Aging processes in dental thermoplastics - Thermoanalytical investigations and effects on Vickers as well as Martens hardness

OBJECTIVE

The influence of various aging protocols, representing and accelerating influences present in the dental context, on possible changes in the microstructure and mechanical properties of thermoplastics was investigated. In order to minimize the complexity of the systems, first pure polymers and then later the equivalent dental polymeric materials were analyzed.

MATERIALS AND METHODS

Pure polymers (Poly(methyl methacrylate) - PMMA, Polyoxymethylene homopolymer - POM-H, Polyether ether ketone - PEEK, Nylon 12 - PA12, Polypropylene - PP) were analyzed before as well as after applying different aging protocols relevant to the oral environment (ethanol, thermocycling, alkaline and acidic setting) by differential scanning calorimetry (DSC) and thermogravimetric analysis (TGA). The thermoanalytical parameters used were glass transition temperature (Tg), melting peak and crystallization peak temperature (Tpm, Tpc) and decomposition behavior. In a second step selected commercially available dental products (Telio CAD - PMMAD, Zirlux Acetal - POMD, Juvora Natural Dental Disc - PEEKD) aged by the protocol that previously showed strong effects were examined and additionally tested for changes in their Vickers and Martens hardness by Mann-Whitney-U test.

RESULTS

The combinations of pure polymers and viable aging protocols analyzed within this study were identified via TGA or DSC as PA12 & thermocycling, POM-H & denture cleanser/lactic acid/ethanol, PP & lactic acid. The dental polymeric materials PMMAD and POMD due to aging in lactic acid showed slight but significantly (p < 0.01) reduced Vickers and partly Martens hardness. PEEK showed the greatest material resistance within this study.

Effect of thermal cycling on the flexural strength of 3-D printed, CAD/CAM milled and heat-polymerized denture base materials

BACKGROUND

This study compared the impact of thermal cycling on the flexural strength of denture-base materials produced through conventional and digital methods, using both subtractive and additive approaches.

METHODS

In total, 60 rectangular specimens were fabricated with specific dimensions for flexural strength tests. The dimensions were set according to the International Organization for Standardization (ISO) guideline 20795-1:2013 as 64 × 10 × 3.3 ± 0.2 mm. Specimens from each material group were divided into two subgroups (thermal cycled or nonthermal cycled, n = 10/group). We used distinct methods to produce three different denture-base materials: Ivobase (IB), which is a computer-aided-design/computer-aided-manufacturing-type milled pre-polymerized polymethyl methacrylate resin disc; Formlabs (FL), a 3D-printed denture-base resin; and Meliodent (MD), a conventional heat-polymerized acrylic. Flexural strength tests were performed on half of the samples without a thermal-cycle procedure, and the other half were tested after a thermal cycle. The data were analyzed using a two-way analysis of variance and a post hoc Tukey test (α = 0.05).

RESULTS

Based on the results of flexural-strength testing, the ranking was as follows: FL > IB > MD. The effect of thermal aging was statistically significant for the FL and IB bases, but not for the MD base.

CONCLUSIONS

Digitally produced denture bases exhibited superior flexural strength compared with conventionally manufactured bases. Although thermal cycling reduced flexural strength in all groups, the decrease was not statistically significant in the heat-polymerized acrylic group.

Effect of support structures on the trueness and precision of 3D printing dentures: An in vitro study

Purpose Additive manufacturing has revolutionized the fabrication of complete dentures. However, this process involves support structure, which is a construction part that holds the specimen during printing, and may prove to be disadvantageous. Therefore, this in vitro study compared the effect of support structure reduction on various volume and area distributions of a 3D-printed denture base to determine optimal parameters based on accuracy.Methods A complete maxillary denture base construction file was used as reference. Twenty denture bases were 3D printed under four conditions (total n=80): no support structure reduction (control), palatal support structure reduction (Condition P), border support structure reduction (Condition B), and palatal and border support structure reduction (Condition PB). Printing time and resin consumption were also recorded. The intaglio surface trueness and precision of all acquired data were exported to a 3D analysis software, and the dimensional changes to the denture base were analyzed using the root-mean-square estimate (RMSE) to assess geometric accuracy and generate color map patterns. Nonparametric Kruskal-Wallis and Steel-Dwass tests (α=0.05) analyzed the accumulated data.Results Control had the lowest RMSE values for trueness and precision. Nevertheless, it demonstrated a significantly lower RMSE than that of Condition B (P=0.02) in precision. Owing to negative deviation at the palatal region, Conditions P and PB had higher retention than Control and Condition B regarding the color map pattern.Conclusions Within the limitations of this study, the reduction of palatal and border support structures showed optimal accuracy with resource and cost savings.

Evaluation of the influence of different build angles on the surface characteristics, accuracy, and dimensional stability of the complete denture base printed by digital light processing

Purpose

This study aims to investigate the influence of the build angle on the surface characteristics, accuracy, and dimensional stability of digital light processing (DLP) printed resin bases.

Material and methods

Rectangular and complete denture base samples were fabricated at 0, 45, and 90-degree angles (n = 5 for rectangular samples; n = 10 for maxillary and mandibular denture base samples) using a DLP printer. Surface morphology and roughness were assessed using a profilometer, followed by measuring hydrophilicity with a contact angle meter. Accuracy (trueness and precision) and dimensional stability were evaluated at intervals of 1, 3, 7, 14, 28, and 42 days after base printing using best-fit-alignment and deviation analysis in 3D software. Statistical analysis was performed using one-way ANOVA for surface characteristics (α = 0.05), multi-way ANOVA for accuracy and dimensional stability data, and Tukey's test for post-hoc comparisons.

Results

The 0-degree group exhibited significantly lower mean roughness (1.27 ± 0.19 μm) and contact angle (80.50 ± 3.71°) (P < 0.001) compared to the 90-degree and 45-degree groups. The 0-degree build angle led to superior trueness (maxilla: 77.80 ± 9.35 μm, mandible: 61.67 ± 10.32 μm) and precision (maxilla: 27.51 ± 7.43 μm, mandible: 53.50 ± 15.16 μm) compared to other groups (P < 0.001). Maxillary base precision was superior to mandibular base precision (P < 0.001). The maxillary base exhibited less dimensional deviation than the mandibular base. The 90-degree group showed the highest deviation compared to the other two groups, and all groups' deviations increased over time (P < 0.001).

Conclusions

The build angle significantly influences the surface characteristics, accuracy, and dimensional stability of DLP-printed denture bases. A 0-degree build angle provides the most favorable performance. The maxillary base displayed superior precision and dimensional stability than the mandibular base.

3D printed denture base material: The effect of incorporating TiO2 nanoparticles and artificial ageing on the physical and mechanical properties

OBJECTIVES

To evaluate the physical and mechanical properties of three-dimensional (3D) printed denture base resin incorporating TiO2 nanoparticles (NPs), subjected to a physical ageing process.

METHODS

Acrylic denture base samples were prepared by a Stereolithography (SLA) 3D printing technique reinforced with different concentrations (0.10, 0.25, 0.50, and 0.75) of silanated TiO2 NPs. The resulting nanocomposite materials were characterized in terms of degree of conversion (DC), and sorption/solubility flexural strength, impact strength, Vickers hardness and Martens hardness and compared with unmodified resin and conventional heat-cured (HC) material. The nanocomposites were reassessed after subjecting them to ageing in artificial saliva. A fractured surface was studied under a scanning electron microscope (SEM).

RESULTS

The addition of TiO2 NPs into 3D-printed resin significantly improved flexural strength/modulus, impact strength, Vickers hardness, and DC, while also slightly enhancing Martens hardness compared to the unmodified resin. Sorption values did not show any improvements, while solubility was reduced significantly. The addition of 0.10 wt% NPs provided the highest performance amongst the other concentrations, and 0.75 wt% NPs showed the lowest. Although ageing degraded the materials' performance to a certain extent, the trends remained the same. SEM images showed a homogenous distribution of the NPs at lower concentrations (0.10 and 0.25 wt%) but revealed agglomeration of the NPs with the higher concentrations (0.50 and 0.75 wt%).

SIGNIFICANCE

The outcomes of this study suggested that the incorporation of TiO2 NPs (0.10 wt%) into 3D-printed denture base material showed superior performance compared to the unmodified 3D-printed resin even after ageing in artificial saliva. The nanocomposite has the potential to extend service life of denture bases in future clinical use.

Evaluation of Distortion in the Posterior Palatal Seal Area of Maxillary Cast by Different Adaptation Techniques of Denture Bases

Aim

To evaluate and compare the amount of distortion in the posterior palatal seal area in V-shaped and U-shaped palatal form of maxillary cast by different adaptation techniques of maxillary denture bases.

Materials and Methods

A total of 60 stone casts were made, out of which 30 identical stone casts of U-shaped palatal form and 30 identical stone casts of V-shaped palatal form of maxillary casts were prepared. The 30 stone casts of U-shaped palatal form and 30 stone casts of V-shaped palatal forms were divided into three groups for measurements to be done. Data were statistically analyzed by using two-way analysis of variance (ANOVA) without replication.

Results

Discrepancies of fit of dentures on U-shaped casts and V-shaped casts of Groups 1, 2, and 3 in transverse and sagittal sections were measured, and comparative statistical analysis between Group 1&2, Group 1&3, and Group 2&3 was done for statistical significant values.

Conclusion

Discrepancy in the central region was maximum, and the anchoring methods Group 2 and Group 3 produced a significantly better adaptation than the conventional method (Group 1). The adaptations for V-shaped palate were better when compared with U-shaped palate in the central region.

Effect of nanogold particles addition on dimensional stability of complete denture base material: an in - vitro study

BACKGROUND

The most widely used substance in the fabrication of dental prosthesis is poly (methyl methacrylate), or PMMA, and the development of biofilm is frequently associated with its use. To enhance the mechanical properties of heat-polymerized PMMA, this study prepared PMMA/gold nanoparticles (AuNps). The occlusal vertical dimension and tooth movement were examined in the current study. The occlusal vertical dimension was assessed using an electronic digital calliper measuring device, and tooth movement was measured using a CAD Star digital scanner.

RESULTS

Tooth movement and occlusal vertical dimension of a PMMA/gold nanoparticles (AuNps) were decreased for all groups containing AuNps. Statistical analysis was performed by means of the SPSS 16 software package.

CONCLUSIONS

Incorporation of AuNps into heat- polymerized PMMA resin led to increase dimensional stability of complete denture base material.

Antifungal activity, mechanical properties, and accuracy of three-dimensionally printed denture base with microencapsulated phytochemicals on varying post-polymerization time

BACKGROUND

Studies on the antifungal activity, flexural strength, Vickers hardness, and intaglio surface trueness of three-dimensionally printed (3DP) denture bases with microencapsulated phytochemicals with respect to changes in post-polymerization time (PPT) are lacking.

METHODS

Specimens of various shapes and dimensions were fabricated with a 3DP denture base resin mixed with 5 wt% phytoncide-filled microcapsules. Each specimen was subjected to different PPT protocols of 5, 10, 20, and 30 min. Specimens without microcapsules with 5-min PPT were used as the negative control group. Cell colonies were counted to evaluate antifungal activity. Three-point bending and Vickers hardness tests were performed to measure the flexural strengths and hardness of the specimens. Fourier-transform infrared spectrometry was used to inspect the degree of conversion (DC). The intaglio surface trueness was measured using root-mean-square estimates calculated by superimposition analysis. A non-parametric Kruskal-Wallis test or one-way analysis of variance was performed (α = 0.05).

RESULTS

The specimens with microcapsules and 10-min PPT showed the highest antifungal activity among the tested groups. Compared with the positive control group (5-min PPT), the specimens with PPTs of 10 min or longer showed significantly higher mean flexural strength, higher DC, greater hardness, and better trueness (all, P < 0.05). Except for the difference in antifungal activity, no statistically significant differences were detected between the specimens subjected to 10-, 20-, and 30-min PPT.

CONCLUSION

The 3DP denture base filled with microencapsulated phytoncide showed different antifungal activity and physical properties on changing PPT. The 3DP denture base containing phytoncide-filled microcapsules at 5 wt% concentration and subjected to 10-min PPT exhibited sufficient antifungal activity as well as mechanical properties and accuracy within clinical acceptance.

Assessing the physical and mechanical properties of 3D printed acrylic material for denture base application

OBJECTIVE

Three-dimensional (3D) printing is increasingly being utilised in the dental field because of its time-saving potential and cost effectiveness. It enables dental practitioners to eliminate several fabrication steps, achieve higher precision, and attain consistency in complex prosthetic models. The properties of 3D-printed resin materials can be affected by many factors, including the printing orientation (PO) and insufficient post-curing time (CT). This study aimed to investigate the effect of PO and CT on the mechanical and physical properties of a 3D-printed denture base resin (NextDent).

METHODS

3D-printed specimens were fabricated in 0°, 45°, and 90° POs, followed by three CTs (20, 30, and 50 min). The microhardness was tested using a Vickers hardness test, while the flexural property was evaluated using a three-point bending test. Sorption and solubility were measured after the specimens had been stored in an artificial saliva for 42 days, and the degree of conversion during polymerisation was analysed using Fourier Transform Infra-red (FTIR) spectroscopy.

RESULTS

The flexural strength of the material significantly increased (p < 0.05) when the printing orientation was changed from 0° to 90°. A similar increase was observed in the hardness, degree of conversion, and water sorption results. In general, no significant difference (p > 0.05) in any of the tested properties was found when the post-curing times were increased from 20 to 50 min.

SIGNIFICANCE

The highest physical and mechanical properties of the 3D-printed denture base resin can be obtained by printing vertically (90° angle to the platform base). The minimal post-curing time to achieve ideal results is 30 min, as further curing will have no significant effect on the properties of the material.

Effect of surface treatment on shear bond strength of relining material and 3D-printed denture base

PURPOSE

This study aimed to analyze the shear bond strength between the 3D-printed denture base and the chairside relining material, according to the surface treatment.

MATERIALS AND METHODS

Cylindrical specimens were prepared using DENTCA Denture Base II. The experimental groups were divided into 6 (n = 10): no surface treatment (C), Tokuyama Rebase II Normal adhesive (A), sandblasting (P), sandblasting and adhesive (PA), sandblasting and silane (PS), and the Rocatec system (PPS). After bonding the chairside relining material to the center of the specimens in a cylindrical shape, they were stored in distilled water for 24 hours. Shear bond strength was measured using a universal testing machine, and failure mode was analyzed with a scanning electron microscope. Shear bond strength values were analyzed using one-way analysis of variance, and Tukey’s honest significant difference test was used for post-hoc analysis (P < .05).

RESULTS

Group PPS exhibited significantly higher shear bond strength than all other groups. Groups P and PA displayed significantly higher bond strengths than the control group. There were no significant differences between groups PS and A compared to the control group. Regarding the failure mode, adhesive failure occurred primarily in groups C and A, and mixed failure mainly in groups P, PA, PS, and PPS.

CONCLUSION

The shear bond strength between the 3D-printed denture base and the chairside relining material exhibited significant differences according to the surface treatment methods. It is believed that excellent adhesive strength will be obtained when the Rocatec system is applied to 3D-printed dentures in clinical practice.

Effect of phytochemical-filled microcapsules with antifungal activity on material properties and dimensional accuracy of denture base resin for three-dimensional printing

BACKGROUND

Studies on the material properties and dimensional accuracy of three-dimensionally (3D) printed denture base containing microcapsules with antifungal phytochemicals are lacking.

METHODS

Two types of phytochemicals (phytoncide A and B) with antifungal activity were microencapsulated. The 3D-printed denture base specimens with minimum and maximum effective concentrations of microcapsules (6 and 8 wt% for phytoncide A; 15 and 25 wt% for phytoncide B) were prepared. The morphological changes of C. albicans on 3D-printed denture base with microcapsules was microscopically observed. The degree of conversion of 3D-printed denture base with microcapsules investigated. The microhardness and flexural strength values were also measured to evaluate the mechanical properties of 3D-printed denture bases. The dimensional accuracy (trueness) of the specimens with microcapsules was measured as root-mean-square values (RMS) for the whole, upper, and side surfaces of the specimens as well as their total height. For the degree of conversion, microhardness, and flexural strength values, the Kruskal-Wallis analysis and a post-hoc comparison using Mann-Whitney U test was performed. For the analysis of trueness (RMS), the one-way analysis of variance and a post-hoc comparison using Tukey's method was conducted (α = 0.05).

RESULTS

At both maximum and minimum effective concentrations of microcapsules, cell surface disruption or membrane breakdown of fungal cells were observed in the specimens. The groups with microcapsules (both phytoncide A- and B-filled) showed significantly lower microhardness and elastic modulus values than the control group (all, P = 0.001). For the trueness, all the RMS values of the whole, upper, and side surfaces of the specimens with microcapsules were less than 100 µm, although significantly higher than those without (all, P = 0.001). The mean flexural strength values of the groups with phytoncide A-filled microcapsule were higher than 65 MPa, not statistically different from that of the control group (all, P > 0.05). However, the groups with phytoncide B-filled microcapsules showed significantly lower values than the control (all, P = 0.001).

CONCLUSIONS

Within the limitations of this in-vitro study, the 3D-printed denture base containing 6 wt% of phytoncide A-filled microcapsules was clinically acceptable in terms of antifungal activity, dimensional accuracy, and flexural strength.

Effect of Triazine Comonomer Substitution on the Structure and Glass Transition Temperature of Monomethacrylate-based Resin Polymer: An In Vitro Study

AIM AND OBJECTIVES

The present research aimed to characterize and deduce the structure of a novel denture base copolymer containing antimicrobial triazine comonomer by nuclear magnetic resonance (NMR) and energy-dispersive X-ray (EDX) spectroscopies. Also, it aimed to evaluate the glass transition temperature (Tg) with the addition of TATA at different concentrations.

MATERIALS AND METHODS

The trial groups G10 and G20 were thermo-polymerized with triazine comonomer, whereas the control group G0 was polymerized without the triazine. NMR and EDX spectroscopies assessed copolymerization along with deducing elemental composition in 
mass %. The surface topographies were observed through field-emission scanning electron microscopy (FESEM). The Tg of the resultant copolymer was examined by differential scanning calorimetry. Pertinent statistical tests with relevant multiple comparison tests were exercised to compare the mean Tg of the groups.

RESULTS

The configuration of a new copolymer containing triazine comonomer was manifested with additional protons and carbon atoms. Nitrogen was detected in the EDX spectroscopy of the trial groups. The Tg of the new copolymer was higher than the G0. The triazine comonomer in the copolymer at 20% concentration exhibited the highest Tg.

CONCLUSION

The triazine comonomer substitution produced a novel denture base copolymer with enhanced Tg.

CLINICAL SIGNIFICANCE

The novel denture base copolymer may possess enhanced biomechanical properties due to the TATA's cross-linking capability. Nevertheless, the antimicrobial property of the triazine comonomer incorporated in the denture base composition might be beneficial in inhibiting the microbial colonization on the denture's surface.

Effect of silicon dioxide nanoparticles on the flexural strength of heat-polymerized acrylic denture base material: A systematic review and meta-analysis

Objective

This study evaluated the influence of silicon dioxide (SiO₂) nanoparticles on the flexural strength of heat-polymerized denture base materials.

Background

Nanoparticles have been incorporated into the denture base materials in different proportions to enhance the mechanical properties. Recently, the incorporation of SiO₂ nanoparticles at low concentrations has shown promising outcomes.

Materials and Methods

Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) protocol, this study was designed with the following focused question: “Does the addition of SiO₂ nanoparticles improve the flexural strength of heat-polymerized acrylic resins?” The inclusion criteria included in-vitro studies that assessed the flexural strength of SiO₂ nanoparticle-reinforced heat-polymerized acrylic denture base resins tested according to American Dental Association specifications. The database search involved articles published from 2005 to 2020 on PubMed/MEDLINE, Web of Science, Google Scholar, and Scopus using the following keywords: SiO₂, nanosilica, silica oxide, nanoparticles, denture base resin, acrylic resin, polymethyl methacrylate, PMMA, flexural strength, and mechanical properties.

Results

Among 167 studies, five papers fulfilled the inclusion criteria and were added for the data analysis and meta-analysis. Proportions of incorporated SiO₂ nanoparticles ranged from 0.25% to 15% and the reported flexural strength values for the reinforced acrylic resin ranged from 41.25 MPa to 124.56 MPa. The meta-analysis revealed no significant effect on the flexural strength between the unmodified and the SiO₂ nanoparticle-reinforced acrylic resin.

Conclusion

Therefore, No particular concentration of SiO₂ nanoparticles could be recommended for heat-polymerized denture base reinforcement.

Characterization and evaluation of a novel silver nanoparticles-loaded polymethyl methacrylate denture base: In vitro and in vivo animal study

The aim of this study was to optimize the preparation method of polymethyl methacrylate (PMMA) denture base loaded with nano silver (NAg), to more effectively and safely impart sustainable antibacterial functions. NAg solution was synthetized and mixed with acrylic acid and methyl methyacrylate (MMA) monomer in order to prepare a new type of NAg solution (NS)/polymer methyl methacrylate denture base specimens (NS/PMMA). The surface morphology, mechanical strength, antimicrobial activity, anti-aging performance, cytotoxicity and biocompatibility of NS/PMMA denture base were evaluated in comparison with specimens fabricated using traditional NAg adding methods and NAg-free denture base. The aesthetic characteristics and mechanical strength of NS/PMMA denture base met the clinical application requirements. Meanwhile, NS/PMMA denture base showed better antibacterial activity, anti-aging properties, no cytotoxicity and displayed exceptional biocompatibility. NS/PMMA denture base thus has great potential for clinical application.

Mechanical properties of new denture base material modified with gold nanoparticles

PURPOSE

Poly(methyl methacrylate) (PMMA) is the most commonly used material in the production of dental prostheses, and its application is often accompanied by the formation of biofilm. The aim of this work was the preparation of a PMMA/gold nanoparticles (AuNps) composite to improve the antimicrobial properties of heat-polymerised PMMA. The AuNPs were synthesised from gold (III) acetate by Ultrasonic Spray Pyrolysis (USP).In the present study, flexural strength and elastic modulus were investigated, as well as thermal conductivity, density and hardness of the PMMA/AuNps` nanocomposite, with different concentrations of AuNps. Flexural strength and elastic modulus were measured using a three-point bending test, and surface hardness was evaluated using the Vickers hardness test. The thermal conductivity of the samples was measured using the Transient Plane Source (TPS) technique. Density was determined by the pycnometry procedure. Statistical analysis was conducted on the data obtained from the experiments.

RESULTS

The flexural strength and elastic modulus of AuNps/PMMA nanocomposites decreased for all groups containing AuNps. Thermal conductivity and density increased in all groups containing AuNps compared to the control group, but it was not significant in all groups. Vickers hardness values increased significantly with an increase in AuNps` content, with the highest value 21.45 HV obtained at 0.74 wt% of AuNps. Statistical analysis was performed by means of the SPSS 19 software package.

CONCLUSIONS

Incorporation of AuNps into heat-polymerised PMMA resin led to decrease of the flexural strength and elastic modulus. At the same time, the density, thermal conductivity and hardness increased.

Comparing accuracy of denture bases fabricated by injection molding, CAD/CAM milling, and rapid prototyping method

PURPOSE

The accuracy of denture bases was compared among injection molding, milling, and rapid prototyping (RP) fabricating method.

MATERIALS AND METHODS

The maxillary edentulous master cast was fabricated and round shaped four notches were formed. The cast was duplicated to ten casts and scanned. In the injection molding method, designed denture bases were milled from a wax block and fabricated using SR Ivocap injection system. Denture bases were milled from a pre-polymerized block in the milling method. In the RP method, denture bases were printed and post-cured. The intaglio surface of the base was scanned and surface matching software was used to measure inaccuracy. Measurements were performed between four notches and two points in the mid-palatal suture to evaluate inaccuracy. The palatine rugae resolution was evaluated. One-way analysis of variance was used for statistical analysis at α=.05.

RESULTS

No statistically significant differences in distances among four notches (P>.05). The accuracy of the injection molding method was lower than those of the other methods in two points of the mid-palatal suture significantly (P<.05). The degree of palatine rugae resolution was significantly higher in the injection molding method than that in other methods (P<.05).

CONCLUSION

The overall accuracy of the denture base is higher in milling and RP method than the injection molding method. The degree of fine reproducibility is higher in the injection molding method than the milling or RP method.

Comparative Evaluation of the Strength of Denture Base Resin repaired with Glass Fiber-reinforced Acrylic Resin: An in vitro Study

AIM

The present study aimed at evaluating and comparing the transverse strength of heat polymerizing acrylic resin samples repaired using glass fiber-reinforced autopolymerizing acrylic resin with varying gap widths at the fracture site.

MATERIALS AND METHODS

Heat polymerizing acrylic resin samples of dimensions 65 * 10 * 2.5 mm each were fabricated. Ten of these were used as control. In the rest of samples, two grooves were fabricated and surface treated with ethyl acetate. The repair gap width was standardized at 4, 3, 2, and 1 mm. Totally, 80 samples were equally divided into these four groups. Glass fiber-reinforced autopolymerizing acrylic resin was used to repair these samples. The repaired samples and the control groups were subjected to three-point bending test, and the findings were analyzed statistically.

RESULTS

It was observed that with increase in gap width, their transverse strength decreased. Most of the fractures occurred at the joint interface of parent and repair material. The fracture within the repaired material occurred highest in the group that had 4 mm gap, followed by groups that had 3 and 2 mm gaps. In the group with 1 mm gap, there was no occurrence of fracture within the repaired material.

CONCLUSION

To achieve optimum repair strength of a repaired denture, the gap width should not be greater than 1 mm.

CLINICAL SIGNIFICANCE

The study will aid in determining the ideal gap width for denture repair to prevent fracture and also the clinical application of glass fiber-reinforced autopolymerizing acrylic resin.

A Technique to Correct Anterior-Posterior Tooth Discrepancy for a Maxillary Immediate Complete Denture

This article describes a chairside technique to correct inappropriate occlusal vertical dimension as well as the inaccurate anterior-posterior tooth set-up of a maxillary immediate complete denture. When fabricating an immediate denture, the inability of a wax-denture trial and the potential for unpredictable complications during surgery, compromised esthetics and function of an immediate complete denture may pose a clinical problem, which needs instant correction. The technique described can provide an alternative method to correct and deliver a definitive immediate complete denture on the day of surgery.

Effect of polyimide addition on mechanical properties of PMMA-based denture material

The aim of the study was to evaluate the effect of modifying polymethyl methacrylate (PMMA) denture base material with polyimide (PI) on its flexural property and biocompatibility. Low molecular weight (1,500 g/mol) PI was synthesized and small amount of PI (0.4, 0.6, 0.8 and 1 wt%) was dispersed into the PMMA matrix. Three-point bending tests, scanning electron microscopy and thermal cycling were used to measure the mechanical properties, while MTT assay was used to evaluate the biocompatibility of the denture base material. The results showed that 0.6% addition of PI significantly increased flexural strength of PMMA denture base material by 13.5%, compared with the control group (p<0.05). Even after 5,000 hydrothermal cycling the reinforce effect still existed. However, when the PI content further increased, flexural strength of the denture base material decreased due to particle agglomeration. The MTT assay confirmed that the addition of PI did not change the biocompatibility of the PMMA denture base material. The present study suggested that blending polyimide in the proper proportion can be a potential method to strengthen the PMMA-based denture base material.

Effect of Cast Modification on Denture Base Adaptation Following Maxillary Complete Denture Processing

PURPOSE

To investigate the effect of cast modifications on denture base adaptation in coronal and sagittal projections following maxillary complete denture processing.

MATERIALS AND METHODS

A total of 60 edentulous maxillary casts (n = 10) were distributed among six groups. Group 1 was the control group with no modification, groups 2 through 6 included a butterfly postdam preparation, groups 3 and 4 also included a 10-mm wide/4-mm deep box with addition of four round holes in group 4, and groups 5 and 6 also included a 20-mm wide/4-mm deep box with addition of four round holes in group 6. The boxes were prepared at the mid-heel area of the casts. Two layers of baseplate wax (1 mm each) were used to standardize denture base thickness across the groups. A standard technique was used to replicate the denture tooth set-up, and standardized processing was done for all the groups. Following deflasking, casts with the dentures were sectioned in the coronal and sagittal directions. Microscopic pictures were taken at preselected points. Data were organized in tables, and statistical analyses were performed using repeated measure ANOVA, Tukey post hoc tests, and post hoc comparison tests set at 5% level of significance.

RESULTS

Maximum gaps were measured at the mid-palatal area followed by nearby areas and the areas near ridge crests in both coronal and sagittal projections. The analyses revealed significant differences between the groups in coronal projection (1/2, 3/4, 5/6) and sagittal projection (1, 2, 3/4, 5/6) without significant differences within the pairs. The groups were ranked from the highest group 1 to the lowest group 6 relative to the gap means. Post hoc comparisons showed that points 1C and 2A had the highest gap means across the study groups.

CONCLUSIONS

Within the limitations of this study, it can be extrapolated that the denture base adaptation can be effectively increased with the box preparation at the mid-heel aspect of the casts. Significant reduction of gaps was seen when the box size increased from 10 to 20 mm in coronal and sagittal projections; however, the addition of four holes had no significant effect on gap size alterations.

A Comparative Evaluation of the Linear Dimensional Changes of Two Different Commercially Available Heat Cure Acrylic Resins during Three Different Cooling Regimens

INTRODUCTION

Close mucosal adaptation of denture base to the underlying mucosa is of prime importance for denture stability. This however can be affected by various temperature changes which the denture base undergoes during processing and also to its material properties.

AIM

The aim of the present study was to compare linear dimensional change of heat cure acrylic resin with three different cooling regimens on two different commercially available acrylic denture base resins.

MATERIALS AND METHODS

Six groups of acrylic specimens with 10 samples each were prepared using either PYRAX or DPI acrylic resin, with a standard processing technique. Three different cooling methods were used for both the commercially available heat cure acrylic denture base resins. Linear dimensional changes were measured between three pre-determined points on the specimens of all the groups using a travelling microscope after removing the sample from the flask. One way ANOVA and unpaired t-test was used for statistical analysis.

RESULTS

Linear dimensional change was more in quenching followed by air and water bath method of cooling respectively. Amongst the materials, linear dimensional changes were more in PYRAX than in DPI acrylic.

CONCLUSION

Slow cooling by methods described should be advocated for better mucosal adaptation of the denture base.

Tensile bond strength between auto-polymerized acrylic resin and acrylic denture teeth treated with MF-MA solution

PURPOSE

This study evaluated the effect of chemical surface treatment using methyl formate-methyl acetate (MF-MA) solution on the tensile bond strength between acrylic denture teeth and auto-polymerized acrylic resin.

MATERIALS AND METHODS

Seventy maxillary central incisor acrylic denture teeth for each of three different brands (Yamahachi New Ace; Major Dent; Cosmo HXL) were embedded with incisal edge downwards in auto-polymerized resin in polyethylene pipes and ground with silicone carbide paper on their ridge lap surfaces. The teeth of each brand were divided into seven groups (n=10): no surface treatment (control group), MF-MA solution at a ratio of 25:75 (v/v) for 15 seconds, 30 seconds, 60 seconds, 120 seconds, 180 seconds, and MMA for 180 seconds. Auto-polymerized acrylic resin (Unifast Trad) was applied to the ground surface and polymerized in a pressure cooker. A tensile strength test was performed with a universal testing machine. Statistical analysis of the results was performed using two-way analysis of variance (ANOVA) and post-hoc Dunnett T3 test (α=.05).

RESULTS

The surface treatment groups had significantly higher mean tensile bond strengths compared with the control group (P<.05) when compared within the same brand. Among the surface treatment groups of each brand, there were no significantly different tensile bond strengths between the MF-MA groups and the MMA 180 second group (P>.05), except for the Yamahachi New Ace MF-MA 180-second group (P<.05).

CONCLUSION

15-second MF-MA solution can be an alternative chemical surface treatment for repairing a denture base and rebonding acrylic denture teeth with auto-polymerized acrylic resin, for both conventional and cross-linked teeth.

Three dimensional deformation of dry-stored complete denture base at room temperature

PURPOSE

The aim of this study was to evaluate whether there is any typical deformation pattern existing in complete denture when it was dried by using the 3D scanner and surface matching program.

MATERIALS AND METHODS

A total of 28 denture bases were fabricated with heat curing acrylic resin (each 14 upper and lower denture bases), and 14 denture bases (each 7 upper and lower denture bases) were stored in the water bottle (water stored), and another 14 denture bases were stored in the air (dry stored). Each specimen was scanned at 1^st day after deflasking, 14^th day after deflasking, and 28^th day after deflasking, and digitalized. Three dimensional deformation patterns were acquired by comparison of the data within storage group using surface matching program. For evaluating differences between groups, these data were compared statisticallyusing Kruskal Wallis and Mann Whitney-U test (α=.05).

RESULTS

When evaluating 3D deformation of denture base, obvious deformations were not found in maxillary and mandibular water storage group. However, in dry stored group, typical deformation pattern was detected as storage time passes. It occurred mostly in first two weeks. Major deformations were found in the bilateral posterior area in both maxillary and mandibular group. In maxillary dry stored group, a statistical significance was found.

CONCLUSION

It was proved that in both upper and lower denture bases, dry storage caused more dimensional deformation than water storage with typical pattern.

Color stability, water sorption and cytotoxicity of thermoplastic acrylic resin for non metal clasp denture

PURPOSE

The aim of this study was to compare the color stability, water sorption and cytotoxicity of thermoplastic acrylic resin for the non-metal clasp dentures to those of thermoplastic polyamide and conventional heat-polymerized denture base resins.

MATERIALS AND METHODS

Three types of denture base resin, which are conventional heat-polymerized acrylic resin (Paladent 20), thermoplastic polyamide resin (Bio Tone), thermoplastic acrylic resin (Acrytone) were used as materials for this study. One hundred five specimens were fabricated. For the color stability test, specimens were immersed in the coffee and green tee for 1 and 8 weeks. Color change was measured by spectrometer. Water sorption was tested after 1 and 8 weeks immersion in the water. For the test of cytotoxicity, cell viability assay was measured and cell attachment was analyzed by FE-SEM.

RESULTS

All types of denture base resin showed color changes after 1 and 8 weeks immersion. However, there was no significant difference between denture base resins. All specimens showed significant color changes in the coffee than green tee. In water sorption test, thermoplastic acrylic resin showed lower values than conventional heat-polymerized acrylic resin and thermoplastic polyamide resin. Three types of denture base showed low cytotoxicity in cell viability assay. Thermoplastic acrylic resin showed the similar cell attachment but more stable attachment than conventional heat-polymerized acrylic resin.

CONCLUSION

Thermoplastic acrylic resin for the non-metal clasp denture showed acceptable color stability, water sorption and cytotoxicity. To verify the long stability in the mouth, additional in vitro studies are needed.

Effect of Cigarette Smoke on Surface Roughness of Different Denture Base Materials

BACKGROUND

Surface roughness is an important property of denture bases since denture bases are in contact with oral tissues and a rough surface may affect tissues health due to microorganism accumulation. Therefore, the effect of cigarette smoke on the surface roughness of two commercially available denture base materials was evaluated to emphasize which type has superior properties for clinical use.

MATERIALS AND METHODS

A total numbers of 40 specimens were constructed from two commercially available denture base materials; heat-cured PMMA and visible light cured UDMA resins (20 for each). The specimens for each type were randomly divided into: Group I: Heat cured resin control group; Group II: Heat cured acrylic resin specimens exposed to cigarette smoking; Group III: Light cured resin control group; Group IV: Light cured resin specimens exposed to cigarette smoking. The control groups used for immersion in distilled water and the smoke test groups used for exposure to cigarette smoking. The smoke test groups specimens were exposed to smoking in a custom made smoking chamber by using 20 cigarettes for each specimen. The surface roughness was measured by using Pocket SurfPS1 profilometer and the measurements considered as the difference between the initial and final roughness measured before and after smoking.

RESULTS

The t-test for paired observation of test specimens after exposure to smoking was indicated significant change in surface roughness for Group II (p< 0.05) but has no significance with Group IV. Otherwise, there were no significant differences with control groups (Group I and III).

CONCLUSION

The surface roughness of the dentures constructed from heat cured acrylic resin had been increased after exposure to cigarette smoke but had no impact on the dentures constructed from visible light cured resin.

Color and gloss evaluation of titanium dioxide coating for acrylic resin denture base

PURPOSE

We examined the clinical appearance (color, gloss, and surface roughness) of TiO(2) coating on polymethyl methacrylate (PMMA) resin dentures.

METHODS

A spraying method, using air brushes, was used to generate thin uniform TiO(2) coating. PMMA resin, primer-coated PMMA, and TiO(2)-coated PMMA (with primer) specimens were compared.

RESULTS

The Commission Internationale de l'Eclairage (CIE) color system revealed color variations between the with/without coated samples. The TiO(2)-coated PMMA specimen displayed high levels of glossiness, highlighting the efficient self-cleansing actions of the denture. The measured surface roughness decreased upon primer coating, and increased following TiO(2) coating.

CONCLUSIONS

The thin TiO(2) coating afforded high levels of glossiness while maintaining the color of the denture base material.

Polyamide as a Denture Base Material: A Literature Review

The purpose of this article was to review the biocompatibility, physical, and mechanical properties of the polyamide denture base materials. An electronic search of scientific papers from 1990-2014 was carried out using PubMed, Scopus and Wiley Inter Science engines using the search terms "nylon denture base" and "polyamide denture base". Searching the key words yielded a total of 82 articles. By application of inclusion criteria, the obtained results were further reduced to 24 citations recruited in this review. Several studies have evaluated various properties of polyamide (nylon) denture base materials. According to the results of the studies, currently, thermo-injectable, high impact, flexible or semi-flexible polyamide is thought to be an alternative to the conventional acrylic resins due to its esthetic and functional characteristics and physicochemical qualities. It would be justifiable to use this material for denture fabrication in some cases such as severe soft/ hard tissue undercuts, unexplained repeated fracture of denture, in aesthetic-concerned patients, those who have allergy to other denture base materials, and in patients with microstomia.  Although polyamide has some attractive advantages, they require modifications to produce consistently better properties than the current polymethyl methacrylate (PMMA) materials. Moreover, since there is a very limited knowledge about their clinical performance, strict and careful follow-up evaluation of the patients rehabilitated with polyamide prosthesis is recommended.

Dimensional changes of acrylic resin denture bases: conventional versus injection-molding technique

OBJECTIVE

Acrylic resin denture bases undergo dimensional changes during polymerization. Injection molding techniques are reported to reduce these changes and thereby improve physical properties of denture bases. The aim of this study was to compare dimensional changes of specimens processed by conventional and injection-molding techniques.

MATERIALS AND METHODS

SR-Ivocap Triplex Hot resin was used for conventional pressure-packed and SR-Ivocap High Impact was used for injection-molding techniques. After processing, all the specimens were stored in distilled water at room temperature until measured. For dimensional accuracy evaluation, measurements were recorded at 24-hour, 48-hour and 12-day intervals using a digital caliper with an accuracy of 0.01 mm. Statistical analysis was carried out by SPSS (SPSS Inc., Chicago, IL, USA) using t-test and repeated-measures ANOVA. Statistical significance was defined at P<0.05.

RESULTS

After each water storage period, the acrylic specimens produced by injection exhibited less dimensional changes compared to those produced by the conventional technique. Curing shrinkage was compensated by water sorption with an increase in water storage time decreasing dimensional changes.

CONCLUSION

Within the limitations of this study, dimensional changes of acrylic resin specimens were influenced by the molding technique used and SR-Ivocap injection procedure exhibited higher dimensional accuracy compared to conventional molding.

To evaluate and compare the porosities in the acrylic mandibular denture bases processed by two different polymerization techniques, using two different brands of commercially available denture base resins - an in vitro study

BACKGROUND

The aim of this study was to evaluate and compare the porosities in the mandibular acrylic denture bases processed by heat and microwave polymerization techniques, using two different brands of commercially available denture base resins.

MATERIALS & METHODS

Two brands of heat activated denture base resins, DPI plain and Acralyn H cross linked denture base resins designed for conventional water bath polymerization, were used to prepare 48 test specimens of mandibular acrylic denture bases. The test specimens were processed using one cycle of conventional water bath polymerization and one cycle of microwave polymerization. The absolute density of acrylic resin was used to calculate the percent mean porosity of each mandibular acrylic denture base by use of various equations.

RESULTS

Anova analysis reveals highly significant difference between mean percent porosity values of whole denture bases of all groups. Statistics reveals that heat polymerized groups have lesser mean percent porosity values than microwave polymerized groups. It also reveals that denture bases processed with Acralyn H cross linked denture base resin have lesser mean percent porosity values than denture bases processed with DPI Plain denture base resin.

CONCLUSION

Specimens processed with Acralyn H cross linked denture base resin by conventional heat polymerization technique has the least mean percent porosity and specimens processed with DPI Plain denture base resin by microwave polymerization technique has the highest mean percent porosity. How to cite the article: Kasina SP, Ajaz T, Attili S, Surapaneni H, Cherukuri M, Srinath HP. To evaluate and compare the porosities in the acrylic mandibular denture bases processed by two different polymerization techniques, using two different brands of commercially available denture base resins - an in vitro study. J Int Oral Health 2014;6(1):72-7.

Influence of high expansion dental stone used as investing medium on the changes in occlusal vertical dimension of complete dentures

PROBLEM STATEMENT

Despite advances in materials and techniques, complete dentures made of acrylic resin experience an increase in the occlusal vertical dimension (OVD) during processing. Many factors that affect the OVD of complete dentures are known. However, no study has examined the effect of using high-expansion dental stone (type V) as an investing material on the OVD.

PURPOSE

This study investigated the effects of using a high-expansion dental stone as an investing material on changes in the OVD of complete dentures.

MATERIAL AND METHODS

Twenty sets of simulated upper and lower dentures were processed by the compression molding technique. Specimens were equally divided into 2 groups. In the dental stone type III (DST III) group, the lower, middle, and upper parts of a flask were filled with DST III. In the dental stone type V (DST V) group, the procedure was the same as in the DST III group, except that the middle layer was made of high-expansion DST V. Changes in the OVD were measured before and after denture processing. Collected data were analyzed with t-test statistics. Differences were considered statistically significant at the 95% confidence level.

RESULTS

Both groups showed a small increase in the OVD as a result of processing, but the OVD increase was significantly less in the DST V group compared to the DST III group.

CONCLUSION

High-expansion DST V can be recommended as an investing material to reduce the increase in the OVD that may occur while processing complete dentures.

In vitro comparison of two different materials for the repair of urethan dimethacrylate denture bases

PURPOSE

The purpose of this in vitro study was to investigate the flexural properties of a recently introduced urethane dimethacrylate denture base material (Eclipse) after being repaired with two different materials.

MATERIALS AND METHODS

Two repair groups and a control group consisting of 10 specimens each were generated. The ES group was repaired with auto-polymerizing polymer. The EE group was repaired with the Eclipse. The E group was left intact as a control group. A 3-point bending test device which was set to travel at a crosshead speed of 5 mm/min was used. Specimens were loaded until fracture occurred and the mean displacement, maximum load, flexural modulus and flexural strength values and standard deviations were calculated for each group and the data were statistically analyzed. The results were assessed at a significance level of P<.05.

RESULTS

The mean "displacement", "maximum load before fracture", "flexural strength" and "flexural modulus" rates of Group E were statistically significant higher than those of Groups ES and EE, but no significant difference (P>.05) was found between the mean values of Group ES and EE. There was a statistically significant positive relation (P<.01) between the displacement and maximum load of Group ES (99.5%), Group EE (94.3%) and Group E (84.4%).

CONCLUSION

The more economic and commonly used self-curing acrylic resin can be recommended as an alternative repair material for Eclipse denture bases.

Effect of surface treatment on the flexural strength of denture base resin and tensile strength of autopolymerizing silicone based denture liner bonded to denture base resin: an in vitro study

Silicone based denture liners are superior to acrylic based denture liners but it has a problem of failure of adhesion with the denture base. To evaluate the effect on the tensile bond strength of silicone based liner and flexural strength of denture base resin when the latter is treated with different chemical etchants prior to the application of the resilient liner. Rectangular specimens of heat cured PMMA (65 × 10 × 3.3 mm(3)) for flexural strength and (10 × 10 × 40 mm(3)) for tensile strength were fabricated and divided into four subgroups each. One subgroup of each type acted as a control and the rest were subjected to surface treatment with acetone for 30 s, MMA monomer for 180 s, methylene chloride for 15 s, respectively. Silicone based denture liner was processed between 2 PMMA specimens (10 × 10 × 40 mm(3)) in the space provided by a spacer, thermocycled (5(-)55°C) for 500 cycles and then their tensile strength measurements and flexural strength measurements were done. 180 s of MMA monomer treatment was found to be most effective in improving the bonding between the liner and denture base resin as well as producing the lowest decrease in flexural strength of denture base resin. Chemical treatment of denture base resin improves the bond strength of denture liner but it also decreases the flexural strength of denture base. So careful selection of chemical etchant should be done so as to produce minimum decrease in flexural strength of denture base resin.

Effect of repeated simulated disinfections by microwave energy on the complete denture base adaptation

This study evaluated the effect of repeated microwave disinfections on the adaptation of the maxillar denture base using 2 different flask closure methods. Twenty stone cast-wax base sets were prepared for flasking by traditional cramp or RS system methods. Five bases for each method were submitted to 5 repeated simulated disinfections in a microwave oven with 650W for 3 minutes. Control bases were not disinfected. Three transverse cuts were made through each stone cast-resin base set, corresponding to canine, first molar, and posterior region. Measurements were made using an optical micrometer at 5 points for each cut to determine base adaptation: left and right marginal limits of the flanges, left and right ridge crests, and midline. Results for base adaptation performed by the flask closure methods were: traditional cramp (non-disinfected = 0.21 ± 0.05mm and disinfected = 0.22 ± 0.05mm), and RS system (non-disinfected = 0.16 ± 0.05 and disinfected = 0.17 ± 0.04mm). Collected data were submitted to ANOVA and Tukey test (α=.05). Repeated simulated disinfections by microwave energy did not cause deleterious effect on the base adaptation, when the traditional cramp and RS system flask closure methods were compared.