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GOOD
MORNING
DENTURE
BASE
RESINS
2
CONTENTS
3
✗ Introduction
✗ History
✗ Ideal requirements
✗ Classification
✗ Stages of polymerization
✗ Manipulation
✗ Properties of Denture Base Resins
✗ Advancements
✗ Conclusion
✗ References
INTRODUCTION
✗ Denture base (GPT 9) : The part of a denture that rests on the
foundation tissues and to which teeth are attached.
✗ Resin (GPT 9) : A broad term used to describe natural or
synthetic substances that form plastic materials after
polymerization.
4
HISTORY
6
MATERIALS USED BEFORE 18th CENTURY
Bone
Ivory
17th century-Pierre Fauchard (1678-1761) He
used human teeth or animal teeth ,& carved
dentures from a single piece of bone.
7
Ivory Dentures
8
MATERIALS USED IN 18TH CENTURY
French dentist Etienne Bourdet (1775)
who made the first reference to the
use of a gold base)
Gold
In 1808 Italian dentist Giuseppangeio Fonzi. Introduced individually baked porcelain teeth
9
1854 Thomas Evan. produced by heating
natural rubber in the presence of sulfur.
It remained the principal denture base
material for the next 75 years
John Wesley Hyatt (1868)the
first organic plastic molding
compound. The advantages
were its translucence and
pink color.
MATERIALS USED IN 19TH CENTURY
• Tortoise Shell (1850) • Cheoplastic (1856) • . Rose Pearl (1860) • Aluminum (1867)
Celluloid (1870)
Vulcanite (1854)
10
Metal denture bases
Used stainless steel, silver and its alloys as
denture base materials. Currently base metal
alloys are gaining popularity in place of gold
alloys and aluminum alloys.
MATERIALS USED IN 20TH CENTURY
PMMA (vernonite)
In 1937 Dr. Walter Wright and Vernon brothers clinically evaluated PMMA and found to fulfill virtually all
11
 Cobalt Chromium (1930)
 Vinyl Resin (1932)
 Acrylic Resin (1937)
 Self cure Acrylic Resin
 Epoxy Resin (1951)
 Polystyrene (1951)
Nylon (1955)
Ideal Requirement of Denture Base Resin-
• Be dimensionally stable.
• Be esthetically satisfactory.
• Have enough strength,resilience & abrasion resistance.
• Be tasteless,odourless,nontoxic &non-irritant
• Be easy to fabricate.
Uses of Denture Base Resin-
• Fabrication of dentures.
• Artificial teeth.
• Orthodontics & pedodontics appliances.
• Crown & FPDs facing.
• Inlay & post core patterns.
12
PROPERTIES OF
POLYMERS
RHEOMETRIC PROPERTIES
SOLVATION PROPERTIES
THERMAL PROPERTIES
13
14
POLYMERIZATION occurs through a series
of chemical reactions by which the
macromolecule, or the polymer, is formed
from the large numbers of molecules
known as monomers
TYPES:-
CONDENSATION POLYMERIZATION
ADDITIONAL POLYMERIZATION
The components are difunctional,
Byproduct is formed.
Not widely used in dentistry
15
CONDENSATION POLYMERIZATION
(Step growth polymerization)
All resins employed extensively in dental procedure are produced by
additional polymerization
No change in chemical composition and no by-products are formed
16
ADDITION POLYMERIZATION
(Chain growth polymerization)
PHYSICAL STAGES OF POLYMERIZATION
17
Sandy
String
Doughlike
Rubbery/elastic
Stiff
CHEMICAL STAGES OF POLYMERIZATION
Induction Propagation
Chain
transfer
Termination
19
INDUCTION: Two processes controls
induction : stage – activation and initiation.
A source of free radical R is required.
Free radicals are generated by activation of
radical producing molecule such as,
chemical, heat, visible light, ultraviolet light
or energy transfer from another compound.
PROPOGATION: The resulting free radical
. monomer complex acts as a new free radical
. center which is approached by another
monomer to form a dimer, which also . .
. becomes a free radical.
20
CHAIN TRANSFER When a free radical
approaches methyl methacrylate molecule
and donates a hydrogen atom to the
methylmethacrylate molecule.
This causes free radical rearrangement to
form a double bond and unreactive.
TERMINATION Addition polymerization
reaction is terminated by
-Direct coupling of two free radical chains
ends.
-Exchange of hydrogen atom from one
growing chain to another.
PROPERTIES OF ACRYLIC RESINS
Taste and Odour: Completely polymerized acrylic resin is tasteless and odourless.
Esthetics : It is a clear transparent resin which can be pigmented easily to duplicate
. oral tissue.
strength: The strength of an individual denture base resin is dependent on many
. factors such as- composition, processing technique etc. Self cured resin
generally have lower strength values.
Impact strength: measure of energy absorbed by a material when it is broken by a
. sudden blow ,
Heat-activated resin=0.98-1.27 joules Chemically activated resin=0.78 joules
solubility: Denture base resin are virtually insoluble in the oral fluids
colour-stability: The color stability of heat- cured acrylic resin is superior than other.
Biocompatibility: Completely polymerized acrylic resin are biocompatible.
21
CLASSIFICATION
23
Based on
materials
Metallic : Gold and its alloys, aluminium, Cr-Co
alloys
Non metallic: Shellac,baseplate wax, Acrylic &
vinyl resins
Based on
durability
Temporary: Shellac, base plate wax, cold cure
acrylics
Permanent: Gold and its alloys,Cr-Co alloys, light
and heat cure acrylics
According to ISO 1567
24
• CLASS 1 Heat processing polymers, powders and liquid
• CLASS 2 Heat processed (plastic cake)
TYPE 1
• CLASS 1 Autopolymerized polymers, powder & liquid
• CLASS 2 Autopolymerized polymers (powder and liquid pour type resins)
TYPE 2
• Thermoplastic blank or powderTYPE 3
• Light Activated MaterialsTYPE 4
• Microwave-Cured MaterialTYPE 5
Composition-
Liquid-
✗ Methyl Methacrylate
✗ Dibutyl phthalate
✗ Glycol
dimethacrylate
✗ Hydroquinone
Powder-
✗ Methyl methacrylate
✗ Ethyl methacrylate
✗ Benzoyl peroxide
✗ Dibutyl phthalate
✗ Inorganic fillers
✗ Compounds of
mercuric sulfides
25
HEAT ACTIVATED DENTURE BASE RESIN
USES :
Used in the fabrication of nearly all
denture bases.
ADVANTAGES:
They are rigid and accurate.
They are stable, not subject to
distortion.
DISADVANTAGES:
Require considerable time.
More expensive.
26
HEAT CURED DENTURE BASE RESIN
27
Manipulation
Compression
mould
technique
Injection
mould
Technique
28
• Flasking
by: 2 pour
technique /
3 pour
technique
Preparation
of the
mould
• Tinfoil,
Cellulose
lacquers,
solution of
alginate etc
Selection of
separating
medium
• 3:1 ratio by
volume
• 2:1 by
weight
Polymer to
monomer
ratio
• ANSI/ADA
No.12:In clinic,
less than
10min
Dough
forming
time • moldable
for at least
5 min
• Temperatur
e effects
Working
time
• Hydraulic or
mechanical
press
• Trial and final
closure
Packing
•Coupling of two
grouping chains
•Transfer of H2 ion
from one chain to
another
Polymerization
procedure
•Initial heating –
slow
•Temperature > 70º
c(decomposition
rate of benzoyl
perxdTemperature
rise
•Constant temp 74ºC For
8 hrs or longer with no
terminal boiling point
•At 74ºC for 2 hrs & then
to 100ºC for 1 hr
•Processing at 74C for 8
hrs & to 100C
Polymerization
cycle
bench curing
Dewaxing
Bench cooling
Compression mould technique
Injection mould technique
In 1946 ,James Watson Henry built
the first screw injection.
ADVANTAGES:
✗ Controlled polymerization with
continuous compensation of the
material
✗ Time consuming adjustments of
occlusion can be eliminated
✗ No mixing or dosing errors
✗ Homogenous mix reduce risk of
possible fractures
DISADVANTAGES:
✗ High technique sensitive ,expensive
29
CHEMICALLY ACTIVATED DENTURE RESINS
Often referred as cold curing, self-
curing or autopolymerizing resins.
USES:
✗ Temporary crown and bridges
✗ Special trays(contains more fillers)
✗ Denture repair , relining & rebasing
✗ Temporary denture bases
✗ Inlay and post core patterns etc.
Composition:
Identical to heat cure resin except
polymerization is initiated by tertiary
amine (dimethyl-para-toluidine).
31
32
ADVANTAGE
✗ Exhibit less shrinkage, so greater
dimensional accuracy.
✗ Easy manipulation
✗ Used as repair material
DISADVANTAGE
✗ Increased porosity
✗ Tissue irritation from residual
monomer.
✗ Colour stability-inferior due to tertiary
amine (oxidation)
✗ Decreased flexural strength.
33
Techniques
Sprinkle on
technique
Adapting
technique
Fluid resin
technique
Compression
molding
technique
34
35
Fluid resin technique
Placed in pressurized chamber at room
temperature( air pressure 0.1- 0.2 Mpa)
polymerize – 30 – 45 mins
✗ Polyether urethane
dimethacrylate –
✗ Camphoroquinone
✗ Amine ( dimethyl amino
ethylmethacrylate)
✗ Inorganic ; silicon
dioxide(microfine)
✗ Organic ; acrylic resin
beads
✗ High molecular weight
acrylic resin
36
-Major
constituent
-Photoinitiator
-Photoactivator
-Fillers
-Fillers
-Monomer
Light Activated Materials
Light sources – UV Light Argon laser
Light curing chamber – 10 min
Advantages
✗ Less porosity
✗ Extended working time – in vivo also used
✗ Light weight
✗ No allergic reaction
✗ Free of MMA & Non toxic
✗ Reduced polymerisation shrinkage
Disadvantages
✗ Requires high artistic skills
✗ Technique sensitive
✗ Time consuming
37
Microwave-Cured Material
NISHII (1968) first used microwave energy to
polymerise denture base resin in a 400 watt
microwave oven for 2.5 mins
Adavantages
✗ Least curing time – 3 min
✗ Good colour stability
✗ Minimal residual monomer ratio
✗ Good denture base adaptation
Disadvantages
✗ Poor bonding to adjacent teeth
✗ Increased porosity
✗ Expensive flasks
✗ Poor durability - flasks
38
Thermoplastic blank or powder
Valplast & Flexiplast were firstly
introduced to dentistry in 1950s.
Both materials are similar grades of
polyamides (nylon plastic)
ADVANTAGES
✗ Good retention
DISADVANTAGES
✗ Acrylic teeth do not bond
chemically with bond chemically
with flexible denture base.
✗ Discolouration
39
TECHNIQUE
✗ The material is available in
two forms as prepackeged
cartidges or blanks.
✗ Thermoplastic- converted
into fluid form –plasticized
for 15 – 20 min at 550 -
560ᵒ F –Electric cartridge
furnace
✗ Thermoplastic resins are
manipulated by injection
molding technique.
40
41
PROCESSING
ERRORS
42
The presence of surface and subsurface
voids can compromise
physical, esthetic and hygienic properties of
processed dentures base.
• EXTERNAL POROSITY
-Lack of homogenity
-Lack of adequate pressure
43
POROSITY
-Avoided by proper P:L ratio,mixing ,adequate amount
• INTERNAL POROSITY
-Due to the vaporization of monomer when the temp of the resin
increases above the boiling point of monomer (100.8 degree C)
-avoided by long and low temperature curing cycle
Crazing is formation of surface cracks on
denture base resin.
Causes –
• Incorportion of stress
• Attack by solvent (alcohol)
• Incorporation of water during processing.
Prevention
Avoidance of solvent
Proper use of separating media
Metal moulds
Use of cross linked acrylic
44
Crazing
45
✗ Denture warpage is change in shape or fit of denture.
✗ Causes :
 incorporation of stress in denture
 Packing in late dough or rubbery stage.
 Stress induced during curing
 Improper deflasking
 Rise in temp while polishing
 Immersion of processed denture in hot water.
Denture warpage
Polymerization shrinkage:
✗ It is partially explained by a volumetric
decrease arising from the con-version of
van der Waals bond into co valent bonds.
✗ The density of the monomer Changes from
0.94 – 1.19 g/cm
It results in volumetric shrinkage of 21%.
✗ By using 3:1 polymer: monomer ratio n the
volumetric shrinkage is brought to 7%.
46
ADVANCEMENTS
of
RESIN
47
Resins with modified chemical
structure.
Reinforced resins
- High impact resins
- Fiber-reinforced.
Hypoallergenic resins.
Enigma gum toning.
49
:HIGH IMPACT RESINS
• Rubber reinforced (butadiene-styrene
polymethyl methacrylate).
• Rubber particles grafted to MMA for better
bond with PMMA.
CLINICAL APPLICATION:
They are so-called because of greater impact
strength & fatigue properties, hence indicated
for patients who drop their dentures repeatedly
e.g. parkinsonism. Available as powder-liquid
system
E.g Lucitone 199 , D.P.I Tuff, Hiflex H Prevest.
50
Rapid Heat Polymerized Polymer
✗ These are hybrid acrylics which have had the
initiator formulated to allow for very rapid
polymerization without 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.
RADIO OPAQUE DENTURES
✗ The radiolucent nature of PMMA is
one of its disadvantages as a
denture base material.
✗ Denture wearers can endure
serious complications if their
dentures fractures and a portion is
inhaled or ingested.
✗ Use of sophisticated ultrasound
technique also prove to be difficult
for detection.
51
Chest radiographs in which a segment ofdenture base
has been placed over the lower right half of the chest: (a)
radiolucent DBM(b) radiopaque denture base material.
52
HYPOALLERGENIC RESINS.
• Hypoallergenic denture base materials exhibit significantly lower
residual monomer content than PMMA, thus act as an alternative
in allergic patients
• Diurethane dimethacrylate, Polyurethane,
Polyethylenterephthalate and Polybutylenterephthalate.
• Light activated indirect composite containing urethane
dimethacrylate(UDMA) is an alternative to PMMA for patients
hypersensitive to PMMA
Cytocompatible anti-fungal
resin
✗ Inhibition of candida albicans –
preventing denture stomatitis
✗ PMMA – silver nanoparticle discs
were formulated with the
commercial acrylic resin
53
Reinforced denture base resins
Metal and metal-reinforced denture
bases
The common metals include
✗ cast gold
✗ aluminium and
✗ chrome based alloys.
Advantages :
thermal conductivity, minimal bulk,
and more strength with high
dimensional stability.
Disadvantages :
heavy, inability of being rebased,
54
poor esthetics and not economical.
55
Fiber-reinforced resin.
Various fibers such as carbon, kelvar,
glass(have best esthetics), and nylon
fibers have been added to PMMA to
improve their flexibility.
Available in two forms (mesh & fiber)
ADVANTAGES :
✗ Highest impact strength
✗ High modulus of elasticity
DISADVANTAGE :
✗ Decreased transverse strength
✗ Finishing and polishing is difficult
✗ Does not bond well with resins
56
COMPARISON OF IMPACT STRENGTH OF RESINS
REINFORCED WITH DIFFERENT FIBERS:
Polyethylene > glass > thick Kevlar>carbon >thin Kevlar > unreinforced.
THERMOPLASTIC ACETAL:
POLYOXYMETHYLENE
• CLASPS ENGAGE FIRST THIRD OF
UNDERCUTS: 3-4 TIMES MORE
RETENTION
• BETTER AESTHETICS :METAL
CLASPS AND BARS CAN BE
REPLACED
• CAN BE PLACED MORE GINGIVALLY
• FLEXIBLE , MONOMER FREE-
HYPOALLERGIC
• TEETH AND CLASPS CAN BE ADDED
ON EXISISTING DENTURE BASES.
57
NESBIT RPD
✗ One modification of the valplast
partial denture ,which replaces one
to three teeth.
✗ Procedure completed – short visits
✗ Less cost
✗ Easy to get used to
✗ A very realistic appearance
58
59
PEEK
✗ POLYETHER ETHER KETONE (PEEK) BELONGING
TO PAEK(POLYARYL-ETHER KETONE) FAMILY
✗ Introduced in the year 1992- it is a promising
polymeric material that could replace metallic
and ceramic in dental applications
✗ It has an elastic modulus close to human cortical
bone, suggesting more homogenous stress
distribution to bone compares to titanium. (can
also reduce stresses to the abutment teeth)
✗ Ceramic modified PEEK are gentler to enamel ,
and due to it’s low plaque affinity property it
promotes a healthy periodontium.
60
61
• Custom shade matching of natural gingival tissue
using ‘Enigma’ colour tones.
• Gives extra confidence to patient in appearance
of their dentures.
• Available in Ivory, Light Pink, Natural Pink, Dark
Pink & Light Brown. Different colors are mixed to
get the desired gum tone.
62
ENIGMA GUM TONING
DIGITAL DENTURES
63
64
BIOFUNCTIONAL PROSTHETIC SYSTEM
✗ The BPS system is a
standardized system for the fabrication
of high quality removable / complete
dentures.
✗ 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.
✗ BPS system uses a controlled
heat/pressure polymerization procedure
during which time the exact amount of
material flows into the flask to
compensate for shrinkage, which ensures
a perfect fit.
65
66
Jaw movements by the Stratos 200
articulator in BPS ensure that BPS
denture meets most exacting requirements.
CONCLUSION
67
• 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,. Eight edition,2004.
References
THANK YOU
69
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70
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Whoa! That’s a big number, aren’t you proud?
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DENTURE BASE RESINS

  • 3. CONTENTS 3 ✗ Introduction ✗ History ✗ Ideal requirements ✗ Classification ✗ Stages of polymerization ✗ Manipulation ✗ Properties of Denture Base Resins ✗ Advancements ✗ Conclusion ✗ References
  • 4. INTRODUCTION ✗ Denture base (GPT 9) : The part of a denture that rests on the foundation tissues and to which teeth are attached. ✗ Resin (GPT 9) : A broad term used to describe natural or synthetic substances that form plastic materials after polymerization. 4
  • 6. 6 MATERIALS USED BEFORE 18th CENTURY Bone Ivory 17th century-Pierre Fauchard (1678-1761) He used human teeth or animal teeth ,& carved dentures from a single piece of bone.
  • 8. 8 MATERIALS USED IN 18TH CENTURY French dentist Etienne Bourdet (1775) who made the first reference to the use of a gold base) Gold In 1808 Italian dentist Giuseppangeio Fonzi. Introduced individually baked porcelain teeth
  • 9. 9 1854 Thomas Evan. produced by heating natural rubber in the presence of sulfur. It remained the principal denture base material for the next 75 years John Wesley Hyatt (1868)the first organic plastic molding compound. The advantages were its translucence and pink color. MATERIALS USED IN 19TH CENTURY • Tortoise Shell (1850) • Cheoplastic (1856) • . Rose Pearl (1860) • Aluminum (1867) Celluloid (1870) Vulcanite (1854)
  • 10. 10 Metal denture bases Used stainless steel, silver and its alloys as denture base materials. Currently base metal alloys are gaining popularity in place of gold alloys and aluminum alloys. MATERIALS USED IN 20TH CENTURY PMMA (vernonite) In 1937 Dr. Walter Wright and Vernon brothers clinically evaluated PMMA and found to fulfill virtually all
  • 11. 11  Cobalt Chromium (1930)  Vinyl Resin (1932)  Acrylic Resin (1937)  Self cure Acrylic Resin  Epoxy Resin (1951)  Polystyrene (1951) Nylon (1955)
  • 12. Ideal Requirement of Denture Base Resin- • Be dimensionally stable. • Be esthetically satisfactory. • Have enough strength,resilience & abrasion resistance. • Be tasteless,odourless,nontoxic &non-irritant • Be easy to fabricate. Uses of Denture Base Resin- • Fabrication of dentures. • Artificial teeth. • Orthodontics & pedodontics appliances. • Crown & FPDs facing. • Inlay & post core patterns. 12
  • 13. PROPERTIES OF POLYMERS RHEOMETRIC PROPERTIES SOLVATION PROPERTIES THERMAL PROPERTIES 13
  • 14. 14 POLYMERIZATION occurs through a series of chemical reactions by which the macromolecule, or the polymer, is formed from the large numbers of molecules known as monomers TYPES:- CONDENSATION POLYMERIZATION ADDITIONAL POLYMERIZATION
  • 15. The components are difunctional, Byproduct is formed. Not widely used in dentistry 15 CONDENSATION POLYMERIZATION (Step growth polymerization)
  • 16. All resins employed extensively in dental procedure are produced by additional polymerization No change in chemical composition and no by-products are formed 16 ADDITION POLYMERIZATION (Chain growth polymerization)
  • 17. PHYSICAL STAGES OF POLYMERIZATION 17 Sandy String Doughlike Rubbery/elastic Stiff
  • 18. CHEMICAL STAGES OF POLYMERIZATION Induction Propagation Chain transfer Termination
  • 19. 19 INDUCTION: Two processes controls induction : stage – activation and initiation. A source of free radical R is required. Free radicals are generated by activation of radical producing molecule such as, chemical, heat, visible light, ultraviolet light or energy transfer from another compound. PROPOGATION: The resulting free radical . monomer complex acts as a new free radical . center which is approached by another monomer to form a dimer, which also . . . becomes a free radical.
  • 20. 20 CHAIN TRANSFER When a free radical approaches methyl methacrylate molecule and donates a hydrogen atom to the methylmethacrylate molecule. This causes free radical rearrangement to form a double bond and unreactive. TERMINATION Addition polymerization reaction is terminated by -Direct coupling of two free radical chains ends. -Exchange of hydrogen atom from one growing chain to another.
  • 21. PROPERTIES OF ACRYLIC RESINS Taste and Odour: Completely polymerized acrylic resin is tasteless and odourless. Esthetics : It is a clear transparent resin which can be pigmented easily to duplicate . oral tissue. strength: The strength of an individual denture base resin is dependent on many . factors such as- composition, processing technique etc. Self cured resin generally have lower strength values. Impact strength: measure of energy absorbed by a material when it is broken by a . sudden blow , Heat-activated resin=0.98-1.27 joules Chemically activated resin=0.78 joules solubility: Denture base resin are virtually insoluble in the oral fluids colour-stability: The color stability of heat- cured acrylic resin is superior than other. Biocompatibility: Completely polymerized acrylic resin are biocompatible. 21
  • 23. 23 Based on materials Metallic : Gold and its alloys, aluminium, Cr-Co alloys Non metallic: Shellac,baseplate wax, Acrylic & vinyl resins Based on durability Temporary: Shellac, base plate wax, cold cure acrylics Permanent: Gold and its alloys,Cr-Co alloys, light and heat cure acrylics
  • 24. According to ISO 1567 24 • CLASS 1 Heat processing polymers, powders and liquid • CLASS 2 Heat processed (plastic cake) TYPE 1 • CLASS 1 Autopolymerized polymers, powder & liquid • CLASS 2 Autopolymerized polymers (powder and liquid pour type resins) TYPE 2 • Thermoplastic blank or powderTYPE 3 • Light Activated MaterialsTYPE 4 • Microwave-Cured MaterialTYPE 5
  • 25. Composition- Liquid- ✗ Methyl Methacrylate ✗ Dibutyl phthalate ✗ Glycol dimethacrylate ✗ Hydroquinone Powder- ✗ Methyl methacrylate ✗ Ethyl methacrylate ✗ Benzoyl peroxide ✗ Dibutyl phthalate ✗ Inorganic fillers ✗ Compounds of mercuric sulfides 25 HEAT ACTIVATED DENTURE BASE RESIN
  • 26. USES : Used in the fabrication of nearly all denture bases. ADVANTAGES: They are rigid and accurate. They are stable, not subject to distortion. DISADVANTAGES: Require considerable time. More expensive. 26 HEAT CURED DENTURE BASE RESIN
  • 28. 28 • Flasking by: 2 pour technique / 3 pour technique Preparation of the mould • Tinfoil, Cellulose lacquers, solution of alginate etc Selection of separating medium • 3:1 ratio by volume • 2:1 by weight Polymer to monomer ratio • ANSI/ADA No.12:In clinic, less than 10min Dough forming time • moldable for at least 5 min • Temperatur e effects Working time • Hydraulic or mechanical press • Trial and final closure Packing •Coupling of two grouping chains •Transfer of H2 ion from one chain to another Polymerization procedure •Initial heating – slow •Temperature > 70º c(decomposition rate of benzoyl perxdTemperature rise •Constant temp 74ºC For 8 hrs or longer with no terminal boiling point •At 74ºC for 2 hrs & then to 100ºC for 1 hr •Processing at 74C for 8 hrs & to 100C Polymerization cycle bench curing Dewaxing Bench cooling Compression mould technique
  • 29. Injection mould technique In 1946 ,James Watson Henry built the first screw injection. ADVANTAGES: ✗ Controlled polymerization with continuous compensation of the material ✗ Time consuming adjustments of occlusion can be eliminated ✗ No mixing or dosing errors ✗ Homogenous mix reduce risk of possible fractures DISADVANTAGES: ✗ High technique sensitive ,expensive 29
  • 30.
  • 31. CHEMICALLY ACTIVATED DENTURE RESINS Often referred as cold curing, self- curing or autopolymerizing resins. USES: ✗ Temporary crown and bridges ✗ Special trays(contains more fillers) ✗ Denture repair , relining & rebasing ✗ Temporary denture bases ✗ Inlay and post core patterns etc. Composition: Identical to heat cure resin except polymerization is initiated by tertiary amine (dimethyl-para-toluidine). 31
  • 32. 32 ADVANTAGE ✗ Exhibit less shrinkage, so greater dimensional accuracy. ✗ Easy manipulation ✗ Used as repair material DISADVANTAGE ✗ Increased porosity ✗ Tissue irritation from residual monomer. ✗ Colour stability-inferior due to tertiary amine (oxidation) ✗ Decreased flexural strength.
  • 34. 34
  • 35. 35 Fluid resin technique Placed in pressurized chamber at room temperature( air pressure 0.1- 0.2 Mpa) polymerize – 30 – 45 mins
  • 36. ✗ Polyether urethane dimethacrylate – ✗ Camphoroquinone ✗ Amine ( dimethyl amino ethylmethacrylate) ✗ Inorganic ; silicon dioxide(microfine) ✗ Organic ; acrylic resin beads ✗ High molecular weight acrylic resin 36 -Major constituent -Photoinitiator -Photoactivator -Fillers -Fillers -Monomer Light Activated Materials
  • 37. Light sources – UV Light Argon laser Light curing chamber – 10 min Advantages ✗ Less porosity ✗ Extended working time – in vivo also used ✗ Light weight ✗ No allergic reaction ✗ Free of MMA & Non toxic ✗ Reduced polymerisation shrinkage Disadvantages ✗ Requires high artistic skills ✗ Technique sensitive ✗ Time consuming 37
  • 38. Microwave-Cured Material NISHII (1968) first used microwave energy to polymerise denture base resin in a 400 watt microwave oven for 2.5 mins Adavantages ✗ Least curing time – 3 min ✗ Good colour stability ✗ Minimal residual monomer ratio ✗ Good denture base adaptation Disadvantages ✗ Poor bonding to adjacent teeth ✗ Increased porosity ✗ Expensive flasks ✗ Poor durability - flasks 38
  • 39. Thermoplastic blank or powder Valplast & Flexiplast were firstly introduced to dentistry in 1950s. Both materials are similar grades of polyamides (nylon plastic) ADVANTAGES ✗ Good retention DISADVANTAGES ✗ Acrylic teeth do not bond chemically with bond chemically with flexible denture base. ✗ Discolouration 39
  • 40. TECHNIQUE ✗ The material is available in two forms as prepackeged cartidges or blanks. ✗ Thermoplastic- converted into fluid form –plasticized for 15 – 20 min at 550 - 560ᵒ F –Electric cartridge furnace ✗ Thermoplastic resins are manipulated by injection molding technique. 40
  • 41. 41
  • 43. The presence of surface and subsurface voids can compromise physical, esthetic and hygienic properties of processed dentures base. • EXTERNAL POROSITY -Lack of homogenity -Lack of adequate pressure 43 POROSITY -Avoided by proper P:L ratio,mixing ,adequate amount • INTERNAL POROSITY -Due to the vaporization of monomer when the temp of the resin increases above the boiling point of monomer (100.8 degree C) -avoided by long and low temperature curing cycle
  • 44. Crazing is formation of surface cracks on denture base resin. Causes – • Incorportion of stress • Attack by solvent (alcohol) • Incorporation of water during processing. Prevention Avoidance of solvent Proper use of separating media Metal moulds Use of cross linked acrylic 44 Crazing
  • 45. 45 ✗ Denture warpage is change in shape or fit of denture. ✗ Causes :  incorporation of stress in denture  Packing in late dough or rubbery stage.  Stress induced during curing  Improper deflasking  Rise in temp while polishing  Immersion of processed denture in hot water. Denture warpage
  • 46. Polymerization shrinkage: ✗ It is partially explained by a volumetric decrease arising from the con-version of van der Waals bond into co valent bonds. ✗ The density of the monomer Changes from 0.94 – 1.19 g/cm It results in volumetric shrinkage of 21%. ✗ By using 3:1 polymer: monomer ratio n the volumetric shrinkage is brought to 7%. 46
  • 48. Resins with modified chemical structure. Reinforced resins - High impact resins - Fiber-reinforced. Hypoallergenic resins. Enigma gum toning.
  • 49. 49 :HIGH IMPACT RESINS • Rubber reinforced (butadiene-styrene polymethyl methacrylate). • Rubber particles grafted to MMA for better bond with PMMA. CLINICAL APPLICATION: They are so-called because of greater impact strength & fatigue properties, hence indicated for patients who drop their dentures repeatedly e.g. parkinsonism. Available as powder-liquid system E.g Lucitone 199 , D.P.I Tuff, Hiflex H Prevest.
  • 50. 50 Rapid Heat Polymerized Polymer ✗ These are hybrid acrylics which have had the initiator formulated to allow for very rapid polymerization without 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.
  • 51. RADIO OPAQUE DENTURES ✗ The radiolucent nature of PMMA is one of its disadvantages as a denture base material. ✗ Denture wearers can endure serious complications if their dentures fractures and a portion is inhaled or ingested. ✗ Use of sophisticated ultrasound technique also prove to be difficult for detection. 51 Chest radiographs in which a segment ofdenture base has been placed over the lower right half of the chest: (a) radiolucent DBM(b) radiopaque denture base material.
  • 52. 52 HYPOALLERGENIC RESINS. • Hypoallergenic denture base materials exhibit significantly lower residual monomer content than PMMA, thus act as an alternative in allergic patients • Diurethane dimethacrylate, Polyurethane, Polyethylenterephthalate and Polybutylenterephthalate. • Light activated indirect composite containing urethane dimethacrylate(UDMA) is an alternative to PMMA for patients hypersensitive to PMMA
  • 53. Cytocompatible anti-fungal resin ✗ Inhibition of candida albicans – preventing denture stomatitis ✗ PMMA – silver nanoparticle discs were formulated with the commercial acrylic resin 53
  • 54. Reinforced denture base resins Metal and metal-reinforced denture bases The common metals include ✗ cast gold ✗ aluminium and ✗ chrome based alloys. Advantages : thermal conductivity, minimal bulk, and more strength with high dimensional stability. Disadvantages : heavy, inability of being rebased, 54 poor esthetics and not economical.
  • 55. 55 Fiber-reinforced resin. Various fibers such as carbon, kelvar, glass(have best esthetics), and nylon fibers have been added to PMMA to improve their flexibility. Available in two forms (mesh & fiber) ADVANTAGES : ✗ Highest impact strength ✗ High modulus of elasticity DISADVANTAGE : ✗ Decreased transverse strength ✗ Finishing and polishing is difficult ✗ Does not bond well with resins
  • 56. 56 COMPARISON OF IMPACT STRENGTH OF RESINS REINFORCED WITH DIFFERENT FIBERS: Polyethylene > glass > thick Kevlar>carbon >thin Kevlar > unreinforced.
  • 57. THERMOPLASTIC ACETAL: POLYOXYMETHYLENE • CLASPS ENGAGE FIRST THIRD OF UNDERCUTS: 3-4 TIMES MORE RETENTION • BETTER AESTHETICS :METAL CLASPS AND BARS CAN BE REPLACED • CAN BE PLACED MORE GINGIVALLY • FLEXIBLE , MONOMER FREE- HYPOALLERGIC • TEETH AND CLASPS CAN BE ADDED ON EXISISTING DENTURE BASES. 57
  • 58. NESBIT RPD ✗ One modification of the valplast partial denture ,which replaces one to three teeth. ✗ Procedure completed – short visits ✗ Less cost ✗ Easy to get used to ✗ A very realistic appearance 58
  • 59. 59 PEEK ✗ POLYETHER ETHER KETONE (PEEK) BELONGING TO PAEK(POLYARYL-ETHER KETONE) FAMILY ✗ Introduced in the year 1992- it is a promising polymeric material that could replace metallic and ceramic in dental applications ✗ It has an elastic modulus close to human cortical bone, suggesting more homogenous stress distribution to bone compares to titanium. (can also reduce stresses to the abutment teeth) ✗ Ceramic modified PEEK are gentler to enamel , and due to it’s low plaque affinity property it promotes a healthy periodontium.
  • 60. 60
  • 61. 61
  • 62. • Custom shade matching of natural gingival tissue using ‘Enigma’ colour tones. • Gives extra confidence to patient in appearance of their dentures. • Available in Ivory, Light Pink, Natural Pink, Dark Pink & Light Brown. Different colors are mixed to get the desired gum tone. 62 ENIGMA GUM TONING
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  • 65. BIOFUNCTIONAL PROSTHETIC SYSTEM ✗ The BPS system is a standardized system for the fabrication of high quality removable / complete dentures. ✗ 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. ✗ BPS system uses a controlled heat/pressure polymerization procedure during which time the exact amount of material flows into the flask to compensate for shrinkage, which ensures a perfect fit. 65
  • 66. 66 Jaw movements by the Stratos 200 articulator in BPS ensure that BPS denture meets most exacting requirements.
  • 68. • 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,. Eight edition,2004. References
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  • 71. 89,526,124 Whoa! That’s a big number, aren’t you proud? 71
  • 72. SlidesCarnival icons are editable shapes. This means that you can: ● Resize them without losing quality. ● Change fill color and opacity. Isn’t that nice? :) Examples: 72
  • 73. Now you can use any emoji as an icon! And of course it resizes without losing quality and you can change the color. How? Follow Google instructions https://twitter.com/googledocs/status/730087240156643328 ✋👆👉👍👤👦👧👨👩👪💃🏃💑❤😂 😉😋😒😭👶😸🐟🍒🍔💣📌📖🔨🎃🎈 🎨🏈🏰🌏🔌🔑and many more... 😉 73