This document discusses denture base materials and properties. It describes the ideal properties of denture bases including biocompatibility, adequate physical/mechanical properties, and ease of fabrication. It then discusses various denture base materials like heat-cured PMMA, chemically-cured resins, light-cured resins, and their properties, advantages, disadvantages, and clinical implications. It focuses on ensuring denture bases are non-toxic, dimensionally stable, and don't promote bacterial/fungal growth.
Prosthodontics seminar 3rd stage University of Anbar College Of Dentistry
Created By Mohammed Amer Hekma
Supervised by: Dr Osama Abdul Rasool Hammoodi
References
• FUNDAMENTALS OF REMOVABLE PARTIAL PROSTHODONTIC DESIGN by Kenneth R. McHenry, D.D.S., M.S and Terrence McLean, D.D.S.
• Stewart's Clinical Removable Partial Prosthodontics, Fourth Edition by Rodney D Phoenix, D.D.S, M.S, David R Cagna, D.M.D, M.S and Charles F DeFreest, D.D.S
• McCRACKEN’S REMOVABLE PARTIAL PROSTHODONTICS, TWELFTH EDITION BY Alan B. Carr, D.M.D, M.S, and David T. Brown, DDS, MS
Influence of survey line on designing of clasp / implant dentistry course/ im...Indian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
8 - setting of teeth for class I, II and II arch relation ship (Edited)Amal Kaddah
Prosthetic Problems and possible solutions in Setting –up
of teeth for skeletal Class II and Class III arch relationship
of completely edentulous patients
Prof. Amal F. Kaddah
IATROGENIC EFFECTS ON THE DENTAL PULP
1.Local Anesthesia
2.Cavity/Crown Preparation
3.Dental Materials
4.Depth of Preparation
5.Specific Materials
6.Vital Tooth Bleaching
PROTECTING THE PULP FROM THE EFFECT OF MATERIALS
VITAL PULP THERAPIES
Prosthodontics seminar 3rd stage University of Anbar College Of Dentistry
Created By Mohammed Amer Hekma
Supervised by: Dr Osama Abdul Rasool Hammoodi
References
• FUNDAMENTALS OF REMOVABLE PARTIAL PROSTHODONTIC DESIGN by Kenneth R. McHenry, D.D.S., M.S and Terrence McLean, D.D.S.
• Stewart's Clinical Removable Partial Prosthodontics, Fourth Edition by Rodney D Phoenix, D.D.S, M.S, David R Cagna, D.M.D, M.S and Charles F DeFreest, D.D.S
• McCRACKEN’S REMOVABLE PARTIAL PROSTHODONTICS, TWELFTH EDITION BY Alan B. Carr, D.M.D, M.S, and David T. Brown, DDS, MS
Influence of survey line on designing of clasp / implant dentistry course/ im...Indian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
8 - setting of teeth for class I, II and II arch relation ship (Edited)Amal Kaddah
Prosthetic Problems and possible solutions in Setting –up
of teeth for skeletal Class II and Class III arch relationship
of completely edentulous patients
Prof. Amal F. Kaddah
IATROGENIC EFFECTS ON THE DENTAL PULP
1.Local Anesthesia
2.Cavity/Crown Preparation
3.Dental Materials
4.Depth of Preparation
5.Specific Materials
6.Vital Tooth Bleaching
PROTECTING THE PULP FROM THE EFFECT OF MATERIALS
VITAL PULP THERAPIES
explained with Limited matter moreover I have included all the images. if you go through a standard textbook and referred to this PPT it will help you so much I hope It helps you
The simplicity of bonding can be misleading. The technique undoubtedly can be misused, not only by an inexperienced clinician but also by more experienced orthodontists who do not perform procedures with care.
Success in bonding requires understanding of and adherence to accepted orthodontic and preventive dentistry principles.
The advantages and disadvantages of bonding versus banding of different teeth must be weighed according to each practitioner’s preferences, skill, and experience.
Bonding should be considered as part of a modern preventive package that also includes a strict oral hygiene program, fluoride supplementation, and the use of simple yet effective appliances. In other words, complicated mechanics with abundant use of coil springs and multilooped arches lends itself less well to bonding and easily can compromise the integrity of tooth enamel and gingival tissues around brackets on small bonding bases.
Orthodontic adhesives/certified fixed orthodontic courses by Indian dental ac...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
3. TRIAL DENTURE BASE
Provisional substitutes for denture base
Support wax rims
Must be rigid, accurate, and stable
Made from:
Hard baseplate wax
Auto polymerizing acrylic
Light cured acrylic
Heat cured acrylic
4. DENTURE BASE IDEAL PROPERTIES
Biocompatible: nontoxic, nonirritant
Adequate physical and mechanical properties:
High flexural, transverse and impact strength
High modulus of elasticity for better rigidity
Long fatigue life
High abrasion, creep and craze resistance
Good thermal conductivity
Low density
Low solubility and sorption of oral fluids
Softening temperature higher than that of oral fluids and food
5. DENTURE BASE IDEAL PROPERTIES
Adequate physical and mechanical properties:
Dimensionally stable and accurate
Superior esthetics and color stability
Radiopacity
Good bond with denture teeth and liners
Ease of fabrication with minimum expenses
Easily repaired if fractured
Readily cleansable
6. DENTURE BASE MATERIALS
Heat Activated PMMA
Rapid Cure Type Resins
Chemically Activated Resins
Pour or Fluid Resin Technique
Microwave Activated Resins
Light Activated Resins (VLC)
Modified Resin Base Materials
7. HEAT ACTIVATED PMMA
Polymer and monomer are mixed in the proper ratio of 3 : 1 by volume
or 2.5 : 1 by weight
The mixed material goes through four stages:
Wet sand like mixture
Tacky fibrous stage
Smooth dough like stage
Rubbery stage
8. POLYMERIZATION CYCLE
One technique involves placing the flask in a constant– temperature
water bath at 74° C (165° F) for 8 hours or longer without a terminal boil
at 100° C
Another technique processes the base at 74° C for 8 hours or more
followed by a terminal boil at 100° C for 1 hour
A shorter cycle involves processing the resin at 74° C for approximately
2 hours then boiling at 100° C for 1 hour or more
9. DENTURE BASE POROSITY
Presence of minute surface or subsurface voids in a denture that has
been processed is relatively uncommon nowadays, considering the high
technical standards that are followed in dental laboratories
Porous denture would increase liability for staining and calculus deposits,
and would promote adhesion of fungal and bacterial biofilms (dental
plaque), which could adversely affect the health of the denture-
supporting tissues
10. DENTURE BASE POROSITY
Gaseous porosity occurs as a result of rapid heating of the flask, leading
to monomer evaporation; this appears as fine uniform subsurface
spherical pores, localized more often in the thicker portions of the
denture
Inadequate pressure during flask closure or insufficient amount of
dough present upon packing of the mold can lead to denture porosity.
The voids are large, irregular in shape, and abundant. The resulting
denture appears lighter and more opaque in color
11. DENTURE BASE POROSITY
Inadequate mixing of powder/liquid components also may result in
denture porosity. The areas that contain more monomer tend to shrink
more than the adjacent areas. This localized polymerization shrinkage
leads to the production of large voids that are uniformly spread
throughout the base
12. RAPID CURE TYPE RESINS
Polymerized by rapidly heating the packed dough in boiling water for 20
minutes
Materials are hybrid PMMA, in which activation of the polymerization
reaction is carried out through both chemical and heat activators allowing
rapid polymerization without porosity
After placing the denture in boiling water, the water is boiled at 100° C for
20 minutes
The popularity and relative simplicity of the compression molding technique
is usually overshadowed by the high processing stresses that are induced in
the resins during polymerization
13. RAPID CURE TYPE RESINS
Stresses result from various factors:
Polymerization shrinkage occurs as polymer chains are formed. This accounts for
a volumetric shrinkage of about 7%
Thermal shrinkage then follows as the resin cools
Differences in thermal contraction of the resin and gypsum mold collectively
yield residual stresses in the resin
Occlusal errors that are commonly encountered following processing are
effectively corrected and the predetermined vertical dimension of occlusion
restored through routine laboratory remount and selective grinding
14. BOND BETWEEN HEAT CURE DENTURE BASE
AND RESIN TEETH
Excellent bond with resinous denture teeth
Results from the increased rate of diffusion of the monomers into the
polymerized teeth at the high temperatures
Simplifies the procedures of grinding and set up of teeth even in cases
of limited inter arch space
Porcelain teeth are mechanically attached to the bases
Treatment of the ridge lap area of porcelain teeth with organosilane
compounds has been used to overcome the problem of teeth
dislodgement
15. BIOCOMPATIBILITY OF METHACRYLATE
RESINS
Concerns regarding the biodegradation:
Enzymes present in saliva
Chewing
Occlusal forces
Thermal and chemical dietary changes
Possible adverse biologic effects of these compounds range from:
Chemical irritations
Ulcerations
Burning mouth syndrome
Denture stomatitis to more toxic effects
16. RESIDUAL MONOMER CONTENT
Processing dentures at temperatures that are too low or for shorter times
increases the residual monomer content in the processed denture base
The small size and hydrophilic nature of this monomer allows for its fast diffusion
into the oral cavity and the body
Major advantage of conventionally heat-cured resin bases is that they have
significantly lower residual monomer contents
Terminal boiling of the flasks at 100° C for at least 1 hour decreases the monomer
content to a clinically acceptable level (approximately 0.2% to 0.5%)
17. RESIDUAL MONOMER CONTENT
The plasticizing effect of excess monomer has been shown to adversely
affect the mechanical properties and dimensional stability of dentures
Unbound monomer and other additives are mostly eluted within the first
24 hours after processing, followed by a slow and moderate release
over a long period of time
Storage of the dentures in water is a major factor in releasing residual
monomer from the bases
18. PHYSICAL AND BIOLOGIC CONSIDERATIONS
PHYSICAL AND BIOLOGIC CONSIDERATIONS
Denture bases undergo water absorption
by diffusion resulting in linear expansion,
which favorably offsets polymerization
shrinkage
Denture bases also dry out in dry hot
conditions
Methacrylate resin (PMMA) dentures have a
low thermal conductivity
CLINICAL IMPLICATIONS
Patients are advised to store dentures in
tepid water when out of the mouth
Placing dentures in hot water (>35° C)
results in the release of internal residual
stresses, leading to significant distortion
Portrayed as a substantial decrease of
thermal stimulation
Source of inconvenience for first-time
denture wearers
19. PHYSICAL AND BIOLOGIC CONSIDERATIONS
PHYSICAL AND BIOLOGIC CONSIDERATIONS
Denture base resins are subjected to a
variety of stresses during function:
Midline fractures of dentures during function
are considered a flexural fatigue failure due to
cyclical deformation of the base during
function. This is usually more evident in ill
fitting or poorly designed dentures
Impact fracture may result from patients
accidentally dropping the dentures
CLINICAL IMPLICATIONS
Periodical recalls of the patient by the dentist are
required to address problems that may arise from
long-term denture wearing, such as bone
resorption that may affect the fit of the dentures
Patients are advised on the proper handling of
their dentures, such as cleaning them over a sink
full of water, to avoid fracture if dropped
Use of rubber-reinforced methacrylate bases in
cases of repeated fractures has been advocated
Metal bases also can be used for maximum
strength
20. PHYSICAL AND BIOLOGIC CONSIDERATIONS
PHYSICAL AND BIOLOGIC CONSIDERATIONS
Biocompatibility of denture base methacrylate
resin to the surrounding oral environment is
considered an attribute to the material.
However, water sorption, cracks, surface
imperfections, and micro porosity of the bases
are usually associated with the ability of certain
organisms to colonize the fitting and other
surfaces of the denture, mostly in the absence
of adequate oral hygiene
CLINICAL IMPLICATIONS
Frequent cleansing or soaking the dentures in
chemical cleansers is usually sufficient to minimize,
but not totally resolve, this problem
Temporary treatment of resin surface with Nystatin
and use of CHX have been recommended to
effectively reduce the colonization of C. albicans
Minimizing adhesion of C. albicans to denture bases
has been attempted by incorporating negative
charges in the resin surface
Coating the resin surfaces with a self-bonding
protective polymer, such as poly(dimethyl siloxane),
also has been implemented to discourage microbial
attachment
21. PHYSICAL AND BIOLOGIC CONSIDERATIONS
PHYSICAL AND BIOLOGIC CONSIDERATIONS
Low abrasion resistance of resin bases and
teeth lead to wear if cleaning of dentures is
carried out with a stiff brush or using
abrasive agents
Soluble in organic solvents thus upon
exposure to alcohol or acetone, the polymer
network swells as the resin dissolves, leading
to irreversible damage to the resin surface
CLINICAL IMPLICATIONS
Patients are advised to clean their dentures
with soap and water using a soft brush
Patients who frequently drink alcoholic
beverages can benefit from cross-linked
polymeric base
22. RADIOPACITY OF DENTURE BASES
Use of metal inserts, radiopaque salts and fillers, and organometallic compounds
Accompanied by adverse effects on:
Esthetics
Increased water sorption
Flexural strength of the denture base resins
Cytotoxic effects
Radiopaque terpolymer synthesized which contains (2,3,5 tri-o-benzoyl)-ethyl
methacrylate, methyl methacrylate, and 2-hydroxyethyl methacrylate
23. INJECTION MOLDING TECHNIQUE
The resin mix is injected into closed sprued flask under continuous pressure
Shown to improve the level of fit and adaptation of the processed resins to
the underlying stone casts and tissues thus minimizing the need for further
postinsertion occlusal adjustments
Exhibited less polymerization shrinkage and greater accuracy and
dimensional stability than those processed by standard compression
molding techniques
24. CHEMICALLY ACTIVATED RESINS
Referred to as cold-curing, self-curing or auto polymerizing resins
Less frequently used for denture fabrication as compared with the heat-
activated
Processing of the resins could be carried out by compression molding in a
flask where initial hardening of the resin occurs within 30 minutes of flask
closure, or it can be poured in a fluid consistency that is termed the “pour-
type resin technique.”
25. PROPERTIES OF CHEMICALLY ACTIVATED
RESINS
Contain higher residual monomer contents of 3% to 5% as compared with
heat-activated resins
Incomplete polymerization leads to inferior mechanical properties of the
resins and dramatically compromises their biocompatibility
They exhibit higher solubility in oral fluids and water sorption
Inferior color stability due to oxidation of the amine accelerator
High creep rates under increased stresses
Less polymerization shrinkage
Reduction in the residual stresses during polymerization leads to greater
dimensional stability of the resins
26. POUR OR FLUID RESIN TECHNIQUE
Principal difference in the chemical composition of these resins and the
compression molded chemically activated resins is the smaller size of the
powder particles necessary to ensure fluidity of the mix
Involves pouring the fluid mix into a sprued mold
Flask is placed under pressure at room or higher temperature (45° C)
Polymerization is completed in about 30 to 45 minutes
27. POUR OR FLUID RESIN TECHNIQUE
Technique is simpler and cleaner in regard to flasking and deflasking, as
compared with the conventional compression-molding technique
Use of a hydro-flask increases atmospheric pressure around the mold,
minimizing air inclusions in the mix and thus yielding a denser resin base
The main drawback of this technique is the increased tendency of the
denture teeth to shift position during pouring of the fluid MMA mix into the
mold
28. MICROWAVE ACTIVATED RESINS
Activate polymerization process of methacrylate base resin by using a special
glass fiber–reinforced plastic flask, suitable for use in a microwave oven
composition of liquid monomer is usually modified to control the boiling of
monomer, in a very short curing cycle of about 3 minutes at 500 to 600
W/cycle
Careful control of the time and wattage of the oven is essential to yield
porous-free resins and still ensure a complete polymerization cycle that
enhances the intrinsic characteristics of the resin
29. PROPERTIES MICROWAVE ACTIVATED RESINS
The technique is more time efficient and cleaner than the conventional technique
Microwave-activated resins have comparable physical and mechanical properties to
conventionally heat-activated resins, with reportedly lower incidences of denture tooth
movements
Claims of greater dimensional stability and improved denture base adaptation to the
underlying tissues have been attributed to adequate temperature control in the resin;
equal distribution of temperature throughout the resin and gypsum mold, respectively;
and increased homogeneity of the dough
Limitations, however, are relatively due to its cost effectiveness for a wide production base,
particularly because of high equipment expenses and fragility of the plastic flasks that are
more prone to fracture than the conventional metal flasks
30. LIGHT ACTIVATED RESINS
Copolymers of urethane dimethacrylate and methacrylate resin along with microfine
silica fillers
Alternative to heat activated and microwave-activated resins
Polymerization process is activated by placing the premixed, moldable resin on the
master cast on a rotating table in a light chamber and exposing it to high intensity
visible light of 400 to 500 nm for an appropriate time period of about 10 minutes
The resin is coated with a nonreactive barrier compound to prevent oxygen
inhibition of the polymerization process
31. PROPERTIES LIGHT ACTIVATED RESINS
Light-activated resins are indicated for PMMA sensitive patients because they
contain no methyl methacrylate monomer
They exhibit smaller polymerization shrinkage, reportedly half that of
conventional resins, because of the presence of high molecular weight
oligomers. Intimate adaptation of the bases to the underlying tissues is a great
asset of the material
The physical and mechanical properties of the resins compare well to
conventional heat-activated resins, particularly in regard to transverse and
impact strengths and hardness.
32. PROPERTIES LIGHT ACTIVATED RESINS
Elastic modulus and flexural strength are lower than conventional resins,
which could increase deformation of the dentures during function
Inferior bond strength of VLC resins to resin denture teeth has been reported
frequently but has greatly improved with the use of bonding agents
Biocompatibility of VLC denture base resins raises concern, with reports of
possible hypersensitivity reactions and cytotoxic effects in epithelial cells in
culture
33. MODIFIED RESIN BASE MATERIALS
Water sorption, an inherent weakness in the structure of methacrylate-based
resins, leads to dimensional changes in the denture bases
It is influenced by the type of resin, its thickness, and amount of cross-linking of
the polymer
Heat-activated resins reach their water saturation levels longer than their
chemically activated counterparts because of their lower water diffusion
coefficients
Reducing water sorption of methacrylate resins has been attempted by the
incorporation of fluoro-substituted and styrene-type monomers in the polymer
structures
34. MODIFIED RESIN BASE MATERIALS
Chemical modification to produce graft copolymer resins through the incorporation of
a rubber consists of a matrix of PMMA in which is dispersed an interpenetrating
network (IPN) of rubber and PMMA
The resins absorb more energy at higher strain rates before fracture occurs, resulting in
a significant increase in impact strength
This modification has been shown to be accompanied by a reduction in the stiffness or
rigidity of the resins
High cost of the material may limit its routine use for widespread denture fabrication
35. MODIFIED RESIN BASE MATERIALS
Mechanical reinforcement of methacrylates also has been attempted through the
inclusion of fibers such as glass, carbon, aramid (Kevlar) fibers, nylon, and ultrahigh
modulus polyethylene (UHMWPE) polymers, as well as metal inserts (wires, plates,
fillers)
The incorporation of (triethoxyvinylsilane) treated fillers and oligomers in the polymer
structure improved the mechanical properties of fiber-reinforced resin bases
The resulting resins have increased impact and flexural strength and significant
improvement in fatigue resistance, effectively minimizing denture fractures
36. LIMITATIONS OF REINFORCED DENTURE
BASE RESINS
Tissue irritation can occur from protruding glass fibers
Poor esthetics is associated with dark carbon fibers (black) or straw colored Kevlar
fibers
Require increased production time
Difficulties in handling, orientation, placement or bonding of the fibers within the
resin
Metal inserts have been associated with failures due to stress concentration
around the embedded inserts
44. VERTICAL RELATION
Rest vertical dimension
Occlusal vertical dimension
Inter occlusal space/ Freeway space
45. METHODS OF DETERMINING VERTICAL
RELATION
Mechanical Methods
Ridge relations
Distance from incisive papilla
Parallelism of ridge
Measurements from former dentures
Pre-extraction records
Radiographs
Profile photographs
Articulated casts
Facial measurements
46. METHODS OF DETERMINING VERTICAL
RELATION
Physiologic Methods
Physiologic rest position test
Parting lips after swallowing
Niswonger's method
Phonetics
Facial expressions and esthetics
Swallowing threshold
Tactile sense
Electromyography
47. RIDGE RELATIONS
Incisive papilla
The vertical distance of maxillary incisal edge should be around 6mm
Ridge parallelism
Correct vertical relation is at a point where both jaws are parallel with 5 degree
opening in the posterior region
Disadvantages:
Not reliable in cases of marked resorption
When teeth are lost at irregular intervals the residual ridges are not parallel
50. PHYSIOLOGIC REST POSITION TEST
Swallow and Relax
Lips are parted gently by holding the jaws still with
2-4mm of space in premolar region
Niswonger’s Method
Two markings are made and patient told to swallow
and relax and the distance is measured
51. PHONETICS
Using “m sound”
Using “ch, s and j sounds”
Using “f, v sounds”
Using “thirty three”
Silverman’s closest speaking space
52. ESTHETICS
Facial Esthetics
Facial appearance, skin tone etc.
Willis Method
Distance between the outer canthus of the eye and the corner of the mouth
should be equal to the distance between the lower border of the septum of
nose and lower border of chin
53. SWALLOWING THRESHOLD
Cones of soft wax having excessive height are placed
Patient is instructed to swallow
Repeated swallowing reduces the height of wax to the
occlusal vertical dimension
Disadvantages:
Non consistent results
Affected by the length of time swallowing motion is
performed
55. BOOS BIMETER
Maximum biting force occurs at OVD
Measures the biting force
Adjustable screw to change the vertical dimensions
Measurement recorded on dail
56. LYTLE’S METHOD
Use of central bearing plate and pin
Vertical dimension increased beyond physiologic
rest position
Height reduced till over closure
Height increased till patient indicates comfortable
position
61. SIGNIFICANCE OF CENTRIC RELATION
Artificial teeth best occlude evenly
Stable position independent of teeth contact
Recordable and reproducible
Stable retentive dentures
62. PROBLEMS IN RETRUDING MANDIBLE
Biologic Difficulties
Due to lack of muscular coordination
Development of habitual protrusive position after complete edentulism
Development of habitual position due to wear of teeth or previous wrong
centric position
Neuromuscular disease
Psychological Difficulties
Mechanical Difficulties
63. METHODS FOR RETRUDING MANDIBLE
Relax the jaw, pull back and slowly close
Push the upper jaw out and close
Protrude and retrude mandible repeatedly while holding the chin
Boos stretch-relax exercise
Roll the tongue backwards towards the posterior border and close
Swallow and close
64. METHODS FOR RETRUDING MANDIBLE
Tapping the rims rapidly and repeatedly
Tilting the head backwards
Massaging the temporalis or masseter muscles to relax them
Dawson’s bimanual manipulation
66. METHODS FOR RECORDING CENTRIC
RELATION
Interocclusal Check Records
Functional Methods
Needle House Method
Patterson’s Method
Meyer’s Method
Excursive Methods (Gothic Arch Tracing)
Intra Oral Tracing
Extra Oral Tracing
67. METHODS FOR RECORDING CENTRIC
RELATION
Terminal Hinge Axis
Other Methods
Celluloid Strips
Heating the Surface of one rim
Deep heating or pooling method
Softened Wax placed over occlusal surface
Soft Cones of Wax placed on lower denture
69. FUNCTIONAL METHOD
Needle House Method
Four metal styli fixed in maxillary rim
Diamond shaped pathways carved in
mandibular rim
Require needle house articulator
70. FUNCTIONAL METHOD
Patterson’s Method
Trench made in mandibular wax rim
Filled with plaster and carborundum paste
Compensating curves generated
Meyer’s Method
Use of soft wax to generate paths
Plaster index is made
Teeth setup within the index
71. GOTHIC ARCH TRACING
Application
To verify or confirm centric relation obtained by other methods
Used to obtain protrusive and lateral record
Types
Intra oral tracing
Extra oral tracing
Assembly attached to maxillary and mandibular rims
73. OTHER METHODS
Strips of Celluloid
Deep heating of posterior portions of mandibular rims
Softened wax in the mandibular posterior region
Swallowing technique
77. NEUTRAL ZONE
NATURAL TEETH OCCUPY A
ZONE OF EQUILIBRIUM, WITH
EACH TOOTH ASSUMING A
STABLE POSITION THAT IS THE
RESULT OF ALL THE VARIOUS
FORCES ACTING ON IT
78. SIGNIFICANCE
Severely resorbed ridges
Denture stability
Functional acceptability
When patient’s masticatory muscles are atrophied and neuromuscular ability
is lost then it is contraindicated
79. NEUTRAL ZONE IMPRESSION
Swallowing (drinking a little water)
Saying words that include “S”
(counting from 60 or 70)
Licking the lips (licking the left and
the right lip corners)
Blowing a whistle
82. REQUIREMENTS OF ARTICULATOR
Minimum Requirements
Open and close in hinge like fashion
Hold cast in correct horizontal and vertical position
Simulate protrusive and lateral jaw motions
Moving parts should be accurately machined and move freely and
accurately
Non moving parts should be rigid
Should accept facebow transfer
83. REQUIREMENTS OF ARTICULATOR
Additional Requirements
Adjustable horizontal and lateral guide elements
Adjustable incisal guide table
Adjustable intercondylar width
Condylar elements in the lower frame
Mechanism to accept the third reference point during
facebow transfer
Removable mounting plates that can be repositioned
accurately
84. CLASSIFICATION OF ARTICULATORS
Class I
Simple holding device capable of accepting single static registration
(example: hinge articulator)
85. CLASSIFICATION OF ARTICULATORS
Class II
Permits horizontal as well as vertical motion but do not orient the motion to
TMJ with a facebow transfer
II-A
Permits eccentric motion based on average or arbitrary values (example: grittman or
gysi’s simplex articulator)
II-B
Permits eccentric motion based on arbitrary theories of motion (example: maxillo-
mandibular instrument designed by Monson based on spherical theory of occlusion)
II-C
Permits eccentric motion based on engraved records obtained from patient (example:
hose articulator)
86. CLASSIFICATION OF ARTICULATORS
Class III
Stimulate condylar pathways by using average or mechanical equivalents for all or
part of the motion and allow for joint orientation of the casts with facebow transfer
III-A
Accepts facebow transfer and protrusive interocclusal record
III-B
Accepts protrusive interocclusal records
87. CLASSIFICATION OF ARTICULATORS
Class IV
Instruments that accept 3 dimensional dynamic registrations and
use facebow transfer
IV-A
Condylar pathways are formed by registrations engraved by the patient
IV-B
Condylar paths can be angled and customized
Copolymerization with methacrylic acid, creates a surface-modified PMMA (mPMMA) that alters the ionic interaction between the resin bases and candidal hyphae, potentially decreasing adhesion of the microorganisms to the bases
compression molded methacrylate resins considered too laborious, is relatively prone to errors, and carries a risk of contact dermatitis to dental technicians
To overcome shortcomings in the physical and mechanical properties of conventional heat-activated methacrylate resins, modifications have been introduced into the structure of the polymers. The aim was to reduce water
sorption and improve mechanical properties such as flexural, tensile, and impact strengths, as well as fatigue resistance of the resins