Flexural Properties of Heat-Polymerized PMMA Denture Base Resins Reinforced with Fibers with Different Characteristics

Polymethylmethacrylate (PMMA) has been the most-widely used denture base material in prosthetic dentistry for the last 80 years. It is still one of the best alternatives when new methods are inapplicable. Due to the lack of some physical inadequacies occurring during cyclic use and accidental situations, various reinforcement strategies such as using nanoparticles, wires, fibers, and meshes have been investigated and reported. In this study, it was aimed to conduct a comparative investigation of the effect of fiber additives with different characteristics on the flexural properties of heat-cured PMMA denture base resins. Glass fibers (GFs), polypropylene fibers (PPFs), and carbon fibers (CFs) having 3, 6, and 12 mm lengths and 0.25, 0.50, and 1.0% concentrations (v/v) were used for the reinforcement of PMMA denture base resins. The flexural properties (flexural strength, flexural modulus, and maximum deformation) were determined using a three-point bending test, and three-way ANOVA analyses with Bonferroni corrections were performed on the test results. The morphologies of the fracture surfaces were analyzed using scanning electron microscopy. All three fibers exhibited reinforcement in the flexural strength (p < 0.001) and flexural modulus (p < 0.001) regardless of their length and concentration. The group with 1.0% 12 mm CF-reinforced PMMA exhibited the greatest flexural strength (94.8 ± 8.8 MPa), and that with 1.0% 3 mm GFs displayed the lowest flexural strength (66.9 ± 10.4 MPa) among the fiber-reinforced groups. The greatest value of the flexural modulus was displayed by the 1.0% 3 mm CF-reinforced resin (3288.3 ± 402.1 MPa). Although the CF-reinforced groups exhibited better flexural properties, CFs are not favorable for use as reinforcement in practice due to the dark gray discoloration of the denture base resin. It was concluded that PPF is a promising material for the reinforcement of heat-cured PMMA denture base resins.

Proporties and Synthesis of Biosilver Nanofilms for Antimicrobial Food Packaging

In this original research, biodegradable corn starch (CS) and wheat gluten (wg)-based silver nanofilms were synthesized and analyzed by using goji berry extract taurine (ta), garlic extract (GC), whey powder (wh), and montmorillonite clay nanoparticles. Antibacterial-corn-starch-based nano films were analyzed by using the methods of high-performance liquid chromatography (HPLC), Fourier Transform infrared spectroscopy (FTIR-ATR), X-ray diffraction (XRD), dynamic and mechanical (DMA) analysis, and scanning electron microscopy (SEM). In addition, the antibacterial resistances of the corn starch nano films against the bacteria Salmonella and Staphylococcus aureus (S. aureus) and Listeria monocytogenes were examined and the migration assays were carried out. The migration analysis results of CS₁, CS₂, and CS₃ nanocomposite films were found as 0.305, 0.297, and 0.297 mg/dm², respectively. The inhibition zone of CS₁, CS₂, and CS₃ nanocomposite films were found as 1547, 386, and 1884 mm² against Salmonella bacteria. The results show that silver nanofilms are suitable as packaging films for the production of packaging in milk and dairy products, liquid foods, and acidic foods.

Oil-Incorporated Poly(Lactic Acid) as an Alternative Material for Orthodontic Base Plate: A 3D Printing Approach

Removable orthodontic appliances fabricated from poly (methyl methacrylate) (PMMA) have been routinely used for active orthodontic correction and as retention appliances. This article reports the use of a combination of biodegradable-grade poly (lactic acid) (PLA) and cooking-grade sesame oil as a biodegradable alternative for PMMA. The underlying purpose is to combat the environmental hazards due to nondegradable PMMA as well as to overcome its structural and mechanical drawbacks. The fabrication technique that has been used is fused deposition modeling-based 3D printing technology. Oil-dipping for 24 h was done to render the PLA hydrophobic and to reduce its brittleness. Incorporation of oil within the PLA base plate has been confirmed by FT-IR and FT-Raman spectroscopic techniques. The PLA-cooking oil material has exhibited satisfactory tensile, compressive and flexural strengths. The proposed material has demonstrated excellent attributes in terms of product precision, dimensional stability, density, hardness, and maximum load bearing capacity for the purpose of fabricating orthodontic appliances.

Investigation on the Potential Use of Polypropylene Mesh for the Reinforcement of Heat-Polymerized PMMA Denture Base Resin

The aim of this study was to investigate the potential use of polypropylene (PP) hernia mesh as a reinforcement of PMMA denture base resin in comparison with metal and glass fiber meshes, with the expectation of enhancing the mechanical stability of the PMMA dentures in oral conditions. The control group with no mesh, the aluminum metal mesh (Al) group, the PP1 (PP mesh used on top) group, the PP2 (PP mesh used on both the top and bottom) group, the orthopedic casting tape with self-curing resin (DP0) group, and the flushed form (DPA) group were fabricated in a chromium mold. A total of 144 specimens were divided into three equal portions and subjected to: first, no treatment; second, thermal cycling only; and third, thermal cycling and chewing simulation. The flexural strength, maximum deformation, and flexural modulus were determined by a three-point bending test to compare mechanical properties. Fracture surfaces were evaluated by scanning electron microscopy. The obtained data were statistically analyzed by a two-way ANOVA test with Bonferroni corrections. The non-treated Al mesh reinforcement group exhibited the highest (82.66 ± 6.65 MPa) flexural strength, and the PP2 group treated with chewing simulation displayed the lowest (56.64 ± 4.59 MPa) flexural strength. The Al group showed the highest (7.25 ± 1.05 mm) maximum deformation and the PP2 group showed lowest (3.64 ± 0.28 mm) maximum deformation when both groups were not subjected to any treatment. The control group with no treatment exhibited the lowest (1556.98 ± 270.62 MPa) flexural modulus values, and the Al group with no treatment exhibited the highest (3106.07 ± 588.68 MPa) flexural modulus values. All the mesh groups displayed intact fractures. Any type of mesh used for reinforcement exhibited a significant change in all flexural properties (p < 0.001). The PP1 reinforcement group did not exhibit a significant change in mechanical properties when the effect of treatment was compared. Using PP hernia mesh on top enhanced the mechanical properties despite the weakening when it was used on both the top and bottom. The mechanical stability provided by the PP hernia mesh indicated it to be a promising candidate to be used for reinforcement.

Characterization of various acrylate based artificial teeth for denture fabrication

Acrylic resins-based artificial teeth are frequently used for the fabrication of dentures has and contribute a very strong share in the global market. However, the scientific literature reporting the comparative analysis data of various artificial teeth is scarce. Focusing on that, the present study investigated various types of commercially available artificial teeth, composed of polymethyl methacrylate (PMMA). Artificial teeth are characterized for chemical analysis, morphological features, thermal analysis, and mechanical properties (surface hardness, compressive strength). Different types of artificial teeth showed distinct mechanical (compression strength, Vickers hardness) and thermal properties (thermal gravimetric analysis) which may be attributed to the difference in the content of PMMA and type and quantity of different fillers in their composition. Thermogravimetric analysis (TGA) results exhibited that vinyl end groups of PMMA degraded above 200 °C, whereas 340-400 °C maximum degradation temperature was measured by differential thermal analysis (DTA) for all samples. Crisma brand showed the highest compressive strength and young modulus (88.6 MPa and 1654 MPa) while the lowest value of Vickers hardness was demonstrated by Pigeon and Vital brands. Scanning electron microscope (SEM) photographs showed that Crisma, Pigeon, and Vital exhibited characteristics of a brittle fracture; however, Artis and Well bite brands contained elongated voids on their surfaces. According to the mechanical analysis and SEM data, Well bite teeth showed a significantly higher mechanical strength compared to other groups. However, no considerable difference was observed in Vickers hardness of all groups. Graphical abstract.

Process Analysis of PMMA-Based Dental Resins Residues Depolymerization: Optimization of Reaction Time and Temperature

This work aims to optimize the recovery of methyl methacrylate (MMA) by depolymerization of polymethyl methacrylate (PMMA) dental resins fragments/residues. In order to pilot the experiments at technical scale, the PMMA dental resins scraps were submitted by thermogravimetric analysis (TG/DTG/DTA). The experiments were conducted at 345, 405, and 420 °C, atmospheric pressure, using a pilot scale reactor of 143 L. The liquid phase products obtained at 420 °C, atmospheric pressure, were subjected to fractional distillation using a pilot scale column at 105 °C. The physicochemical properties (density, kinematic viscosity, and refractive index) of reaction liquid products, obtained at 345 °C, atmospheric pressure, were determined experimentally. The compositional analysis of reaction liquid products at 345 °C, 30, 40, 50, 60, 70, 80, and 110 min, at 405 °C, 50, 70, and 130 min, and at 420 °C, 40, 50, 80, 100, 110, and 130 min were determined by GC-MS. The morphology of PMMA dental resins fragments before and after depolymerization was performed by scanning electron microscopy (SEM) and energy dispersive spectroscopy (EDX). The experiments show that liquid phase yields were 55.50%, 48.73%, and 48.20% (wt.), at 345, 405, and 420 °C, respectively, showing a first order exponential decay behavior, decreasing with increasing temperature, while that of gas phase were 31.69%, 36.60%, and 40.13% (wt.), respectively, showing a first order exponential growth, increasing with temperature. By comparing the density, kinematic viscosity, and refractive index of pure MMA at 20 °C with those of liquid reaction products after distillation, one may compute percent errors of 1.41, 2.83, and 0.14%, respectively. SEM analysis showed that all the polymeric material was carbonized. Oxygenated compounds including esters of carboxylic acids, alcohols, ketones, and aromatics were detected by gas chromatography/mass spectrometry (GC-MS) in the liquid products at 345, 405, and 420 °C, atmosphere pressure. By the depolymerization of PMMA dental resins scraps, concentrations of methyl methacrylate between 83.454 and 98.975% (area.) were achieved. For all the depolymerization experiments, liquid phases with MMA purities above 98% (area.) were obtained between the time interval of 30 and 80 min. However, after 100 min, a sharp decline in the concentrations of methyl methacrylate in the liquid phase was observed. The optimum operating conditions to achieve high MMA concentrations, as well as elevated yields of liquid reaction products were 345 °C and 80 min.

Analysis of the Statistical Comparability of the Hardness and Wear of Polymeric Materials for Orthodontic Applications

Background: Clinical success depends on the contact strength and wear resistance of medical devices made of polymer materials. The scientific goal resulted from the problem of using different methods of surface evaluation of materials used in the production of orthodontic appliances. The purpose of the work was an experimental comparative assessment of indentation hardness and scratch hardness and the sliding wear of four selected polymeric materials used in the manufacture of orthodontic appliances. Methods: Four commercial materials were compared. Shore hardness tests and a scratch test with a Rockwell indenter were performed. A sliding wear test was performed using the ball-on-disc method. Statistical PCA and correlation analyses were performed. Results: The results of scratch hardness measurements using a contact profilometer correlated with the Shore hardness to a greater extent than measurements made using an optical microscope. PCA showed that Shore hardness explains 45% of the total variance in all the results across the materials. Conclusions: The scratch hardness method allows for a more explicit ranking of orthodontic polymeric materials when measurements are made with a profilometer. The ranking of sliding wear resistance should be made separately.

Can polylactic acid be a CAD/CAM material for provisional crown restorations in terms of fit and fracture strength?

This study aimed to evaluate polylactic acid (PLA) as a provisional crown material. Lower right first molar phantom tooth was used for the fabrication of 60 crowns. Samples were divided into three groups (n=20) according to the material: Group PL (PLA), Group PM (polymethyl methacrylate), and Group PE (polyetheretherketone). Each group was investigated for internal and marginal fit, fracture strength, and fracture mode. Data were analyzed using ANOVA, chi-squared test, and Tukey's tests (p≤0.05). The average marginal gap value of each group was: PE 56.00±4.67 µm, PM 61.15±4.44 µm, and PL 60.40±2.85 µm (p<0.001). The average internal gap value for each group was: PE 128.90±8.39 µm, PM 132.40±7.51 µm, and PL 130.75±9.76 µm (p=0.442). The average fracture strength of each group was: PE 840.90±13.23 N, PM 733.30±9.00 N, and PL 664.50±10.79 N (p<0.001). Results demonstrated that PLA may be a good option as a provisional crown material.

Effect of novel cycloaliphatic comonomer on the flexural and impact strength of heat-cure denture base resin

This study aims to evaluate the impact of adding a novel tricyclodecane dimethanol diacrylate comonomer on the flexural strength (FS) and impact strength (IS) of heat-cure denture base resin at 10% and 20% (v/v) concentrations. To test the FS and IS, a sum total of 150 bar-shaped specimens were prepared according to standard specifications. For the FS, the specimens were subjected to the three-point bend test with a span length of 50 mm. For the IS, Charpy's test was executed with a span length of 60 mm. The FS was measured in MPa, and the IS was measured in kJ/m². There was a statistically significant difference (P < 0.001) between the control and experimental groups in that both the FS and IS were increased in the experimental groups relative to the control group.

Advancements in Soft-Tissue Prosthetics Part B: The Chemistry of Imitating Life

Each year, congenital defects, trauma or cancer often results in considerable physical disfigurement for many people worldwide. This adversely impacts their psychological, social and economic outlook, leading to poor life experiences and negative health outcomes. In many cases of soft tissue disfigurement, highly personalized prostheses are available to restore both aesthetics and function. As discussed in part A of this review, key to the success of any soft tissue prosthetic is the fundamental properties of the materials. This determines the maximum attainable level of aesthetics, attachment mechanisms, fabrication complexity, cost, and robustness. Since the early-mid 20th century, polymers have completely replaced natural materials in prosthetics, with advances in both material properties and fabrication techniques leading to significantly improved capabilities. In part A, we discussed the history of polymers in prosthetics, their ideal properties, and the application of polymers in prostheses for the ear, nose, eye, breast and finger. We also reviewed the latest developments in advanced manufacturing and 3D printing, including different fabrication technologies and new and upcoming materials. In this review, Part B, we detail the chemistry of the most commonly used synthetic polymers in soft tissue prosthetics; silicone, acrylic resin, vinyl polymer, and polyurethane elastomer. For each polymer, we briefly discuss their history before detailing their chemistry and fabrication processes. We also discuss degradation of the polymer in the context of their application in prosthetics, including time and weathering, the impact of skin secretions, microbial growth and cleaning and disinfecting. Although advanced manufacturing promises new fabrication capabilities using exotic synthetic polymers with programmable material properties, silicones and acrylics remain the most commonly used materials in prosthetics today. As research in this field progresses, development of new variations and fabrication techniques based on these synthetic polymers will lead to even better and more robust soft tissue prosthetics, with improved life-like aesthetics and lower cost manufacturing.

Adhesion of Hydroxyapatite Nanoparticles to Dental Materials under Oral Conditions

Hydroxyapatite nanoparticles (nano-HAP) are receiving considerable attention for dental applications, and their adhesion to enamel is well established. However, there are no reports concerning the effects of HAP on other dental materials, and most of the studies in this field are based on in vitro designs, neglecting the salivary pellicle-apatite interactions. Thus, this in situ pilot study aims to evaluate the effects of three hydroxyapatite-based solutions and their interactions with different dental material surfaces under oral conditions. Hence, two volunteers carried intraoral splints with mounted samples from enamel and from three dental materials: titanium, ceramics, and polymethyl-methacrylate (PMMA). Three HAP watery solutions (5%) were prepared with different shapes and sizes of nano-HAP (HAP I, HAP II, HAP III). After 3 min of pellicle formation, 10 ml rinse was performed during 30 sec. Rinsing with water served as control. Samples were accessed immediately after rinsing, 30 min and 2 h after rinsing. Scanning electron microscopy (SEM) and transmission electron microscopy (TEM) were used to characterize the particles, and SEM evaluated the pellicle-HAP interactions. SEM and TEM results showed a high variation in the size range of the particles applied. A heterogeneous HAP layer was present after 2 h on enamel, titanium, ceramics, and PMMA surfaces under oral conditions. Bridge-like structures were visible between the nano-HAP and the pellicle formed on enamel, titanium, and PMMA surfaces. In conclusion, nano-HAP can adhere not only to enamel but also to artificial dental surfaces under oral conditions. The experiment showed that the acquired pellicle act as a bridge between the nano-HAP and the materials' surface.

Monomer Modifications of Denture Base Acrylic Resin: A Systematic Review and Meta-analysis

BACKGROUND

Methyl methacrylate monomer of denture base resins was modified with several monomers to achieve better physico-mechanical properties without compromising the biocompatibility. However, there are no consensuses on the best strategy to achieve best modified monomer.

PURPOSE

To identify and evaluate the differences in the properties between conventional and modified monomers and to verify the influence of several variables on the properties of denture base acrylic resin.

MATERIALS AND METHODS

This study was executed by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. In-vitro studies that investigated the properties of conventional and modified monomers were selected. Searches were carried out in the Ebscohost, PubMed, Semantic scholar and J-stage databases. The search commenced from the year 1995 and the last search was done till November 2018. A comparison was performed between modified and unmodified monomers. The analyses were carried out using fixed-effect models.

RESULTS

The meta-analysis results showed high heterogeneity in all aspects, and higher flexural strength for monomers modified with 20% methacrylic acid.

CONCLUSION

Although the articles included in this meta-analysis showed high heterogeneity and high risk of bias, the in-vitro literature seems to suggest that use of modified monomers could improve the properties of denture base resins. Other variants of monomer modifications and their tested parameters were discussed in this systematic review as well. Dimensional accuracy is an unexplored variable to be evaluated extensively in the future researches.