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Krishnan CS, Li KC, Tompkins GR, Lyons KM, Cannon RD. Effects of simulated long-term exposure to bottled, neutral pH electrolyzed oxidizing water on the properties of denture base resins. J Prosthet Dent 2024; 132:267.e1-267.e10. [PMID: 38622046 DOI: 10.1016/j.prosdent.2024.03.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2023] [Revised: 03/12/2024] [Accepted: 03/15/2024] [Indexed: 04/17/2024]
Abstract
STATEMENT OF PROBLEM Denture stomatitis can pose serious health risks, especially to older people. Chemical denture cleaning agents must be effective, yet not adversely affect the longevity of removable dentures. Ready-to-use (RTU) neutral pH electrolyzed oxidizing water (EOW) is an effective biocide against Candida albicans biofilms on denture resins, but the effects of daily disinfection with EOW on the physical and mechanical properties of resins have not been established. PURPOSE The purpose of this in vitro study was to investigate the effects of simulated long-term exposure to RTU EOW on the color, surface characteristics, and flexural strength of denture base resins. MATERIAL AND METHODS Heat-polymerized (HP), 3D printed (3D) and computer-aided design and computer-aided manufacture (CAD-CAM)-milled (CC) denture resin specimens (square: 20×20×3.3 mm; beam: 64×10×3.3 mm) were immersed in tap water (TW), RTU EOW (Neutral Anolyte ANK; Envirolyte; EOW), or a commercial denture cleaning tablet solution (Polident 3-Minute; Glaxo SmithKline; PD), mimicking a 5-minute once daily disinfection routine performed up to 3.0 years. Color and surface roughness were recorded (n=3, squares), and changes in color (∆E00) and surface roughness (∆Ra) were calculated. Flexural strength (n=12, beams) and surface hardness (n=18, beams) were measured with a universal testing machine. The fractured surfaces of specimens were examined by scanning electron microscopy and energy dispersive spectroscopy. Data were assessed by performing the Shapiro-Wilk or D'Agostino and Pearson normality tests. Two-way ANOVA or the Kruskal-Wallis test with a post hoc Tukey HSD or Dunn multiple comparisons (α=.05) was used for statistical analyses. RESULTS No significant changes were found in either color or surface roughness for HP, 3D, and CC resins after 1.5-year and 3.0-year immersion in any of the agents (P>.05). The surface hardness of 3D resins reduced by 14% with TW and by 23% with EOW and PD at 3.0 years. The flexural strengths of all 3 resins were unaffected by 3.0-year immersion (P>.05). CONCLUSIONS Simulated long-term immersion disinfection with RTU neutral pH EOW did not adversely affect the physical and mechanical properties of HP or CC denture resins.
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Affiliation(s)
- Chitra Shankar Krishnan
- Doctoral graduate, Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Kai Chun Li
- Senior Lecturer, Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.
| | - Geoffrey R Tompkins
- Honorary Associate Professor, Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Karl M Lyons
- Professor, Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Richard D Cannon
- Professor, Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
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Zhang K, Zhang S, Shi Y, Zhang L, Fu B. Effects of disinfectants on physical properties of denture base resins: A systematic review and meta-analysis. J Prosthet Dent 2024; 131:841-858. [PMID: 35465961 DOI: 10.1016/j.prosdent.2022.03.020] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Revised: 03/14/2022] [Accepted: 03/15/2022] [Indexed: 11/16/2022]
Abstract
STATEMENT OF PROBLEM The disinfection of removable dental prostheses and orthodontic appliances is essential to preventing transmission of pathogens. However, whether different disinfection solutions and durations affect the physical properties of denture base resins is unclear. PURPOSE The purpose of this systematic review and meta-analysis was to statistically analyze the influence of disinfectants on the physical properties of denture base resins. MATERIAL AND METHODS A systematic search in Medline, Embase, PubMed, and Cochrane Library databases was conducted to evaluate the effects of chemical disinfection on the physical properties of denture base resins such as surface morphology, roughness, hardness, and flexural strength. Of 1909 studies, 44 studies were included in the systematic review and 41 in the meta-analysis. Heterogeneity was analyzed by using I2 statistics. The influence of different disinfection solutions and durations on the physical properties was further analyzed, and the risk of bias evaluated. Statistical analyses were performed by using the RevMan 5.4 software program with the standardized mean differences (SMDs) and 95% confidence intervals (CIs). RESULTS Of the 44 included studies, 40 studies were assessed as having a low risk of bias, and 4 had an unclear risk of bias. Meta-analysis results showed that compared with the control, disinfection could not significantly affect surface roughness and hardness within 60 minutes of immersion in disinfectant solutions or flexural strength within 30 minutes (roughness: P=.79, I2=0%; flexural strength: P=.08, I2=0%; hardness: P=.05, I2=19%). In addition, the physical properties were not significantly affected when glutaraldehyde, chlorhexidine, and peracetic acid were repeatedly used for more than 30 minutes. CONCLUSIONS Most of the disinfectants did not reduce the physical properties of denture base resin within 30 minutes of immersion. Glutaraldehyde, chlorhexidine, and peracetic acid are recommended if longer immersion or repeated disinfection is required.
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Affiliation(s)
- Kai Zhang
- Postgraduate student, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Dental Biomaterials and Devices for Zhejiang Provincial Engineering Research Center, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, Zhejiang, PR China
| | - Sisi Zhang
- Postgraduate student, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Dental Biomaterials and Devices for Zhejiang Provincial Engineering Research Center, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, Zhejiang, PR China
| | - Ying Shi
- Resident, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Dental Biomaterials and Devices for Zhejiang Provincial Engineering Research Center, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, Zhejiang, PR China
| | - Ling Zhang
- Associate Professor, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Dental Biomaterials and Devices for Zhejiang Provincial Engineering Research Center, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, Zhejiang, PR China
| | - Baiping Fu
- Professor, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Dental Biomaterials and Devices for Zhejiang Provincial Engineering Research Center, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, Zhejiang, PR China.
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Alfaraj A, Chu TMG, Alouthah H, Yang CC, Lin WS. Tensile bond strength of auto-polymerizing and heat-polymerizing denture reliners on the conventional and CAD-CAM denture base materials. J Prosthodont 2023; 32:87-95. [PMID: 36630654 DOI: 10.1111/jopr.13642] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Accepted: 12/24/2022] [Indexed: 01/13/2023] Open
Abstract
PURPOSE The study aimed to compare the tensile bond strength (TBS) of auto-polymerizing and heat-polymerizing denture reliners on the conventional (compression-molding and injection-molding) and computer-aided design and computer-aided manufacturing (milled and 3D-printed) denture base materials. MATERIALS AND METHODS Eighty standard dogbone-shaped specimens were fabricated from four materials: compression-molding, injection-molding, milled, and 3D-printed denture base materials. A 3-mm cutoff was removed from each specimen at the midsection, and all specimens were reattached with either auto-polymerizing (n = 10) or heat-polymerizing (n = 10) reliner. The TBS was measured on the universal testing machine. A scanning electron microscope (SEM) was used to examine the fractured surfaces at cross sections to determine the dominant failure mode in each group. Two-way ANOVA was used to examine the effects of denture base material and reliner on the TBS (α = 0.05). Weibull survival analysis was also used to determine the survival probability curves. RESULTS Heat-polymerizing reliner led to a higher TBS than the auto-polymerizing reliner, except in the compression-molding (p = 0.573) groups. Compression-molding denture base material connected with a heat-polymerizing reliner showed the highest TBS (29.8 ± 6.9 MPa), whereas 3D-printed denture base material connected with an auto-polymerizing reliner showed the lowest TBS (7.2 ± 0.9 MPa). The survival probability based on the Weibull model demonstrated that the compression-molding denture base material connected with either auto-polymerizing or heat-polymerizing reliners had the longest survival time to failure, whereas 3D-printed denture base material relined with auto-polymerizing reline material showed the shortest survival time to failure. Under the SEM, the compression-molding groups demonstrated that the failure modes were mixed but predominantly cohesive. The injection-molding and milled groups showed predominantly adhesive failures at the denture base-reline material interfaces. The dominant mode of failure in the 3D-printed groups was cohesive failures within the bonding adhesive. CONCLUSIONS Although the heat-polymerizing reliner led to a higher TBS than the auto-polymerizing reliner in most denture base materials, the compression-molding denture base material can achieve high TBS with both reliners. When the auto-polymerizing reliner is used with 3D-printed denture base material, clinicians should be aware of lower TBS value and possible cohesive failures, and the detachment of the reliner from the denture base.
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Affiliation(s)
- Amal Alfaraj
- Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, Indiana, USA
| | - Tien-Min G Chu
- Department of Biomedical Sciences and Comprehensive Care, Indiana University School of Dentistry, Indianapolis, Indiana, USA
| | - Hesham Alouthah
- Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, Indiana, USA
| | - Chao-Chieh Yang
- Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, Indiana, USA
| | - Wei-Shao Lin
- Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, Indiana, USA
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Effects of long-term cinnamaldehyde immersion on the surface roughness and color of heat-polymerized denture base resin. J Prosthet Dent 2022; 128:521.e1-521.e8. [PMID: 35970612 DOI: 10.1016/j.prosdent.2022.07.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Revised: 07/05/2022] [Accepted: 07/06/2022] [Indexed: 11/21/2022]
Abstract
STATEMENT OF PROBLEM Cinnamaldehyde has been successfully used for the short-term disinfection of dentures; however, its long-term effects on the surface and color properties of denture base materials remain unknown. PURPOSE The purpose of this in vitro study was to evaluate the effects of simulated immersion in cinnamaldehyde for up to 5 years on the surface roughness and color parameters of a heat-polymerized denture resin. MATERIAL AND METHODS Eighty Ø10×5-mm disk-shaped specimens were prepared from microwave heat-polymerized polymethylmethacrylate (PMMA) and immersed in 4 solutions (n=20): TW-tap water (control), SH - 0.5% sodium hypochlorite, PX-alkaline peroxide, and CA-cinnamaldehyde (27 μg/mL). The immersion protocol simulated 104 cycles (3.5 months), 913 cycles (2.5 years), and 1825 immersion cycles (5 years) of a daily immersion cleaning protocol, with immersion times ranging from 10 to 20-minutes. Surface roughness (Sa) and the color parameters of CIELab (L∗ a∗ b∗, ΔEab), CIEDE2000 (ΔE00), and the National Bureau of Standards (NBS) were analyzed at baseline (t=0) and after the immersion cycles. The data were analyzed by 2-way analysis of variance (ANOVA) for repeated measures and the Tukey post hoc test (α=.01). RESULTS Sa was significantly increased in all groups after 1825 cycles compared with baseline (P<.01), regardless of the solution. Only the time factor significantly affected ΔEab, ΔE00, and NBS parameters, which were below the perceptibility and acceptability thresholds. After a simulated 5-year immersion, the surface roughness and color values of CA-treated specimens were not statistically different from those of the other groups (P>.01). CONCLUSIONS Cinnamaldehyde solution (27 μg/mL) produced minor effects on the surface roughness and color parameters of a heat-polymerized denture base resin similar to those of 0.5% sodium hypochlorite and alkaline peroxide after a 5-year simulated immersion.
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Ferro AC, Spavieri JHP, Ribas BR, Scabelo L, Jorge JH. Do denture cleansers influence the surface roughness and adhesion and biofilm formation of Candida albicans on acrylic resin? Systematic review and meta-analysis. J Prosthodont Res 2022; 67:164-172. [PMID: 35811135 DOI: 10.2186/jpr.jpr_d_22_00077] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE To evaluate the influence of denture cleansers on the surface roughness, Candida albicans adhesion, and biofilm formation on denture base acrylic resins. STUDY SELECTION Electronic databases and gray literature were searched using an individual search strategy. In vitro studies that evaluated the effects of immersion in denture cleansers on the surface roughness (µm) and antimicrobial activity (CFU/mL) on samples of heat-polymerized denture base acrylic resins were included. RESULTS After screening, 17 studies were included, and a qualitative synthesis was performed. After assessing the risk of bias, only nine studies were included in the meta-analysis. The meta-analysis results showed that the evaluated solutions (0.5% sodium hypochlorite, 1% sodium hypochlorite, alkaline peroxide, and natural substances) did not influence the roughness of the acrylic resin. However, in the qualitative analysis, it was not possible to confirm an association between roughness and C. albicans adhesion and biofilm formation on the acrylic resin samples. CONCLUSION Denture cleansers did not affect the surface roughness of denture base acrylic resins.
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Affiliation(s)
- Amanda Costa Ferro
- São Paulo State University (Unesp), School of Dentistry, Araraquara, São Paulo, Brazil
| | | | - Beatriz Ribeiro Ribas
- São Paulo State University (Unesp), School of Dentistry, Araraquara, São Paulo, Brazil
| | - Lais Scabelo
- São Paulo State University (Unesp), School of Dentistry, Araraquara, São Paulo, Brazil
| | - Janaina Habib Jorge
- São Paulo State University (Unesp), School of Dentistry, Araraquara, São Paulo, Brazil
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Leite A, Viotto H, Nunes T, Pasquini D, Pero A. Cellulose nanocrystals into Poly(ethyl methacrylate) used for dental application. POLIMEROS 2022. [DOI: 10.1590/0104-1428.20210066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- Andressa Leite
- Universidade Estadual Paulista “Júlio de Mesquita Filho”, Brasil
| | - Hamille Viotto
- Universidade Estadual Paulista “Júlio de Mesquita Filho”, Brasil
| | - Thais Nunes
- Universidade Estadual Paulista “Júlio de Mesquita Filho”, Brasil
| | | | - Ana Pero
- Universidade Estadual Paulista “Júlio de Mesquita Filho”, Brasil
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7
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Di Fiore A, Meneghello R, Brun P, Rosso S, Gattazzo A, Stellini E, Yilmaz B. Comparison of the flexural and surface properties of milled, 3D-printed, and heat polymerized PMMA resins for denture bases: an in vitro study. J Prosthodont Res 2021; 66:502-508. [PMID: 34853238 DOI: 10.2186/jpr.jpr_d_21_00116] [Citation(s) in RCA: 35] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE To compare the flexural properties and the adhesion of Lactobacillus salivarius (LS), Streptococcus mutans (SM), and Candida albicans (CA) on heat-polymerized (CV), CAD-CAM milled (CAD), or 3D-printed (3D) Poly (methylmethacrylate) (PMMA). METHODS Ultimate Flexural Strength (UFS), Flexural Strain (FS) (%) at Flexural Strength, and Flexural Modulus (FM) of specimens (65.0×10.0×3.3 mm) from each PMMA group (n=6) were calculated by using the 3-point bending test. The surface roughness profiles (R) were measured before and after polishing with a contact profilometer. LS, SM, and CA adhesion on PMMA specimens (n=18) (10 mm in diameter, 3 mm in height) was assessed after 90 minutes and 16 hours by using scanning electron microscopy. The Kruskal-Wallis test with post hoc analysis was performed to compare the groups (alpha=0.05). RESULTS Mean UFS values were 80.79±7.64 MPa for CV, 110.23±5.03 MPa for CAD, and 87.34±6.39 MPa for 3D. Mean FS values were 4.37±1.04% for CV, 4.71±0.62% for CAD, and 6.19±0.13 % for 3D. Mean FM values were 2542±301 MPa for CV, 3435±346 MPa for CAD, and 2371±197 MPa for 3D. CAD had the lowest average R value (0.29±0.16 µm) before polishing, and bacterial adhesion after 90 minutes of incubation. R value and microbial adhesion were not different amongst groups after polishing and 16 hours of incubation, respectively. CONCLUSION The CAD group displayed the best flexural properties, except for FS, the lowest roughness before polishing and bacterial adhesion after 90 minutes of incubation. All tested PMMAs had similar surface roughness after polishing, and microbial adhesion after 16 hours of incubation.
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Affiliation(s)
- Adolfo Di Fiore
- Department of Neurosciences, School of Dentistry, Section of Prosthodontics and Digital Dentistry, University of Padova, Padova, Italy
| | | | - Paola Brun
- Department of Molecular Medicine, University of Padova, Padova, Italy
| | - Stefano Rosso
- Department of Management and Engineering, University of Padova, Italy
| | | | - Edoardo Stellini
- Head of University Dental Clinic, Department of Neurosciences, School of Dentistry, University of Padova, Italy
| | - Burak Yilmaz
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.,Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, University of Bern, Bern, Switzerland.,Division of Restorative and Prosthetic Dentistry, The Ohio State University, Ohio, USA
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Chander NG, Venkatraman J. Mechanical properties and surface roughness of chitosan reinforced heat polymerized denture base resin. J Prosthodont Res 2021; 66:101-108. [PMID: 33896890 DOI: 10.2186/jpr.jpr_d_20_00257] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE The antifungal property of chitosan (Ch) in denture base resin (DBR) was well established. Ch influence on the mechanical properties of DBR is less studied in the literature and is vital for clinical success of denture. This study estimates the effect of different concentrations of Ch on the flexural strength (FS), fracture toughness (FT), impact strength (IS) and surface roughness (Ra) in heat polymerized DBR. METHODS A total of 160 samples were divided into 4 groups (n =10) by weight percentage - Ch 0, Ch 5, Ch 10, Ch 15. FS and FT were estimated by three-point bending test. IS was determined by Charpy test. Ra was evaluated by non-contact laser surface profilometer. The tested samples were characterized by scanning electron microscope and Fourier transformation infra-red spectroscopy. Data were statistical analyzed with one-way ANOVA and Post hoc Bonferroni test. RESULTS FS, FT and IS improved with Ch addition when compared to control group. Ch5 showed higher "FS, FT, IS. (p<0.001)". Increased Ra was observed in Ch5 and Ch10 with significant statistical differences among the g roups. (p <0.001) Ch15 displayed decrease in Ra compared to control group. CONCLUSIONS The addition of Ch to DBR improved the "FS, FT, IS at 5%wt and Ra at 15%wt" of Ch.
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Affiliation(s)
- Naveen Gopi Chander
- Department of Prosthodontics, Sri Ramaswami Memorial Dental College, Ramapuram,Chennai, Tamilnadu
| | - Jayaraman Venkatraman
- Department of General Surgery, Sri Ramaswami Memorial Dental College, Ramapuram, Chennai, Tamilnadu
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Hsu KL, Balhaddad AA, Garcia IM, Collares FM, DePaola L, Melo MA. Assessment of surface roughness changes on orthodontic acrylic resins by all-in-one spray disinfectant solutions. J Dent Res Dent Clin Dent Prospects 2020; 14:77-82. [PMID: 32908647 PMCID: PMC7464227 DOI: 10.34172/joddd.2020.019] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Accepted: 04/24/2020] [Indexed: 12/25/2022] Open
Abstract
Background. The disinfection of orthodontic acrylic resins might change the physical and mechanical properties of these materials. We aimed to investigate the impact of four different commercially available disinfectants on the surface roughness of acrylic resins used for orthodontic appliances. Methods. Four disinfectant solutions (BirexSE, Opti-Cide3, COEfect MinuteSpray, and CaviCide Spray) were used to disinfect orthodontic acrylic resins using the spraying method. The resins were subjected to repeated disinfection protocols. Distilled water, also applied via spraying method, was used as a control. Surface roughness was scrutinized to examine the extent of surface topography changes by stylus profilometry. Data normality was evaluated via the Shapiro–Wilk test, followed by the Wilcoxon Signed-Rank test for non-parametric data or paired Student’s t-test for parametric data to compare intra-group differences in roughness before and after the use of the disinfectant solutions. Results. Some of the disinfectants (BirexSE and CaviCide) resulted in significant changes in surface roughness values before and after the disinfection compared to the controls (P<0.05). The groups that were in contact with distilled water, Opti-Cide, and Coeffect did not exhibit significant differences in surface roughness before and after the intervention (P>0.05). However, from a clinical perspective, the resulting variations in surface roughness (<%0.15) induced by these solutions might not reflect clinically significant differences. Conclusion. The use of disinfectant solutions is unlikely to harm the surface of orthodontic acrylic resins. Oral care providers need to be attentive to the interpretation and implementation of clinically significant changes in their evidence-based approach regarding potential material damages by disinfection sprays.
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Affiliation(s)
- Kuei-Ling Hsu
- Ph.D. Program in Dental Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, MD 21201, USA.,Division of Pediatric Dentistry, Department of Orthodontics and Pediatric Dentistry, University of Maryland School of Dentistry, Baltimore, MD 21201, USA
| | - Abdulrahman A Balhaddad
- Ph.D. Program in Dental Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, MD 21201, USA.,Department of Restorative Dental Sciences, Imam Abdulrahman Bin Faisal University, College of Dentistry, Dammam, Saudi Arabia
| | - Isadora Martini Garcia
- Ph.D. Program in Dental Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, MD 21201, USA.,Dental Materials Laboratory, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, 90035-003, RS, Brazil
| | - Fabrício Mezzomo Collares
- Dental Materials Laboratory, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, 90035-003, RS, Brazil
| | - Louis DePaola
- Department of Oncology and Diagnostic Sciences, University of Maryland School of Dentistry, Baltimore, MD 21201, USA
| | - Mary Anne Melo
- Ph.D. Program in Dental Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, MD 21201, USA.,Division of Operative Dentistry, Department of General Dentistry, University of Maryland School of Dentistry, Baltimore, MD 21201, USA
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Asnaashari M, Motamedi S, Asnaashari N, Azari-Marhabi S. Antimicrobial Activity of Cold Plasma Treatment on Acrylic Denture Bases: An In Vitro Evaluation. J Lasers Med Sci 2020; 10:S13-S17. [PMID: 32021667 DOI: 10.15171/jlms.2019.s3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Introduction: Cross-contamination between dental office and prosthetic laboratories is of utmost importance. The dental prosthesis could harbor tones of microorganisms harmful to health staff. It has been estimated that more than 60% of the prostheses delivered to clinics from laboratories or vice versa are contaminated with pathogenic microorganisms. Several disinfection methods and chemicals have been proposed for sanitizing prostheses. Cold plasma, or nonthermal plasma, has been introduced as a new method in medical equipment disinfection. The current study aimed to compare the antimicrobial effect of cold plasma and the routinely used alcohol-based impression disinfectant ASEPTOPRINT® on disinfecting dentures. Methods: In this experimental study, 30 maxillary complete dentures were used as the microbial source. Dentures were randomly divided into 3 groups: (1) cold plasma treatment for 30 seconds, (2) cold plasma for 60 seconds, (3) ASEPTOPRINT® spray. Microbial culturing was taken before and after disinfection in each group on both Blood Agar plates and Soborou Dextrose Agar (SDA) plates. After 48 hours incubation at 37°C, the number of colonies was counted using a digital colony counter and differences between the groups were analyzed. Results: A significant reduction in microbial colonies was observed after using all disinfection methods. ASEPTOPRINT® spray showed more antimicrobial effects comparing to cold plasma. Conclusion: The antimicrobial effect of ASEPTOPRINT® spray solution is more than cold plasma application on both microbial and fungal microorganisms. The time of plasma application was not accompanied by any significant differences in the results.
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Affiliation(s)
- Mohammad Asnaashari
- Laser Application in Medical Science Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Salar Motamedi
- Dental Research Center, Research Institute of Dental Sciences, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Negin Asnaashari
- Laser Application in Medical Science Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Saranaz Azari-Marhabi
- Laser Application in Medical Science Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Denture Liners: A Systematic Review Relative to Adhesion and Mechanical Properties. ScientificWorldJournal 2019; 2019:6913080. [PMID: 30940994 PMCID: PMC6421019 DOI: 10.1155/2019/6913080] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2018] [Revised: 01/25/2019] [Accepted: 02/13/2019] [Indexed: 01/23/2023] Open
Abstract
Purpose The objective of this systematic review is to compare results concerning the properties of adhesion, roughness, and hardness of dental liners obtained in the last ten years. Methods Searches on the databases LILACS, PubMed/Medline, Web of Science, and Cochrane Database of Systematic Reviews were supplemented with manual searches conducted between February and April of 2018. The inclusion criteria included experimental in vitro and in vivo, clinical, and laboratory studies on resilient and/or hard liners, assessment of hardness, roughness, and/or adhesion to the denture base, and physical/mechanical changes resulting from the disinfection process and changes in liners' composition or application. Results A total of 406 articles were identified and, from those, 44 are discussed. Twenty-four studies examined the bond strength, 13 surface roughness, and 19 the hardness. Of these 44 studies, 12 evaluated more than one property. Different substances were used in the attempt to improve adhesion. Considering roughness and hardness, the benefits of sealants have been tested, and the changes resulting from antimicrobial agents' incorporation have been assessed. Conclusion Adhesion to the prosthesis base is improved with surface treatments. Rough surfaces and changes in hardness compromise the material's serviceability.
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12
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Al-Dwairi ZN, Tahboub KY, Baba NZ, Goodacre CJ, Özcan M. A Comparison of the Surface Properties of CAD/CAM and Conventional Polymethylmethacrylate (PMMA). J Prosthodont 2019; 28:452-457. [PMID: 30730086 DOI: 10.1111/jopr.13033] [Citation(s) in RCA: 80] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/03/2019] [Indexed: 11/28/2022] Open
Abstract
PURPOSE To compare surface properties of 2 brands of pre-polymerized resin blocks for complete dentures (CAD/CAM PMMA) to conventional heat-polymerized PMMA. MATERIALS AND METHODS A total of 45 rectangular specimens (25 × 25 × 3 mm) were fabricated from 3 brands of PMMA (n = 15/group): AvaDent CAD/CAM PMMA, Tizian-Schütz CAD/CAM PMMA, Meliodent conventional PMMA. Specimens were examined for wettability using the sessile drop method, surface roughness using a digital contact profilometer, and microhardness using Vickers hardness number. Statistical analysis was performed using one-way ANOVA and Tukey pairwise multiple comparisons. p-Values of ≤0.05 were considered significant. RESULTS AvaDent specimens demonstrated the highest mean contact angle (72.87 ± 48°) and the highest mean Vickers hardness number (20.62 ± 0.33). The conventional heat-polymerized specimens showed the highest mean surface roughness (0.22 ± 0.071 μm). Tizian-Schütz specimens showed the lowest mean surface roughness (0.12 ± 0.02 μm). CONCLUSIONS As CAD/CAM PMMA groups exhibited significantly more favorable surface properties in comparison to the conventional heat-polymerized groups, CAD/CAM dentures are expected to be more durable. Different brands of CAD/CAM PMMA may have inherent variations in surface properties.
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Affiliation(s)
- Ziad N Al-Dwairi
- Department of Prosthodontics, Faculty of Dentistry, Jordan University of Science and Technology (JUST), Irbid, Jordan
| | - Kawkab Y Tahboub
- Department of Prosthodontics, Faculty of Dentistry, Jordan University of Science and Technology (JUST), Irbid, Jordan
| | - Nadim Z Baba
- Advanced Specialty Education Program in Prosthodontics, Loma Linda University, School of Dentistry, Loma Linda, CA
| | - Charles J Goodacre
- Advanced Specialty Education Program in Prosthodontics, Loma Linda University, School of Dentistry, Loma Linda, CA
| | - Mutlu Özcan
- University of Zurich, Head of Dental Materials Unit, Center for Dental and Oral Medicine, Clinic for Fixed and Removable Prosthodontics and Dental Materials Science, Zurich, Switzerland
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FUNCTIONAL COMPARATIVE EVALUATION OF PROSTHESES WITH AND WITHOUT ELASTIC LINING. WORLD OF MEDICINE AND BIOLOGY 2018. [DOI: 10.26724/2079-8334-2018-3-65-91-95] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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14
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Lima JF, Maciel JG, Arrais CA, Porto VC, Urban VM, Neppelenbroek KH. Effect of incorporating antifungals on the water sorption and solubility of interim resilient liners for denture base relining. J Prosthet Dent 2016; 115:611-6. [DOI: 10.1016/j.prosdent.2015.09.029] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2015] [Revised: 09/17/2015] [Accepted: 09/17/2015] [Indexed: 10/22/2022]
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15
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Sánchez-Aliaga A, Pellissari CVG, Arrais CAG, Michél MD, Neppelenbroek KH, Urban VM. Peel bond strength of soft lining materials with antifungal to a denture base acrylic resin. Dent Mater J 2016; 35:194-203. [PMID: 27041008 DOI: 10.4012/dmj.2014-269] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The effect of the addition of nystatin, miconazole, ketoconazole, chlorhexidine, and itraconazole into the soft lining materials Softone and Trusoft on their peel bond strength to a denture base acrylic resin was evaluated. Specimens of soft lining materials (n=7) were made without (control) or with the incorporation of antifungals at their minimum inhibitory concentrations to the biofilm of C. albicans and bonded to the acrylic resin. Peel testing was performed after immersion in distilled water at 37ºC for 24 h, 7 and 14 days. Data (MPa) were analyzed by 3-way ANOVA/Tukey-Kramer test (α=0.05) and the failure modes were classified. The addition of nystatin and ketoconazole did not affect the peel bond strength for up to 14 days. Most failures were predominantly cohesive within soft lining materials. With the exception of itraconazole, incorporating the antifungals into the soft lining materials did not result in values below those recommended for peel bond strength after 7 and 14 days of analysis.
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Badaró MM, Salles MM, de Arruda CNF, Oliveira VDC, de Souza RF, Paranhos HFO, Silva-Lovato CH. In Vitro Analysis of Surface Roughness of Acrylic Resin Exposed to the Combined Hygiene Method of Brushing and Immersion in Ricinus communis and Sodium Hypochlorite. J Prosthodont 2016; 26:516-521. [PMID: 26833793 DOI: 10.1111/jopr.12436] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/21/2015] [Indexed: 12/12/2022] Open
Abstract
PURPOSE To evaluate a solution based on Ricinus communis (Castor oil) for denture cleansing, comparing it to sodium hypochlorite (NaOCl) for the surface roughness of heat-polymerized acrylic resin. MATERIALS AND METHODS Forty polished and unpolished resin specimens (90 × 30 × 4 mm) were evaluated before and after their exposure to protocol hygiene: brushing the specimens with a specific denture brush and mild soap for 3 minutes, three times a day, and immersing them in hygiene solutions (0.25% NaOCl-S1 and 0.5% NaOCl-S2; 10% R. communis-S3; saline-S4: control) for 20 minutes. Surface roughness was evaluated by rugosimeter and scanning electron microscopy (SEM) before and after the protocol. For evaluation of surface roughness, polished and unpolished surfaces were used. RESULTS The roughness of the polished surface was not affected by time (p = 0.062), but was affected by solutions (p < 0.0001) and the interaction between factors (p = 0.005). For S1 and S4, the period did not influence the roughness. For S2, there was a change after 7 days, remaining stable after 14 days. For S3, there were changes, and stabilization occurred after 14 days. After 7 and 14 days, S2 and S3 promoted major changes, but after 21 days, there were no differences among solutions, except saline. The unpolished surface was not influenced by factors: period (p = 0.115), solution (p = 0.120), and their interaction (p = 0.382). SEM analysis showed similar results on the evaluation of surface roughness. CONCLUSIONS The polished surface of the prosthesis was more susceptible to changes when exposed to hygiene solutions, and although the 0.5% NaOCl solution promoted an increase in the surface roughness compared with the same solution at 0.25% and R. communis at 10%, the values are clinically acceptable.
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Affiliation(s)
| | - Marcela Moreira Salles
- School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | | | | | - Raphael Freitas de Souza
- School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
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Effect of solvent/disinfectant ethanol on the micro-surface structure and properties of multiphase denture base polymers. J Mech Behav Biomed Mater 2016; 54:1-7. [DOI: 10.1016/j.jmbbm.2015.09.007] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2015] [Revised: 09/01/2015] [Accepted: 09/04/2015] [Indexed: 11/19/2022]
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The Beneficial Effect of Equisetum giganteum L. against Candida Biofilm Formation: New Approaches to Denture Stomatitis. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2015; 2015:939625. [PMID: 26290676 PMCID: PMC4531177 DOI: 10.1155/2015/939625] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/25/2015] [Accepted: 07/09/2015] [Indexed: 11/30/2022]
Abstract
Equisetum giganteum L. (E. giganteum), Equisetaceae, commonly called “giant horsetail,” is an endemic plant of Central and South America and is used in traditional medicine as diuretic and hemostatic in urinary disorders and in inflammatory conditions among other applications. The chemical composition of the extract EtOH 70% of E. giganteum has shown a clear presence of phenolic compounds derived from caffeic and ferulic acids and flavonoid heterosides derived from quercitin and kaempferol, in addition to styrylpyrones. E. giganteum, mainly at the highest concentrations, showed antimicrobial activity against the relevant microorganisms tested: Escherichia coli, Staphylococcus aureus, and Candida albicans. It also demonstrated antiadherent activity on C. albicans biofilms in an experimental model that is similar to dentures. Moreover, all concentrations tested showed anti-inflammatory activity. The extract did not show cytotoxicity in contact with human cells. These properties might qualify E. giganteum extract to be a promising alternative for the topic treatment and prevention of oral candidiasis and denture stomatitis.
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Yildirimer L, Seifalian AM. Sterilization-Induced Changes in Surface Topography of Biodegradable POSS-PCLU and the Cellular Response of Human Dermal Fibroblasts. Tissue Eng Part C Methods 2015; 21:614-30. [DOI: 10.1089/ten.tec.2014.0270] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Lara Yildirimer
- Division of Surgery & Interventional Science, UCL Centre for Nanotechnology & Regenerative Medicine, University College London, London, United Kingdom
| | - Alexander M. Seifalian
- Division of Surgery & Interventional Science, UCL Centre for Nanotechnology & Regenerative Medicine, University College London, London, United Kingdom
- Royal Free London NHS Foundation Trust Hospital, London, United Kingdom
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Izumida FE, Jorge JH, Ribeiro RC, Pavarina AC, Moffa EB, Giampaolo ET. Surface roughness and Candida albicans biofilm formation on a reline resin after long-term chemical disinfection and toothbrushing. J Prosthet Dent 2014; 112:1523-9. [DOI: 10.1016/j.prosdent.2014.06.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2014] [Revised: 06/03/2014] [Accepted: 06/04/2014] [Indexed: 10/25/2022]
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21
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Wagner DA, Pipko DJ. The effect of repeated microwave irradiation on the dimensional stability of a specific acrylic denture resin. J Prosthodont 2014; 24:25-31. [PMID: 25082075 DOI: 10.1111/jopr.12203] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/18/2014] [Indexed: 01/28/2023] Open
Abstract
PURPOSE To determine the dimensional stability of a poly(methyl methacrylate) (PMMA) acrylic resin when subjected to multiple sessions of repeated microwave irradiation at power settings of 700 and 420 W. MATERIALS AND METHODS Twenty standardized denture bases were fabricated using a PMMA resin. Points of measurement were marked on each denture base with a standardized template, and the distances between points were recorded using a digital microscope. The denture bases were randomly placed into two experimental groups of 10 bases each. Individual denture bases were placed into a glass beaker containing 200 ml of room temperature deionized water and then exposed to either 700 or 420 W of microwave radiation for 3 minutes. The denture bases were allowed to cool to room temperature, and measurements between points were recorded. This process was carried out for two microwave periods with measurements being completed after each period. The data were then analyzed for any significant changes in distances between points using a Student's t-test. RESULTS All denture bases experienced 1.0 to 2.0 mm or approximately 3% linear dimensional change after each period of microwaving. Results were significant with all t-tests having values of p < 0.05. CONCLUSION This report showed that the denture bases deformed significantly under experimental conditions at either 700 W for 3 minutes in 200 ml of water or 420 W for 3 minutes in 200 ml of water.
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Affiliation(s)
- David A Wagner
- Former Prosthodontic Resident, University of Pittsburgh, School of Dental Medicine, Pittsburgh, PA
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22
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Al-Kheraif AAA. The effect of mechanical and chemical polishing techniques on the surface roughness of heat-polymerized and visible light-polymerized acrylic denture base resins. Saudi Dent J 2014; 26:56-62. [PMID: 25408597 DOI: 10.1016/j.sdentj.2013.12.007] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2013] [Revised: 11/26/2013] [Accepted: 12/16/2013] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVE The purpose of this study was to compare the effects of mechanical polishing (MP) and chemical polishing (CP) on the average surface roughness (Ra) of heat-cured (HC) and light-cured (LC) denture base acrylic resins. METHODS A total of 120 specimens (30 × 15 × 3 mm) were prepared from one HC and one LC acrylic resin. To remove nodules and gross surface irregularities, all specimens were finished with a lathe-mounted small acrylic bur and 360-grit sandpaper. Ten finished specimens of each acrylic resin were randomly assigned to each of six polishing techniques: Resilit High-luster Polishing Liquid (RHPL), Universal Polishing Paste, Abraso-star K50, pumice, Jet Seal Liquid, or Acrypoint. MP was performed with an automatic polishing machine for 2 min, under 50 rpm and 500 g of load. CP was performed by immersing the HC and LC specimens in preheated methyl methacrylate at 75 ± 1 °C for 10 s. The surface roughness of the acrylic resin specimens was measured with a contact profilometer. The Ra values were analyzed by two-way analysis of variance, post hoc Scheffe's test, and paired t-test (p ⩽ 0.05). Polished and tested acrylic resin surfaces were evaluated by scanning electron microscopy. RESULTS MP was more effective than CP. The smoothest surface was obtained with the use of the RHPL on the LC (0.05 ± 0.01 μm) or HC (0.07 ± 0.01 μm) acrylic resin. Two-way ANOVA showed a statistically significant difference between MP and CP. CONCLUSIONS MP produced the smoothest surface of denture base acrylic resin. The mean surface roughness values after MP and CP were not influenced by the type of acrylic resin.
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Randomized clinical evaluation of a light-cured base material for complete dentures. Clin Oral Investig 2013; 18:1457-65. [DOI: 10.1007/s00784-013-1110-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2013] [Accepted: 09/12/2013] [Indexed: 12/28/2022]
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Bail M, Jorge JH, Urban VM, Campanha NH. Surface roughness of acrylic and silicone-based soft liners: in vivo study in a rat model. J Prosthodont 2013; 23:146-51. [PMID: 23875942 DOI: 10.1111/jopr.12074] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/17/2013] [Indexed: 11/28/2022] Open
Abstract
PURPOSE The aim of this in vivo animal study was to investigate changes in the surface roughness of soft liners over time. MATERIALS AND METHODS Forty adult Wistar rats (Rattus norvergicus albinus) were fitted with acrylic custom-made palatal plates relined by dynamic impressions and tested with the following soft liners: Dentuflex (DF), Trusoft (TS), Dentusoft (DS), and Ufi Gel P (UG). Half of the animals for each tested material had the plates fitted during the material reline procedure. Their surface roughness was read immediately (IRa group, n = 5). The other half used the palatal plates for 14 days before roughness readings were performed (FRa group, n = 5). The surface roughness (Ra) of the inner surface from the relined dentures was recorded using a Surftest SJ-401 with eight readings per specimen, and mean values were obtained. Data (μm) were analyzed by two-way ANOVA and Tukey's test (α = 0.05). RESULTS IRa means (2.92 ± 0.87 μm) and FRa means (3.35 ± 0.65 μm) were significantly different (p = 0.016). UG showed a lower (p = 0.01) Ra mean (2.1 ± 0.52 μm) than DF (3.94 ± 0.81 μm), TS (4.12 ± 0.64 μm), and DS (3.27 ± 0.64 μm). CONCLUSIONS Ufi Gel P showed the smoothest surface among the materials evaluated. The period of use resulted in changes in the surface roughness of the materials tested.
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Affiliation(s)
- Michele Bail
- Department of Dentistry, Ponta Grossa State University, Ponta Grossa, Brazil
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Silva MM, Mima EGDO, Colombo AL, Sanitá PV, Jorge JH, Massucato EMS, Vergani CE. Comparison of denture microwave disinfection and conventional antifungal therapy in the treatment of denture stomatitis: a randomized clinical study. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 114:469-79. [PMID: 22986242 DOI: 10.1016/j.oooo.2012.05.006] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2012] [Revised: 05/10/2012] [Accepted: 05/14/2012] [Indexed: 11/19/2022]
Abstract
OBJECTIVE The aim of this study was to compare the effectiveness of denture microwave disinfection and antifungal therapy on treatment of denture stomatitis. STUDY DESIGN Sixty denture wearers with denture stomatitis (3 groups; n = 20 each), were treated with nystatin or denture microwave disinfection (1 or 3 times/wk) for 14 days. Mycologic samples from palates and dentures were quantified and identified with the use of Chromagar, and clinical photographs of palates were taken. Microbiologic and clinical data were analyzed with the use of a series of statistical tests (α = .05). RESULTS Both treatments similarly reduced clinical signs of denture stomatitis and growth on palates and dentures at days 14 and 30 (P > .05). At sequential appointments, the predominant species (P < .01) isolated was C. albicans (range 98%-53%), followed by C. glabrata (range 22%-12%) and C. tropicalis (range 25%-7%). CONCLUSIONS Microwave disinfection, at once per week for 2 treatments, was as effective as topical antifungal therapy for treating denture stomatitis.
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