ABSTRACT
STATEMENT OF THE PROBLEM: Acetyl resin removable partial denture (RPD) direct retainers may provide an esthetic alternative to conventional metal direct retainers. The effect of repeated stress on acetyl resin direct retainers is unknown. PURPOSE: This study compared deformation of acetyl resin and metal alloy RPD direct retainers after repeated dislodgments over a test die. MATERIAL AND METHODS: Ten acetyl resin (Thermoflex) and 10 metal alloy (Ticonium Premium 100) RPD direct retainers, fabricated to manufacturers' specifications, were dislodged over a stainless steel die by means of a laboratory test apparatus for a simulated 3-year period (5000 cycles). Occlusal and facial digital images made before and after cycling were measured (mm) for direct retainer deformation by using computer-imaging software (Scion Image 1.62). Student t tests (alpha=.05) were performed for statistical comparisons. RESULTS: A significant difference in deformation between acetyl resin and metal alloy direct retainers occurred in the occlusal view (P=.045), but not in the facial view (P=.832). Average deformation varied but was greatest in the occlusal view: 0.09 +/- 0.8 mm for acetyl resin direct retainers compared with 0.01 +/- 0.9 mm for metal alloy direct retainers. Average facial view deformations revealed no significant differences: 0.039 +/- 0.6 mm for metal alloy and 0.033 +/- 0.7 mm for acetyl resin direct retainers. CONCLUSION: Within the limitations of this in vitro study, significantly greater deformation resulted with acetyl resin compared with metal alloy direct retainers after 3 years of simulated use.
