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Denture base resin
By Dr. Hileri Mori (Part 1 PG)
Creator of youtube channel: Dentowoman
Content
 Introduction
 History
 Dental polymers
 Classification
 Ideal requirements
 Heat cured denture base resin
 Light cure denture base resin
 Chemically cured denture base resin
 Properties of denture base resin
 Advancements
 Conclusion
The glossary of prosthodontics terms
defines complete denture,
 Complete denture as a
removable dental prosthesis
that replaces the entire
dentition and associated
structures of the maxilla or
mandible. Such a prosthesis is
composed of artificial teeth
attached to a denture base.
In turn, the denture base
derives its support through
contact with the oral tissues,
teeth or dental implants.
Denture base ?
 According to Gpt-8 (2005) a denture base may be defined as the part of the
denture that rests on the foundation and to which teeth are attached
 ADA sp. No. 12
Materials used before 18th century
wood
Bone
Ivory
The Journal of Indian Prosthodontic Society, Evolution of denture base materials; S.
K. Khindria, Sanjeev Mittal, Urvashi Sukhija
Materials used in 18th century
Gold
Porcelain
Materials used in the 19th century
 1. Tortoise Shell (1850
 2. Gutta Percha (1851)
 3. Vulcanite (1851)
 4. Cheoplastic (1856)
 5. Rose Pearl (1860)
 6. Aluminum (1867)
 7. Celluloid (1870)
Materials used in 20th century
 1. Bakelite (1909): Its advantage was easy availability but its drawbacks were lack
of uniformity, poor color quality and repair difficulties.
 2. Stainless steel (1921):
 3. Cobalt Chromium (1930)
 4. Vinyl Resin (1932)
 5. Acrylic Resin (1937)
 6. Self cure Acrylic Resin
 7. Epoxy Resin (1951)
 8. Polystyrene (1951)
 9. Nylon (1955)
 10. Polycarbonates (1967)
 11. High impact acrylic (1967)
 12. Polysulphones (1981)
 13. Visible L.C (1947)Acrylic (1986)
 14. Pure Titanium (1998
Dental polymers
Condensation
polymerization
Addition
polymerization
Heat/light
/chemical
process
initiator
Propogation
Benzoyl peroxide
Chain transfer and
termination (exchange
of hydrogen atom or
coupling)
Copolymerization : improves physical
properties
Cross linking : improves strength,
decrease solubility & water sorption
Formation of chemical bonds or bridges
between the linear polymers
Ideal requirements
• Be radio-opaque
• Bond to artificial teeth
• Be rigid enough
• Be easy to process, adjust and
repair
• Have color stability
• biocompatible
• Satisfy aesthetic demands
• Have sufficient mechanical strength
• Be dimensionally stable to maintain
fit and occlusion
• Resist abrasion and erosion
Principal
ingredients of
heat cure
denture base
resin
Commercial names
 Impact failure and fatigue failure
transverse deflection and transverse strength of four commercial brands of
heat cure acrylic resin (Stellon, Acrylin-H, Trevalon and Trevalon-HI).
The heat cure denture base material
(Trevalon "HI") was the strongest and
Trevalon was the weakest among all
materials used in this study.
Compression molding technique
flasking
Dewaxing
Packing
under
pressure and
curing
Polymer to monomer ratio ?
 Volumetric and linear shrinkage
 21% decrease in the volume of material
 Pre polymerize = pre shrinking (powder)
 Non polymerized section = monomer
M
P
P
P
Dough
like mass
Shrinkage 7%
Despite of 7% volumetric shrinkage why
clinically acceptable result?
 Shrinkage is distributed uniformly to all the surfaces
 Adaptation of denture base is not significantly affected.
Linear shrinkage: effect on denture base
adaptation !
 2% linear shrinkage ( most commercial products 0.69%)
 Thermal shrinkage of resin is the reason
 During cooling process
 Chemical cured dentures have better fit due to less linear shrinkage
Why laboratory remount?
Polymer to monomer interaction
 Sandy : no interaction at molecular level, polymer beads
remain unaltered
 Stringy : monomer attacks the surface of polymer beads
 Dough: increased number of polymer chain enter the
solution. No longer tacky and do not adhere with the
surfaces
 Rubbery: monomer is dissipated by evaporation. mass
rebounds when compressed or stretched
 Stiff: continued evaporation of monomer
Dough forming time
 According to American national standards institute : this consistency br
attained in less then 40 min. from start of the mixing process.
 In clinical use this stage is attained within 10 mins.
 Working time: it is defined as a time a denture base material remains in a
dough like stage.
 Critical to compression molding
 5 mins
 Can be extended via refrigeration
Errors in packing
 Too much material: excessive thickness of denture base and relative
malpositioning of prosthetic teeth.
 Too little material: denture base voids or porosities
Temperature rise
• Decomposition of benzoyl
peroxide.
• Increased polymerization
• Increased exothermic
reaction.
• Boiling of monomer-
porosity
• Internal porosity: poorly
controlled temp.
Polymerization cycle
1.Constant temp. water
bath at 74 C for 8hrs.
2.74C for 8hrs and
increasing temp. to
100C for 1hr.
3.74C for approx. 2 hrs.
increasing the temp.
to 100C and
processing for 1hr.
Porosity
 Likely to develop in thicker portions
 Vaporization of unreacted monomer
 Position of the denture base
 Unequal mixing
Inadequate pressure
Air entrapement
Injection molding technique
Advantages Disadvantages
Good dimensional accuracy High cost
Less free monomer Mold design
Good impact strength Less craze resistant
Less creep resistant
What literature says? Injection molding
vs. compression molding
 injection molding techniques exhibited less processing errors as compared to
compression molding technique with statistical significance.
 The injection molding method produced a significantly smaller incisal pin
opening over the standard compression molding technique when PMMA resin
was used.
 The injection molding system was the more accurate method for processing
dentures
 Dimensional changes?
However, in terms of clinical significance, there appears to be little
advantage in selecting injection molded acrylic, although time
savings at the laboratory remount and occlusal correction stage may
be made.
Microwave dentures
 Methyl methacrylate molecule is asymmetric.
 Specially formulated resin and a nonmetallic flask.
 Overheating: thick sections, porosities
 Better fit then conventional compression molding
owing to the forces of mastication,
denture bases may flex close to
500,000 times per year!!!
Causes of breakage !
 Deep notching at the mid-line labial fraenum
 opposing natural teeth
 occlusal discrepancies,
 inaccurate fit,
 prominent tori,
 differential hardness of the supporting tissues,
 excessively thin sections of acrylic and
 processing errors.
High impact denture base resin
 Rubber-modified PMMA is known as ‘highimpact acrylic’
 cracks in the material are difficult to initiate and their propagation is slow
 high aesthetic demands, and
denture base resin systems
are available which
facilitate a closer match to
patients’ oral tissues than a
‘monoblock’ of conventional
pink.
 Enigma Colour Tone Kit,
Schottlander
Fibers reinforced acrylic
Carbon Fibers Polyester fiber (PE).
Highly drawn linear polyethylene
fibers.
Organophilic montmorillonite
(Claytone).
Glass fiber reinforcement. Methacrylated
polyhedralsilsesquioxanes (POSS).
Kevlar (Synthetic Aramid Fiber Silica-glass fiber reinforced
polymeric materials
Ultra high modulus polyethylene
fibers.
Anti fungal agents
 Polymeric biocides are polymers
made up of bioactive monomers.
 These polymers consist of multiple
interconnected biocides which are
incorporated into PMMA through
surface modification or
copolymerization
 silver zeolites, silver
nanoparticles and
platinum nanoparticles
 Nano titanium dioxide particles and
powdered titanium dioxide
have been reported as effective
antifungal and antibacterial agents
Chemically activated denture base resin
 Cold cure, self cure, auto polymerizing resin
 Activator: tertiary amine
 Degree of polymerization is not that complete as heat polymerized denture
base resin
 Greater amount of unreacted monomer – tissue irritant, decreased trasverse
strength
 Less shrinkage then heat activated denture base resin
 Inferior color stability (tertiary amine)
Most recent generation of light
activated denture base resin
 a base forming resin
 A tooth setting resin
 A countering resin
Fluid resin technique
 Low viscosity resin
Advantages Disadvantages
Adaptation Shifting of prosthetic teeth
Decreased damage to teeth and
denture base during processing
Air entrapment
Reduced material cost Poor bonding between denture base
and teeth
Simplification of flasking, deflasking
and finishing
Technique sensitive
Thermoplastic resin
 Softened by heat without chemical change
 thermoplastic nylon resin that is ultra thin, very flexible (think more
comfortable for chewing and speaking) and is so durable
 that one company – Valplast – offers a lifetime warranty for fractures or
breaks.
 excellent transitional restoration during the healing period on implant cases.
Polyether ether ketone
The denture
base is milled
from
preformed
acrylic resin
blocks,
CAD CAM Denture base resin
Polymerization shrinkage is not an
issue
Digitally designed occlusion
References
 Evaluation of Three Different Processing Techniques in the Fabrication of
Complete Dentures Vamsi Krishna Chintalacheruvu,1 Rajasekaran Uttukuli
Balraj,2 Lavanya Sireesha Putchala,3 and Sreelekha Pachalla4
 Dental materials; Philips 12th edition
 1.Computer aided technology for fabricating complete dentures: systematic
review of historical background, current status and future prospectives. J
Prosthet Dent 2013; Bindra AS, et al
 2. Comparision of treatment outcomes in digital vs. conventional complete
removable dental prosthesis fabrications in a predoctoral setting, J prosthrt
Dent, 2015; Kattadiyill MY,et al
Thank you!
dentowoman03@gmail.com

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Denture base resin

  • 1. Denture base resin By Dr. Hileri Mori (Part 1 PG) Creator of youtube channel: Dentowoman
  • 2. Content  Introduction  History  Dental polymers  Classification  Ideal requirements  Heat cured denture base resin  Light cure denture base resin  Chemically cured denture base resin  Properties of denture base resin  Advancements  Conclusion
  • 3. The glossary of prosthodontics terms defines complete denture,  Complete denture as a removable dental prosthesis that replaces the entire dentition and associated structures of the maxilla or mandible. Such a prosthesis is composed of artificial teeth attached to a denture base. In turn, the denture base derives its support through contact with the oral tissues, teeth or dental implants.
  • 4. Denture base ?  According to Gpt-8 (2005) a denture base may be defined as the part of the denture that rests on the foundation and to which teeth are attached  ADA sp. No. 12
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  • 6. Materials used before 18th century wood Bone Ivory The Journal of Indian Prosthodontic Society, Evolution of denture base materials; S. K. Khindria, Sanjeev Mittal, Urvashi Sukhija
  • 7. Materials used in 18th century Gold Porcelain
  • 8. Materials used in the 19th century  1. Tortoise Shell (1850  2. Gutta Percha (1851)  3. Vulcanite (1851)  4. Cheoplastic (1856)  5. Rose Pearl (1860)  6. Aluminum (1867)  7. Celluloid (1870)
  • 9. Materials used in 20th century  1. Bakelite (1909): Its advantage was easy availability but its drawbacks were lack of uniformity, poor color quality and repair difficulties.  2. Stainless steel (1921):  3. Cobalt Chromium (1930)  4. Vinyl Resin (1932)  5. Acrylic Resin (1937)  6. Self cure Acrylic Resin  7. Epoxy Resin (1951)  8. Polystyrene (1951)  9. Nylon (1955)  10. Polycarbonates (1967)  11. High impact acrylic (1967)  12. Polysulphones (1981)  13. Visible L.C (1947)Acrylic (1986)  14. Pure Titanium (1998
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  • 15. Heat/light /chemical process initiator Propogation Benzoyl peroxide Chain transfer and termination (exchange of hydrogen atom or coupling)
  • 16. Copolymerization : improves physical properties
  • 17. Cross linking : improves strength, decrease solubility & water sorption Formation of chemical bonds or bridges between the linear polymers
  • 18. Ideal requirements • Be radio-opaque • Bond to artificial teeth • Be rigid enough • Be easy to process, adjust and repair • Have color stability • biocompatible • Satisfy aesthetic demands • Have sufficient mechanical strength • Be dimensionally stable to maintain fit and occlusion • Resist abrasion and erosion
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  • 22.  Impact failure and fatigue failure transverse deflection and transverse strength of four commercial brands of heat cure acrylic resin (Stellon, Acrylin-H, Trevalon and Trevalon-HI). The heat cure denture base material (Trevalon "HI") was the strongest and Trevalon was the weakest among all materials used in this study.
  • 24. Polymer to monomer ratio ?  Volumetric and linear shrinkage  21% decrease in the volume of material  Pre polymerize = pre shrinking (powder)  Non polymerized section = monomer M P P P Dough like mass Shrinkage 7%
  • 25. Despite of 7% volumetric shrinkage why clinically acceptable result?  Shrinkage is distributed uniformly to all the surfaces  Adaptation of denture base is not significantly affected.
  • 26. Linear shrinkage: effect on denture base adaptation !  2% linear shrinkage ( most commercial products 0.69%)  Thermal shrinkage of resin is the reason  During cooling process  Chemical cured dentures have better fit due to less linear shrinkage
  • 28. Polymer to monomer interaction  Sandy : no interaction at molecular level, polymer beads remain unaltered  Stringy : monomer attacks the surface of polymer beads  Dough: increased number of polymer chain enter the solution. No longer tacky and do not adhere with the surfaces  Rubbery: monomer is dissipated by evaporation. mass rebounds when compressed or stretched  Stiff: continued evaporation of monomer
  • 29. Dough forming time  According to American national standards institute : this consistency br attained in less then 40 min. from start of the mixing process.  In clinical use this stage is attained within 10 mins.  Working time: it is defined as a time a denture base material remains in a dough like stage.  Critical to compression molding  5 mins  Can be extended via refrigeration
  • 30. Errors in packing  Too much material: excessive thickness of denture base and relative malpositioning of prosthetic teeth.  Too little material: denture base voids or porosities
  • 31. Temperature rise • Decomposition of benzoyl peroxide. • Increased polymerization • Increased exothermic reaction. • Boiling of monomer- porosity • Internal porosity: poorly controlled temp.
  • 32. Polymerization cycle 1.Constant temp. water bath at 74 C for 8hrs. 2.74C for 8hrs and increasing temp. to 100C for 1hr. 3.74C for approx. 2 hrs. increasing the temp. to 100C and processing for 1hr.
  • 33. Porosity  Likely to develop in thicker portions  Vaporization of unreacted monomer  Position of the denture base  Unequal mixing Inadequate pressure Air entrapement
  • 35. Advantages Disadvantages Good dimensional accuracy High cost Less free monomer Mold design Good impact strength Less craze resistant Less creep resistant
  • 36. What literature says? Injection molding vs. compression molding  injection molding techniques exhibited less processing errors as compared to compression molding technique with statistical significance.  The injection molding method produced a significantly smaller incisal pin opening over the standard compression molding technique when PMMA resin was used.  The injection molding system was the more accurate method for processing dentures  Dimensional changes? However, in terms of clinical significance, there appears to be little advantage in selecting injection molded acrylic, although time savings at the laboratory remount and occlusal correction stage may be made.
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  • 38. Microwave dentures  Methyl methacrylate molecule is asymmetric.  Specially formulated resin and a nonmetallic flask.  Overheating: thick sections, porosities  Better fit then conventional compression molding
  • 39. owing to the forces of mastication, denture bases may flex close to 500,000 times per year!!!
  • 40. Causes of breakage !  Deep notching at the mid-line labial fraenum  opposing natural teeth  occlusal discrepancies,  inaccurate fit,  prominent tori,  differential hardness of the supporting tissues,  excessively thin sections of acrylic and  processing errors.
  • 41. High impact denture base resin  Rubber-modified PMMA is known as ‘highimpact acrylic’  cracks in the material are difficult to initiate and their propagation is slow
  • 42.  high aesthetic demands, and denture base resin systems are available which facilitate a closer match to patients’ oral tissues than a ‘monoblock’ of conventional pink.  Enigma Colour Tone Kit, Schottlander
  • 43. Fibers reinforced acrylic Carbon Fibers Polyester fiber (PE). Highly drawn linear polyethylene fibers. Organophilic montmorillonite (Claytone). Glass fiber reinforcement. Methacrylated polyhedralsilsesquioxanes (POSS). Kevlar (Synthetic Aramid Fiber Silica-glass fiber reinforced polymeric materials Ultra high modulus polyethylene fibers.
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  • 45. Anti fungal agents  Polymeric biocides are polymers made up of bioactive monomers.  These polymers consist of multiple interconnected biocides which are incorporated into PMMA through surface modification or copolymerization  silver zeolites, silver nanoparticles and platinum nanoparticles  Nano titanium dioxide particles and powdered titanium dioxide have been reported as effective antifungal and antibacterial agents
  • 46. Chemically activated denture base resin  Cold cure, self cure, auto polymerizing resin  Activator: tertiary amine  Degree of polymerization is not that complete as heat polymerized denture base resin  Greater amount of unreacted monomer – tissue irritant, decreased trasverse strength  Less shrinkage then heat activated denture base resin  Inferior color stability (tertiary amine)
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  • 48. Most recent generation of light activated denture base resin  a base forming resin  A tooth setting resin  A countering resin
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  • 50. Fluid resin technique  Low viscosity resin Advantages Disadvantages Adaptation Shifting of prosthetic teeth Decreased damage to teeth and denture base during processing Air entrapment Reduced material cost Poor bonding between denture base and teeth Simplification of flasking, deflasking and finishing Technique sensitive
  • 51. Thermoplastic resin  Softened by heat without chemical change  thermoplastic nylon resin that is ultra thin, very flexible (think more comfortable for chewing and speaking) and is so durable  that one company – Valplast – offers a lifetime warranty for fractures or breaks.  excellent transitional restoration during the healing period on implant cases.
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  • 54. The denture base is milled from preformed acrylic resin blocks, CAD CAM Denture base resin
  • 57. References  Evaluation of Three Different Processing Techniques in the Fabrication of Complete Dentures Vamsi Krishna Chintalacheruvu,1 Rajasekaran Uttukuli Balraj,2 Lavanya Sireesha Putchala,3 and Sreelekha Pachalla4  Dental materials; Philips 12th edition  1.Computer aided technology for fabricating complete dentures: systematic review of historical background, current status and future prospectives. J Prosthet Dent 2013; Bindra AS, et al  2. Comparision of treatment outcomes in digital vs. conventional complete removable dental prosthesis fabrications in a predoctoral setting, J prosthrt Dent, 2015; Kattadiyill MY,et al

Editor's Notes

  1. Dentures are an engineering marvel.
  2. Acrylic resin dentures are susceptible to fracture after clinical use, which is a problem of concern in prosthodontics. Impact failure outside the mouth and flexure fatigue failure in the mouth are two most important causes of fracture of denture base.