In vitro evaluation of the influence of repairing condition of denture base resin on the bonding of autopolymerizing resins

Influence of hydrothermal aging on the shear bond strength of 3D printed denture-base resin to different relining materials

OBJECTIVES

This study evaluated the repairability of three-dimensional printed (3DP) denture bases based on different conventional relining materials and aging.

MATERIAL AND METHODS

The groups for surface characterization (surface-roughness and contact-angle measurements) were divided based on the denture base and surface treatment. Shear bond strength test and failure-mode analysis were conducted by a combination of three variables: denture base, relining materials, and hydrothermal aging (HA). The initial characterization involved quantifying the surface roughness (n = 10) and contact angle (n = 10) of denture base specimens with and without sandblasting (SB) treatment. Four relining materials (Kooliner [K], Vertex Self-Curing [V], Tokuyama Rebase II (Normal) [T], and Ufi Gel Hard [U]) were applied to 3DP, heat-cured (HC), and self-cured (SC) denture-base resin specimens. Shear bond strength (n = 15) and failure-mode analyses (n = 15) were performed before and after HA, along with evaluations of the fractured surfaces (n = 4). Statistical analyses were performed using a two-way analysis of variance (ANOVA) for surface characterization, and a three-way ANOVA was conducted for shear bond strength.

RESULTS

The surface roughness peaked in HC groups and increased after SB. The 3DP group displayed significantly lower contact angles, which increased after treatment, similar to the surface roughness. The shear bond strength was significantly lower for 3DP and HC denture bases than for SC denture bases, and peaked for U at 10.65 ± 1.88 MPa (mean ± SD). HA decreased the shear bond strength relative to untreated samples. Furthermore, 3DP, HC, and SC mainly showed mixed or cohesive failures with V, T, and U. K, on the other hand, trended toward adhesive failures when bonded with HC and SC.

CONCLUSION

This study has validated the repairability of 3DP dentures through relining them with common materials used in clinical practice. The repairability of the 3DP denture base was on par with that of conventional materials, but it decreased after aging. Notably, U, which had a postadhesive application, proved to be the most effective material for repairing 3DP dentures.

Effect of Surface Textures and Fabrication Methods on Shear Bond Strength Between Titanium Framework and Auto-Polymerizing Acrylic Repair Resin

The aim of the study was to evaluate the effect of airborne particle abrasion (using different sizes of alumina particles) on the shear bond strength (SBS) between cast and milled titanium metal frameworks and auto-polymerizing acrylic repair resin. Forty flat cylindrical titanium disks were divided into two main divisions: cast and milled titanium. The two divisions were further subdivided into four groups based on metal surface treatment. Three particle sizes of aluminum oxide air abrasive powders (50µm, 110µm, and 250µm) were used for metal surface treatment by airborne particle abrasion. One group was the control group with no surface treatment. Auto-polymerizing acrylic repair resin was applied to all titanium disks. The specimens were subjected to SBS testing using a universal testing machine (Instron Corporation, Norwood, Massachusetts, United States). Surface evaluation was performed using a scanning electron microscope. One-way ANOVA was used for statistical analysis. The results showed a significant increase in SBS after airborne particle abrasion of both milled and cast titanium groups (p<0.001). The SBS was directly proportional to the size of the aluminum oxide particles. The milled titanium group showed higher SBS values than the cast group when the surface was not treated with alumina particles (p < 0.001) and when the surface was treated with the smaller particle sizes of 50 µm, whereas the cast group demonstrated higher SBS values than the milled group (p < 0.01) when the particle size was increased to 110 µm and 250 µm. It could be concluded that SBS between titanium metal frameworks and auto-polymerizing repair acrylic resin was directly related to the size of the alumina airborne particle abrasives. The fabrication method of the titanium framework also influenced the SBS as the untreated milled frameworks demonstrated favorable SBS values compared to the untreated cast frameworks.

The effects of different surface treatments applied to milled PMMA denture base material on repair bond strength

The high cost of CAD/CAM systems and materials is a severe economic burden. Therefore, repair of CAD/CAM PMMA, selecting appropriate repair materials, and surface modifications are clinically important. This study aims to evaluate the shear bond strength of PMMA repair materials after various surface treatments on CAD/CAM PMMA denture base material. For this purpose, a total of 480 CAD/CAM PMMA denture base test specimens were manufactured. Then all test specimens were divided into 6 groups, and different surface treatments were applied. Group A: sandblasting, Group B: 4% hydro fluoric acid, Group C: tungsten carbide bur, Group D: dichloromethane + methyl methacrylate mixture, Group E: dichloromethane and methyl methacrylate, Group F: no surface treatment. Each group is then divided into 4 different subcategories; repair processes were performed using; heat-cured acrylic resin (n:20), auto-polymerized acrylic resin (n:20), gingiva composite (n:20), and CAD/CAM PMMA tooth material (n:20). After repairs, thermal aging was applied to half of the test specimens in each subcategory. The shear bond strength value was measured with a universal test device. Sandblasting group showed the highest surface roughness value in all test specimens (p < 0.001). Heat-cured acrylic resin with sandblasting exhibited the highest bond strength, while the untreated gingiva composite resin exhibited the lowest value. Thermal aging decreased bond strength in all repair materials (p < 0.001). Among the surface treatment groups, sandblasting with Al2O3 particles exhibited the highest surface roughness value and repair bond strength. The application of organic solvents to the surface increased the surface roughness and repair bond strength. Applying dichloromethane and methyl methacrylate monomer separately is more effective than applying it as a mixture. The ideal bonding among repair materials was obtained with heat-cured acrylic resin.

Repair Bond Strength of Conventionally and Digitally Fabricated Denture Base Resins to Auto-Polymerized Acrylic Resin: Surface Treatment Effects In Vitro

Denture base fracture is one of the most annoying problems for both prosthodontists and patients. Denture repair is considered to be an appropriate solution rather than fabricating a new denture. Digital denture fabrication is widely spreading nowadays. However, the repair strength of CAD-CAM milled and 3D-printed resins is lacking. This study aimed to evaluate the effect of surface treatment on the shear bond strength (SBS) of conventionally and digitally fabricated denture base resins. One l heat-polymerized (Major base20), two milled (IvoCad, AvaDent), and three 3D-printed (ASIGA, NextDent, FormLabs) denture base resins were used to fabricate 10 × 10 × 3.3 acrylic specimens (N = 180, 30/resin, n = 10). Specimens were divided into three groups according to surface treatment; no treatment (control), monomer application (MMA), or sandblasting (SB) surface treatments were performed. Repair resin was bonded to the resin surface followed by thermocycling (5000 cycles). SBS was tested using a universal testing machine where a load was applied at the resin interface (0.5 mm/min). Data were collected and analyzed using ANOVA and a post hoc Tukey test (α = 0.05). SEM was used for failure type and topography of fractured surfaces analysis. The heat-polymerized and CAD-CAM milled groups showed close SBS values without significance (p > 0.05), while the 3D-printed resin groups showed a significant decrease in SBS (p < 0.0001). SBS increased significantly with monomer application (p < 0.0001) except for the ASIGA and NextDent groups, which showed no significant difference compared to the control groups (p > 0.05). All materials with SB surface treatment showed a significant increase in SBS when compared with the controls and MMA application (p < 0.0001). Adhesive failure type was observed in the control groups, which dramatically changed to cohesive or mixed in groups with surface treatment. The SBS of 3D-printed resin was decreased when compared with the conventional and CAD-CAM milled resin. Regardless of the material type, SB and MMA applications increased the SBS of the repaired resin and SB showed high performance.

Effect of repair methods and materials on the flexural strength of 3D-printed denture base resin

PURPOSE

The aim of this study was to evaluate the flexural strength of a 3D-printed denture base resin (Cosmos Denture), after different immediate repair techniques with surface treatments and thermocycling.

MATERIALS AND METHODS

Rectangular 3D-printed denture base resin (Cosmos Denture) specimens (N = 130) were thermocycled (5,000 cycles, 5℃ and 55℃) before and after the different repair techniques (n = 10 per group) using an autopolymerized acrylic resin (Jet, J) or a hard relining resin (Soft Confort, SC), and different surface treatments: Jet resin monomer for 180 s (MMA), blasting with aluminum oxide (JAT) or erbium: yttrium-aluminum-garnet laser (L). The control group were intact specimens. A three-point flexural strength test was performed, and data (MPa) were analyzed by ANOVA and Games-Howell post hoc test (α = 0.05). Each failure was observed and classified through stereomicroscope images and the surface treatments were viewed by scanning electron microscope (SEM).

RESULTS

Control group showed the highest mean of flexural strength, statistically different from the other groups (P < .001), followed by MMA+J group. The groups with L treatment were statistically similar to the MMA groups (P > .05). The JAT+J group was better than the SC and JAT+SC groups (P < .05), but similar to the other groups (P > .05). Adhesive failures were most observed in JAT groups, especially when repaired with SC. The SEM images showed surface changes for all treatments, except JAT alone.

CONCLUSION

Denture bases fabricated with 3D-printed resin should be preferably repaired with MMA+J. SC and JAT+SC showed the worst results. Blasting impaired the adhesion of the SC resin.

Polymethylmethacrylate Incorporating Nanodiamonds for Denture Repair: In Vitro Study on the Mechanical Properties

OBJECTIVE

 This study aimed to evaluate the effect of nanodiamond (ND) addition to repair resin with repair gap modifications on the flexural and impact strength of repaired polymethylmethacrylate denture base.

MATERIALS AND METHODS

 Heat-polymerized acrylic resin specimens (N = 100/test) were prepared and sectioned to half creating two repair gaps: 2.5- and 0 mm with 45 degrees beveling. They were further divided into subgroups (n = 20) according to ND concentration (control, 0.25%ND, and 0.50%ND), thermocycling (500 cycles) was done to half the specimens in each subgroup. Flexural strength was tested using 3-point bending test and impact strength was tested by Charpy's impact test. Analysis of variance and post-hoc Tukey's tests were performed for data analysis (α = 0.05). Scanning electron microscope was employed for fracture surface analysis and ND distribution.

RESULTS

 Before and after thermocycling, the addition of ND significantly increased the flexural strength and elastic modulus in comparison to control group (p ˂ 0.001), while 0 mm repair gap showed insignificant difference between ND-reinforced groups (p ˃ 0.05). Regarding impact strength, ND addition increased the impact strength with 0 mm gap in comparison to control and 2.5 mm with ND (p˂0.001), while later groups showed no significant in between (p ˃ 0.05). Comparing thermocycling effect per respective concentration and repair gap, thermocycling adversely affected all tested properties except elastic modulus with 0 mm-0.25 and 0 mm-0.5% and impact strength with 2.5 mm, 2.5 mm-0.25%, 2.5 mm- 0.5% (p ˃ 0.05).

CONCLUSION

 ND addition combined with decreased repair gap improved the flexural strength, elastic modulus, and impact strength of repaired denture resin, while thermocycling has a negative effect on denture repair strength.

Should local drug delivery systems be used in dentistry?

In dentistry, the use of biomaterial-based drug delivery systems (DDS) aiming the release of the active compounds directly to the site of action is slowly getting more awareness among the scientific and medical community. Emerging technologies including nanotechnological platforms are offering novel approaches, but the majority are still in the proof-of-concept stage. This study critically reviews the potential use of DDS in anesthesiology, oral diseases, cariology, restorative dentistry, periodontics, endodontics, implantology, fixed and removable prosthodontics, and orthodontics with a special focus on infections. It also stresses the gaps and challenges faced. Despite numerous clinical and pharmacological advantages, some disadvantages of DDS pose an obstacle to their widespread use. The biomaterial's biofunctionality may be affected when the drug is incorporated and may cause an additional risk of toxicity. Also, the release of sub-therapeutic levels of drugs such as antibiotics may lead to microbial resistance. Multiple available techniques for the manufacture of DDS may affect drug release profiles and their bioavailability. If the benefits outweigh the costs, DDS may be potentially used to prevent or treat oral pathologies as an alternative to conventional strategies. A case-by-case approach must be followed.

Effect of different surface treatments on surface roughness and flexural strength of repaired 3D-printed denture base: An in vitro study

STATEMENT OF PROBLEM

Information regarding three-dimensional-printed (3D-printed) dentures, especially when using the additive manufacturing technique, and the repair strength of this type of denture is sparse.

PURPOSE

The purpose of this in vitro study was to assess the effect of different surface treatments on the surface roughness and flexural strength of repaired 3D-printed denture base.

MATERIAL AND METHODS

One hundred and twenty 3D-printed bar-shaped specimens were fabricated from acrylic resin and divided into 6 groups (n=20). The positive control group consisted of intact specimens. The other specimens were sectioned in half with a 1-mm gap. Except for the specimens in the negative control group, the remaining specimens were treated with erbium: yttrium-aluminum-garnet (Er:YAG) laser, airborne-particle abrasion, a combination of laser and airborne-particle abrasion, and bur grinding. All sectioned specimens were repaired by autopolymerizing acrylic resin and thermocycled after measuring their surface roughness with a profilometer. The flexural strength test was performed with a universal testing machine. One specimen of each group was inspected under a scanning electron microscope. The data were analyzed with ANOVA, followed by the Games-Howell post hoc test or the Kruskal-Wallis test followed by the Mann-Whitney test with Bonferroni adjustment.

RESULTS

The mean flexural strength of the PC group was significantly higher than that of all repaired groups (P<.001). All surface-treated groups showed significantly higher flexural strength (P<.05) and surface roughness (P<.004) than the negative control group. Bur grinding provided significantly higher flexural strength than other surface treatments (P<.001) and higher surface roughness than laser and airborne-particle abrasion plus laser (P<.001).

CONCLUSIONS

All surface treatments significantly increased the surface roughness and flexural strength, but none of them yielded a strength comparable with that of the intact group. Bur grinding provided the highest flexural strength.

Closed Repair Technique: Innovative Surface Design for Polymethylmethacrylate Denture Base Repair

PURPOSE

This study aimed to evaluate the repair strength of a newly introduced repair technique involving zero-gap repair width.

MATERIALS AND METHODS

A total of 36 rectangular prism specimens with dimensions of 64 × 10 × 3.3 mm were prepared from heat-polymerized acrylic resin. Nine specimens were kept intact. The other specimens were sectioned into halves and modified to create repair gaps of 2.5-mm beveled (2.5B) as control, 0-mm beveled (ZB), and 0-mm inverse bi-beveled (ZIBB). The ZIBB group was prepared with a V-shaped internal groove on both halves (repair tunnel), while the intaglio and cameo surfaces were kept intact except for two small holes at the cameo surface for repair resin injection. The 2.5B and ZB groups were repaired conventionally while the ZIBB group was repaired by injecting repair resin into the tunnel through one of the holes until excess material oozed from the other hole. Repaired specimens were thermally cycled at 5 and 55°C for 10,000 cycles with 1 min dwell time. A 3-point bending test was conducted using a universal testing machine for flexural strength and elastic modulus measurement. Kruskal-Wallis/Mann-Whitney tests and ANOVA/post hoc Tukey tests were applied for data analysis (α = 0.05).

RESULTS

The flexural strength of repaired specimens was substantially lower than that of intact specimens, and significant differences were present between repaired groups (p ˂ 0.05). ZB and ZIBB had higher flexural strength (p ˂ 0.001) and elastic modulus (p ˂ 0.05) than 2.5B. Among the ZB and ZIBB groups, ZB showed the highest flexural strength, and ZIBB had the highest elastic modulus.

CONCLUSION

The closed repair technique improved the flexural strength and elastic modulus of repaired acrylic denture base.

Influence of Different Reline Materials and Processing Methods on Flexural Strength of Denture Base Material

Background/Aim: Relining is defined as the procedure used to resurface the tissue side of a denture with new base material, thus producing an accurate adaptation is provided at the denture foundation area. During mastication, relined dentures have to withstand masticatory forces to prevent fracture. The aim of this study was to evaluate the flexural strength of acrylic resin denture base relined with different methods and materials.

Material and Methods: Fourteen experimental groups and one control group were determined to consider different reline materials and processing methods. Acrylic resin specimens were prepared with the dimensions of 65× 10× 1.5 mm and reline materials (1.5 mm thickness) were placed on acrylic resins. Reline material was not used in control group specimens. Flexural strength values of relined and control specimens were measured with three-point bending test at a speed of 5 mm/min. Data were analyzed with using one way Anova and Student t tests.

Results: The highest flexural strength values were shown in control group (86.51±1.08 MPa). There were significant differences among relined specimens (p< 0.05). For the relined specimens, the highest flexural strength values were found in the relined specimens with denture base material (77.90±1.93 MPa), and the lowest values were found in relined with autopolymerize acrylic material (59.81±1.50 MPa).

Conclusions: Relining of the heat cure denture base material significantly decreases the flexural strength for all processing methods and materials.

Prosthodontic Applications of Polymethyl Methacrylate (PMMA): An Update

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

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

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

Impact of different surface treatments and repair material reinforcement on the flexural strength of repaired PMMA denture base material

This study assessed the impact of surface treatments and repair resin reinforcement with zirconium oxide nano-particles (nano-ZrO₂) on flexural strength (FS) of repaired denture base. A total of 320 heat-polymerized acrylic resin specimens were prepared and sectioned creating 2-mm gap. According to repair surface treatment, specimens were distributed into four groups: I) methyl methacrylate (M); II) alumina-blasted (AB); III) AB+silane coupling agent (SC); and IV) AB+methacrylate based composite bonding agent (MA). Groups were subdivided into 4 (n=20) according to nano-ZrO₂ concentration (0, 2.5, 5, 7.5 wt%). Half the specimens were thermo-cycled before testing. FS was determined by three-point bending test. Statistical analysis was done using ANOVA and Tukey-Kramer multiple comparison tests, with α=0.05. Alumina-blasting+(SC) or (MA) significantly increased FS of repaired specimens compared to control (p<0.05). All surface-treated specimens combined with nano-ZrO₂ reinforced repair resin significantly increased FS.

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

Background:

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

Aim:

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

Materials and Methods:

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

Result:

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

Conclusion:

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

Influence of incorporation of ZrO2 nanoparticles on the repair strength of polymethyl methacrylate denture bases

BACKGROUND

Repeated fracture of the denture base is a common problem in prosthodontics, and it represents a nuisance and a time sink for the clinician. Therefore, the possibility of increasing repair strength using new reinforcement materials is of great interest to prosthodontists.

AIM OF THE STUDY

This study aimed to evaluate the effects of incorporation of zirconia nanoparticles (nano-ZrO₂) on the flexural strength and impact strength of repaired polymethyl methacrylate (PMMA) denture bases.

MATERIALS AND METHODS

One hundred eighty specimens of heat-polymerized acrylic resin were fabricated (90 for each test) and divided into three main groups: one control group (intact specimens) and two groups divided according to surface design (45° bevels and butt joints), in which specimens were prepared in pairs to create 2.5 mm gaps. Nano-ZrO₂ was added to repair resin in 2.5 wt%, 5 wt%, and 7.5 wt% concentrations of acrylic powder. A three-point bending test was used to measure flexural strength, and a Charpy-type test was used to measure impact strength. Scanning electron microscopy was used to analyze the fracture surfaces and nano-ZrO₂ distribution. The results were analyzed with a paired sample t-test and an unpaired t-test, with a P-value of ≤0.05 being significant.

RESULTS

Incorporation of nano-ZrO₂ into the repair resin significantly increased flexural strength (P<0.05). The highest value was found in the bevel group reinforced with 7.5% nano-ZrO₂, whereas the lowest value was found in the butt group reinforced with 2.5% nano-ZrO₂. The impact strength values of all repaired groups were significantly lower than those of the control group (P<0.05). Among repaired groups, the higher impact strength value was seen in the butt group reinforced with 2.5% nano-ZrO₂. The bevel joint demonstrated mainly cohesive failure, whereas the butt joint demonstrated mainly adhesive failure.

CONCLUSION

Incorporation of nano-ZrO₂ into the repair resin improved the flexural strength of repaired denture bases, whereas it decreased impact strength, especially with high nano-ZrO₂ concentrations.

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

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

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

BACKGROUND

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

OBJECTIVE

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

MATERIALS AND METHODS

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

RESULTS

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

CONCLUSION

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

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

PURPOSE

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

MATERIALS AND METHODS

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

RESULTS

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

CONCLUSION

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

Effect of adherend temperature on bond strengths of resin bonding systems to denture base resin and a semi-precious alloy

This study investigated the effect of adherend temperature on shear bond strengths of auto-polymerizing resin to denture base resin and 4-META/MMA-TBBO resin to silver-palladium-copper-gold (Ag-Pd-Cu-Au) alloy. Bonding procedure was carried out when adherend temperature was 10, 23, 37, or 55°C, and shear bond strengths (SBSs) were measured before and after thermocycling. Before thermocycling, there were no significant differences in bond strength among the four adherend temperatures for each adhesive resin: 31.59±6.11-32.89±2.12 MPa for auto-polymerizing resin; 35.43±2.2-38.38±0.61 MPa for 4-META/MMA-TBBO resin. After thermocycling, optimal adherend temperature to achieve the highest bond strength was 37°C for auto-polymerizing resin to denture base resin (30.02±2.29 MPa) and 10ºC for 4-META/MMA-TBBO resin to Ag-Pd-Cu-Au alloy (37.14±2.17 MPa).

Impact strength of denture base and reline acrylic resins: An in vitro study

This study evaluated the impact strength of a denture base resin (Lucitone 550-L) and four reline resins (Tokuyama Rebase II-T; Ufi Gel Hard-U; New Truliner-NT, and Kooliner-K), both intact and in a reline combination (L/L, L/T, L/U, L/NT, and L/K). For each group (n = 20), half of the specimens were thermocycled before testing. Charpy tests were performed, and the impact strengths were calculated. Data were analyzed by two-way analyses of variance and Tukey's test (p = 0.05). For the intact groups, mean impact strength values for L (1.65 and 1.50) were significantly higher than those of the reline resins (0.38-1.17). For the relined groups, the highest mean impact strength values were produced by L/T (5.76 and 5.12), L/NT (6.20 and 6.03), and L/K (5.60 and 5.31) and the lowest by L/U (0.76 and 0.78). There were no significant differences between L and L/L. Thermocycling reduced the impact strength of T (from 0.73 to 0.38) and L/L (from 1.82 to 1.56).

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

BACKGROUND AND AIM

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

MATERIALS AND METHODS

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

RESULTS

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

CONCLUSION

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

Shear bond strength between light polymerized hard reline resin and denture base resin subjected to long term water immersion

STATEMENT OF THE PROBLEM

The effect of long-term water immersion on the shear bond strength between denture base resin and Triad visible-light-polymerized (VLP) direct hard reline resin is not known.

PURPOSE

The aim of this study was to investigate the bonding characteristics of Triad VLP direct hard reline resin to heat-polymerized denture base resin subjected to long-term water immersion.

MATERIAL AND METHODS

Ninety circular disks, 15 mm in diameter and 3 mm thick, of denture base resin were polymerized from a gypsum mold. Sixty specimens were subjected to water immersion and 30 were stored at ambient room temperature for 4 months. Thirty water-immersed specimens were dried with gauze (group 1), while the other 30 water-immersed specimens were dried with a hair dryer (group 2). The dry specimens (n = 30) represented the control group (group 3). All specimens were air abraded and painted with bonding agent before packing Triad VLP direct hard-reline resin. Specimens in each group were subjected to thermal cycling for 50,000 cycles between 4 °C and 60 °C water baths with 1-min dwell time at each temperature. The bond strength at which the bond failed under stress was recorded using a universal testing machine. One-way ANOVA and Tukey post hoc comparison were applied to find significant differences between groups (α = 0.05).

RESULTS

Significant differences in mean shear bond strength among the specimens existed because of variable water content in the denture base resin (P < 0.05). Group 3 (dry) was higher than group 2 (desiccated), and the lowest was group 1 (saturated).

CONCLUSION

The shear bond strength of Triad VLP direct hard reline resin to denture base resin depended on the water content in the denture base resin. The dry denture base resin demonstrated superior bond strength compared with the desiccated and water-saturated denture base resins.

Management of provisional restorations' deficiencies: a literature review

Provisional restorations are designed in order to protect oral structures and promote function and esthetics for a limited period of time, after which they are to be replaced by a definite prosthesis. They play a particular role in diagnostic procedures and continued evaluation of the treatment plan, as they should resemble the form and function of the definite rehabilitation that they precede. Therefore, interim treatment should satisfy the criteria of marginal adaptation, strength, and longevity. In complicated treatment plans that intend to last for extended periods of time, the function of provisional prostheses involves the possibility of relining, modification, or repair. These adjustments raise considerations regarding the strength of the resultant bond. Chemical composition of the base and repair material, surface characteristics of fracture parts, and time elapsed since the initial set of the rehabilitation should be considered in the decision of the appropriate repair material and technique. Proper pretreatment of the provisional components' surfaces is essential to ensure bonding as well. The purpose of this article is to illustrate the management of provisional restorations' deficiencies. This article highlights possible failures of custom-fabricated provisional restorations, describes methods to prevent their occurrence, and discusses clinical techniques for their management. Finally, the proper combination of materials and surface preparation to achieve the optimum treatment outcomes are presented.

CLINICAL SIGNIFICANCE

Provisional restorations' failures and other deficiencies are encountered by clinicians on a daily basis. Adequate laboratory techniques and material combinations presented herein may contribute to their efficient and predictable modifications and repairs.

Effect of surface treatments and cyclic loading on the bond strength of acrylic resin denture teeth with autopolymerized repair acrylic resin

STATEMENT OF PROBLEM

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

PURPOSE

The purpose of this study was to compare bond strengths of denture teeth to autopolymerized repair acrylic resin after various surface treatments, before and after cyclic loading.

MATERIAL AND METHODS

Mandibular lateral incisor denture teeth were selected and ground on the ridge-lap portion using a standardized jig. Specimens with a ground surface were used as controls. The experimental groups included: ground plus airborne-particle abraded, ground plus diatoric recess, and ground plus an experimental bonding agent. The teeth were affixed by an autopolymerized repair acrylic resin to denture bases. Specimens (n=10) were subjected to compression testing (5 mm/min) at a 135-degree angle, before and after 14,400 loading cycles at 2 Hz and 22 N. Peak load to dislodgement was recorded and statistically analyzed (2-way ANOVA, Tukey HSD, alpha=.05). The specimens were then examined using x10 magnification, and fractures were categorized as adhesive, cohesive, or mixed.

RESULTS

The mean bond strengths ranged from 26.3 N to 44.2 N. There were no significant differences in fatigue versus nonfatigue strength values within each group (P=.244). Significant strength differences were found (P<.001) between the ground control, diatoric recess, and bonding agent groups. Microscopic examination revealed that the bonding agent group obtained the highest percentage of mixed-type fractures.

CONCLUSIONS

The use of a bonding agent and the placement of a diatoric recess in the denture tooth resulted in higher bond strengths than grinding alone. Cyclic loading had no significant impact on the bond strength of denture teeth to the autopolymerized repair acrylic resin.

Strength of denture base resins repaired with auto- and visible light-polymerized materials

PURPOSE

Clinicians are still confused about the choice of repair method, which depends on factors such as the length of time required for processing, the mechanical strength of the repaired material, and the effect of stress concentration in the acrylic resins before the repair. The aim was to determine the impact and flexural strength characteristics, such as stress at yield, Young's modulus, and displacement at yield of denture base resins fractured and repaired by three methods using heat-, auto-, and visible light-polymerized acrylic resins.

MATERIAL AND METHODS

For impact and flexural strength tests, 18 rectangular specimens measuring 50 x 6 x 4 mm(3) and 64 x 10 x 3.3 mm(3), respectively, were processed using Impact 2000, Lucitone 550, Impact 1500, and QC-20 acrylic resins. Fracture tests were performed according to ISO1567:1999. Afterward, all fractured specimens were stored in distilled water at 37 degrees C for 7 days, and then repaired with (1) the same acrylic resin used for specimen fabrication (n = 6), (2) an autopolymerized acrylic resin (TruRepair, n = 6), and (3) a visible light acrylic resin (Versyo.com, n = 6). The repaired specimens were again submitted to the same fracture tests, and the failures were classified as adhesive or cohesive. Data from all mechanical tests after repair by the different methods were submitted to two-way ANOVA, and mean values were compared by the Tukey test.

RESULTS

All acrylic resins showed adhesive fractures after impact and flexural strength tests. Differences (p < 0.05) were found among repair methods for all acrylic resins studied, with the exception of displacement at yield, which showed similar values for repairs with auto- and visible light-polymerized acrylic resins. The highest values for impact strength, stress, and displacement at yield were obtained when the repair was made with the same resin the specimen was made of.

CONCLUSION

Denture base acrylic resins repaired with the same resin they were made of showed greater fracture strength.

Shear Bond Strength of Provisional Restoration Materials Repaired with Light-cured Resins

Specific repair resins should be chosen for certain provisional materials, since optimal bond strength can be achieved only when the repair resin has similar chemical components to those of the resin matrix (either methacrylate or bis-acryl) for the provisional restoration.

Factors Affecting the Strength of Denture Repairs

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

The Effect of Water Immersion on the Shear Bond Strength Between Chairside Reline and Denture Base Acrylic Resins

PURPOSE

The effect of water immersion on the shear bond strength (SBS) between 1 heat-polymerizing acrylic resin (Lucitone 550-L) and 4 autopolymerizing reline resins (Kooliner-K, New Truliner-N, Tokuso Rebase Fast-T, Ufi Gel Hard-U) was investigated. Specimens relined with resin L were also evaluated.

MATERIALS AND METHODS

One hundred sixty cylinders (20 x 20 mm) of L denture base resin were processed, and the reline resins were packed on the prepared bonding surfaces using a split-mold (3.5 x 5.0 mm). Shear tests (0.5 mm/min) were performed on the specimens (n = 8) after polymerization (control), and after immersion in water at 37 degrees C for 7, 90, and 180 days. All fractured surfaces were examined by scanning electron microscopy (SEM) to calculate the percentage of cohesive fracture (PCF). Shear data were analyzed with 2-way ANOVA and Tukey's test; Kruskall-Wallis test was used to analyze PCF data (alpha= 0.05).

RESULTS

After 90 days water immersion, an increase in the mean SBS was observed for U (11.13 to 16.53 MPa; p < 0.001) and T (9.08 to 13.24 MPa, p= 0.035), whereas resin L showed a decrease (21.74 MPa to 14.96 MPa; p < 0.001). The SBS of resins K (8.44 MPa) and N (7.98 MPa) remained unaffected. The mean PCF was lower than 32.6% for K, N, and T, and higher than 65.6% for U and L.

CONCLUSIONS

Long-term water immersion did not adversely affect the bond of materials K, N, T, and U and decreased the values of resin L. Materials L and U failed cohesively, and K, N, and T failed adhesively.

Effect of Microwave Disinfection Procedures on Torsional Bond Strengths of Two Hard Chairside Denture Reline Materials

PURPOSE

This study evaluated the potential effects of denture base resin water storage time and an effective denture disinfection method (microwave irradiation at 650 W for 6 minutes) on the torsional bond strength between two hard chairside reline resins (GC Reline and New Truliner) and one heat-polymerizing denture base acrylic resin (Lucitone 199).

MATERIALS AND METHODS

Cylindrical (30 x 3.9 mm) denture base specimens (n= 160) were stored in water at 37 degrees C (2 or 30 days) before bonding. A section (3.0 mm) was removed from the center of the specimens, surfaces prepared, and the reline materials packed into the space. After polymerization, specimens were divided into four groups (n= 10): Group 1 (G1)--tests performed after bonding; Group 2 (G2)--specimens immersed in water (200 ml) and irradiated twice (650 W for 6 minutes); Group 3 (G3)--specimens irradiated daily until seven cycles of disinfection; Group 4 (G4)-specimens immersed in water (37 degrees C) for 7 days. Specimens were submitted to a torsional test (0.1 Nm/min), and the torsional strengths (MPa) and the mode of failure were recorded. Data from each reline material were analyzed by a two-way analysis of variance, followed by Neuman-Keuls test (p= 0.05).

RESULTS

For both Lucitone 199 water storage periods, before bonding to GC Reline resin, the mean torsional strengths of G2 (2 days--138 MPa; 30 days--132 MPa), G3 (2 days--126 MPa; 30 days--130 MPa), and G4 (2 days--130 MPa; 30 days--137 MPa) were significantly higher (p < 0.05) than G1 (2 days--108 MPa; 30 days--115 MPa). Similar results were found for Lucitone 199 specimens bonded to New Truliner resin, with G1 specimens (2 days-73 MPa; 30 days--71 MPa) exhibiting significantly lower mean torsional bond strength (p < 0.05) than G2 (2 day--86 MPa; 30 days--90 MPa), G3 (2 days--82 MPa; 30 days--82 MPa), and G4 specimens (2 days--78 MPa; 30 days--79 MPa). The adhesion of both materials was not affected by water storage time of Lucitone 199 (p > 0.05). GC reline showed a mixed mode of failure (adhesive/cohesive) and New Truliner failed adhesively.

CONCLUSIONS

Up to seven microwave disinfection cycles did not decrease the torsional bond strengths between the hard reline resins, GC Reline and New Truliner to the denture base resin Lucitone 199. The effect of additional disinfection cycles on reline material may be clinically significant and requires further study.

Influence of thermal and mechanical stresses on the strength of intact and relined denture bases

STATEMENT OF PROBLEM

Denture bases may become increasingly weaker as a result of thermal stress and flexural cyclic loading. Information regarding this potential problem and its relationship to the denture base reline is limited.

PURPOSE

This study evaluated the influence of thermal and mechanical stresses on the strength of intact and relined denture bases.

MATERIAL AND METHODS

Twenty-eight microwave-polymerized (Acron MC) intact denture bases were prepared in the shape of a 3-mm-thick maxillary denture. Additionally, fifty-six 2-mm-thick denture bases were relined with 1 mm of autopolymerizing resin (Tokuyama Rebase Fast II or New Truliner) (n=28). Intact and relined specimens were divided into 4 groups (n=7) as follows: without stress (control); a mechanical stress at 0.8 Hz for 10,000 cycles; 5000 thermal cycles between 5 degrees C and 55 degrees C; or a combination thermo-mechanical stress. The specimens were vertically loaded in compression with a rounded rod at 5 mm/min until failure, using a universal testing machine. Data on maximum fracture load (N), deflection at fracture (%), and fracture energy (N.mm) were analyzed by 2-way analysis of variance and Student-Newman-Keuls tests (alpha=.05).

RESULTS

The strength of the denture bases relined with New Truliner was not significantly affected by any of the experimental conditions, but comparing the control groups, New Truliner exhibited the lowest maximum fracture load values. The maximum fracture load of intact denture bases (P=.002) and those relined with Tokuyama Rebase Fast II (P=.01) showed a significant decrease after thermal stress. Additionally, cyclic loading significantly decreased the maximum fracture load (P<.001), deflection at fracture (P=.025), and fracture energy (P<.001) of intact denture bases and those relined with Tokuyama Rebase (P values of .002, .039, and .001, respectively).

CONCLUSION

Thermal and mechanical stresses exert deleterious effects on the strength of intact and/or relined denture bases, which vary according to the relining material used.

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

STATEMENT OF PROBLEM

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

PURPOSE

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

MATERIAL AND METHODS

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

RESULTS

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

CONCLUSION

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

Evaluation of adhesion of chairside hard relining materials to denture base polymers

STATEMENT OF PROBLEM

Removable denture bases are made of modified poly(methyl methacrylate) (PMMA), which has reliable bond strength with resins containing methyl methacrylate (MMA). However, some hard relining materials with different chemical compositions have been reported to have less than adequate bond strength to PMMA denture base polymers.

PURPOSE

This in vitro study evaluated the initial bonding properties of chairside hard relining materials to different removable denture base polymers, as well as the structure of the interface.

MATERIAL AND METHODS

The tensile strength (MPa) of adhesion of 8 chairside hard relining materials (Original Truliner, GC Reline Hard, Ufigel Hard, Triad Reline, New Truliner, Light Liner, Astron LC Hard, and Flexacryl Hard) was tested against 3 denture base polymers (Ivocap Plus, Paladon 65, and Palapress Vario). Dumbbell-shaped specimens with a 6-mm diameter of bonding surface were used for tensile testing of bond strength (n=5). An MMA containing hard relining material (Original Truliner) was used as a control. Tensile strength of the bond was calculated using the bonding area and maximum force under tension. Statistical analyses of data were conducted with 2-way analysis of variance (alpha=.05). The influence of the bonding agents and the relining materials on the PMMA denture base surface layer and its structure were investigated. The depths of the swollen layers were measured with a transmission light microscope. Fracture surfaces after testing were also visually evaluated. Chemical analyses of all materials prior to testing were performed using high-performance liquid chromatography.

RESULTS

Significant differences were found among tensile bond strengths of chairside hard relining materials to PMMA denture base polymers forming 3 different groups (P<.001). No significant difference among different denture base polymers was found with regard to tensile strength of adhesion (P=.918), but the interaction term between hard relining material and denture base polymer was found to be significant (P<.001). The tensile bond strength of the relining materials and denture base polymers was found to range from 8% to 60% of the strength of the PMMA denture base polymers.

CONCLUSION

The chemical composition of the bonding agents and the relining materials and their combinations affected the depth of the swollen layers of the denture base polymers and the tensile strength of adhesion.

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

STATEMENT OF PROBLEM

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

PURPOSE

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

MATERIAL AND METHODS

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

RESULTS

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

CONCLUSION

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