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Biomedical subjects

R Huggett

Publications and source records attributed to R Huggett.

At least 19 recordsLinked to original sources

A survey of complete denture prosthetics for the elderly, the handicapped and difficult patients.

A survey was carried out to establish information on the facilities and management of the elderly and the handicapped and to evaluate the treatment of the difficult edentulous patient in general dental practice. A postal questionnaire was sent to a total of 1090 dentists in three regions of England and Wales. There was a 50.4% response. Ninety-nine per cent of practitioners were able to treat the ambulant elderly, whereas only 72% offered treatment if the patient was wheelchair dependent. Ninety-six per cent of all respondents undertook domiciliary visits. All practitioners provided prosthetic treatment (complete and partial dentures) for the elderly, whereas fewer felt able to treat the physically and the mentally handicapped. There was less conservative and periodontal treatment provided than prosthetic treatment. A similar pattern was obtained in all three regions. Forty-seven per cent preferred to treat difficult complete denture patients privately, 44% under the NHS and 6% not at all. There were regional variations in the referral patterns of these difficult denture cases. The majority of respondents considered that there should be more opportunities for postgraduate education in prosthetic dentistry.

Aged

The effect of disinfection procedures on flexural properties of denture base acrylic resins.

This study evaluates the effects of long-term disinfection immersion on the flexural properties of denture base resins; it was conducted against a background of increasing awareness of the importance of cross-infection control in dental clinics and laboratories. The transverse bend testing procedure used followed that specified in the International Standard for denture base polymers. The results demonstrate that alcohol-based disinfectants are not suitable for use with denture base materials of non-cross-linked acrylic resin.

Acrylic Resins

Dimensional accuracy and stability of acrylic resin denture bases.

Proponents of injection molding systems have claimed a number of benefits over conventional press-pack dough molding systems. The aim of this study was to evaluate a recently developed injection (dry heat) procedure of processing compared with press-pack dough molding utilizing three curing cycles. The dimensional accuracy and stability of acrylic resin bases produced by the two molding procedures were compared. Dimensional changes were assessed over a period of 4 months using an optical comparator. The results demonstrate that baseplates produced by the injection molding procedure exhibit less shrinkage than those produced by the conventional press-pack procedures.

Acrylic Resins

Effect of the curing cycle on residual monomer levels of acrylic resin denture base polymers.

It has been shown previously that high levels of residual monomer have a deleterious effect on the properties of denture base polymers. Levels of residual monomer were determined on a homopolymer and a copolymer using gas-liquid chromatography. A wide range of recommended and 'short cut' curing cycles were then investigated which produced values ranging from 0.56 to 18.46%. From the ranges examined an optimum cycle of 7 h at 70 degrees C and 1 h at 100 degrees C was established which was used to polymerize 23 currently available synthetic denture base polymers. Only small differences were found between the materials tested with a range from 0.54 to 1.08% of residual monomer.

Acrylic Resins

Determination of doughing and manipulation times of acrylic resin denture base material and a proposal for a specification for a packing plasticity test.

The doughing and manipulation times of a range of acrylic resin denture base polymers are presented in this study. The methods evaluated were: (i) probing following American Society for testing materials specification, F451-76; (ii) hole penetration following British Standard, 2487: 1989 and International Standard Organisation, 1567: 1988; (iii) probing using a penetrometer employing a 20 g load and 1 mm diameter needle; (iv) oscillating rheometer apparatus used at a fixed frequency of 1 Hz by sweeping through a programmed linear increase in strain. The results indicate that each of the methods is capable of evaluating the doughing and manipulation times of the unprocessed polymers. It is concluded that the Bohlin VOR Oscillating Rheometer is excellent for investigating the flow properties of denture base polymers but it cannot be recommended for a standards specification test because of the high cost. The penetrometer method has been shown to be superior to the current standards specification test and would be ideal for a packing plasticity standards test.

Denture Bases

Bond strength and rupture properties of some soft denture liners.

The bond strength and rupture properties of three soft acrylic liners (Coe-Soft, Coe Super-Soft and Vertex Soft) and two silicone liners (Molloplast-B and Flexibase) were tested immediately after processing and following immersion in water at 37 degrees C for 7 and 90 days. The bond test gave variable results, as some materials partly peeled and then stretched until rupture occurred. After saturation the acrylic liners exhibited an increase in tear resistance, whilst silicone materials deteriorated, in the case of Flexibase to approximately 25% of its original value. Vertex Soft was the exception, as tear resistance decreased as water sorption increased. Scanning electron microscopy revealed indefinite demarcation between soft acrylic resins and hard denture base, which was not altered after saturation in water. On the other hand, the interface between denture base and silicone liners was clearly visible before and after saturation. The results indicated that denture soft liners had variable water sorption values depending on their basic structure, and some properties changed after immersion in water, a finding that is of relevance to prosthodontic practice.

Acrylic Resins

Measurement methods used for the determination of dimensional accuracy and stability of denture base materials.

The literature relating to methods of measurement of dimensional accuracy and stability of denture base materials is reviewed. The papers are presented chronologically together with information on the measurement technique used and the reported level of accuracy. Most authors utilized optical measuring apparatus, with the use of calipers being the second most popular method.

Dental Materials

The effect of thermocycling on the hardness of soft lining materials.

This investigation studied the effect of thermocycling on the hardness of six commercially available soft lining materials. The apparatus used to measure hardness measured the difference between depth of penetration of an indentor into a specimen under a primary contacting load and a secondary penetrating load. Control specimens were stored in water at 20 +/- 2 degrees C and trial specimens were thermocycled between 18 +/- 1 degree C and 53 +/- 1 degree C for periods up to 28 days. It was found that thermocycling had a deleterious effect on the softness of all six materials. Further, it was shown that chairside provisional soft lining materials demonstrate a rapid deterioration at temperatures greater than 50 degrees C.

Cold Temperature

Complete denture construction in general dental practice: an update of the 1970 survey.

A survey was carried out on materials and techniques used for complete denture construction in general dental practice, by means of a postal questionnaire sent to a random sample of 1000 dentists whose names were taken from the BDA membership. There was a 71.5% response. The results obtained are compared with a similar survey undertaken in 1970. The majority of practitioners still provided dentures totally or mainly within the NHS. Whilst the demand for complete dentures was reported as having remained stable, there has been considerable reduction in the numbers of dental technicians employed by general dental practitioners. Alginate remains the impression material of choice and the majority of impressions were sent to a commercial laboratory for pouring. Although still the most popular, the use of the plane-line hinge articulator has reduced and there has also been a continued reduction in the use of porcelain teeth. The importance of a cross-infection policy is highlighted. There were conflicting opinions expressed on the role of implants in general dental practice. Many respondents took the opportunity to comment on the status of dental prosthetics under the NHS and most criticised the fee structure.

Acquired Immunodeficiency Syndrome

Evaluation of analytical techniques for measurement of denture-base acrylic resin glass-transition temperature.

The glass-transition temperature of a range of acrylic resin materials used in prosthetic dentistry was determined. The techniques used to make the measurement included: thermal mechanical analysis, dynamic mechanical thermal analysis, and differential scanning calorimetry. It was found that the measuring techniques used yielded very similar results, and as a consequence it was concluded that: familiarity and easy availability of thermal mechanical analysis lead to the recommendation that this technique should be employed as the standard glass-transition evaluation technique for denture-base acrylic resins.

Acrylic Resins

Effect of cross-linking on sorption properties of a denture-base material.

Cross-linking of the polymer of the interstitial matrix of a heat-cured resin denture base is said to provide craze resistance for the denture base. The mechanism of crazing can be related to both water sorption and solvent attack. The present study shows that the addition of ethylene glycol dimethacrylate in concentrations of 0-100% of monomer volume has little effect on water sorption properties but is an efficient method of providing solvent resistance.

Cross-Linking Reagents

Rheology of acrylic denture-base polymers.

The aim of this study was to investigate the changing rheological behavior of a denture-base polymer from mixing to setting. In addition, monomer evaporation and exothermic behavior of the mix were evaluated. The results show that the material behaves as a pseudoplastic fluid. It is shown that the viscosity increases at different rates with respect to lapsed time, and increases with higher temperature. Also, it is shown that polymerization and monomer evaporation both play a part in dough formation.

Acrylic Resins

Evaluation of the properties of a new pour denture base material utilizing a modified technique and initiator system.

A new denture base system, Provac, has been developed for complete and partial dentures, and for relining. The Provac material is methyl methacrylate, which cures with the aid of barbituric acid. In this study the physical and mechanical properties of the new resin were investigated and compared with those of a conventional autopolymerizing material (Croform) and a conventional heat polymerizing material (Trevalon). It was found that the dimensional accuracy of Provac was better than that of the conventional heat-curing material, Trevalon, and the denture was finished more easily and quickly. The physical and mechanical properties of Provac resin were found to be similar to those of the other two materials, and conformed to the International Specifications for denture base materials. The residual monomer levels in Provac material were always higher than the minimal obtainable values associated with conventional heat-cured materials when these were polymerized with a terminal boil during the curing cycle.

Acrylates

[Mechanical properties of surface hardening polymers polymerizable by visible light].

A plastic layer polymerized on the surface of denture base material in a thickness of, in average, 40 microns by means of visible light was significantly harder with respect to industrial acrylic surfaces. At an irradiation time of 90s according to factory prescription no harder surface appeared even in case of multiple covering. The surface became significantly harder with an irradiation of 150s. Of the denture base material products the Trevalon and the QC-20 products showed the forming of significantly harder surface.

Denture Bases

Rapid curing of acrylic denture-base materials.

A rapid-cure polymerization of cure, including a terminal boil, with respect to transparency, residual monomer, mechanical properties, and generation of gaseous porosity. It was found that in order for porosity-free resin to be produced during rapid curing, a low concentration (approximately 0.26%) of benzoyl peroxide initiator in the powder component is vital, and a very small concentration (approximately 0.025%) of the chemical activator dimethyl-p-toluidine in the monomer component is an advantage. Mechanical properties were only influenced where substantial porosity existed, but it was recognized that a material "tailor-made" for rapid curing would be most welcome.

Acrylic Resins

Effect of water and artificial saliva on mechanical properties of some denture-base materials.

Two artificial saliva samples selected on the basis of being chemically and physically similar to natural saliva were used as saturation media so that we could investigate their effects on mechanical properties of four denture-base materials, and the results were compared with the effect of water on the same materials. Diffusion coefficients in the more viscous saliva were different from those in water but, in general, mechanical properties were similarly affected in all liquids, indicating that the aqueous phase of the artificial medium was a major factor influencing the results.

Acrylic Resins