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An evaluation of self-cured and visible light-cured denture base materials when used as a denture base repair material.

The aim of this study was to compare some of the physical properties of a heat-cured, a self-cured and a visible light-cured acrylic resin, and to evaluate the suitability of visible light-cured resin as a repair material for dentures made of heat-cured acrylic resin. Transverse strength, surface hardness and impact strength were determined for the three materials and the efficiencies of light-cured and self-cured resins, when used as a repair material, were evaluated by testing the transverse strength of repaired heat-cured specimens 1 hour, 1 week and 1 month after repair. The results showed that the rigidity of specimens repaired with light-cured resin improved with longer water storage. However, their transverse strength reached a maximum after one day and was reduced after 1 month. The rigidity and transverse strength of specimens repaired with self-cured resin were not influenced significantly by water storage and the transverse strength was significantly higher than the light-cured repaired specimens.

Acrylic Resins↗

Mechanical properties of endodontic posts.

Twenty-two commercially available endodontic posts were examined with regard to stiffness, elastic limit and resistance to fracture. Differences in mechanical properties were explained by differences in width, shape and surface structure. In the selection of an endodontic post, its stability rather than its retention should be of primary clinical concern. Accordingly, the authors advocate the use of endodontic posts that have a cylindrical coronal portion and a conical apical portion.

Dental Alloys↗

A comparative study of flexible (Polyactive) versus rigid (hydroxylapatite) permucosal dental implants. I. Clinical aspects.

Recently, an elastomeric polyethyleneoxide polybutylene-terephthalate (PEO:PBT) copolymer (Polyactive) was introduced, which exhibits bone-bonding characteristics. In contrast to ceramics, bioglass, titanium and other metals, PEO:PBT copolymers are flexible materials that could reduce undesirable peak stresses along the neck of a permucosal implant. The application of three types of Polyactive permucosal dental implants (one dense and two porous types) and one dense hydroxylapatite (HA) implant were clinically tested and compared during 30 weeks of loading in a dog experiment. With respect to the porous Polyactive implants, it was observed that the pore diameter had decreased to such an extent that optimal bone ingrowth was not achieved. Polyactive is known to expand due to water uptake, and, as a consequence, the sizes of the pores of the press-fit inserted implants had decreased to a large extent. This feature explained the high loss of the implants with the porous outer layer (6 out of 22). None of the dense Polyactive implants and only one of the HA implants were lost. Statistical analysis was performed solely on the dense Polyactive and the HA implants. At the lingual sites, plaque scores, gingiva indices, bleeding indices and corresponding pocket depths were statistically significantly lower for both implant types, when compared to the corresponding values at the buccal, mesial and distal sites, irrespective of the observation period. Differences between the dense Polyactive and the HA implants were not observed. A considerable difference in mobility was registered between the Polyactive and the hydroxylapatite implants, as measured by the Periotest. The dense Polyactive implants functioned adequately and had mobility resembling natural teeth. As such, these dense flexible materials showed a favourable clinical function and they seem promising for reducing undesired peak stresses when applied as a dental implant.

Analysis of Variance↗

Static and dynamic moduli of composite restorative materials.

A series of polymeric composite restorative materials cured by primary and secondary methods was examined by static and dynamic testing. The static modulus of elasticity, dynamic and modulus and glass-transition temperature were determined over a three-month period with the intention of characterizing monomer conversion. Heat and pressure curing of one material gave good conversion, but not all combinations of blue-light irradiation achieved full conversion. The use of a curing oven, whether as the primary or secondary mechanism did not result in a significant improvement in modulus. The use of a dynamic mechanical thermal analyser provided good data and this type of equipment is recommended for the characterization of polymeric materials.

Acrylic Resins↗

Titanium for removable dentures. I. Laboratory procedures.

To test the hypothesis that titanium (Ti) removable partial dentures (RPDs) would function for a period of at least 2 years without failure, 10 patients were selected to receive dentures made from Ti and Co-Cr. The Ti RPDs were constructed identically to conventional cobalt-chromium (Co-Cr) dentures. Five complete Ti dentures were also included and the laboratory procedures involved for making both complete and partial dentures were evaluated. The detection of internal defects by radiography made the screening of Ti castings possible and led to a rejection of specimens showing porosities of more than 0.5 mm in flexible members. Co-Cr frames on the other hand cannot be screened in this way. The success rate in the casting of Ti was 60% for both partial and complete dentures, but as casting technology has since improved, the rate is expected to be higher, particularly where complete denture palates have optimum thickness. The success rate in the casting of Co-Cr RPDs was 100% without radiographic screening. The weight difference between Ti and Co-Cr RPDs was in the range of 1.3 to 3.9 g at issue and is generally higher as the volume of denture frames increases. A large difference would be of clinical significance in maxillary complete dentures. The low density of Ti allows for the adoption of a useful pre-clinical quality-control process using commonly available dental X-ray units.

Chromium Alloys↗

Flexural strength of a provisional resin material with fibre addition.

The effect of fibre addition on the flexural strength of a resin was studied. A provisional material (ALIKE; GC America Inc.) was used as the control and resinous matrix. Silane treated glass fibre was selected for the reinforcing treatment. In order to determine the geometric influence on the strength, ordered fibres (1 w/o) were immersed within a resinous matrix in four different locations. In addition, randomly dispersed fibres, 5 mm in length, were blended at 1 w/o up to 8 w/o with acrylic powder and moulded into rectangular specimens (34 mm x 9 mm x 8 mm) with P:L = 2:1. Ten specimens were prepared for each group. A three-point flexural test was run using a span of 25 mm at a rate of 5 mm/min. The strength values were collected and analysed with ANOVA and Scheffe tests. The strengths of the specimens with orientated fibre addition ranged from 49.4 (s.d. = 5.7) to 64.5 (6.7) MPa and the control was 54.3 (4.0) MPa. In the dispersed groups, the strengths obtained ranged from 55.9 (5.9) to 87.3 (7.9) MPa. The results disclosed that inclusion of orientated fibres horizontally on the tension side of the specimens significantly improved the flexural strength compared with the control (P < 0.05). An optimal strength was obtained in the group of provisional resin containing 5 w/o dispersed fibre. Incorporation of glass fibres significantly improved the flexural strength of the resin and the dispersed method is more efficient than the orientated inclusion method.

Acrylic Resins↗

Long-term strength of aesthetic restoratives.

Glass-ionomer cements have established an important role in clinical dentistry since their introduction over 20 years ago. More recently, in an attempt to enhance the strength of the material, resin additions have been made to conventional glass-ionomer cements. This study established the long term flexural strength of two hybrid glass-ionomer cements, by use of a bi-axial flexural strength test (Shell test), and compared the values with those obtained for a light curing composite resin and a conventional glass-ionomer cement. The results demonstrated that those materials with a high resin component relying on polymerization as the main method of setting had a greater initial flexural strength than those with little or no resin addition. Those materials where the glass-ionomer acid-base reaction provided a substantial contribution to the setting reaction showed an increase in strength as they matured, whereas a decline in strength with time was observed for those materials where the resin setting reaction predominated.

Acrylic Resins↗

Properties of four composite veneering materials polymerized with different laboratory photo-curing units.

This study examined properties of four composite veneering materials polymerized with two different photo-curing units for the purpose of evaluating curing performance of the combination of composite material and curing unit. Two microfilled (Dentacolor and Thermoresin LC II) and two hybrid (Cesead II and Solidex) composite materials designed for prosthetic veneer were selected. The respective light sources of the units were a xenon (Dentacolor XS) and a metal halide (Hyper L II) lamp. The composite materials were exposed with the photo-curing unit for 60 s on each side (i.e. from top and bottom). Knoop hardness, compressive strength, flexural strength, flexural modulus, water absorption and water solubility were determined according to standardized testing methods. The specimens exposed with the metal halide unit generally exhibited greater Knoop hardness number, and compressive strength and lower solubility than those exposed with the xenon unit. A microfilled material (Thermoresin LC II) cured with the metal halide unit exhibited significantly improved results for all tests as compared with the same material cured with the xenon unit.

Absorption↗

Effect of moisture protective coatings on the strength of a modern metal-reinforced glass-ionomer cement.

The strength of a modern, low metal:glass ratio, metal-reinforced glass-ionomer cement was measured evaluating a number of protective barriers: one light-cured resin, two solvent-based dental varnishes and petroleum jelly. The cement was exposed to water at 10 and 60 min from start of mix. The results obtained with these protecting agents were compared with those obtained where no protection was applied. A comparison of uniaxial flexural strength and biaxial flexural strength showed the latter to be more discriminating. Proprietary dental varnishes were superior to petroleum jelly, producing similar strengths of 50 MPa. Petroleum jelly was, however, preferable to no protection. Moisture protection during the first 30 min was found to be beneficial, thereafter no further strength increase was found. A second material, a cement which has a high metal:glass ratio, was found to be more moisture resistant but weaker in strength than the modern material, with a biaxial strength of 39 MPa.

Cermet Cements↗

Changes on storage of polyacid-modified composite resins.

Two polyacid-modified composite resins, Dyract and Compoglass, have been studied for water-uptake on storage in three aqueous media, namely pure water, 0.9% NaCl and 1 M NaCl at 37 degrees C, and the results compared with those of a conventional composite resin, Pekafill. The equilibrium water-uptake of Dyract and Compoglass varied depending on time of cure and ionic strength of the storage medium. This latter finding contrasted with that for Pekafill, where equilibrium water content showed almost no variation with ionic strength of the storage medium. Uptake of water was always greater in Dyract and Compoglass than in Pekafill, reflecting the role of water in promoting the later neutralization reaction in these materials and its further role in hydrating the ionic products of that reaction. Despite this and other evidence of neutralization, specimens of Dyract and Compoglass stored in wet conditions (0.9% NaCl) showed no change in compressive strength on storage from 24 h to 30 days, a result similar to that reported previously for Dyract alone for flexural strength for times up to 1 year. By contrast, specimens of Dyract and Compoglass stored in dry air at 37 degrees C, and therefore unable to undergo any neutralization, showed an increase in compressive strength of between 40 and 70 MPa by 30 days that was significant at P < 0.01.

Air↗

Stress distribution and abutment tooth mobility of distal-extension removable partial dentures with different retainers: an in vivo study.

Three types of retainers (wrought wire clasp, Aker's cast clasp, and conical crown telescopic retainer) designed for distal-extension removable partial dentures (RPDs) were assessed in two Kennedy class I patients' mouths. The assessment, included the ratio of denture base shearing load and mobility of the terminal abutments when loaded on a free-end RPD occlusal surface. The mean values of denture base shearing ratios of wrought wire clasp, Aker's clasp and conical crown telescope were 60, 42 and 20%, respectively. The abutment mobility of the three types of retainers were all within the 'mobile ability area' except the wrought wire clasp for patient A's right side. The greatest tooth mobility was observed with the wrought wire clasps, followed by Aker's clasp and the conical crown telescopic retainer. From the analysis the following was concluded: (i) different retainers do influence the occlusal load distribution; (ii) the occlusal load distributed to the free-end saddle is closely related to the connecting rigidity of the retainer; (iii) mucosal support has an indispensable role in sharing the occlusal load with various retainers, even the rigid telescopic retainer.

Aged↗

The effect of curing light intensity and test temperature on the dynamic mechanical properties of two polymer composites.

The dynamic modulus of elasticity of two composite materials cured by three light intensities was investigated using a dynamic thermal and mechanical analyser at 37 degrees C and 60 degrees C. The lowest light intensity, 180 mW/cm2, was found to be unsatisfactory in that specimens were weak and mostly untestable. The higher intensities, 350 and 700 mW/cm2, cured the materials to slightly different extents with the elevated temperatures of testing leading to post-cure maturation of the materials. An interesting finding was that one material had a significantly higher modulus when tested at 37 degrees C in comparison with that found at 60 degrees C. In one material the higher light intensity resulted in significantly higher modulus values and these values were increased by post-curing. In the other material the higher light intensity did not result in higher modulus figures at either test temperature, and lower test temperature resulted in better post-cure maturation. These findings are most likely to be caused by differences in base monomer and activator/initiator concentrations. The results indicate that optimum polymerization may not be achieved in all materials by the same method, in particular, high curing light intensities may not achieve the most desirable results.

Acrylic Resins↗

Size effect in resin/glass composite flexure strengths.

The objective of this study was to test the hypothesis that composite restorative materials possess an elastic-brittle nature and therefore will exhibit a size effect for flexure strength data. The experimental material consisted of 20 wt% 60:40 BISGMA:TEGDMA, 10 wt% colloidal silica, and 70 wt% Sr glass and was cured by light irradiation. Two sizes of flexure specimens were fabricated: 3.2x1.6x35 mm, and 6.25x3.1x35 mm. Half of the specimens made were soaked to equilibrium weight gain in 50:50 ethanol:water. The fracture strengths were measured in four-point bending tests. The beams under load were modelled by the finite element package ABAQUS. A statistical fracture mechanics methodology embodied in a public domain computer program called CARES/LIFE, developed by NASA, utilized the ABAQUS input and the fracture strengths of the smaller specimens to predict the fracture strengths of the larger specimens. In making the computation it used an approach that combines a Weibull distribution of flaw size with Batdorf's fracture mechanical model for failure at a material flaw. Both the soaked and unsoaked specimens exhibited Weibull behaviour, with shape parameters ranging from 4.04 to 8.15. Soaking had a clearly detrimental effect on the strengths of specimens of both sizes, and produced a comparable percentage reduction in the estimated scale parameter of the fracture strength distribution. Both the soaked and unsoaked specimens also exhibited a clear and comparable size effect, i.e. the larger specimens had a fracture strength that was lower than that of the smaller specimens by roughly the same percentage. Moreover, the magnitude of the size effect was well predicted by the CARES/LIFE methodology for both the soaked and the dry specimens. The elastic-brittle character of both soaked and unsoaked composite specimens was validated by load-deflection data, the magnitude of the Weibull shape parameters of the observed fracture strength data (<10), and the observed effect of specimen size. The accuracy of CARES/LIFE in predicting the magnitude of the observed size effect in beams of two different sizes strongly suggests that CARES/LIFE will be useful for computation of failure probabilities for clinically relevant structures.

Bisphenol A-Glycidyl Methacrylate↗

Degradation of repaired denture base materials in simulated oral fluid.

This in vitro study evaluates the degradation of repaired denture bases upon immersion in a simulated oral fluid. Denture base materials (Luciton 199), after being repaired by Repair Material and Triad, using three different joint surface designs (butt, round and 45 degrees bevel), were immersed onto 99.5 vol.% ethanol/water solution (with similar solubility parameter) for various amounts of time (0-72 h). The flexural loads of the six combination of groups were measured by the three-point bending tests using a universal testing machine. Acoustic emission (AE) during sample fracturing were processed using the MISTRA 2001 system. The fracture pattern and surface details of the interface were examined with a scanning electronic microscope (SEM). Data were analysed using three-way ANOVA and Tukey LSD tests. SEM micrographs of the fracture interface were used to differentiate the fracture mode. The flexural loads (2.72 +/- 0.51 Kgf) of the round joint specimens were significantly higher (P< 0.05) than those (butt: 1.66 +/- 0.38 Kgf, 45 degrees bevel: 1.93 +/- 0.41 Kgf) of the other two designs. This corresponds to the microscopic examination in which more cohesive failure mode was found for the round joint group after storage. The flexural loads (2.54 +/- 0.39 Kgf) of the specimens repaired with Triad were significantly higher (P < 0.05) than those (1.59 +/- 0.40 Kgf) of specimens repaired with Repair Material. Significant progressive reduction of the flexural load and/or AE signals of the specimens was noted in proportion to the length of time of the immersion in the simulated oral fluid. Mechanical strength of a denture base repaired with a round joint design and light-cured material is significantly higher after immersion in simulated oral fluid.

Acoustics↗

Flexural strength of rebased denture polymers.

The properties of denture base and reline resins may be affected by daily changes between room temperature and mouth temperature. The purpose of the study was to evaluate the effect of thermocycling on the flexural strength of the relined denture base polymer with reline resin. Three denture base resins, three hard reline resins and their combinations were tested. Fourteen specimens, 65x10x2.5 mm, were fabricated for each material. Polymer combination specimens were made using 1.5 mm hard reline resin on 1.0 mm cured denture base resins. Half of the specimens were stored for 50+/-2 h in distilled water at 37 degrees C, while the other half were thermocycled for 20 000 cycles between 4 and 60 degrees C. Three point bending tests were conducted on a universal testing machine at a cross-head speed of 0.5 cm/s. The flexural strengths were measured and a statistical analysis was performed on the data using three-way ANOVA (P<0.05). The results showed that the flexural strength of relined denture base polymer was significantly higher than that of hard reline polymer. Thermocycling did not affect the flexural strength of the relined denture base polymers, whereas the denture base polymer and reline polymer alone showed a decrease in strength after thermocycling.

Acrylic Resins↗

Dimensional measurement and finite element analysis of I-bar clasps in clinical use.

An I-bar clasp is a popular retainer for distal-extension removable partial dentures. However, there have been almost no evidence-based criteria on the mechanically preferable shape. The present study aimed to investigate the variations of dimension in I-bar clasps used in patients, and to clarify the effect of the variations on stiffness and stress of I-bar clasps by finite element analysis. Dimensions (thickness, width, taper, radius of curvature, length, relation to oral structures) of 23 I-bar clasps were measured. A three-dimensional finite element model was made for each measured I-bar clasp with vertical and horizontal straight sections connected with a curved section. A concentrated load of 5 N was applied at the lowest point of the tip that contacted the abutment in the buccal direction. Maximal equivalent stress and stiffness of each clasp were evaluated. The measured dimension, stiffness, and maximum stress showed wide variations. Mean stiffness was far from the proper one, and mean stress was near the proportional limit of Co-Cr alloy. Considering the stiffness and stresses in this study, only six clasps out of 23 were appropriate. These results suggest that evidence-based criteria of preferable shape of I-bar clasps should be determined.

Dental Clasps↗

Effect of the reducing agent on the oxygen-inhibited layer of the cross-linked reline material.

The purpose of this study was to clarify the effect of the reducing agent on the oxygen-inhibited layer of the cross-linked reline material. A commercial autopolymerizing reline resin containing 1,6-hexanediol dimethacrylate as cross-linking agent and 1 wt.% sodium sulphite solution as a reducing agent was prepared. The inhibited layer was observed using an optical transmission microscope under the conditions of the application of sodium sulphite for 0, 1, 5 and 15 min after curing for 10 min in air. As a control, the reline material was cured on sealing from air. Moreover, the three-point flexural strength test was performed under the same conditions. The fracture was then observed using scanning electron microscopy (SEM). Although hardness of the inhibited layer was enhanced after the application of the reducing agent, the layer was still observed. The flexural strength of the control and the groups after application of the reducing agent was significantly higher than the group without reducing agent. SEM examination revealed many polymer beads on the group without reducing agent, whereas polymer beads could not be observed on the groups applying the reducing agent. These results indicated that the application of sodium sulphite was effective in hardening the surface unpolymerized zone.

Analysis of Variance↗

Determination of elastic properties of metal alloys and dental porcelains.

This study aimed to determine Young's modulus, shear modulus and Poisson's ratio of some metal alloys and dental porcelains used in fixed prosthodontics using the technique of impulse excitation of vibration. It also aimed to compare Young's modulus values of these materials with those obtained using the other two methods: the four-point flexural test and the indentation test using the ultra micro-indentation system (UMIS). Five types of metal alloys and four types of dental porcelains were tested. The samples were prepared to a rectangular shape of approximately 8 x 30 x 1.5 mm. Frequency of vibration in a sample was read when a singular elastic strike was made with an impulse tool. The elastic constants were calculated from the frequency of vibration, dimension and mass of each sample. Young's modulus values resulting from the impulse excitation of vibration are not significantly different (P<0.05) from those obtained using the flexural test and the UMIS test in most metal alloys but are different in titanium, titanium alloy and most of the dental porcelains. The technique of impulse excitation of vibration has proven to be an accurate method and is simple to operate. The elastic properties of these alloys and porcelains are essential for determining the other mechanical properties (fracture toughness) and are relevant in clinical application.

Algorithms↗