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Arora O, Ahmed N, Nallaswamy D, Ganapathy D, Srinivasan M. Denture base materials: An in vitro evaluation of the mechanical and color properties. J Dent 2024; 145:104993. [PMID: 38657724 DOI: 10.1016/j.jdent.2024.104993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 03/26/2024] [Accepted: 04/10/2024] [Indexed: 04/26/2024] Open
Abstract
OBJECTIVES This study aimed to compare the physical and mechanical properties of four denture base materials: Polyan IC (PA), milled polymethylmethacrylate (PMMA), three-dimensional (3D)-printed resin (3DP), and SR Ivocap (SR). METHODS Ninety-six samples were prepared and divided into four groups as follows. Group A consisted of 3DP (Asiga DentaBASE, Asiga) fabricated using a manufacturer-recommended 3D printer (Asiga Pro 4k, Asiga). Group B comprised milled PMMA (MP) (Ivotion Base, Ivoclar Vivadent). Group C included PA (BredentSenden), meanwhile, group D involved SR (Ivoclar VivadentSchaan). Cuboid samples (65 mm x 10 mm x 2.5 mm) were used for biaxial flexure strength testing in a universal testing machine (UTM). Cylindrical samples of 20 mm x 40 mm were used for compressive strength testing in a UTM. Additionally, cuboid samples (65 mm x 10 mm x 2.5 mm) were used for Vickers surface hardness testing in a microhardness tester. disk samples (10 mm x 2.5 mm) were employed for color stability testing both in a coffee solution and Coca-Cola, using a digital spectrophotometer. Statistical analyses were performed using one-way analysis of variance and Tukey's post hoc analysis (α=0.05). RESULTS MP demonstrated superior compressive strength (p = 0.002) and color stability compared to that exhibited by 3DP (p < 0.001) while displaying similar flexure strength (p = 0.336) and hardness (p = 0.708). MP and PA displayed similar compressive strength (p = 0.081), flexure strength (p = 0.159), and color stability in coke (p = 0.071). However, MP had reduced hardness (p < 0.001) and color stability in coffee (p < 0.001). Moreover, MP demonstrated a higher compressive strength (p < 0.001) than that displayed by SR. However, the flexure strength, hardness, and color stability were similar (p > 0.05). Furthermore, 3DP exhibited comparable compressive strength (p = 0.334) to that of PA but demonstrated significantly lower flexure strength (p = 0.005), hardness (p < 0.001), and color stability (p < 0.001) compared to PA. In comparison to SR, PA had a higher compressive strength (p < 0.001), hardness (p = 0.001), and color stability in coffee (p < 0.001), although they demonstrated similar (p > 0.05) flexure strength and color stability in coke. CONCLUSIONS The MP and PA demonstrated superior compressive strength than that exhibited by the other materials tested. The tested materials had similar flexure strengths, except for PA which demonstrated superiority over the 3DP. Among all tested materials, PA exhibited the highest hardness, while the 3DP was the least color-stable. CLINICAL SIGNIFICANCE Considering the mechanical properties and color stability, Polyan and milled polymethylmethacrylate are preferred for complete denture fabrication. However, the limited repairability and complex handling of Polyan should be considered.
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Affiliation(s)
- Ojasvini Arora
- Department of Prosthodontics and Implantology, Saveetha Dental College And Hospitals, Saveetha Institute Of Medical And Technical Sciences, Saveetha University, Chennai 600077, Tamil Nadu, India.
| | - Nabeel Ahmed
- Department of Prosthodontics and Implantology, Saveetha Dental College And Hospitals, Saveetha Institute Of Medical And Technical Sciences, Saveetha University, Chennai 600077, Tamil Nadu, India
| | - Deepak Nallaswamy
- Department of Prosthodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai 600077, Tamil Nadu, India
| | - Dhanraj Ganapathy
- Department of Prosthodontics and Implantology, Saveetha Dental College And Hospitals, Saveetha Institute Of Medical And Technical Sciences, Saveetha University, Chennai 600077, Tamil Nadu, India
| | - Murali Srinivasan
- Clinic of General-, Special Care- and Geriatric Dentistry, Center for Dental Medicine, University of Zurich, Plattenstrasse 11, Zurich 8032, Switzerland
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Özatik Ş, Bural Alan C. Flexural strength of repaired denture base materials manufactured for the CAD-CAM technique. J Oral Sci 2024; 66:120-124. [PMID: 38494704 DOI: 10.2334/josnusd.23-0275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/19/2024]
Abstract
PURPOSE To evaluate the flexural properties of repaired poly(methylmethacrylate) (PMMA) denture base materials for computer-aided design/computer-aided manufacturing (CAD-CAM) and to compare them with heat-activated polymerized PMMA. METHODS A total of 288 specimens (65 × 10 × 2.5 mm) were prepared using both CAD-CAM and conventional blocks and repaired using autopolymerizing and visible-light polymerizing (VLC) materials. Microwave energy, water storage and hydroflask polymerization were applied as additional post-polymerization cycles after the repair process. The flexural strength (FS) of the specimens was evaluated using the three-point bending test. Data were evaluated statistically using 2-way ANOVA followed by Bonferroni's correction to determine the significance of differences between the groups (P ≤ 0.05). RESULTS The FS of the denture base materials for CAD-CAM was significantly higher than that for the heat-activated group (P ≤ 0.05). The FS was significantly highest when microwave energy was used for the post-polymerization cycle. The FS values for all groups repaired with VLC resin were significantly lower than for the autopolymerization group (P ≤ 0.05). CONCLUSION The flexural properties of denture base materials for CAD-CAM repaired using autopolymerizing acrylic resins can recover by 50-70%. Additional post-polymerization cycles for autopolymerizing repair resin can be suggested to improve the clinical service properties of repaired dentures.
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Affiliation(s)
- Şebnem Özatik
- Department of Prosthodontics, Faculty of Dentistry, Istanbul University
| | - Canan Bural Alan
- Department of Prosthodontics, Faculty of Dentistry, Istanbul University
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Temizci T, Bozoğulları HN. Effect of thermal cycling on the flexural strength of 3-D printed, CAD/CAM milled and heat-polymerized denture base materials. BMC Oral Health 2024; 24:357. [PMID: 38509542 PMCID: PMC10953149 DOI: 10.1186/s12903-024-04122-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Accepted: 03/07/2024] [Indexed: 03/22/2024] Open
Abstract
BACKGROUND This study compared the impact of thermal cycling on the flexural strength of denture-base materials produced through conventional and digital methods, using both subtractive and additive approaches. METHODS In total, 60 rectangular specimens were fabricated with specific dimensions for flexural strength tests. The dimensions were set according to the International Organization for Standardization (ISO) guideline 20795-1:2013 as 64 × 10 × 3.3 ± 0.2 mm. Specimens from each material group were divided into two subgroups (thermal cycled or nonthermal cycled, n = 10/group). We used distinct methods to produce three different denture-base materials: Ivobase (IB), which is a computer-aided-design/computer-aided-manufacturing-type milled pre-polymerized polymethyl methacrylate resin disc; Formlabs (FL), a 3D-printed denture-base resin; and Meliodent (MD), a conventional heat-polymerized acrylic. Flexural strength tests were performed on half of the samples without a thermal-cycle procedure, and the other half were tested after a thermal cycle. The data were analyzed using a two-way analysis of variance and a post hoc Tukey test (α = 0.05). RESULTS Based on the results of flexural-strength testing, the ranking was as follows: FL > IB > MD. The effect of thermal aging was statistically significant for the FL and IB bases, but not for the MD base. CONCLUSIONS Digitally produced denture bases exhibited superior flexural strength compared with conventionally manufactured bases. Although thermal cycling reduced flexural strength in all groups, the decrease was not statistically significant in the heat-polymerized acrylic group.
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Affiliation(s)
- Tuğba Temizci
- Department of Prosthodontics, Faculty of Dentistry, Karamanoğlu Mehmetbey University, Karaman, Turkey.
| | - Hatice Nalan Bozoğulları
- Department of Prosthodontics, Faculty of Dentistry, Karamanoğlu Mehmetbey University, Karaman, Turkey
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Vuksic J, Pilipovic A, Poklepovic Pericic T, Kranjcic J. The Influence of Contemporary Denture Base Fabrication Methods on Residual Monomer Content, Flexural Strength and Microhardness. MATERIALS (BASEL, SWITZERLAND) 2024; 17:1052. [PMID: 38473524 DOI: 10.3390/ma17051052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Revised: 02/19/2024] [Accepted: 02/22/2024] [Indexed: 03/14/2024]
Abstract
(1) Background: Digital technologies are available for denture base fabrication, but there is a lack of scientific data on the mechanical and chemical properties of the materials produced in this way. Therefore, the aim of this study was to investigate the residual monomer content, flexural strength and microhardness of denture base materials as well as correlations between investigated parameters. (2) Methods: Seven denture base materials were used: one conventional heat cured polymethyl methacrylate, one polyamide, three subtractive manufactured materials and two additive manufactured materials. High-performance liquid chromatography was used to determine residual monomer content and the test was carried out in accordance with the specification ISO No. 20795-1:2013. Flexural strength was also determined according to the specification ISO No. 20795-1:2013. The Vickers method was used to investigate microhardness. A one-way ANOVA with a Bonferroni post-hoc test was used for the statistical analysis. The Pearson correlation test was used for the correlation analysis. (3) Results: There was a statistically significant difference between the values of residual monomer content of the different denture base materials (p < 0.05). Anaxdent pink blank showed the highest value of 3.2% mass fraction, while Polident pink CAD-CAM showed the lowest value of 0.05% mass fraction. The difference between the flexural strength values of the different denture base materials was statistically significant (p < 0.05), with values ranging from 62.57 megapascals (MPa) to 103.33 MPa. The difference between the microhardness values for the different denture base materials was statistically significant (p < 0.05), and the values obtained ranged from 10.61 to 22.86 Vickers hardness number (VHN). A correlation was found between some results for the material properties investigated (p < 0.05). (4) Conclusions: The selection of contemporary digital denture base manufacturing techniques may affect residual monomer content, flexural strength and microhardness but is not the only criterion for achieving favourable properties.
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Affiliation(s)
- Josip Vuksic
- Department of Removable Prosthodontics, University of Zagreb School of Dental Medicine, Gunduliceva 5, 10000 Zagreb, Croatia
- Department of Prosthodontics, University Hospital Dubrava, Av. Gojka Šuška 6, 10000 Zagreb, Croatia
| | - Ana Pilipovic
- University of Zagreb Faculty of Mechanical Engineering and Naval Architecture, Ivana Lučića 5, 10000 Zagreb, Croatia
| | | | - Josip Kranjcic
- Department of Prosthodontics, University Hospital Dubrava, Av. Gojka Šuška 6, 10000 Zagreb, Croatia
- Department of Fixed Prosthodontics, University of Zagreb School of Dental Medicine, Gunduliceva 5, 10000 Zagreb, Croatia
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Abdul-Monem MM, Hanno KI. Effect of thermocycling on surface topography and fracture toughness of milled and additively manufactured denture base materials: an in-vitro study. BMC Oral Health 2024; 24:267. [PMID: 38395828 PMCID: PMC10885363 DOI: 10.1186/s12903-024-03991-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Accepted: 02/06/2024] [Indexed: 02/25/2024] Open
Abstract
BACKGROUND Studies investigating thermocycling effect on surface topography and fracture toughness of resins used in digitally manufactured denture bases are few. The study aimed to assess the impact of thermocycling on surface topography and fracture toughness of materials used for digitally manufactured denture bases. METHODS Water sorption, solubility, hardness, surface roughness, and fracture toughness of both three-dimensional (3D)-printed and computer-aided design, computer-aided manufacturing (CAD-CAM) milled specimens (n = 50) were assessed both prior to and following 2000 thermocycles, simulating 2 years of clinical aging. Surface hardness (n = 10) was measured using a Vickers hardness testing machine, surface roughness (n = 10) was determined by a contact profilometer, and fracture toughness (n = 20) was measured using the 3-point bend test, then studying the fractured surfaces was done via a scanning electron microscope (SEM). Prior to and following thermocycling, water sorption and solubility (n = 10) were assessed. Normally distributed data was tested using two-way repeated ANOVA and two-way ANOVA, while Mann Whitney U test and the Wilcoxon signed ranks test were used to analyze data that was not normally distributed (α < 0.05). RESULTS Following thermocycling, Vickers hardness and fracture toughness of both groups declined, with a significant reduction in values of the 3D-printed resin (P < .001). The 3D-printed denture base resins had a rougher surface following thermocycling with a significant difference (P < .001). The sorption and solubility of water of both materials were not affected by thermocycling. CONCLUSIONS Before and after thermocycling, milled specimens had lower surface roughness and a greater degree of hardness and fracture toughness than 3D-printed specimens. Thermocycling lowered hardness and fracture toughness, and increased surface roughness in both groups, but had no effect on water sorption and solubility.
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Affiliation(s)
- Mohamed M Abdul-Monem
- Department of Dental Biomaterials, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt
- Division of Dental Biomaterials, Department of Prosthodontics, Faculty of Dentistry, Alamein International University, Alamein, Egypt
| | - Kenda I Hanno
- Department of Prosthodontics, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt.
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Sayed ME, Reddy NK, Reddy NR, Mattoo KA, Jad YA, Hakami AJ, Hakami AK, Dighriri AM, Hurubi SY, Hamdi BA, Alshahrani AA, Alsubaiy EF, Alshehri AH, AlNijaiban MA. Evaluation of the Milled and Three-Dimensional Digital Manufacturing, 10-Degree and 20-Degree Preparation Taper, Groove and Box Auxiliary Retentive Features, and Conventional and Resin-Based Provisional Cement Type on the Adhesive Failure Stress of 3 mm Short Provisional Crowns. Med Sci Monit 2024; 30:e943237. [PMID: 38343120 PMCID: PMC10870690 DOI: 10.12659/msm.943237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2023] [Accepted: 12/05/2023] [Indexed: 02/15/2024] Open
Abstract
BACKGROUND This study evaluated the effects of milling (CADCAM), 3D printing, preparation taper angles (10-degree and 20-degree), auxiliary retentive features (groove and box), and provisional cement types (conventional and resin-based) on the adhesive failure stress of 3-mm short provisional crowns (PC). The research was motivated by the need to understand how digital dentistry technologies impact the retention and durability of provisional crowns. MATERIAL AND METHODS A total of 160 working models (3D-printed) and PCs [80 milled (CopraTemp)/80 printed (Asiga)] were fabricated from two 10- and 20-degree typodont master models and two 20-degree 3D-printed master models (groove and box), simulating a 3 mm high all-ceramic short PC. After provisional cementation with conventional (Kerr TempBond) and resin-based (ProviTemp) cements, 16 subgroups (n=10 each) underwent thermocycling (10 000 cycles; 5-55°C) and pull-off tests on a universal testing machine. Statistical analysis was performed using one-way ANOVA and post hoc Tukey test. RESULTS Conventional cement failed at lower stress for milled (47.68 to 73.54) and printed (48.40 to 77.91) as compared to resin cement for milled (104.2 to 137.27) and printed (184.85 to 328.84), respectively, with significant differences. Increased taper and groove decreased failure load except for the printed PC/resin cement combination. Use of proximal box preparation increased retention significantly. Except for 20-degree taper cemented with conventional cement, the differences in auxiliary retentive features for milled and printed provisional crowns were statistically significant at P≤0.05. CONCLUSIONS 3D-printed PC, resin-based cement, 10-degree taper, and proximal box preparation were associated with higher retention than milled, conventional cements, 20-degree taper, and vertical groove.
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Affiliation(s)
- Mohammed E. Sayed
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Nandalur Kulashekar Reddy
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Naveen R. Reddy
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Khurshid A. Mattoo
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Yaser Ali Jad
- Intern, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | | | | | | | - Salman Y. Hurubi
- Intern, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Bassam Ali Hamdi
- Intern, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Ahid Amer Alshahrani
- Department of Dental Technology, Applied Medical Science, King Khalid University, Abha, Saudi Arabia
| | - Ebrahim Fihaid Alsubaiy
- Department of Prosthodontics, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Abdullah Hasan Alshehri
- Department of Prosthodontics, College of Dentistry, King Khalid University, Abha, Saudi Arabia
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Arora O, Ahmed N, Siurkel Y, Ronsivalle V, Cicciù M, Minervini G. A comparative evaluation of physical properties of CAD/CAM complete denture resins- an in vitro study. BMC Oral Health 2024; 24:65. [PMID: 38200506 PMCID: PMC10777544 DOI: 10.1186/s12903-023-03708-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Accepted: 11/23/2023] [Indexed: 01/12/2024] Open
Abstract
BACKGROUND In dentistry, there is a growing preference for computer-aided design and computer-aided manufacturing (CAD/CAM) systems over traditional laboratory procedures. However, there is not much literature comparing various CAD/CAM materials. Thus, this study aimed to assess and compare the color stability and hardness of gingival and tooth colored milled and 3D-printed acrylic resins. MATERIALS AND METHODS Four types of CAD/CAM materials were prepared: 3D-printed pink shade (PP), milled polymenthymethacrylate (PMMA) pink shade (MP), 3D-printed tooth shade (PT) and milled PMMA tooth shade (MT) (n = 6). For hardness, disc shaped samples of 15 mm × 2 mm and for color stability, bar shaped samples of 65mmx10mmx2.5 mm were prepared and polished. Vickers hardness test was performed in a microhardness tester. Color stability test was done by immersing in coffee solution and coca cola for 7 days. Day 0 and day 7 measurements were recorded using a digital spectrophotometer and the change in color was calculated. For statistical analysis, one-way ANOVA and Tukey's post hoc tests were done. RESULTS For color stability, milled PMMA was superior to 3D-printed resin samples. Milled pink and tooth shade samples had similar color stability, whereas 3D-printed tooth shade samples were more color stable as compared to pink shade 3D-printed samples. For hardness, milled tooth shade PMMA was the most superior one, followed by 3D-printed tooth shade, whereas pink shade milled PMMA and 3D-printed resin samples had similar hardness values and were inferior to the tooth shade CAD/CAM materials. CONCLUSION Color stability of milled PMMA is superior to that of 3D-printed resins. Hardness of tooth shade milled and 3D-printed resins is more than that of pink shade milled and 3D-printed resins.
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Affiliation(s)
- Ojasvini Arora
- Department of Prosthodontics and Implantology, Saveetha Dental College And Hospitals, Saveetha Institute Of Medical And Technical Sciences Saveetha University Chennai, Chennai, Tamil Nadu, 600077, India
| | - Nabeel Ahmed
- Department of Prosthodontics and Implantology, Saveetha Dental College And Hospitals, Saveetha Institute Of Medical And Technical Sciences Saveetha University Chennai, Chennai, Tamil Nadu, 600077, India.
| | - Yuliia Siurkel
- International European University School of Medicine, Akademika Hlushkova Ave, 42В, Kyiv, 03187, Ukraine.
| | - Vincenzo Ronsivalle
- Department of Biomedical and Surgical and Biomedical Sciences, Catania University, 95123, Catania, Italy
| | - Marco Cicciù
- Department of Biomedical and Surgical and Biomedical Sciences, Catania University, 95123, Catania, Italy
| | - Giuseppe Minervini
- Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, Tamil Nadu, India
- Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania "Luigi Vanvitelli", 80121, Naples, Italy
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Caserta, 81100, Italy
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Le Bars P, Kouadio AA, Amouriq Y, Bodic F, Blery P, Bandiaky ON. Different Polymers for the Base of Removable Dentures? Part II: A Narrative Review of the Dynamics of Microbial Plaque Formation on Dentures. Polymers (Basel) 2023; 16:40. [PMID: 38201705 PMCID: PMC10780608 DOI: 10.3390/polym16010040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 12/04/2023] [Accepted: 12/08/2023] [Indexed: 01/12/2024] Open
Abstract
This review focuses on the current disparities and gaps in research on the characteristics of the oral ecosystem of denture wearers, making a unique contribution to the literature on this topic. We aimed to synthesize the literature on the state of current knowledge concerning the biological behavior of the different polymers used in prosthetics. Whichever polymer is used in the composition of the prosthetic base (poly methyl methacrylate acrylic (PMMA), polyamide (PA), or polyether ether ketone (PEEK)), the simple presence of a removable prosthesis in the oral cavity can disturb the balance of the oral microbiota. This phenomenon is aggravated by poor oral hygiene, resulting in an increased microbial load coupled with the reduced salivation that is associated with older patients. In 15-70% of patients, this imbalance leads to the appearance of inflammation under the prosthesis (denture stomatitis, DS). DS is dependent on the equilibrium-as well as on the reciprocal, fragile, and constantly dynamic conditions-between the host and the microbiome in the oral cavity. Several local and general parameters contribute to this balance. Locally, the formation of microbial plaque on dentures (DMP) depends on the phenomena of adhesion, aggregation, and accumulation of microorganisms. To limit DMP, apart from oral and lifestyle hygiene, the prosthesis must be polished and regularly immersed in a disinfectant bath. It can also be covered with an insulating coating. In the long term, relining and maintenance of the prosthesis must also be established to control microbial proliferation. On the other hand, several general conditions specific to the host (aging; heredity; allergies; diseases such as diabetes mellitus or cardiovascular, respiratory, or digestive diseases; and immunodeficiencies) can make the management of DS difficult. Thus, the second part of this review addresses the complexity of the management of DMP depending on the polymer used. The methodology followed in this review comprised the formulation of a search strategy, definition of the inclusion and exclusion criteria, and selection of studies for analysis. The PubMed database was searched independently for pertinent studies. A total of 213 titles were retrieved from the electronic databases, and after applying the exclusion criteria, we selected 84 articles on the possible microbial interactions between the prosthesis and the oral environment, with a particular emphasis on Candida albicans.
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Affiliation(s)
- Pierre Le Bars
- Department of Prosthetic Dentistry, Faculty of Dentistry, Nantes University, 1 Place Alexis Ricordeau, F-44042 Nantes, France; (A.A.K.); (Y.A.); (F.B.); (P.B.)
- Nantes University, Oniris, University of Angers, CHU Nantes (Clinical Investigation Unit Odontology), INSERM, Regenerative Medicine and Skeleton, RMeS, UMR 1229, F-44000 Nantes, France;
| | - Alain Ayepa Kouadio
- Department of Prosthetic Dentistry, Faculty of Dentistry, Nantes University, 1 Place Alexis Ricordeau, F-44042 Nantes, France; (A.A.K.); (Y.A.); (F.B.); (P.B.)
- Department of Prosthetic Dentistry, Faculty of Dentistry, CHU, Abidjan P.O. Box 612, Côte d’Ivoire
| | - Yves Amouriq
- Department of Prosthetic Dentistry, Faculty of Dentistry, Nantes University, 1 Place Alexis Ricordeau, F-44042 Nantes, France; (A.A.K.); (Y.A.); (F.B.); (P.B.)
- Nantes University, Oniris, University of Angers, CHU Nantes (Clinical Investigation Unit Odontology), INSERM, Regenerative Medicine and Skeleton, RMeS, UMR 1229, F-44000 Nantes, France;
| | - François Bodic
- Department of Prosthetic Dentistry, Faculty of Dentistry, Nantes University, 1 Place Alexis Ricordeau, F-44042 Nantes, France; (A.A.K.); (Y.A.); (F.B.); (P.B.)
- Nantes University, Oniris, University of Angers, CHU Nantes (Clinical Investigation Unit Odontology), INSERM, Regenerative Medicine and Skeleton, RMeS, UMR 1229, F-44000 Nantes, France;
| | - Pauline Blery
- Department of Prosthetic Dentistry, Faculty of Dentistry, Nantes University, 1 Place Alexis Ricordeau, F-44042 Nantes, France; (A.A.K.); (Y.A.); (F.B.); (P.B.)
- Nantes University, Oniris, University of Angers, CHU Nantes (Clinical Investigation Unit Odontology), INSERM, Regenerative Medicine and Skeleton, RMeS, UMR 1229, F-44000 Nantes, France;
| | - Octave Nadile Bandiaky
- Nantes University, Oniris, University of Angers, CHU Nantes (Clinical Investigation Unit Odontology), INSERM, Regenerative Medicine and Skeleton, RMeS, UMR 1229, F-44000 Nantes, France;
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Sayed ME, Lunkad H, Mattoo K, Jokhadar HF, AlResayes SS, Alqahtani NM, Alshehri AH, Alamri M, Altowairqi S, Muaddi M, Huthan HM, Baeshen SA, Motlaq K, Masmali AM. Evaluation of the Effects of Digital Manufacturing, Preparation Taper, Cement Type, and Aging on the Color Stability of Anterior Provisional Crowns Using Colorimetry. Med Sci Monit Basic Res 2023; 29:e941919. [PMID: 37987528 PMCID: PMC10668520 DOI: 10.12659/msmbr.941919] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Accepted: 10/23/2023] [Indexed: 11/22/2023] Open
Abstract
BACKGROUND Replicating the 3-dimensional (3D) color of natural teeth in artificial substitutes is challenging. Fixed dental prosthodontics require aesthetic, color-stable provisional restorations. Recent milling and 3D printing digital manufacturing techniques offer improved outcomes. This study assesses color stability in various digital manufacturing methods, tapers, and aging effects on anterior provisional resin restorations. MATERIAL AND METHODS Two all-ceramic tooth preparations on typodont teeth with 10° and 20° tapers were converted into experimental dies. Forty temporary crowns were manufactured using 3D printing and computer-aided design/computer-aided manufacturing (milling). Within these 2 groups, 10 crowns were cemented using a regular and clear provisional cement. All samples were thermocycled to simulate clinical use of 6 months. Color difference formula (CIEDE2000) indicated changes between before and after cementation (ΔE00) and between after cementation and after thermocycling (ΔE00[II]). The color change was considered significant in terms of clinically perceptible (ΔE00 ≤0.62) and acceptable (ΔE00 ≤2.62) changes. One-way ANOVA (P value of less than 0.05) calculated overall differences, which were established using a Fisher post hoc test. RESULTS Crowns cemented with clear cement showed fewer color changes irrespective of the manufacturing technique or taper. Notably, only the 10° 3D-printed crown with clear cement had an imperceptible color change at the pre-/post-cementation phase. Meanwhile, the 10° and 20° milled crowns with regular cement exhibited unacceptable color changes after thermocycling. CONCLUSIONS For long‑term temporization in the aesthetic zone, properly optimized 3D-printed provisional restorations cemented with clear cement had better color stability.
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Affiliation(s)
- Mohammed E. Sayed
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Honey Lunkad
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Khurshid Mattoo
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Hossam F. Jokhadar
- Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Saad Saleh AlResayes
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Nasser M. Alqahtani
- Department of Prosthetic Dental Sciences, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Abdullah Hasan Alshehri
- Department of Prosthetic Dental Sciences, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Mohammad Alamri
- Department of Restorative Dentistry, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | | | | | | | | | - Khalid Motlaq
- Restorative Department, Faculty of Dentistry, King Khalid University, King Faisal Medical City, Abha, Saudi Arabia
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Dib Zakkour S, Dib Zakkour J, Guadilla Y, Montero J, Dib A. Comparative Evaluation of the Digital Workflow and Conventional Method in Manufacturing Complete Removal Prostheses. MATERIALS (BASEL, SWITZERLAND) 2023; 16:6955. [PMID: 37959552 PMCID: PMC10650844 DOI: 10.3390/ma16216955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Revised: 09/10/2023] [Accepted: 10/27/2023] [Indexed: 11/15/2023]
Abstract
The aging population in developed countries has increased the number of edentulous patients and, therefore, the need for prosthetic rehabilitation to improve their quality of life. Complete dentures are the main treatment option in these cases. The use of CAD/CAM (Computer Aided Design/Computer Aided Manufacturing) in dentistry has improved clinical protocols and outcomes, achieving a reduction in work time and economic costs for the patients. The main objective of this review was to compare the characteristics of conventional and digital dentures, attempting to determine whether the use of new technologies represents an improvement in the properties of removable complete dentures. A bibliographic review was carried out in the PubMed/MEDLINE, Cochrane Library, Scielo, and Embase databases. With the initial search, 157 articles were obtained. After applying the inclusion and exclusion criteria, 64 publications were selected for this bibliographic review. The different conclusions of the studies consulted were compared regarding fit and retention, fracture resistance, surface roughness, biocompatibility, and aesthetics, taking into account the different methods of prostheses fabrication. In general, digital prostheses have shown better mechanical properties and, consequently, better biocompatibility and aesthetics than conventional prostheses. However, the obtained results were very heterogeneous, preventing a supported conclusion.
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Affiliation(s)
| | | | - Yasmina Guadilla
- Dental Clinic of the Faculty of Medicine, University of Salamanca, 37008 Salamanca, Spain; (Y.G.); (J.M.); (A.D.)
| | - Javier Montero
- Dental Clinic of the Faculty of Medicine, University of Salamanca, 37008 Salamanca, Spain; (Y.G.); (J.M.); (A.D.)
| | - Abraham Dib
- Dental Clinic of the Faculty of Medicine, University of Salamanca, 37008 Salamanca, Spain; (Y.G.); (J.M.); (A.D.)
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11
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Erbulak Z, Ergun G. The effects of different surface treatments applied to milled PMMA denture base material on repair bond strength. Odontology 2023; 111:953-970. [PMID: 37016128 DOI: 10.1007/s10266-023-00806-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Accepted: 03/14/2023] [Indexed: 04/06/2023]
Abstract
The high cost of CAD/CAM systems and materials is a severe economic burden. Therefore, repair of CAD/CAM PMMA, selecting appropriate repair materials, and surface modifications are clinically important. This study aims to evaluate the shear bond strength of PMMA repair materials after various surface treatments on CAD/CAM PMMA denture base material. For this purpose, a total of 480 CAD/CAM PMMA denture base test specimens were manufactured. Then all test specimens were divided into 6 groups, and different surface treatments were applied. Group A: sandblasting, Group B: 4% hydro fluoric acid, Group C: tungsten carbide bur, Group D: dichloromethane + methyl methacrylate mixture, Group E: dichloromethane and methyl methacrylate, Group F: no surface treatment. Each group is then divided into 4 different subcategories; repair processes were performed using; heat-cured acrylic resin (n:20), auto-polymerized acrylic resin (n:20), gingiva composite (n:20), and CAD/CAM PMMA tooth material (n:20). After repairs, thermal aging was applied to half of the test specimens in each subcategory. The shear bond strength value was measured with a universal test device. Sandblasting group showed the highest surface roughness value in all test specimens (p < 0.001). Heat-cured acrylic resin with sandblasting exhibited the highest bond strength, while the untreated gingiva composite resin exhibited the lowest value. Thermal aging decreased bond strength in all repair materials (p < 0.001). Among the surface treatment groups, sandblasting with Al2O3 particles exhibited the highest surface roughness value and repair bond strength. The application of organic solvents to the surface increased the surface roughness and repair bond strength. Applying dichloromethane and methyl methacrylate monomer separately is more effective than applying it as a mixture. The ideal bonding among repair materials was obtained with heat-cured acrylic resin.
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Affiliation(s)
- Zahıde Erbulak
- Department of Prosthodontics, Faculty of Dentistry, Gazi University, Bişkek Cad. 1.Sk. No:4 06490 Emek, Ankara, Turkey.
| | - Gulfem Ergun
- Department of Prosthodontics, Faculty of Dentistry, Gazi University, Bişkek Cad. 1.Sk. No:4 06490 Emek, Ankara, Turkey
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Le Bars P, Bandiaky ON, Le Guéhennec L, Clouet R, Kouadio AA. Different Polymers for the Base of Removable Dentures? Part I: A Narrative Review of Mechanical and Physical Properties. Polymers (Basel) 2023; 15:3495. [PMID: 37688123 PMCID: PMC10490543 DOI: 10.3390/polym15173495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 08/14/2023] [Accepted: 08/17/2023] [Indexed: 09/10/2023] Open
Abstract
Even before considering their introduction into the mouth, the choice of materials for the optimization of the prosthesis depends on specific parameters such as their biocompatibility, solidity, resistance, and longevity. In the first part of this two-part review, we approach the various mechanical characteristics that affect this choice, which are closely related to the manufacturing process. Among the materials currently available, it is mainly polymers that are suitable for this use in this field. Historically, the most widely used polymer has been polymethyl methacrylate (PMMA), but more recently, polyamides (nylon) and polyether ether ketone (PEEK) have provided interesting advantages. The incorporation of certain molecules into these polymers will lead to modifications aimed at improving the mechanical properties of the prosthetic bases. In the second part of the review, the safety aspects of prostheses in the oral ecosystem (fragility of the undercuts of soft/hard tissues, neutral pH of saliva, and stability of the microbiota) are addressed. The microbial colonization of the prosthesis, in relation to the composition of the material used and its surface conditions (roughness, hydrophilicity), is of primary importance. Whatever the material and manufacturing process chosen, the coating or finishes dependent on the surface condition remain essential (polishing, non-stick coating) for limiting microbial colonization. The objective of this narrative review is to compile an inventory of the mechanical and physical properties as well as the clinical conditions likely to guide the choice between polymers for the base of removable prostheses.
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Affiliation(s)
- Pierre Le Bars
- Department of Prosthetic Dentistry, Faculty of Dentistry, Nantes University, 1 Place Alexis Ricordeau, 44042 Nantes, France; (L.L.G.); (R.C.); (A.A.K.)
- Oniris, CHU Nantes, INSERM, Regenerative Medicine and Skeleton, RMeS, Nantes Université, UMR 1229, 44000 Nantes, France;
| | - Octave Nadile Bandiaky
- Oniris, CHU Nantes, INSERM, Regenerative Medicine and Skeleton, RMeS, Nantes Université, UMR 1229, 44000 Nantes, France;
| | - Laurent Le Guéhennec
- Department of Prosthetic Dentistry, Faculty of Dentistry, Nantes University, 1 Place Alexis Ricordeau, 44042 Nantes, France; (L.L.G.); (R.C.); (A.A.K.)
- Oniris, CHU Nantes, INSERM, Regenerative Medicine and Skeleton, RMeS, Nantes Université, UMR 1229, 44000 Nantes, France;
| | - Roselyne Clouet
- Department of Prosthetic Dentistry, Faculty of Dentistry, Nantes University, 1 Place Alexis Ricordeau, 44042 Nantes, France; (L.L.G.); (R.C.); (A.A.K.)
- Oniris, CHU Nantes, INSERM, Regenerative Medicine and Skeleton, RMeS, Nantes Université, UMR 1229, 44000 Nantes, France;
| | - Alain Ayepa Kouadio
- Department of Prosthetic Dentistry, Faculty of Dentistry, Nantes University, 1 Place Alexis Ricordeau, 44042 Nantes, France; (L.L.G.); (R.C.); (A.A.K.)
- Department of Prosthetic Dentistry, Faculty of Dentistry, University Hospital Center, Abidjan P.O. Box 612, Côte d’Ivoire
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Osnes C, Davda K, Hyde TP, Khalid S, Dillon S, Archer N, Attrill D, Devlin H, Keeling A. Current challenges for 3D printing complete dentures: experiences from a multi-centre clinical trial. Br Dent J 2023:10.1038/s41415-023-6114-0. [PMID: 37558770 DOI: 10.1038/s41415-023-6114-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 03/29/2023] [Accepted: 04/10/2023] [Indexed: 08/11/2023]
Abstract
Aims To develop an optimal clinical and laboratory protocol for the fabrication of 3D printing dentures.Design A prospective feasibility study across three UK dental schools.Material and methods Each patient received one conventional and one 3D-printed denture. Both dentures were constructed using the same impression, jaw registration and wax trial denture. Variables investigated included methods of digitisation of the impression and optional use of a 3D-printed baseplate for jaw registration.Results Clinicians strongly preferred 3D-printed baseplates. Patients felt that conventional and printed dentures were similar in retention and stability. More patients favoured conventional dentures over 3D-printed dentures in terms of comfort.Discussion It is feasible to combine conventional clinical work with digital techniques to produce 3D-printed dentures. 3D-printed baseplates offer a cost-effective alternative to conventional bases at the jaw registration stage. Challenges were faced in tooth positioning and managing occlusion, particularly where roots required adjustment.Conclusion 3D printing is suitable for producing baseplates for jaw registration blocks and wax trial insertions. It is feasible to produce 3D-printed dentures using conventional clinical techniques for impressions, jaw registration and wax trial insertion. The workflow used in this study for 3D-printed dentures is not superior to conventional dentures. Further work is required.
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Affiliation(s)
| | | | - T Paul Hyde
- School of Dentistry, University of Leeds, UK
| | | | - Sean Dillon
- School of Dentistry, University of Leeds, UK
| | | | | | - Hugh Devlin
- School of Dentistry, University of Manchester, UK
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14
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Charoenphol K, Peampring C. Fit Accuracy of Complete Denture Base Fabricated by CAD/CAM Milling and 3D-Printing Methods. Eur J Dent 2023; 17:889-894. [PMID: 36513334 PMCID: PMC10569868 DOI: 10.1055/s-0042-1757211] [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: 12/15/2022] Open
Abstract
OBJECTIVE Digital complete denture fabrication can be accomplished by either milling or three-dimensional (3D)-printing approach in which minimal distortion during processing contributes to effective denture base adaption, which leads to good denture retention. The purpose of this study was to compare the fit accuracy of milled and 3D-printed complete denture bases. MATERIALS AND METHODS The reference edentulous maxillary arch model was scanned to generate virtual denture bases using computer-aided manufacturing software that exports as standard tessellation language files. Denture bases were constructed using a milling and 3D-printing technique using digital light processing method (n = 10). Intaglio surfaces of denture bases were scanned and superimposed on the reference model. The fit accuracy was quantified as root mean square error and evaluated statistically using independent t-test comparisons with a significance level of 0.05. RESULTS Milled denture bases were significantly more accurate in adaptation than 3D-printed dentures in the overall intaglio area and primary bearing area of denture bases. 3D-printed denture bases demonstrated significantly greater accuracy in adaptation than milled denture bases in the peripheral/posterior palatal seal area. CONCLUSION Milled denture bases fit better in the overall and primary stress-bearing areas than 3D-printed dentures, while 3D-printed dentures appeared more accurate in the peripheral seal area, which had a minor undercut that is not suitable for using milling technology.
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Affiliation(s)
- Kanyakorn Charoenphol
- Department of Prosthetic Dentistry, Prince of Songkla University, Hat Yai, Songkhla, Thailand
| | - Chaimongkon Peampring
- Department of Prosthetic Dentistry, Prince of Songkla University, Hat Yai, Songkhla, Thailand
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Baciu ER, Savin CN, Tatarciuc M, Mârțu I, Butnaru OM, Aungurencei AE, Mihalache AM, Diaconu-Popa D. Experimental Study on Mechanical Properties of Different Resins Used in Oral Environments. MEDICINA (KAUNAS, LITHUANIA) 2023; 59:1042. [PMID: 37374246 DOI: 10.3390/medicina59061042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 05/23/2023] [Accepted: 05/23/2023] [Indexed: 06/29/2023]
Abstract
Background and Objectives: Acrylic resins remain the materials of choice for removable prosthesis due to their indisputable qualities. The continuous evolution in the field of dental materials offers practitioners today a multitude of therapeutic options. With the development of digital technologies, including both subtractive and additive methods, workflow has been considerably reduced and the precision of prosthetic devices has increased. The superiority of prostheses made by digital methods compared to conventional prostheses is much debated in the literature. Our study's objective was to compare the mechanical and surface properties of three types of resins used in conventional, subtractive, and additive technologies and to determine the optimal material and the most appropriate technology to obtain removable dentures with the highest mechanical longevity over time. Materials and Methods: For the mechanical tests, 90 samples were fabricated using the conventional method (heat curing), CAD/CAM milling, and 3D printing technology. The samples were analyzed for hardness, roughness, and tensile tests, and the data were statistically compared using Stata 16.1 software (StataCorp, College Station, TX, USA). A finite element method was used to show the behavior of the experimental samples in terms of the crack shape and its direction of propagation. For this assessment the materials had to be designed inside simulation software that has similar mechanical properties to those used for obtaining specimens for tensile tests. Results: The results of this study suggested that CAD/CAM milled samples showed superior surface characteristics and mechanical properties, comparable with conventional heat-cured resin samples. The propagation direction predicted by the finite element analysis (FEA) software was similar to that observed in a real-life specimen subjected to a tensile test. Conclusions: Removable dentures made from heat-cured resins remain a clinically acceptable option due to their surface quality, mechanical properties, and affordability. Three-dimensional printing technology can be successfully used as a provisional or emergency therapeutic solution. CAD/CAM milled resins exhibit the best mechanical properties with great surface finishes compared to the other two processing methods.
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Affiliation(s)
- Elena-Raluca Baciu
- Department of Oral Implantology, Discipline of Dental Materials, Faculty of Dental Medicine, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iași, Romania
| | - Carmen Nicoleta Savin
- Department of Surgery, Discipline of Pediatric Dentistry, Faculty of Dental Medicine, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iași, Romania
| | - Monica Tatarciuc
- Department of Oral Implantology, Removable Dentures and Technology, Faculty of Dental Medicine, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iași, Romania
| | - Ioana Mârțu
- Department of Oral Implantology, Removable Dentures and Technology, Faculty of Dental Medicine, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iași, Romania
| | - Oana Maria Butnaru
- Department of Surgery, Discipline of Basics of Physics and Biophysics in Dental Medicine, Faculty of Dental Medicine, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iași, Romania
| | - Andra Elena Aungurencei
- Department of Oral Implantology, Removable Dentures and Technology, Faculty of Dental Medicine, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iași, Romania
| | - Andrei-Marius Mihalache
- Department of Machine Manufacturing Technology, "Gheorghe Asachi" Technical University of Iași, 700050 Iași, Romania
| | - Diana Diaconu-Popa
- Department of Oral Implantology, Removable Dentures and Technology, Faculty of Dental Medicine, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iași, Romania
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Ceylan G, Emik S, Yalcinyuva T, Sunbuloğlu E, Bozdag E, Unalan F. The Effects of Cross-Linking Agents on the Mechanical Properties of Poly (Methyl Methacrylate) Resin. Polymers (Basel) 2023; 15:polym15102387. [PMID: 37242962 DOI: 10.3390/polym15102387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2023] [Revised: 05/18/2023] [Accepted: 05/18/2023] [Indexed: 05/28/2023] Open
Abstract
Cross-linking agents are incorporated into denture base materials to improve their mechanical properties. This study investigated the effects of various cross-linking agents, with different cross-linking chain lengths and flexibilities, on the flexural strength, impact strength, and surface hardness of polymethyl methacrylate (PMMA). The cross-linking agents used were ethylene glycol dimethacrylate (EGDMA), tetraethylene glycol dimethacrylate (TEGDMA), tetraethylene glycol diacrylate (TEGDA), and polyethylene glycol dimethacrylate (PEGDMA). These agents were added to the methyl methacrylate (MMA) monomer component in concentrations of 5%, 10%, 15%, and 20% by volume and 10% by molecular weight. A total of 630 specimens, comprising 21 groups, were fabricated. Flexural strength and elastic modulus were assessed using a 3-point bending test, impact strength was measured via the Charpy type test, and surface Vickers hardness was determined. Statistical analyses were performed using the Kolmogorov-Smirnov Test, Kruskal-Wallis Test, Mann-Whitney U Test, and ANOVA with post hoc Tamhane test (p ≤ 0.05). No significant increase in flexural strength, elastic modulus, or impact strength was observed in the cross-linking groups compared to conventional PMMA. However, surface hardness values notably decreased with the addition of 5% to 20% PEGDMA. The incorporation of cross-linking agents in concentrations ranging from 5% to 15% led to an improvement in the mechanical properties of PMMA.
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Affiliation(s)
- Gulsum Ceylan
- Department of Prosthodontics, School of Dentistry, Istanbul Medipol University, Istanbul 34083, Turkey
| | - Serkan Emik
- Department of Chemical Engineering, Faculty of Engineering, Istanbul University-Cerrahpasa, Istanbul 34320, Turkey
| | - Tuncer Yalcinyuva
- Department of Chemical Engineering, Faculty of Engineering, Istanbul University-Cerrahpasa, Istanbul 34320, Turkey
| | - Emin Sunbuloğlu
- Department of Mechanical Engineering, Laboratory of Biomechanics & Mechanics of Materials, Faculty of Engineering, Istanbul Technical University, Istanbul 34437, Turkey
| | - Ergun Bozdag
- Department of Mechanical Engineering, Laboratory of Biomechanics & Mechanics of Materials, Faculty of Engineering, Istanbul Technical University, Istanbul 34437, Turkey
| | - Fatma Unalan
- Department of Prosthodontics, Faculty of Dentistry, Istanbul Kent University, Istanbul 34433, Turkey
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Sha Y, Quah B, Sng TJH, Yong CW, Islam I, Wong RCW. Are 3D printed resin surgical splints safe to use in the mouth? A comparative in vitro study. ANNALS OF 3D PRINTED MEDICINE 2023. [DOI: 10.1016/j.stlm.2022.100097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
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18
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Tinastepe N, Malkondu O, Kazazoglu E. Hardness and surface roughness of differently processed denture base acrylic resins after immersion in simulated gastric acid. J Prosthet Dent 2023; 129:364.e1-364.e9. [PMID: 36604260 DOI: 10.1016/j.prosdent.2022.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Revised: 11/30/2022] [Accepted: 12/01/2022] [Indexed: 01/04/2023]
Abstract
STATEMENT OF PROBLEM The effect of gastric acid on the surface properties of denture base acrylic resin is unknown. PURPOSE The purpose of this in vitro study was to evaluate changes in the surface roughness and hardness of denture base acrylic resins after immersion in simulated gastric acid. MATERIAL AND METHODS Acrylic resin specimens (n=10) were prepared with 3 different processing techniques (compression-molded, injection-molded, and computer-aided design and computer-aided manufacturing [CAD-CAM] milled) and exposed to either gastric acid or artificial saliva (control). Surface roughness and hardness were measured at baseline (T0) and after 24-hour (T24) and 96-hour (T96) immersion in the solutions. The surface roughness and hardness data were analyzed by 3-way ANOVA and the Tukey HSD test (α=.05). RESULTS At T24, the greatest change in surface hardness was observed for compression-molded specimens in gastric acid (P<.05). At T96, changes in hardness values were higher in compression-molded specimens than those in milled specimens (P<.05). Regarding surface roughness, at T24, compression-molded and injection-molded specimens showed higher values than milled specimens in gastric acid (P<.05). Concerning specimens in artificial saliva, compression-molded specimens showed significantly higher changes in roughness than those of the others (P<.05). At T96, injection-molded specimens had the greatest roughness values (P<.05). Among specimens immersed in artificial saliva, milled specimens showed lower roughness values than the injection-molded or compression-molded specimens (P<.05). CONCLUSIONS Gastric acid exposure adversely affected the roughness and hardness of all the acrylic resins evaluated. CAD-CAM milled specimens showed better resistance to acid exposure after 24 and 96 hours in terms of roughness and hardness.
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Affiliation(s)
- Neslihan Tinastepe
- Associate Professor, Department of Prosthodontics, School of Dentistry, Uskudar University, Istanbul, Turkey.
| | - Ozlem Malkondu
- Professor, Department of Prosthodontics, School of Dentistry, Yeditepe University, Istanbul, Turkey
| | - Ender Kazazoglu
- Professor, Department of Prosthodontics, School of Dentistry, Yeditepe University, Istanbul, Turkey
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de Paula Lopez V, Dias Corpa Tardelli J, Botelho AL, Marcondes Agnelli JA, Cândido Dos Reis A. Mechanical performance of 3-dimensionally printed resins compared with conventional and milled resins for the manufacture of occlusal devices: A systematic review. J Prosthet Dent 2023:S0022-3913(22)00766-1. [PMID: 36631367 DOI: 10.1016/j.prosdent.2022.12.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Revised: 12/11/2022] [Accepted: 12/13/2022] [Indexed: 01/11/2023]
Abstract
STATEMENT OF PROBLEM Digital methods for manufacturing occlusal devices provide advantages over conventional techniques, but information about the mechanical properties of 3-dimensionally (3D) printed resins is scarce. PURPOSE The purpose of this systematic review was to evaluate the literature to determine whether 3D-printed resins for occlusal devices present satisfactory mechanical performance when compared with milled and conventional heat polymerized and autopolymerized resins. MATERIAL AND METHODS This systematic review followed the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol and was registered in the Open Science Framework. The search strategy was applied without restriction of time and language to Embase, PubMed, Scopus, Science Direct, and Web of Science databases, and to the nonpeer-reviewed literature in ProQuest and Google Scholar. The selection process was conducted independently in 2 stages by 2 reviewers according to the eligibility criteria. The risk of bias was analyzed by using a checklist of important parameters to be considered. The systematic review considered the population, intervention, comparison, outcome, studies (PICOS) format, where population was resins for 3D printing of occlusal devices, intervention was inherent characteristics of the resin, comparison was conventional heat polymerized, autopolymerized, and milled resins, outcome was mechanical performance, and studies were in vitro experimental studies. RESULTS A total of 1430 articles were found with the search strategy. After removing 182 duplicates found in Rayyan, the title and abstract of 1248 articles were evaluated, of which 37 articles were screened from the databases, 23 were selected for full reading, and 6 met the eligibility criteria and were included in this review; 1 had a low risk of bias and 5 had a moderate risk. An additional search of the reference list of included articles did not result in the inclusion of any articles. A quantitative meta-analysis could not be performed because of the heterogeneity of the included studies regarding the type of resin used and the method for evaluating mechanical performance. CONCLUSIONS Resins for 3D printing had satisfactory mechanical performance for interocclusal devices when compared with conventional heat polymerized and autopolymerized resins, except for hardness. Milled resins were better than 3D-printed resins in hardness, wear resistance, flexural strength, flexural modulus, and fracture resistance when printing angle and thickness were not considered. Further development is needed in terms of printing techniques and chemical composition, as they are important for optimal mechanical properties and clinical performance.
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Affiliation(s)
- Vitor de Paula Lopez
- Undergraduate Student, Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, SP, Brazil
| | - Juliana Dias Corpa Tardelli
- Postgraduate Student, Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, SP, Brazil
| | - André Luis Botelho
- Postdoctoral Student, Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, SP, Brazil
| | - José Augusto Marcondes Agnelli
- Senior Professor, Department of Materials Engineering, Center for Exact Sciences and Technology, Federal University of São Carlos (UFSCar), São Carlos, Brazil
| | - Andréa Cândido Dos Reis
- Associate Professor, Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, SP, Brazil.
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20
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Al-Dwairi ZN, Al Haj Ebrahim AA, Baba NZ. A Comparison of the Surface and Mechanical Properties of 3D Printable Denture-Base Resin Material and Conventional Polymethylmethacrylate (PMMA). J Prosthodont 2023; 32:40-48. [PMID: 35119168 DOI: 10.1111/jopr.13491] [Citation(s) in RCA: 35] [Impact Index Per Article: 35.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Accepted: 01/26/2022] [Indexed: 01/25/2023] Open
Abstract
PURPOSE To study the surface and mechanical properties of 3D printed denture-base resin materials and compare them with conventional heat-cured polymethylmethacrylate (PMMA). MATERIALS AND METHODS Three brands of 3D printed denture-base resin materials and one conventional heat-cured PMMA were tested in this study: NextDent 3D printed resin, Dentona 3D printed resin, ASIGA 3D printed resin, and Meliodent conventional PMMA. Sixty specimens (25 × 25 × 3 mm) were fabricated (n=15 per group) to perform the following tests: wettability, surface roughness, and microhardness. One hundred twenty specimens (65 × 10 × 3 mm) were fabricated (n=30 per group) and stored in distilled water at (37 ±1°C) for 7 days. Specimens (N = 15) in each group were subjected to the three-point bending test and impact strength test, employing the Charpy configuration on un-notched specimens. The morphology of the fractured specimens was studied under scanning electron microscope (SEM). Statistical analysis was performed using one-way ANOVA and Tukey-pairwise multiple comparisons with 95% confidence interval. P-values of ≤0.05 were considered significant. RESULTS The conventional heat-cured specimens demonstrated the highest means of surface roughness (0.23 ± 0.07 μm), Vickers hardness number (18.11 ±0.65) and flexural strength (92.44 ±7.91 MPa), and the lowest mean of contact angle (66.71° ±3.38°). ASIGA group showed the highest mean of contact angle (73.44° ±2.74°) and the lowest mean of surface roughness (0.19 ±0.03 μm). The highest mean of impact strength was recorded in the Dentona group (17.98 ±1.76 kg/m2 ). NextDent specimens showed the lowest means of Vickers hardness number (16.20 ±0.93), flexural strength (74.89 ±8.44 MPa), impact strength (15.20 ±0.69 kg/m2 ), and recorded the highest mean of bending modulus (2,115.80 ±178.95 MPa). CONCLUSIONS 3D printed resin exhibited noticeable differences in surface and mechanical properties between different brands and with conventional heat-polymerized PMMA.
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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
| | - Abdulkareem A Al Haj Ebrahim
- 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, CA
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21
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Abdulla MA. The Effect of Different levels of a Network Reinforced System and Curing Methods on Properties of Different Acrylic Resin Denture Base Materials. J Int Soc Prev Community Dent 2022; 12:621-629. [PMID: 36777012 PMCID: PMC9912836 DOI: 10.4103/jispcd.jispcd_187_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 11/01/2022] [Accepted: 11/30/2022] [Indexed: 02/10/2023] Open
Abstract
Aims and objective This study aimed to compare the effect of the addition of light-cured fibre SES mesh at different levels (near the polished surface, at the middle, and near the tissue surface) within different acrylic resin denture base materials on the transverse strength and the surface hardness. Materials and Methods One hundred and twenty samples were prepared from three types of acrylic resin denture base materials (high impact heat cured, cross-linked heat cured, and microwaved cured acrylic resins) to test the transverse strength and surface hardness. The samples were divided into four groups: Group1(samples without fibre reinforcement, Control group, n = 30); Group 2 (samples reinforced using SES mesh network near the tissue surface of the acrylic resin sample, n = 30); Group 3 (samples reinforced using SES mesh network near to the polished surface of the acrylic resin sample, n = 30); Group 4 (samples reinforced using SES mesh reinforced network at the middle of the acrylic resin sample, n = 30). The data were statistically analyzed using one-way ANOVA and Tukey's post hoc test at a 0.05 level of significance (SPSS software, version 19.0). Results One-way ANOVA showed a significant difference in the mean values of transverse strength between all levels of fibre mesh applications and without fibre mesh reinforcement (P < 0.05). Tukey's post hoc test showed that mesh-reinforced fibre in Group 4 had the highest mean value, while the control group showed the lowest mean value. One-way ANOVA showed a significant difference in the mean surface hardness values between cross-linked heat-cured and microwave-cured acrylic resins (P< 0.05). There was no significant difference in the mean surface hardness values between all levels of fibre mesh applications and without fibre mesh reinforcement for high-impact heat-cured acrylic resin (P ˃ 0.05). Conclusions SES-reinforced glass fibre mesh at different levels significantly increased the transverse strength for different acrylic resin materials but had less effect on the surface hardness for all types of acrylic resin materials.
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Affiliation(s)
- Mohammed A Abdulla
- Department of Prosthodontics, College of Dentistry, University of Mosul, Mosul, Iraq,Address for correspondence: Dr. Mohammed A. Abdulla, Department of Prosthodontics, College of Dentistry, University of Mosul, Mosul, Iraq. E-mail:
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22
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Polychronakis N, Dimitriadi M, Polyzois G, Eliades G. The effect of cooling procedures on monomer elution from heat-cured polymethyl methacrylate denture base materials. J Appl Oral Sci 2022; 30:e20220161. [PMID: 35894388 PMCID: PMC9311270 DOI: 10.1590/1678-7757-2022-0161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Accepted: 06/16/2022] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To evaluate the amount of methyl methacrylate (MMA) released in water from heat-cured polymethyl methacrylate (PMMA) denture base materials subjected to different cooling procedures. METHODOLOGY Disk-shaped specimens (Ø:17 mm, h:2 mm) were fabricated from Paladon 65 (PA), ProBase Hot (PB), Stellon QC-20 (QC) and Vertex Rapid Simplified (VE) denture materials using five different cooling procedures (n=3/procedure): A) Bench-cooling for 10 min and then under running water for 15 min; B) Cooling in water-bath until room temperature; C) Cooling under running water for 15 min; D) Bench-cooling, and E) Bench-cooling for 30 min and under running water for 15 min. A, B, D, E procedures were proposed by the manufacturers, while the C was selected as the fastest one. Control specimens (n=3/material) were fabricated using a long polymerization cycle and bench-cooling. After deflasking, the specimens were ground, polished and stored in individual containers with 10 ml of distilled water for seven days (37oC). The amount of water-eluted MMA was measured per container using isocratic ultra-fast liquid chromatography (UFLC). Data were analyzed using Student's and Welch's t-test (α=0.05). RESULTS MMA values below the lower quantification limit (LoQ=5.9 ppm) were registered in B, C, E (PA); E (PB) and B, D, E (QC) procedures, whereas values below the detection limit (LoD=1.96 ppm) were registered in A, D (PA); A, B, C, D (PB); C, D, E (VE) and in all specimens of the control group. A, B (VE) and A, C (QC) procedures yielded values ranging from 6.4 to 13.2 ppm with insignificant differences in material and procedure factors (p>0.05). CONCLUSIONS The cooling procedures may affect the monomer elution from denture base materials. The Ε procedure may be considered a universal cooling procedure compared to the ones proposed by the manufacturers, with the lowest residual monomer elution in water.
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Affiliation(s)
- Nick Polychronakis
- National and Kapodistrian University of Athens, School of Dentistry, Department of Prosthodontics, Athens, Greece
| | - Maria Dimitriadi
- National and Kapodistrian University of Athens, School of Dentistry, Department of Biomaterials, Greece
| | - Gregory Polyzois
- National and Kapodistrian University of Athens, School of Dentistry, Department of Prosthodontics, Athens, Greece
| | - George Eliades
- National and Kapodistrian University of Athens, School of Dentistry, Department of Biomaterials, Greece
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23
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Impact of Polymerization Technique and ZrO 2 Nanoparticle Addition on the Fracture Load of Interim Implant-Supported Fixed Cantilevered Prostheses in Comparison to CAD/CAM Material. Dent J (Basel) 2022; 10:dj10060102. [PMID: 35735644 PMCID: PMC9222143 DOI: 10.3390/dj10060102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 05/16/2022] [Accepted: 06/06/2022] [Indexed: 01/25/2023] Open
Abstract
ZrO2 nanoparticles (ZNPs) have excellent physical properties. This study investigated the fracture load of implant-supported, fixed cantilevered prosthesis materials, reinforced with ZNPs and various polymerization techniques, compared with conventional and CAD/CAM materials. Sixty specimens were made from two CAD/CAM; milled (MIL) (Ceramill TEMP); and 3D-printed (NextDent Denture 3D+). Conventional heat-polymerized acrylic resin was used to fabricate the other specimens, which were grouped according to their polymerization technique: conventionally (HP) and autoclave-polymerized (AP); conventionally cured and reinforced with 5 wt% ZNPs (HPZNP); and autoclave reinforced with 5 wt% ZNPs (APZNP). The specimens were thermocycled (5000 cycles/30 s dwell time). Each specimen was subjected to static vertical loading (1 mm/min) using a universal Instron testing machine until fracture. Scanning electron microscopy was used for fracture surface analyses. The ANOVA showed significant fracture load differences between all the tested groups (p = 0.001). The Tukey post hoc tests indicated a significant difference in fracture load between all tested groups (p ˂ 0.001) except HP vs. HPZNP and AP vs. MIL. APZNP had the lowest mean fracture load value (380.7 ± 52.8 N), while MIL had the highest (926.6 ± 82.8 N). The CAD/CAM materials exhibited the highest fracture load values, indicating that they could be used in long-term interim prostheses. Autoclave polymerization improved fracture load performance, whereas ZrO2 nanoparticles decreased the fracture load performance of cantilevered prostheses.
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24
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Khan AA, Fareed MA, Alshehri AH, Aldegheishem A, Alharthi R, Saadaldin SA, Zafar MS. Mechanical Properties of the Modified Denture Base Materials and Polymerization Methods: A Systematic Review. Int J Mol Sci 2022; 23:5737. [PMID: 35628546 PMCID: PMC9143457 DOI: 10.3390/ijms23105737] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2022] [Revised: 05/15/2022] [Accepted: 05/19/2022] [Indexed: 12/22/2022] Open
Abstract
Amidst growing technological advancements, newer denture base materials and polymerization methods have been introduced. During fabrication, certain mechanical properties are vital for the clinical longevity of the denture base. This systematic review aimed to explore the effect of newer denture base materials and/or polymerization methods on the mechanical properties of the denture base. An electronic database search of English peer-reviewed published papers was conducted using related keywords from 1 January 2011, up until 31 December 2021. This systematic review was based on guidelines proposed by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The search identified 579 papers. However, the inclusion criteria recognized 22 papers for eligibility. The risk of bias was moderate in all studies except in two where it was observed as low. Heat cure polymethyl methacrylate (PMMA) and compression moulding using a water bath is still a widely used base material and polymerization technique, respectively. However, chemically modified PMMA using monomers, oligomers, copolymers and cross-linking agents may have a promising result. Although chemically modified PMMA resin might enhance the mechanical properties of denture base material, no clear inferences can be drawn about the superiority of any polymerization method other than the conventional compression moulding technique.
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Affiliation(s)
- Aftab Ahmed Khan
- Dental Biomaterials Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh 11451, Saudi Arabia
| | - Muhammad Amber Fareed
- Department of Restorative Dentistry, College of Dentistry, Gulf Medical University, Ajman P.O. Box 4184, United Arab Emirates;
| | - Abdulkarim Hussain Alshehri
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia;
| | - Alhanoof Aldegheishem
- Department of Clinical Dental Science, College of Dentistry, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia; (A.A.); (R.A.)
| | - Rasha Alharthi
- Department of Clinical Dental Science, College of Dentistry, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia; (A.A.); (R.A.)
| | - Selma A. Saadaldin
- Prosthodontics Division, Schulich School of Medicine and Dentistry, Western University, London, ON N6A 5B9, Canada;
| | - Muhammad Sohail Zafar
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Al Madinah Al Munawarah, Medina 42353, Saudi Arabia;
- Department of Dental Materials, Islamic International Dental College, Riphah International University, Islamabad 46000, Pakistan
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25
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Versteeg FG, Hegeman NC, Sebakhy KO, Picchioni F. RAFT Polymerization of a Biorenewable/Sustainable Monomer Via a Green Process. Macromol Rapid Commun 2022; 43:e2200045. [PMID: 35581933 DOI: 10.1002/marc.202200045] [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] [Received: 01/19/2022] [Revised: 04/04/2022] [Indexed: 11/07/2022]
Abstract
A biorenewable polymer was synthesized via a green process using the RAFT principle for the first time in supercritical CO2 at 300 bar and 80°C. α-Methylene-γ-butyrolactone polymers of various chain lengths and molecular weights were obtained. The molecular weights varied from 10000 up to 20000 with low polydispersity indexes (PDI <1.5). Furthermore, the monomer conversion in supercritical CO2 was substantially higher, respectively 85+ % for ScCO2 compared to around 65% for polymerizations conducted in dimethyl formamide (DMF) solvent. Chain extensions were carried out to confirm the livingness of the formed polymers in ScCO2. This opens up future possibilities of the formation of different polymer architectures in ScCO2. The polymers synthesized in ScCO2 have glass transition temperature (Tg) values ranging from 155°C up to 190°C. However, the presence of residual monomer encapsulated inside the formed polymer matrix affected the glass transition of the polymer which was lowered by increasing monomer concentrations. Hence, additional research is required to eliminate the remaining monomer concentration in the polymer matrix in order to arrive at the optimal Tg. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Friso G Versteeg
- Department of Chemical Engineering - Product Technology, University of Groningen, Nijenborgh 4, Groningen, 9747 AG, The Netherlands
| | - Niels C Hegeman
- Department of Chemical Engineering - Product Technology, University of Groningen, Nijenborgh 4, Groningen, 9747 AG, The Netherlands
| | - Khaled O Sebakhy
- Department of Chemical Engineering - Product Technology, University of Groningen, Nijenborgh 4, Groningen, 9747 AG, The Netherlands
| | - Francesco Picchioni
- Department of Chemical Engineering - Product Technology, University of Groningen, Nijenborgh 4, Groningen, 9747 AG, The Netherlands
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Fouda SM, Gad MM, Abualsaud R, Ellakany P, AlRumaih HS, Khan SQ, Akhtar S, Al-Qarni FD, Al-Harbi FA. Flexural Properties and Hardness of CAD-CAM Denture Base Materials. J Prosthodont 2022; 32:318-324. [PMID: 35567362 DOI: 10.1111/jopr.13535] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Accepted: 05/02/2022] [Indexed: 11/28/2022] Open
Abstract
PURPOSE To compare flexural strength, elastic modulus, and surface hardness of CAD-CAM milled, 3D-printed, and heat-polymerized denture base resins. MATERIALS AND METHODS A total of 120 specimens were fabricated from heat-polymerized acrylic resin (HP), milled resin (Avadent and IvoCad), and 3D-printed resin (ASIGA, FormLabs, and NextDent). The specimens were divided into 6 groups according to the type of denture base material n = 20/material, (10/flexural properties and 10/hardness). Flexural strength and elastic modulus of the specimens were evaluated by 3-point bending test and surface hardness by Vickers hardness test. To test flexural properties, the specimens were fabricated according to ISO 20795-1:2013 standards (64×10×3.3 ±0.2 mm). The dimensions for hardness test were 15×10×2.5 ±0.2 mm. Scanning electron microscope was used to evaluate the surface morphology of the fractured specimens. The means and standard deviations were calculated, followed by one-way ANOVA and Tukey post-hoc test (α = 0.05). RESULTS Milled resins showed significantly higher values for flexural strength, elastic modulus, and surface hardness, followed by HP then 3D-printed resins (P<0.001). In between milled groups, flexural strength of AvaDent was significantly higher than IvoCad (P<0.001), while elastic modulus and hardness didn't show significant difference. In between 3D-printed resins, ASIGA showed the highest flexural strength and elastic modulus, insignificantly with FormLabs (P = 0.595) and significantly with NextDent (P = 0.008). ASIGA also showed significantly the highest hardness among the 3D-printed groups. No significant difference was found between FormLabs and NextDent flexural strength (P = 0.357), elastic modulus (P = 1.00) and surface hardness (P = 0.987). CONCLUSION CAD-CAM milled resins had greater flexural properties and hardness compared to heat-polymerized acrylic resin and 3D-printed resins. Although 3D-printed samples showed the lowest values of tested properties, the flexural strength and modulus were above the clinically acceptable values. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Shaimaa M Fouda
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Mohammed M Gad
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Reem Abualsaud
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Passent Ellakany
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Hamad S AlRumaih
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Soban Q Khan
- Department of Clinical Affairs, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Sultan Akhtar
- Department of Biomedical Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Faisal D Al-Qarni
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Fahad A Al-Harbi
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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27
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Analysis of the residual monomer content in milled and 3D-printed removable CAD-CAM Murali complete dentures: an in vitro study. J Dent 2022; 120:104094. [PMID: 35301079 DOI: 10.1016/j.jdent.2022.104094] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Revised: 03/10/2022] [Accepted: 03/13/2022] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE The study aimed to quantitatively evaluate the elution of methylmethacrylate from CAD-CAM manufactured removable complete dentures (RCDs) using high performance liquid chromatography (HPLC). METHODS Thirty-two RCDs were manufactured following either the CNC-milling (Milled: n=8) or the 3D-printing (n=24) protocols. The 3D-printed dentures were further categorized into three groups based on their post-production rinsing cycles [Extended wash cycle (EWC), Standard wash cycle (SWC), and SWC and additional Durécon coating (SWC2)]. HPLC was used to evaluate the methylmethacrylate concentrations (MMCs) eluted from the dentures in each group for different time periods (1, 2, 4, 8, and 24 hours). Mean and standard deviations were calculated for the MMCs; data was verified for normal distribution, ANOVA and post hoc tests were applied for statistical analyses (⍺=0.05). RESULTS The HPLC revealed that all the denture groups recorded some amounts of MMCs, with significant differences [F (3, 31) = 23.646, p<0.0001]. The milled denture group had the highest MMCs at 24 hours when compared to the EWC (p<0.0001), SWC (p=0.001), and SWC2 (p<0.0001) denture groups. SWC had a higher MMC than EWC (p=0.032) and SWC2 (p=0.015). No differences were found in MMCs when comparing EWC and SWC2 (p=0.989). CONCLUSION Methylmethacrylate concentrations were significantly lower in 3D-printed RCDs than in milled RCDs when using the resins employed in this study. Furthermore, the MMCs can be further decreased in the 3D-printed RCDs when coated with an additional thin protective layer (Durécon) by following the manufacturer-recommended rinsing protocol or when an extended isopropanol wash cycle is adopted.
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Charasseangpaisarn T, Wiwatwarrapan C, Srimaneepong V. Thermal Change Affects Flexural and Thermal Properties of Fused Deposition Modeling Poly(Lactic Acid) and Compression Molding Poly(Methyl Methacrylate). Eur J Dent 2022; 17:136-142. [PMID: 35279819 PMCID: PMC9949932 DOI: 10.1055/s-0042-1743148] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
OBJECTIVE Polylactic acid (PLA) is one of the most widely used materials in three-dimensional (3D) printing technology due to its multiple advantages such as biocompatibility and biodegradable. However, there is still a lack of study on 3D printing PLA for use as a denture base material. The goal of this study was to compare 3D printing PLA to traditional poly(methyl methacrylate) (PMMA) as a denture basis. MATERIALS AND METHODS The PMMA (M) and PLA (L) specimens were fabricated by compression molding, and fuse deposition modeling technique, respectively. Each specimen group was divided into three different temperature groups of 25°C (25), 37°C (37), and 55°C (55). The glass transition temperature (Tg) of raw materials and specimen was investigated using differential scanning calorimetry. The heat deflection temperature (HDT) of each material was also observed. STATISTICAL ANALYSIS The data of flexural strength and flexural modulus were analyzed with two-way analysis of variance, and Tukey honestly significant difference. The Tg and HDT data, on the other hand, were descriptively analyzed. RESULTS The results showed that PLA had lower flexural strength than PMMA in all temperature conditions, while the PMMA 25°C (M25) and PMMA 37°C (M37) obtained the highest mean values. PLA 25°C (L25) and PLA 37°C (L37) had significant higher flexural modulus than the other groups. However, the flexural properties of L55 could not be observed, which may be explained by Tg and HDT of PLA. CONCLUSION PLA only meets the flexural modulus requirement, although it was greater than flexural modulus of PMMA. On the other hand, PMMA can meet both good flexural strength and modulus requirement. However, increase in temperature could reduce flexural strength and flexural modulus of PMMA and PLA.
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Affiliation(s)
- Taksid Charasseangpaisarn
- Dental Biomaterials Science, Graduate School, Chulalongkorn University, Bangkok, Thailand,College of Dental Medicine, Rangsit University, Pathum Thani, Thailand
| | - Chairat Wiwatwarrapan
- Dental Biomaterials Science, Graduate School, Chulalongkorn University, Bangkok, Thailand,Chula Unisearch, Chulalongkorn University, Bangkok, Thailand
| | - Viritpon Srimaneepong
- Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand,Address for correspondence Viritpon Srimaneepong, DDS, MDSc, PhD Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University34 Henri-Dunant Road, Wangmai, Patumwan, Bangkok 10330Thailand
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Wei X, Pan Y, Wang M, Wang Y, Lin H, Jiang L, Lin D, Cheng H. Comparative analysis of leaching residual monomer and biological effects of four types of conventional and CAD/CAM dental polymers: an in vitro study. Clin Oral Investig 2022; 26:2887-2898. [PMID: 35083585 DOI: 10.1007/s00784-021-04271-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Accepted: 11/02/2021] [Indexed: 01/25/2023]
Abstract
OBJECTIVES The objective of this study is to investigate leaching residual monomer and biological effects of four types of conventional and computer-aided design/computer-aided manufacturing (CAD/CAM) dental polymers on human gingival fibroblasts (HGFs). MATERIALS AND METHODS A total of 540 disk-shaped specimens were fabricated from four different materials (n=135 per group): compression-molding polymethylmethacrylate (PMMA) (conventional denture polymer), CAD/CAM PMMA (CAD/CAM denture polymer), bis-acrylic composite resin (conventional temporary polymer), and CAD/CAM PMMA (CAD/CAM temporary polymer). Specimens were eluted in cell culture medium for 72 h at 37°C, and the residual monomer in eluates subsequently was measured by high-performance liquid chromatography (HPLC). The biological effects of material eluates on HGFs were analyzed by CCK-8 assay, flow cytometry, real-time quantitative PCR, Western blotting, and enzyme-linked immunosorbent assay (ELISA) to identify cell death patterns and its biological mechanism. RESULTS Methyl methacrylate (MMA) was detected only in compression-molding PMMA, and by-products were detected in bis-acrylic composite resin. The cell proliferation of CAD/CAM denture polymer or CAD/CAM temporary polymer was greater than that of compression-molding PMMA or bis-acrylic composite resin at 72 h in culture. No apoptosis and necrosis were detected in CAD/CAM dental polymers. Apoptosis was detected only in bis-acrylic composite resin and further confirmed by the upregulation of Bax and cleaved Caspase-3, as well as the downregulation of Bcl-2 gene. And no significant variation in inflammatory cytokines secretion was observed in all materials. CONCLUSIONS CAD/CAM dental polymers (including temporary and denture polymers) have favorable biocompatibility due to lower residual monomer, which provides scientific evidence to the controversy of biocompatibility of conventional and CAD/CAM dental polymers. CLINICAL RELEVANCE The use of CAD/CAM dental polymers is recommended in the fabrication of temporary restorations and dentures due to their favorable biocompatibility.
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Affiliation(s)
- Xia Wei
- Fujian Key Laboratory of Oral Diseases and Fujian Provincial Engineering Research Center of Oral Biomaterial and Stomatological Key Lab of Fujian College and University, School and Hospital of Stomatology, Fujian Medical University, 88 Jiaotong Road, Fuzhou, 350004, Fujian, China
| | - Yu Pan
- Fujian Key Laboratory of Oral Diseases and Fujian Provincial Engineering Research Center of Oral Biomaterial and Stomatological Key Lab of Fujian College and University, School and Hospital of Stomatology, Fujian Medical University, 88 Jiaotong Road, Fuzhou, 350004, Fujian, China
| | - Mingjun Wang
- Fujian Key Laboratory of Oral Diseases and Fujian Provincial Engineering Research Center of Oral Biomaterial and Stomatological Key Lab of Fujian College and University, School and Hospital of Stomatology, Fujian Medical University, 88 Jiaotong Road, Fuzhou, 350004, Fujian, China
| | - Yinghui Wang
- Institute of Stomatology and Research Center of Dental Esthetics and Biomechanics, School and Hospital of Stomatology, Fujian Medical University, 246 Yangqiao Zhong Road, Fuzhou, 350002, Fujian, China
| | - Honglei Lin
- Institute of Stomatology and Research Center of Dental Esthetics and Biomechanics, School and Hospital of Stomatology, Fujian Medical University, 246 Yangqiao Zhong Road, Fuzhou, 350002, Fujian, China
| | - Lei Jiang
- Institute of Stomatology and Research Center of Dental Esthetics and Biomechanics, School and Hospital of Stomatology, Fujian Medical University, 246 Yangqiao Zhong Road, Fuzhou, 350002, Fujian, China
| | - Donghong Lin
- Department of Clinical Laboratory, School of Medical Technology and Engineering, Fujian Medical University, 88 Jiaotong Road, Fuzhou, 350004, Fujian, China.
| | - Hui Cheng
- Fujian Key Laboratory of Oral Diseases and Fujian Provincial Engineering Research Center of Oral Biomaterial and Stomatological Key Lab of Fujian College and University, School and Hospital of Stomatology, Fujian Medical University, 88 Jiaotong Road, Fuzhou, 350004, Fujian, China.
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30
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Abualsaud R, Gad M. Flexural strength of CAD/CAM denture base materials: Systematic review and meta-analysis of in-vitro studies. J Int Soc Prev Community Dent 2022; 12:160-170. [PMID: 35462750 PMCID: PMC9022382 DOI: 10.4103/jispcd.jispcd_310_21] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 12/11/2021] [Accepted: 12/22/2021] [Indexed: 11/25/2022] Open
Abstract
Introduction: Digital complete dentures fabrication techniques are expanding. This study aimed to review flexural strength (FS) of milled and 3D-printed denture base materials to answer the study question: is FS of computer-aided designing/computer-aided manufacturing (CAD/CAM) denture base comparable to conventional heat-polymerized materials? Materials and Methods: Search was done within different databases for articles published between January 2010 and June 2021 using specific keywords. Articles of in-vitro studies in English language with methods following International Standards Organization standardization/ADA specifications for flexural testing of conventional and CAD/CAM (milled or printed) polymethyl methacrylate (PMMA) materials were included. Results: Out of the 61 studies, 9 were processed for data extraction and only 7 underwent meta-analysis. Two, six, and one study showed high, moderate, and low risk of bias, respectively. Random-effects model was used for analysis and resulted in the average FS of 120.61 MPa [95% confidence interval (CI): 109.81−131.41] and 92.16 MPa (CI: 75.12−109.19) for CAD/CAM milled and heat-polymerized PMMA, respectively. Conclusion: Subtractive CAD/CAM technique of denture fabrication showed satisfactory FS values, whereas additive CAD/CAM method was comparable to conventional heat-polymerized technique with lower value, requiring further investigations and improvement. The clinical use of milled denture bases is an acceptable substitution to heat-polymerized PMMA, making the denture fabrication an easier and faster process.
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Tangpothitham S, Pongprueksa P, Inokoshi M, Mitrirattanakul S. Effect of post-polymerization with autoclaving treatment on monomer elution and mechanical properties of 3D-printing acrylic resin for splint fabrication. J Mech Behav Biomed Mater 2021; 126:105015. [PMID: 34896766 DOI: 10.1016/j.jmbbm.2021.105015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2021] [Revised: 11/26/2021] [Accepted: 11/28/2021] [Indexed: 11/16/2022]
Abstract
OBJECTIVES To evaluate the effect of post-treatment autoclaving on monomer elution and mechanical properties of three-dimensionally (3D) printed resin for splint fabrication. METHODS Photopolymer resin specimens (Dental LT Clear) were 3D-printed and processed according to the manufacturer's instructions. The specimens were randomly divided to different post-treatment protocols: water storage, autoclaving at different temperatures (121 °C or 132 °C), times (4 or 30 min) and no treatment as a control. The elution of UDMA, HEMA, and EGDMA monomers was determined using high-performance liquid chromatography (HPLC) by immersing the specimens in 75% ethanol for 72 h. The flexural modulus, surface microhardness and linear dimensional changes were measured. The monomer elution and flexural modulus were statistically analyzed using Welch's ANOVA followed by Dunnett's T3 tests, while the surface microhardness and dimensional changes were analyzed using one-way ANOVA followed by Bonferroni tests (α = 0.05). RESULTS The overall monomer elution concentrations were significantly highest for the control group and lowest for specimens treated in an autoclave at 132 °C for 4 min. The flexural modulus was not significantly different between all groups. The surface microhardness was significantly higher for all autoclaved groups than the control and water storage groups. The linear expansion was significantly higher after post-treatment autoclaving in contrast to water storage. SIGNIFICANCE/CONCLUSIONS Post-polymerization autoclave treatment of the 3D-printed resin reduced monomer elution and improved surface microhardness without deteriorating the flexural modulus. Post-treatment with an autoclave at 132 °C for 4 min can be recommended for 3D-printed resin for splint fabrication.
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Affiliation(s)
- Sakarin Tangpothitham
- Department of Masticatory Sciences, Faculty of Dentistry, Mahidol University, Thailand; Department of Oral Diagnostic Sciences, Faculty of Dentistry, Prince of Songkla University, Thailand
| | - Pong Pongprueksa
- Department of Operative Dentistry and Endodontics, Faculty of Dentistry, Mahidol University, Thailand
| | - Masanao Inokoshi
- Department of Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
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Nam NE, Shin SH, Lim JH, Shim JS, Kim JE. Effects of Artificial Tooth Brushing and Hydrothermal Aging on the Mechanical Properties and Color Stability of Dental 3D Printed and CAD/CAM Materials. MATERIALS 2021; 14:ma14206207. [PMID: 34683798 PMCID: PMC8540203 DOI: 10.3390/ma14206207] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 10/06/2021] [Accepted: 10/15/2021] [Indexed: 12/22/2022]
Abstract
This study analyzed the surface roughness and waviness, Vickers hardness (VHN), and color changes of six types of 3D printed resins and computer-aided design/computer-aided manufacturing (CAD/CAM) materials after artificial toothbrushing. The average surface roughness height (Ra) change of Formlabs denture teeth A2 resin (FMLB) was not significant between after artificial toothbrushing (0.17 ± 0.02 μm and 0.17 ± 0.05 μm, respectively; mean ± standard deviation). However, the Ra value increased significantly in all remaining groups. Regarding waviness, polymethylmethacrylate (PMMA) had the largest increases in average waviness height (Wa) and maximum surface waviness height (Wz) between, before (0.43 ± 0.23 μm and 0.08 ± 0.02 μm), and after (8.67 ± 4.03 μm, 1.30 ± 0.58 μm) toothbrushing. There were no significant changes in Wa for Formlabs denture teeth A2 resin (FMLB) and NextDent C&B (NXT). After artificial toothbrushing, the dispersed-filler composite (DFC) group had the largest color difference (ΔE, of 2.4 ± 0.9), and the remaining materials had smaller changes than the clinical acceptance threshold of ΔE = 2.25. The VHN of FMLB and NXT were 9.1 ± 0.4 and 15.5 ± 0.4, respectively, and were not affected by artificial toothbrushing. The flexural strengths of the 3D printed materials were 139.4 ± 40.5 MPa and 163.9 ± 14.0 MPa for FMLB and NXT, respectively, which were similar to those of the polycarbonate and PMMA groups (155.2 ± 23.6 MPa and 108.0 ± 8.1 MPa, respectively). This study found that the evaluated 3D printed materials had mechanical and optical properties comparable to those of CAD/CAM materials and were stable even after artificial toothbrushing and hydrothermal aging.
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Affiliation(s)
- Na-Eun Nam
- BK21 FOUR Project, Department of Prosthodontics, Yonsei University College of Dentistry, Yonsei-ro 50-1, Seodaemun-gu, Seoul 03722, Korea; (N.-E.N.); (S.-H.S.); (J.-H.L.)
| | - Seung-Ho Shin
- BK21 FOUR Project, Department of Prosthodontics, Yonsei University College of Dentistry, Yonsei-ro 50-1, Seodaemun-gu, Seoul 03722, Korea; (N.-E.N.); (S.-H.S.); (J.-H.L.)
| | - Jung-Hwa Lim
- BK21 FOUR Project, Department of Prosthodontics, Yonsei University College of Dentistry, Yonsei-ro 50-1, Seodaemun-gu, Seoul 03722, Korea; (N.-E.N.); (S.-H.S.); (J.-H.L.)
| | - June-Sung Shim
- Department of Prosthodontics, Yonsei University College of Dentistry, Yonsei-ro 50-1, Seodaemun-gu, Seoul 03722, Korea;
| | - Jong-Eun Kim
- Department of Prosthodontics, Yonsei University College of Dentistry, Yonsei-ro 50-1, Seodaemun-gu, Seoul 03722, Korea;
- Correspondence: ; Tel.: +82-2-2228-3160
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Srinivasan M, Kalberer N, Kamnoedboon P, Mekki M, Durual S, Özcan M, Müller F. CAD-CAM complete denture resins: an evaluation of biocompatibility, mechanical properties, and surface characteristics. J Dent 2021; 114:103785. [PMID: 34419480 DOI: 10.1016/j.jdent.2021.103785] [Citation(s) in RCA: 47] [Impact Index Per Article: 15.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 08/10/2021] [Accepted: 08/13/2021] [Indexed: 10/20/2022] Open
Abstract
OBJECTIVES This study evaluated the biocompatibility, mechanical properties, and surface roughness of CAD-CAM milled and rapidly-prototyped/3D-printed resins used for manufacturing complete dentures. METHODS Six groups of resin specimens were prepared, milled-base (MB), milled-tooth shade (MT), printed-tooth shade (PT), printed-base with manufacturer-recommended 3D-printer (PB1), printed-base with third-party 3D-printer (PB2), printed-base in a vertical orientation (PB2V). Human epithelial (A-431) and gingival (HGF-1) cells were cultured and tested for biocompatibility using Resazurin assays. Three-point bending and nanoindentation tests measured the mechanical properties of the resin groups. Surface roughness was evaluated using a high-resolution laser profilometer. ANOVA and post-hoc tests were used for statistical analyses (α = 0.05). RESULTS There were no significant differences in biocompatibility between any of the investigated groups. MB revealed a higher ultimate strength (p = 0.008), elastic modulus (p = 0.002), and toughness (p = 0.014) than PB1. MT had significantly higher elastic modulus than PT (p < 0.001). Rapidly-prototyped resin samples with a manufacturer-recommended 3D-printer (PB1) demonstrated higher ultimate strength (p = 0.008), elastic modulus (p < 0.001), hardness (p < 0.001) and a reduced surface roughness (p < 0.05) when compared with rapidly-prototyped groups using a third-party 3D-printer (PB2). Rapidly-prototyped samples manufactured with a vertical printing orientation (PB2V) revealed a significantly lower elastic modulus than samples groups manufactured using horizontal printing orientation (PB2) (p = 0.011). CONCLUSIONS Within the limits of this present study, CAD-CAM milled and rapidly-prototyped complete denture resins performed similarly in terms of biocompatibility and surface roughness. However, the milled denture resins were superior to the rapidly-prototyped denture resins with regard to their mechanical properties. Printing orientation and type of 3D-printer can affect the resin strength and surface roughness.
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Affiliation(s)
- Murali Srinivasan
- Clinic of General, Special Care, and Geriatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland; Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland.
| | - Nicole Kalberer
- Clinic of General, Special Care, and Geriatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Porawit Kamnoedboon
- Clinic of General, Special Care, and Geriatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Mustapha Mekki
- Division of Fixed Prosthodontics and Biomaterials, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Stéphane Durual
- Division of Fixed Prosthodontics and Biomaterials, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Mutlu Özcan
- Division of Dental Biomaterials, Clinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Frauke Müller
- Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland
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Srinivasan M, Kamnoedboon P, McKenna G, Angst L, Schimmel M, Özcan M, Müller F. CAD-CAM removable complete dentures: A systematic review and meta-analysis of trueness of fit, biocompatibility, mechanical properties, surface characteristics, color stability, time-cost analysis, clinical and patient-reported outcomes. J Dent 2021; 113:103777. [PMID: 34400250 DOI: 10.1016/j.jdent.2021.103777] [Citation(s) in RCA: 45] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Revised: 08/02/2021] [Accepted: 08/06/2021] [Indexed: 12/18/2022] Open
Abstract
OBJECTIVES This review compared Computer-aided designand Computer-aided manufactured (CAD-CAM) and conventionally constructed removable complete dentures (CDs). DATA Seventy-three studies reporting on CAD-CAM (milled/3D-printed) CDs were included in this review. The most recent literature search was performed on 15/03/2021. SOURCES Two investigators searched electronic databases [PubMed (MEDLINE), Embase, CENTRAL], online search engines (Google) and research portals. Hand searches were performed to identify literature not available online. STUDY SELECTION Studies on CAD-CAM CDs were included if they reported on trueness of fit, biocompatibility, mechanical, surface, chemical, color , microbiological properties, time-cost analysis, and clinical outcomes. Inter-investigator reliability was assessed using kappa scores. Meta-analyses were performed on the extracted data . RESULTS The kappa score ranged between 0.897-1.000. Meta-analyses revealed that 3D-printed CDs were more true than conventional CDs (p = 0.039). Milled CDs had a higher flexural-strength than conventional and 3D-printed CDs (p < 0.0001). Milled CDs had a higher flexural-modulus than 3D-printed CDs (p < 0.0001). Milled CDs had a higher yield-strength than injection-molded (p = 0.004), and 3D-printed CDs (p = 0.001). Milled CDs had superior toughness (p < 0.0001) and surface roughness characteristics (p < 0.0001) than other CDs . Rapidly-prototyped CDs displayed poor color-stability compared to other CDs (p = 0.029). CAD-CAM CDs d displayed better retention than conventional CDs (p = 0.015). Conventional CDs had a higher strain at yield point than milled CDs (p < 0.0001), and had superior esthetics than 3D-printed (p < 0.0001). Fabrication of CAD-CAM CDs required less chairside time (p = 0.037) and lower overall costs (p < 0.0001) than conventional CDs. CONCLUSIONS This systematic review concludes that CAD-CAM CDs offer a number of improved mechanical/surface properties and are not inferior when compared to conventional CDs. CLINICAL SIGNIFICANCE CAD-CAM CDs should be considered for completely edentulous patients whenever possible, since this technique offers numerous advantages including better retention, mechanical and surface properties but most importantly preserves a digital record. This can be a great advantage for older adults with limited access to dental care.
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Affiliation(s)
- Murali Srinivasan
- Clinic of General, Special Care, and Geriatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.
| | - Porawit Kamnoedboon
- Clinic of General, Special Care, and Geriatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Gerald McKenna
- Centre for Public Health, Queen's University Belfast, United Kingdom
| | - Lea Angst
- Clinic of General, Special Care, and Geriatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Martin Schimmel
- Department of Reconstructive Dentistry and Gerodontology, Clinic of Dental Medicine, University of Bern, Bern, Switzerland.; Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Mutlu Özcan
- Division of Dental Biomaterials, Clinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Frauke Müller
- Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland
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Comparison of CAD/CAM and Conventional Denture Base Resins: A Systematic Review. APPLIED SCIENCES-BASEL 2021. [DOI: 10.3390/app11135990] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
At present, complete dentures (CDs) remain the only treatment available for the majority of edentulous patients. CDs are primarily fabricated using a conventional method using polymethylmethacrylate (PMMA) resin. The steps involved in PMMA polymerisation directly affect the quality of the resin prosthetic base and any error reduces retention and occlusal accuracy of CDs. Furthermore, when using the conventional technique, the residual monomer alters the resin mechanical properties and may cause mucosal reactions. Recently, computer aided design and computer aided manufacture (CAD/CAM) techniques were increasingly used to fabricate CDs by machining resin discs that have been manufactured under high pressure and temperature. This systematic review compares CAD/CAM and conventional CDs according to their mechanical, physical and chemical characteristics, as well as the clinical impact of any differences between them. A review was conducted according to the preferred reporting items for systematic reviews and meta-analyses checklist on 392 publications from both PubMed and backward research. Fifteen studies have been included. Results showed that CAD/CAM resins had globally better physical and mechanical properties than conventional resins. The use of machined resin could improve the clinical performance, maintenance and longevity of CDs. Further studies in clinical use would be required to complement these results.
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Framework Materials for Full-Arch Implant-Supported Rehabilitations: A Systematic Review of Clinical Studies. MATERIALS 2021; 14:ma14123251. [PMID: 34204681 PMCID: PMC8231547 DOI: 10.3390/ma14123251] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Revised: 06/03/2021] [Accepted: 06/08/2021] [Indexed: 12/24/2022]
Abstract
The purpose of this systematic review was to investigate the clinical outcomes of frameworks made of different materials in patients with implant-supported full-arch prostheses. A literature search was conducted on MEDLINE, Scopus and Cochrane Library, until the 1st of March 2021, with the following search terms: framework or substructure combined with "dental implants". The outcomes evaluated were: implant and prosthesis survival, bone resorption, biological and technical complications. The Cochrane Handbook for Systematic Reviews of Interventions was employed to assess the risk of bias in randomized clinical trials. The Newcastle-Ottawa quality assessment scale was used for non-randomized studies. In total, 924 records were evaluated for title and abstract, and 11 studies were included in the review: 4 clinical randomized trials and 7 cohort studies. The framework materials investigated were: gold alloy, titanium, silver-palladium alloy, zirconia and polymers including acrylic resin and carbon-fiber-reinforced composites. High implant and prosthetic cumulative survival rates were recorded by all included studies. Various materials and different fabrication techniques are now available as alternatives to traditional cast metal frameworks, for full-arch implant-supported rehabilitations. Further long-term studies are needed to validate the use of these materials and clarify their specific clinical indications and manufacturing protocols to optimize their clinical outcomes.
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de Oliveira E, Zancanaro de Figueiredo E, Spohr AM, Lima Grossi M. Properties of Acrylic Resin For CAD/CAM: A Systematic Review and Meta-Analysis of In Vitro Studies. J Prosthodont 2021; 30:656-664. [PMID: 34036676 DOI: 10.1111/jopr.13394] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/19/2021] [Indexed: 12/01/2022] Open
Abstract
PURPOSE This systematic review and meta-analysis of in vitro studies compared the prepolymerized acrylic resin used for CAD/CAM complete denture manufacturing versus the heat-polymerized acrylic resin for conventional complete dentures in terms of surface roughness, wettability, hardness and flexural strength. MATERIALS AND METHODS An electronic search was performed in the PubMed, Embase, LILACS and Web of Science databases, without language or date restrictions. Gray literature and manual search tools were also used. The systematic review was carried out by two researchers independently, following the inclusion criteria: in vitro studies testing the CAD/CAM acrylic resin with a control group of heat-polymerized acrylic resin which compared at least one of the four material properties above. The meta-analysis was performed separately for each property, using a random effect model. RESULTS Of the 914 studies found by means of search strategies, 698 were selected for the systematic review. After applying the eligibility criteria, only 17 articles were selected for the qualitative analysis in the systematic review; among these, 14 were included in the quantitative meta-analysis. The CAD/CAM prepolymerized acrylic resin in blocks had similar properties when compared to heat-polymerized acrylic resin in almost all outcome measures, with the exception of a statistically significant reduction in surface roughness. CONCLUSIONS Based on the findings of this systematic review and meta-analysis, equally satisfactory results can be expected from dental prosthesis manufactured by the CAD/CAM system when compared to conventional ones, with the additional potential of reducing the pigmentation and attached microorganisms due to the reduced surface roughness of the prepolymerized resin.
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Affiliation(s)
- Emanuele de Oliveira
- Post-Graduate Program in Dentistry (Prosthodontics), School of Health and Life Sciences, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, Brazil
| | - Elisa Zancanaro de Figueiredo
- Post-Graduate Program in Dentistry (Prosthodontics), School of Health and Life Sciences, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, Brazil
| | - Ana Maria Spohr
- Post-Graduate Program in Dentistry (Restorative Dentistry), School of Health and Life Sciences, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, Brazil
| | - Márcio Lima Grossi
- Post-Graduate Program in Dentistry (Prosthodontics), School of Health and Life Sciences, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, Brazil
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de Oliveira Limírio JPJ, Gomes JMDL, Alves Rezende MCR, Lemos CAA, Rosa CDDRD, Pellizzer EP. Mechanical properties of polymethyl methacrylate as a denture base: Conventional versus CAD-CAM resin - A systematic review and meta-analysis of in vitro studies. J Prosthet Dent 2021; 128:1221-1229. [PMID: 34030891 DOI: 10.1016/j.prosdent.2021.03.018] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Revised: 03/08/2021] [Accepted: 03/09/2021] [Indexed: 12/18/2022]
Abstract
STATEMENT OF PROBLEM The development of polymethyl methacrylate (PMMA) computer-aided design and computer-aided manufacturing (CAD-CAM) resin blocks with reported improved mechanical properties has simplified complete denture production. However, whether the objective of improved mechanical properties has been achieved compared with conventional heat-polymerized PMMA is not yet clear. PURPOSE The purpose of this systematic review and meta-analysis was to evaluate the mechanical properties of denture base resins manufactured by conventional heat-polymerization and by CAD-CAM in terms of flexural strength, flexural modulus, and surface roughness. MATERIAL AND METHODS Electronic databases (PubMed/MEDLINE, Scopus, Web of Science) were independently searched by 2 researchers for relevant studies published up to November 2020. The population, intervention, comparison, and outcome (PICO) question was, "Does the conventionally manufactured, heat-polymerized PMMA resin, as a denture base, demonstrate the same mechanical properties as the CAD-CAM resin block?" In addition, a meta-analysis was based on the inverse variance method. Flexural strength, flexural modulus, and surface roughness were analyzed through the continuous outcome evaluated by mean difference and standard deviation, with 95% confidence intervals. To evaluated heterogeneity, the I2 value (≤25%=low, ≥50%=moderate and ≥75%=high) and the P value were considered. P<.10 indicated statistical difference for heterogeneity. The effects of meta-analysis were based on the results of heterogeneity as per the studies. RESULTS Thirteen in vitro studies were included in the analysis. A total of 507 specimens were evaluated, 222 conventional and 285 CAD-CAM. In terms of flexural strength, the data showed no significant difference when conventional heat-polymerized PMMA was compared with CAD-CAM PMMA resins (P=.06; mean difference=18.28; 95% confidence interval:-0.42 to 36.97). In terms of flexural modulus, there was a significant difference for the CAD-CAM PMMA group (P=.01; mean difference=589.22; 95% confidence interval: 117.95 to 1060.48). In terms of surface roughness, a significant difference was observed between the groups (P=.02; mean difference=-0.53; 95% confidence interval: -0.97 to -0.09) with the conventional heat-polymerized PMMA resin having higher surface roughness values. CONCLUSIONS The mechanical properties of CAD-CAM PMMA resins were generally improved when compared with heat-polymerized polymethyl methacrylate resin.
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Affiliation(s)
| | - Jéssica Marcela de Luna Gomes
- Postgraduate student, Department of Dental Materials and Prosthodontics, Sao Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | | | - Cleidiel Aparecido Araújo Lemos
- Adjunct Professor, Department of Dentistry (Division of Prosthodontics), Federal University of Juiz de Fora (UFJF-GV), Governador Valadres, Minas Gerai, Brazil
| | - Cleber Davi Del Rei Daltro Rosa
- Postgraduate student, Department of Dental Materials and Prosthodontics, Sao Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | - Eduardo Piza Pellizzer
- Full Professor, Department of Dental Materials and Prosthodontics, Sao Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
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Swamidass R, Goodacre CJ. Conversion of Digital Dentures for Immediate Loading of Complete Arch Implant Prostheses. J Prosthodont 2021; 30:143-149. [PMID: 33988279 DOI: 10.1111/jopr.13323] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/22/2020] [Indexed: 12/01/2022] Open
Abstract
The development and expanded use of digital dentures has led to their use in the immediate loading of complete arch implant prostheses. This paper reviews the prosthetic complications that can occur with immediately loaded conversion prostheses along with the advantages afforded by digital dentures in minimizing or eliminating these complications. The process of using digital dentures in the fabrication of conversion dentures for immediate loading of complete arch implant prostheses is presented as well as the use of digital dentures for definitive prostheses. The described procedures include methods of obtaining clinical records, the fabrication of conversion dentures, the immediate loading procedure using a conversion prosthesis, and use of a conversion denture in the fabrication of a definitive prosthesis.
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Affiliation(s)
- Rajesh Swamidass
- Advanced Education Program in Implant Dentistry, Loma Linda University School of Dentistry, Loma Linda, CA
| | - Charles J Goodacre
- Advanced Education Program in Implant Dentistry, Loma Linda University School of Dentistry, Loma Linda, CA
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Baba NZ, Goodacre BJ, Goodacre CJ, Müller F, Wagner S. CAD/CAM Complete Denture Systems and Physical Properties: A Review of the Literature. J Prosthodont 2021; 30:113-124. [DOI: 10.1111/jopr.13243] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/23/2020] [Indexed: 11/28/2022] Open
Affiliation(s)
- Nadim Z. Baba
- Advanced Education Program in Implant Dentistry Loma Linda University School of Dentistry Loma Linda CA
| | - Brian J. Goodacre
- Division of General Dentistry Loma Linda University School of Dentistry Loma Linda CA
| | - Charles J. Goodacre
- Advanced Education in Implant Dentistry Loma Linda University School of Dentistry Loma Linda CA
| | - Frauke Müller
- Clinique Universitaire de Médecine Dentaire, Division de Gérodontologie et Prothèse adjointe Université de Genève Switzerland
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Pagano S, Lombardo G, Caponi S, Costanzi E, Di Michele A, Bruscoli S, Xhimitiku I, Coniglio M, Valenti C, Mattarelli M, Rossi G, Cianetti S, Marinucci L. Bio-mechanical characterization of a CAD/CAM PMMA resin for digital removable prostheses. Dent Mater 2021; 37:e118-e130. [DOI: 10.1016/j.dental.2020.11.003] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2020] [Revised: 10/15/2020] [Accepted: 11/06/2020] [Indexed: 12/31/2022]
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Takaichi A, Fueki K, Murakami N, Ueno T, Inamochi Y, Wada J, Arai Y, Wakabayashi N. A systematic review of digital removable partial dentures. Part II: CAD/CAM framework, artificial teeth, and denture base. J Prosthodont Res 2021; 66:53-67. [PMID: 33504722 DOI: 10.2186/jpr.jpr_d_20_00117] [Citation(s) in RCA: 32] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE This study comprehensively reviewed the current status of the digital workflow of removable partial dentures (RPDs) and summarized information about the fabrication methods and material properties of the dental framework, artificial teeth, and denture base. STUDY SELECTION We performed a systematic review of the literature published in online databases from January 1980 to April 2020 regarding RPD fabrication and materials used in the related digital technology. We selected eligible articles, retrieved information regarding digital RPDs, and conducted qualitative/quantitative analyses. In this paper, the computer-aided design/computer-aided manufacturing (CAD/CAM) framework, artificial teeth, and denture base materials are reported. RESULTS A variety of materials, such as cobalt-chromium alloy, titanium, zirconia, and polyether ether ketone, are used for dental CAD/CAM frameworks. The mechanical strength of the metal materials used for the CAD/CAM framework was superior to that of the cast framework. However, the fitness and surface roughness of the framework and clasp fabricated using a selective laser melting (SLM) method were not superior to those obtained via cast fabrication. Most material properties and the surface roughness of poly methyl methacrylate (PMMA) discs used for digital RPDs were superior to those of heat-cured PMMA. CONCLUSIONS The use of a CAD/CAM framework and PMMA disc for digital RPDs offers numerous advantages over conventional RPDs. However, technical challenges regarding the accuracy and durability of adhesion between the framework and denture base remain to be solved. In digital fabrication, human technical factors influence the quality of the framework.
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Affiliation(s)
- Atsushi Takaichi
- Department of Removable Partial Prosthodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo
| | - Kenji Fueki
- Department of Removable Partial Prosthodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo
| | - Natsuko Murakami
- Department of Removable Partial Prosthodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo
| | - Takeshi Ueno
- Department of Removable Partial Prosthodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo
| | - Yuka Inamochi
- Department of Removable Partial Prosthodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo
| | - Junichiro Wada
- Department of Removable Partial Prosthodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo
| | - Yuki Arai
- Department of Removable Partial Prosthodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo
| | - Noriyuki Wakabayashi
- Department of Removable Partial Prosthodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo
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Tian Y, Chen C, Xu X, Wang J, Hou X, Li K, Lu X, Shi H, Lee ES, Jiang HB. A Review of 3D Printing in Dentistry: Technologies, Affecting Factors, and Applications. SCANNING 2021; 2021:9950131. [PMID: 34367410 PMCID: PMC8313360 DOI: 10.1155/2021/9950131] [Citation(s) in RCA: 131] [Impact Index Per Article: 43.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Revised: 05/20/2021] [Accepted: 06/24/2021] [Indexed: 05/14/2023]
Abstract
Three-dimensional (3D) printing technologies are advanced manufacturing technologies based on computer-aided design digital models to create personalized 3D objects automatically. They have been widely used in the industry, design, engineering, and manufacturing fields for nearly 30 years. Three-dimensional printing has many advantages in process engineering, with applications in dentistry ranging from the field of prosthodontics, oral and maxillofacial surgery, and oral implantology to orthodontics, endodontics, and periodontology. This review provides a practical and scientific overview of 3D printing technologies. First, it introduces current 3D printing technologies, including powder bed fusion, photopolymerization molding, and fused deposition modeling. Additionally, it introduces various factors affecting 3D printing metrics, such as mechanical properties and accuracy. The final section presents a summary of the clinical applications of 3D printing in dentistry, including manufacturing working models and main applications in the fields of prosthodontics, oral and maxillofacial surgery, and oral implantology. The 3D printing technologies have the advantages of high material utilization and the ability to manufacture a single complex geometry; nevertheless, they have the disadvantages of high cost and time-consuming postprocessing. The development of new materials and technologies will be the future trend of 3D printing in dentistry, and there is no denying that 3D printing will have a bright future.
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Affiliation(s)
- Yueyi Tian
- The Conversationalist Club, School of Stomatology, Shandong First Medical University & Shandong Academy of Medical Sciences, Tai'an, Shandong 271016, China
| | - ChunXu Chen
- The Conversationalist Club, School of Stomatology, Shandong First Medical University & Shandong Academy of Medical Sciences, Tai'an, Shandong 271016, China
| | - Xiaotong Xu
- The Conversationalist Club, School of Stomatology, Shandong First Medical University & Shandong Academy of Medical Sciences, Tai'an, Shandong 271016, China
| | - Jiayin Wang
- The Conversationalist Club, School of Stomatology, Shandong First Medical University & Shandong Academy of Medical Sciences, Tai'an, Shandong 271016, China
| | - Xingyu Hou
- The Conversationalist Club, School of Stomatology, Shandong First Medical University & Shandong Academy of Medical Sciences, Tai'an, Shandong 271016, China
| | - Kelun Li
- The Conversationalist Club, School of Stomatology, Shandong First Medical University & Shandong Academy of Medical Sciences, Tai'an, Shandong 271016, China
| | - Xinyue Lu
- The Conversationalist Club, School of Stomatology, Shandong First Medical University & Shandong Academy of Medical Sciences, Tai'an, Shandong 271016, China
| | - HaoYu Shi
- The Conversationalist Club, School of Stomatology, Shandong First Medical University & Shandong Academy of Medical Sciences, Tai'an, Shandong 271016, China
| | - Eui-Seok Lee
- Department of Oral and Maxillofacial Surgery, Graduate School of Clinical Dentistry, Korea University, Seoul 08308, Republic of Korea
| | - Heng Bo Jiang
- The Conversationalist Club, School of Stomatology, Shandong First Medical University & Shandong Academy of Medical Sciences, Tai'an, Shandong 271016, China
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Perea-Lowery L, Minja IK, Lassila L, Ramakrishnaiah R, Vallittu PK. Assessment of CAD-CAM polymers for digitally fabricated complete dentures. J Prosthet Dent 2021; 125:175-181. [DOI: 10.1016/j.prosdent.2019.12.008] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2019] [Revised: 12/11/2019] [Accepted: 12/11/2019] [Indexed: 10/25/2022]
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Choi JJE, Ramani RS, Ganjigatti R, Uy CE, Plaksina P, Waddell JN. Adhesion of Denture Characterizing Composites to Heat-Cured, CAD/CAM and 3D Printed Denture Base Resins. J Prosthodont 2020; 30:83-90. [PMID: 33215778 DOI: 10.1111/jopr.13291] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/16/2020] [Indexed: 11/26/2022] Open
Abstract
PURPOSE To measure the adhesion of the denture characterizing composite to heat-cured, CAD/CAM and 3D printed denture base resins. METHODS AND MATERIALS Two different denture characterizing composites with different viscosities (SR Nexco; high viscosity (SR) and Kulzer Cre-active; low viscosity (K)) and three denture base resins (Heat cure, CAD-milled and 3D printed) were investigated. 60 beams (25 × 4 × 3 mm) were fabricated for each denture base resin; 30 were bonded to SR and 30 to K to form a beam 50 × 4 × 3 mm. These were further divided (n = 10/group) to simulate the effects of 0, 6, and 12 months intraorally via thermocycling. The beams were subjected to a 4-point bend test using the chevron-notched beam method. Fracture toughness K1C (MPa ·m1/2 ) and flexural bond strength (MPa) were calculated. All specimens were analyzed for the mode of failure under the light microscope and selected specimens under scanning electron microscope. Results were statistically analyzed using ANOVA (SPSS Ver 25). RESULTS The mean K1C was highest for the SR composite bonded to the heat-cured denture resin group (0.28 ± 0.11), followed by CAD/CAM (0.18 ± 0.04) and 3D printed groups (0.23 ± 0.16). Differences were not statistically significant (p = 0.268). Within each group, aging showed no statistical significance between the mean K1C and flexural bond strength (p = 0.209). The mean K1C for the K composites bonded to the three different denture bases were significantly lower compared to the SR group (p < 0.001). The mean K1C for the heat-cured denture resin group was (0.21 ± 0.1), followed by CAD/CAM (0.13 ± 0.04) and 3D printed groups (0.03 ± 0.02). Within each of the K group, aging showed a statistical significance for both the mean K1C and flexural bond strength (p = 0.002). CONCLUSION The high viscosity SR showed significantly higher K1C and flexural bond strength to the lower viscosity K when bonded to heat-cured, CAD-milled and 3D printed denture base resins. Heat-cured denture base resins produced the highest K1C and flexural bond strength when bonded to two different types of characterizing composites.
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Affiliation(s)
- Joanne Jung Eun Choi
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Rishi Sanjay Ramani
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Ritu Ganjigatti
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Caira Ellyse Uy
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Polina Plaksina
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - John Neil Waddell
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
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Gruber S, Kamnoedboon P, Özcan M, Srinivasan M. CAD/CAM Complete Denture Resins: An In Vitro Evaluation of Color Stability. J Prosthodont 2020; 30:430-439. [DOI: 10.1111/jopr.13246] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/26/2020] [Indexed: 01/16/2023] Open
Affiliation(s)
- Simon Gruber
- Clinic of General‐, Special care‐, and Geriatric Dentistry, Center of Dental Medicine University of Zurich Zurich Switzerland
| | - Porawit Kamnoedboon
- Clinic of General‐, Special care‐, and Geriatric Dentistry, Center of Dental Medicine University of Zurich Zurich Switzerland
| | - Mutlu Özcan
- Dental Biomaterials Unit, Center of Dental Medicine University of Zurich Zurich Switzerland
| | - Murali Srinivasan
- Clinic of General‐, Special care‐, and Geriatric Dentistry, Center of Dental Medicine University of Zurich Zurich Switzerland
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Keul C, Seidl J, Güth JF, Liebermann A. Impact of fabrication procedures on residual monomer elution of conventional polymethyl methacrylate (PMMA)-a measurement approach by UV/Vis spectrophotometry. Clin Oral Investig 2020; 24:4519-4530. [PMID: 32424461 DOI: 10.1007/s00784-020-03317-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2019] [Accepted: 04/30/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVES To analyse the residual monomer (MMA) elution of polymethyl methacrylate (PMMA) in distilled water after diverse fabrication methods and aging procedures. MATERIALS AND METHODS PMMA specimens (N = 192, PalaXpress; Kulzer, Hanau, Germany) were manufactured (pouring, n = 96/injection, n = 96) and polymerized in water (55°C) without pressure (n = 48) and with 2 bar pressure (n = 48). Specimens were grinded (n = 24) or polished (n = 24) and aged for 12 h in distilled water/37°C (n = 12) or at air/20°C (n = 12) and stored afterwards in distilled water at 37°C. MMA elution was evaluated after 1, 2, 3, 4, 5, 6, 7, 10, 15 days (UV/Vis spectrophotometry). Data were analysed with Kolmogorov-Smirnov, Mann-Whitney-U and Cohen-d test using SPSS (α < 0.5). RESULTS The pouring procedure resulted in significantly higher MMA elution than the injection procedure up to 5 days. Polymerization with a pressure of 2 bar reduced the MMA elution significantly for poured specimens. Polishing reduced the MMA elution in comparison to grinding. CONCLUSIONS The fabrication procedure (pouring/injection) showed the strongest correlation to the MMA elution (r = 0.500), followed by polishing (r = 0.243), the pressure during polymerization (r = 0.109) and the storage medium (r = 0.053). CLINICAL RELEVANCE Higher MMA elution may increase the risk of chemical irritations, allergic reactions and hypersensitivities of the oral mucosa. Technicians and dentists should be aware about the elution differences dependent on the fabrication procedure.
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Affiliation(s)
- Christine Keul
- Department of Prosthetic Dentistry, University Hospital, LMU Munich, Goethestraße 70, 80336, Munich, Germany.
| | - Judith Seidl
- Department of Prosthetic Dentistry, University Hospital, LMU Munich, Goethestraße 70, 80336, Munich, Germany
| | - Jan-Frederik Güth
- Department of Prosthetic Dentistry, University Hospital, LMU Munich, Goethestraße 70, 80336, Munich, Germany
| | - Anja Liebermann
- Department of Prosthetic Dentistry, University Hospital, LMU Munich, Goethestraße 70, 80336, Munich, Germany
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Prpić V, Schauperl Z, Ćatić A, Dulčić N, Čimić S. Comparison of Mechanical Properties of 3D‐Printed, CAD/CAM, and Conventional Denture Base Materials. J Prosthodont 2020; 29:524-528. [DOI: 10.1111/jopr.13175] [Citation(s) in RCA: 62] [Impact Index Per Article: 15.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/03/2020] [Indexed: 11/28/2022] Open
Affiliation(s)
- Vladimir Prpić
- PhD Student, School of Dental MedicineUniversity of Zagreb Zagreb Croatia
| | - Zdravko Schauperl
- Full Professor, Department of Materials, Faculty of Mechanical Engineering and Naval ArchitectureUniversity of Zagreb Zagreb Croatia
| | - Amir Ćatić
- Full Professor, Department of Prosthodontics, School of Dental MedicineUniversity of Zagreb Zagreb Croatia
| | - Nikša Dulčić
- Associate Professor, Department of Prosthodontics, School of Dental MedicineUniversity of Zagreb Zagreb Croatia
| | - Samir Čimić
- Assistant Professor, Department of Prosthodontics, School of Dental MedicineUniversity of Zagreb Zagreb Croatia
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Kostić M, Stanojević J, Tačić A, Gligorijević N, Nikolić L, Nikolić V, Igić M, Bradić Vasić M. Determination of residual monomer content in dental acrylic polymers and effect after tissues implantation. BIOTECHNOL BIOTEC EQ 2020. [DOI: 10.1080/13102818.2020.1736952] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Affiliation(s)
- Milena Kostić
- Department of Prosthodontics, Clinic of Dentistry, Faculty of Medicine, University of Nis, Nis, Republic of Serbia
| | - Jelena Stanojević
- Department of Polymers, Faculty of Technology, University of Nis, Leskovac, Republic of Serbia
| | - Ana Tačić
- Department of Polymers, Faculty of Technology, University of Nis, Leskovac, Republic of Serbia
| | - Nikola Gligorijević
- Department of Prosthodontics, Clinic of Dentistry, Faculty of Medicine, University of Nis, Nis, Republic of Serbia
| | - Ljubiša Nikolić
- Department of Polymers, Faculty of Technology, University of Nis, Leskovac, Republic of Serbia
| | - Vesna Nikolić
- Department of Polymers, Faculty of Technology, University of Nis, Leskovac, Republic of Serbia
| | - Marko Igić
- Department of Prosthodontics, Clinic of Dentistry, Faculty of Medicine, University of Nis, Nis, Republic of Serbia
| | - Marija Bradić Vasić
- Department of Prosthodontics, Clinic of Dentistry, Faculty of Medicine, University of Nis, Nis, Republic of Serbia
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Chladek G, Pakieła K, Pakieła W, Żmudzki J, Adamiak M, Krawczyk C. Effect of Antibacterial Silver-Releasing Filler on the Physicochemical Properties of Poly(Methyl Methacrylate) Denture Base Material. MATERIALS (BASEL, SWITZERLAND) 2019; 12:E4146. [PMID: 31835665 PMCID: PMC6947518 DOI: 10.3390/ma12244146] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/23/2019] [Revised: 12/02/2019] [Accepted: 12/09/2019] [Indexed: 12/24/2022]
Abstract
Colonization of polymeric dental prosthetic materials by yeast-like fungi and the association of these microorganisms with complications occurring during prosthetic treatment are important clinical problems. In previously presented research, submicron inorganic particles of silver sodium hydrogen zirconium phosphate (S-P) were introduced into poly(methyl methacrylate) (PMMA) denture base material which allowed for obtaining the antimicrobial effect during a 90 day experiment. The aim of the present study was to investigate the flexural strength, impact strength, hardness, wear resistance, sorption, and solubility during three months of storage in distilled water. With increasing S-P concentration after 2 days of conditioning in distilled water, reduced values of flexural strength (107-72 MPa), impact strength (18.4-5.5 MPa) as well as enhanced solubility (0.95-1.49 µg/mm3) were registered, but they were at acceptable levels, and the sorption was stable. Favorable changes included increased hardness (198-238 MPa), flexural modulus (2.9-3.3 GPa), and decreased volume loss during wear test (2.9-0.2 mm3). The percentage changes of the analyzed properties during the 90 days of storage in distilled water were similar for all materials.
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Affiliation(s)
- Grzegorz Chladek
- Faculty of Mechanical Engineering, Silesian University of Technology, ul. Konarskiego 18a, 44-100 Gliwice, Poland; (K.P.); (W.P.); (J.Ż.); (M.A.)
| | - Katarzyna Pakieła
- Faculty of Mechanical Engineering, Silesian University of Technology, ul. Konarskiego 18a, 44-100 Gliwice, Poland; (K.P.); (W.P.); (J.Ż.); (M.A.)
| | - Wojciech Pakieła
- Faculty of Mechanical Engineering, Silesian University of Technology, ul. Konarskiego 18a, 44-100 Gliwice, Poland; (K.P.); (W.P.); (J.Ż.); (M.A.)
| | - Jarosław Żmudzki
- Faculty of Mechanical Engineering, Silesian University of Technology, ul. Konarskiego 18a, 44-100 Gliwice, Poland; (K.P.); (W.P.); (J.Ż.); (M.A.)
| | - Marcin Adamiak
- Faculty of Mechanical Engineering, Silesian University of Technology, ul. Konarskiego 18a, 44-100 Gliwice, Poland; (K.P.); (W.P.); (J.Ż.); (M.A.)
| | - Cezary Krawczyk
- Department of Dental Technology, Medical College, ul. 3 Maja 63, 41-800 Zabrze, Poland;
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