Effect of Reinforcement on the Flexural Properties of Injection-Molded Thermoplastic Denture Base Resins

The Cytotoxic Effect of Thermoplastic Denture Base Resins: A Systematic Review

Partial or complete dentures are constructed from thermoplastic resins that are thermally processed and molded. This review examines the presently available evidence for the cytotoxicity of thermoplasticized denture base resins on human gingival epithelial cells, adipose cells, and fibroblasts; human amnion fibroblasts; and mouse fibroblasts. Electronic searches were performed on PubMed, Scopus, Web of Science, and Google Scholar databases to identify relevant articles to be included in the review until September 2022. Clinical, in vivo, and in vitro studies in English language were searched for. The quality of the studies was assessed using the Toxicological data Reliability Assessment tool (ToxRTool) developed by the European Commission's Joint Research Centre. GRADE assessment was used to evaluate the certainty of evidence. Seven in vitro studies were included in the review. The overall risk of bias was determined to be high, with the majority of studies assessed found to be reliable with restrictions or not reliable. Only two studies were considered reliable without restrictions based on ToxRTool assessment. The effect of thermoplastic denture base resins on viability and cell adherence of human gingival or amnion fibroblasts and mouse fibroblasts (L929s) is not significant. Conditioned media from unpolished specimens of resins were significantly more toxic to cultured cells than those from polished specimens. This may be of concern in cases of poor post-processing of dentures. Based on the limited evidence available, there is low-certainty evidence that thermoplastic denture base resins appear to be biocompatible and show insignificant cytotoxicity. Further well-designed trials adhering to standard reporting guidelines and using objective measures are necessary before outlining universal guidelines for best practice. Long-term in vivo and clinical assessment is necessary to corroborate laboratory findings with clinical outcomes. Denture base resins are in constant contact with oral tissues, and cytotoxic components released by the resins may irritate or inflame the tissues or provoke an allergic response.

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.

Reduced Graphene Oxide—Polycarbonate Electrodes on Different Supports for Symmetric Supercapacitors

Electrode materials for electrochemical capacitors or supercapacitors (SCs) are widely studied, as they are needed for the development of energy storage devices in electrical vehicles and flexible electronics. In the current work, a self-supported paper of reduced graphene oxide (rGO) with polycarbonate (PC) (as rGO-PC composite) was prepared by simple vacuum filtration and low-temperature annealing. rGO-PC as a freestanding single electrode was studied in a three-electrode system and presented a capacitive energy storage mechanism. To fabricate SCs based on rGO-PC, flexible polyethylene terephthalate (PET) with layers of both Cu tape (Cu tape) and carbon tape (C tape) (PET/Cu/C), as well as PET covered by graphene ink (PET/GrI), were used as supports. Fabricated flexible symmetric SCs have shown similar behavior with a higher areal capacitance value than that on PET/Cu/C substrate.

Evaluation of flexural properties and dynamic mechanical analysis of glass fiber-reinforced polyamide resin

Purpose:

The aim of this study was to evaluate flexural strength, elastic modulus and dynamic mechanical analysis (DMA) of heat-polymerized polymethyl methacrylate resin, polyamide resin and glass fiber-reinforced polyamide resin.

Materials and methods:

Three groups were determined according to denture base materials as polymethyl methacrylate resin (H), polyamide resin (P) and glass fiber reinforced polyamide resin (R). Sixteen specimens for each denture base material were prepared with dimensions of 64x10x3.3 mm for three-point bending test. Two specimens for each denture base material were prepared with dimensions of 30x10x3 mm for DMA. Polymethyl methacrylate and polyamide specimens were prepared according to the manufacturer’s recommendations. The silane was applied to glass fibers (4.5 mm length) 2% by weight of the polyamide resin, they were placed in polyamide resin cartilages and injected to the mold. The thermal aging procedure was applied to half of specimens of each material (n=8). Flexural strength and elastic modulus of the specimens were determined by three-point bending test at a speed of 5 mm/ min. DMA was performed to 1 specimen from each group to evaluate viscoelastic properties. Data were analyzed with one-way ANOVA, Tukey and Paired t tests.

Results:

A statistically significant difference was found in flexural strength and elastic modulus values of denture base materials (p=0.00). The highest flexural strength and elastic modulus values were observed in polymethyl methacrylate group. There was no significant difference between polyamide and glass-fiber reinforced polyamide groups (p=0.497). No significant difference was determined in all threedenture base materials before and after aging procedure.

Conclusion:

The reinforcement with glass-fibers did not affect the flexural strength and elastic modulus of polyamide resin.

Use of the fiberglass reinforcement method in thermoplastic mouthguard materials to improve flexural properties for enhancement of functionality

The purpose of this study was to evaluate the application of fiberglass reinforcement method in thermoplastic mouthguard materials to improve flexural properties and adhesive strength. Commonly used two types of commercial mouth guard materials (ethylene-vinyl acetate copolymer-based and polyolefin-based) were reinforced with glass fiber clothes by two-step hot press. Flexural strength and adhesive strength with each base material were examine via three-point bending test and delamination test, respectively. Ethylene-vinyl acetate copolymer-based fiberglass-reinforced material has significantly greater adhesive strength with base material and improvement of flexural properties compared with polyolefin-based material. These results suggest that flexural properties of both conventional commercial mouthguard materials were improved when the glass-fiber-reinforced method was applied to reinforce mouthguard materials, and more, ethylene-vinyl acetate copolymer was more desirable for the base material.

Influence of High-Pressure Polymerization on Mechanical Properties of Denture Base Resins

PURPOSE

The purpose of this study was to study the influence of high-pressure (HP) polymerization on the mechanical properties of denture base PMMA resins compared with conventional thermopolymerization and PMMA discs for digital dentures.

MATERIALS AND METHODS

Three groups of blocks were prepared: Probase Hot (Ivoclar Vivadent, Lichtenstein) conventionally heat polymerized at 100°C, Probase Hot heat polymerized at 100°C under HP (200 MPa) and Ivobase CAD (Ivoclar Vivadent, Lichtenstein). Samples for mechanical/physical (n = 30) and samples for viscoelastic (n = 10) characterizations were cut from the blocks. Flexural strength (σ_f ), elastic modulus (E_f ), hardness, density (ρ), flexural deformation at maximal flexural stress, flexural load energy (U_r ) and viscoelastic properties (E', E'', Tanδ, T_g ) were analyzed using one-way ANOVA (α = 0.05), Scheffé multiple means comparisons (α = 0.05) and Weibull statistics (for σ_f ). SEM images of the fractured surfaces were obtained.

RESULTS

E_f , E', E'' and density of HP polymerized Probase hot were significantly higher than conventional heat polymerized Probase Hot, whereas T_g was significantly lower and σ_f , Tanδ, hardness, flexural deformation at maximal flexural stress, U_r were not significantly different. The highest values for σ_f , flexural deformation at maximal flexural stress, U_r and Weibull modulus were obtained with Ivobase CAD.

CONCLUSION

HP polymerization does not significantly increase the mechanical properties of denture base resins.

Eugenol Polysiloxane-Polycarbonate/Graphene Nanocomposite: Enhanced in Thermostability and Barrier Property

Graphene (GR) was used to blend with eugenol polysiloxane-polycarbonate (Si-PC) copolymer to prepare a Si-PC/GR nanocomposite via a solution blending method and the impact of graphene on the properties of Si-PC/GR nanocomposite was investigated. The morphology and structure of the Si-PC/GR nanocomposite were characterized. Combining morphology and property analysis, the result showed that when the graphene dispersed uniformly in the Si-PC matrix, the mechanical properties, thermostability and barrier property of Si-PC/GR nanocomposite were enhanced. Compared with Si-PC copolymer, the pyrolytic temperature of Si-PC/2.5%GR nanocomposite at 5% weight loss was 434.3 °C, which was 20.6 °C higher than Si-PC copolymer; and the oxygen barrier value of Si-PC/1.5%GR nanocomposite decreased to 160.2 cm³/m² 24 h 0.1 MPa, which was 53.2 less than pure Si-PC. The mechanical properties of Si-PC/GR nanocomposite were enhanced with an appropriate additive amount of graphene. The hydrophobicity also had been enhanced at the meantime.

Improving Oxygen Permeability and Thermostability of Polycarbonate via Copolymerization Modification with Bio-Phenol Polysiloxane

As a new kind of functionalized polysiloxane with chemical reactivity, bio-phenol polysiloxane was synthesized through facile heterogeneous catalytic route. Bio-phenol polysiloxane/polycarbonate (Si/PC) block copolymer was synthesized via a three-step approach, and the effect of the amount of bio-phenol polysiloxane on the properties of Si/PC copolymer was then studied. The structure and morphology of Si/PC copolymer were characterized, showing that, when the amount of bio-phenol polysiloxane reached 20%, the pyrolysis temperature of Si/PC copolymer at 5% weight loss was 450.8 °C which was 76.1 °C higher than pure PC. The oxygen permeability of 20%Si/PC copolymer membrane was 502.65 cm³/m²·24h·0.1MPa, which was increased by 128.4% compared with pure PC membrane. The mechanical property and hydrophobicity of Si/PC copolymer had been improved.

The Influence of Thermocycling on the Flexural Strength of a Polyamide Denture Base Material

Objective

The aim of the present study was to evaluate the influence of thermocycling on the flexural strength of a polyamide base denture material.

Materials and methods

A polyamide denture base material (Valplast) was tested, whereas a PMMA material (Vertex) was used as a control. Thirty specimens of each material were fabricated for flexural strength testing according to ISO 1567. They were prepared and stored in water at 37°C for 48 hours. The specimens of each material were divided into three equal groups (n=10). Flexural strength testing was performed immediately after water storage and after thermocycling (5°C / 55°C, 2 c/min) for 3000 and 5000 cycles. A three point flexural test was performed on a universal testing machine at a crosshead speed of 5 mm/min. The final flexural strength was calculated using the formula: F_S = 3 PL/2 bd². A two-way ANOVA with post-hoc analysis using Tukey's procedure was applied at .05 level of statistical significance.

Results

A statistically significant reduction in flexural strength was recorded after thermocycling at 3000 cycles for PMMA and at 5000 cycles for both materials. The flexural strength of PMMA was significantly higher compared to polyamide for all the conditions tested (p<0.05).

Conclusion

Thermocycling had a significant adverse effect on the flexural strength of polyamide and PMMA denture base materials.

Investigation of the cytotoxicity of thermoplastic denture base resins

PURPOSE

The purpose of this study was to investigate the in vitro cytotoxicity of thermoplastic denture base resins and to identify the possible adverse effects of these resins on oral keratinocytes in response to hot water/food intake.

MATERIALS AND METHODS

Six dental thermoplastic resin materials were evaluated: three polyamide materials (Smile tone, ST; Valplast, VP; and Luciton FRS, LF), two acrylic materials (Acrytone, AT; and Acryshot, AS), and one polypropylene resin material (Unigum, UG). One heat-polymerized acrylic resin (Vertex RS, RS) was chosen for comparison. After obtaining extracts from specimens of the denture resin materials (Φ=10 mm and d=2 mm) under different extraction conditions (37℃ for 24 hours, 70℃ for 24 hours, and 121℃ for 1 hour), the extracts (50%) or serial dilutions (25%, 12.5%, and 6.25%) in distilled water were co-cultured for 24 hours with immortalized human oral keratinocytes (IHOKs) or mouse fibroblasts (L929s) for the cytotoxicity assay described in ISO 10993.

RESULTS

Greater than 70% viability was detected under all test conditions. Significantly lower IHOK and L929 viability was detected in the 50% extract from the VP (70℃) and AT (121℃) samples (P<.05), but only L929 showed reduced viability in the 50% and 25% extract from LF (37℃) (P<.05).

CONCLUSION

Extracts obtained from six materials under different extraction conditions (37℃, 70℃, and 121℃) did not exhibit severe cytotoxicity (less than 70% viability), although their potential risk to oral mucosa at high temperatures should not be ignored.

Effect of fiber content on flexural properties of glass fiber-reinforced polyamide-6 prepared by injection molding

The use of non-metal clasp denture (NMCD) materials may seriously affect the remaining tissues because of the low rigidity of NMCD materials such as polyamides. The purpose of this study was to develop a high-rigidity glass fiber-reinforced thermoplastic (GFRTP) composed of E-glass fiber and polyamide-6 for NMCDs using an injection molding. The reinforcing effects of fiber on the flexural properties of GFRTPs were investigated using glass fiber content ranging from 0 to 50 mass%. Three-point bending tests indicated that the flexural strength and elastic modulus of a GFRTP with a fiber content of 50 mass% were 5.4 and 4.7 times higher than those of unreinforced polyamide-6, respectively. The result showed that the physical characteristics of GFRTPs were greatly improved by increasing the fiber content, and the beneficial effects of fiber reinforcement were evident. The findings suggest that the injection-molded GFRTPs are adaptable to NMCDs because of their excellent mechanical properties.