Effectiveness of different surface treatments on bond strength between 3D-printed teeth and denture base.

PURPOSE: To investigate the effects of different surface treatments and thermal cycling on the shear bond strength between 3D-printed teeth and denture bases. MATERIAL AND METHODS: For the shear bond strength (SBS) test, the specimens were the maxillary central incisors (11 × 9 × 7 mm) bonded on a cylindrical base (20 × 25 mm). The control group was heat-cured polymethylmethacrylate (PMMA) (N = 20). The printed group was divided into five subgroups (N = 20): no treatment, sandblasting with aluminum oxide (Al2O3), methyl methacrylate monomer, acetone, and adhesive with urethane dimethacrylate. Half of the samples were subjected to 2000 thermal cycling cycles, and all samples were subjected to the SBS test. The failure mode was established as adhesive, cohesive, or mixed through stereomicroscopic analysis. The surface roughness test (Sa) was performed using optical profilometry, and the rectangular specimens (14 × 14 × 2.5 mm) were divided into four groups according to the surface treatments (N = 7 per group). Paired T and Wilcoxon tests were conducted to perform comparisons within the same group. The Kruskal-Wallis and Dwass-Steel-Critchlow-Fligner post-hoc tests were conducted to compare the groups. RESULTS: Al2O3 sandblasting in the 3D-printed groups achieved high SBS values comparable to those of the control group in the thermal cycled (p = 0.962) and non-thermal cycled samples (p = 0.319). It was the only treatment capable of modifying the surface of the 3D-printed resin, thereby increasing the roughness (p = 0.016). CONCLUSIONS: Sandblasting is recommended to increase the bond strength between the tooth and denture bases.

Effectiveness of experimental dentifrices based on essential oils on biofilm on complete dentures: an in vitro study

Abstract Specific products containing natural resources can contribute to the innovation of complete denture hygiene. Objective: To conduct an in vitro evaluation of experimental dentifrices containing essential oils of Bowdichia virgilioides Kunth (BvK), Copaifera officinalis (Co), Eucalyptus citriodora (Ec), Melaleuca alternifolia (Ma) and Pinus strobus (Ps) at 1%. Methodology: The variables evaluated were organoleptic and physicochemical characteristics, abrasiveness (mechanical brushing machine) simulating 2.5 years, and microbial load (Colony Forming Units - CFU/mL), metabolic activity (XTT assay) and cell viability (Live/Dead® BacLight™ kit) of the multispecies biofilm (Streptococcus mutans: Sm, Staphylococcus aureus: Sa, Candida albicans: Ca and Candida glabrata: Cg). Specimens of heat-polymerized acrylic resins (n=256) (n=96 specimens for abrasiveness, n=72 for microbial load count, n=72 for biofilm metabolic activity, n=16 for cell viability and total biofilm quantification) with formed biofilm were divided into eight groups for manual brushing (20 seconds) with a dental brush and distilled water (NC: negative control), Trihydral (PC: positive control), placebo (Pl), BvK, Co, Ec, Ma or Ps. After brushing, the specimens were washed with PBS and immersed in Letheen Broth medium, and the suspension was sown in solid specific medium. The organoleptic characteristics were presented by descriptive analysis. The values of density, pH, consistency and viscosity were presented in a table. The data were analyzed with the Wald test in a generalized linear model, followed by the Kruskal-Wallis test, Dunn's test (mass change) and the Bonferroni test (UFC and XTT). The Wald test in Generalized Estimating Equations and the Bonferroni test were used to analyze cell viability. Results: All dentifrices showed stable organoleptic characteristics and adequate physicochemical properties. CN, Ec, Ps, Pl and PC showed low abrasiveness. There was a significant difference between the groups (p<0.001) for microbial load, metabolic activity and biofilm viability. Conclusions: It was concluded that the BvK, Ec and Ps dentifrices are useful for cleaning complete dentures, as they have antimicrobial activity against biofilm. The dentifrices containing Bowdichia virgilioides Kunth showed medium abrasiveness and should be used with caution.

Surface Characteristics and Microbial Adhesion in Polymethylmethacrylate for Denture Base Submitted to Antimicrobial Agents and Cleaning Agents: A Systematic Review.

This review aimed to identify the influence of antimicrobial and cleaning agents on surface characteristics such as surface free energy (SFE) and wettability, and microbial adhesion in polymethylmethacrylate (PMMA) for denture base. The review question, based on PICO, was: "Does intervention with antimicrobial and cleaning agents in PMMA influence the surface free energy, wettability, and consequently the microbial adhesion?" and the protocol was registered in Open Science Framework (osf. io/v3xgn). The search was performed in PubMed, Lilacs, Embase, Scopus, and Science Direct databases, using the terms: ("acrylic resin" OR PMMA) AND (antimicrobial OR antibacterial) AND ("electrostatic interaction" OR surface free energy) AND (biofilm OR "bacteria adhesion"), and resulted in 462 articles, of which 7 were included. The antimicrobials polypara-xylylene, carboxybetaine methacrylate, ethylene glycol methacrylate phosphate, and deposition of F and Ag ions in PMMA influenced the SFE and wettability. Denture cleaners reduced microbial adhesion. Five of the included studies evaluated the microbial adhesion, however, only two observed a direct relationship between SFE, wettability, and microbial adhesion. It was concluded that the intervention with antimicrobial and cleaning agents in PMMA can interfere in SFE and surface wettability, but no correlation was observed between microbial adhesion and these surface characteristics in PMMA.

The influence of the retention feature in artificial teeth on its attachment to the thermoplastic resin denture base / Influência da forma de retenção em dentes artificiais de resina acrílica na fixação na base de prótese termoplástica

Objective: Teeth play a crucial role in masticatory efficiency and esthetic harmony making rehabilitation of partially edentulous patients a challenge because of the limitations of conventional removable partial dentures. As a therapeutic alternative, thermoplastic polymers are used in current dental practice either for practical processing purposes or aesthetics. However, it is recognized that the bond between acrylic resin artificial teeth and thermoplastic polymers has no chemical interaction, and depends on retentive features added to the teeth. This study analyzed the efficacy of two retentive forms of features through compressive strength test and as a secondary outcome, fracture and displacement resistance test. Material and Methods: Three groups of samples each with 14 sets of acrylic teeth were compared when two retentive features, single hole and groove retention, and a control group with teeth without any specific form. The experimental unit consisted of six maxillary anterior teeth, positioned in a linear pattern into a polypropylene block, where each tooth was submitted to a static load until its removal, on a universal testing machine. Results: Those specimens with a groove retention presented larger resistance to displacement when compared to the other groups (p <0.05). This was emphasized by the fracture of the tooth tested, with part of the cervical portion remaining embed in the base, and not its displacement as with (or without) the retentive feature. Conclusion: In this study, the type of retention influenced significantly to a better retention considering teeth and thermoplastic polymer base. The data in this study indicates that a groove placed on the artificial tooth offers significantly better retention efficacy to the point where the displacement was only possible after its fracture (AU)

Objetivo: Os dentes são um fator essencial na eficiência mastigatória. A harmonia estética e a reabilitação dos indivíduos parcialmente dentados tornam-se um desafio, frente às limitações das próteses parciais removíveis convencionais. Como uma alternativa terapêutica, os polímeros termoplásticos são utilizados na odontologia contemporânea, tanto para o seu processamento prático como seu apelo estético. Entretanto, pouco se sabe a respeito da união entre a resina acrílica de dentes artificiais e resinas termoplásticas, assim como a influência dos mecanismos de retenção, uma vez que não há interação química entre eles. O objetivo deste estudo foi analisar duas formas de retenção de dentes de resina acrílica a bases de prótese de material termoplástico, por força compressiva e como desfecho secundário, teste de resistência a fratura e deslocamento dos dentes artificiais. Material e Métodos: O presente estudo analisou dois tipos diferentes de retenções: uma cavidade com único ponto e uma canaleta de mesial a distal; e como grupo controle, dentes colocados sem qualquer recurso específico. A unidade experimental consistiu de seis dentes superiores anteriores, posicionados em linha em um bloco de polipropileno. Em cada dente artificial foi aplicada força até a sua remoção, em uma máquina universal de ensaios. Resultados: Os resultados mostraram que a retenção com canaleta apresentou maior força de deslocamento, quando comparado com os outros grupos (p <0,05). Tal fato foi evidenciado pelo teste de fratura e deslocamento, no qual parte da porção cervical do dente artificial permaneceu unida à base, não ocorrendo o deslocamento com (ou sem) a retenção. Conclusão: Neste estudo, o tipo de retenção influenciou de forma significante a retenção de dentes artificiais de resina acrílica a bases de prótese termoplásticas. Os dados deste estudo indicam que a confecção da retenção em canaleta nos dentes artificiais oferece significante aumento na eficiência da retenção, ao ponto em que o deslocamento do dente ocorreu somente após sua fratura (AU).

In Vitro effect of denture cleansers on the color stability of polyetheretherketone and other denture base polymers / Efecto in vitro de los limpiadores de prótesis en la estabilidad del color de la polieteretercetona y otros polímeros base de prótesis

Abstract The aim of this in vitro study was to compare the long-term effect of overnight use of denture cleansers with different chemical compositions on the color stability of denture base polymers (DBPs). The four DBPs evaluated were PEEK (PK group), thermoinjection-molded polyamide (PA group), auto-polymerized polymethylmethacrylate (PMMA) (AP group), and heat-polymerized resin PMMA (HP group). The cleaning agents used were Corega tablet (CT), Protefix tablet (PT), and 0.5% sodium hypochlorite (NaOCl) solution (SH). Distilled water (DW) served as a control. Forty-eight disc-shaped specimens (10mm × 2mm) were prepared from each DBP and randomly immersed in the different storage media (n=12 in each group). Color measurements of the specimens before and after immersion in the denture cleansers were made using a spectrophotometer (VITA Easyshade V). The color changes were measured and recorded in L* a* b*. After 120 d, the CIEDE2000 formula was used to calculate color changes (ΔE00). For analysis of the data, a multivariate analysis of variance was used (p<0.05). The results of the statistical analysis revealed significant color change differences in the DBPs immersed in the various denture cleansers (p<0.05). Groups PA and PK showed the highest values for all solutions. AP-SH showed the highest ΔE00 value in group AP, no significant difference was found between other solutions. In group HP, there was no statistically significant difference between the average ΔE00 values of all solutions. Long-term daily use of the denture cleansers affected the color stability of all the DBPs, although the level of color change was acceptable. Laboratory and clinical studies on the color stability of PEEK are needed to confirm the results of this study.

Resumen El objetivo de este estudio in vitro fue comparar el efecto a largo plazo del uso nocturno de limpiadores de prótesis con diferentes composiciones químicas sobre la estabilidad del color de los polímeros base de prótesis (DBP). Los cuatro DBP evaluados fueron PEEK (grupo PK), poliamida moldeada por termoinyección (grupo PA), polimetilmetacrilato (PMMA) autopolimerizado (grupo AP) y resina PMMA termopolimerizada (grupo HP). Los agentes de limpieza utilizados fueron Corega (CT), Protefix (PT) y la solución de hipoclorito de sodio (NaOCl) al 0,5% (SH). El agua destilada (DW) sirvió de control. Se prepararon 48 especímenes en forma de disco (10mm × 2mm) de cada DBP y se sumergieron al azar en los diferentes medios de almacenamiento (n=12 en cada grupo). Las mediciones del color de las muestras antes y después de la inmersión en los limpiadores de dentaduras se realizaron con un espectrofotómetro (VITA Easyshade V). Los cambios de color se midieron y registraron en L* a* b*. Después de 120 d, se utilizó la fórmula CIEDE2000 para calcular los cambios de color (ΔE00). Para el análisis de los datos, se utilizó un análisis multivariante de la varianza (p<0,05). Los resultados del análisis estadístico revelaron diferencias significativas en el cambio de color de los DBP sumergidos en los distintos limpiadores de dentaduras (p<0,05). Los grupos PA y PK mostraron los valores más altos para todas las soluciones. AP-SH mostró el valor ΔE00 más alto en el grupo AP, no se encontraron diferencias significativas entre las demás soluciones. En el grupo HP, no hubo diferencias estadísticamente significativas entre los valores medios de ΔE00 de todas las soluciones. El uso diario a largo plazo de los limpiadores de dentaduras afectó a la estabilidad del color de todos los DBP, aunque el nivel de cambio de color fue aceptable. Se necesitan estudios de laboratorio y clínicos sobre la estabilidad del color del PEEK para confirmar los resultados de este estudio.

The effect of cooling procedures on monomer elution from heat-cured polymethyl methacrylate denture base materials

Abstract Objective To evaluate the amount of methyl methacrylate (MMA) released in water from heat-cured polymethyl methacrylate (PMMA) denture base materials subjected to different cooling procedures. Methodology Disk-shaped specimens (Ø:17 mm, h:2 mm) were fabricated from Paladon 65 (PA), ProBase Hot (PB), Stellon QC-20 (QC) and Vertex Rapid Simplified (VE) denture materials using five different cooling procedures (n=3/procedure): A) Bench-cooling for 10 min and then under running water for 15 min; B) Cooling in water-bath until room temperature; C) Cooling under running water for 15 min; D) Bench-cooling, and E) Bench-cooling for 30 min and under running water for 15 min. A, B, D, E procedures were proposed by the manufacturers, while the C was selected as the fastest one. Control specimens (n=3/material) were fabricated using a long polymerization cycle and bench-cooling. After deflasking, the specimens were ground, polished and stored in individual containers with 10 ml of distilled water for seven days (37oC). The amount of water-eluted MMA was measured per container using isocratic ultra-fast liquid chromatography (UFLC). Data were analyzed using Student's and Welch's t-test (α=0.05). Results MMA values below the lower quantification limit (LoQ=5.9 ppm) were registered in B, C, E (PA); E (PB) and B, D, E (QC) procedures, whereas values below the detection limit (LoD=1.96 ppm) were registered in A, D (PA); A, B, C, D (PB); C, D, E (VE) and in all specimens of the control group. A, B (VE) and A, C (QC) procedures yielded values ranging from 6.4 to 13.2 ppm with insignificant differences in material and procedure factors (p>0.05). Conclusions The cooling procedures may affect the monomer elution from denture base materials. The Ε procedure may be considered a universal cooling procedure compared to the ones proposed by the manufacturers, with the lowest residual monomer elution in water.

Influence of High-Pressure Polymerization on Mechanical Properties of Denture Base Resins.

PURPOSE: The purpose of this study was to study the influence of high-pressure (HP) polymerization on the mechanical properties of denture base PMMA resins compared with conventional thermopolymerization and PMMA discs for digital dentures. MATERIALS AND METHODS: Three groups of blocks were prepared: Probase Hot (Ivoclar Vivadent, Lichtenstein) conventionally heat polymerized at 100°C, Probase Hot heat polymerized at 100°C under HP (200 MPa) and Ivobase CAD (Ivoclar Vivadent, Lichtenstein). Samples for mechanical/physical (n = 30) and samples for viscoelastic (n = 10) characterizations were cut from the blocks. Flexural strength (σf ), elastic modulus (Ef ), hardness, density (ρ), flexural deformation at maximal flexural stress, flexural load energy (Ur ) and viscoelastic properties (E', E'', Tanδ, Tg ) were analyzed using one-way ANOVA (α = 0.05), Scheffé multiple means comparisons (α = 0.05) and Weibull statistics (for σf ). SEM images of the fractured surfaces were obtained. RESULTS: Ef , E', E'' and density of HP polymerized Probase hot were significantly higher than conventional heat polymerized Probase Hot, whereas Tg was significantly lower and σf , Tanδ, hardness, flexural deformation at maximal flexural stress, Ur were not significantly different. The highest values for σf , flexural deformation at maximal flexural stress, Ur and Weibull modulus were obtained with Ivobase CAD. CONCLUSION: HP polymerization does not significantly increase the mechanical properties of denture base resins.

Effect of Different Denture Base Cleansers on Surface Roughness of Heat Polymerised Acrylic Materials with Different Curing Process / Efecto de diferentes limpiadores para dentaduras en la rugosidad de la superficie de acrílicos polimerizados por calor con diferentes procesos de curado

Abstract Avoiding biofilm formation on dentures is associated with maintaining the surface properties of acrylic-based dentures. The aim of the study is to investigate the effects of two different cleaning agents (Corega and Klorhex 0.2% chlorhexidine gluconate) on surface roughness of the denture regarding efficacy of curing procedures. A total of sixty disc-shaped specimens were prepared with two different methods as long and short curing processes. The specimens were divided into subgroups according to the immersion solutions (distilled water, Corega tablet group and Klorhex 0.2% chlorhexidine gluconate group) (n=10). The samples were kept in a solution for 8 hours per day during a month. The average Ra1 (before exposure to the cleanser agent) and Ra2 (after exposure to the cleanser agent) of each sample was measured. A two- way ANOVA and post hoc Tukey test was used for statistical analysis. The solutions significantly increased the Ra values in both acrylic groups (p0.05). The long-term curing time is highly effective in decreasing the surface roughness of the acrylic base material.

Resumen Evitar la formación de biopelículas en las prótesis dentales se asocia con el mantenimiento de las propiedades de la superficie de las prótesis de base acrílica. El objetivo del estudio es investigar los efectos de dos agentes de limpieza diferentes (Corega y Klorhex 0,2% gluconato de clorhexidina) en la rugosidad de la superficie de la dentadura postiza en cuanto a la eficacia de los procedimientos de curado. Se prepararon un total de sesenta muestras en forma de disco con dos métodos diferentes como procesos de curado largos y cortos. Las muestras se dividieron en subgrupos según las soluciones de inmersión (agua destilada, grupo de pastillas Corega y grupo de gluconato de clorhexidina al 0,2%) (n=10). Las muestras se mantuvieron en una solución durante 8 horas al día durante un mes. Se midió el promedio de Ra1 (antes de la exposición al agente de limpieza) y Ra2 (después de la exposición al agente de limpieza) de cada muestra. Para el análisis estadístico se utilizó un ANOVA de dos vías y una prueba post hoc de Tukey. Las soluciones aumentaron significativamente los valores de Ra en ambos grupos acrílicos (p 0,05). El tiempo de curado a largo plazo es muy eficaz para disminuir la rugosidad de la superficie del material de base acrílica.

Strategies for potential toughening of acrylic denture bases polymerized with microwave energy

Abstract Thiourethane additives have been shown to improve properties in several dental polymer applications. The aim of this study was to verify the effect of the addition of thiourethane oligomers and acrylamide or isobornyl-based plasticizers on the physical properties of the denture base acrylic resin polymerized with microwaves. Thiourethane oligomer (TU) was synthetized and added to microwaved acrylic resin in proportions varying between 3 and 14 wt%. Separate experimental groups included the addition of dimethyl acrylamide (DMAM) and isobornyl methacrylate as plasticizers, at concentrations varying from 5 to 20 wt%. Samples were polymerized using microwave energy at 500 Watts for 3 min, deflasked at room temperature, stored in water at 37 °C for 24 h, and evaluated for: linear dimensional change, gloss, Knoop hardness, surface roughness, impact strength, yield strength, elastic modulus, toughness, yield strength, viscosity, glass transition temperature and network heterogeneity, and water sorption/solubility. Data were analyzed with ANOVA/Tukey's post-hoc test (a=5%). The addition of TU led to properties that were similar or worse than the materials to which it was not added, except for dimensional stability. The impact on properties was statistically significant for all materials above 20% addition of TU. The addition of DMAM at 5 wt% or isobornyl methacrylate at 10 wt% improved yield strength and modulus, but increased water sorption and solubility. Except for dimensional stability, the addition of thiourethane oligomers to acrylic denture base materials compromised most tested properties. The use of DMAM and isobornyl methacrylate improved properties for selected compositions.

Resumo Aditivos de tiouretano demonstraram melhorar propriedades de polímeros em diversas aplicações. O objetivo deste estudo foi verificar o efeito da adição de oligômeros de tiouretano, monômeros de acrilamida ou baseados em funcionalidade isobornil na propriedades físicas de bases de dentadura de acrílico polimerizadas em micro-ondas. O oligômero de tiouretano (TU) foi sintetizado e adicionado à resina acrílica em proporções variando de 3 a 14% em peso. Dimetil acrilamida (DMAM) e isobornil metacrilato (IBMA) foram adicionados em formulações separadas como plastificantes em concentrações variando de 5 a 20% em peso. As amostras foram polimerizadas usando energia de micro-ondas (500 Watts oor 3 min), desincluídas da mufla a temperature ambiente, armazenadas em água a 37°C por 24 h, e submetidas aos testes de: alteração dimensional linear, brilho, dureza Knoop, rugosidade superficial, resistência ao impacto, tensão normal de escoamento, módulo de elasticidade, tenacidade, viscosidade, temperatura de transição vítrea e heterogeneidade da rede polimérica, além de sorção de água e solubilidade. Os dados foram analisados com ANOVA e teste de Tukey (a=5%). A adição de TU não afetou ou diminuiu todas as propriedades, exceto pela estabilidade dimensional. O impacto nas propriedades foi estatisticamente significante para todos os materiais em concentrações acima de 20% de TU. Isso pode ser explicado por um encurtamento das cadeias e diminuição do empacotamento das cadeias lineares do PMMA. A adição de 5% de DMAM ou 10% de isobornil metacrilato melhoraram a tensão de escoamento e o módulo, mas aumentaram a sorção de água e solubilidade. Exceto pela estabilidade dimensional, a adição de oligômeros de tiouretano à bases de dentatura compostas por resina acrílica prejudicou todas a propriedades testadas. O uso de DMAM e isobornil metacrilato melhorou as propriedades para composições selecionadas.

Comparison of the Polymerization Shrinkage of Eclipse Resin for Prostheses with Conventional Acrylic Resins / Comparación de la Contracción de Polimerización de la Resina Eclipse para Prótesis con Resinas Acrílicas Convencionales

ABSTRACT: The objective of this study was to compare the polymerization shrinkage of Eclipse photopolymerization resin for prosthesis based on urethane dimethacrylate (UDMA) with that of three heat-cured acrylic resins based on polymethyl methacrylate (PMMA) after the polymerization process and immersion in water. A total of 40 prostheses were fabricated on a standard metallic upper edentulous model: group 1, Eclipse; group 2, Triplex hot; group 3, Veracril; and group 4, Lucitone 199. Subsequently, the polymerization contraction was tested using a microscope in which measurements were made in micrometres at 3 points located in the middle parts of the right and left sides and the middle part of the palate at three time points once the prosthesis was completed, after 30 days of immersion in water for 8 hours a day at a temperature of 37 °C, and after cutting the prosthesis at the level of the second premolar. ANOVA revealed that the contraction of the polymerization no statistically significant differences between the groups, (P> 0.05). The type of resin and its interaction with the processing method behaves similarly for all test resins. The Veracril heat-cured resin obtained the lowest contraction value in the three measurements (mm) and the highest value was obtained with the Eclipse photopolymerization resin. The Eclipse resin exhibited no lower polymerization shrinkage compared to conventional acrylic resins based on polymethyl methacrylate (PMMA), however it was not significantly affected by immersion in water.

RESUMEN: El objetivo de este estudio fue comparar la contracción de polimerización de la resina de fotopolimerización Eclipse para prótesis basadas en dimetacrilato de uretano (UDMA) con la de tres resinas acrílicas curadas con calor a base de polimetacrilato de metilo (PMMA) después del proceso de polimerización e inmersión en agua. Se fabricaron un total de 40 prótesis en un modelo edéntulo superior metálico estándar: grupo 1, Eclipse; grupo 2, triplex caliente; grupo 3, veracril; y grupo 4, Lucitone 199. Posteriormente, la contracción de la polimerización se probó utilizando un microscopio en el que se realizaron mediciones en micrometros en 3 puntos ubicados en las partes medias de los lados derecho e izquierdo y la parte media del paladar en tres puntos de tiempo una vez la prótesis se completó, después de 30 días de inmersión en agua durante 8 horas al día a una temperatura de 37 °C, y después de cortar la prótesis a nivel del segundo premolar. ANOVA reveló que la contracción de la polimerización no presenta diferencias estadísticamente significativas entre los grupos, (P> 0,05). El tipo de resina y su interacción con el método de procesamiento se comportan de manera similar para todas las resinas de prueba. La resina curada con calor Veracril obtuvo el valor de contracción más bajo en las tres mediciones (mm) y el valor más alto se obtuvo con la resina de fotopolimerización Eclipse. La resina Eclipse no mostró una contracción de polimerización menor en comparación con las resinas acrílicas convencionales basadas en polimetilmetacrilato (PMMA), sin embargo, no se vio afectada significativamente por la inmersión en agua.

The effect of nanodiamonds on candida albicans adhesion and surface characteristics of PMMA denture base material - an in vitro study

Abstract Candida albicans is the main causative pathogen of denture stomatitis, which affects many complete denture patients. Objective: To evaluate the effect of different concentrations of nanodiamonds (NDs) added to polymethyl methacrylate (PMMA) denture base material on Candida albicans adhesion as well as on surface roughness and contact angle. Methodology: Acrylic resin specimens sized 10×10×3 mm3 were prepared and divided into four groups (n=30) according to ND concentration (0%, 0.5%, 1%, 1.5% by wt). Surface roughness was measured with a profilometer, and the contact angle with a goniometer. The effect of NDs on Candida albicans adhesion was evaluated using two methods: 1) slide count and 2) direct culture test. Analysis of variance (ANOVA) and Tukey's post hoc test were used in the statistical analyses. Results: Addition of NDs decreased the Candida albicans count significantly more than in the control group (p<0.05), with a lowest of 1% NDs. Addition of NDs also significantly decreased the surface roughness (p<0.05), but the contact angle remained the same. Incorporation of NDs into the PMMA denture base material effectively reduced Candida albicans adhesion and decreased surface roughness. Conclusion: PMMA/NDs composites could be valuable in the prevention of denture stomatitis, which is considered one of the most common clinical problems among removable denture wearers.

Influência de diferentes espessuras da camada de silicone e carga de prensagem na estabilidade dimensional de próteses totais / Influence of different thicknesses of the layers of silicone and pressure load on the dimensional stability of complete denture

Introdução: As alterações dimensionais do processamento das bases das dentaduras prejudicam a retenção associada à alteração da oclusão, considerada um fator relevante na construção das prótese completas. Portanto, estas alterações devem ser minimizadas para produzir próteses com menores imperfeições, considerando os materiais utilizados, e o conhecimento profissional das técnicas de inclusão e polimerização. Objetivos: O propósito deste estudo foi avaliar o deslocamento linear dos dentes artificiais durante o processamento de uma prótese total maxilar, submetida a prensagem com três diferentes camadas de silicone e três cargas de pressão. Materiais de Método: Foram obtidas 45 próteses em cera onde foram demarcados pontos nas superfícies incisal do incisivo central direito e nas cúspides dos segundo molares formando os segmentos A, B e C, para permitir suas mensurações através do software AutoCAD. A avaliação dos deslocamentos dos dentes artificiais foi realizada em diferentes situações, variando a espessura do silicone (1,25mm, 2,50 mm, e 3,75 mm) e a aplicação de diferentes cargas durante as prensagens (800 Kgf, 1000Kgf e 1200 Kgf). Resultados: Clinicamente, pode ser notado que a menor espessura de silicone com carga mais baixa produziu alterações menores. De um ponto de vista estatístico, não houve diferenças significantes. Conclusões: Em todos os grupos foram alteradas a posição dos dentes artificiais. Aqueles incluídos com camada de 1,25mm e 800Kgf mostrou as menores alterações, e com 3,75 milímetros as maiores

The influence of different thickness of the silicon layer and pressing load on the dimensional stability of dentures. Introduction: The dimensional alterations of denture base processing jeopardize adaptation and retention associated to altered occlusion, which are considered relevant factors for fabrication of complete dentures. Therefore, these changes should be minimized to produce prostheses with minor imperfections, considering the materials used, and the professional knowledge of the techniques of inclusion and polymerization. Objective: The aim of this study was to evaluate linear tooth displacement during processing of maxillary complete dentures submitted to three layers of silicon and three loads during pressing. Material and Method: 45 prostheses were obtained in wax and points were marked on incisal surface of right central incisor and cusp of second molars forming A, B and C segments to allow linear measurement of the replicas through the software AutoCAD. The evaluation of displacement of artificial teeth was carried out in different situations varying the thickness of silicone (1.25 mm, 2.50 mm, and 3.75 mm) and loads applied during the pressings (800 kgf, 1000Kgf and 1200 kgf). Results: Clinically it may be noted that the smaller thickness silicon with lower load produced minor changes. From a statistical point of view there were no significant differences. Conclusion: All groups have changed the position of the artificial teeth. Those included with 1.25 mm layer and 800Kgf showed minor changes and with 3.75 mm the largest

Deflexión transversa de materiales alternativos a base de polímeros para fabricación de base de dentadura / Transverse deflection of polymer-based alternative materials for the manufacturing of a denture base

En la actualidad se están desarrollando técnicas alternativas para la fabricación en tiempos cortos de prótesis totales en relación con la utilización de diferentes materiales para la base de dentadura. El propósito de este estudio fue comparar la deflexión transversa entre materiales a base de polímeros, propuestos como una alternativa a los materiales comúnmente utilizados para realizar una prótesis total en forma convencional. Se probaron resina acrílica termocurable, resina acrílica autocurable, láminas de acetato calibre 60 y 80 recubiertas con resina acrílica autocurable, resina acrílica fluida y resina fotopolimerizable para base de dentadura. Se fabricaron diez muestras de 65 x 10 x 2.5 mm de cada material. Las muestras se colocaron en agua a 37°C por 50 horas, se midió la deflexión transversa y se analizaron los resultados por análisis de varianza (ANOVA) de una vía. Los resultados mostraron que hubo diferencia estadísticamente significativa entre los grupos. Las láminas de acetato recubiertas con acrílico autocurable pueden ser una alternativa para la rápida fabricación de bases de dentadura de uso temporal.

Nowadays, alternative techniques are being developed for short-time manufacturing of full prostheses, entailing different materials for the denture base. The purpose of the present study was to compare transverse deflection among polymer-based materials currently proposed as an alternative to materials commonly used to conventionally manufacture a full prosthesis. For the denture base the following materials were tested: thermo-cured (setting) acrylic resin, self-cured acrylic resin, 60 and 80 gauge acetate sheets coated with self-cured acrylic resin, liquid (fluid) acrylic resin as well as light-cured resin. Ten 65 x 10 x 2.5 mm samples of each material were manufactured. The samples were placed in water at 37°C for 50 hours. Transverse deflection was measured and results were analyzed with the help of one-way analysis of variance (ANOVA). Results exhibited statistically significant differences among groups. Acetate sheets coated with self-cured acrylic could represent an alternative for the rapid manufacturing of temporary denture basis.

Factors affecting the bond strength of denture base and reline acrylic resins to base metal materials

OBJECTIVE: The shear bond strengths of two hard chairside reline resin materials and an auto-polymerizing denture base resin material to cast Ti and a Co-Cr alloy treated using four conditioning methods were investigated. MATERIAL AND METHODS: Disk specimens (diameter 10 mm and thickness 2.5 mm) were cast from pure Ti and Co-Cr alloy. The specimens were wet-ground to a final surface finish of 600 grit, air-dried, and treated with the following bonding systems: 1) air-abraded with 50-70-µm grain alumina (CON); 2) 1) + conditioned with a primer, including an acidic phosphonoacetate monomer (MHPA); 3) 1) + conditioned with a primer including a diphosphate monomer (MDP); 4) treated with a tribochemical system. Three resin materials were applied to each metal specimen. Shear bond strengths were determined before and after 10,000 thermocycles. RESULTS: The strengths decreased after thermocycling for all combinations. Among the resin materials assessed, the denture base material showed significantly (p<0.05) greater shear bond strengths than the two reline materials, except for the CON condition. After 10,000 thermocycles, the bond strengths of two reline materials decreased to less than 10 MPa for both metals. The bond strengths of the denture base material with MDP were sufficient: 34.56 MPa for cast Ti and 38.30 for Co-Cr alloy. CONCLUSION: Bonding of reline resin materials to metals assessed was clinically insufficient, regardless of metal type, surface treatment, and resin composition. For the relining of metal denture frameworks, a denture base material ...

Effect of diamond-like carbon thin film coated acrylic resin on candida albicans biofilm formation.

PURPOSE: The purpose of this study was to evaluate the effect of diamond-like carbon thin films doped and undoped with silver nanoparticles coating poly(methyl methacrylate) (PMMA) on Candida albicans biofilm formation. The control of biofilm formation is important to prevent oral diseases in denture users. MATERIALS AND METHODS: Forty-five PMMA disks were obtained, finished, cleaned in an ultrasonic bath, and divided into three groups: Gc, no surface coating (control group); Gdlc, coated with diamond-like carbon film; and Gag, coated with diamond-like carbon film doped with silver nanoparticles. The films were deposited using a reactive magnetron sputtering system (physical vapor deposition process). The specimens were characterized by optical profilometry, atomic force microscopy, and Rutherford backscattering spectroscopy analyses that determined differences in chemical composition and morphological structure. Following sterilization of the specimens by γ-ray irradiation, C. albicans (ATCC 18804) biofilms were formed by immersion in 2 ml of Sabouraud dextrose broth inoculated with a standardized fungal suspension. After 24 hours, the number of colony forming units (cfu) per specimen was counted. Data concerning biofilm formation were analyzed using ANOVA and the Tukey test (p < 0.05). RESULTS: C. albicans biofilm formation was significantly influenced by the films (p < 0.00001), reducing the number of cfu, while not affecting the roughness parameters (p > 0.05). The Tukey test showed no significant difference between Gdlc and Gag. Films deposited were extremely thin (∼50 nm). The silver particles presented a diameter between 60 and 120 nm and regular distribution throughout the film surface (to Gag). CONCLUSION: Diamond-like carbon films, doped or undoped with silver nanoparticles, coating the base of PMMA-based dentures could be an alternative procedure for preventing candidosis in denture users.

Impact strength of denture base and reline acrylic resins: An in vitro study.

This study evaluated the impact strength of a denture base resin (Lucitone 550-L) and four reline resins (Tokuyama Rebase II-T; Ufi Gel Hard-U; New Truliner-NT, and Kooliner-K), both intact and in a reline combination (L/L, L/T, L/U, L/NT, and L/K). For each group (n = 20), half of the specimens were thermocycled before testing. Charpy tests were performed, and the impact strengths were calculated. Data were analyzed by two-way analyses of variance and Tukey's test (p = 0.05). For the intact groups, mean impact strength values for L (1.65 and 1.50) were significantly higher than those of the reline resins (0.38-1.17). For the relined groups, the highest mean impact strength values were produced by L/T (5.76 and 5.12), L/NT (6.20 and 6.03), and L/K (5.60 and 5.31) and the lowest by L/U (0.76 and 0.78). There were no significant differences between L and L/L. Thermocycling reduced the impact strength of T (from 0.73 to 0.38) and L/L (from 1.82 to 1.56).

Estudo da resistência de união entre dentes de resina acrílica e bases de resina acrílica ativada termicamente por energia de microondas e poliamida em função de duas alturas de recobrimento cervical / Study of bond strength between acrylic resin teeth and acrylic resin bases thermally activated by microwave energy and polyamide according to two heights covering cervical

Esta pesquisa avaliou a resistência de união entre dentes de resina acrílica, uma base de RAAT e uma base de poliamida. Os corpos de prova foram preparados e divididos em seis grupos: quatro de poliamida e dois de resina acrílica ativada por microondas, que foi utilizada como controle. O teste de cisalhamento em 45º, foi feito em uma máquina de testes universal. Realizamos a análise dos dados através do teste não paramétrico de Kruskal-Wallis para comparação das medianas e o teste de comparações múltiplas de Dunn. As medianas de adesão variaram de 6,96 a 27,54Kgf. As maiores médias foram encontradas nos grupos controle (CB=28,89 e CI=14,23Kgf), no entanto, na maioria dos corpos de prova estudados não houve separação entre os dentes e a base de poliamida, em razão das características flexurais deste material.

This study investigated the bond strength between acrylic resin teeth, a polyamide base and a microwave polymerized acrylic resin denture bases. The specimens were prepared and divided in six groups: four of polyamide and two of acrylic resin, used as a control. A shear test was conducted in 45º, in an universal testing machine. Data were analysed using Kruskal-Wallis and multiple comparison Dunn’s test. The mean bond strength ranged from 6,96 to 27,54Kgf. Control group showed the greatest bond strength (CB=28,89 e CI=14,23Kgf), although in the great majority of the tested groups, there was no separation between the resin teeth and the polyamide base, due to flexural proprieties of this...

Avaliação in vitro da citotoxidade de resinas acrílicas para reembasamento baseadas em uma nova formulação / In vitro cytotoxicity evaluation of reline acrylic resins based on new formulation

O objetivo deste estudo foi determinar a citotoxicidade in vitro de duas resinas reembasadoras experimentais autopolimerizáveis contendo alta concentração de agentes de ligação cruzada, etilenoglicol dimetacrilato (EGDMA) e 1,4-butanodiol dimetacrilato (BDMA) comparadas com uma resina reembasadora comercial (Tokuyama Rebase Fast II). Foram confeccionados corpos-de-prova em forma de discos das três resinas acrílicas reembasadoras rígidas sob condições assépticas. Os fibroblastos (L929) foram cultivados em placas com 96 compartimentos e incubadas por 24 h em meio de cultura Eagle. Os extratos foram preparados, colocando-se três amostras de cada resina em frascos de vidro estéreis com 9 mL de meio de Eagle e incubadas a 37º C por 24 h. O efeito citotóxico dos extratos foram avaliados utilizando os testes de incorporação do 3 H-timidina e MTT, que refletem os níveis de síntese de DNA e metabolismo celular, respectivamente. Os dados foram analisados estatisticamente, utilizando análise de variância (P<0.05). Para o teste de incorporação do 3 H-timidina, não foram observadas diferenças significativas (P>0.05) entre os materiais. A média da quantidade do isótopo incorporado no DNA celular para todas as resinas acrílicas foi estatisticamente menor do que para o controle. Todas as resinas acrílicas foram classificadas pelo teste de incorporação do 3 Htimidina como moderadamente citotóxicas. Da mesma forma, para o teste do MTT, não foi encontrada diferença significativa para a citotoxicidade entre os materiais (P>0.05). Quando a citotoxidade foi comparado com o grupo controle, todas as resinas foram classificadas entre não citotóxicas e discretamente citotóxicas pelo teste do MTT. Assim, conclui-se que a incorporação dos agentes de ligação cruzada, EGDMA e BDMA não influenciaram significativamente sobre a citotoxicidade observada. Não houve diferença entre a viabilidade celular para os materiais avaliados em ambos os testes

The aim of this study was to determine the cytotoxicity in vitro of two trials autopolymerizing reline systems made with higher concentration of cross-linking agents, EGDMA and BDMA compared to a commercial reline resin. Sample disks of the three hard reline acrylic resins were fabricated under aseptic conditions. The Fibroblast L929 cells were cultured in 96-well plates and incubated for 24 h in Eagle's medium. Eluates were prepared by placing three samples into a sterile glass vial with 9 mL of Eagle's medium and incubating at 37ºC for 24 h. The cytotoxic effect from the eluates was evaluated using the 3H-thymidine incorporation and MTT assays, which reflect DNA synthesis levels and cell metabolism, respectively. The data were statistically analyzed by using the one-way analysis of variance (P<.05). With the 3H-thymidine incorporation assay, no significant differences (P > .05) were found between the materials. The mean quantity of isotope incorporated into cellular DNA for all acrylic resins was statistically smaller than for the control. All acrylic resins were graded by the 3Hthymidine incorporation assay as moderate cytotoxic. Similarly, with the MTT assay, no significant difference in cytotoxicity was found between the materials (P > .05). When the cytotoxicity was compared with control group, all resins assay were between non cytotoxic and slight cytotoxic by the MTT. The incorporation of cross-linking agents, EGDMA and BDMA had no significant influence on the cytotoxicity observed. There was no cell viability difference between all materials in both assays.

Avaliação in vitro da citotoxicidade de monômeros, plastificante e produtos de degradação liberados a partir de resinas para reembasamento imediato / In vitro cytotoxicity of monomers, plasticizer and degradation by-products released from hard chair side reline resin

O presente estudo teve como objetivo avaliar o efeito citotóxico dos monômeros isobutil metacrilato (IBMA) e 1,6 – Hexanediol dimetacrilato (1,6 – HDMA), do plastificante di-n-butil ftalato (DBP), e dos produtos de degradação ácido metacrílico (AM) e ácido benzóico (AB) sobre células L929. Esses compostos foram testados em faixas de concentrações liberadas, em um período de 30 dias, por materiais reembasadores rígidos, previamente quantificadas em estudos anteriores. O efeito citotóxico foi verificado por meio dos testes de MTT e 3H-timidina, após as células terem sido expostas às substâncias testadas nas concentrações estabelecidas. A classificação da citotoxicidade foi baseada na viabilidade celular em relação ao controle (células expostas ao meio sem as substâncias testadas). A atividade de síntese de DNA foi inibida por todos os compostos. Os resultados do presente estudo demonstraram que o teste de 3H-timidina foi mais sensível que o teste de MTT e que os compostos avaliados mostraram diferentes níveis de citotoxicidade in vitro. A atividade da desidrogenase mitocondrial diminuiu nas células tratadas com os monômeros, o plastificante e o produto de degradação AM; porém, para o AB, a maioria das concentrações testadas não apresentou efeito citotóxico.

The aim of this study was to evaluate the cytotoxic effect of the monomers 1,6 – hexanediol dimethacrylate (1,6 - HDMA) and isobutyl methacrylate (IBMA), the plasticizer di-n-butyl phthalate (DBP), and the degradation by-products methacrylic acid (MA) and benzoic acid (BA) on L929 cells. These compounds were tested in the range of concentrations released in 30 days from hard chairside reline resins that were quantified in previous investigations. Cytotoxic effects were assessed by using MTT and 3H - thymidine assays after the cells had been exposed to the test compounds at the given concentrations. Cytotoxicity was rated based on cell viability relative to controls (cells exposed to medium without test substances). The results presented in this study demonstrated that the 3H-thymidine assay was more sensitive than the MTT assay, and all compounds tested showed varying degrees of cytotoxic effect in vitro. DNA synthesis activity was inhibited by all compounds. Mitochondrial dehydrogenase activity decreased in cells treated with monomers, plasticizer and MA by-product, whereas no cytotoxic effect was observed on contact with BA at the majority of concentrations tested.

Effect of repeated simulated disinfections by microwave energy on the complete denture base adaptation.

This study evaluated the effect of repeated microwave disinfections on the adaptation of the maxillar denture base using 2 different flask closure methods. Twenty stone cast-wax base sets were prepared for flasking by traditional cramp or RS system methods. Five bases for each method were submitted to 5 repeated simulated disinfections in a microwave oven with 650W for 3 minutes. Control bases were not disinfected. Three transverse cuts were made through each stone cast-resin base set, corresponding to canine, first molar, and posterior region. Measurements were made using an optical micrometer at 5 points for each cut to determine base adaptation: left and right marginal limits of the flanges, left and right ridge crests, and midline. Results for base adaptation performed by the flask closure methods were: traditional cramp (non-disinfected = 0.21 +/- 0.05mm and disinfected = 0.22 +/- 0.05mm), and RS system (non-disinfected = 0.16 +/- 0.05 and disinfected = 0.17 +/- 0.04mm). Collected data were submitted to ANOVA and Tukey test (alpha=.05). Repeated simulated disinfections by microwave energy did not cause deleterious effect on the base adaptation, when the traditional cramp and RS system flask closure methods were compared.