Denture Base Resins
Denture Base Resins
Denture Base Resins
RESINS
DR NIVEDITHA N
I MDS
DEPARTMENT OF PROSTHODONTICS
AECS MAARUTI DENTAL COLLEGE
CONTENTS
Introduction
History
Requirements
Classification
Composition
- heat cure
- autopolymerising resin
-other resin materials
Aspects of manipulation
Recent advances(modified acrylics)
Review of literature
Summary and conclusion
References
INTRODUCTION
Denture base is that part of a denture that rests on the
foundation tissues and to which teeth are attached. Although
individual denture bases may be formed from metals or metal
alloys, the majority of denture bases are fabricated using
polymers.
HISTORY
1851 – Vulcanite was developed.
2. Chemical:
- inert , in-soluble and non-absorbent.
3. Physical:
- Aesthetically satisfactory.
- The softening temperature should be higher than the
temperature of liquids and food ingested.
- Dimensionally stable.
- Low value of specific gravity or density.
- High value of thermal conductivity: to maintain the healthy mucosa,
and to retain normal reaction to hot and cold stimuli.
4. Mechanical properties:
- A high value of modulus of elasticity- For greater rigidity.
- A high value of elastic limit to prevent permanent deformation.
- A combination of both above would allow the base to be fabricated
in thin sections.
- Sufficient flexural strength to resist fracture.
- An adequate fatigue life and a high fatigue limit.
- Good impact strength.
- Sufficient abrasion resistance to prevent excessive wear.
5. Miscellaneous
- Relatively inexpensive.
- Easy to manipulate and fabricate.
- Easy to clean.
- Easy to repair.
CLASSIFICATION
V.According to usage
*Temporary denture base resin
-shellac base plate
-self cure acrylics
-injection molded resins
*Permanent denture base resin
-heat cure denture resins
-light cure resins
ACRYLIC RESIN MATERIALS
Polymerisation reaction:
The polymerisation of PMMA involves the
conversion of low molecular weight monomer to
high molecular weight polymer.
Free radical
Monomer molecule
Induction or initiation period is the time during which the molecules of the initiator becomes
energized or activated and start to transfer the energy to the monomer.
• Any impurity present increases the length of this period. The higher the temperature, the
shorter is the length of the induction period.
• The initiation energy for activation of each monomer molecular unit is 16000-29000 calories
per mol in the liquid phase.
• There are three induction systems for dental resins
Chemical activation
Heat activation Light activation
This system consists of at least two
Most denture base resins are In this system, photons of light energy
reactants, when mixed they undergo
polymerized by this method, activate the initiator to generate free
chemical reaction and liberate free
e.g. the free radicals liberated by radicals, e.g. camphorquinone and an
radicals,
heating benzoyl peroxide will initiate amine will react to form free radicals,
e.g. the use of benzoyl peroxide and
the polymerization of methyl when they are irradiated with visible
an aromatic amine (dimethyl-p-
methacrylate monomer. light.
toluidine) in self-cured dental resins
Propagation
Termination
The chain reactions can be
terminated either by direct coupling
of two chain ends or by exchange of a
hydrogen atom from one growing
chain to another.
Chain transfer
Liquid
a. Methyl methacrylate monomer- It has a limited shelf life
free radicals(R°)
CAP
COPE
DRAG
2. Selection of separating medium
Used to separate the denture base material from the mould
surface.
Formerly, Tin foil was used, but it was a time consuming
and difficult process.
Causes: a. Dimensional inaccuracy
b. Poor reproduction of details
Tin foil substitutes:
-Cellulose lacquers
-Evaporated milk
-Solutions of alginate compounds
- Soap
- Sodium silicate
- Starch
The most commonly used separating medium are water soluble alginates. When applied
to dental stone surfaces, these solutions produce thin, relatively insoluble calcium
alginate films. These films prevent direct contact of denture base resins and the
surrounding dental stone, thereby eliminating undesirable interactions.
Composition:
1. Sodium/potassium alginate- 2-3%
2. Di/tri sodium phosphate- 0.7%
3. Preservatives- 0.3%
4. Glycerin- 4%
5. Alcohol- 7%
6. Balanced with water- 85%
Setting reaction:
Potassium alginate + calcium sulphate calcium
alginate + potassium sulphate
Functions:
1. To prevent the diffusion of water from the mold into
the unpolymerized packed dough.
2. To prevent the diffusion of the monomer from the
unpolymerised packed dough into the mould material.
Precautions: The coating should be uniform.
-Dewaxing must be done thoroughly.
-The resin teeth should not be coated.
Powder: liquid ratio
BENCH CURING
After the final closure of the flask , it is allowed to stand for 1 hour.
Objective:
For more uniform dispersion of monomer throughout the mass.
It provides a longer exposure of resin teeth to the monomer in the dough,
producing a better bond of the teeth with the base material.
Permits an equalization of pressures throughout the mold
Polymerisation cycle or Curing cycle:
The heating process used to control polymerisation is termed
polymerisation cycle.This process should be well controlled
to avoid the effects of uncontrolled temperature rise, such as
boiling of the monomer, or denture base porosity.The
following techniques are there:
1.Involves processing the denture base resin in a constant
temperature water bath at 74°C(165°F) for 8 hours or longer,
with no terminal boiling treatment.(slow curing)
2.Processing in a 74°C water bath for 8 hour and then
increasing the temperature to 100°C for 1 hour.
3.Processing the resin at 74°C for approximately 2 hour and
increasing the temperature of the water bath to 100°C and
processing for 1hr.(fast curing)
BENCH COOLING:
It is cooled slowly as rapid cooling may result in warpage
because of differences in thermal contraction of resin and
investing stone.
Bench cooled for 30mins and subsequently immersed in cool
tap water for 15mins.
PROCESSING DEFECTS OF DENTURES
Insuffiecint
mixing
Insuffient
pressure
Rapid heating
PROCESSING STRESSES
Polymerisation shrinkage.
Mechanical stresses on repeated drying and wetting
of the denture, causing alternate contraction and
expansion.
During deflasking internal stresses are developed.
Difference in the coefficient of thermal expansion
of acrylic resin and investing material.
CRAZING FRACTURES
May appear on the surface and has Dentures may break:
weakening effect. On impact(extra orally)
Delayed packing. Due to fatigue, form repeated bending of the
Constant cycle of drying and wetting denture in service.(if parallel cracks).(intra
orally)
done by patient.
Presence of notches.
It is around the tooth neck
Inadequate curing time.
Difference in the coefficient of thermal
expansion of porcelain teeth and acrylic Excessive grinding and polishing
resin.(1:10)
Sudden cooling.
During polishing .
DENTURE WARPAGE
Denture warpage is the deformity or change of shape of the denture which can
affect the fit of the denture.
It is caused by a release of stresses incorporated during processing, curing
shrinkage, uneven or rapid cooling, improper deflasking.
Packing of the resin during the rubbery stage can also induce stresses. These
stresses are released subsequently
During polishing, a rise in temperature can cause warpage
Immersion of the denture in hot water can cause warpage
Re-curing of the denture after addition of relining material, etc
INJECTION MOULDING TECHNIQUE
In this technique, for injection of resin, a hollow sprue
connects the mould cavity created by wax boil out to an
external opening on the flask and a high pressure injection
cylinder is connected to the opening.
The pressure is maintained during the polymerisation cycle.
Equipment
This technique uses special equipment
including a special bath for curing.A sprue
hole and a vent hole are formed in the
gypsum mold with the help of sprue formers.
The soft resin is contained in the injector and
is forced into the mold space as needed. It is
kept under pressure until it has hardened.
Continuous feeding of the material under
pressure compensates for shrinkage. There is
no difference in accuracy or physical
properties as compared to compression
molding technique.
Advantage:
-increased dimensional accuracy.
-Elimination of trial closures.
-It can be used for microwavable and pour type resins.
Drawbacks:
-inadequate spruing will lead to under filled moulds.
-Expensive equipment.
-Injector is difficult to clean.
MANIPULATION OF AUTOPOLYMERIZING RESINS
1. Sprinkle on technique
2. Adapting technique
3. Fluid resin technique
E, Introduction of
pour-type resin.
F, Recovery of the
completed prosthesis
Advantages:
- Improved adaptation to underlying soft tissues
Decreased probability of damage to prosthetic teeth and denture bases
during deflasking
Reduce material cost
Simple procedure
Disadvantages:
Noticeable shifting of teeth
Air entrapment within the denture base material
Poor bonding between the denture base material and teeth
Technique sensitive
MICROWAVE ACTIVATED RESINS
Electromagnetic waves.
A special glass fibre reinforced plastic flask.
Dewaxing is done in a microwave for 1.5 minutes.
Processing technique: compression moulding.
microwave energy in an oven at 500-600W
curing time as short as 3 mins.
LIGHT ACTIVATED DENTURE
BASE RESINS
Single component denture base resin
supplied in pre mixed sheet or rope
forms
It is a composite having a matrix of
urethane dimethacrylate, microfine
silica and high molecular weight
acrylic resin monomer
a) Organic filler- acrylic resin beads
b) Activator- visible light
c) Initiator- camphorquinone
The acrylic is polymerized in a light chamber with blue light of 400 to 500nm.
Advantages:
No flask required.
Short processing time.,Improved
fit, comparable impact strength &
hardness
Disadvantages:
High capital cost.
Inferior bond to resin denture.
Lower elastic modulus and
increase deformation.
Recently, they have been trying the use of lasers for polymerisation of resins.
MODIFIED ACRYLICS
Objective is to improve the impact strength, fatigue resistance, or
radiopacity.
The impact strength or high impact strength materials -improved by
adding
-Elastomers: able to absorb energy.
-Use of acrylic-elastomer copolymer e.g. methylmethacrylate-butadiene
or methylmethacrylate- butadiene-styrene copolymers.
Increased by 10 fold.
Drawback is greater cost.
ALTERNATIVE POLYMERS:
Polycarbonates and certain vinyl polymers.
Indications: allergic patient, when greater impact strength is required.
Processing: Injection molding.
So special equipment is required.
1. Reinforced resins
a. High impact resins
b. Fiber-reinforced
2. Hypoallergenic resins
3. Resins with modified chemical structure
4. Thermoplastic resins
5. Enigma gum toning in denture bases
HIGH IMPACT RESINS
Rubber reinforced (butadiene-styrene polymethyl methacrylate).
Rubber particles grafted to MMA for better bond with PMMA. They are so-called
because of greater impact strength & fatigue properties, hence indicated for patients
who drop their dentures repeatedly e.g. parkinsonism, senility.
Available as powder-liquid system & processing is same as heat cure resins.
E.g Lucitone 199 , D.P.I Tuff , fricke-high impact. Impact strength of D.P.I Tuff is
more than Lucitone 199.
FIBER REINFORCED RESINS
Primary problem with PMMA is low impact strength & low fatigue resistance. A study
by Johnston et al shows that 68% dentures fracture within few years of fabrication.
Fiber reinforcement result in a 1000% strength increase over non-reinforced (if there is
proper bonding)
a) METAL FIBER REINFORCED
b) CARBON / GRAPHITE FIBER REINFORCED
c) ARAMID FIBER REINFORCED
d) POLYETHYLENE FIBER REINFORCED
e) GLASS FIBRES (HAVE BEST AESTHETICS)
Six mm chopped glass fibers with 5% fiber in combination with
injection moulding technique result in increase in transverse
strength, elastic modulus& impact strength.
D) THERMOPLASTIC RESINS
This new procedure, during which a fully polymerized basic material is softened by
heat (without chemical changes) and injected afterwards, has opened up a new chapter
in making dentures.
ADVANTAGES OF
THERMOPLASTIC MATERIALS
Thermoplastic resins have many advantages over the conventional powder-
liquid systems.
thermoplastic acetal,
( ideal material for pre-formed clasps for partial dentures, single pressed
unilateral partial dentures, partial denture frameworks, provisional bridges, occlusal splints,
and even implant abutments.)
thermoplastic acrylic
eg:Flexite M.P.-very popular for bruxism appliances as well as dentures.
thermoplastic polycarbonate.
E) ENIGMA GUM TONING
1) Custom shade matching of natural gingival tissue
using ‘Enigma’ colour tones.
2) Gives extra confidence to patient in appearance of
their dentures.
3) Available in Ivory, Light Pink, Natural Pink, Dark
Pink & Light Brown. Different colors are mixed to get
the desired gum tone.
SUMMARY AND CONCLUSION