denture-base-resin-61697101-61697101.pdf

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About This Presentation

Denture base resins


Slide Content

Denture Base Resin

-Dr. Soham Prajapati
1°! Year Post Graduate,
Dept. of Prosthodontics

& Maxillofacial Prosthesis
Including Oral Implantology.
7/12/2013 & 9/12/2013

Definition
History
Classification
Dental polymers

Ideal requirements of Denture Base Resin
Principal ingredients of Denture Base Resin
Different Types Denture Base Resins
Properties of PMMA

Cytotoxicity of Denture Base Acrylic Resins
Recent Advances

Conclusion

References

Definition
° DENTURE BASE: The part of a denture that
rests on the foundation tissues and to which
teeth are attached.
» RESIN: A broad term used to describe natural
or synthetic substances that form plastic
materials after polymerization.

-GPT8

Key Points of DENTAL RESINS

+ ADA/ANSI Specification no 12 - Denture base

ADA

Accepted

resins.
« ISO 1567

American

ental
Association ®

SN International
Organization for
hw Standardization

History
© Skillfully designed dentures were made as
early as 700 BC using ivory and bone.

* Till 1800s, dentures were hand carved and
tied in place with

* Queen Elizabeth | and George Washington
suffered from tooth loss and unfit dentures.

George Washington's denture in the We
National Museum of Dentistry

History

* In 1774, Duchateaus and Dubois de Chemant
designed a full set of dentures that would not
rot.(made of porcelain.)

MINERAL PASTE TEETH

i

History

+ Giuseppangelo Fonzi created a single
porcelain tooth held in place by a steel pin in
1808.

» Claudius Ash made an improved porcelain
tooth in 1837.

* Porcelain dentures moved to US in 1800s and
marketed on a large scale. Fit was eventually
improved as well.

History

« In 1700s, plaster of paris was introduced. It
was used to make a mold of the patient’s
mouth. This helped to make the dentures
precise.

* Swaged Gold was used as denture base for
those who could afford it.

History

+ Real breakthrough when vulcanized rubbe

was discovered by Charles Goodyear in 1840.
— Cheap

— Easy to work
— Hold the denture

* Vulcanite dentures were available in India

under British rule by British and other
European Dentists.

Vulcanite

+ Contains 32 % sulphur and metallic oxides for
color.

Quiet hard to polish

Non-irritant Absorbs Saliva

Excellent Mechanical Properties Becomes unhygienic.

Unpleasant odor(when
processed)

Poor esthetics (opacity of rubber)
Dimensional changes.

Nitrocellulose

Dimensionally stable

Excessive Warpage

High water absorption

Poor color stability

Contains unpleasant tasting plasticizer
Highly flammable

Fig, 1015,

Other ae

Celluloid

— Was tried in place of rubber but didn’t prove best
of the material.

+ Porcelain

— It was tolerate by denture bearing mucosa, but
difficult to fabricate and easily broken.

¢ Phenol Formaldehyde

— Becomes dicolored and unesthetic and being
thermosetting, it is difficult to repair

History

° In 1937 Dr. Walter Wright gave dentistry its
very useful resin.

* It was polymethyl methacrylate which proved
to be much satisfactory material tested until
now.

« By 1946, 98% of all denture bases were
fabricated from PMMA.

Classification

* According to ISO 1567
— Type 1
+ Class 1 Heat processing polymers, powder and liquid
* Class 2 Heat processed (plastic cake)
— Type 2
* Class 1 Autopolymerized polymers, powder and liquid

* Class 2 Autopolymerized polymers (powder and liquid pour
type resins)

— Type 3 Thermoplastic blank or powder
— Type 4 Light Activated Materials
— Type 5 Microwave-Cured Material

Applied Dental Materials, 8!" edition,
John F McCabe & Angus W. G. Walls

Classification

* Based on the usage:-

— Temporary Denture Base Resin
« E.g. Self Cure Acrylics
+ Shellac base plate
* Base plate wax
+ Injection Molded resins
+ Metallic Bases
— Permanent Denture Base Resin
« E.g. Heat Cure Denture Base
+ Light Cures Resins
* Pour Type Resins

Classification

* Based on the METHOD USED FOR ITS
ACTIVATION:-

— Chemically activated
— Heat activated
— Light activated

DENTAL POLYMERS

* Polymer is chemical compound consisting of
large organic molecules formed by the union
of many repeating smaller monomer units.

666
606-6
686

Individua: mers Polymer

* Polymerization occurs through a series of chemical reactions
by which the macromolecule, or the polymer, is formed from
large numbers of molecules known as monomers.

« TYPES:-

— CONDENSATION POLYMERIZATION
— ADDITION POLYMERIZATION

polymer

CONDENSATION POLYMERIZATION

* TWO GROUPS

— Those in which polymerization is accompanied by
repeated elimination of small molecules. The
process repeat itself and form macromolecules.
E.g. water, halogen acids, ammonia, etc.

CONDENSATION POLYMER

o o o o
ee ll il
> il >
(¿HO —CH, -c-ofñi + HO-CH - -€ fi —> 4 0-CH,-C nt n + HO
hi a

/

ts CH, _/ iy CH,

mu. u repeating unit

— Those in which functional groups are repeated in
the polymer chains. The polymers are joined by
functional groups. Formation of a by-product is
not necessary. E.g. polyurethane.

Not widely used in DENTISTRY

ADDITION POLYMERIZATION

« All resins employed extensively in dental
procedure are produced by addition
polymerization.

« No change in chemical composition and no by-
products are formed.

atmbio.en.alibaba.com

How??

» Starting from an active centre, one molecule
at a time is added and a chain rapidly builds
up, which can grow almost indefinitely as long
as the supply of building blocks are available.

dd
_ BO
>— a >
> aa
BC

2

Chemical Stages of Polymerization

4 Stages:-

* Induction

° Propagation

+ Chain Transfer
° Termination

INDUCTION

Induction or initiation period is the time
during which the molecules of the initiator
becomes energized or activated and start to
transfer the energy to the monomer.

« Three induction systems:-
— Heat Activation
— Chemical Activation
— Light Activation

* Heat Activated:- The free radical liberated by
heating benzoyl peroxide will initiate the
polymerization of methyl methacrylate
monomer. e.g. Denture base Resins

Light Activated:-

— Photons of light energy activate the initiator to
generate free radicals. e.g. composite resin.
Chemical Activated:-

— System consists of at least two reactants, when
mixed they undergo chemical reaction and
liberate free radicals, e.g. Self Cured Resin

INDUCTION

R—R + external energy > 2 Re

an

Initiator (BPO)

Fig. 7-7. Activation (heat or chemical) of benzoyl p
bond is broken, and the electron pair is split between
oxygen of the free radical symbolizes the unpaired ele

INDUCTION

NITIATION

PROPAGATION

* Once the growth has started, the process
continues with considerable velocity.

* Theoretically, the chain reactions should
continue with evolution of heat until all the
monomer has been changed to polymer.

+ Actually, the polymerization is never
complete.

PROPAGATION

RH,C—CH,» + H,CCH, + RH,C—CH, IL C= Cis

RH,C-CH,—H,C-CH o + H,C=CH, +
RC (CH, —H,C),—CH ee

El Carbon
E Hydrogen

CHAIN TRANSFER

The chain termination can also result from
chain transfer. Here, the activated state is
transferred from an activated radical to an
inactive molecule, and a nucleus of growth is
created.

CHAIN TRANSFER

Fig. 7-10 Chain transfer occurs when a free radical approaches a methyl methacrylate molecule and
donates a hydrogen atom to the methyl methacrylate molecule This causes the free ra to rearrange
to dom Taube ond and become unicación, and the MMA monomer to forma Wee taiical Thal can
PACS Tan propagation Wacken,

CHAIN TRANSFER

Fig. 7-11 Another type of chain tanger ¿cur when à propagating chain interacts with the
passivated segment that was formed in Figure 7-10, During this interaction, the passive segment
becomes active, while the active segment becomes passive:

TERMINATION

* The chain reaction can be terminated either
by direct coupling or by exchange of hydrogen
atom from one growing chain to another.

Termination

Termination

ken ey frre radical approach each other, a new double bond may be formed on the
a dragon ate ho the other lore rad al

COPOLY MERIZATION

* The macromolecule may be formed by
polymerization of a single type of structural
unit.

* In order to improve the physical properties, it

is often advantageous to use two or more
chemically different monomers as starting

materials. COPOLYMER EXAMPLES
Monomer-1 = —
Random copolymer
= De Dale Se Oe > +

Alternating copolymer

- ar De ir are a >

Block copolymer =
-rrrr ee ee

* The polymer thus formed may contain units of
these monomers. Such a polymer is called a
copolymer and its process of formation is
known as copolymerization.

1 | 7177777777 7900000000008
"OOO 777100’ 000 ' 0000
@ Monomer A 0) Monomer B

Types of COPOLYMER

° There are three different types:-
+ RANDOM TYPE
+ GRAFT TYPE
* BLOCK TYPE

Block Copolymers
Gradient Copolymers

Random Copolymers

RANDOM TYPE

* In random type of copolymer the different
monomers are randomly distributed along the
chain.

waves ABBABABAAAAAABBABABABBBBBABBABBAB....

—A—A—B—A—B—B—A—B—A—A—B—B—B—A—

random copolymer

GRAFT TYPE

* Sequence of one of the monomers are grafted
onto the ‘backbone’ of the second monomer
species.

| |

h h

i i
ste

paies ke

Pe a a, „a, en

graft copolymer

BLOCK TYPE

° Identical monomer units occur in relatively
long sequences along the main polymer chain.

+s AAAAABBBBBAAAAABBBBBAAAAABBBBBAAAAA.....

IMPORTANCE OF COPOLYMERIZATION

* It is to better the physical properties of resins.
+ Many useful resins are manufactured by

copolymerization.
en, "a
of id

Monomer + Cross-linker Introduction of cross-links
into polymers

Monomer Gross-linked Gels Polymer Cross-linked Gels:

CROSS-LINKING

* The formation of chemical bonds or bridges

between the linear polymer is referred to as
CROSS-LINKING.

* It forms a three-dimensional (3D) network.

Application Of Cross-Linking

* The more recent acrylic resins are of cross-
linked variety. It improves the strength, and
decreases the solubility and water sorption.

* Acrylic teeth are highly cross-linked to
improve its resistance to solvents, crazing and
surface stresses.

Requirements Of Denture Base
Materials

ADA Specification General
Requirements of the non-processed
Materials

Clear as Water

Free of Extraneous
Material

Specification General Requirements of
the non-processed Materials

POWDER, PLASTIC CAKE
OR PRECURED BLANK

FREE OF IMPURITIES.

SUCH AS DIRT AND LINT

GENERAL REQURIMENTS

GENERAL REQURIMENTS

at 35008 | 20 24 18 19 22 17
| 250008 | 41 50 | 38 36 Fractured 35
+ + Se rE |
= | 0.60 055 0.50 064 0.50 0654 |
|
|
+

"Data supplied by Densply Imernational, York. Pa.

Ideal Requirements Of Denture Base
Materials

Final report of the workshop on clinical requirements of
ideal denture base material

1. Physiologic compatability a
+ Nontoxic

Noncarcinogenic
Nonallergenic

+ Compatible with physiologic requirements of mucous
membranes Optimum consistency to maintain or
promote tissue health

* Not deleterious to adjacent and underlying tissues
+ Conducive to normal salivary flow

ATWOOD:JPD 1968 (20) 101-105

. Acceptability to patients' senses

Acceptable to all five senses-sight, sound, smell, taste,
and touch

Able to duplicate and simulate oral tissues as nearly as
possible

Possessing wide selection of color

Possible for esthetics to be easily modified

Color stable % w
Odorless SS
Tasteless

Possessing instantaneous temperature conductivity
Light weight
Possessing sensation of natural texture

. Functional usefulness

+ Rigid enough so that teeth penetrate the bolus

No interference with oral functions of chewing,
swallowing, self cleansing, singing, speech, sneezing,
breathing, laughing, coughing, etc.

yy te x #

N Le)
sé I can feel L. +

4. Hygienic factors @)
+ Sterilizable

* Resistant to stain, calculus, and adherent substances
* Nonporous to microorganisms

* Low fluid absorption

* Wettable (low surface tension)

+ Easily cleaned

HYGIENICALLY CLEAN

TRSA CERTIFIED

5.

Durability

Not affected by oral environment-bacteria, food,
medicines, etc. Unbreakable (not brittle)

Not crazing
Dimensionally stable and statically stable
Minimal internal strain

Good bond between different base materials
Good bond between base and teeth

Not flammable

Resistant to weak acids and alkalis

Resistant to abrasion and wear
Resistant to strain

Long lasting

6. Adaptability to clinical problems

Adjustable
Easily polished
Easily repaired
Easily relined

May need more than one type of material

May use combinations of materials (soft for
tissues, hard for teeth) Choice of hardness or
softness (various materials for different
situations

7. Cost factors

Simple to manipulate
Simple to process

Inexpensive equipment for processing Average
skill required for processing No separation
medium required Easily separated from cast

Moderate cost of fabrication
Good shelf life
Predictable properties

PRINCIPAL INGRIDIENTS OF DENTURE
BASE RESIN

PRINCIPAL INGREDIENTS OF ACRYLIC
DENTURE BASE RESIN

Acrylic polymer (or Copolymer) beads Monomer
Initiator Inhibitor
Pigments Accelerator

Dyes Plasticizer
Opacifiers Plasticizer Cross-linking agent
Dyed organic fibers

Inorganic particles

CRAIG RESTORATIVE DENTAL MATERIAL

Acrylic Resins used In Dentistry

« Derivatives of Ethylene and contains a vinyl
group in their structural formula.

* Acrylic resin used in dentistry are the esters of

— Acrylic acid, CH2= CHCOOH
— Methacrylic acid, CH2= C(CH3)COOH

DENTURE BASE RESINS

HEAT ACTIVATED DENTURE BASE RESINS

* Most widely used resins for the fabrication of complete
dentures.

+ Available as:-
— Powder and liquid

* Powder may be transparent or tooth colored or pink colored
(to stimulate the gum, some even contain red fibers to
duplicate blood vessels).

* Monomer is supplied in tightly sealed amber colored bottles
(to prevent premature polymerization by light or ultraviolet
radiation on storage).

* Commercial Names:-
— Stellon (DPI)
— Lucitone (Bayer)
— Travellon (Dentsply)

Composition

POWDER

Poly (methyl methacrylate)
Ethyl or butyl Methacylate (5 %)
Benzoyl Peroxide

Compounds of Mercuric sulfide, cadmium
sulfide, etc.

Zinc or titanium oxide
Dibutyl phthalate

Inorganic fillers like glass fibers, zirconium
silicate, alumina, etc.

Dyes synthetic nylon or acrylic fibers

Major component
Copolymers — improved properties
Initiator

Dyes

Opacifiers
Plasticizer

Improves physical properties like stiffness,
etc.

To simulate small capillaries

Composition

LIQUID

Methyl methacrylate Plasticizes the polymer

Dibutyl phthalate Plasticizer

Glycol Dimethacrylate Cross-Linking agent (reduces Crazing)
Hydroquinone (0.006%) Inhibitor — prevents premature

polymerization

Chemical Basis

ad E SS A A del 5
- a be hr 20 fs dr \
2° 0 Rao EEO "Pr. D'y 24

POLYMER POWDER OF ACRYLIC DENTURE BASE MATERIAL

TECHNIQUE

+ Primary impressions
» Secondary impressions
> Jaw relations
+ Try in stage
> Acrylization
— Flasking
— Dewaxing
— Packing- under pressure
— Curing

Flasking

* The Art of Investing in a Flask”

- GPT
« Flask

“a metal case or tube used in investing
procedure”

- metal
- brass

- 3or4 parts

3 PART FLASK

4 PART FLASK

PRESSURE CLAMP

FLASKING

N

3 POUR 4 POUR
TECHNIQUE TECHNIQUE

COMPRESSION MOLDING TECHNIQUE

> Periphery of flask should be in
level with the rim of the flask

> Occlusal plane — parallel to the
base of the flask

Tilting of the casts

Retromolar pads and tuberosity
should be protected

Checking the seating of flask
members
Distance from top lid — 6 mm

Paint on separating
media like cellulose
lacquers, solution
containing alginate
compounds, calcium
oleate ,soaps, sodium
silicate, starches were
introduced..... Tin foil
substitutes.

Most popular... water
soluble alginate solution
Produce thin, relatively
insoluble calcium
alginate films.....

Sodium Alginate Solution

° Water soluble.

* Reacts with the calcium of plaster or stone to
form a film of insoluble calcium alginate.

* Composition
—2% sodium alginate in water
— Glycerine
— Alcohol
— Sodium phosphate
— Preservatives

Sodium Alginate Solution

° Application
— Applied using brush, coating only the plaster
surfaces.
— One or two coats are applied.

Sodium Alginate Solution

* Precautions to be taken

— Waxes or oils remaining on the mold surface will
interfere with the action of the separating
medium.

— Mold should not be warm, not hot. Continuity of
the film will break if the mold is steaming hot.

— Avoid coating on teeth.

« Second mix is mixed
* Lid is closed
« Flask is clamped

Polymer — Monomer Interaction

« Sandy, stringy, dough like, rubbery or elastic,
stiff

* During sandy stage, little or no interaction
occurs on a molecular level. Polymer beads
remain unaltered.

* Later, mixture enters stringy stage. Monomer
attacks the surfaces of individual polymer
beads. Stage characterized by stringiness.

Polymer — Monomer Interaction

+ Subsequently the mass enters a dough like
stage. On molecular level increased number of
polymer chains are formed. Clinically the mass
becomes as a pliable dough. It is no longer
tacky

* This stage is ideal for compression molding.

* Hence material is inserted into mold cavity
during dough like stage.

Following dough like stage, the mixture enters
rubbery or elastic stage. Monomer is
dissipated by evaporation and by further
penetration into remaining polymer beads. In
clinical use the mass rebounds when
compressed or stretched.

Upon standing for an extended period, the
mixture becomes stiff. This may be attributed
to the evaporation of free monomer. From
clinical point, the mixture appears very dry
and resistant to mechanical deformation

DOUGH FORMING TIME

* The time required for the resin mixture to

reach a dough like stage is termed the dough
forming time.

* In clinical use, the majority of resin reach a
dough like consistency in less than 10 min.

PACKING

* Placement and adaptation of denture
base material within the mold cavity is
termed packing.

Over packing- leads to excessive |
eee and malposition of prosthetic
teet

Under packing- leads to noticeable
denture base porosity

* Trial packing is done to ensure proper
packing of resin mass in the mold.

« After the final closure of the flasks,
they should remain at room
temperature for 30- 60 min. it is called
bench curing

Bench curing

* It permits equalization of
pressure throughout the mold
Allows more time for uniform
dispersion of monomer
throughout the mass of dough

If resin teeth are used, it
provides a longer exposure of
resin teeth to the monomer
producing a better bond of the
teeth with the base material

POLYMERIZATION PROCEDURE / CURING

* When heated above 60 °C, molecules of benzoyl
peroxide decompose to yield free radicals.

* Each free radicals, rapidly reacts with an available
monomer molecule to initiate polymerization.

« Heat is required to cause decomposition of
benzoyl peroxide. Therefore heat is termed as
activator.

* Decomposition of benzoyl peroxide molecule
yields free radicals that are responsible for
initiation of chain growth. Hence it is termed as
initiator

Temperature rise

Because resin and dental stone are relatively
poor thermal conductors, the heat of reaction
cannot be dissipated. Therefore the
temperature of resin rises well above the
temperature of investing stone and
surrounding water.

It should be noted that temperature of resin
not allowed to exceed the boiling point of the
monomer (100.8°C) — which produces
significant effects on the physical
characteristics of the processed resin.

Curing cycle
* Following curing cycle have been quite
successful

— Processing in a constant temperature water bath
at 74°C for 8 hours or longer with no terminal
boil.

— Processing in a 74°C water bath for 8 hours and
then increasing the temperature to 100°C for 1
hour.

— Processing resin at 74°C for approximately 2

hours and increasing the temperature of water
bath to 100°C for 1 hour.

Polymer — Monomer Ratio

Polymerization of MMA to PMMA yields 21%
decrease in the volume of material, which would
create difficulties in denture base fabrication and
clinical use.

To minimize dimensional changes, Resin
manufacturers prepolymerize a significant
fraction of the denture base resin.

The accepted polymer to monomer ratio is 3:1 by
volume.

Using this ratio the volumetric shrinkage is
limited to 6% and 0.5% linear shrinkage.

Polymer — Monomer Ratio

If too much monomer is use:-

Greater curing or polymerization shrinkage Not all the polymer bead will be wetted by
monomer and the cured acrylic will be
granular.

More time is needed to reach the packing Dough will be difficult to manage and it

consistency may not fuse into a continuous unit of
plastic during processing

Porosity may occur in denture

POLYMERIZATION VIA MICROWAVE
ENERGY

* First reported by Kimura et. al

* This technique employs a
specially formulated resin and
anon metallic flasks. FRP Flask
[ Fiber Reinforced Plastic flasks]

Advantages:

Cleaner and faster polymerization.
3 minutes

Minimal color changes

Less fracture of artificial teeth and
resin bases

Superior denture base adaptability

+ No noticeable difference
* Trade name
— Keystone Diamond D
+ Disadvantages
Y Flasks are expensive and have tendencyto
break down after processing several dentures.

Y The polycarbon bolts tend to break if
tightened too firmly.

Bernard Levin et al [ JPD 1989;61: 381-383]

Injection molded
polymers

* In mid 1970's, Ivoclar introduced
this system.
* These are made of Nylon or
Polycarbonate.
* It has to be heated and injected
into a mold
The SR-Ivocap system uses specialized flasks and

clamping presses to keep the molds under a
constant pressure of 3000 lbs

Injection molded polymers

* Flask is then placed into water bath
for polymerization as the material
polymerizes addition resin is
introduced into the mold cavity. This
process offsets the effects of
polymerization shrinkage.

* Equipment is expensive.

The SR-Ivocap system uses specialized flasks and
clamping presses to keep the molds under a
constant pressure of 3000 lbs

Injection molded polymers
+ Advantages

— Dimensional Accuracy

— No increase in vertical dimension.

— Homogenous denture base

— Low free monomer content

— Good impact strength

* Disadvantages
— High cost of equipment
— Difficult mold design
— Less craze resistant
— Special flask is required.

Technique

Fig. 3: Injection molding flask

Figs AA and D: Bloctre cartridge tumace

Fig. SA: Manual compression unit

Fig. &: Mandiular complete Patio dontare win sprue former

Fig. SB: Prossuro compression unit

Fig. 9: Finishes and polished flaxbie mandibular
completo derture

Chemically Activated Denture Base
Resins

+ Does not require thermal energy.

+ Hence often referred to as cold curing, self
curing or autopolymerizing resins.

DPI-RR Cold Cure

Chemically Activated Denture Base
Resins

* Chemical activation is accomplished through
the addition of a tertiary amine such as
dimethyl- Para- toluidine to the liquid.

* Upon mixing, the tertiary amine causes
decomposition of benzoyl peroxide.
Consequently, free radicals are produced and
polymerization is initiated.

Composition

POWDER

Poly (methyl methacrylate) and
other co-polymer(5 %)

Benzoyl Peroxide

Compounds of Mercuric sulfide,
cadmium sulfide, etc.

Zinc or titanium oxide

Dibuty! phthalate

Dyes organic fillers and inorganic
particles like glass bead fibers or
beads.

Dissolves the monomer to form
dough

Initiator

Dyes

Opacifiers
Plasticizer
Esthetics

Composition

LIQUID

Methyl methacrylate Dissolves/Plasticizes the polymer
Dimethyl-p-toluidine Activator

Dibutyl phthalate Plasticizer

Glycol Dimethacrylate 1 to 2% Cross-Linking agent (reduces Crazing)
Hydroquinone (0.006%) Inhibitor — prevents premature

polymerization

MANIPULATION OF
AUTOPOLYMERIZATION RESINS

Sprinkle on technique

Adapting technique

Fluid resin technique
Compression molding technique

° There is greater amount of
unreacted monomer which E
creates two major difficulties.

1. It acts as plasticizer that results
in decreased transverse
strength of denture resin.

2. Residual monomer serves as a
potential tissue irritant,
thereby compromising the
biocompatibility of the
denture base.

Technical considerations a

Most often molded using compression

REFRIGERATE

technique. do not freeze

Mold preparation and resin packing are
essentially same.

Working time for self cure resin is shorter
than heat cured resins.

Refrigerating the liquid component or mixing
vessel before mixing process can prolong the
working time.

Processing considerations

* Following final closure of the denture flask,
pressure must be maintained throughout
polymerization process.

¢ Initial hardening of resin occurs within 30
minutes of final closure.

« To ensure sufficient polymerization, the flask
should be held under pressure for minimum 3
hours

* Resins polymerized via chemical activation
generally display 3-5% free monomer where as
heat activated resins 0.2-0.5% free monomer.

Uses

Temporary crowns and FPDs.

Construction of special tray.

For denture repair, relining and rebasing.
Making removable orthodontic appliances.

For adding a post dam to an adjusted upper
denture.

For making temporary and permanent
denture bases.

FLUID RESIN TECHNIQUE

Special resin is available.

Chemical composition is similar to polymethyl
methacrylate materials.

Principal difference is they have high
molecular weight powder particles that are
much smaller and when they are mixed with
monomer, the resulting mix is very fluid.
Significantly lower power: liquid ratio ranges
from 2:1 to 2.5:1.

Method of Flasking and Curing

+ Agar hydrocolloid is used for the mold
preparation in place of the usual gypsum.
* Fluid mix is quickly poured into the mold and

allowed to polymerize under pressure at 0.14
MPa.

Fluid Resin Technique

Employs a pourable chemically activated
resin

Advantages

Improved adaptation to underlying soft
tissues.

Decreased damage to prosthetic teeth and
denture base during deflasking.

Reduced material costs.

Simplification of flasking, deflasking, finishing
procedure

Walter Shepard [ JPD 1968;19: 562-564]

Fluid Resin Technique

Disadvantages
« Noticeable shifting of prosthetic teeth
during processing

« Air entrapment

* Poor bonding between denture base and
acrylic teeth

* Technique sensitivity

Walter Shepard [ JPD 1968;19: 562-564]

Fluid denture resin processing in a rigid mold
Koblitz FF et al described a fluid resin processing
technique using rigid, modified gypsum
investment as replacement for hydrocolloid
investment.

Advantages

Method requires no specialized equipment such
as metal flasks or hydrocolloid conditioning
apparatus

The technique eliminates the time consuming
step of sorting and replacing artificial teeth in as
hydrocolloid mold.

[JPD 1973; 30; 339-345 ]

St Er nad
NN AK )

Self Cured

Heat is not necessary for polymerization
Porosity is greater
Has lower average molecular weight (not
Strong)
Higher residual monomer content
Rheological properties

- Shows greater distortion

- More initial deformation

- Increased creep and slow recovery
Poor color stability
Easy to flask

Heat Cured

Heat is necessary
Porosity is less
Higher molecular weight

Lower residual monomer content

- Shows less distortion

- Less initial deformation

- Less creep and quicker recovery
Color stability is good
Difficult to deflask
Increased rate of monomer diffusion at
higher temperature.

120

Light Activated Denture Base Resins

This material has been
described as a composite
having a matrix of urethane
dimethacrylate and microfine
silica

Visible light is the activator
Camphoroquinone serves as
the initiator for
polymerization

Supplied in sheets and ira
forms and is packed in light
proof pouches.

Light Activated Denture Base Resins

+ Can be used as repair material and as custom
tray material.

¢ Single component denture base is supplied as
sheet and rope form in light proof pouches.

* Technique

— Teeth are arranged, and the denture base is molded on an
accurate cast.

— Subsequently the denture base is exposed to high intensity
visible light source for an appropriate period

— Following polymerization, the denture is removed from the
cast, finished and polished in a conventional manner.

Properties Of Denture Base Resins

+ METHYL METHACRYLATE

® Methyl methacrylate is a transparent liquid at room
temp.

e Physical properties
-Molecular weight = 100
-Melting point = - 48 C
-Boiling point = 100.8 C
-Density = 0.945g/ml at 20 C
-Heat of polymerization=12.9 Kcal/mol

POLYMETHYL METHACRYLATE

* Transparent resin, transmits light in UV range
to a wavelength of 250 nm.

+ Hard resin knoop hardness no of 18 to 20.
* Tensile strength is 60 MPa

* Density is 1.19 g/cm cube.

°e Modulus of elasticity 2.4 GPa(2400 MPa)

POLYMETHYL METHACRYLATE

It is chemically stable and softens at 125°C

It can be molded as a thermoplastic material
between 125°C and 200°C.

Depolarization takes place at approx. 450°C.
Absorbs water by imbibition

Non crystalline structure possess high internal
energy.

Strength

* Resins are typically low in strength, however they
have adequate compressive and tensile strength
for complete or partial denture applications.

+ Compressive strength- 75 Mpa

* Tensile strength- 52 Mpa

Affected by:-

* Composition of the resin

e Technique of processing

« Degree of polymerization

« Water sorption

e Subsequent environment of the denture

Hardness
* Resins have low hardness. They can be easily
scratched and abraded.

+ Heat cured resin- 18-20 KHN
° Self cured resin- 16-18 KHN

Modulus of elasticity
* Resins have sufficient stiffness [ 2400MPa] for
use in complete and partial dentures.

Impact Strength
* It is the measure of energy absorbed by a
material when it is broken by a sudden blow.

* Addition of plasticizers increase the impact
strength.

WODkQrourmww ASIA “SEPAN POLI 104

Processing
Condition

100° €, 20 min

10 min in light chamber

H°G 9h

45°C, 0,14 MPa

3 min, 500 W

‘Adupeed with permission frown Sanit LT, Powers JM, Ladd De dnt J Prost! $315, 1992.

130

Polymerization shrinkage
+ When MMA monomer is polymerized to form PMMA..
Results in 21% volumetric shrinkage.

+ To reduce this high % of shrinkage... polymer powder is
supplied in prepolymerized beads form which accounts
for only 7% of volumetric shrinkage.

* Distributed uniformly to all surfaces, hence the
adaptation of denture bases to underlying soft tissues
is not significantly affected.

Processing shrinkage

Due to stresses induced during processing
* 0.26% for self cure resin

* 0.53% for heat activated resin

Material

Shrinkage (%)

Conventional acrylic
High impact acrylic
Vinyl acrylic

Rapid heat-cured acrylic
Pour type of acrylic

0.43
0.12
0.33
0.97
0.48

Adapted from Stafford GD, Bates JE Huggett R, Handley

RW: J Dent 8:292, 1980,

Denture Warpage

+ It is the deformity or change of shape of the
denture which affect the fit of the denture.

+ Stresses incorporated during processing.

Figure 25.30: Denture warpage has resulted in a space
between the palatal surface and the cast Obviously this would
affect the fit.

Denture Warpage

+ Caused by:-
* Stress causes by curing shrinkage or uneven or
rapid cooling.
* Packing of resin in rubbery stage.
+ Improper flasking.
* During polishing, a rise in temperature occurs.

Denture Warpage

+ Caused by:-
* Immersion of the denture in hot water.

* Recuring of the denture after addition of relining
material, etc.

Porosity

+ May compromise physical, aesthetic and
hygienic properties of processed dentures.

Porosity

Internal Porosity:

e Is in form of voids or bubbles within the mass
of processed resin. It is confined to thick
portions of denture base.

* Results from vaporization of unreacted
monomer and low molecular wt. polymers,

Porosity

External Porosity:

* Inadequate mixing of powder liquid
components.

* Inhomogeneity of resin mass

¢ Inadequate pressure or insufficient material

* Air inclusions incorporate
procedures.

O See porn ton
of insufficient pressure during curing,

Water Sorption

e Absorption is primarily by diffusion
mechanism.

+ Water molecules occupy positions between
polymer chains forcing the polymer chains
apart.

° The introduction of water molecules in the

polymerized mass produces two important
effects

* Acts as plasticizers
“It causes slight expansion of polymerized mass

==

Water Sorption
PMMA exhibits a water sorption value of
0.69mg/cm?
Fortunately these changes are relatively

minor and do not exert significant effects
on the fit or function of processed bases.

Crazing

Is formation of surface cracks on
denture base resin.

Due to
-Stress relaxation

-Solvent action e.g. Ethyl
alcohol

Crazing in a transparent resin
imparts a hazy or foggy
appearance, k
These surface cracks predispose

a denture resin to fracture.

Plaque Adhesion

* An invitro study done on the adhesion and
penetration of C. Albicans proved that
adhesion of C. Albicans occur, but they cant
penetrate the Denture Base Resin.

A COMPARATIVE IN-VITRO STUDY ON THE ADHERENCE AND

PENETRATION OF C. ALBICANS TO THREE DIFFERENT RESIN DENTURE
BASE SURFACE -Dr. Divyang Patel

Other Microorganisms

* Streptococcus Oralis, Bacteroides gingivalis, B.
Intermedius And S. Sanguis.

* It was found, they adhere to rougher surface
than those that are highly polished.

Solution for Plaque Adhesion

° Chlorhexidine apparently can bind to acrylic
surfaces for atleast 2 weeks.

* Treating acrylic with Nystatin, followed by
drying, produced similar results.

Resistance to Acids, Bases And Organic
Solvents

+ Weak acids or bases = Excellent

* Quiet resistant to Organic Solvents

e Soluble in aromatic hydrocarbons, ketones and
esters.

* Alcohol will cause crazing in Denture plastic.

* Incorporating ethylene glycol dimethacrylate as a
cross linking agents significantly improves solvent
resistance.

DENTURE CLEANSER

* Most immersion denture cleansers are
effective in the removal of mucin, stains, and
loosely attached food debris.

« A solution consisting of 1 tsp of a hypochlorite
such as Clorox, and 2 tsp of calgon in half glass
has been recommended for occassional
overnight immersion of plastic dentures.

DENTURE CLEANSER

80

60
E 40

20

ms —

9 Tooth- | Denture | Exp. Soap Water
paste cleansers paste and

water

Fig. 21-15 Wear of denture base acrylic in various
media, as illustrated by a histogram showing loss of
thickness after 60,000 stokes

(Adapted from Heath JR, Davenport JC, Jones PA: J Oral Re-
habil 10:159, 1983.)

Cytotoxicity of Denture Base Acrylic
Resins

[JPD 2003: 90; 190-195 ]
* Residual monomer, resulting from incomplete conversion of
monomers into polymer, has the potential to cause
— irritation,
— inflammation,
— and an allergic responses of oral mucosa.

« Clinical signs and symptoms reported include
— erythema,
— erosion of oral mucosa,
— burning sensation of mucosa and tongue.

Cytotoxicity of Denture Base Acrylic
Resins

[JPD 2003: 90; 190-195 ]

Effect of polymer : monomer ratio

* More monomer added to the mixture, the greater amount of
residual monomer and therefore more potential for cytotoxicity

Effect of storage time and water immersion

« Sheridan et al reported that cytotoxic effect of acrylic resins was
greater in first 24 hours after polymerization and decreased with
time.

+ Therefore it is recommended that dentist soak the resin
prosthesis in water for atleast 24 hours before placing them in
the patients mouth.

* Effects of polymerization cycle

* Reduced amount of residual monomer when
polymerization time extended was observed.

» Auto polymerized resins exhibited higher
content of residual monomer than heat
polymerized resins.

° Lamb et al observed that levels of residual
monomer were higher for specimens
polymerized at 20°C as compared with those
at 55°C.

« Therefore it is suggested that the

Autopolymerized acrylic resins should be heat
treated to decrease cytotoxic effects.

Occupational Hazard

« Plastic dough should not be manipulated
excessively with bare hands.

* The monomer is a good solvent for body oils
and may pick up dirt from the hands,
resulting in a non esthetic denture.

* Monomer may also enter blood stream
through the skin.

Restorative Dental Materials, Robert G. Craig & John
M Powers, 11" edition

Recent Advances

HIGH IMPACT RESISTANT ACRYLIC

* Butadiene- styrene rubber is
incorporated with copolymer of vinyl
and hydroxyethyl monomer.

* These materials are
slightly stiffer
twice the impact strength
absorbs less water
lower linear shrinkage.
But are not entirely color stable.

Recent Advances sae

HIGH IMPACT RESISTANT
ACRYLIC

Phase inversion resulting in
dispersion throughout the beads of
tiny islands of rubber containing
small inclusions of rubber/PMMA
graft polymer.

Recent Advances

RAPID HEAT POLYMERIZED POLYMER

* These are hybrid acrylics which have had the
initiator formulated to allow for very rapid
polymerization without nearly as much porosity.
The flasks are placed in boiling water immediately
after being packed. The water is then brought
back to a boil for 20 min to complete the curing
cycle.

Fast, high temperature cure makes this material
stiffer than conventional acrylic processing.

* E.g. travelon

FIBER -REINFORCED POLYMER

* Glass, carbon/graphite, aramid and ultrahigh
molecular weight polyethylene have been used as
fiber reinforcing agents.

* Metal wires like graphite has minimal esthetic
qualities.

* Fibers are stronger than matrix polymer thus
their inclusion strengthens the composite
structure.

* The reinforcing agent can be in the form of

unidirectional, straight fiber or multidirectional
weaves.

Acrylic resins with improved thermal conductivity

« Thermal conductivity of PMMA is three times less
than metals.

* Thermal conductivity of denture base materials is
found to have an important effect on gustatory
sensitivity.

* Thermal conductivity of acrylic based materials
can be improved by introducing a more thermally
conducting phase within the insulating acrylic
resin matrix.

* E.g. Al,O, porcelain whiskers

JPD 1998: 20; 278-

BPS (Biofunctional Prosthetic System)

« BPS is the system designed to work with the
body in a biologically harmonious way,
maximizing function, and giving comfort and
natural appearance to the patient.

Resorbed ridges Occlussal centric tray loaded with impression
for recording initial vertical dimension

Biofunctional prosthetic system
impression trays

Bite registration through Gnathometer M Secondary impression-making with zinc
oxide eugenol past

Wax-up trial for the patient

Acrylized Denture

161

Flexible Denture

First introduced in 1956.
Trade name:-

— Flexiplast

— Valplast
Superpolyamides, which belong to nylon
family, which inherent property of
flexibility.

Flexibility depends on the thickness
Good retention

Flexible Denture
Advantage

* Good retention
Disadvantage

* Acrylic teeth do not bond chemically
with flexible denture base.

VALPLAST

Nylon like material

Nearly unbreakable, pink colored
like gum

Can be built quite thin, can form
not only denture base but the clasp
as well.

Valplast is a flexible denture base
resin that is ideal for partial
dentures and unilateral
restorations.

VALPLAST —

* The resin is a biocompatible nylon thermoplastic
,it eliminates the concern about acrylic allergies.

° Quite hygienic. It is not possible for Valplast to
absorb the remnants of food or other stains. So
there will be no odor.

Conclusion

640 Chapter 2} MOSTHERE AMUCANONS OF POOMERS

oss 050 O64 050 064

Water 002 002 oor 001 | 00

| color | None Sight | Stight | Sth SlightModerate

“Data supplied by Demply International, York, Pa.

Conclusion

Property

“Tensile strength (MPa)

‘Compressive strength (MPa)

Elongation (%)

‘Bastic modulus (GPa)

Proportional limit (MPa)

Impact strength, Izod (kg m/cm notch)

‘Transverse deflection (mm)
At 3500 8
At 5000 y.

Chapter 21 PROSTHETIC APPUCATIONS OF POLYMERS 641

Fatigue strength (cycles at 17.2 MPa)

Recovery after indentation (%)

Dry
Wer

KHN (kg/mm?)
Dry
Wer

17
15

167

WODkQrourmww ASIA “SEPAN POLI 104

Processing
Condition

100° €, 20 min

10 min in light chamber

H°G 9h

45°C, 0,14 MPa

3 min, 500 W

‘Adupeed with permission frown Sanit LT, Powers JM, Ladd De dnt J Prost! $315, 1992.

168

Material

Material Loss
(mm x 107%)

Conventional acrylic
Rubberreinforced acrylic
Vinyl acrylic

Rapid heatcured acrylic
Pour type of acrylic

595
588
499
530
6

High impact resin

Rapid heat cure

Conventional acrylic
| Four type of acrylic

2.0
30
23
15

Adapted from Stafford GD, Bates JE Hugget R, Handley

RW: J Dent 8:292, 1980,

References

Kenneth j. Anusavice ; Phillips Science of dental
material .Eleventh edition, Elsevier,2004.
Robert C. Craig John M. Powers, John C.Wataha
¡Dental materials properties and manipulation,.
Eleventh edition,2002.

Applied Dental Materials, 8' edition, John F
McCabe & Angus W. G. Walls

Rudd and morrow; dental laboratory procedures:
1986 2" edition

Vk subbarao ; notes on dental materials : 4"
edition

Basic Dental Materials — John J. Manappallil,
3'd edition

Walter Shepard : fluid resin technique; JPD
1968 (19) 561-

Koblitz F.F et al: Fluid denture resin
processing in a rigid mold JPD1973 (30) 339-

Dimensional accuracy of pour acrylic resin and
conventional processing of cold cure resin JPD
1970 (24) 662-

Atwood et al: final report of the workshop on

clinical requirements of ideal denture base
material ; JPD 196820) 101-105

EW Skinner; acrylic denture base material their
physical properties and manipulation. JPD 1951
(1) 161-

Comparison of self curing and heat curing
denture base resins JPD 1953 (3) 332-

FA Peyton; evaluation of dentures processed by
different technique JPD 1963 (13) 269-
Cytotoxicity of denture base acrylic resin JPD
2003 (90) 190-

Bernard Levin et al; use of microwave energy for
processing acrylic resins JPD 1989 (61) 381-

* Robert EO; Comparison of accuracy between
compression and injection molded complete
denture JPD 1999 (82) 291-

« Glossary of Prosthodontic Terms 8
* A comparative in-vitro study on the adherence
and penetration of c. ALBICANS TO THREE

DIFFERENT RESIN DENTURE BASE SURFACE -
Dr. Divyang patel

Thank You
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