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Statement of problem How axial displacement may be affected by the mechanical properties and internal discrepancy of a cement-retained implant-supported prosthesis is unclear. Purpose The purpose of this in vitro study was to assess the difference in internal discrepancy and axial displacement according to the prosthesis material in cement-retained prostheses splinting nonparallel implants. Material and methods Computer-aided design and computer-aided manufacture (CAD-CAM) titanium abutments were fabricated for a vertically placed implant and a 15-degree tilted implant. Three types of prostheses, in zirconia, cobalt-chromium (Co-Cr) alloy, and polymethylmethacrylate resin (PMMA), were fabricated (n=10). The internal discrepancy between the CAD-CAM titanium abutment and the prosthesis was measured by using the replica technique. After luting with an interim cement, they were mounted in Type IV gypsum. The specimens were cyclic loaded, and axial displacement of the prosthesis was measured after 3, 10, 100, and 106 cycles. The internal discrepancy and cumulative axial displacement were assessed by using a 3-way analysis of variance and repeated measures analysis of variance (α=.05). Results The internal discrepancy of the prosthesis did not differ based on the prosthesis material (P=.869); however, it was significantly different based on the measurement location, with the occlusal discrepancy (224 ±29 μm) being greater than the axial discrepancy (21 ±10 μm) (P Conclusions Prostheses made with high-elastic moduli materials exhibited less axial displacement than PMMA prostheses, even though the internal discrepancy was not different. Moreover, vertically placed implants presented a greater axial displacement of the prosthesis than implants with angled placement.

Polymethylmethacrylate (PMMA) resin is one of the most commonly used materials for fabricating the base of removable orthodontic appliances. It is known that PMMA resin can promote the adhesion of microbes due to its surface porosity and from long-term use. Vanillin-incorporated PMMA resin has been reported to have antimicrobial effects against Candida albicans. However, the influence of vanillin incorporation on the water sorption and solubility of self-curing orthodontic PMMA resin has not been studied. Objective: To determine the water sorption and solubility of self-curing orthodontic PMMA resin incorporated with different concentrations of vanillin. Materials and methods: Three groups of self-curing orthodontic PMMA resin incorporated with 0.1% and 0.5% vanillin as well as PMMA without vanillin as a control were prepared with ten specimens per group. Water sorption and solubility tests were performed according to ISO 20795-2:2013 specifications. One-way ANOVA and Tukey’s multiple comparison tests at a pResults: All three groups met ISO standard requirements. The means of water sorption values showed insignificant differences among the three groups even though the value of the 0.5% vanillin group tended to decrease. Water solubility of the 0.1% vanillin-incorporated group was not significantly different when compared with the control group whereas that of the 0.5% vanillin-incorporated group exhibited a significant lower value when compared with both control and 0.1% vanillin-incorporated groups. This suggests that increasing concentrations of vanillin would decrease the water solubility of PMMA resin. Conclusion: The incorporation of 0.5% vanillin into self-curing orthodontic PMMA resin could significantly reduce its water solubility and showed a trend of less water sorption property. Even with different vanillin concentrations, the water sorption and water solubility properties of PMMA resin were within the ISO standards. Nevertheless, further studies are recommended to determine the amount of residual monomer present in different concentrations of vanillin-incorporated PMMA resin.

Polymethylmethacrylate (PMMA) resin is the main polymeric material used in removable orthodontic appliances. However, it can promote the adhesion of microbes due to its surface porosity and from long-term use. While vanillin incorporated PMMA resin has been reported to have antimicrobial effects against Candida albicans, the influence of vanillin incorporation on the physical properties of self-curing orthodontic PMMA resin has not been studied. Objective: To determine the flexural strength and flexural modulus of self-curing orthodontic PMMA resin incorporated with vanillin in different concentrations. Materials and methods: Three groups of self-curing orthodontic PMMA with incorporated vanillin concentrations of 0.1%, 0.5% as well as PMMA without vanillin as a control were prepared with ten specimens per group. Flexural strength and flexural modulus were tested by a 3-point bending machine according to ISO 20795-2:2013 specifications. One-way ANOVA and Tukey’s multiple comparison tests at a pResults: The 0.1% vanillin incorporated group met ISO standard requirements (flexural strength = 60.48 MPa, flexural modulus = 1756.60 MPa), while the 0.5% vanillin incorporated group failed to pass this standard (flexural strength = 46.94 MPa, flexural modulus = 1423.49 MPa). The means of both flexural strength and flexural modulus showed significant differences among the three groups. Increasing the concentration of vanillin would decrease the flexural strength and flexural modulus of PMMA resin. Conclusion: The incorporation of vanillin into self-curing orthodontic PMMA resin can affect its physical properties, namely flexural strength and flexural modulus. At a concentration of 0.1% vanillin incorporation, PMMA resin displayed physical properties within the ISO standards.

To provide maxillary and mandibular complete dentures for a patient with severe ridge resorption, the denture space was recorded using the piezography technique. After the piezographic space was scanned, a virtual tooth arrangement and festooning were performed within the space using computer-aided design software. The denture bases were milled from a polymethylmethacrylate resin block using computer-aided manufacturing, and commercially available denture teeth were bonded with resin adhesive. Using the piezography technique described, physiologically appropriate complete dentures were fabricated based on the neutral zone concept.

PURPOSE The aim of the present study was to evaluate the color changes of an autopolymerizing PMMA resin used for interim fixed restorations, reinforced with SiO2 nanoparticles. MATERIALS AND METHODS Silica nanoparticles were blended with the PMMA resin powder through high-energy ball milling. Four shades of PMMA resin were used (A3, B3, C3, D3) and total color differences were calculated through the equations ΔEab= [(ΔL*)2 + (Δa*)2 + (Δb*)2]½ and ΔE00=[ΔL'KLSL2+ΔC'KCSC2+ΔH'KHSH2+RTΔC'KCSCΔH'KHSH]1/2 . Statistically significant differences between ΔEab and the clinically acceptable values of 3.3 and 2.7 and those between ΔE00 and the clinically acceptable value of 1.8 were evaluated with one sample t-test (P

Background The purpose of this in vitro study was to evaluate the impact of the remaining tooth structure on the retention of overdenture cast metal copings. Material and Methods A freshly extracted intact mandibular human canine (length 25 mm) was selected and endodontically treated. An incisal reduction of 4 mm with no ferrule preparation was performed and a post space of 12 mm was created. By using polyvinyl siloxane duplication material and autopolymerizing polymethylmethacrylate resin, ten resin teeth analogs (control group) were obtained. A second set of ten resin teeth analogs (group 1) was created by preparing on the original natural tooth a 360o ferrule design of 1 mm in height and by using the same procedural technique. The canine was further reduced by an additional 1 mm, resulting in a ferrule of 2 mm in height, measured from the initial incisal reduction, thus a third set of ten resin teeth analogs (group 2) was created. For every tooth analog in all groups a dome-shaped metal coping was cast and luted with a glass ionomer cement. All specimens were subjected to tensile load testing until decementation occurred. Results The specimens in the control group exhibited a mean failure load of 87.21 ± 18.26 N, while the 1 mm ferrule group recorded a higher mean failure load of 125.43 ± 8.79 N and the 2 mm ferrule group recorded the highest mean failure load of 146.12 ± 23.38 N. One-way ANOVA revealed significant differences (F= 28.04, p

Background Cranial defects usually occur after trauma, neurosurgical procedures like decompressive craniotomy, tumour resections, infection and congenital defects. The purpose of cranial vault repair is to protect the underlying brain tissue, to reduce any localized pain and patient anxiety, and improve cranial aesthetics. Cranioplasty is a frequent neurosurgical procedure achieved with the aid of cranial prosthesis made from materials such as: titanium, autologous bone, ceramics and polymers. Prosthesis production is often costly and requires complex intraoperative processes. Implant customized manufacturing for craniopathies allows for a precise and anatomical reconstruction in a shorter operating time compared to other conventional techniques. We present a simple, low-cost method for prosthesis manufacturing that ensures surgical success. Case presentation Two patients with cranial defects are presented to describe the three-dimensional (3D) printing technique for cranial reconstruction. A digital prosthesis model is designed and manufactured with the aid of a 3D computed tomography. Both the data of large sized cranial defects and the prosthesis are transferred to a 3D printer to obtain a physical model in poly-lactic acid which is then used in a laboratory to cast the final customised prosthesis in polymethyl methacrylate (PMMA). Conclusions A precise compliance of the prosthesis to the osseous defect was achieved. At the 6 month postoperative follow-up no complications were observed i.e. rejection, toxicity, local or systemic infection, and the aesthetic change was very significant and satisfactory. Customized 3D PMMA prosthesis offers cost advantages, a great aesthetic result, reduced operating time and good biocompatibility.

Aim: The purpose of the study was to evaluate the fracture strength of provisional fixed partial dentures made of autopolymerizing polymethylmethacrylate (PMMA) resin using different types of reinforcement materials to determine the best among them. Materials and Methods: Fifty samples were made (10 samples for each group) with autopolymerizing PMMA resin using reinforcement materials (stainless steel wire: looped and unlooped and glass fiber: loose and unidirectional) as 3-unit posterior bridge. The test specimens were divided into five groups depending on the reinforcing material as Group I, II, III, IV, and V; Group I: PMMA unreinforced (control group), Group II: PMMA reinforced with stainless steel wire (straight ends), Group III: PMMA reinforced with stainless steel wire (looped ends), Group IV: PMMA reinforced with unidirectional glass fibers, and Group V: PMMA reinforced with randomly distributed glass fibers. Universal testing machine was used to evaluate and compare the fracture strength of samples. Comparison of mean ultimate force and ultimate stress was done employing one-way analysis of variance and Tukey's post hoc tests. Results: The highest and lowest mean ultimate force and mean ultimate stress were of Group IV and I, respectively. Tukey's post hoc honestly significant difference multiple comparison for mean ultimate force and stress shows the increase in strength to be statistically significant (P < 0.05) except for the samples reinforced with randomly distributed glass fibers (P > 0.05). Conclusion: Unidirectional glass fibers showed the maximum strength, which was comparable to mean values of both stainless steel wire groups. Low cost and easy technique of using stainless steel wire make it the material of choice over the unidirectional glass fiber for reinforcement in nonesthetic areas where high strength is required.

This 3 phase study examined (1) the effect of microwave irradiation on the adhesion and (2) biofilm formation of 4 candidal species on heat polymerized polymethyl methacrylate (PMMA) specimens. Lastly, (3) the flexural strength of heat polymerized PMMA was tested.C.albicans(ATCC 10231),C. glabrata(ATCC 22019),C. krusei(ATCC 6258) andC.parapsilosis(ATCC 90030) were used. The flexural strength of the PMMA resin after microwave irradiation was tested in accordance with ISO 20795-1 specifications. A one-way ANOVA statistical analysis was used for all the results.The maximum effect of 94% to 98% reduction in adhesion and biofilm counts was seen with microwave irradiation at 850 W and 1000 W for 120 sec. There was no significant difference between the control and irradiated specimens in terms of flexural strength. Reduction of candida adhesion and biofilm on PMMA resin can be achieved with microwave irradiation.

Custom made tray for dental impression is designed to provide a uniform space for the impression material and thereby improve the accuracy of the resultant working cast. Auto-polymerized acrylic resins have been the most commonly used material for the fabrication of these trays. The custom tray produces more accurate and reliable results for inter-abutment distance at the occlusal and gingival level than stock trays. This article describes a modified technique for fabrication of auto-polymerized Polymethylmethacrylate (PMMA) resin trays.

Purpose: evaluation and comparison of the influence of palatal coverage on the retention force and fatigue resistance of attachment system of mini dental implant (MDIs) overdenture. Materials and methods: heat-cured polymethylmethacrylate resin maxillary acrylic resin models were used for this study. Five 2.5 × 13 mm dummy mini-dental implants with O-ring attachment were placed parallel to each other. Ten palateless implant retained overdenture, and ten full coverage implant retained overdenture were constructed on the models. Both of them, retention and cyclic fatigue tests of each overdenture were measured using BENDAO tools of the universal testing machine and average reading was calculated. Result: (Group I) mini-dental implant overdenture with palatal coverage recorded higher retention means value (25.55 ± 2.17 N) than (group II) mini-dental implant overdenture without palatal coverage (palate-less overdenture) (24.215 ± 3.64 N). the cyclic fatigue test for the (group I) mini-dental implant overdenture with palatal coverage Showed that the retention decreased significantly with time as indicated by ANOVA test (p < 0.05), While for (group II) mini-dental implant overdenture without palatal coverage (palate-less overdenture) was found that the retention was insignificant decrease in the first month; then it significantly decrease in the remaining periods of the study as indicated by ANOVA test (p < 0.05). Conclusion: Within the limitations of this in vitro study it can be concluded that the mini-dental implant overdenture with palatal coverage showed superior retentive properties when compared with mini-dental implant overdenture without palatal coverage (palate-less overdenture). Both study groups showed a reduction in retention after cyclic fatigue period.

Objectives: This study was designed to evaluate the fracture resistance of retreated roots using different rotary retreatment systems. Methods: Forty eight freshly extracted human canine teeth with single straight root canals were instrumented sequentially increasing from size 30 to a size 55 using K-files whit a stepback technique. The teeth were randomly divided into three experimental and one control groups of 12 specimens each. The root canals were filled using cold lateral compaction of gutta-percha and AH Plus (Dentsply Detrey, Konstanz, Germany) sealer in experimental groups. Removal of gutta-percha was performed with the following devices and techniques: ProTaper Universal (Dentsply Maillefer, Ballaigues, Switzerland), R-Endo (Micro-Mega, Besançon, France), and Mtwo (Sweden & Martina, Padova, Italy) rotary retreatment systems. Control group specimens were only instrumented, not filled or retreated. The specimens were then mounted in copper rings, were filled with a self-curing polymethylmethacrylate resin, and the force required to cause vertical root fracture was measured using a universal testing device. The force of fracture of the roots was recorded and the results in the various groups were compared. Statistical analysis was accomplished by one-way ANOVA and a post hoc Tukey tests. Results: There were statistically significant differences between the control and experimental groups (P

In this in-vitro study, we compared the shear bond strengths of orthodontic brackets bonded to various commonly used esthetic pontic materials.Prefabricated denture teeth (acrylic resin, Trubyte, Dentsply, York, Pa) and samples made from Integrity (bis-acryl composite resin, Dentsply Caulk, Milford, Del) and Alike (polymethylmethacrylate resin, GC America, Alsip, Ill) were used to represent the more common esthetic provisional materials. Each material group contained 30 samples; a total of 90 samples were bonded in the same fashion with APC PLUS maxillary lateral incisor brackets (3M Unitek, Monrovia, Calif). Each material group was then divided into 2 testing subgroups. One subgroup was tested for shear bond strength 24 hours after bonding, and the other subgroup was tested after bonding and storage in distilled water at 37 degrees C for a week. Each bracket was loaded perpendicularly in a universal testing machine at a crosshead speed of 1.0 mm per minute until bonding failure. The mean shear bond strength and standard deviation were determined for each group. Analysis of variance (ANOVA, 2-factor and 1-factor) with Tukey HSD post-hoc tests, Student t tests, and Mann-Whitney U tests were used to test the main effects of pontic materials and time of loading (alpha = 0.05). The data were stratified, and 1-way ANOVA tests were performed with the Bonferroni adjustment (alpha = 0.01) to examine the effect of the pontic material on shear bond strength after either 1 day or 7 days of storage.Significant differences were found based on pontic material and time (P0.05), but there was a significant interaction (P = 0.044), making the results uninterpretable. At 1 day, the Integrity material had a significantly higher mean shear bond strength than both Alike and the denture tooth materials (P0.001). However, at 7 days, both Integrity and Alike had significantly higher mean shear bond strengths compared with the prefabricated denture tooth (P0.001).Although the use of Integrity or Alike requires an additional armamentarium, necessitating individual pontic fabrication by the dental practitioner, indications for clinical use are evident with direct applications to multi-disciplinary treatment modalities.

Recent years have been dominated by research in nano science. Dentistry is no exception and there is increased research on nanoparticles in dentistry. Complete dentures increase the carriage of Candida in healthy patients, and the proliferation of C. albicans can be associated with denture-induced stomatitis. Purpose: To evaluate the anti-Candida effect of heat cure denture base resins reinforced with Ag° in the ratio of 4:1, 3:1, 2:1 (Groups B, C, and D, respectively) to the weight of denture base resins. Materials and Methods: Ag° were synthesized by chemical reduction method, incorporated into the polymer powder according to the ratio for each group, subjected to polymerization and microbial assay was calculated for the reference C. albicans strains by agar diffusion method for the incubation period of 24 h. Results: Group D showed multifold decrease in the colony-forming units. Conclusion: The antimicrobial effect of silver could be used vividly in the denture base for immunocompromised and geriatric patients.

A new method has been designed, developed and pioneered in Dundee, UK for the construction of thin, small, flexible, reliable, repeatable and cheap transducers to measure the vertical pressure under the plantar surface of the foot. The transducers are constructed from a piezoelectric film which consists of a mixture of polyvinylidene fluoride and polymethylmethacrylate resin (90% to 10% by weight). The size of the transducers is scalable from 4 cm 2 down to 25 μm 2 .

The PIXE method is very suitable for applications in the biological field. We use it to study the kinetic resorption of bioceramics. The aim of this work is to compare the concentrations of mineral elements in bone to those in bioceramics. The samples are embedded in a polymethylmethacrylate resin and are considered as infinitely thick targets. The correction method is based on the experimental determination of an α parameter linking the two preponderent matrix effects: X-ray absorption and proton energy loss. This method allows corrections without making any hypothesis about the matrix composition. In this paper, we present an experimental and a theoretical determination of the correction coefficients to be applied. Thus we obtained quantitative measurements which allow us to understand better the mechanism of resorption occuring in calcium phosphate ceramics.

This paper demonstrates the preparation of transparent biocomposites from chitin nanofiber using a series of simple mechanical treatments after the removal of proteins and minerals. Field emission scanning electron microscopy (FE-SEM) images show that the prepared chitin nanofibers are highly uniform with a width of less than 50 nm and a high aspect ratio. Due to the nano-size, the fibers are small enough to retain the transparency of the neat polymethylmethacrylate resin. Light transmission of the obtained chitin/PMMA biocomposite was 90.2%, in comparison to the neat resin, which was 92.6%. Mechanical property tests showed that chitin nanofibers significantly improved the tensile strengths and Young’s modulus of the neat PMMA, which increased from 43.8 MPa to 102 MPa and 1.6 GPa to 3.43 GPa, respectively. PMMA resin was found to be well dispersed in the biocomposite and had little effect on the tensile properties of the material. The properties mentioned above qualify the chitin nanofiber as a green and high-performance candidate having potential to be applied in next-generation optical electronic and building systems as a commercially available material.

WOS: 000186988100014, PubMed ID: 14686819, In this study, mesiodistocclusal (MOD) cavity preparations of endodontically treated maxillary premolars that were enlarged to size #50 were restored using three restorative materials (one ormocer, one packable composite, and one high-copper amalgam) and two application techniques (with or without coronal radicular technique). Copper rings were filled with self-curing polymethylmethacrylate resin and the teeth were placed into resin up to the level of the CEJ. The teeth were grouped according to the restorative material and technique, mounted in a Universal Testing Machine, and the buccal walls subjected to a slowly increasing compressive force until fracture occurred. The force of fracture of the walls of each tooth was recorded and the results in the various groups compared. The group restored with packable composite without radicular extension showed the highest resistance to fracture (p < 0.05). Both groups restored with amalgam were significantly weaker than all the other groups (p < 0.05).

This study suggests that: 1. The porous plastic material tested is compatible with and showed no undesirable reactions in subcutaneous, intracerebral, intramuscular, and especially, intraosseous sites. 2. By standardizing porosity (e.g., a desired hole, any dimension, uniformly distributed) with the implant material (P.P.M.M.), one can predict with a degree of certainty that connective-tissue (collagen fibers) or hard-tissue (osteogenesis and reparative bone) ingrowth into these micropores will definitely occur. 3. The various shapes employed for implantation of the plastic material were not carcinogenic and did not cause a malignant reaction in any implanted region. 4. A close "amalgamation" with adjacent tissues was a result regardless of the implant site (e.g., intramuscular, intracerebral, or subcutaneous). Intraosseously, there was a variation. Depending upon the pore size, one observes either connective tissue or osseous ingrowth into the micropores. At a 100 micron pore size (B material), connective tissue ingrowth into the P.P.M.M. was seen. At the 450 micron size (E material), osseous tissue ingrowth into the P.P.M.M. was clearly observed. 5. The P.P.M.M. implant material can be used as a tooth replacement (e.g., for a root) at a small pore size (100 micron) and as a bone replacement (e.g., for bony defects) at a larger pore size (450 micron). 6. To secure vascularization of the implant material, porosity throughout is indicated at a large pore size. Surface porosity regardless of size will encourage only soft-tissue ingrowth into the implant material. 7. Any hard-tissue size or shape can be duplicated with the material, at any pore size, with compatibility to the adjacent tissue, regardless of the region of placement in the body. 8. There is a possibility of bone "induction" or stimulation of bone growth in predetermined directions with all its implications (e.g., periodontal disease). The replacement and repair of any hard tissue in the body (e.g., bone and teeth) are possibilities.

The adherence of Streptococcus mutans OMZ-176 to six implant materials (poly-crystal alumina, single-crystal alumina, titanium alloy, cobalt-chromium-molybdenum alloy, hydroxyapatite, and heat-curing polymethylmethacrylate resin) was studied in vitro. The change of free energy, which corresponds to the adherence process, was also evaluated for hydrophobic interaction. Adherence of S. mutans to poly-crystal alumina was lower than adherence to other materials. The adherence of S. mutans to the test materials was highly correlated with the change of free energy, which suggests that hydrophobic interaction plays an important role in the adherence of S. mutans to the implant materials.