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Flexural properties of acrylic resin polymers reinforced with unidirectional and woven glass fibers.

STATEMENT OF PROBLEM: Fiber-reinforced plastics for dental applications have been under development for some time. A major difficulty in using reinforcing fibers with multiphase acrylic resins, such as powderliquid resins, has been improper impregnation of fibers with the resin. PURPOSE: The aim of this study was to describe and test a novel system to use polymer-preimpregnated reinforcing fibers with commonly used multiphase acrylic resins. MATERIAL AND METHODS: Continuous unidirectional and woven preimpregnated glass fiber reinforcements (Stick and Stick Net) were used to reinforce heat-curing denture base and autopolymerizing denture base polymers. A temporary fixed partial denture polymer was also reinforced with Stick reinforcement material. Five test specimens were fabricated for unreinforced control groups and for Stick- and Stick Net-reinforced groups. A 3-point loading test was used to measure transverse strength and flexural modulus of the materials and ultimate strain at fracture was calculated. Cross-sections of test specimens were examined with a SEM to evaluate degree of impregnation of fibers with polymer matrix. Quantity of fibers in test specimens was determined by combustion analysis. RESULTS: Transverse strength of heat-curing denture base polymer was 76 MPa, Stick reinforcement increased it to 341 MPa, and flexural modulus increased from 2550 to 19086 MPa. Stick Net reinforcement increased transverse strength of heat-curing denture base polymer to 99 MPa and flexural modulus to 3530 MPa. Transverse strength of autopolymerizing denture base polymer was 71 MPa; Stick increased it to 466 MPa; and flexural modulus increased from 2418 to 16749 MPa. Stick Net increased the transverse strength of autopolymerizing denture base polymer to 96 MPa and flexural modulus to 3573 MPa. Transverse strength of temporary fixed partial denture polymer increased from 58 to 241 MPa and flexural modulus from 1711 to 7227 MPa. ANOVA showed that reinforcement type and polymer brand affected transverse strength and modulus (P <.001). Stick Net reinforcement increased the strain at fracture, whereas Stick reinforcement decreased the strain values. SEM examination revealed well-impregnated glass fibers with polymer matrix. Quantity of glass fibers varied from 6 to 28 vol-%, the lowest being with Stick Net reinforcement and the highest with Stick reinforcement. CONCLUSIONS: Novel glass fiber reinforcements may considerably enhance flexural properties of multiphase dental polymers, which is due to proper impregnation of fibers with polymer matrix. By using Stick or Stick Net reinforcement, the strain at fracture of the material can be modified.

Acrylic Resins↗

Surface quality achieved by polishing and by varnishing of temporary crown and fixed partial denture resins.

STATEMENT OF PROBLEM: Studies have suggested that coating a temporary restoration with varnish material could replace time-consuming polishing procedures needed for achieving an optimally smooth surface. PURPOSE: This study examined the surface roughness of acrylic resins after having been polished or coated with different varnish materials. MATERIAL AND METHODS: A total of 360 cylindrical specimens were fabricated from 9 brands of resin. One surface on each specimen was machined flat and subsequently either polished with rubber polishers or coated with 1 of 9 varnishes. Selected specimens were subjected to thermal cycling (5 degrees C to 55 degrees C, 2000 cycles). Surface quality was assessed by means of a profilometer and by SEM examination. RESULTS: Polished specimens had average surface roughness values (Ra) of 0.8 microm; differences in roughness between materials were small, but statistically significant. Type of coating had a significant influence on surface quality. Depending on the combination of materials used, the coating produced both smoother and rougher surfaces than polishing (0.4 microm < Ra < 4.6 microm). Five coatings were deemed not to be clinically applicable because of poor wetting properties. Thermal cycling did not significantly influence surface quality, but caused minute cracks in the cyanoacrylate coating. CONCLUSION: In regard to surface quality and applicability, the use of varnishes on temporary restorations is not advisable.

Acrylic Resins↗

Clinical performance and periodontal outcome of temporary crowns and fixed partial dentures: A randomized clinical trial.

STATEMENT OF PROBLEM: Different materials (autopolymerizing, dual curing, and light initiated) are used for fabricating provisional restorations during prosthetic treatment. Randomized clinical trials that have evaluated these provisional materials have not been published. PURPOSE: This clinical trial compared the handling, fitting, plaque adherence, gingivitis, color stability, and the subjective assessment of the provisional materials by the patient and the dentist for 2 autopolymerizing (Protemp, Luxatemp), 1 dual-curing (Provipont), and 1 light-initiated (Triad-VLC) material for the manufacturing of temporary crowns and fixed partial dentures. MATERIAL AND METHODS: Thirty subjects in need of 2 similar fixed prosthetic restorations (single crowns ¿20, three-quarter crowns ¿2, connected crowns ¿9, or fixed partial dentures ¿30) were treated with 1 temporary restoration of Protemp II (control) and one randomly selected from Luxatemp, Provipont, or Triad-VLC materials. The mean time of treatment was 37.5 days (minimum 2 days, maximum 156 days). All restorations were manufactured intraorally with a vacuum-formed template. RESULTS: Mechanical and retentive characteristics revealed a high level of clinical reliability. Plaque adherence of the teeth with temporary restorations was significantly increased (P =.0039) compared with the untreated mesial reference teeth. CONCLUSION: The advantageous mechanical properties of the light-curing and dual-curing materials reviewed in dental literature were clinically offset by disadvantages in handling.

Chi-Square Distribution↗

Immediate functional loading of Brånemark System implants with enhanced initial stability: a prospective 1- to 2-year clinical and radiographic study.

BACKGROUND: The interest in the benefits of immediate loading of titanium implants has recently involved fixed prostheses for partially edentulous areas. The advantages of this approach well justify the need for extending the procedure to all regions of the mouth. Current available clinical literature on this subject is incomplete. PURPOSE: The purpose of this study is to investigate the clinical outcome of the immediate loading of Brånemark System implants (Nobel Biocare AB, Gothenburg, Sweden) inserted with enhanced initial stability principally in posterior sites (78%). MATERIALS AND METHODS: The present study was conducted in 26 consecutively treated patients. A total of 50 Brånemark System machined surface implants were placed supporting 30 fixed temporary partial dentures in light occlusion. All implants were followed up for a minimum of 1 year of function. Minimum requirements for immediate loading were proposed. Bone quality and quantity were classified according to Lekholm and Zarb's criteria. Stability of the marginal bone level, both mesial and distal, was measured on the basis of radiographic analysis. Implant survival rate was calculated according to Kaplan-Meier analysis. The peak insertion torque employed during fixture placement was between 40 and 72 Ncm, except in the case of one implant that was lost. RESULTS: Overall survival rate was 98%. An unpaired t-test revealed bone remodeling conforming to biologic width establishment (p <.005). CONCLUSIONS: Within the limit of this study, immediate loading appears to be a viable procedure in posterior sites and for a growing number of clinical indications. Enhanced implant stability and light occlusion seem to be security factors. In spite of unfavorable conditions such as the presence of quality 4 bone and a lack of splinting, all implants with enhanced primary stability survived.

Adult↗

Effect of denture surface glazing on denture plaque formation.

This study evaluated, in vivo, the efficacy of a denture glazing material (Palaseal) in modifying plaque colonization of dentures. Ten subjects were selected and received maxillary temporary partial removable dentures, with complete acrylic palatal coverage. The right half of the fitting surface of the denture bases were glazed with Palaseal, whereas the other half was not glazed. One month after insertion, two fragments of the resin base of all dentures were removed (one from the glazed side and another from the non-glazed side). These samples were prepared and examined by scanning electron microscopy. Three months after insertion, other fragments were obtained and analyzed. Microscopic observation at 1 month revealed that, for all patients, the plaque film was thinner on the treated side in comparison to the non-treated side. However, at the 3-month evaluation, some areas of the glaze showed cracking, and both glazed and non-glazed sides were covered by a dense bacterial plaque film. In conclusion, the findings of this clinical experiment showed that glazing denture's fitting surface did not prevent bacterial colonization, but favored plaque removal while the glaze layer remained intact. After three months, glaze cracks created microretentive areas that increased plaque accumulation.

Acrylic Resins↗