ABSTRACT
Dentures with dental plaque predispose recurrent hyperplasia on the palatal mucosa. Surgical procedures for the treatment of inflammatory papillary hyperplasia involve postsurgical discomfort and morbidity. This repot describes clinical and histologic aspects of a patient with severe akantolitic inflammatory papillary hyperplasia. The palatal mucosa was treated with a surgical bur with a low-speed handpiece. A new removable denture was performed and adapted. A follow-up of 4 years showed staility of health at palatal mucosa. Patient referred low discomfort and morbidity when using bur technique. Control of removable denture was critical for long-term healing and soft tissue stability.
Las prótesis dentales con placa bacteriana predisponen a la hiperplasia recurrente en la mucosa palatina. Los procedimientos quirúrgicos para el tratamiento de la hiperplasia papilar inflamatoria implican molestias y morbilidad posquirúrgicas. Este reporte describe los aspectos clínicos e histológicos de un paciente con hiperplasia papilar inflamatoria acantolítica severa. La mucosa palatina fue tratada con una fresa quirúrgica con una pieza de mano de baja velocidad. Se realizó y adaptó una nueva prótesis parcial removible. Después de un seguimiento de 4 años, se encontró estabilidad de la salud de la mucosa palatina. El paciente se refirió a la baja incomodidad y morbilidad al usar la técnica de la fresa. El control de la prótesis parcial removible fue crítico para la cicatrización a largo plazo y la estabilidad de los tejidos blandos, evitando la recidiva de la hiperplasia papilar inflamatoria.
ABSTRACT
Objective To compare the masticatory efficiency of alveolar ridge restored by thermosetting resin full denture base and cast resin full denture base.Methods 30 patients with alveolar ridge were selected and divided intothe two groups by random number table and 15 cases in each group.Full denture with thermosetting resin base was worn in the first month in one group,and masticatory efficiency was measured.Then no false tooth was worn for a week,then full denture with cast resin base for a month,then masticatory efficiency was measured.In the other group,full denture with cast resin base was worn in the first month,and then masticatory efficiency was measured.Then no false tooth was worn for a week,then full denture with thermosetting resin base was worn for a month,then masticatory efficiency was measured.OD value as masticatory efficiency was measured by absorption spectrophotometry.Results The masticatory efficiency(OD value) of full denture with thermosetting resin base was (0.608 ± 0.124),and full denture with cast resin base was (0.885 ± 0.071).The masticatory efficiency of full denture with cast resin base was higher than that with thermosetting resin base (t =14.845,P ＜ 0.05).There was 13 cases of increased masticatory efficiency with hot coagulation resin base denture repair,the improved rate was 43.33 ％,while 24 cases with injection molding denture base denture repair,and the improved rate was 80.00％.The rate with injection molding denture base denture repair was higher than that with hot coagulation resin base denture repair(x2 =31.582,P ＜ 0.05).There was no significant adverse reaction in duration of test among all the patients.Conclusion The definition of full denture with cast resin base manufacture was high,and the masticatory efficiency of full denture with cast resin base is higher than that with thermosetting resin base,and the repair effects is better.It is worth of clinical application.
ABSTRACT
Frecuentemente, en los casos de trauma dentario donde se pierde definitivamente un diente, los pacientes son rehabilitados protésicamente por cualquiera de sus variantes. Pero no es muy común que un paciente sea rehabilitado con resina compuesta ante la pérdida de un diente. Se presenta el caso de una paciente que años antes había perdido un incisivo central superior, cuyo espacio había sido tomado por el incisivo lateral; a partir del agrandamiento del mismo se conformó el incisivo faltante, mediante la técnica de restauración directa por estratificación o capas, utilizando la resina Brilliant New Line. El objetivo de este trabajo es demostrar una alternativa más económica y fácil de realizar en nuestras consultas por los estomatólogos, con el objetivo de restaurar la estética de un paciente con pronóstico desfavorable.
Patients who experience dental trauma resulting in permanent tooth loss are often prosthetically rehabilitated through any of its variants. However, it is uncommon to rehabilitate a patient using composite resin when a tooth is lost. The case of a patient who had lost a maxillary central incisor years ago and its space had been occupied by the lateral incisor is presented. The missing tooth was built up through the enlargement of the lateral incisor using the layering technique or stratification with Brilliant New Line resin. This paper aims at demonstrating a more economical and simpler alternative for restoring the aesthetics of a patient with unfavorable prognosis.
ABSTRACT
BACKGROUND:Occlusal scheme is the key of a successful complete denture, and how to choose a suitable occlusal scheme is a long-term problem for prosthodontists. OBJECTIVE:To systematical y review the clinical effects of two occlusal schemes for complete denture. METHODS:An electronic search of Cochrane Library, Medline/PubMed, EMBASE, CNKI, Wanfang and CBM databases were performed for clinical trials published before October 2013 using the key words of“complete denture”,“edentulous”,“occlusion”,”balanced”,“lingualized”,“anatomic”in Chinese and English. A manual searching of 11 relevant journals concerning oral medicine and reference lists of selected articles were conducted. Two reviewers independently extracted the data and assessed the quality of the included literature. Total y, 628 papers were retrieved. RESULTS AND CONCLUSION:Only five articles met the inclusion and exclusion criteria. Of these five articles, one study showed lingualized occlusion dentures were more satisfactory than bilateral balanced occlusion dentures in denture retention (P<0.05);one study showed the lingualized occlusion exhibited lower scores for uncomfortable eating and avoiding particular foods (P<0.05), but higher scores for uncomfortable dentures than the bilateral balanced occlusion (P<0.05);one study showed the lingualized occlusion dentures have better masticatory efficiency and better protective role in alveolar bone than the bilateral balanced occlusion dentures (P<0.05);another two studies showed no significant differences in the overal satisfaction between lingualized occlusion and bilateral balanced occlusion dentures. These findings indicate that the lingualized occlusion is similar to bilateral balanced occlusion in the satisfaction of patients, masticatory efficiency, appearance and speech, but the lingualized occlusion dentures are better for severe alveolar bone resorption patients in terms of masticatory efficiency and better protection of alveolar bone.
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PURPOSE: This study compared fracture strength and fracture modes between metal wire reinforcement and glass fiber reinforcement in repaired maxillary complete denture. MATERIALS AND METHODS: In this study, fracture was reproduced on center of maxillary complete dentures and the denture was repaired with auto-polymerizing resin. The experimental groups (n = 10) were subjected to the following condition: without reinforcing material (control group), reinforcing with metal wire (W group), reinforcing with glass fiber pre-impregnated with light-curing resin (SES MESH, INNO Dental Co., Yeoncheon, Korea, G group). The fracture strength and fracture modes of a maxillary complete denture were tested using Instron test machine (Instron Co., Canton, MA, USA) at a 5.0 mm/min crosshead speed. The flexure load was applied to center of denture with a 20 mm diameter ball attachment. When fracture occurred, the fracture mode was classified based on fracture lines. The Kruskal-wallis test and the Mann-whitney U test were performed to identify statistical differences at alpha=.05. RESULTS: W group showed the highest value of fracture strength, there was no significant difference (P>.05) between control group and G group. Control group and W group showed anteroposterior fracture mainly, group W showed adhesive fracture of denture base and reinforcing material. CONCLUSION: In limitation of this study, the glass fiber did not improve the fracture strength of repaired maxillary complete denture, and adhesive failure was occurred along the lines of glass fiber.
Subject(s)
Adhesives , Denture Bases , Denture Repair , Denture, Complete , Dentures , Glass , KoreaABSTRACT
Denture fractures are common in daily practice, causing inconvenience to the patient and to the dentists. Denture repairs should have adequate strength, dimensional stability and color match, and should be easily and quickly performed as well as relatively inexpensive. OBJECTIVE: The aim of this study was to evaluate the flexural strength of acrylic resin repairs processed by different methods: warm water-bath, microwave energy, and chemical polymerization. MATERIAL AND METHODS: Sixty rectangular specimens (31x10x2.5 mm) were made with warm water-bath acrylic resin (Lucitone 550) and grouped (15 specimens per group) according to the resin type used to make repair procedure: 1) specimens of warm water-bath resin (Lucitone 550) without repair (control group); 2) specimens of warm water-bath resin repaired with warm water-bath; 3) specimens of warm water-bath resin repaired with microwave resin (Acron MC); 4) specimens of warm water-bath resin repaired with autopolymerized acrylic resin (Simplex). Flexural strength was measured with the three-point bending in a universal testing machine (MTS 810 Material Test System) with load cell of 100 kgf under constant speed of 5 mm/min. Data were analyzed statistically by Kruskal-Wallis test (p<0.05). RESULTS: The control group showed the best result (156.04±1.82 MPa). Significant differences were found among repaired specimens and the results were decreasing as follows: group 3 (43.02±2.25 MPa), group 2 (36.21±1.20 MPa) and group 4 (6.74±0.85 MPa). CONCLUSION: All repaired specimens demonstrated lower flexural strength than the control group. Repairs with autopolymerized acrylic resin showed the lowest flexural strength.
Subject(s)
Acrylic Resins/chemistry , Denture Repair/methods , Denture Bases , Materials Testing , Microwaves , Pliability , Polymerization , Statistics, Nonparametric , Surface Properties , Tensile Strength , Time Factors , Water/chemistryABSTRACT
OBJECTIVE: To investigate the effect of cavity preparation on the flexural strength of heat-curing denture resin when repaired with an auto-curing resin. MATERIAL AND METHODS: Ninety-six rectangular specimens (64x10x2.5 mm) prepared from heat-curing denture base resin (Meliodent) were randomly divided into four groups before repair. One group was left intact as control. Each repair specimen was sectioned into two; one group was repaired using the conventional repair method (Group 1). Two groups had an additional transverse cavity (2x3.5x21.5 mm) prepared prior to the repair; one repaired with (Group 2) and one without glass-fiber reinforcement (Group 3). A three-point flexural bending test according to the ISO 1567:1999 specification8 for denture base polymers was carried out on all groups after 1, 7 and 30 days of water immersion. Statistical analysis was carried out using two-way ANOVA, Kruskal Wallis and post-hoc Mann Whitney tests. RESULTS: The highest flexural strength was observed in the control group. Control and conventional repairs group (Group 1) showed reduction in the flexural strength 30 days after water immersion. No significant change in the strength was observed for Groups 2 and 3 where the repair joints were similarly prepared with additional transverse cavity. CONCLUSION: Repaired specimens showed lower flexural strength values than intact heat-curing resin. Cavity preparation had no significant effect on the flexural strength of repair with water immersion.
Subject(s)
Acrylic Resins/chemistry , Dental Cavity Preparation , Denture Bases , Denture Repair , Glass/chemistry , Polymers/chemistry , Analysis of Variance , Dental Restoration Failure , Hot Temperature , Immersion , Materials Testing , Pliability , Polymerization , Random Allocation , Statistics, Nonparametric , Time Factors , Water/chemistryABSTRACT
OBJECTIVE: This study was aimed to evaluate the effect of three surface treatment methods on the shearbond strength of denture repairs. MATERIAL AND METHOD: 40 specimens (15 x 15 x 7mm) were fabricated according to the manufacturers instructions from each of three denture base materials: a heat-cured acrylic resin (VeracrilTM), a rapid-setting heat-cured acrylic resin (QC-20TM), and a pourable resin (Selecta PlusTM). The samples of each material were divided into four groups of ten. One of the groups served as a control and underwent no surface treatment. The other groups received one of three surface treatments: air blasting with 50 ìm aluminum oxide particles at 0.5 MPa pressure for 5 seconds; immersion in methyl methacrylate (MMA) for 180 seconds or immersion in acetone for 3 seconds. An autopolymerizing repair resin (Rapid RepairTM) was applied to the bonding area (6 mm in diameter, 2 mm in height) and polymerized at a pressure of two bar for 30 minutes using a pressure pot. All specimens were subjected to 10,000 thermal cycles. The shear bond strength (MPa) of the specimens was measured in a universal testing machine at a 1 mm/min crosshead speed. The effect of the mechanical and chemical treatments on the surface of the base resins wasexamined using SEM. Statistical tests used were 2 way ANOVA and Kolmogorov-Smirnov. The level ofstatistical significance was established at (p<0.05). RESULTS: There were statistically significant differencesbetween bond strength in surface treatment levels across acryl level categories (p=0.042). The results also showed differences between treatment levels (p=0.0001).Abrasive blasting significantly increased the bond strength of the repair material, but there were no significant differences between the bond strengths of the control group and the experimental groups treated with MMA or acetone. Examination by SEM revealed that chemical treatment with MMA or acetone produced a smooth surface similar...
OBJETIVO: O presente estudo foi dirigido para avaliação do efeito de três métodos de tratamento de superfície na reparação de resinas-base de dentaduras. MATERIAL E MÉTODO: 40 espécimes (15 x 15 x 7 mm) foram fabricados de acordo com as instruçõesdos fabricantes de cada um de três materiais-base de dentaduras: uma resina termopolimerizada (VeracrilTM); uma resina de termopolimerização rápida (QC-20TM) e uma resina autopolimerizável (Selecta PlusTM). Cada material foi dividido em quatro grupos de dez corpos de prova. Um dos grupos serviu como controle, não recebendo tratamento de superfície. Os outros grupos receberam três tipos de tratamento de superfície: jato abrasivocom partículas de óxido alumínio (50) com pressão de 0,5 MPa durante cinco segundos; imersão em metil metacrilato (MMA) por 180 s; imersão em acetona por três segundos. Uma resina de reparo autopolimerizável (Rapid Repair TM) foi aplicada na área de adesão (6 x 2 mm) e polimerizada sob pressão de duas atmosferas por 30 minutos, utilizando um frasco de pressão. Todos os espécimes foram sujeitos a 10.000 ciclos térmicos. A resistência às forças de cisalhamento foi medida numa máquina universal de testes a uma velocidade de 1 mm/min. O efeito do tratamento químico e mecânico das superfícies da resina base foi avaliado usando SEM. Testes estatísticos utilizados foram ANOVA e Kolmogorov-Smirnov. O nível de significância estatística foi estabelecido a p<0.05. RESULTADOS: Houve diferenças estatisticamente significantes na resistência ao cisalhamento entre as categorias de tratamento de superfície (p=0,042). Os resultados também mostraram diferenças entreníveis de tratamento (p=0,0001). O jato abrasivo aumentou significativamente a resistênciaao cisalhamento do material de reparo, mas não houve diferenças significativas entre a resistência do grupo controle e dos grupos experimentais tratados com MMA ou acetona. O exame com microscopia eletrônica demonstrou que o tratamento químico com MMA...