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Prospective intrapatient comparison of 6.0-millimeter optic single-piece and 3-piece hydrophobic acrylic foldable intraocular lenses.

PURPOSE: To compare postoperative performance and stability of 6.0-mm optic single- and 3-piece acrylic foldable intraocular lenses (IOLs). DESIGN: Prospective, randomized, self-controlled trial. PARTICIPANTS: Eighty eyes of 40 patients with bilateral senile cataracts. INTERVENTION: Phacoemulsification and IOL implantation were performed. One eye of a patient was randomly assigned to the SA60AT single-piece IOL, and the contralateral eye was allocated to the MA60AC 3-piece IOL. MAIN OUTCOME MEASURES: Best-corrected visual acuity (BCVA), spherical equivalent, aqueous flare intensity, anterior chamber depth, amount of IOL decentration and tilt, area of anterior capsule opening, and degree of posterior capsule opacification (PCO) were measured 2 days, 1 week, and 1, 3, 6, and 12 months after surgery. Specular microscopy was performed at 12 months postoperatively. RESULTS: In the SA60AT group, the anterior chamber depth did not show significant changes after surgery (P>0.05; paired t test), and the refraction remained highly stable throughout the 1-year study period. The MA60AC group showed significant shallowing of the anterior chamber (P<0.05) and a myopic shift (P<0.05) up to 1 month after surgery. There were no significant differences between the 2 groups (P>0.05) in BCVA, aqueous flare intensity, the amount of IOL decentration, IOL tilt, area of anterior capsule opening, and degree of PCO throughout the 12-month follow-up period. CONCLUSIONS: Both the SA60AT single-piece and MA60AC 3-piece lenses showed a minimum amount of decentration, tilt, anterior capsule contraction, and PCO. Although the MA60AC showed significant forward shift and myopic refractive changes after surgery, the SA60AT displayed little axial movement associated with highly stable refraction after surgery. This feature of the SA60AT should facilitate earlier spectacle prescription and quicker visual/social rehabilitation of patients after cataract surgery.

Acrylic Resins↗

Effect of chemical disinfectants on the transverse strength of heat-polymerized acrylic resins submitted to mechanical and chemical polishing.

STATEMENT OF PROBLEM: Immersion in chemical solutions used for cleansing and disinfecting prostheses can decrease the strength of denture base resins, making them more prone to fracture during use. PURPOSE: The purpose of this study was to assess the effect of immersion in different chemical disinfectants for varying time periods on the transverse strength of 3 mechanically or chemically polished heat-polymerized acrylic resins. MATERIAL AND METHODS: A total of 630 rectangular specimens (65 x 10 x 3 mm), 210 per resin (Classico, Lucitone 550, and QC-20), were fabricated. One side of each specimen was not polished and the other was either mechanically (n=300) or chemically (n=300) polished, and immersed for 10, 20, 30, 45, or 60 minutes in either 1%, 2.5%, or 5.25% sodium hypochlorite or 2% glutaraldehyde. Mechanically polished (n=15) and chemically polished (n=15) control specimens were immersed only in distilled water. The transverse strength (N/mm 2 ) was tested for failure in a universal testing machine, at a crosshead speed of 5 mm/min. Data were statistically analyzed using 2-way ANOVA and Student t test. Multiple comparisons were performed using Tukey and Scheffe tests (alpha=.05). RESULTS: There was significant difference (P < .01) between types of polishing, with chemical polishing resulting in lower transverse strength. ANOVA identified significant differences (P < .01) in strength between mechanically polished Lucitone 550 and QC-20, and among all 3 chemically polished resins. No significant differences were observed between resins submitted to both types of polishing or between different immersion periods (10 to 60 minutes), disinfectants, or interaction. CONCLUSIONS: Lucitone 550 resin presented the greatest transverse strength values with both types of polishing. Among the mechanically and chemically polished specimens, transverse strength was not affected after immersion in the disinfectants for the immersion periods tested (10 to 60 minutes). Chemically polished control and experimental (immersed in all solutions) QC-20 specimens showed significant differences in transverse strength values.

Acrylic Resins↗

Hardness of heat-polymerized acrylic resins after disinfection and long-term water immersion.

STATEMENT OF THE PROBLEM: In selecting a disinfectant for dental prostheses, compatibility between the disinfectant and the type of denture base material must be considered to avoid adverse effects on the hardness of the acrylic resin. PURPOSE: This study investigated the hardness of 2 denture base resins after disinfection and long-term water immersion. MATERIAL AND METHODS: Thirty-two disk-shaped specimens (13 mm in diameter and 8 mm thick) were fabricated from each resin (Lucitone 550 and QC-20), polished, stored in water at 37 degrees C for 48 hours, and submitted to hardness tests (Vickers hardness number [VHN]) before disinfection. Disinfection methods included scrubbing with 4% chlorhexidine gluconate for 1 minute, immersion for 10 minutes in 1 of the tested disinfectant solutions (n=8) (3.78% sodium perborate, 4% chlorhexidine gluconate, or 1% sodium hypochorite), and immersion in water for 3 minutes. The disinfection procedures were repeated 4 times, and 12 hardness measurements were made on each specimen. Control specimens (not disinfected) were stored in water for 56 minutes. Hardness tests (VHN) were also performed after 15, 30, 60, 90, and 120 days of storage in water. Statistical analyses of data were conducted with a repeated measures 3-way analysis of variance (ANOVA) and Tukey post-hoc test (alpha=.05). RESULTS: Mean values +/- SD for Lucitone 550 (16.52 +/- 0.94 VHN) and QC-20 (9.61 +/- 0.62 VHN) demonstrated a significant (P <.05) decrease in hardness after disinfection, regardless of material and disinfectant solutions used (Lucitone 550: 15.25 +/- 0.74; QC-20: 8.09 +/- 0.39). However, this effect was reversed after 15 days of storage in water. Both materials exhibited a continuous increase (P <.05) in hardness values for up to 60 days of water storage, after which no significant change was observed. CONCLUSION: Within the limitations of this in vitro study, QC-20 and Lucitone 550 specimens exhibited significantly lower hardness values after disinfection regardless of the disinfectant solution used.

Acrylic Resins↗

Comparative evaluation of coagulase-negative staphylococci (CoNS) adherence to acrylic by a static method and a parallel-plate flow dynamic method.

The main goal of this work was to evaluate the adhesion to acrylic of several clinical strains of Staphylococcus epidermidis and Staphylococcus haemolyticus using both static and dynamic adhesion methods, and to compare the results obtained with these two methods. Adhesion was evaluated using the static slide method with different washing procedures, and the parallel plate flow chamber method. The extent of S. epidermidis adhesion, assessed by both methods, was greater than that of S. haemolyticus. The number of bacteria which adhered using the static method was lower than that using the dynamic method. It was found that the simple static method, when performed with an accurate washing procedure, can be as effective as the dynamic flow method for assessing differences in the adherence capacity of strains. Although the dynamic flow method yielded more overall information, its greater complexity and cost may not always justify its use for certain experimental comparisons. This investigation has shown that simple static adhesion methods, when performed accurately, can be used to evaluate differences in adhesion capacity.

Acrylates↗

Molar mass characterization of cationic methyl methacrylate-ethyl acrylate copolymers using size-exclusion chromatography with online multi-angle light scattering and refractometric detection.

Size-exclusion chromatography (SEC) combined with online multi-angle light scattering (MALS) and refractometric (RI) detection has been employed for the molar mass characterisation of water-insoluble cationic methyl methacrylate-ethyl acrylate copolymers (Eudragit RS and RL). Due to their positive charge, cationic polymers are particularly difficult to separate on a SEC column, in worst cases being completely adsorbed on the oppositely charged packing material. This work has examined how a careful addition of salt (LiCl) to the copolymer solution in ethanol decreases the electrostatic interactions, clearly seen as a decrease in elution volume from the SEC column as well as an improved recovery. At a certain level of ionic strength, typically about 50 mM, the copolymer recovery from the SEC column reached 100% and molar mass distributions corresponding to the complete sample could be obtained. The combined MALS/RI detection gives the opportunity to measure the absolute molar mass independent of recovery and retention. Thus, in this study, it turned out to be a favourable tool for tracing the changes in elution behaviour of the charged copolymer as the ionic strength was increased.

Acrylates↗

Butyl acrylate porous polymer monoliths in fused-silica capillaries for use in capillary electrochromatography.

Capillary electrochromatography incorporates features of both capillary electrophoresis and liquid chromatography. Butyl acrylate polymers, cast in-situ with heat initiated polymerization and no retaining frits have been made. Van Deemter plots of chrysene have been examined at a variety of operating temperatures to examine column behavior. Hmin moves to faster flow-rates and increases slightly in magnitude as temperature is increased. The longevity and reproducibility of the columns have been examined with a homologous series. Performance is very reproducible between two different columns of different diameters, operated on different systems and prepared from the same polymeriation batch. The relative standard deviation of retention factors is a maximum of 3.1% with most values calculated at less than 1%. The uniformity of the polymers as a function of length has also been studied with a series of polycyclic aromatic hydrocarbons, and the columns have proved to be very uniform across their length as measured by the consistency of retention factors with a maximum relative standard deviation of 3.4% and most values calculated between 1 and 2%. Plate numbers of between 65000 and 80000 plates/m have been attained for compounds with retention factors of 3 to 12. These columns have proved easy to make, are quite reproducible, and long lived.

Acrylates↗

Capillary electrochromatography with monolithic stationary phases. III. Evaluation of the electrochromatographic retention of neutral and charged solutes on cationic stearyl-acrylate monoliths and the separation of water-soluble proteins and membrane proteins.

This article, which is closely related to part II, is concerned with the evaluation of the retentive properties of cationic stearyl-acrylate monoliths (i.e. cationic C17 monoliths) over a wide range of elution conditions with various uncharged and charged solutes including proteins. The retention parameters for charged solutes including the retention factor k* observed under capillary electrochromatography conditions and the velocity factor k(ep)*, which reflects the electrophoretic process, were measured for weak, moderate and strong basic compounds. These retention parameters allowed the assessment of the respective contributions from electrophoretic and partitioning separation mechanisms. The cationic C17 monoliths exhibited sufficient hydrophobic interactions with relatively weak basic solutes. Moderate and strong bases showed migration behaviors dominated by their relatively strong electrophoretic mobility with marginal chromatographic partitioning. At low pH, the cationic C17 monoliths allowed the separation of proteins with minimum electrostatic interactions between proteins and the cationic sites on the surface of the stationary phase. The utility of the cationic C17 monoliths was demonstrated in the rapid and efficient separation of two crude extracts of membrane proteins, namely galactosyl transferase and cytochrome c reductase. Short capillary columns (8.5 cm effective length) of the cationic C17 monoliths allowed rapid and efficient separations of neutral and charged pesticides and metabolites, phenylthiohydrantoin amino acids and proteins at the time scale of seconds at relatively high flow velocity.

Acrylates↗

Locking acrylic resin dental stent for image-guided surgery.

This article presents a procedure for fabricating a locking acrylic resin dental stent for use in image-guided base-of-skull surgery and neurosurgery. The stent offers advantages over conventional bone screw-anchored systems to surgeons and patients. In view of the increasing use of image guidance in base-of-skull surgery and neurosurgery, prosthodontists will meet a growing demand for this type of device in the future.

Acrylic Resins↗

Properties of highly cross-linked autopolymerizing reline acrylic resins.

Transverse bend strength tests and water sorption and solubility tests were done to compare the properties of highly cross-linked autopolymerizing reline resin with those of conventional non-cross-linked autopolymerizing reline resins. The relationship between composition and properties of autopolymerizing reline resins was also investigated. Highly cross-linked reline resins and the one that contained mainly poly(methyl methacrylate) and methyl methacrylate had a higher transverse bend strength and modulus of elasticity than the other reline resins (p < 0.01). The highly cross-linked reline resins also had significantly lower water sorption than the other reline resins (p < 0.01). Reline resins, except for one, had significantly higher solubility than heat-polymerizing denture base acrylic resins (p < 0.01).

Acrylic Resins↗

Acrylic resin copings: an adjunct to fixed restorative dentistry.

A simple technique for fabricating and several uses for acrylic resin copings have been presented. These techniques apply to many aspects of restorative dentistry and often are used in combination with each other. Master cast fabrication, interocclusal registrations, and verification of die accuracy can be done using the copings during a one-appointment sequence. The use of resin copings is especially helpful for the inexperienced dentist, permitting high quality dentistry with a minimum of mistakes and frustations. For the experienced fixed prosthodontist they provide another approach to treatment.

Acrylic Resins↗

Composition and effect of denture base resin surface primers for reline acrylic resins.

This study investigated the effect of resin surface primers for reline acrylic resins on the surface texture of denture base resin by use of scanning electron microscopy. Analysis of the composition of the primers was also conducted. The composition of the primers was classified into three groups: solvent based, monomer based, and monomer and polymer based. Scanning electron microscopic observation revealed various effects of the primers on the denture base resin surface, which depended on the composition of primers.

Acetone↗

Acrylic resin labial flange for a Kennedy Class I partial denture: a clinical report.

Traditionally the distal extension mandibular RPD is designed with the use of major connectors in cobalt chromium alloy with its associated clasping systems. However when few teeth remain, especially in the mandible, it may be helpful to use an alternative method of treatment, such as this acrylic resin labial denture design to provide as inexpensive interim alternative. The design allows easy additions of artificial teeth to the denture. Patients on whom this design is used should pursue an intense course of oral hygiene to maintain the condition of the periodontium and ridge.

Acrylic Resins↗

Retention of oral microorganisms on cobalt-chromium alloy and dental acrylic resin with different surface finishes.

STATEMENT OF PROBLEM: The effect of surface finish of dental materials on the subsequent contamination by microorganisms. PURPOSE: This study compared the retention of Streptococcus oralis, Actinomyces viscosus, and Candida albicans on polished, sandblasted (fine and coarse) and electrobrightened cobalt-chromium alloy and dental acrylic resin to assess in vitro the effect of such techniques on prosthesis contamination. MATERIAL AND METHODS: Standardized cell suspensions were incubated with test materials for 1 hour at 37 degrees C, after which retained cells were counted by using image analysis (percentage area of a microscopic field covered by cells). RESULTS: Retention of bacterial cells was substantial (S oralis 12% to 20% and A viscosus 9% to 16%) irrespective of surface finish. Maximal retention was observed on cobalt-chromium alloy that had undergone fine sandblasting and electrobrightening (P < .01). For C albicans, an increase in surface roughness (0.15 to 3.53 microns) resulted in an increase in retention (3% to 9%). CONCLUSION: Cell size and the type of roughening significantly affected the retention of microorganisms on surfaces. Electrobrightening of cobalt-chromium alloy did not reduce the surface roughness or subsequent cell attachment.

Acrylic Resins↗

Processed acrylic resin provisional restoration with lingual cast metal framework.

Fixed provisional prostheses are fabricated to maintain, improve, and/or change oral function and esthetics for varying periods. It is important to know when to provide a provisional prostheses and how to make one so that it will meet the needs of the patient. This article describes a modification of the design of a cast metal reinforced processed acrylic resin provisional restoration for extensive, long-term reconstruction with implants, because some of the treatments rendered to patients require temporization for up to 2 years. This design has been used by the authors since 1991, and has resulted in fewer problems of fracture of the provisional restorations. In addition, removable partial dentures are rarely needed, even when large spans exist between remaining abutments in serial extractions. This procedure also permits performing guided bone regeneration for deficient ridges without the problem of transmucosal loading, while still maintaining the patient's esthetics and function after surgery.

Acrylic Resins↗

Inhibition of plasmin activity by sulfated polyvinylalcohol-acrylate copolymers.

The effect of four sulfated polyvinylalcohol-acrylate copolymers and heparin on plasminogen activation and on plasmin activity is studied. The molecules differing in charge (proportion of negatively charged units 40.5%-73.5% of the total) and in size (5600 Da-8800 Da) accelerate plasminogen activation by 2- up to 4-fold at a 7-fold molar excess of the polyvinylacrylates over plasminogen. They, however, exert a concentration and charge-dependent effect on plasmin: both the amidolytic (half-maximal effect at a 1.33-3.66 molar excess of the polyvinylacrylates) and fibrinolytic (half-maximal effect at 1.23-1.72 molar excess of the polyvinylacrylates) activities of plasmin are inhibited. In contrast, heparin (a similarly carboxylated and sulfated polymer) and polyvinylacrylates with a low number of sulfate groups (30% sulfated monomers) at concentrations up to 2.2 microM do not affect plasminogen activation and plasmin activity in a milieu of physiological ionic strength. Experiments with plasmin derivatives lacking N-terminal peptides of different length (des-kringle(1-4) and des-kringle(1-5) plasmin) show identical changes in the protease activities, precluding involvement of the kringle-domain in the interaction with the polyvinylacrylates. Fluorescence studies evidence the charge-dependent binding of the polyvinylacrylates to plasmin, but not to plasminogen. Thus, through non-covalent interaction with the protease-domain of plasmin the polyvinylacrylates inhibit fibrinolysis. Since these sulfated copolymers inhibit both thrombin [4] and plasmin activity, they may be a useful therapeutic tool in situations when both the blood coagulation and the fibrinolytic system are activated (such as intravascular coagulation and fibrinolysis, ICF).

Acrylic Resins↗

Residual monomer concentrations in denture-base acrylic resin after an additional, soft-liner, heat-cure cycle.

OBJECTIVES: To determine the effects on methylmethacrylate (MMA) monomer concentration of a second heat-cure cycle introduced for the purpose of processing a denture soft-liner. METHODS: Two denture-base resins (Lucitone199 and Trevalon; Dentsply International, York, PA, USA) were selected. Heat-cure cycles were S (73 degrees C/90 min + 100 degrees C/30 min); L (73 degrees C/9 h); SM (S + 100 degrees C/2 h); LM (L + 100 degrees C/2 h). Cycles SM and LM thus simulated the effect of a further, soft-liner, heat-cure cycle. Groups (n = 6) of the specimens of the denture-base were prepared in the form of thin polymer disks. Monomer was then obtained from the broken fragments of disks by acetone extraction. Concentrations of MMA monomer were determined by reversed-phase high performance liquid chromatography (HPLC). Two-way ANOVA and independent sample t-tests were used to compare the results. RESULTS: The cycle S, applied to Lucitone199, gave a mean concentration of 1.95 wt% MMA (SD 0.24). The cycle L gave the highest level of residual concentration of MMA monomer in both materials. Cycles SM and LM, applied to Trevalon and Lucitone199, gave significant reductions of residual concentration of MMA monomer (p < 0.05). SIGNIFICANCE: The HPLC method was suitable for determining the amount of residual monomer in the denture-base acrylic resin. A further (soft-liner) heat-cure cycle had a statistically significant effect on reducing residual monomer concentrations, and this may have an effect upon mechanical properties.

Acrylic Resins↗