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The cast aluminum denture base. Part I: Rationale.

Experiments with various casting techniques have been done, and aluminum base dentures have been made for many patients. The subjective clinical response from patients wearing aluminum dentures has not been different from patients wearing acrylic resin dentures. However, Brudvik and Holt have stated that they have had marked clinical success in using aluminum bases. A literature review on using aluminum as a denture base material has been presented, and the rationale for its use has been discussed. In part II, a technique will be described that can be used for casting aluminum denture bases.

Aluminum↗

Adhesive bonding of denture base resins to plastic denture teeth.

The adhesive bonding of denture teeth to denture base resins in dentures with conventional acrylic teeth and crosslinked plastic teeth was investigated. The dentures with highly crosslinked plastic teeth such as SR-Orthosit, Crystal ND, and Mitel-OM showed poor bonding at the tooth/base resin interface using the conventional bonding method. Elimination of the alginate mold lining material in the conventional bonding method effectively improved bonding at the tooth/base resin interface. The application of 4-META adhesive bonding agents to the denture teeth improved the interface bonding of highly crosslinked plastic teeth and the denture base. Dentures with Orthosit and Mitel showed differences in bonding ability when two different adhesives were used.

Acrylic Resins↗

The evaluation of microleakage and bond strength of a silicone-based resilient liner following denture base surface pretreatment.

STATEMENT OF PROBLEM: The failure of adhesion between a silicone-based resilient liner and a denture base is a significant clinical problem. PURPOSE: The purpose of this study was to examine the effects of denture base resin surface pretreatments with different chemical etchants preceding the silicone-based resilient liner application on microleakage and bond strength. The initial effects of chemical etchants on the denture base resin in terms of microstructural changes and flexural strength were also examined. MATERIAL AND METHODS: Forty-two polymethyl methacrylate (PMMA) denture base resin (Meliodent) specimens consisting of 2 plates measuring 30 x 30 x 2 mm were prepared and divided into 7 groups (n = 6). Specimen groups were treated by immersion in acetone for 30 (A30) or 45 (A45) seconds, methyl methacrylate monomer for 180 (M180) seconds, and methylene chloride for 5 (MC5), 15 (MC15) or 30 (MC30) seconds. Group C had no surface treatment and served as the control. Subsequently, an adhesive (Mollosil) and a silicone-based resilient denture liner (Mollosil) were applied to the treated surfaces, and all specimens were immersed in the radiotracer solution (thalium-201 chloride) for 24 hours. Tracer activity (x-ray counts), as a parameter of microleakage, was measured using a gamma camera. For bond-strength measurement, 84 rectangular PMMA specimens (10 x 10 x 40 mm) were surface-smoothed for bonding and treated with the different chemical etchants using the same previously described group configurations. The adhesive and the silicone-based denture liner were applied to the treated surfaces. Tensile bond-strength (MPa) was measured in a universal testing machine. Flexural strength measurement was performed with 49 PMMA specimens (65 x 10 x 3.3 mm according to ISO standard 1567) in 7 groups (n = 7), with 1 flat surface of each treated with 1 of the chemical etchants preceding adhesive application. The flexural strength (MPa) was measured using a 3-point bending test in a universal testing machine. The data were analyzed by 1-way analysis of variance and the Tukey HSD test (alpha = .05). RESULTS: Significant differences were found between the groups in terms of microleakage (P < .0001). The lowest microleakage was observed in group M180 (30,000 x-ray counts) and the highest in the control group (44,000 x-ray counts). The mean bond strength to PMMA resin ranged from 1.44 to 2.22 MPa. All treated specimens showed significantly higher bond strength than controls (P < .01). The flexural strength values all significantly differed (P < .05). All experimental specimens that had chemical surface treatments showed lower flexural strength than controls (P < .05). CONCLUSION: Treating the denture base resin surface with chemical etchants increased the bond strength of silicone-based resilient denture liner to denture base and decreased the microleakage between the 2 materials. Considering the results of both tests together, the use of methyl methacrylate monomer for 180 seconds was found to be the most effective chemical treatment.

Acid Etching, Dental↗

Basic studies on visible light-curing resin for denture base. Part 8. The hardening depth of denture relining material after penetration of light through the denture base resin.

A study was performed to examine how the duration of irradiation at the time of relining with visible light-curing material influences the depth of hardening of the relining material, in relation to the thickness of the denture base placed between the denture and the relining material. It was found that for a range of denture base thickness of 1-2.5 mm, a desirable degree of hardening could be obtained using an irradiation time of 20 s for relining material with a thickness of up to 4 mm used for the basal surface.

Dental Materials↗

The pontic-splinted procedure for tooth and denture base additions in denture repair.

Various methods for adding teeth to existing dentures have been used clinically. Although a direct, single-tooth addition method saves time, it often is difficult to achieve an esthetic appearance when adding several missing anterior teeth with this technique. Indirectly adding teeth may achieve a better esthetic result, but this method is time-consuming. This article describes the pontic-splinted procedure, an indirect method for replacing several anterior teeth and part of the denture base that can save time and, at the same time, help the clinician achieve acceptable esthetics.

Acrylic Resins↗

The effect of glutaraldehyde base disinfectants on denture base resins.

The effect of two alkaline glutaraldehyde base disinfectants on a heat-cured denture base resin was evaluated by the flexural strength, the repair flexural strength, and the surface morphology of the material that had been immersed up to 12 hours in the disinfecting solutions. The flexural strength of the material was not significantly affected by either disinfectant. The disinfectant with phenolic buffer caused surface pitting of the material after 10 minutes of immersion, and softening and swelling of the surface after 2 hours of immersion. No apparent surface change was observed with the regular alkaline formulation, however. Between the two repair resins, the autopolymerized resin yielded greater repair flexural strength than the light-cured repair resin. However, the repair flexural strength of autopolymerized resin seemed to be influenced by either disinfecting solution whereas the light-cured repair resin was not affected.

Acrylic Resins↗

Application of sintered titanium alloys to metal denture bases: a study of titanium powder sheets for complete denture base.

The purpose of this study was the fabrication of titanium powder sheets to enable the application of sintered titanium alloys as metal denture bases. The effects of titanium particle shape and size, binder content, and plasticizer content on the surface smoothness, tensile strength and elongation of titanium powder sheets was investigated. To select a suitable ratio of powdered metal contents for application as a metal denture base, the effects of aluminum content in Ti sheets and various other powder metal contents in Ti-Al sheets on the density, sintering shrinkage, and bending strength were evaluated. Based on the results of the above experiments, we developed a mixed powder sheet composed of 83Ti-7Al-10Cr with TA45 titanium powder (atomized, -45 microm), and 8 mass% binder content. This titanium alloy sheet had good formability and ductility. Its sintered titanium alloy had a density of 3.2 g/cm3, sintering shrinkage of 3.8%, and bending strength of 403 MPa. The titanium alloy sheet is clinically acceptable for fabricating denture bases.

Aluminum↗

An evaluation of self-cured and visible light-cured denture base materials when used as a denture base repair material.

The aim of this study was to compare some of the physical properties of a heat-cured, a self-cured and a visible light-cured acrylic resin, and to evaluate the suitability of visible light-cured resin as a repair material for dentures made of heat-cured acrylic resin. Transverse strength, surface hardness and impact strength were determined for the three materials and the efficiencies of light-cured and self-cured resins, when used as a repair material, were evaluated by testing the transverse strength of repaired heat-cured specimens 1 hour, 1 week and 1 month after repair. The results showed that the rigidity of specimens repaired with light-cured resin improved with longer water storage. However, their transverse strength reached a maximum after one day and was reduced after 1 month. The rigidity and transverse strength of specimens repaired with self-cured resin were not influenced significantly by water storage and the transverse strength was significantly higher than the light-cured repaired specimens.

Acrylic Resins↗

The effects of loading locations and direct retainers on the movements of the abutment tooth and denture base of removable partial dentures.

The purpose of this study was to evaluate the degree and amount of movement of the abutment tooth and denture base influenced by the direct retainer of distal extension removable partial denture and the location of functional loading, then to suggest direct retainer design with minimal adverse effect and with optimum functional loading location for residual tissue. The displacement of the abutment tooth and inclination of the denture base were determined, with 30 N as work load utilizing simulation model and strain gauge system, about two types of direct retainers with mesial or distal rest and nine loading points on denture base. Displacement and inclination was determined with the one-way analysis of variance and Scheffe's multiple test was performed. The results revealed that type of direct retainer influenced on the magnitude rather than direction of the abutment tooth displacement. The distal displacement of abutment tooth was significantly less in Type M clasp (with mesial rest and connection) than in Type D clasp (with distal rest and connection) (p<0.05). The location of loading points influenced both of the magnitude and direction of the abutment tooth and denture base movement. Posterior and lingual loading resulted in significantly distal displacement of abutment tooth (p < 0.05).

Analysis of Variance↗

[Mechanical analysis of the denture bases using the photoelastic-coating method. 2. Upper complete denture bases under uniform bending moment load].

Deformation of the anterior teeth and palatal regions on upper complete dentures was investigated using the photoelastic coating method and strain gages. In this experiment, an uniform-moment bending load method was employed to simulate the occlusal situation, and the distribution of strain in epoxy resin, stainless swaged and Co-Cr alloy cast dentures were measured and analyzed. The 030-series reflection polariscope is compact and lightweight with its main components consisting of two polarizer/quarter-wave-plate assemblies attached to a common frame. The highest level of strain was seen in the anterior region of the palate and the low strain was observed in other regions. Differences in strain magnitude of the three dentures were not observed with test at the same point. But, when denture base materials with high flexural rigidity and bending strength were used on the palatal region of the denture base, strain was decreased in the anterior and other regions of the palate. Therefore, dentures using those materials could be effectively reinforced.

Dental Stress Analysis↗

Finite element analysis of stress distribution at the tooth-denture base interface of acrylic resin teeth debonding from the denture base.

Acrylic resin teeth present a problem when they detach unexpectedly from the denture base resin. Detachment is caused by stress concentrations at the tooth/denture base resin interface. In this study, the finite element method was used to examine the stress distribution at this interface when a single static force that resembled incisal bite force was applied. The results indicated that irrespective of the type of acrylic resin teeth used, maximum tensile stresses were found at the palatal aspect of the interface. It is suggested that boxing the tooth in the acrylic resin will help redistribute stress concentrations favorably.

Acrylic Resins↗

Basic studies on visible light-cured resin as a denture base. Part 17. Transverse and tensile strengths of repaired denture base resin using a trial repair resin.

Trial production of a visible light-cured repair resin (powder/liquid type, TPL) as a denture base resin was carried out using cyclophosphazene monomer, and then the transverse and tensile strengths of the repaired specimens were examined. As a control, Triad Gel (TRI) was used. In the transverse strength test, TPL showed values of 507-470 kgf/cm2, which were about double those of TRI. As for tensile strength, TPL showed values of 329-268 kgf/cm2, and higher values were obtained in comparison with TRI, especially after 30 days of water immersion, when the values were doubled. The durability of TPL was favorable in comparison with TRI.

Composite Resins↗

[Soft lining denture base materials].

Denture relining is a well known reparatory prosthetic procedure which provides an intimate contact between the denture base and the supporting tissues. The contemporary prosthetics uses a great variety of lining materials which become hard after polymerisation, and according to their chemical composition and physical properties, are very similar to the denture base materials. This series of articles concerns, however, the materials which maintain soft after polymerisation and are well recognised in the prosthetic dentistry as "Soft-Lining Materials". The article gives a literature review of historical development and main physico-chemical properties of these materials. In spite of many efforts their properties do not fulfil all clinical requirements. The main problems and the clinical experience with these materials are also presented.

Dental Materials↗