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Resin based materials in prosthetic dentistry Mercedes Linninger DDS Department of prosthodontics

Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

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Page 1: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Resin based materials in

prosthetic dentistry

Mercedes Linninger DDS

Department of

prosthodontics

Page 2: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Resins in dentistry

Denture base

Crown and bridge

(veneering)

Artificial teeth

Special tray

Modelling

Filling materials

Rebase- reline

Temporary restorations

Luting

Page 3: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Requirements for dental materials

Natural appearence

Ease of manipulation

High values of strength

High surface hardness,

low specific gravity

Ease of repair, combined

with dimensional stability

Absence of odour, taste or

toxic agents

Resistance to water

absorption or bacterial

growth

Good thermal conductivity

Good retention to other

materials

Usable for all types of

prosthesises

Inexpensive

Page 4: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Types of resins

Cellulose

Phenol-formaldehyde (bakelite)

Vinyl resin

Vulcanite

Acrylic resin

– Modified materials as composite, luting resins

etc.

Page 5: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Acrylic resin

The modern acrylic was introduced in 1937.

it contains liquid monomer and powder

polymer

„Dough method”

Page 6: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Monomer

Methyl-metacrilate liquid

Can be activated by

– heat

– light

– chemically (self activation)

Join together large molecule:

PMMA (solid)

Page 7: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Monomer

Clear, colorless liquid

Boiling point: 100,3 °C

Gravity is: 0,945 g/cm³

Inhibitor (stabilizer): hydroquinone 0,005%

Dimensional stability: glycol dimetilate 1%

Page 8: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Properties of monomer

Extremely volatile

Flammable

Special smell

Have to prevent from heat and light

Page 9: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Polymer

Transparent, glass-like resin

Initiator: helps the polymerization

– Benzoyl- or lauroyl – peroxide 0,02 – 1 %

Plasticizer:be more readily moulded to shape by heat and pressure

– Dibutyl-phthalate 2-7 %

Colouring agents

– Iron oxide, zinc oxide, cadmium salts

Page 10: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Mixing method

1. Polymer is affected by the solvent action of the monomer and hence becomes softer

2. Consistency is changing: wet sand, stringy, doughy, leathery, hard

3. Applying heat the monomer polymerizes and eventually hardens

4. There is volumetric shrinkage: 20 %

5. Polymerized mass consists entirely of polymer. Soft, but hardens when the flask is cooled – thermoplasticity

6. For optimal result: slowly and under pressure

Page 11: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Polymerisation

Resins solidify when they polymerise

A repetitive intermolecular reaction

A macromolecule, polymer is formed from

large numbers of monomers

Monomers connected by covalent bonds

Page 12: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Polymerisation mechanisms

1. Condensational polymerisation

Esterification with production of water or alcohol

Accompanied by repeated elimination of small molecules

– A + B = C + D

Functional groups are repeated in the polymer chain

Example: polysulfide and condensation polymerized silicone impression materials

Page 13: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Polymerisation mechanisms

2. Additional polymerisation

Two molecules join together to form a third

larger molecule

– A + B = C

The larger molecule is capable for further

reaction with the monomer

Example: most dental resins

Page 14: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

R+M R-M

R-reactive species (free radicals)

M-monomer molecules

Free radical addition polymerization:

1. Activation

2. Initiation

3. Propagation

4. Termination

Page 15: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Molecular shape

Linear: the simplest form

Cross-linked: connections between linear

molecules

Resin net/ cross net 3 dimensional molecule

Page 16: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Types of resins

1. Heat curing

Dough moulding method

Mixing and curing

Components: a. powder

b. liquid

Page 17: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

mixing powder and liquid

„dough” stage

packing into gypsum mould (investment

material)

trial closure

opening

closing the flask under pressure

curing

cooling

Page 18: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements
Page 19: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements
Page 20: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements
Page 21: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

„Paladon-technique”:

- chemoplastic

- Powder and liquid

- Plastic doch

- Adaptation

- Pressure

Page 22: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements
Page 23: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements
Page 24: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements
Page 25: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements
Page 26: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements
Page 27: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Types of resins

2. Cold curing

Called as: cold-curing, self-curing, or

autopolymerizing resins

No need for heat

Powder (polymer) and liquid (monomer)

system

Chemical activation

Page 28: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Self – curing acrylic resin for temporary

appliance

Page 29: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Types of resins

3. Casted resins

Cold and heat curing types

Mixing powder and liquid

Curing at room temperature

Page 30: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Types of resins

3. Light curing

Activated by a certain wavelength visible light

A single component composite having a matrix of urethane dimethacrylate, microfine silica, and high molecular weight acrylic resin monomers

Initiator: camphoroquinone

Page 31: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Resin types by application:

Baseplate of the removable denture

Artificial teeth, gum

Covering metal frames

Correction: relining, rebasing

Temporary appliences

Ductile clay – pattern resin

Tray-material

Splints

Filling materials

Page 32: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Baseplate, gum and teeth material

- removable dentures -

Page 33: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Covering metal frames

Page 34: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Correction material

Page 35: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Temporary appliences

Page 36: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Pattern material

Page 37: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements
Page 38: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Processing resins

Injection moulding

– Pressing the preheated

polymer (granulates) to

the mould and let to

cool down

– Prefabricated elements

Page 39: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Processing resins

Deep-drawing

– Prefabricated

thermoplastic foils

– Applicated to the cast

on buckshot tray

– Special trays, splints,

bleaching

Page 40: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Processing resins

HPH

– Hydraulic, pneumatic

heating

– The soft polimer

– Brush

– Hot glycerine bath

– Under pressure

– 100 C, 7-15 atm

Page 41: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Processing resins

Pyroplast technique

– Thermoplastic

monomer-

polymerization

– Hot chamber

– Under pressure

– 140-170 C, 7 atm

Page 42: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Processing resins

Wet technique

– Acrylic dough (wet)

– Pushed to a negative

flask

– Hot water bath

– Under pressure

– Partial dentures

Page 43: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Processing resins

Resin „casting”

– Pouring acrylic into a

special machine

– 6 atm

– Acrylic elements of rpd

Page 44: Resin based materials in prosthetic dentistrysemmelweis.hu › fogpotlastan › files › 2018 › 05 › Dental-resins.pdf · Correction: relining, rebasing ... – Acrylic elements

Thanks for Your

attention!