3, and 5 wt.% of ZrO₂NPs. All the specimens were subjected to 5000 thermal cycles. The translucency was measured using a spectrophotometer. The results showed that the heat-polymerized resin had considerably higher translucency than the 3D-printed resins. Compared to the unmodified group, the translucency decreased significantly after adding 5% ZrO₂NPs to NextDent and 3% ZrO₂NPs to ASIGA resins. The highest translucency was achieved for NextDent by adding 0.5% ZrO₂NPs and for ASIGA without any ZrO₂NPs. It was found that the average concentration level in ASIGA was significantly higher than that in NextDent. These findings revealed that 3D-printed resins have lower translucency than heat-polymerized acrylic resin, and adding ZrO₂NPs at low concentrations did not affect the translucency of the 3D-printed resins. Therefore, in terms of translucency, 3D-printed nanocomposite denture base resins could be considered for clinical applications when ZrO₂NPs are added at low concentrations.

Investigation on the Potential Use of Polypropylene Mesh for the Reinforcement of Heat-Polymerized PMMA Denture Base Resin

The aim of this study was to investigate the potential use of polypropylene (PP) hernia mesh as a reinforcement of PMMA denture base resin in comparison with metal and glass fiber meshes, with the expectation of enhancing the mechanical stability of the PMMA dentures in oral conditions. The control group with no mesh, the aluminum metal mesh (Al) group, the PP1 (PP mesh used on top) group, the PP2 (PP mesh used on both the top and bottom) group, the orthopedic casting tape with self-curing resin (DP0) group, and the flushed form (DPA) group were fabricated in a chromium mold. A total of 144 specimens were divided into three equal portions and subjected to: first, no treatment; second, thermal cycling only; and third, thermal cycling and chewing simulation. The flexural strength, maximum deformation, and flexural modulus were determined by a three-point bending test to compare mechanical properties. Fracture surfaces were evaluated by scanning electron microscopy. The obtained data were statistically analyzed by a two-way ANOVA test with Bonferroni corrections. The non-treated Al mesh reinforcement group exhibited the highest (82.66 ± 6.65 MPa) flexural strength, and the PP2 group treated with chewing simulation displayed the lowest (56.64 ± 4.59 MPa) flexural strength. The Al group showed the highest (7.25 ± 1.05 mm) maximum deformation and the PP2 group showed lowest (3.64 ± 0.28 mm) maximum deformation when both groups were not subjected to any treatment. The control group with no treatment exhibited the lowest (1556.98 ± 270.62 MPa) flexural modulus values, and the Al group with no treatment exhibited the highest (3106.07 ± 588.68 MPa) flexural modulus values. All the mesh groups displayed intact fractures. Any type of mesh used for reinforcement exhibited a significant change in all flexural properties (p < 0.001). The PP1 reinforcement group did not exhibit a significant change in mechanical properties when the effect of treatment was compared. Using PP hernia mesh on top enhanced the mechanical properties despite the weakening when it was used on both the top and bottom. The mechanical stability provided by the PP hernia mesh indicated it to be a promising candidate to be used for reinforcement.

Polymethylmethacrylate denture base layering as a new approach for the addition of antifungal agents

PURPOSE

To introduce a new technique, denture base layering, for the addition of titanium dioxide nanoparticles (TiO₂ NPs) to polymethylmethacrylate (PMMA) and to investigate the effects of the layering technique on Candida albicans (C. albicans) adhesion and on surface roughness, hardness, translucency, and flexural strength.

MATERIALS & METHODS

In total, 210 heat-polymerized acrylic resin specimens were prepared as discs (15 × 2 mm) for testing C. albicans adhesion (n = 70) and surface roughness, hardness, and translucency (n = 70); and as acrylic plates (65 × 10 × 2.5 mm) for testing flexural strength (n = 70). Specimens were divided into 4 groups: control (n = 30), one-layer (n = 60), double-layer (n = 60), and dotted-layer (n = 60) according to the packing and layering technique. Each group was divided according to the concentration of TiO₂ NPs 1% and 2.5% (n = 10). The control group comprised one layer of unmodified resin. The one-layer group comprised one layer of a mixture of PMMA/TiO₂ NPs packed conventionally. The double-layer group consisted of two different layers packed in two steps, as follows: unmodified resin first, followed by a continuous thin layer of the PMMA/TiO₂ NPs mixture. Similarly, the dotted-layer group consisted of two different layers packed in two steps, as follows: unmodified resin first, followed by a thin layer of the PMMA/TiO₂ NPs. However, the second mixture was added in a dotted manner. The direct culture method for C. albicans adhesion before and after ultraviolet light activation, and surface roughness, hardness, translucency, and flexural strength were measured. An analysis of variance and Tukey's post hoc test were used for data analysis (α = 0.05).

RESULTS

The addition of TiO₂ NPs reduced C. albicans adhesion (P ˂.001). However, no significant difference was found between both concentrations within the same group before and after ultraviolet light activation (P >0.05), except in the 1% dotted-layer (P = .022). Surface roughness and hardness were not affected by the additions of different concentrations of TiO₂ NPs (P = .905) and (P = .059), respectively. Translucency was significantly reduced in all the groups (P ˂.001) except in the 1% dotted-layer (P = .332). Flexural strength decreased as the TiO₂ NPs concentration increased, with the greatest reduction in strength observed in the one-layer group (P ˂.001).

CONCLUSIONS

The double and dotted layering techniques were effective in reducing C. albicans adhesion, without affecting surface roughness, hardness, or flexural strength. However, translucency was reduced in all the groups, except the 1% dotted-layer group. This article is protected by copyright. All rights reserved.

Comparative Effect of Incorporation of ZrO2, TiO2, and SiO2 Nanoparticles on the Strength and Surface Properties of PMMA Denture Base Material: An In Vitro Study

Objective

This study aimed to investigate the effects of nanoparticles (zirconium dioxide (ZrO₂), titanium dioxide (TiO₂), and silicon dioxide (SiO₂)) on the flexural strength, impact strength, hardness, and wear resistance of the acrylic resin denture base material.

Materials and Methods

Acrylic resin specimens were fabricated in dimensions according to American Dental Association (ADA) specifications per test. Specimens were divided according to nanofiller into four groups; unmodified as control, ZrO₂ (Z), TiO₂, (T), and SiO₂ (S) groups. Each one was subdivided into two subgroups according to nanoparticle concentrations; 3% and 7% (Z3, Z7, T3, T7, S3, and S7). A 3-point bending test, Charpy impact test, and Vickers hardness test were used for flexural strength, impact strength, and hardness measurements, respectively. Wear resistance was measured by the differences in surface roughness of tested specimens before and after the wear test. A scanning electron microscope was used to assess nanoparticle specifications and distributions and for fracture surfaces analysis. ANOVA, Bonferroni's post hoc test, and the Kruskal–Wallis test were applied for data analysis (α = 0.05).

Results

Regarding the flexural and impact strength, there was a statistically remarkable increase for all tested groups compared with the control group, except for the T7 and S7 groups (P value <0.001, effect size = 0.893) and (P value <0.001, effect size = 0.759), respectively. There was a statistically significant improvement in the hardness of all tested groups compared with the control group (P value <0.001, effect size = 0.67) except T3 and S3. Regarding wear, a statistically significant enhancement was noticed in the wear resistance of all tested groups (P value <0.001, effect size = 0.685), except for the T7 and S7 groups.

Conclusion

The flexural strength, impact strength, and wear resistance improved with both concentrations of ZrO₂ and low TiO₂ and SiO₂ concentrations. The hardness increased with both concentrations of ZrO₂ and high TiO₂ and SiO₂ concentrations.

Water Sorption, Solubility, and Translucency of 3D-Printed Denture Base Resins

This study aimed to evaluate the water sorption, solubility, and translucency of 3D-printed denture base resins (NextDent, FormLabs, and Asiga), compare them to heat-polymerized acrylic denture base resins, and assess their performance under the effects of thermal cycling. A total of 80 acrylic disc specimens were used in the current study, categorized into four groups (n = 10); in one group, the samples were fabricated conventionally with a heat-polymerizing process (control), while the other three groups were fabricated digitally from different 3D-printed reins (NextDent, FormLabs, and Asiga). Specimens were fabricated according to the manufacturers’ recommendations and immersed in distilled water for 48 h at 37 °C. Data on water sorption, solubility, and translucency measurements (T1) were obtained. All the specimens were subjected to 5000 thermal cycles, and then the measures were repeated using the same method (T2). Data analysis was attained via ANOVA and the post hoc Tukey test (α = 0.05). The type of resin significantly affected the values of water sorption, solubility, and translucency (p < 0.001). The water sorption of 3D-printed resins was increased significantly in comparison to control with or without a thermal cycling effect. In terms of solubility, a significant increase in 3D-printed resins before thermocycling was observed; however, after thermocycling, Asiga had a significantly low value compared to the other groups (p < 0.001). Thermal cycling increased the water sorption and solubility of all tested materials. In comparison to control, the translucency of the 3D-printed resins was significantly decreased (p < 0.001). The translucency was significantly decreased per material in terms of the thermal cycling effect (before and after). NextDent showed significantly low translucency values (p < 0.001) compared to the other groups. All 3D-printed resin groups had higher water sorption and solubility and lower translucency values in comparison to the heat-polymerized resin group. Regardless of resin types, thermal cycling adversely affected all tested properties.

The Effect of Zirconium Dioxide (ZrO2) Nanoparticles Addition on the Mechanical Parameters of Polymethyl Methacrylate (PMMA): A Systematic Review and Meta-Analysis of Experimental Studies

The number of studies on the subject of effects of zirconium dioxide (ZrO2) nanoparticles addition on the mechanical parameters of polymethyl methacrylate (PMMA) is still very limited. Therefore, in this research, the authors wanted to assess PMMA modified with the nano-ZrO2 additive in terms of changes in flexural, impact and tensile strength values in relation to PMMA without such component. A systematic review and meta-analysis were performed to evaluate the effect of incorporating nano-ZrO2 into PMMA on individual types of material strength. The obtained numerical data were tabulated and analyzed in the search for percentage changes in those parameters. It was then calculated for each set and the procured model was examined using residual sum of squares (RSS) to assess the discrepancy between the data and the estimation model whilst mean absolute deviation (MAD) was employed to determine robustness. The results of the systematic review were composed of data obtained from individual studies presented in eight independent articles. Overall, the addition of nano-ZrO2 increases the flexural strength of the composite with the PMMA matrix depending on the size of the ZrO2 grains administered. Unfortunately, these conclusions are based on a very limited amount of research and require further verification, especially regarding tensile strength.

Effect of Low Nanodiamond Concentrations and Polymerization Techniques on Physical Properties and Antifungal Activities of Denture Base Resin

Background: Denture base resin has some drawbacks. This study investigated the impact of nanodiamonds (ND) and autoclave polymerization on the surface characteristics, translucency, and Candida albicans adherence in polymethyl methacrylate (PMMA) denture base resin after thermocycling. Methods: Heat-polymerized PMMA discs (15 × 2 mm) with a total sample size n = 160 were studied. Specimens were categorized into two main groups (N = 80): conventional water-bath-polymerized PMMA (CP/PMMA) and autoclave-polymerized PMMA (AP/PMMA). Each group was subdivided according to the ND concentration into four groups (n = 20): unmodified PMMA as a control, and 0.1%, 0.25%, and 0.5% ND–PMMA. Scanning electron microscopy (SEM) was used to inspect the morphology of the ND and the ND–PMMA mixtures before heat polymerization. The specimens were exposed to thermal cycling (5000 cycles at 5 and 55 °C), then surface roughness was measured with a non-contact optical interferometric profilometer, contact angle with an automated goniometer, and translucency using a spectrophotometer. Colony-forming units (CFU) were used to determine the adherence of Candida albicans cells to the specimens. ANOVA and Tukey post hoc tests for pairwise comparison were utilized for the statistical analysis (α = 0.05). Results: Surface roughness was significantly reduced with ND addition to CP/PMMA (p ˂ 0.001), while the reduction was not statistically significant in AP/PMMA (p = 0.831). The addition of ND significantly reduced the contact angle, translucency, and Candida albicans count of CP/PMMA and AP/PMMA (p ˂ 0.001). The incorporation of ND in conjunction with autoclave polymerization of PMMA showed significant reduction in all tested properties (surface roughness, contact angle and Candida albicans adherence) except translucency (p = 0.726). Conclusions: ND addition to PMMA and autoclave polymerization improved the surface properties with respect to antifungal activities, while the translucency was adversely affected.

New lignin-based hybrid materials as functional additives for polymer biocomposites: From design to application

Within this study, the ZrO₂/lignin and ZrO₂-SiO₂/lignin hybrid materials were obtained for the first time. The mechanical grinding method was used for this purpose. In order to determine the properties of obtained lignin-based hybrids and the components used to produce them, as well as to evaluate the efficiency of their preparation, the authors used such research techniques as scanning electron microscopy (SEM), Fourier transform infrared spectroscopy (FTIR), elemental analysis, porous structure analysis and thermal stability assessment (TGA/DTG). The next step involved using the components and produced hybrid materials as polymer fillers for poly(methyl methacrylate) (PMMA). The obtained lignin-based hybrid biocomposites have then been thoroughly characterized using gel permeation chromatography (GPC), differential scanning calorimetry (DSC), dynamic mechanical analysis (DMA) and hardness testing. All the conducted tests confirm the possibility of using the obtained bio-based products in practice, within the widely understood construction industry, for producing durable building facades or noise barriers, among others.