Effect of Polymerization Cycles on Gloss, Roughness, Hardness and Impact Strength of Acrylic Resins

Targeting bonding protocols to increase the bond between acrylic resin or 3D printed denture bases and prefabricated or 3D printed denture teeth

STATEMENT OF PROBLEM

The difference in chemical composition between denture base resin and denture teeth requires the development of bonding protocols that increase the union between the materials.

PURPOSE

The purpose of this in vitro study was to evaluate the impact of different bonding protocols on the bond between heat-polymerized and 3-dimensionally (3D) printed acrylic resin denture bases and acrylic resin prefabricated and 3D printed artificial teeth.

MATERIAL AND METHODS

Four types of artificial teeth were evaluated: prefabricated acrylic resin (VITA MFT) and 3D printed (Cosmos TEMP, PRIZMA 3D Bio Denture, and PrintaX AA Temp) bonded to 20×24-mm cylinders of heat-polymerized (VipiWave) and 3D printed (Cosmos Denture, PRIZMA 3D Bio Denture, and PrintaX BB Base) denture bases. Three bonding protocols were tested (n=20): mechanical retention with perforation + monomer (PT1), mechanical retention with perforation + airborne-particle abrasion with 50-µm aluminum oxide + monomer (PT2), and mechanical retention with perforation + Palabond (PT3). Half of the specimens in each group received 10 000 thermocycles and were then subjected to the bonding test at a crosshead speed of 1 mm/minute. The failure type was analyzed and scanning electron micrographs made. Additionally, surface roughness (Ra) and wettability (degree) were analyzed (n=15). ANOVA was used to evaluate the effect of the bonding protocol, and the Student t test was applied to compare the experimental groups with the control (α=.05). For type of failure, a descriptive analysis was carried out using absolute and relative frequency. The Kruskal-Wallis test was used to evaluate the surface changes (α=.05).

RESULTS

Among the protocols, PT3 with in Yller and PT2 with Prizma had the highest bond strengths of the heat-polymerized denture base and 3D printed teeth (P<.05). When comparing the experimental groups with the control, PT3 and PT2 had greater union with the 3D printed denture base + 3D printed teeth (in Yller), with no difference from the heat-polymerized denture base + prefabricated teeth in acrylic resin. The treatment of the 3D printed tooth surfaces affected the surface roughness of Prizma (P<.001) and wettability (P<.001).

CONCLUSIONS

To increase the bond between Yller 3D printed denture base + 3D printed teeth, a bonding protocol including mechanical retention with perforation + Palabond or mechanical retention with perforation + airborne-particle abrasion with aluminum oxide + monomer is indicated. For the other materials tested, further bonding protocols need to be investigated.

Effect of cigarette smoke and denture cleansers on the surface properties and color stability of CAD-CAM and conventional denture base resins

This study aimed to evaluate the hardness, roughness, and color stability of heat- and microwave-polymerized polymethyl methacrylate (PMMA), polyamide, and CAD-CAM PMMA resins when exposed to cigarette smoke (CS) and immersed in a denture cleanser (DC). Specimens of each resins were divided into four subgroups (n=10). The DC and CS+DC specimens were immersed in a DC; the CS and CS+DC specimens were exposed to CS; and the control (C) specimens were kept in distilled water. Hardness, roughness, and color measurements were performed. DC and CS significantly affected the roughness and color of all resins (p<0.05). However, these did not affect the hardness of the CAD-CAM PMMA resin (p>0.05). The CAD-CAM PMMA resin presented the lowest roughness, highest hardness, and lowest ΔE₀₀ values. While the roughness of all resins exposed to CS when immersed in DC decreased, the ΔE₀₀ values of the conventional PMMAs also decreased. Although this decreases were not significant, it may be advisable to use DC for smokers to decrease discoloration and roughness especially for conventional PMMAs resins.

Denture Acrylic Resin Material with Antibacterial and Protein-Repelling Properties for the Prevention of Denture Stomatitis

Denture stomatitis is a multifactorial pathological condition of the oral mucosa that affects up to 72% of denture wearers. It is commonly seen on the palatal mucosa and characterized by erythema on the oral mucosa that are in contact with the denture surface. The aim of this study was to incorporate 2-methacryloyloxyethyl phosphorylcholine (MPC) and dimethylaminohexadecyl methacrylate (DMAHDM) into a high impact polymethylmethacrylate heat-cured denture base acrylic resin as a potential treatment for denture stomatitis. We used a comparative study design to examine the effect of incorporating MPC as a protein repellent agent and DMAHDM as an antifungal agent to prevent the adherence of Candida albicans to the denture base material. The dual incorporation of MPC and DMAHDM reduced C. albicans biofilm colony-forming unit by two orders of magnitude when compared to the control group devoid of the bioactive agents. Although the addition of MPC and DMAHDM alone or in combination significantly reduced the flexural strength of the material, they showed reduced roughness values when compared to control groups. This new denture acrylic resin provides the benefit of enhancing C. albicans biofilm elimination through dual mechanisms of action, which could potentially reduce the prevalence of denture stomatitis.

Effect of a continuous mechanical polishing protocol on the color stainability, microhardness, mass, and surface roughness of denture base acrylic resin

STATEMENT OF PROBLEM

The acrylic resin used in dental prostheses, which is subject to changes in its properties caused by hygiene chemicals, brushing, and colored beverages, can benefit from mechanical polishing methods. However, studies evaluating whether such procedures can be performed continuously without damaging the prosthetic materials are lacking.

PURPOSE

The purpose of this in vitro study was to evaluate the effect of a continuous mechanical polishing protocol on the color stainability, surface roughness, microhardness, and mass of a denture base acrylic resin.

MATERIAL AND METHODS

The polishing protocol was tested in specimens submitted to one of the following conditions: immersion in coffee (CF) (n=20); toothbrushing (Br, 35 600 cycles in a brushing simulation machine) (n=20); and immersion in 1% sodium hypochlorite (HYP) (n=20). For each condition, half of the specimens were polished (aluminum oxide paste and felt wheel attached to an electric motor, 3000 rpm) at simulated biweekly intervals. Two groups (n=10) of specimens were immersed in distilled water and used as the control for the immersion groups. Thus, the present study consisted of a total of 8 groups (n=80). Before and after simulated periods of 12 and 24 months, surface roughness was evaluated by using a contact profilometer; a spectrophotometer was used to calculate color changes (ΔE₀₀); and a Knoop microdurometer and a precision balance were used to assess microhardness and mass changes. Data were compared by using 2-way mixed ANOVA. The Tukey HSD and Student t tests were used for post hoc analysis (α=.05).

RESULTS

The polishing influenced surface roughness (Br, CF, HYP: P<.001) and color stainability (Br: P=.008; CF: P<.001). Significant increase in roughness was observed for the Br and HYP groups, and the polishing significantly reduced roughness under all experimental conditions. In general, the polishing did not affect the microhardness and caused minimum wear of the acrylic resin. ΔE₀₀ values were above the clinical perceptibility threshold (ΔE₀₀>1.30) for the Br group, exceeding the clinical acceptability threshold for the CF group (ΔE₀₀= 2.51). Polishing reduced ΔE₀₀ in these groups, making values similar to those found in the groups immersed in distilled water. The color in the HYP group was not influenced by polishing.

CONCLUSIONS

In general, the tested polishing protocol reduced the deleterious effects of brushing and contact with 1% sodium hypochlorite and coffee, reducing surface roughness and color change without affecting microhardness and mass in any clinically relevant way.

Evaluating Polishability of Zirconia Impregnated PMMA Nanocomposite for Denture Base Application

Artificial biomaterials are being developed for use in denture base with symmetrical properties to restore the aesthetics and functionalities. The rough surface of denture base resin promotes the adhesion of microorganisms and plaque accumulation. This study aimed to explore the consequences of polishing times on the surface roughness of high-impact (HI) heat-polymerized PMMA denture base acrylic resin reinforced with zirconia nanoparticles (nanocomposite). Thirty specimens (25 ± 0.50 mm in diameter and 2 ± 0.10 mm thickness) were fabricated from HI PMMA by adding zirconia nanoparticles at different concentrations of (0 wt.%, 1.5 wt.%, 3 wt.%, 5 wt.%, 7 wt.%, and 10 wt.%). Specimens were divided into six groups (n = 5) and surface roughness (Ra) was measured before and after polishing with a standard protocol for one and two minutes. The addition of zirconia in PMMA at low concentrations (1.5 wt.%, 3 wt.%, and 5 wt.%) did not negatively affect the surface finish of the denture base composites following conventional polishing and remained below the clinically acceptable limit (0.2 µm). After one minute of polishing, only the 10 wt.% zirconia (0.17 ± 0.03 µm) demonstrated a substantial rise in median surface roughness, in comparison with the control group (0.11 ± 0.01 µm). It is concluded that the group containing 3 wt.% (0.10 ± 0.01 µm) of zirconia is the optimum concentration to obtain the best symmetrical surface finish after two minutes of polishing.

Antagonistic effect of isolated and commercially available probiotics on the growth of Candida albicans on acrylic resin denture surfaces

STATEMENT OF PROBLEM

Biofilms can be retained on dental prostheses leading to the development of infections. The indiscriminate use of antifungal drugs can result in the development of microorganisms that are resistant to these antimicrobial agents. Whether probiotics are a suitable alternative for reducing the prevalence of oral candidiasis is unclear.

PURPOSE

The purpose of this in vitro study was to evaluate the influence of 6 different live strains of probiotics and 2 commercially available probiotic supplements used for inhibiting the growth of Candida albicans biofilm in heat-polymerized acrylic resin denture base material and to determine whether biofilm byproducts modify the surface of specimens.

MATERIAL AND METHODS

Biofilms of C. albicans were formed on acrylic resin specimens in the presence of probiotics and quantified by colony-forming units (CFUs), and the surface roughness (Ra) of the specimens was assessed before and after the formation of biofilms. The CFU and roughness data were analyzed by analysis of variance and the Tukey HSD test (α=.05).

RESULTS

A significant decrease in the number (CFU/mL) of C. albicans cells was found when they were cultured with 4 probiotics: B. lactis (P=.045), B. longum (P<.001), L. casei (P<.001), and L. helveticus (P<.001) and with the commercially available probiotic Prolive (P=.05). The Ra of specimens decreased after exposure to different microbial biofilms (P≤.05) except in 3 experimental groups.

CONCLUSIONS

In general, the tested probiotics had an antagonistic effect on the growth of C. albicans, and the surface of acrylic resin was altered after exposure to biofilm byproducts.

Biological and Mechanical Properties of Denture Base Material as a Vehicle for Novel Hydroxyapatite Nanoparticles Loaded with Drug

Purpose: This study aimed to evaluate the biological and mechanical properties of the poly(methyl methacrylate) (PMMA) denture base material as a vehicle incorporating novel hydroxyapatite nanoparticles (HA-NP) loaded with metronidazole (MZ) drug.

Methods: HA-NP was prepared via wet-chemical-method, characterized by XRD, SEM/EDX, TEM, Fourier-transform infrared spectroscopy (FTIR), as well as the measurement of surface area and pore-size distribution. Four drug delivery formulas were prepared in the form of discs (10 x 2 mm) as follows: F1 (MZ/ HA-NP/PMMA), F2 (HA-NP/ PMMA), F3 (control-PMMA) and F4 (MZ/PMMA). Characterization of all formulas was performed using differential scanning calorimetry (DSC) and FTIR. MZ release rate, antimicrobial properties against three oral pathogens, cytotoxicity (MTT assay) and surface micro-hardness were also assessed. Statistical analysis of data was performed using one-way ANOVA test (P < 0.05).

Results: DSC thermograms showed compatibility among MZ, HA-NP and PMMA along with physical stability over 6 months storage period at room temperature. FTIR spectroscopy proved the absence of any possible chemical interaction with MZ. MZ-HA-NP/PMMA formula showed relatively better drug release compared to MZ-PMMA. Both formulas showed statistically significant antimicrobial potentials against two microbial strains. MTT demonstrated reduction in cell cytotoxicity after 96 hours with the least value for HA-NP. Surface micro-hardness revealed non-significant reduction compared with the control PMMA.

Conclusion: A novel biocompatible drug nanocarrier (HA-NP) was developed and incorporated in PMMA denture base material as a vehicle to allow prolonged sustained drug release to manage oral infections.

Effect of acidic beverages on surface roughness and color stability of artificial teeth and acrylic resin

PURPOSE

The aim was to evaluate the effect of four acidic beverages on the roughness (Ra) and color change (ΔE_ab) of two brands of artificial teeth and a heat-polymerized acrylic resin (HPAR) for use in a prosthetic base.

MATERIALS AND METHODS

All materials were divided into 5 groups, according to the used acidic beverage (artificial saliva - control, red wine, orange juice, coke-based, and lemon juice-based soft drink). The immersion process was divided into two stages: T1 - immersion in the acidic solutions for 10 minutes for 14 days; T2 - after T1, the samples were immersed in grape juice for 14 days. The Ra of the samples was evaluated in a rugosimeter and the ΔE_ab in a spectrophotometer, before and after the immersions. The analysis of variance of one (ΔE_ab) and two factors (Ra) and Tukey were performed (α=.05).

RESULTS

There was a statistical difference for roughness after immersion (T1) for Trilux and Tritone teeth, regardless of the acid solution. For Trilux teeth, all acid solutions increased Ra (P<.05). For Tritone teeth, only the coke-based soft drink did not statistically change Ra. Grape juice (T2) altered Ra only of artificial teeth (P<.05). The color was changed for all materials, after T1 and T2.

CONCLUSION

In general, the acidic solutions changed the Ra and ΔE_ab of HPAR and artificial teeth after T1. The grape juice altered the roughness only of the artificial teeth, promoting a clinically acceptable color change in the materials.

Color Stability and Gloss of Esthetic Restorative Materials after Chemical Challenges

Abstract This study evaluated gloss and color changes of esthetic restorative materials subjected to different acidic beverages. Specimens of resin composites (Z350XT (Z350), IPS Empress Direct (ED), Charisma Diamond (CD)) were prepared and the initial surface gloss and color (ΔE) were measured (n=10). Then, the specimens were immersed in 4 mL of each of the different beverages (cranberry juice; Coca-Cola; coffee or artificial saliva) during 15 min, 3x/day for 14 days and new gloss and color readings were obtained. Color change was evaluated with the ΔE formula and gloss change values were obtained by the formula: (final gloss - initial gloss). Data was submitted to two-way ANOVA followed by Tukey’s post hoc test (a=0.05). CD showed the lowest color change among resin composites. The highest ΔE values were obtained after immersion in coffee and cranberry juice. Coffee promoted the highest gloss change (worst gloss retention), followed by cranberry juice, Coca-cola and artificial saliva (p<0.05). The type of beverage significantly influenced the gloss of resin composites. Coca-cola reduced gloss of the three resin composites in a similar manner. Coffee affected the ED gloss more than that of Z350 and CD, while cranberry juice affected Z350 more than ED and CD. Saliva had a more pronounced effect on the gloss retention of CD than ED. The beverages used in this study influenced the optical surface properties of the composites studied.

Flexural and Surface Properties of PMMA Denture Base Material Modified with Thymoquinone as an Antifungal Agent

PURPOSE

To evaluate the effect of addition of different concentrations of thymoquinone (TQ) on the flexural strength, elastic modulus, surface roughness, and hardness of PMMA denture base material.

MATERIALS AND METHODS

A total of 160 rectangular specimens were prepared from heat-polymerized acrylic resin, with dimensions of 65 × 10 × 2.5 mm³ for flexural strength testing and 10 × 20 × 3 mm³ for surface property testing. The specimens were divided into eight groups of 20 specimens: one control group without addition of TQ and seven test groups prepared by adding TQ to acrylic powder in concentrations of 0.5, 1, 1.5, 2, 2.5, 3, and 5 wt%. The polymer was added to the monomer before being mixed, packed, and processed using the conventional water bath method. A universal testing machine was used to measure flexural strength and elastic modulus. A profilometer and a Vickers hardness tester were used to measure surface roughness and hardness, respectively. One-way ANOVA and the Tukey-Kramer multiple-comparison test were used for statistical analysis, with statistical significance at p ≤ 0.05.

RESULTS

Addition of TQ to PMMA denture base material significantly decreased flexural strength and elastic modulus at high concentrations (p < 0.01), while no significant differences were observed at low concentrations (0.5%, 1% TQ) in comparison with the control group. At high TQ concentrations, surface roughness increased while hardness decreased (p < 0.0001), and no significant differences were observed at low concentrations (0.5%, 1% TQ) in comparison with the control group. The most favorable addition values were 0.5% and 1% TQ in all TQ groups.

CONCLUSIONS

Addition of TQ did not affect the flexural and surface properties of PMMA denture base material at low concentrations (0.5%, 1% TQ) and could be incorporated into PMMA denture base material as an antifungal agent.

Effect of heat polymerization conditions and microwave on the flexural strength of polymethyl methacrylate

Objective

The objective of this study is the effect of different heat polymerization conditions on the strength of polymethyl methacrylate (PMMA) resin base is unknown. Distinguishing one method that provides improved mechanical properties may be beneficial to the clinical success of complete and partial dentures and overdentures. The purpose of this study was to evaluate the effect of different polymerization methods on the flexural strength of a dental PMMA resin.

Materials and Methods

Forty PMMA specimens (64 mm × 10 mm × 4 mm) were prepared with 4 different polymerization methods (n = 10); heat polymerization at 74°C for 9 h, at 100°C for 40 min, and with 620 kPa pressure at 100°C for 20 min. The remaining group of specimens was microwave polymerized at 180 W for 6 min. All specimens were thermocycled at 5°C and 55°C for 5000 times. Three-point flexure test was used to measure the flexural strength of specimens. One-way ANOVA and Tukey Honestly Significant Difference were applied to analyze the differences in flexural strengths (α = 0.05).

Results

The flexural strength of heat-polymerized groups was similar. The flexural strength of microwave polymerized group was significantly different and lower than the other groups (P < 0.05).

Conclusion

Polymerizing conventional heat-polymerizing PMMA resin with microwave energy resulted in a significant decrease in flexural strength. The results of this study suggest that clinicians may benefit from using heat polymerization when processing PMMA denture bases instead of microvawe polymerization when tested brand is used.