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Preformed acrylic cranial implants using fused deposition modeling: a clinical report.

Fabrication of acrylic cranial implants by conventional methods of moulage and mold formation may be difficult when the margin of the defect cannot be accurately detected. Three-dimensional anatomic models built by fused deposition modeling can serve as templates for the fabrication of custom acrylic implants for large or complicated cranial defects. Virtual mirror imaging of the contralateral nondefect side can facilitate the restoration of symmetry in appearance-sensitive areas. This clinical report presents a method for the fabrication of cranial implants for 2 patients using anatomic modeling technology.

Acrylic Resins↗

A clinical comparison of single-piece and three-piece truncated hydrophobic acrylic intraocular lenses.

PURPOSE: To determine the clinical differences between three-piece (3P) and single-piece (SP) truncated hydrophobic acrylic intraocular lenses (IOL). DESIGN: Retrospective cohort clinical study. METHODS: The setting was an academic clinical practice. The patient population consisted of subjects without confounding comorbidity that could effect central vision with at least 1-year follow-up after uncomplicated surgical placement of 3P or SP IOLs in the capsular bag and at least 20/25 best-corrected postoperative vision documented. Observation procedures were as follows: logarithm of the minimal angle of resolution (LogMAR) visual acuity (uncorrected and best corrected), digital retroillumination photographs to ascertain posterior capsular opacification (PCO), anterior capsular opacification (ACO), IOL centration, and refractive stability by comparing this refraction with the early postoperative refraction. Patients completed a dysphotopsia questionnaire. Main outcome measures were as follows: LogMAR visual acuity (uncorrected and best corrected), PCO, ACO, IOL centration, refractive stability, and dysphotopsia outcomes comparing 3P and SP. RESULTS: Seventy-five patients were enrolled (36 3P and 39 SP). Corrected and uncorrected visual acuity, refractive stability, and IOL centration were similar. Single piece truncated hydrophobic acrylic intraocular lenses had more PCO (P =.013), less ACO (P =.001), less central flash looking at a peripheral light (P =.044), and less unwanted images to the side of a light source (P =.025) . CONCLUSIONS: Although similar in centration and refractive stability, SP has more PCO, less ACO, and less dysphotopsia than 3P.

Acrylic Resins↗

Migration of lens epithelial cells through haptic root of single-piece acrylic-foldable intraocular lens.

PURPOSE: To report a case of posterior capsule opacification after cataract surgery due to lens epithelial cell migration through the haptic root of a single-piece acrylic-foldable intraocular lens. DESIGN: Interventional case report. METHODS: A 60-year-old man with senile cataract underwent phacoemulsification and implantation of single-piece acrylic intraocular lens having thick and wide haptic loops. RESULTS: There were no operative or short-term postoperative complications, and patient's visual acuity was 20/20 on the day following surgery. At 19 months postoperatively, we observed posterior capsule opacity extending from the base of the intraocular lens loops. CONCLUSION: Broad and thick haptic root can be a path through which lens epithelial cells migrate toward the center of the posterior capsule, forming posterior capsule opacification.

Acrylic Resins↗

Stress fractures after folding an acrylic intraocular lens.

PURPOSE: To manage the complication of stress fractures in foldable acrylic intraocular lenses. METHODS: During an implantation of a foldable acrylic intraocular lens (AcrySof, Alcon Laboratories, Fort Worth, Texas), the optic was noted to have developed paracentral stress fractures along the fold approximately 50% deep. RESULTS: The lens was explanted and replaced without difficulty. CONCLUSIONS: The observed complication can be avoided by recognizing that it might occur, wetting the lens before slowly folding it, and inspecting it carefully before insertion.

Acrylates↗

The effect of time lapse on the accuracy of two acrylic resins used to assemble an implant framework for soldering.

STATEMENT OF PROBLEM: There are insufficient data on the accuracy of resin indexing materials for the assembly of implant prostheses in vivo. MATERIAL AND METHODS: This in vitro study assessed the fit of an implant framework with the use of 2 common acrylic resins. PURPOSE: A standardized type IV gold alloy cast framework with 3 stainless steel implant replicas secured to 3 premachined gold cylinders placed 200 mm apart using a parallelometer was fabricated on a flat type IV stone model. Wax was placed around the center of each bar section, and a silicone matrix was fabricated to enable the same quantity of material to be used for each assembly. Each bar was sectioned at the center of the matrix, and indices (n=20) were fabricated from Duralay and GC Pattern acrylic resins. The materials were allowed to polymerize for 15 minutes before the assemblies were removed from the model. Frameworks were visually assessed for fit after an additional 15 minutes, after 2 hours, and after 24 hours, using the Sheffield 1-screw test. Observational outcomes are presented indicating visually perceived fit relative to the type of indexing resin. RESULTS: Both indexing materials were judged to be visually accurate at the 15-minute time interval only. CONCLUSION: Within the limitations of this in vitro study, both resin-indexed implant assemblies were judged visually accurate for fit 15 minutes after polymerization but not at subsequent test intervals.

Acrylic Resins↗

Cytotoxicity of denture base acrylic resins: a literature review.

Acrylic resins are widely used in the fabrication of denture bases and have been shown to be cytotoxic as a result of substances that leach from the resin. The primary eluate is residual monomer. Numerous reports suggest that residual monomer may be responsible for mucosal irritation and sensitization of tissues. This information is important, not only to assess the biologic effects of such materials, but also to enable a comparison among the different polymerization methods, thus assisting the clinician in selecting a material with minimal cytotoxicity. This article reviews the literature published from 1973 to 2000, selected by use of a Medline search, associated with cytotoxic effects usually ascribed to acrylic denture base materials.

Acrylic Resins↗

In-depth disinfection of acrylic resins.

This study demonstrated that bacteria penetrate three kinds of dental acrylic resin after a short time period. Samples of acrylic resin were contaminated with a variety of bacteria and were then placed in three different disinfecting solutions as directed by the manufacturers. After the specific dilution and immersion time, cultures were made from the resin samples. The only effective disinfectant was a 0.525% solution of sodium hypochlorite at a 10-minute immersion. It disinfected not only the surfaces but also the bacteria that penetrated the surfaces to a depth of 3 mm.

Acrylic Resins↗

Acrylic resin denture repair with adhesive resin and metal wires: effects on strength parameters.

The fracture of acrylic resin dentures is an unresolved problem in prosthodontics. In this study one brand of denture base acrylic resin was used to make specimens in the form of strips and maxillary denture bases. The specimens were cut and repaired with one type of an autopolymerizing adhesive resin and metal wires. The mechanical properties of the repaired specimens were measured, and the efficiency of each method was evaluated. The statistical results of this study revealed that geometric characteristics of a maxillary denture combined with the shape and pretreatment of reinforcement were the controlling factors for the overall mechanical behavior. Furthermore this study revealed that data with clinical significance can only be obtained by testing specimens similar to the original items used in dental practice.

Acrylic Resins↗

Craniofacial osseointegration: technique for bar and acrylic resin substructure construction for auricular prostheses.

Retention of auricular prostheses with adhesives is frequently problematic. Craniofacial osseointegrated implants have become an accepted biotechnique used in auricular reconstruction. This article describes a procedure for bar and acrylic resin substructure construction that allows for the incorporation of desired features. The most common means of retaining auricular prostheses is with bar and clip systems. For auricular prostheses, two implants are placed with the bar designed to minimize torquing on the implants and to facilitate hygiene. Additionally, the bar should not have to be removed from the patient when new prostheses are to be constructed. The procedure provides for a more biomechanically effective bar construction and efficient means of constructing replicate acrylic resin substructures.

Acrylic Resins↗

The effects of surface machining on heat cured acrylic resin and two soft denture base materials: a scanning electron microscope and confocal microscope evaluation.

STATEMENT OF PROBLEM: Rough surfaces promote the adhesion and colonization of denture plaque, therefore it is important to know the character of the surface left by rotary instruments on denture base materials. As a single microscopic technique can introduce artifact, complementary microscope techniques need to be used. PURPOSE: This study investigated the surface characteristics of the machined surfaces of heat-cured acrylic resin, Molloplast B and Novus. MATERIAL AND METHODS: Scanning electron microscopy and confocal microscopy were used to investigate surfaces that had been prepared with appropriate clinical rotary instruments. Thirty samples of each material were prepared with steel and tungsten carbide burs, Molloplast stones, and Arbor bands. An analysis of variance, with the Scheffe multiple comparison of means test, was used to compare average surface roughness of the individual surfaces. RESULTS: The tungsten carbide bur produced a smoother nongrooved surface than the steel bur on acrylic resin. The roughest surfaces were produced on the soft lining materials by the Arbor band and Molloplast stone. CONCLUSIONS: The confocal microscope is a valuable complementary instrument to scanning electron microscopy and provides surface roughness data by using a noncontact method. Each type of rotary instrument produces its own characteristic surface on denture base materials.

Acrylic Resins↗

Composite occlusal surfaces for acrylic resin denture teeth.

Acrylic resin denture teeth often exhibit rapid occlusal wear, which may lead to a loss of chewing efficiency and a loss of vertical dimension of occlusion. The use of metal occlusal surfaces on the acrylic resin denture teeth will minimize occlusal wear. Several articles have described methods to construct metal occlusal surfaces; however, these methods are time-consuming, costly, and sometimes considered to be unesthetic. These methods also require that the patient be without the prosthesis for the time necessary to perform the laboratory procedures. This article presents a quick, simple, and relatively inexpensive procedure for construction of composite occlusal surfaces on complete and partial dentures.

Acrylic Resins↗

Achieving an even thickness in heat-polymerized permanent acrylic resin denture bases for complete dentures.

Permanent denture bases form the fitting surface of a denture and are constructed on a master cast, in heat-polymerized acrylic resin. These bases are strong and rigid and demonstrate both the fit and retention of the final prosthesis. General recommendations suggests a thickness of between 1.5 to 3 mm for these bases. The normal procedure for producing such a denture base is to manually adapt materials to the cast, in their plastic state, before processing. Such procedures are liable to distortion and variation in the thickness of the resultant denture base and may be unreliable. This article describes a method for achieving a consistent thickness in a heat-polymerized, permanent, acrylic resin denture base through the use of a vacuum-formed, thermoplastic blank as a template. The method is simple, and results in a denture base with a consistent even thickness.

Acrylic Resins↗

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↗

Color stability of denture base acrylic resins in three food colorants.

STATEMENT OF PROBLEM: Three commonly used artificial dyes in food technology are erythrosine, tartrazine, and sunset yellow. PURPOSE: The color stability of 5 commercially available denture base acrylic resins (QC-20, Meliodent, Trevalon, Trevalon High, and Lucitone) was studied in vitro. METHODS: The specimens were exposed to 3% erythrosine, tartrazine, and sunset yellow solutions at 23 degrees C +/- 1 degrees C. Color changes were determined with a computer-controlled spectrophotometer. Five specimens from each material were processed, and initial color measurements were made after 1, 3, and 6 months of exposure to the staining solutions. Finally, the color stability was quantitatively measured again, and color differences (DeltaE) were calculated. RESULTS: For the observations made in 1, 3, and 6 months intervals, the specimens that exhibited the least color change were in the sunset yellow solution. The greatest color changes observed according to the National Bureau of Standards unit system were Lucitone (2.71) in erythrosine solution, Lucitone (2.54), QC-20 (1.71) in tartrazine solution, and QC-20 (1.66) in sunset yellow solution. The changes in the other acrylic resins in the 3 solutions were slight and at trace level. CONCLUSIONS: All materials tested were acceptable from the standpoint of color stability for long-term exposure to these food colorants.

Acrylic Resins↗

A preliminary in vivo assessment of acrylic acid graft-copolymers in the urinary tract.

Polymers such as polyethylene, polytetrafluorethylene and polypropylene may be copolymerized with acrylic acid by radiation initiation to produce copolymers which are cationic hydrogels and thus possess physical properties different to the base polymers from which they are derived. The present preliminary study was undertaken to determine whether this class of material may have potential application for use within the urinary tract. Inserts of such copolymers in sheet form (5 mm. square) and their corresponding base polymers were placed in the bladders of male Wistar rats as free floating grafts and left in situ for 3 months. Stone formation and/or encrustation occurred on 12 of the 16 radiation graft copolymers and on 9 of 11 of the corresponding base polymers. The altered physical properties of the tested acrylic acid graft copolymers appear to offer no additional resistance to encrustation although their plasticity and ability to swell in water may provide some advantages over more conventional polymeric materials.

Acrylates↗

Pressure and temperature changes in heat-cured acrylic resin during processing.

OBJECTIVES: The aims of this study were to measure the pressure and temperature changes of acrylic resin during processing, to record the highest temperature reached when fast cured in boiling water and to determine the elevated boiling point of monomer under high pressure. METHODS: A subminiature pressure transducer (temperature compensated to 94 degrees C) and a thermocouple were placed on the palate of a standardized maxillary complete denture base. A heat-cured resin (Trevalon C) was polymerized by a long heating cycle (72 degrees C for 6.5 h and 92 degrees C for 1.5 h). Recordings of pressure and temperature (n=6) were made at initial clamping of denture flasks and throughout the processing cycles of resin. The temperature of the resin was also monitored during a fast cycle, which was accomplished by placing the flask directly into boiling water for 40 min. RESULTS: The pressure of acrylic dough inside the clamped flask was initially 11.5 atm (SD=3.2) and reached a peak of 22.0 atm (SD=3.5) during the long heating cycle. The elevated boiling point of monomer at increased pressure was calculated to be about 193 degrees C (at 11.5 atm) and 228 degrees C (at 22.0 atm). These elevated boiling points are higher than the maximum temperature 131 degrees C (SD=6.6) reached during the fast curing cycle. No porosity was observed even in the denture bases heat-cured by the fast cycle. SIGNIFICANCE: The highest temperature reached by heating of resin during processing is well below the elevated boiling point of monomer. Monomer therefore does not boil in clamped denture flasks under sufficient pressure. Thus adequate clamp pressure prevents gaseous porosity irrespective of curing cycle used.

Acrylic Resins↗

A novel mucoadhesive polymer prepared by template polymerization of acrylic acid in the presence of chitosan.

A novel mucoadhesive polymer was prepared by template polymerization of acrylic acid in the presence of chitosan for transmucosal drug delivery system (TMD). FT-IR results indicated that polymer complex was formed between poly(acrylic acid) (PAA) and chitosan through hydrogen bonding. Glass transition temperature (Tg) of chitosan and PAA in the PAA/chitosan polymer complexes was inner-shifted compared with Tg of chitosan and PAA itself. This may be due to the increased miscibility of PAA with chitosan through the hydrogen bonding. The crystallinity of chitosan in the PAA/chitosan polymer complexes was decreased with polymer complex formation with PAA. The dissolution rate of the PAA/chitosan polymer complex was dependent on pH and ratio of PAA/chitosan. The mucoadhesive force of PAA/chitosan polymer complex was similar to a commericial product, Carbopol 971P NF.

Acrylates↗

Release of triamcinolone acetonide from mucoadhesive polymer composed of chitosan and poly(acrylic acid) in vitro.

Transmucosal drug delivery (TMD) system using mucoadhesive polymer has been recently interested due to the rapid onset of action, high blood level, avoidance of the first-pass effect and the exposure of the drug to the gastrointestinal tract. A novel mucoadhesive polymer complex composed of chitosan and poly(acrylic acid) (PAA) was prepared by template polymerization of acrylic acid in the presence of chitosan for the TMD system. Triamcinolone acetonide (TAA) was loaded into the chitosan/PAA polymer complex film. TAA was evenly dispersed in chitosan, PAA polymer complex film without interaction with polymer complex. Release behavior of TAA from the mucoadhesive polymer film was dependent on time, pH, loading content of drug, and chitosan PAA ratio. The analysis of the drug release from the mucoadhesive film showed that TAA might be released from the chitosan/PAA polymer complex film through non-Fickian diffusion mechanism.

Acrylic Resins↗