Evaluation of polymethyl methacrylate resin mechanical properties with incorporated halloysite nanotubes

Microhardness, Surface Roughness, and Wear Resistance Enhancement of Reinforced Conventional Glass Ionomer Cement Using Fluorinated Graphene Oxide Nanosheets

OBJECTIVES

 Conventional glass ionomer cements (GICs) have been considered the most prevalent restorative material however; the reduced mechanical qualities and decreased wear resistance have been the main challenges facing their wide clinical application. This study was designed to assess the mechanical properties of fluorinated graphene (FG) oxide-modified conventional GIC.

MATERIALS AND METHODS

 Composites of FG/GIC samples were prepared using (Medifil from PROMEDICA, Germany, shade A3) at different concentrations (0wt%) control group and (1wt%, 2wt% and 3wt% FG) groups using cylindrical molds (3mm × 6mm). FG was prepared using hydrothermal technique and characterized using XPERT-PRO Powder Diffractometer system for X-ray diffraction analysis and JEOL JEM-2100 high resolution transmission electron microscope. Vickers' hardness and wear resistance of GI samples were measured. Mechanical abrasion was performed via three-body tooth brushing wear test using ROBOTA chewing simulator coupled with a thermocycling protocol (Model ACH-09075DC-T, AD-Tech Technology Co., Ltd., Leinfelden-Echterdingen, Germany).

STATISTICAL ANALYSIS

 Comparisons between groups with respect to normally distributed numeric variables were performed using one-way analysis of variance test followed by posthoc test. While paired t-test was utilized for comparing data within the same group.

RESULTS

The surface roughness values of GICs (1wt% FG) and (2wt% FG) composites were significantly lower than those of the control and 3wt%FG groups. Vickers' hardness numbers were significantly higher in FG/GICs composites than in the control group (p≤0.05).

CONCLUSION

 GIC/FG combinations have sufficient strength to resist the occlusion stresses with improved hardness as compared with conventional GIC. GIC/FG appeared to be a promising restorative material.

Enhancing Presurgical Infant Orthopedic Appliances: Characterization, Mechanics, and Biofilm Inhibition of a Novel Chlorhexidine-Halloysite Nanotube-Modified PMMA

Objectives

This in vitro study aimed to develop a novel nanocomposite acrylic resin with inherent antimicrobial properties. This study evaluated its effectiveness against microbial biofilm formation, while also assessing its physical and mechanical properties.

Methods

Polymethylmethacrylate (PMMA) was modified with four different concentrations of chlorhexidine halloysite nanotubes (CHX-HNTs): 1%, 1.5%, 3%, and 4.5 wt.% by weight, along with a control group (0 wt.% CHX-HNTs). The biofilm inhibition ability of the modified CHX-HNTs acrylic against Candida albicans, Staphylococcus aureus, Streptococcus pneumoniae, and Streptococcus agalactiae was assessed using microtiter biofilm test. In addition, ten samples from each group were then tested for flexural strength, surface roughness, and hardness. Statistical analysis was performed using one-way ANOVA and Tukey's test for comparison (P < 0.05).

Results

CHX-HNTs effectively reduced the adhesion of Candida albicans and bacteria to the PMMA in a dose-dependent manner. The higher the concentration of CHX-HNTs, the greater the reduction in microbial adhesion, with the highest concentration (4.5 wt.%) showing the most significant effect with inhibition rates ≥98%. The addition of CHX-HNTs at any tested concentration (1%, 1.5%, 3%, and 4.5 wt.%) did not cause any statistically significant difference in the flexural strength, surface roughness, or hardness of the PMMA compared to the control group.

Conclusions

The novel integration of CHX-HNT fillers shows promising results as an effective biofilm inhibitor on acrylic appliances. This new approach has the potential to successfully control infectious diseases without negatively affecting the mechanical properties of the acrylic resin. Clinical Relevance. The integration of CHX-HNTs into presurgical infant orthopedic appliances should be thoroughly assessed as a promising preventive measure to mitigate microbial infections. This evaluation holds significant potential for controlling infectious diseases among infants with cleft lip and palate, thereby offering a valuable contribution to their overall well-being.

Microbiological, physicomechanical, and surface evaluation of an experimental self-curing acrylic resin containing halloysite nanotubes doped with chlorhexidine

OBJECTIVE

The objective was to synthesize halloysite nanotubes loaded with chlorhexidine (HNT/CHX) and evaluate the antimicrobial activity, microhardness, color change, and surface characteristics of an experimental self-curing acrylic resin containing varying concentrations of the synthesized nanomaterial.

METHODS

The characterization of HNT/CHX was carried out by calculating incorporation efficiency, morphological and compositional, chemical and thermal evaluations. SAR disks were made containing 0 %, 3 %, 5 %, and 10 % of HNT/CHX. Specimens (n = 3) were immersed in distilled water and spectral measurements were carried out using UV/Vis spectroscopy to evaluate the release of CHX for up to 50 days. The antimicrobial activity of the composite against Candida albicans and Streptococcus mutans was evaluated by disk-diffusion test. Microhardness, color analyses (ΔE), and surface roughness (Ra) (n = 9) were performed before and after 30 days of immersion. Data were analyzed using ANOVA/Bonferroni. {Results.} The incorporation efficiency of CHX into HNT was of 8.15 %. All test groups showed controlled and cumulative CHX release up to 30 or 50 days. Significant antimicrobial activity was verified against both microorganisms (p < 0.001). After the 30-day immersion period, the 10 % HNT/CHX group showed a significant increase in hardness (p < 0.05) and a progressive color change (p < 0.001). At T0, the 5 % and 10 % groups exhibited Ra values similar to the control group (p > 0.05), while at T30, all groups showed similar roughness values (p > 0.05). {Significance.} The modification of a SAR with HNT/CHX provides antimicrobial effect and controlled release of CHX, however, the immediate surface roughness in the 3 % group was compromised when compared to the control group.

Analysis of the residual monomer content in milled and 3D-printed removable CAD-CAM Murali complete dentures: an in vitro study

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.

Effect of Nanostructures on the Properties of Glass Ionomer Dental Restoratives/Cements: A Comprehensive Narrative Review

Overall perspective of nanotechnology and reinforcement of dental biomaterials by nanoparticles has been reported in the literature. However, the literature regarding the reinforcement of dental biomaterials after incorporating various nanostructures is sparse. The present review addresses current developments of glass ionomer cements (GICs) after incorporating various metallic, polymeric, inorganic and carbon-based nanostructures. In addition, types, applications, and implications of various nanostructures incorporated in GICs are discussed. Most of the attempts by researchers are based on the laboratory-based studies; hence, it warrants long-term clinical trials to aid the development of suitable materials for the load bearing posterior dentition. Nevertheless, a few meaningful conclusions are drawn from this substantial piece of work; they are as follows: (1) most of the nanostructures are likely to enhance the mechanical strength of GICs; (2) certain nanostructures improve the antibacterial activity of GICs against the cariogenic bacteria; (3) clinical translation of these promising outcomes are completely missing, and (4) the nanostructured modified GICs could perform better than their conventional counterparts in the load bearing posterior dentition.

Influence of Reinforcing Agents on the Mechanical Properties of Denture Base Resin: A Systematic Review

Knowledge about the influence of fillers in denture base resin is vague. This systematic review aimed to report the reinforcing effect of fillers on the mechanical properties of denture base resin by following PRISMA guidelines. Two electronic databases (Pubmed/Medline & Web of Science) were searched for articles using the keywords: fibers in denture base, fillers in denture base, and reinforcement of denture base. Laboratory studies complying with the inclusion criteria were reviewed according to the set protocol. The established focus question was: "Do reinforcing fillers positively influence the mechanical properties of polymethyl methacrylate (PMMA) heat polymerized denture base material?" A total of twenty-nine relevant papers qualified for final inclusion. Of these, 24 were determined to have a moderate risk of bias. Micron or nano-sized metal/metal oxides particles and glass fibers were the frequently used reinforcing agents. The trend of evaluating fractural strength (FS) was common. Most of the studies limited the use of reinforcing agents up to 5 wt.%. FS, fracture toughness (FT), and impact strength (IS) tend to increase if the fillers are chemically bonded and well-dispersed in denture base resin. Though fillers with a higher elastic modulus increase the hardness of the reinforced denture base resin, they compromise other mechanical properties. Well-dispersed lower filler loading PMMA denture base resin can enhance the FS, FT, and other related mechanical properties.

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

Purpose:

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

Materials and methods:

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

Results:

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

Conclusion:

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

Enhanced antibacterial properties and promoted cell proliferation in glass ionomer cement by modified with fluorinated graphene-doped

In this study, we aimed to improve the properties of conventional glass ionomer cement (GIC), including mechanical properties, wear resistance, antibacterial properties and biological activity, by adding fluorinated graphene (FG). Composites of synthesised FG and GIC were examined after being combined at different mass proportions (0, 0.5, 1.0 and 2.0 wt%). The microstructure and morphology of FG prepared via the hydrothermal method was characterised using scanning electron microscopy (SEM) and X-ray photoelectron spectroscopy (XPS). The FG/GIC composite was obtained through the blending method and characterised using SEM. Then, the Vickers microhardness and the wear property of the FG/GIC composite-imitated brushing was measured. The plate count and dilution methods (10-fold) were adopted to investigate the antibacterial properties of FG/GIC by incubating Escherichia coli and Staphylococcus aureus. The biocompatibility of FG/GIC containing the adhesion and cytotoxicity of mouse fibroblast cells (L929) was estimated by the MTT and acridine orange (AO) fluorescent staining. Our results demonstrated that the hardness and abrasive wear resistance of the composites increased, and the microhardness parameter changes exhibited a gradual increase as the concentration continued to increase. A 2.0 wt% FG concentration could effectively improve the bacterial inhibition performance of GIC and was directly proportional to the concentration of FG. The composite materials showed no apparent cytotoxicity on normal L929 cells compared to the control group, and the materials exhibited no cytotoxic effect compared to traditional GIC. Thus, FG/GIC has potential therapeutic value in the field of dental treatment.

Antimicrobial Activity of Thermocycled Polymethyl Methacrylate Resin Reinforced with Titanium Dioxide and Copper Oxide Nanoparticles

Aims

This study aimed to evaluate the effect of 2.5% and 7.5% copper oxide (CuO) and titanium dioxide (TiO₂) nanoparticles on the antimicrobial activity of thermocycled polymethyl methacrylate (PMMA) denture base material against standard strains of yeast and bacteria species. Material and Methods. In this in vitro study, 150 disk-shaped (10 × 2 mm) specimens of heat-cured PMMA were prepared and divided into five groups (n = 30) to be reinforced with 2.5% CuO, 7.5% CuO, 2.5% TiO₂, or 7.5% TiO₂ nanoparticles and a control group (without nanoparticle). The specimens were thermocycled, and their antimicrobial activity was assessed against standard strains of yeast including Candida albicans and C. dubliniensis and oral bacteria species including Streptococcus mutans, S. sobrinus, S. salivarius, and S. sanguis. Data were analyzed with ANOVA and Tukey's post hoc tests (α = 0.05).

Results

Both concentrations of CuO and TiO₂ nanoparticles had significant antimicrobial activity against S. salivarius, S. sanguis, and C. dubliniensis compared with the control group (P < 0.05). Significant differences existed between both 2.5% (P = 0.006) and 7.5% CuO (P = 0.005) and the control group against S. mutans. However, TiO₂ groups were not significantly different from the control group against S. mutans. Concerning C. albicans, 7.5% TiO₂ was the only nanoparticle with significantly higher antimicrobial activity compared with the control group (P = 0.043).

Conclusions

Both concentrations of CuO and TiO₂ were effective antimicrobial agents against S. salivarius, S. sanguis, and C. dubliniensis, and the concentration of CuO was effective against S. mutans. Yet, TiO₂ was not much effective. Regarding C. albicans, only 7.5% TiO₂ showed efficient antimicrobial activity.

Comparative study of photoinitiators for the synthesis and 3D printing of a light-curable, degradable polymer for custom-fit hard tissue implants

Three-dimensional (3D) printing enhances the production of on-demand fabrication of patient-specific devices, as well as anatomically fitting implants with high complexity in a cost-effective manner. Additive systems that employ vat photopolymerisation such as stereolithography (SLA) and digital light projection are used widely in the field of biomedical science and engineering. However, additive manufacturing methods can be limited by the types of materials that can be used. In this study, we present an isosorbide-based formulation for a polymer resin yielding a range of elastic moduli between 1.7 and 3 GN mm^-2 dependent on the photoinitiator system used as well as the amount of calcium phosphate filler added. The monomer was prepared and enhanced for 3D-printing using an SLA technique that delivered stable and optimized 3D-printed models. The resin discussed could potentially be used following major surgery for the correction of congenital defects, the removal of oral tumours and the reconstruction of the head and neck region. The surgeon is usually limited with devices available to restore both function and appearance and with the ever-increasing demand for low-priced and efficient facial implants, there is an urgent need to advance new manufacturing approaches and implants with a higher osseointegration performance.

Mechanical properties of new denture base material modified with gold nanoparticles

PURPOSE

Poly(methyl methacrylate) (PMMA) is the most commonly used material in the production of dental prostheses, and its application is often accompanied by the formation of biofilm. The aim of this work was the preparation of a PMMA/gold nanoparticles (AuNps) composite to improve the antimicrobial properties of heat-polymerised PMMA. The AuNPs were synthesised from gold (III) acetate by Ultrasonic Spray Pyrolysis (USP).In the present study, flexural strength and elastic modulus were investigated, as well as thermal conductivity, density and hardness of the PMMA/AuNps` nanocomposite, with different concentrations of AuNps. Flexural strength and elastic modulus were measured using a three-point bending test, and surface hardness was evaluated using the Vickers hardness test. The thermal conductivity of the samples was measured using the Transient Plane Source (TPS) technique. Density was determined by the pycnometry procedure. Statistical analysis was conducted on the data obtained from the experiments.

RESULTS

The flexural strength and elastic modulus of AuNps/PMMA nanocomposites decreased for all groups containing AuNps. Thermal conductivity and density increased in all groups containing AuNps compared to the control group, but it was not significant in all groups. Vickers hardness values increased significantly with an increase in AuNps` content, with the highest value 21.45 HV obtained at 0.74 wt% of AuNps. Statistical analysis was performed by means of the SPSS 19 software package.

CONCLUSIONS

Incorporation of AuNps into heat-polymerised PMMA resin led to decrease of the flexural strength and elastic modulus. At the same time, the density, thermal conductivity and hardness increased.

Effect of Hexagonal Boron nitride Nanopowder Reinforcement and Mixing Methods on Physical and Mechanical Properties of Self-Cured PMMA for Dental Applications

We report for the first time on the effect of biocompatible hexagonal boron nitride (h-BN) nanopowder reinforcement with different concentrations on the structural and mechanical properties of fabricated self-cured polymethyl methacrylate (PMMA) based dental materials (GC UNIFAST III). A comparison among the structural and mechanical properties between hand and ultrasonic mixing is also presented. Fabricated specimens were studied by scanning electron microscopy (SEM), X-ray diffraction (XRD), Fourier transform infrared spectrometry (FTIR), micro indentation, and flexural strength techniques. The ultrasonic mixing method provides better sample textures of the composite as compared to hand mixing. It is found that XRD and IR intensity of the peaks increases with the increase of h-BN concentration due to nanocomposite formation. The additions of h-BN nanoparticles to the acrylic resin enhanced the hardness and the flexibility values of the composites. Independently of the mixing method used, adding h-BN nanopowder relatively increases the Vickers Hardness numbers (VH) and Flexural Strength (FS) of the unmodified materials. However, using ultrasonic mixing method combined with h-BN nanopowder increases VH numbers to 300% and FS values to 550% with respect to the unmodified sample made by hand mixing. The results obtained are very encouraging and will support future research in vivo, to confirm whether PMMA loaded with h-BN nanoparticles is an improvement compared to current dental restorative materials.

The effect of incorporating various reinforcement materials on flexural strength and impact strength of polymethylmethacrylate: A meta-analysis

Polymethylmethacrylate (PMMA) is a widely used denture base material with a major drawback of inferior mechanical properties. In the existing published reports, most studies indicate the superiority of the incorporation of various reinforcement materials in PMMA in terms of the flexural strength (FS) and impact strength (IS), whereas none shows the compilation and comparison of all. The present meta-analysis aims at synthesizing all the available data. The purpose of this study was to systematically review the existing reports to compare and evaluate the effect of various reinforcement materials on FS and IS of heat-cured acrylic resin (PMMA) by combining the available evidence in a meta-analysis. A search strategy was adopted using PubMed, ScienceDirect, Ebscohost, Google Scholar, and Cochrane Central Register of Controlled Trials in February 2018 to screen research studies. These studies were screened against predetermined criteria for eligibility for meta-analysis. In the present meta-analysis, twenty articles were included. Out of 15 data available on reinforcement, 14 showed better results for IS of reinforced PMMA resin as compared to their respective control group. Out of the 25 available data, 11 showed better results for FS of reinforced PMMA resin when compared to their respective control group. The homogeneity test of meta-analysis confirmed acceptable heterogeneity among 15 reinforcement techniques of IS (i² = 95.8%) and 25 reinforcement techniques of FS (i² = 96.2%). A random-effects model and fixed-effects model were used for analysis. The present meta-analysis showed that reinforcement of PMMA can significantly increase FS and IS. Hence, it can be incorporated in clinical practice.

Morphological and Tribological Properties of PMMA/Halloysite Nanocomposites

From an environmental and cost-effective perspective, a number of research challenges can be found for electronics, household, but especially in the automotive polymer parts industry. Reducing synthesis steps, parts coating and painting, or other solvent-assisted processes, have been identified as major constrains for the existing technologies. Therefore, simple polymer processing routes (mixing, extrusion, injection moulding) were used for obtaining PMMA/HNT nanocomposites. By these techniques, an automotive-grade polymethylmethacrylate (PMMA) was modified with halloysite nanotubes (HNT) and an eco-friendly additive N,N'-ethylenebis(stearamide) (EBS) to improve nanomechanical properties involved in scratch resistance, mechanical properties (balance between tensile strength and impact resistance) without diminishing other properties. The relationship between morphological/structural (XRD, TEM, FTIR) and tribological (friction) properties of PMMA nanocomposites were investigated. A synergistic effect was found between HNT and EBS in the PMMA matrix. The synergy was attained by the phase distribution resulted from the selective interaction between partners and favourable processing conditions. Modification of HNT with EBS improved the dispersion of nanoparticles in the polymer matrix by increasing their interfacial compatibility through hydrogen bonding established by amide groups with aluminol groups. The increased interfacial adhesion further improved the nanocomposite scratch resistance. The PMMA/HNT-EBS nanocomposite had a lower coefficient of friction and lower scratch penetration depth than PMMA/HNT nanocomposite.

A Comparison of the Flexural and Impact Strengths and Flexural Modulus of CAD/CAM and Conventional Heat-Cured Polymethyl Methacrylate (PMMA)

PURPOSE

The introduction of computer-aided design/computer-aided manufacturing (CAD/CAM) technology to the field of removable prosthodontics has recently made it possible to fabricate complete dentures of prepolymerized polymethyl methacrylate (PMMA) blocks, which are claimed to be of better mechanical properties; however, no published reports that have evaluated mechanical properties of CAD/CAM PMMA. The purpose of this study was to compare flexural strength, impact strength, and flexural modulus of two brands of CAD/CAM PMMA and a conventional heat-cured PMMA.

MATERIALS AND METHODS

45 rectangular specimens (65 mm × 10 mm × 3 mm) were fabricated (15 CAD/CAM AvaDent PMMA specimens from AvaDent, 15 CAD/CAM Tizian PMMA specimens from Shütz Dental, 15 conventional Meliodent PMMA specimens from Heraeus Kulzer) 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 unnotched specimens. The morphology of the fractured specimens was studied under a scanning electron microscope (SEM). Statistical analysis was performed using one-way ANOVA and Tukey pairwise multiple comparisons with 95% confidence interval.

RESULTS

The Schütz Dental specimens showed the highest mean flexural strength (130.67 MPa) and impact strength (29.56 kg/m² ). The highest mean flexural modulus was recorded in the AvaDent group (2519.6 MPa). The conventional heat-cured group showed the lowest mean flexural strength (93.33 MPa), impact strength (14.756 kg/m² ), and flexural modulus (2117.2 MPa). Differences in means of flexural properties between AvaDent and Schütz Dental specimens were not statistically significant (p > 0.05).

CONCLUSIONS

As CAD/CAM PMMA specimens exhibited improved flexural strength, flexural modulus, and impact strength in comparison to the conventional heat-cured groups, CAD/CAM dentures are expected to be more durable. Different brands of CAD/CAM PMMA may have inherent variations in mechanical properties.

Effects of incorporation of 2.5 and 5 wt% TiO2 nanotubes on fracture toughness, flexural strength, and microhardness of denture base poly methyl methacrylate (PMMA)

PURPOSE

The aim of this preliminary study was to investigate, for the first time, the effects of addition of titania nanotubes (n-TiO2) to poly methyl methacrylate (PMMA) on mechanical properties of PMMA denture base.

MATERIALS AND METHODS

TiO2 nanotubes were prepared using alkaline hydrothermal process. Obtained nanotubes were assessed using FESEM-EDX, XRD, and FT-IR. For 3 experiments of this study (fracture toughness, three-point bending flexural strength, and Vickers microhardness), 135 specimens were prepared according to ISO 20795-1:2013 (n of each experiment=45). For each experiment, PMMA was mixed with 0% (control), 2.5 wt%, and 5 wt% nanotubes. From each TiO2:PMMA ratio, 15 specimens were fabricated for each experiment. Effects of n-TiO2 addition on 3 mechanical properties were assessed using Pearson, ANOVA, and Tukey tests.

RESULTS

SEM images of n-TiO2 exhibited the presence of elongated tubular structures. The XRD pattern of synthesized n-TiO2 represented the anatase crystal phase of TiO2. Moderate to very strong significant positive correlations were observed between the concentration of n-TiO2 and each of the 3 physicomechanical properties of PMMA (Pearson's P value ≤.001, correlation coefficient ranging between 0.5 and 0.9). Flexural strength and hardness values of specimens modified with both 2.5 and 5 wt% n-TiO2 were significantly higher than those of control (P≤.001). Fracture toughness of samples reinforced with 5 wt% n-TiO2 (but not those of 2.5% n-TiO2) was higher than control (P=.002).

CONCLUSION

Titania nanotubes were successfully introduced for the first time as a means of enhancing the hardness, flexural strength, and fracture toughness of denture base PMMA.

PMMA denture base material enhancement: a review of fiber, filler, and nanofiller addition

This paper reviews acrylic denture base resin enhancement during the past few decades. Specific attention is given to the effect of fiber, filler, and nanofiller addition on poly(methyl methacrylate) (PMMA) properties. The review is based on scientific reviews, papers, and abstracts, as well as studies concerning the effect of additives, fibers, fillers, and reinforcement materials on PMMA, published between 1974 and 2016. Many studies have reported improvement of PMMA denture base material with the addition of fillers, fibers, nanofiller, and hybrid reinforcement. However, most of the studies were limited to in vitro investigations without bioactivity and clinical implications. Considering the findings of the review, there is no ideal denture base material, but the properties of PMMA could be improved with some modifications, especially with silanized nanoparticle addition and a hybrid reinforcement system.