Effect of tinfoil substitute contamination on adhesion of resin denture tooth to its denture base

Bonding Efficiency between Artificial Teeth and Denture Base in CAD/CAM and Conventional Complete Removable Dentures

A common challenge encountered with both traditional and digitally produced dentures involves the extraction of artificial teeth from the denture base. This narrative review seeks to present an updated perspective on the adherence of synthetic teeth for denture base materials, employing diverse methods. Dental technicians often employ chemical approaches and mechanical techniques (including abrasion, laser treatment, and abrasive blasting) to augment the retention of denture teeth. However, the efficacy of these treatments remains uncertain. In certain instances, specific combinations of Denture Base Resin (DBR) materials and artificial teeth exhibit improved performance in conventional heat-cured dentures following these treatments. The primary reasons for failure are attributed to material incompatibility and inadequate copolymerization. As new denture fabrication techniques and materials continue to emerge, further research is imperative to identify optimal tooth-DBR combinations. Notably, 3D-printed tooth-DBR combinations have demonstrated reduced bond strength and less favorable failure patterns, while utilizing milled and traditional combinations appears to be a more prudent choice until advancements in additive manufacturing enhance the reliability of 3D-printing methods.

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.

Comparison of Bond Strength of Acrylic, Composite, and Nanocomposite Artificial Teeth to Heat-Cure Acrylic Denture Base Resin

Objectives:

The present study aimed to evaluate the bond strength of heat-cure denture base resin to newly designed Iranian artificial acrylic teeth.

Materials and Methods:

In this in-vitro experimental study, shear bond strengths of Ivoclar acrylic, Apple composite, and B-Star nanocomposite teeth to heat-cure acrylic denture base resin were compared. A total of 18 samples were selected from each group of teeth. The samples were attached to heat-cure resin according to ISO 10477 standard. For the assessment of bond strength, the samples were placed in a universal testing machine and were subjected to shear forces at a speed of 1 mm/minute to record the fracture load. Descriptive statistics, including frequency, mean, and standard deviation, were calculated using SPSS 20 software. Two-way analysis of variance was used to compare the shear bond strength of the groups with and without monomers and the studied artificial teeth.

Results:

The mean shear bond strengths of Ivoclar acrylic teeth were 392.22±23.76 MPa and 337.11±32.18 MPa with and without adding monomers to the tooth surface, respectively. The mean shear bond strengths were 250.44±29.84 MPa and 238.33±27.28 MPa (without monomers) and 438.33±24.16 MPa and 311.56±32.78 MPa (with monomers) for Apple composite and B-Star nanocomposite artificial teeth, respectively.

Conclusion:

The greatest shear bond strength was attributed to Ivoclar acrylic teeth followed by Apple composite and B-Star nanocomposite artificial teeth. Addition of monomers to the tooth surface significantly strengthened the shear bonding of acrylic base resin to the teeth.

The bond between acrylic resin denture teeth and the denture base: recommendations for best practice

Failure of the bond between denture teeth and base acrylic resin has been shown to be a cause of denture failure leading to inconvenience and costly repair. The optimal combination of acrylic resin denture tooth, denture base material, laboratory protocol and processing method has not yet been established. Extensive research enables the following recommendations for best practice to be made. Adopt practices that maximise the strength of the bond: select appropriate denture teeth; select base acrylic resin from the same manufacturer as the denture teeth; remove the glaze from ridgelaps of the denture teeth; apply monomer to the ridgelaps of the denture teeth before packing the base acrylic resin dough; use the manufacturers' recommended liquid/powder ratio; follow the manufacturers' recommended curing cycle; allow the flask to cool slowly and rest before deflasking. Adopt practices that avoid factors detrimental to bond strength: remove all traces of wax from the ridge laps of the denture teeth; remove all traces of mould seal from the ridgelaps of the denture teeth. It is evident that a number of factors are involved which may assist or prevent formation of an adequate bond, suggesting that attention to detail by the dental technician may be the most critical factor.

Influence of Surface Modifications of Acrylic Resin Teeth on Shear Bond Strength with Denture Base Resin-An Invitro Study

BACKGROUND

Debonding of artificial teeth from the denture base is an important issue for edentulous patients rehabilitated with conventional or implant supported complete dentures.

AIM

The purpose of this study was to evaluate shear bond strength between denture base resin and acrylic resin denture teeth subjected to three different surface modifications on the ridge lap area as compared to unmodified denture teeth.

MATERIALS AND METHODS

Forty acrylic resin central incisor denture teeth were selected and randomly divided into four test groups. The teeth in each group were subjected to one of the three different surface modifications, namely, chemical treatment, sandblasting and placement of retentive grooves on the ridge lap area respectively, prior to packing of the denture base resin. The group with unmodified teeth served as control. Forty acrylic resin test blocks thus obtained were tested for shear bond strength between acrylic resin teeth and denture base resin in Universal Testing Machine. Data obtained was statistically analysed using one-way ANOVA and Student- Newman- Keul's test (p< 0.05).

RESULTS

Analysis of shear bond strength revealed that retentive grooves on the ridge lap area showed highest bond strength values followed by sandblasting and both were statistically significant compared to the control and chemically treated groups. Unmodified surface of the resin teeth showed the least bond strength.

CONCLUSION

Within the limitations of this invitro study the placement of retentive grooves or sandblasting of the ridge lap area showed highly significant improvement in shear bond strength compared to the unmodified surface. Chemical treatment did not result in any significant improvement in the shear bond strength compared to the unmodified surface.

Shear bond strength of acrylic teeth to acrylic denture base after different surface conditioning methods

BACKGROUND AND OBJECTIVES

Acrylic resin ruled the dental profession for 60 years, and this success is attributed to its aesthetics, handling properties, physical and biological compatibility, its stability in oral environment and its cost effectiveness. The objective of this study is to evaluate and compare the bond strength of acrylic resin teeth treated with various conditioning materials like monomer and silane coupling agent. METHDOLOGY: A study was carried out in which 96 samples were grouped into 3 groups with a sample size of 32 each (16 premolars, 16 molars). They were conditioned with different conditioning materials i,e monomer and silane coupling agent. Monomer, Silane coupling agent are coated on the ridge lap area before thermocycling and cured according to the manufacturer recommendations. The samples are retained from the fask; trimmed and polished. The samples are then subjected to shear bond strength using the Insteron Universal Testing Machine.

RESULTS

In the present study it was found that application of monomer increased the bond strength between acrylic teeth and denture base, when compared to the conventionally processed samples. However it was found that application of silane coupling agent further increased the shear bond strength between acrylic teeth and denture base. Interprations and

CONCLUSIONS

Within the confnes of this study it is found that there was a signifcant improvement in the bond strength between the acrylic teeth and denture base when silane coupling agent and monomer were used as surface conditioning material. The order of shear strength of samples is control > monomer > silane coupling agent.

Effect of trichloromethane on the bond strengths between acrylic teeth and different heat-cured denture bases: a comparative study

AIM

This study is to evaluate the role of 1:1 v/v 30% trichloromethane and monomer solvent in enhancing the durability of bonding between cross-linked acrylic teeth and different heatcured denture bases with or without mechanical preparations made on ridge lap portion of the artificial teeth.

MATERIALS AND METHODS

Two high impact denture base resin materials (Trevalon HI, DeTrey, UK, and DPI Tuff, Mumbai) and one nonhigh impact denture base resin material (DPI Quick Set, Mumbai) were selected to form three groups. Each group contains 30 specimens prepared by five different methods. A mixture of 30% trichloromethane and monomer, mixed in the ratio of 1:1 and applied for 1 minute on the ridge lap area of experimental specimens of methods--B, C, D and E (Specimens of method--A being control group, where no alterations were made at the ridge lap portion of acrylic teeth) before curing. Hounsfield universal testing machine is employed to evaluate the comparative bond strengths.

RESULTS

No significant difference was seen in bond strengths between specimens of experimental methods in all groups. When each group was assessed separately method B specimens in group 1 (739.2 N), group 2 (758 N) and method D specimens in group 3 (729 N) showed highest mean bond strengths. Control group specimens showed the least bond strength (400-460 N) in all groups with more adhesive failures.

CONCLUSION

Ridge lap portion of the specimens treated with chemical solvent as in method B showed increased bond strength in groups 1 and 2. Hence, this is a preferred method.

CLINICAL SIGNIFICANCE

Evaluation of effect of different chemical and mechanical preparations at the ridge lap areas of acrylic teeth before acrylization helps the clinician and technician to overcome the problem of debonding of teeth from denture bases and in turn provides better quality prosthesis to the patient.

Measurement of interfacial porosity at the acrylic resin/denture tooth interface

PURPOSE

Small pores of almost uniform shape and size are common in polymeric materials; however, significant porosity can weaken a denture base resin and promote staining, harboring of organisms such as Candida albicans, and bond failures between the artificial tooth and denture base resin. The aim of this study was to investigate the porosity at the interface of one artificial tooth acrylic resin (Trilux, copolymer of polymethyl methacrylate, ethylene glycol dimethacrylate, and color pigments) and three denture base resins: Acron MC (microwave-polymerized), Lucitone 550 (heat-polymerized), and QC-20 (heat-polymerized).

MATERIALS AND METHODS

Ten specimens of each denture base resin with artificial tooth were processed. After polymerization, specimens were polished and observed under a microscope at 80x magnification. The area of each pore present between artificial tooth and denture base resin was measured using computer software, and the total area of pores per surface was calculated in millimeter square. The Kruskal-Wallis test was performed to compare porosity data (alpha= 0.05).

RESULTS

Porosity analysis revealed the average number of pores (n), area range (S, mm(2)), and diameter range (d, mum) for Acron MC (n = 23, S = 0.001 to 0.0056, d = 35 to 267), Lucitone 550 (n = 13, S = 0.001 to 0.005, d = 35 to 79), and QC-20 (n = 19, S = 0.001 to 0.014, d = 35 to 133). The analyses showed that there were no statistically significant differences among the groups (p= 0.7904).

CONCLUSIONS

Within the limitations of this in vitro study, it was concluded that the denture base resins evaluated did not affect porosity formation at the artificial tooth/denture base resin interface.

Bonding acrylic teeth to acrylic resin denture bases: a review

Partial or complete dentures are more commonly constructed for the elderly group of the population. Teeth debonding from the dentures can be frustrating to the patients as well as the dentist. Research has been carried out and is continuing to study the issue of bonding acrylic teeth to the denture base resin. The present review takes into account the majority of research papers published in the last five decades for determining the bond strength. Selection of more compatible combinations of denture base resins and acrylic teeth may reduce the number of prosthesis fractures and the resultant repairs.

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

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

An investigation of the variables which may affect the bond between plastic teeth and denture base resin

OBJECTIVES

The failure of the bond between acrylic resin denture base material and resin teeth remains a significant problem. This study evaluated the tensile bond strength of specimens produced by commonly employed tooth preparation and processing methods as used in dental laboratories.

METHODS

Twenty-two experimental groups, each consisting of 36 specimens, were investigated by subjecting the tooth-resin bond to tensile loading. The groups were allocated to one of five experimental sets to investigate: (a) effect of resin dough time, (b) effect of tooth surface condition, (c) effect of processing variables, (d) effect of monomer cementing, and (e) effect of acrylic resin cement. The results were analysed statistically using a one factor ANOVA and a Student t test.

RESULTS

A significantly stronger bond was obtained when the resin was packed late in the dough stage, and a superior bond, in all cases, when high-impact resin was used. Tooth surface modification by grinding or grooving made no significant difference when compared with unmodified surfaces. Wax-contaminated surfaces produced highly significant weaker bonds. Time of introduction and duration of water-bath processing had no significant effect on bond strength. Monomer cementing of the tooth surface, especially with high-impact monomer. significantly improved the bond strength. The application of resin cements was found to produce the most significant increase in denture tooth bond strength.

CONCLUSIONS

The important steps in obtaining a consistently high value denture tooth bond are thorough dewaxing of the tooth surface followed by the application of a suitable resin cement.

Evolution of post and core systems

Post and core systems have evolved dramatically over the past few years. Some procedures based on the use of resin-composite systems seem destined for failure in the long term. New glass ionomer based systems, employing resin hybrid materials should give rise to fewer complications and prove simpler to use. Nevertheless, intelligent case selection and the application of sound basic design principles are required to make the best use of any system.

A survey of the pre-bonding preparation of denture teeth and the efficiency of dewaxing methods

OBJECTIVES

Denture tooth debonding remains a significant problem, with the surface condition of the tooth playing a pivotal role. The purpose of this investigation was to determine the methods used in tooth preparation. The efficiency of wax removal from teeth using a range of water temperatures was also investigated.

METHODS

(a) A postal survey on the methods of denture tooth preparation, prior to denture processing, was conducted amongst dental instructors in prosthodontic departments of dental schools in Great Britain and Ireland. (b) Tooth surfaces contaminated with fluorescence wax were subjected to agitation in water at a range of temperatures and the surfaces examined under ultraviolet radiation.

RESULTS

(a) The majority of operators did not use a solvent for the removal of the wax film from the teeth. Modification of the tooth ridge lap surface was carried out by 52% of the respondents on initial processing but increased to 85% when rebonding teeth. (b) Dewaxing denture teeth at a range of water temperatures showed wax retention on the tooth surfaces up to 90 degrees C. Rough surfaces retained more wax than smooth surfaces. Wax eliminator was shown to be necessary for complete wax removal.

CONCLUSIONS

No standard technique exists amongst dental instructors for the preparation of denture teeth prior to acrylic resin polymerization. The use of a wax solvent is to be recommended.

A new technique for determining the denture tooth bond

Defective bonds between resin teeth and denture base material remain a continuing source of failure. Findings from the limited number of studies on this topic are diminished by the numerous experimental approaches adopted. National and international standard specifications also adopt different methods of specimen preparation and physical straining. A critical appraisal of the various standards is carried out and a new procedure for determining the denture tooth to acrylic resin bond is described. A study using this technique found that physical modification and alginate contamination of the tooth had no significant effect on the bond strength. Ineffectual wax elimination was the main cause of failure.

Bonding of resin teeth to the polymethyl methacrylate denture base material

The objective of this study was to compare bonding of acrylic resin teeth treated in various ways to the polymethyl methacrylate (PMMA) denture base material. The joint surface of each acrylic tooth cured to heat-cured or autopolymerizing PMMA was either untreated, ground, or adjusted with mechanical retention. The bond to the PMMA was tested with a three-point loading test. To determine whether the bond failure was adhesive or cohesive, the fracture surfaces were analyzed visually and by scanning electron microscopy. The highest bond strength to both the heat-cured and the autopolymerizing PMMA was obtained by grinding grooves on the joint surface of an acrylic resin tooth before it was cured to the PMMA (p < 0.001). Heat-cured PMMA did not adhere to the acrylic resin tooth better than the autopolymerizing PMMA did (p > 0.05).

Wetting the repair surface with methyl methacrylate affects the transverse strength of repaired heat-polymerized resin

This study investigated the transverse strength of repaired test specimens of heat-cured acrylic resin. The repair surfaces of the specimens were wetted with methyl methacrylate for various amounts of time before the autopolymerizing acrylic resin was applied to the joint space. A three-point loading test was used to determine the transverse strength of the test specimens, and the morphologic changes in the methyl methacrylate-wetted repair surface was analyzed by scanning electron microscopy. Visual inspection was used to determine whether the failures were adhesive or cohesive. The results revealed that repaired test specimens were weaker than those unrepaired (p < 0.001). The strength of the test specimens increased as the duration of methyl methacrylate wetting of the repair surfaces increased (p < 0.001). Furthermore, the number of adhesive failures was small if the repair surfaces were adequately wetted with methyl methacrylate. Scanning electron micrographs revealed that after 60- and 180-second wetting periods, the poly(methyl methacrylate) was noted to be dissolved with a smooth surface texture. This study suggests that proper wetting of the repair surface makes an important contribution to the strength of repaired acrylic resin.

Bond strength of denture teeth to acrylic bases

The literature relating to the determination of the bond strength of plastic denture teeth to acrylic resin denture material is reviewed. The papers are presented in chronological order with information on specimen preparation, batch sizes and methods of testing. The lack of uniformity in experimental techniques and the diverse range of products assessed makes recommendations for laboratory practice difficult to formulate. One consistent observation is that tooth surface contamination with wax decreases the bond strength between the teeth and the denture base material. A universal testing method needs to be formulated to replace the various techniques now employed.