105

Denture Base Resin

Embed Size (px)

DESCRIPTION

DENTURE BASE RESINDR.VINAMRA DHARIWAL

Citation preview

Page 1: Denture Base Resin
Page 2: Denture Base Resin

14-05-2008

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

DENTURE BASE RESIN

DR.VINAMRA DHARIWAL

Dr. Vinamra Dhariwal

Page 3: Denture Base Resin

DEFI�ITIO�:

• According to GPT - VI, Denture Base is

defined as the part of Denture that rests on

the foundation tissue and to which teeth are

DR.VINAMRA DHARIWAL

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

the foundation tissue and to which teeth are

attached.

• Denture Base Material is any substance of

which denture base may be made

Page 4: Denture Base Resin

HISTORY

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lectureDR.VINAMRA DHARIWAL

Page 5: Denture Base Resin

WOODEN DENTURES

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lectureDR.VINAMRA DHARIWAL

Page 6: Denture Base Resin

BONE, IVORY AND

NATURAL TEETH

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lectureDR.VINAMRA DHARIWAL

Page 7: Denture Base Resin

• In 1794 John Greenwood began to swage gold bases for dentures. Made George

Washington's dentures.

George washington’s last dental prosthesis. The palate was swaged from a sheet of gold and ivory teeth riveted

To it.The lower denture consists of a single carved block of ivory. The two dentures were held togther by steel

Springs.

DR.VINAMRA DHARIWAL Dental material lecture

Page 8: Denture Base Resin

CERAMIC

• ADVANTAGES over wood, bone , ivory were

-Could be shaped using additive technique rather than subtractive (carving).

-Additive technique facilitated correction of denture base surface.

-this permitted more intimate contact with

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

-this permitted more intimate contact with underlying soft tissues.

-Could be tinted to simulate the colors of teeth and oral soft tissues.

-stable in oral environment.

-Minimal water sorption, porosity, and solubility.

-Smooth surface provided hygienic properties.

Among the drawbacks

BRITTLENESS was most

significant, fractures were common,

often irreparable.

DR.VINAMRA DHARIWAL

Page 9: Denture Base Resin

�ELSO� GOODYEAR

vulcanite dentures in 1864.

Vulcanized hard rubber was discovered and introduced as denture base material

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

denture base material (Ebonite). It ruled dentistry until about 1940(during which Vulcanite, Metal and Porcelain became the standard combination.

DR.VINAMRA DHARIWAL

Page 10: Denture Base Resin

Disadvantages

• It absorbs Saliva and becomes unhygienic

due to bacterial proliferation.

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

due to bacterial proliferation.

• Esthetics were poor.

• Dimensionally unstable.

• Objectionable taste and odor

DR.VINAMRA DHARIWAL

Page 11: Denture Base Resin

CELLULOID

DENTURES

• In 1868 John Hyatt, A

US Printer, discovered

the first plastic

molding compound,

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

molding compound,

called celluloid. He

made it by dissolving

nitrocellulose under

pressure

DR.VINAMRA DHARIWAL

Page 12: Denture Base Resin

Other cellulose compounds were cellulose

acetate, acetate butyrate, ethyl cellulose.

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

• Substitute for vulcanite was unsuccessful as

It absorbs stains and odors in the mouth,

Gradually turns black and was flammable.

DR.VINAMRA DHARIWAL

Page 13: Denture Base Resin

• In 1909, another promising organic compound was found. This was phenol formaldehyde resin discovered by Dr. Leo Bakeland . “BAKELITE”.

Disadvantages

• Variable strength , Lack of uniform quality

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

• Variable strength , Lack of uniform quality

• Variable color , Dimensional instability.

• Vinyl chloride and vinyl acetate dentures were available from 1932.

DR.VINAMRA DHARIWAL

Page 14: Denture Base Resin

METALLIC

DENTURE BASES

ADV:

1.Good thermal conductive property.

2.Can be as thin as possible, hence indicated in decreased interocclusal clearance cases.

3.Weight of the denture is comparatively less which helps in retention (esp. upper denture)

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

3.Weight of the denture is comparatively less which helps in retention (esp. upper denture)

4.Breakage is minimal.

5.Fit of the denture is improved when compared with acrylic denture.

6.These are kind to the underlying tissues because of excellent tolerance of the tissues.

7.Increased patient comfort.

DR.VINAMRA DHARIWAL

Page 15: Denture Base Resin

• DISADV:

1.Poor esthetics.

2.Increased chances of discoloration if poorly maintained.

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

maintained.

3.Casting shrinkage had to be taken in consideration.

4.Relining and rebasing is difficult.

DR.VINAMRA DHARIWAL

Page 16: Denture Base Resin

Listing requirements

DR.VINAMRA DHARIWAL

Page 17: Denture Base Resin

REQUIREMENTS

Requirements of a denture base material can

be listed under the following headings:

�Physical properties

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

�Physical properties

�Mechanical properties

�Chemical properties

�Biological properties

�Miscellaneous

DR.VINAMRA DHARIWAL

Page 18: Denture Base Resin

PHYSICAL

PROPERTIES:

1.Appearance—An ideal denture base should be capable matching the appearance of the oral soft tissues-depending on whether the base will be visible when the mouth is opened. 2. Glass transition temperature:

Should be high enough to prevent softening and distortion during use.

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

Should be high enough to prevent softening and distortion during use.

3. Dimensional stability:

Should have good dimensional stability in order that the shape of the denture does not change over a period of time.

Factors influencing dimensional instability are temperature, internal stresses, continued polymerization &water sorption.

DR.VINAMRA DHARIWAL

Page 19: Denture Base Resin

4.Specific Gravity:

Should have a low value of specific gravity in order that dentures should be as light as possible. This reduces the gravitational displacing forces

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

This reduces the gravitational displacing forces which may act on an upper denture.

5. Thermal Conductivity:

A high value would enable the denture wearer to maintain a healthy oral mucosa and to retain a normal reaction to hot and cold stimuli.

DR.VINAMRA DHARIWAL

Page 20: Denture Base Resin

Radio-opacity:

The denture base should ideally be RADIOPAQUE. It should be capable of detection using normal diagnostic

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

RADIOPAQUE. It should be capable of detection using normal diagnostic radiographic techniques. This might be helpful in detection of denture if accidentally swallowed.

DR.VINAMRA DHARIWAL

Page 21: Denture Base Resin

MECHANICAL

PROPERTIES

1. The denture base should be rigid therefore a high value of modulus of elasticity is advantageous.

2. A high value of elastic limit is required to ensure that stresses encountered during biting and mastication do not cause

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

encountered during biting and mastication do not cause permanent deformation. A combination of high modulus and high elastic limit would allow the denture base to be fabricated in thin sections.

3. The denture base should have sufficient flexural strength to resist fracture. Fractures of upper dentures occurring through the midline of the denture are due to flexing.

DR.VINAMRA DHARIWAL

Page 22: Denture Base Resin

4. The base material should have an adequate fatigue

life and a high value of fatigue limit.

5. The denture base should have a good impact

strength. Impact strength is the ability of the denture

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

strength. Impact strength is the ability of the denture

base to resist fracture.

6. The denture base material should have sufficient

abrasion resistance to prevent excessive wear of

material by abrasive denture cleansers or food stuffs.

DR.VINAMRA DHARIWAL

Page 23: Denture Base Resin

CHEMICAL

PROPERTIES:

1. Base material should be chemically inert

.

2. It should, naturally, be insoluble in oral

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

2. It should, naturally, be insoluble in oral

fluids and should not absorb water or

saliva since this may alter the mechanical

properties of the material and cause the

denture to become unhygienic.

DR.VINAMRA DHARIWAL

Page 24: Denture Base Resin

BIOLOGICAL

PROPERTIES:

• The denture base materials should not beharmful to the technician involved in itshandling in the unmixed or uncured states.

• The set denture base should be non toxic and non

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

• The set denture base should be non toxic and nonirritant to the patient.

• The base ideally should be impermeable to oralfluids. If a degree of absorption occurs however,the base should not be able to sustain the growthof bacteria or fungi.

DR.VINAMRA DHARIWAL

Page 25: Denture Base Resin

MISCELLANEOUS

PROPERTIES:

• An ideal denture base should be relatively inexpensive.

• It should have a long shelf life.

• Material should be easy to manipulate and fabricate

without having to resort to using expensive processing

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

without having to resort to using expensive processing

equipments.

• It should be easy to repair, if fractures do occur.

In addition the denture base should have color stability,

absence of taste and odor, adhesion to plastics, metals and

porcelains.

DR.VINAMRA DHARIWAL

Page 26: Denture Base Resin

All through the history

of the making of

dentures, we find a

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

dentures, we find a

constant struggle of

packing all the

properties in a single

material

DR.VINAMRA DHARIWAL

Page 27: Denture Base Resin

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lectureDR.VINAMRA DHARIWAL

Page 28: Denture Base Resin

• In 1937 Dr. Walter

Wright gave dentistry

its very useful resin.

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

• It was polymethyl

methacrylate which

proved to be much

satisfactory material

tested until now.DR.VINAMRA DHARIWAL

Page 29: Denture Base Resin

Requisites for a

dental resin:

1.Biological considerations: 1.Biological considerations:

• The resin should be tasteless, odorless, non-toxic and non-irritating to the oral tissues.

• Should be insoluble in saliva or any other fluids taken into the mouth.

• Should be impermeable to oral fluids.

• Should inhibit growth of micro-organisms.

DR.VINAMRA DHARIWAL

Page 30: Denture Base Resin

2. Physical properties:

• Adequate strength and

resilience to resist biting|

chewing forces, impact forces

and excessive wear.

• Should be dimensionally • Should be dimensionally

stable.

• Specific gravity should be

low.

DR.VINAMRA DHARIWAL

Page 31: Denture Base Resin

3. Aesthetic properties:

• Should exhibit

sufficient translucency

or transparency to

match the appearance

of the oral tissues.

• Should be capable of • Should be capable of

being tinted or

pigmented.

• Color stability.

Dental material lectureDR.VINAMRA DHARIWAL

Page 32: Denture Base Resin

4. Handling properties:

• The material should not produce toxic

fumes or dust during handling.

• Ease of manipulation.

• Oxygen inhibition, saliva contamination

and blood contamination should have and blood contamination should have

little or no effect on the final outcome.

• Should be easy to polish.

• Should be capable of being easily and

efficiently repaired if fracture occur.

Dental material lectureDR.VINAMRA DHARIWAL

Page 33: Denture Base Resin

5. Economic

considerations:

• Cost and processing

method should of the method should of the

resin should be low.

• Processing equipment

should be simple and

inexpensive.

“�o resin has yet met all of these ideal criteria”. Methacrylate

polymers fulfill the aforementioned requirement reasonably well.

DR.VINAMRA DHARIWAL

Page 34: Denture Base Resin

POLYMER RESINS

DEFI�ITIO�: A polymer is a long chain organic molecule. It is produced by the reaction of many smaller molecules called monomers, or mers.

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

• If reaction occurs between two different but compatible monomers the polymeric product is called a COPOLYMER.

• Resin : A broad term used to describe natural or synthetic substances that form plastic materials after polymerization (GPT-7th edition).

DR.VINAMRA DHARIWAL

Page 35: Denture Base Resin

METHYL METHACRYLATE

The acrylic resins are derivative of ethylene and contains a vinyl group

(-c=c-)

Polyacids tends to imbibe water, due to polarity related to carboxyl group.

Water tends to separate the chain and cause softening and loss of strength.

Methyl methacrylate is a transparent liquid at room temp.Methyl methacrylate is a transparent liquid at room temp.

Physical properties

-Molecular wt=100

-Melting point=-48 C

-Boiling point=100 C

-Density=0.945g/ml at 20 C

-Heat of polymerization=12.9 Kcal/mol

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lectureDR.VINAMRA DHARIWAL

Page 36: Denture Base Resin

POLYMETHYL

METHACRYLATE

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

it has got remarkable clarity.

• Hard resin, knoop hardness no of 18 to 20.

• Tensile strength is 60 MPa

• Density is 1.19 g/cm cube.

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

• Modulus of elasticity 2.4 GPa(2400 MPa)

• It is chemically stable and softens at 1250C

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

• Depolarization takes place at approx 450 C .

• Absorbs water by imbibition

• Non crystalline structure possess high internal energy.

• Polar carboxyl group can form hydrogen bridge to a limited extent with water.

DR.VINAMRA DHARIWAL

Page 37: Denture Base Resin

Polymerization MechanismsPolymerization Mechanisms :

Basically of 2 types-------

1.Step-growth or condensation type.

2.Addition polymerization

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lectureDR.VINAMRA DHARIWAL

Page 38: Denture Base Resin

STAGES OF

POLYMERIZATION

• INDUCTION

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

• PROPAGATION

• TERMINATION

• CHAIN TRANSFER

DR.VINAMRA DHARIWAL

Page 39: Denture Base Resin

COPOLYMERIZATION:

• When 2 or more

chemically different

monomers combine to

form macromolecules

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

form macromolecules

or COPOLYMERS,

the reaction is said to

be

COPOLYMERIZATI

ON.

DR.VINAMRA DHARIWAL

Page 40: Denture Base Resin

CROSS-LINKING:

• Cross-linking is formation of molecular networks

through joining or bridging linear polymers

through certain reactive side chains.

• Cross-linkage provides a sufficient no., of bridges

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

• Cross-linkage provides a sufficient no., of bridges

between the linear macromolecules to form a

three-dimensional network that alters the strength,

solubility, and water sorption of the resin.

DR.VINAMRA DHARIWAL

Page 41: Denture Base Resin

TYPES OF DE�TURE

BASE POLYMERS

1)CO�VE�TIO�AL HEAT CURED POLYMETHYL METHACRYLATE

• Supplied as powder and liquid

POWDER

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

• Polymer of PMMA in the form of spheres or beads.

• Benzoyl peroxide is attached to it (initiator) 0.5%

• Plasticizer is incorporated (methacrylate or acrylate monomer).

• Coloring pigments cadmium/ organic dyes/ iron are added for esthetics.

DR.VINAMRA DHARIWAL

Page 42: Denture Base Resin

LIQUID

• Methyl methacrylate monomer

• Cross linking agent Ethylene glycol dimethacrylate(5-15%).they are added to

avoid crack or craze produced by stresses during drying.

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

• Inhibitor Hydroquinone (trace) to avoid premature polymerization and enhance

shelf life.

• As a rule,heat activated denture base are

shaped via compression molding technique.DR.VINAMRA DHARIWAL

Page 43: Denture Base Resin

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lectureDR.VINAMRA DHARIWAL

Page 44: Denture Base Resin

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lectureDR.VINAMRA DHARIWAL

Page 45: Denture Base Resin
Page 46: Denture Base Resin

Dental material lectureDR.VINAMRA DHARIWAL

Page 47: Denture Base Resin

HEAT ACTIVATED DENTURE BASE RESINS

Composition:

Powder: 1. prepolymerized spheres of poly(methyl-

metha-acrylate).

2 . Initiator – benzoyl peroxide

Liquid: 1 . Unpolymerized methyl metha

acrylate.

2 . Inhibitor – hydroquinone to prevent

undesirable polymerization or setting of the liquid

during storage.

3 . Cross linking agent – glycol di

methacrylate.

Dental material lectureDR.VINAMRA DHARIWAL

Page 48: Denture Base Resin

Activator: heat.

Thermal energy required for polymerization

may be provided using

a. water bath

b. micro wave oven.

Polymer : monomer ratio – 3 : 1. This ratio

will reduce volumetric shrinkage from 21%

to 6%

Dental material lectureDR.VINAMRA DHARIWAL

Page 49: Denture Base Resin

Processing techniques :

• Commonly employed technique to shape

a heat activated resin - compression

molding technique.

• The other technique is injection molding

technique, For which specially designed

flask is used. Commonly used resin is flask is used. Commonly used resin is

polystyrene resin.

After shaping denture base resin is

polymerized.

Dental material lectureDR.VINAMRA DHARIWAL

Page 50: Denture Base Resin

Polymer monomer interaction

When polymer and monomer are mixed it passes through following stages

SandySandy

Stringy

Dough like

Rubbery or elastic

Stiff

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lectureDR.VINAMRA DHARIWAL

Page 51: Denture Base Resin

Dough forming time

• According to ANSI/ADA specification no 12 for denture base resins requires that this consistency be reached in less than 40 min from start of mixing time.

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

be reached in less than 40 min from start of mixing time.

• In clinical use it is achieved in less than 10 min.

Working time

• Time that a denture base remains in a dough like stage.ANSI/ADA specification no 12 requires the dough to remain moldable for 5 min.

DR.VINAMRA DHARIWAL

Page 52: Denture Base Resin

2)AUTOPOLYMERIZI�G/COLD CURE POLYMETHYL METHACRYLATE (POUR RESI�)

• Composition same as the heat cure version with following differences

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

1)The powder contains beads of polymer that have a lower molecular wt. and benzoyl proxide (initiator)

2) The liquid contains a chemical activator ,tertiary amine such as dimethyl-para-toluidine.

• Upon mixing tertiary amine causes decomposition of benzoyl peroxide.

DR.VINAMRA DHARIWAL

Page 53: Denture Base Resin

• Dentures processed have more residual monomer (1-4%),but lower dimensional change.

• Decreased transverse strength (residual monomer act as plastisizer).

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

act as plastisizer).

• Compromised biocompatibility (residual monomer)

• Color stability inferior (teriaty amine susceptible to oxidation), stabilizing agents should be added

DR.VINAMRA DHARIWAL

Page 54: Denture Base Resin

• Fluid resin and

compression molding

technique can be

employed for the

DEPARTME�T OF PROSTHETICS @ Chettinad Hospital & Research Institute

Dental material lecture

employed for the

fabrication of denture.

• Also used as repair

material

DR.VINAMRA DHARIWAL

Page 55: Denture Base Resin

CHEMICALLY ACTIVATED DENTURE BASE

RESINS:

Activator: addition of tertiary amine(di methyl-

para-toluidine) to the liquid component.

Advantage:

greater dimensional accuracy because of less

complete polymerization there by less complete polymerization there by less

shrinkage.

Processing shrinkage:

chemical cure = 0.26%

heat cure = 0.53%

Dental material lectureDR.VINAMRA DHARIWAL

Page 56: Denture Base Resin

DIS ADVANTAGES:

1. Degree of polymerization – not as complete as

heat cured ones – more of free monomer which

leads to

a. tissue irritation.

b. acts as a plasticizer resulting in decreased

transverse strength and dimensional instability.transverse strength and dimensional instability.

Free monomer – chemical cure = 3 – 5%.

heat cure = 0.2 – 0.5%

Can be over come by ensuring complete

polymerization- holding the flask under

pressure for minimum of 3 hrs though initial

hardening occurs in 30 min.

Dental material lectureDR.VINAMRA DHARIWAL

Page 57: Denture Base Resin

2.Color stability is inferior to that of heat cured one – presence of tertiary amine which oxidises easily.

Discoloration can be minimized by addition of stabilizing agents to prevent oxidation.

Processing techniques:

1 .compression molding technique.

2 .fluid resin technique – employs a pour able, 2 .fluid resin technique – employs a pour able, chemical cured resin. Supplied as powder and liquid, which when mixed in proper ratio yield a low viscosity resin.

resin is poured into the mold cavity subjected to increased atmospheric pressure and allowed to polymerize.

Dental material lectureDR.VINAMRA DHARIWAL

Page 58: Denture Base Resin

Advantages:

• Improved adaptation to the underlying soft tissues.

• Decreased damage to prosthetic teeth and denture bases during deflasking.

• Reduced material cost.

• Simplification of flasking, deflasking and finishing procedures.

Disadvantages:

• Shifting of teeth during processing.

• Air entrapment within the resin.

• Poor bonding between the denture base and the teeth.

• Technique sensitive.

Dental material lectureDR.VINAMRA DHARIWAL

Page 59: Denture Base Resin

3)HIGH IMPACT RESISTA�T ACRYLIC

• Similar to heat cured material but less likely to be broken if dropped.

• Produced by substituting the PMMA in the powder with a copolymer.

• Copolymer of butadiene with styrene or methyl methacrylate are incorporated into

the beads.

• Phase inversion resulting in dispersion throughout the beads of tiny islands of

rubber containing small inclusions of rubber/PMMA graft polymer.

Electron micrograph of high impact denture

Base showing size and shape of polystyrene-butadiene

Rubber inversion phase. DR.VINAMRA DHARIWAL

Page 60: Denture Base Resin

4) Injection molded polymers

• These are made of Nylon or

Polycarbonate.

• The material is supplied as a gel in the

form of a putty .

• It has to be heated and injected into a

mold

• Equipment is expensive.

• Craze resistance is low .

The SR-Ivocap system uses specialized flasks and clamping presses

to keep the molds under a constant pressure of 3000 lbs

DR.VINAMRA DHARIWAL

Page 61: Denture Base Resin

5) RAPID HEAT POLYMERIZED POLYMER

• Same as conventional material except that they contain altered

initiation system.

• These initiator allow them to be processed in boiling water for 20 min.

• A problem with these is that areas of the base thicker than approx.6mm

have a high level of porosity.

• Short duration of heating also leaves a higher level of residual

monomer,3-7 times greater than conventional heat cured denture base.

Dental material lectureDR.VINAMRA DHARIWAL

Page 62: Denture Base Resin

6) MICROWAVE

POLYMERIZED

POLYMERS

• Resins are the same as used

with conventional material and

are processed in a microwave.

• Denture base cures well in

Special polycarbonate flask

(instead of metal).(instead of metal).

• The properties and the accuracy

of these materials have been

shown to be as good or better

than those of the conventional

heat cured material.

• Processing time is much shorter

(4-5 min).

Microwave resin and non metallic microwave flask

Dental material lectureDR.VINAMRA DHARIWAL

Page 63: Denture Base Resin

POLYMERIZATION VIA MICRO WAVE ENERGY:

• Technique employs a specially formulated resin and a nonmetallic flask.

• A conventional microwave oven is used to supply the thermal energy required for polymerization.

• Advantage is the speed, with which polymerization is accomplished.

• Micro wave polymerization is an effective way of processing acrylic resins. Resultant denture bases appear extremely dense Significant porosity was reduced when conventional resins were polymerized using microwave.

• Micro wave processed dentures provide best fit to be compared with auto polymerizing resin.

Dental material lectureDR.VINAMRA DHARIWAL

Page 64: Denture Base Resin

7)Light activated denture base

resins

• This material is a composite having a

matrix of urethane dimethacrylate,

microfine silica and high molecular wt

acrylic resin monomers

• Acrylic resin beads are included as

organic fillers.

• Visible light is the activator, whereas • Visible light is the activator, whereas

camphorquinone serves as the initiator

for polymerization.

• Can be used as repair material and as

custom tray material.

• Single component denture base is

supplied as sheet and rope form in

light proof pouches. Light curing unit for polymerizing Dimethacrylate

Dental material lectureDR.VINAMRA DHARIWAL

Page 65: Denture Base Resin

Light activated denture base resins:

• Composition: composite having a matrix of

a. urethane-di-methacrylate.

b. micro fine silica.

c. high molecular weight

acrylic resin monomers.acrylic resin monomers.

d. fillers-acrylic resin beads.

e. initiator-camphoro

quinone

Activator – visible light.

Dental material lectureDR.VINAMRA DHARIWAL

Page 66: Denture Base Resin

• Single component denture base resin is supplied in sheet and rope forms and packed in light proof pouches to prevent inadvertent polymerization.

• It cannot be flasked in a conventional manner as the normal investing medium is an opaque material.

• Hence teeth are arranged and the denture base is molded on an accurate cast.molded on an accurate cast.

• Subsequently the material is exposed to a high intensity visible light source far an appropriate period.

various methods were used to adapt these resin sheets to cast but vacuum forming produce the best adaptation.

Dental material lectureDR.VINAMRA DHARIWAL

Page 67: Denture Base Resin

8) FIBER –REI�FORCED POLYMER

• Glass, carbon/graphite, aramid and ultrahigh molecular wt

polyethylene have been used as fiber reinforcing agents.

• Metal wires like graphite has minimal esthetic qualities.

• Fibers are stronger than matrix polymer thus their inclusion • Fibers are stronger than matrix polymer thus their inclusion

strengthens the composite structure.

• The reinforcing agent can be in the form of unidirectional,

straight fiber or multidirectional weaves.

Dental material lectureDR.VINAMRA DHARIWAL

Page 68: Denture Base Resin

Physical properties of denture base resins:

1. Polymerization shrinkage:

when pure monomer is polymerized there

is a volumetric shrinkage of 21% but when

mixed with polymer in 3:1 ratio it reduces to mixed with polymer in 3:1 ratio it reduces to

7% and this is distributed uniformly to all

surfaces , hence produce clinically satisfactory

results.

DR.VINAMRA DHARIWAL

Page 69: Denture Base Resin

• Whereas linear shrinkage exerts significant

effects on denture base adaptation. Based

on the above value-7%, this should be 2%.

Thermal shrinkage is the primary cause for Thermal shrinkage is the primary cause for

the linear shrinkage.

Dental material lectureDR.VINAMRA DHARIWAL

Page 70: Denture Base Resin

2.POROSITY:

Presence of surface and subsurface voids compromise the physical, aesthetic, and hygienic properties of a processed denture base. Could be due to:base. Could be due to:

a. inadequate mixing of polymer and monomer---large voids resulting from localized polymerization shrinkage. Can be minimized by ensuring the greatest possible homogeneity of the resin.(proper polymer-monomer ratio).

Dental material lectureDR.VINAMRA DHARIWAL

Page 71: Denture Base Resin

b. rapid heating of the resin--- causes localized

subsurface porosity near the center of the

investment mass.

c. inadequate pressure or insufficient material

in the mold during polymerization ------

irregular large voids, make the denture more

opaque.

Dental material lectureDR.VINAMRA DHARIWAL

Page 72: Denture Base Resin

3. WATER SORPTION:

PMMA absorbs relatively small amounts of

water when placed in aqueous environment.

Ingress of water is by diffusion.

this causes a slight expansion of the

polymerized mass and also water interfere with polymerized mass and also water interfere with

entanglement of polymer chain , thereby act as

plasticizer.

Water sorption=0.69mg\cm2.

Dental material lectureDR.VINAMRA DHARIWAL

Page 73: Denture Base Resin

4. SOLUBILITY:

Though soluble in some solvents ,

virtually insoluble in oral fluids.

5. CRAZING:

Stress relaxation may sometimes

produce small surface flaws or micro produce small surface flaws or micro

cracks ----CRAZING. Adversely affect

aesthetic and physical properties. Imparts a

“hazy” appearance, also predisposes to

fracture. Generally begins at the surface of

a resin, oriented at right angles to tensile

stress. Dental material lectureDR.VINAMRA DHARIWAL

Page 74: Denture Base Resin

6. STRENGTH:

Depends on composition, processing technique and oral environment.

7. CREEP:

Denture resins when subjected to sustained load, the material exhibits an sustained load, the material exhibits an initial deflection. If the load is not removed,additional deformation may occur over time----CREEP.Creep rate increase with in temperature, applied load, residual monomer and presence of plasticizer.

Dental material lectureDR.VINAMRA DHARIWAL

Page 75: Denture Base Resin

ADVA�TAGES OF DENTURE BASE

RESINS:

• Ease of manipulation and processing.

• Good esthetic quality.

• Rebasing and relining possible.

• Cost effective.• Cost effective.

Disadvantages:

• Poor thermal conductivity

• Polymerization shrinkage.

• Bulk.

• Color instability.DR.VINAMRA DHARIWAL

Page 76: Denture Base Resin

RECE�T ADVA�CEME�T

• Modifications of acrylic resin materials designed to improve specific properties

included.

1 plasticization,

2 copolymerization,

3.cross linking and reinforcement.

• Internal plasticization by co-polymerization may improve strength properties.

• Cross-linking is a special case of co-polymerization. In general cross-linking lowers

strength and flexibility but increases solvent resistance, softening point and hardness

DR.VINAMRA DHARIWAL

Page 77: Denture Base Resin

• One disadvantage of cross-linking is the reduction of bonding between acrylic

resin teeth and the base which may occur particularly with a cold curing base

material

• Reinforcement by glass fibers is easily accomplished. This is done by mixing

discrete fibers with dough or by combination with glass cloth.

• Specially primed glass is necessary to bring out good adhesion to the resin

and to maintain it particularly in wet conditions.

• In the dough fiber method, the percentage of glass which can be incorporated is • In the dough fiber method, the percentage of glass which can be incorporated is

limited to about 20% by weight because of reduction of flow of the dough.

DR.VINAMRA DHARIWAL

Page 78: Denture Base Resin

Alternatives to methacrylate materials

• Most alternatives to polymethacrylate are vinyl acrylic, polysterene,

acrylic styrene, acrylonetrile copolymers .

�EW PLASTIC MATERIAL

• High impact methacrylates (IM): These are basically similar to standard

methacrylate but have a higher impact and fatigue strength.

• Epoxy resins (E): The general properties of these materials are

strength, hardness, toughness, low curing shrinkage and good adhesion

to metals. The disadvantages for dental use are the toxicity, the yellow

colour which darkens further, high water absorption, poor adhesion to

vinyl polymers

DR.VINAMRA DHARIWAL

Page 79: Denture Base Resin

• �ylon materials: They were found to be unsatisfactory for denture base because of high molding shrinkage which led to warpage, high water absorption and yellowing.

• High impact polystyrene (IS): This is an elastomer graft copolymer with styrene. It is basically similar to polysterene and injection molded in a similar way.

• High density polythene (DE): This is stiffer stronger variety of polyether.

• Polypropylene (PP): this is a hydrocarbon polymer similar to polyethylene but stiffer and • Polypropylene (PP): this is a hydrocarbon polymer similar to polyethylene but stiffer and stronger.

• Polyacetal (A): Also called polyformaldehyde. It has lower water absorption with good resilience and toughness, and resistance to fatigue

DR.VINAMRA DHARIWAL

Page 80: Denture Base Resin

• Polycarbonate (PE): It is thermoplastic material with low water absorption and

very high impact strength and toughness.

• Chlorinated polyether: It has very low water absorption and low mold shrinkage

with excellent resistance to staining and chemical agents

• Eclipse prosthetic resin system is a new method of fabricating dentures from

Dentsply International. It is being marketed as an indirect build-up method for

fabricating dentures that is monomer-free and flask-free. Eclipse is a light-cured fabricating dentures that is monomer-free and flask-free. Eclipse is a light-cured

system that does not contain any ethyl-, methyl-, butyl-, or propyl-methacrylate

monomers.

• System uses three resins to form the denture: Baseplate Resin, Set-up Resin and

Contour Resin. The resins were developed to handle like wax, yet be cured into a

denture base material – without investing and flasking.

Dental material lectureDR.VINAMRA DHARIWAL

Page 81: Denture Base Resin

• VALPLAST -

Valplast is a flexible denture base resin that is ideal for partial

dentures and unilateral restorations.

• The resin is a biocompatible nylon thermoplastic ,it eliminates the

concern about acrylic allergies.

Dental material lectureDR.VINAMRA DHARIWAL

Page 82: Denture Base Resin

MISCELLA�EOUS RESI�S A�D TECH�IQUES :

1. REPAIR RESINS:

May be light or chemical or heat activated. Chemical resins are more activated. Chemical resins are more preferred because they polymerize at room temperature.

Heat and light activated should be kept in water- bath and light chambers respectively.

Dental material lectureDR.VINAMRA DHARIWAL

Page 83: Denture Base Resin

2. RELINING RESIN DENTURE BASES:

Relining involves replacement of tissue

surface of an tissue surface of an existing

denture .

Rebasing is replacement of the entire

denture base.denture base.

May be heat, light, microwave energy

activated resins

Dental material lectureDR.VINAMRA DHARIWAL

Page 84: Denture Base Resin

Introduction

• Dentures are rigid pieces of acrylic resin

which are shaped to fit the soft tissue

covering of the jaw and to be compatible covering of the jaw and to be compatible

with the functioning and ever-changing oral

environment.

-Heartwell

Dental material lectureDR.VINAMRA DHARIWAL

Page 85: Denture Base Resin

Dentures need to be “serviced” to keep pace with changing foundation

The clinical effort that aim at prolonging the useful life of complete dentures involve a refitting of the impression surface of the refitting of the impression surface of the denture by means of a reline or a rebase procedure

-Boucher

Dental material lectureDR.VINAMRA DHARIWAL

Page 86: Denture Base Resin

Definitions

• Relining – the procedure used to resurface

the tissue side of a denture with a new base

material, thus producing an accurate material, thus producing an accurate

adaptation to the denture foundation area.

- G.P.T-7

Dental material lectureDR.VINAMRA DHARIWAL

Page 87: Denture Base Resin

• Relining – it is the process of adding some

material to the tissue side of a denture to fill

the space between the tissue and denture

base

-Winkler

Dental material lectureDR.VINAMRA DHARIWAL

Page 88: Denture Base Resin

• Rebasing –the laboratory process of

replacing the entire denture base material on

an existing prosthesis.

-G.P.T-7

• Rebasing is a process of replacing all the

base material of a denture.

-Winkler

Dental material lectureDR.VINAMRA DHARIWAL

Page 89: Denture Base Resin

Material science

Denture liners

Hard liners Soft liners Tissue conditioners

AcrylicAcrylic

Silicone

Dental material lectureDR.VINAMRA DHARIWAL

Page 90: Denture Base Resin

Soft liners

Acrylic silicone

Heat activated

Chemically activated

Room temperature

vulcanizing (RTV)

Heat vulcanizing

Dental material lectureDR.VINAMRA DHARIWAL

Page 91: Denture Base Resin

3. SOFT LINERS:

Purpose ----to absorb some of the energy produced by masticatory impact. Commonly used are plasiticized acrylicresins. May be heat or chemical activated.

Can be a. Short term liners.

b. Long term liners.b. Long term liners.

Chemical soft liner-----poly(methyl\ethyl methacrylate), supplied in powder form and liquid contains 60% to 80% of plasticizer(dibutyl phthalate)----SHORT TERM SOFT LINERS. Do not contain acrylic monomers.

DR.VINAMRA DHARIWAL

Page 92: Denture Base Resin

• Heat- activated materials generally are durable and may be considered LONG TERM SOFT LINERS and not permanent liners.

Supplied as powder-liquid system. Powder—acrylic resin polymers and copolymers.copolymers.

Liquid----acrylic monomers and plasticizer

When mixed form pliable resins. Plasticizer are prone for leaching which can be minimized by decreasing its content. Leaching makes a material rigid.

Dental material lectureDR.VINAMRA DHARIWAL

Page 93: Denture Base Resin

When ethyl, n-butyl,and n-propyl are used,

less plasticizer is required. Now, the most

successful material is silicone rubber , can

be heat or chemical activated.

To promote adhesion between silicone and

resin denture base , rubber cements are resin denture base , rubber cements are

used.

Other polymers used are polyurethane and

polyphosphazine.

Dental material lectureDR.VINAMRA DHARIWAL

Page 94: Denture Base Resin

Relining technique

IMPRESSION

STATIC FUNCTIONAL

OPEN MOUTH

CLOSED MOUTH

Dental material lectureDR.VINAMRA DHARIWAL

Page 95: Denture Base Resin

4. RESI� IMPRESSIO� TRAYS A�D

TRAY MATERIALS:

Resin trays used to fit specific arches---

custom trays.

Most of the cases the material is

chemical cure poly(methyl methacrylate).chemical cure poly(methyl methacrylate).

Recently, light activated urethane

dimethacrylate resins have also been used

but these are brittle and release fine

powder particles during grinding.

Dental material lectureDR.VINAMRA DHARIWAL

Page 96: Denture Base Resin

DENTURE CLEANSERS :

1. Dentifrices

2. Proprietary denture cleansers

3. Mild detergents

4. Bleaches

5. Vinegar.

Both immersion and brushing

technique are used. Most common is

immersion type using cleansing powder

or tablets.

Dental material lectureDR.VINAMRA DHARIWAL

Page 97: Denture Base Resin

RESIN TEETH:

60% Of artificial teeth are made of acrylic or vinyl- acrylic resins with the a degree of cross- linking more than that in a denture base resin and thereby with increased stability and improved clinical properties. This increase is achieved by properties. This increase is achieved by elevating the monomer(cross- linking agent)in the liquid.

when compared with porcelain teeth, resin teeth are

Dental material lectureDR.VINAMRA DHARIWAL

Page 98: Denture Base Resin

When compared with porcelain teeth, resin

teeth :

1. Display more fracture toughness. Hence

less likely to chip or fracture when

denture is dropped.

2. Chemically bond with denture bases.2. Chemically bond with denture bases.

3. Easier to adjust and exhibit greater

resistance to thermal shock.

Dental material lectureDR.VINAMRA DHARIWAL

Page 99: Denture Base Resin

MAXILLO FACIAL MATERIALS:

1. Latexes :

Soft , inexpensive materials but are

weak, degenerate rapidly, exhibit color instability

and cause allergic reactions.

Recently developed synthetic latex ---

tripolymer of butyl acrylate, methyl methacrylate tripolymer of butyl acrylate, methyl methacrylate

and methyl methacrylamide—

transparent,colorants can be sprayed to improve

translucency and blending.

Lengthy processing, short life are

disadvantages.

Dental material lectureDR.VINAMRA DHARIWAL

Page 100: Denture Base Resin

2. Vinyl plastisols :

Plasticized vinyl resins---- colorants can be added to match skin tones .

Disadv---- harden with age, uv light has adverse effects on these materials.

3.Polyurethane polymers :

Most recent material to be used, requires accurate proportioning of three components. Has a natural feel and appearance.

Disadv----susceptible to deterioration rapidly

Dental material lectureDR.VINAMRA DHARIWAL

Page 101: Denture Base Resin

4. Silicone rubbers :

2 types are-----

1.Heat Vulcanizing

2.Room temperature vulcanizing.

Room temperature supplied as single paste system colored by addition of dyed rayon fibers, dry earth pigments and oil rayon fibers, dry earth pigments and oil paints. Not strong as heat vulcanizing.

Heat vulcanizing supplied as puttylike that requires milling, packing under pressure and 30 minute heat application at 180 c. Better strength and color stability. Lengthy procedure, not economical.

Dental material lectureDR.VINAMRA DHARIWAL

Page 102: Denture Base Resin

Dental material lectureDR.VINAMRA DHARIWAL

Page 103: Denture Base Resin

DR.VINAMRA DHARIWAL

Page 104: Denture Base Resin
Page 105: Denture Base Resin