Evaluation of shear bond strength of microwaveable acrylic resins in denture repair: a comparative study

Flexural strength of repaired denture base materials manufactured for the CAD-CAM technique

PURPOSE

To evaluate the flexural properties of repaired poly(methylmethacrylate) (PMMA) denture base materials for computer-aided design/computer-aided manufacturing (CAD-CAM) and to compare them with heat-activated polymerized PMMA.

METHODS

A total of 288 specimens (65 × 10 × 2.5 mm) were prepared using both CAD-CAM and conventional blocks and repaired using autopolymerizing and visible-light polymerizing (VLC) materials. Microwave energy, water storage and hydroflask polymerization were applied as additional post-polymerization cycles after the repair process. The flexural strength (FS) of the specimens was evaluated using the three-point bending test. Data were evaluated statistically using 2-way ANOVA followed by Bonferroni's correction to determine the significance of differences between the groups (P ≤ 0.05).

RESULTS

The FS of the denture base materials for CAD-CAM was significantly higher than that for the heat-activated group (P ≤ 0.05). The FS was significantly highest when microwave energy was used for the post-polymerization cycle. The FS values for all groups repaired with VLC resin were significantly lower than for the autopolymerization group (P ≤ 0.05).

CONCLUSION

The flexural properties of denture base materials for CAD-CAM repaired using autopolymerizing acrylic resins can recover by 50-70%. Additional post-polymerization cycles for autopolymerizing repair resin can be suggested to improve the clinical service properties of repaired dentures.

Effect of Food Colorants on Color of Denture Base Acrylic Resins

Background:

Acrylic resin has been successfully used for complete denture fabrication for many years. Color stability is very crucial clinical properties for dental materials, and color change may be an indicator of aging or damaging of materials.

Aim and Objectives:

This study has been designed to determine the color stability of heat cure denture base acrylic resins in commonly consumed solutions causing stains.

Methodology:

Four hundred disc samples of four commercially used heat cure denture base resins (Trevalon®, DPI®, Veracril®, and Pyrax®) were fabricated (100 in each group). These were checked for any change in optical density by immersing them in four different staining solutions (tea, coffee, turmeric, and betel leaf, i.e., paan) and synthetic saliva for 1-month synthetic saliva was taken as control. The denture cleansers were also evaluated for their efficacy determined by their ability to remove the stains caused by the staining solutions.

Results:

It was observed that Trevalon® showed least change in optical density and coffee illustrated the maximum potential for staining the denture base resins and is the most difficult to be removed using a denture cleanser.

Conclusion:

It can be concluded that Trevalon® demonstrated maximum color stability. Among the staining solutions, coffee caused maximum stains.

Bonding Interface and Repairability of 3D-Printed Intraoral Splints: Shear Bond Strength to Current Polymers, with and without Ageing

This in-vitro study investigates the bonding interfaces reached by the conditioning of a splint material additively manufactured by digital light processing (AM base) as well as the shear bond strength (SBS) of resins bonded to these surfaces (repair material). Therefore, the AM base was either stored in dry for 12 h or wet environment for 14 days to simulate ageing by intraoral wear. The dry and wet group was bonded after physical and/or chemical conditioning to cylinders made from polymethylmethacrylate or four novel polymers allowing splint modifications. Blasted and methylmethacrylate (MMA)-conditioned Polymethylmethacrylate (PMMA) bonded to PMMA acted as the gold standard. The surface profiles revealed highest differences of Ra towards the gold standard in AM base conditioned with other than MMA after sandblasting. The adhesively bonded repair materials of the wet AM base were further aged in wet environment for 14 days. The SBS of the gold standard (25.2 MPa and 25.6 MPa) was only reached by PMMA bonded to blasted and MMA-conditioned AM base after dry (22.7 MPa) and non-conditioned after wet storage (23 MPa). Four repair materials failed to reach the threshold of 5 MPa after dry storage and three after wet storage, respectively. Non-conditioned AM base revealed the highest risk for adhesive fractures when using other resins than PMMA.

Effect of different solutions on color stability of acrylic resin-based dentures

The aim of this study was to evaluate the effect of thermocycling and immersion in mouthwash or beverage solutions on the color stability of four different acrylic resin-based dentures (Onda Cryl, OC; QC20, QC; Classico, CL; and Lucitone, LU). The factors evaluated were type of acrylic resin, immersion time, and solution (mouthwash or beverage). A total of 224 denture samples were fabricated. For each type of resin, eight samples were immersed in mouthwashes (Plax-Colgate, PC; Listerine, LI; and Oral-B, OB), beverages (coffee, CP; cola, C; and wine, W), and artificial saliva (AS; control). The color change (DE) was evaluated before (baseline) and after thermocycling (T1), and after immersion in solution for 1 h (T2), 3 h (T3), 24 h (T4), 48 h (T5), and 96 h (T6). The CIE Lab system was used to determine the color changes. The thermocycling test was performed for 5000 cycles. Data were submitted to three-way repeated-measures analysis of variance and Tukey's test (p<0.05). When the samples were immersed in each mouthwash, all assessed factors, associated or not, significantly influenced the color change values, except there was no association between the mouthwash and acrylic resin. Similarly, when the samples were immersed in each beverage, all studied factors influenced the color change values. In general, regardless of the solution, LU exhibited the greatest DE values in the period from T1 to T5; and QC presented the greatest DE values at T6. Thus, thermocycling and immersion in the various solutions influenced the color stability of acrylic resins and QC showed the greatest color alteration.

Effect of cavity preparation on the flexural strengths of acrylic resin repairs

Objective

To investigate the effect of cavity preparation on the flexural strength of heat-curing denture resin when repaired with an auto-curing resin.

Material and methods

Ninety-six rectangular specimens (64x10x2.5 mm) prepared from heat-curing denture base resin (Meliodent) were randomly divided into four groups before repair. One group was left intact as control. Each repair specimen was sectioned into two; one group was repaired using the conventional repair method (Group 1). Two groups had an additional transverse cavity (2x3.5x21.5 mm) prepared prior to the repair; one repaired with (Group 2) and one without glass-fiber reinforcement (Group 3). A three-point flexural bending test according to the ISO 1567:1999 specification⁸ for denture base polymers was carried out on all groups after 1, 7 and 30 days of water immersion. Statistical analysis was carried out using two-way ANOVA, Kruskal Wallis and post-hoc Mann Whitney tests.

Results

The highest flexural strength was observed in the control group. Control and conventional repairs group (Group 1) showed reduction in the flexural strength 30 days after water immersion. No significant change in the strength was observed for Groups 2 and 3 where the repair joints were similarly prepared with additional transverse cavity.

Conclusion

Repaired specimens showed lower flexural strength values than intact heat-curing resin. Cavity preparation had no significant effect on the flexural strength of repair with water immersion.