Effect of sealer coating on mechanical and physical properties of permanent soft lining materials

doi: 10.1111/j.1741‐2358.2011.00487.x
Effect of sealer coating on mechanical and physical properties of permanent soft lining materials Objective: To evaluate the long‐term effects of sealer coating on tensile bond strength and surface roughness of soft liners. Background: Failure of the bond between resilient liners and denture base significantly compromise the dentures’ longevity. In addition, surface roughness contributes to bacterial adherence on prosthetic materials, increasing the risk of oral infections. Methods: Specimens were manufactured from four reliners [Mucopren Soft (MS), Dentuflex (DF); Soft Comfort Denso (SC) and Ufi Gel SC (USC)], distributed into 10 groups (n = 10), according to material and coating treatment. Tensile bond strength was performed after one year of ageing, while surface roughness was evaluated at 0, 1, 3, 6 and 12 ageing months. Bond strength data were submitted to two‐way anova and Tukey‐HSD tests, while roughness data were submitted to mixed model analysis for repeated measurements (p ≤ 0.05). Results: MS and DF without sealer coating presented the highest tensile bond strength. After coating, DF and SC presented increased tensile bond strength. No surface roughness difference was observed in the non‐coated groups over time, acrylic‐based reliners presented higher roughness. Among coated groups, only SC presented increased surface roughness. Acrylic‐based materials presented reduced roughness at three months. Conclusion: Surface coating was effective for acrylic reliners in maintaining their initial properties. However, sealer coating should be re‐applied every 3 months.     

Candida albicans biofilm formation on soft denture liners and efficacy of cleaning protocols

doi: 10.1111/j.1741‐2358.2011.00485.x
Candida albicans biofilm formation on soft denture liners and efficacy of cleaning protocols Objective: The aim of this study was to investigate Candida albicans biofilm formation on denture liners and to analyse the efficacy of cleaning protocols. Material and methods: Specimens were prepared from four silicone‐based soft denture liners. After artificial ageing and surface free energy determination, specimens were incubated with saliva (2 h) and Candida albicans ATCC 10231 for either short‐ (2.5 h) or long‐term (24 h) biofilm formation. Adherent cells were determined either after incubation of specimens with Candida albicans or after treatment with different denture cleaning protocols. Statistical analysis was performed using one‐way anova and the Games–Howell test (α = 0.05). Results: For both short‐ and long‐term biofilm formation, similar amounts of Candida albicans cells were found on the surface of the different liners (p = 0.295 and 0.178, respectively). For both short‐ and long‐term biofilm formation, the highest cleaning efficacy was observed for sodium hypochlorite (NaOCl; p < 0.01). The efficacy of the chemical denture cleaner in removing long‐term Candida albicans biofilms was significantly lower than the efficacy of removal by brushing (p < 0.001). Conclusion: Different silicone‐based soft denture liners yield similar Candida albicans biofilm formation on their surface. The highest efficacy for the removal of Candida albicans biofilms was identified for NaOCl. Chemical denture cleaners appear to have rather low efficacy to remove mature Candida albicans biofilms.     

In situ evaluation of surface roughness and micromorphology of temporary soft denture liner materials at different time intervals

Objective

To perform an in situ evaluation of surface roughness and micromorphology of two soft liner materials for dentures at different time intervals.

Background

The surface roughness of materials may influence the adhesion of micro‐organisms and inflammation of the mucosal tissues. The in situ evaluation of surface roughness and the micromorphology of soft liner materials over the course of time may present results different from those of in vitro studies, considering the constant presence of saliva and food, the changes in temperature and the pH level in the oral cavity.

Materials and methods

Forty‐eight rectangular specimens of each of the two soft liner materials were fabricated: a silicone‐based material (Mucopren Soft) and an acrylic resin‐based material (Trusoft). The specimens were placed in the dentures of 12 participants (n = 12), and the materials were evaluated for surface roughness and micromorphology at different time intervals: 0, 7, 30 and 60 days. Roughness (Ra) was evaluated by means of a roughness tester. Surface micromorphology was evaluated by scanning electron microscopy.

Results

Analysis of variance for randomised block design and Tukey's test showed that surface roughness values were lower in the groups using the silicone‐based material at all the time intervals (P < .0001). The average surface roughness was higher at time interval 0 than at the other intervals, for both materials (P < .0001). The surface micromorphology showed that the silicone material presented a more regular and smoother surface than the acrylic resin‐based material.

Conclusion

The surface roughness of acrylic resin‐based and silicone‐based denture soft liner materials decreased after 7 days of evaluation, leading to a smoother surface over time. The silicone‐based material showed lower roughness values and a smoother surface than the acrylic resin‐based material, thereby making it preferred when selecting more appropriate material, due its tendency to promote less biofilm build‐up.     

Colour change of soft denture liners after storage in coffee and coke

doi:10.1111/j.1741‐2358.2009.00356.x
Colour change of soft denture liners after storage in coffee and coke This study was to evaluate the colour change of soft denture liners after thermocycling and storage in coffee and coke. Four liners, two silicone‐based (Sofreliner S and Reline GS) and two acrylic resin‐based (Soft Confort and Dentuflex), were evaluated in this study. Ten samples were obtained for each group. After 2000 cycles of thermocycling with baths of 5°C and 55°C, five samples were stored in coffee and the remaining samples in coke. The colour alteration was evaluated in a reflection spectrophotometer before and after thermocycling, and after 1, 3, 24, 48 and 96 h of storage in coffee and coke. Data were submitted to anova and Tukey’s HSD test (α = 0.05). Thermocycling and storage period represented a higher statistically significant influence for the resin liners than for the silicone materials. Coke did not influence the colour stability of the materials during storage. However, the coffee solution generated statistically significant colour alteration in the material Soft Confort. In the comparison between the coffee and coke solutions, there was no statistically significant difference for colour alteration only for the material Dentuflex. The silicone liners presented better colour stability following thermocycling and storage independent of the solution. The coffee solution was a statistically significant factor for colour alteration of the material Soft Confort.     

Fatigue resistance of acrylic resin denture base material reinforced with E-glass fibres

doi: 10.1111/j.1741‐2358.2011.00548.x
Fatigue resistance of acrylic resin denture base material reinforced with E‐glass fibres Objective: The purpose of the study was to determine the effect of different forms and concentrations (2.5, 3, 4, 5% by volume) of glass fibres (chopped strand mat, continuous and woven) on fatigue resistance of acrylic denture base resin. Material and Methods: The fatigue resistance was measured by applying repeated three‐point bending deflection to the specimens, the cycle frequency of 1.05 g and magnitude of deflection of 2.0 mm. The number of loading cycles needed to cause a fracture in the test specimen was considered the fatigue resistance of the specimen. Results: The results of this study revealed that the addition of three different glass fibre forms at all concentrations to acrylic resin did not produce a statistically significant increase in the fatigue resistance (p ≥ 0.05). This study also revealed that there were significant differences (p < 0.05) between glass fibres forms used concerning the effects on the fatigue resistance. Conclusion: This study showed that the woven glass fibres had a definite superiority over the chopped fibres and the continuous fibres in regard to the fatigue resistance of the acrylic denture base resin.     

Effect of pre-processing methods on bond strength between acrylic resin teeth and acrylic denture base resin

doi: 10.1111/j.1741‐2358.2011.00480.x
Effect of pre‐processing methods on bond strength between acrylic resin teeth and acrylic denture base resin Objectives: This study evaluated the effects of various pre‐processing methods on the bond strength between resin and denture teeth. Backgrounds: Debonding of acrylic resin teeth from denture base material is a problem for patients wearing complete dentures. Materials and Methods: Four experimental groups (n = 30) were investigated by subjecting tooth–resin bonding to tensile loading. Specimens were prepared and tested according to the methods of the International Standards Organization (ISO 22112:2005) using a special assembly. Four pre‐processing surface treatments of teeth were applied: (i) ST₁, no treatment applied (control); (ii) ST₂, wax solvent (Dewaks, Faber Kimya & Ilaç, Turkey); (iii) ST₃, boiling water followed by conditioning with methyl methacrylate (MMA) monomer (Meliodent, Bayer Dental, Germany); (iv) ST₄, boiling water followed by wax solvent agent and finally MMA monomer application. Bond strength test was performed using a universal testing machine. Results: All the strength values of the test groups were within clinically acceptable limits. The lowest values were from the ST₁ group and the highest values were in the ST₄ group. Conclusions: Wax elimination methods affected bonding strength. Application of wax solvent and MMA monomer to the ridge lap surfaces of the teeth gave the best results. In clinical practice, this application procedure may decrease the bonding failure of denture teeth.     

Antifungal and physical characteristics of modified denture base acrylic incorporated with silver nanoparticles

doi: 10.1111/j.1741‐2358.2011.00489.x Antifungal and physical characteristics of modified denture base acrylic incorporated with silver nanoparticles Objective: This study evaluated the antifungal and physical characteristics of denture base acrylic combined with silver nanoparticles. Materials and methods: Polymerized denture acrylic disc specimens containing 0 (control), 1.0, 5.0, 10.0, 20.0 and 30.0 wt% of silver nanoparticles were placed on separate culture plate dish and 100 ìL samples of yeast suspension of Candida albicans strain were inoculated on each specimens and incubated at 37°C, for 24 h. The antifungal effects were evaluated as a number of viable cells in retrieved fungal suspension. To characterize physical aspects, specimens were tested for elution of silver cation (Ag⁺) at 24 h and 30th day, thermal analysis (TG/DTA), scanning electron microscope and energy dispersed X‐ray analysis (SEM/EDX) and color stability. Results: Significant reduced CFU was exhibited at 20.0 and 30.0 wt% of silver nanoparticles incorporated (p < 0.01) and Ag⁺ elution from specimens (maximum 0.356 ± 0.11 mg/L) contributed little to the antifungal activity considering MIC of Ag⁺ in this study (3.0 mg/L). The successful synthesis of modified denture acrylic containing silver nanoparticles was accessed by TG/DTA and EDX analysis. Conclusion: The modified denture base acrylic combined with silver nanoparticles displayed antifungal properties and acted like latent antifungal material itself with low‐releasing Ag⁺, however, the improvement of poor color stability was still required.     

Complete denture wearing and fractures among edentulous patients treated in university clinics

doi: 10.1111/j.1741‐2358.2011.00551.x
Complete denture wearing and fractures among edentulous patients treated in university clinics Objective: The prevalence of wearing and fracture of complete dentures was evaluated among edentulous patients treated in two dental schools in Brazil. Background: Acceptance and wearing of complete dentures are related to adaptive behaviour of edentulous patients. However, one reason that could interfere with the wearing dentures is their potential to fracture, which is still a common complication in denture rehabilitation practice. Material and methods: Two hundred and twenty‐four edentulous patients rehabilitated with complete dentures from 2000 to 2005 in Araçatuba and Araraquara Dental School, University of State of São Paulo, were assessed in 2006 and 2007 to answer a questionnaire about wearing and fracture of their dentures. Statistical analysis were performed using Epi Info software and chi‐squared test to compare maxillary and mandibular data (α = 0.05). Results: Almost 26% of the patients did not wear their dentures, and among the remainder, the majority wore the maxillary denture. About 30% of the dentures were fractured, with higher prevalence in the maxillary arch (p = 0.003). Conclusions: Discontinuation of wearing dentures was quite high, especially considering the treatment which was carried out in university clinics. Prevalence of fractures was also high, greater for the maxillary denture, and was one of the main reasons for non‐wearing of complete dentures.     

Effect of flask closure method and post‐pressing time on the upper denture base adaptation

doi:10.1111/j.1741‐2358.2009.00307.x
Effect of flask closure method and post‐pressing time on the upper denture base adaptation Objectives: The purpose of this study was to evaluate the effect of flask‐closure methods, post‐pressing times and acrylic resins on denture base adaptation. Materials and methods: The resins were flasked using a hydraulic press and closed with the traditional clamp or RS system. Conventional heat‐cure resin was polymerised immediately or at 6 h post‐pressing at 74°C for 9 h. Rapid cycle heat‐cure resin was polymerised in boiling water for 20 min. After cooling, the bases were deflasked and the sets of cast‐base transversally sectioned in the regions distal to the canine, mesial to the first molar and in the posterior palatal zone. The adaptation was measured with an optical microscope (0.0005 mm) at five reference points for each section. Data were analysed using anova and Tukey’s test (α = 0.05). Results: Traditional clamp and immediate post‐pressing time improved base adaptation for conventional heat‐cure resin. Both post‐pressing times showed most accurate base adaptation for conventional heat‐cure resin when the traditional clamp was used. Immediate post‐pressing time improved base adaptation for conventional heat‐cure resin and the 6‐h delay in time was significant for the rapid cycle heat‐cure resin. Conclusions: Traditional clamp and immediate post‐pressing time improved base adaptation for conventional heat‐cure resin.     

Correlation between factors associated with the removable partial dentures use and Candida spp. in saliva

doi: 10.1111/j.1741‐2358.2010.00390.x
Correlation between factors associated with the removable partial dentures use and Candida spp. in saliva Objectives: To correlate the presence and number of Candida spp. in the saliva of wearers of removable partial dentures retained with precision attachments with the proportion of metal/acrylic resin present in the dentures. Methods: Saliva samples from 40 removable partial denture wearers (test) and one paired sample of individuals, non‐wearers of any type of removable denture (control) were collected, seeded, and the colony forming units of Candida counted and identified. The metal/acrylic resin proportion of each denture was quantified, using silicone plates pressed over each denture. Results: Candida spp. was found in the saliva of 80% of the individuals in the test group and 65% of the control, with C. albicans being the most prevalent species. The test group presented with the highest number of colony forming units of Candida per ml of saliva, and there was weak correlation between this number and the metal and resin area of the denture (Pearson’s coefficient of correlation). Greater prevalence and a higher number of colony forming units of Candida per ml of saliva occurred in removable partial denture wearers (p = 0.04) with a weak positive correlation between the metal and resin area and the number of colony forming units of Candida per ml of saliva. However, this correlation was more significant for the area of resin.     

Weight loss and changes in surface roughness of denture base and reline materials after simulated toothbrushing in vitro

doi: 10.1111/j.1741‐2358.2010.00422.x
Weight loss and changes in surface roughness of denture base and reline materials after simulated toothbrushing in vitro Objective: To evaluate the weight loss and the surface roughness of acrylic resins after simulated brushing tests. Material and methods: Ten specimens of each material (Tokuyama Rebase II‐TR, New Truliner‐NT, Ufi Gel Hard‐UH and Lucitone 550‐L) were made. The wear loss (mg) by weight and the surface roughness (Ra μm) of each specimen was determined before and after brushing. The specimens were placed on the brushing machine and a total of 20 000 brushing cycles was performed. The results of weight loss and roughness values were submitted to the anova followed by the Tukey’s test (p = 0.05). Results: The mean weight loss of material L was statistically higher (p < 0.001) than that of the relines TR, UH and NT. No significant differences were found among the roughness values of resins TR, UH and L (p > 0.05). Only for L, toothbrushing increased the surface roughness. After toothbrushing, there was no significant difference between the roughness values of materials L and NT. The highest mean weight loss during the simulated toothbrushing tests was observed for L. Before the toothbrushing tests, the NT exhibited the highest mean roughness. Conclusion: Brushing resulted in increase in roughness only for resin L.     

Evaluation of Vickers hardness of different types of acrylic denture base resins with and without glass fibre reinforcement

doi: 10.1111/j.1741‐2358.2010.00435.x
Evaluation of Vickers hardness of different types of acrylic denture base resins with and without glass fibre reinforcement Objective: To evaluate the Vickers hardness of different acrylic resins for denture bases with and without the addition of glass fibres. Background: It has been suggested that different polymerisation methods, as well as the addition of glass fibre (FV) might improve the hardness of acrylic. Materials and methods: Five types of acrylic resin were tested: Vipi Wave (VW), microwave polymerisation; Vipi Flash (VF), auto‐polymerisation; Lucitone (LT), QC20 (QC) and Vipi Cril (VC), conventional heat‐polymerisation, all with or without glass fibre reinforcement (GFR) and distributed into 10 groups (n = 12). Specimens were then submitted to Vickers hardness testing with a 25‐g load for 30 s. All data were submitted to anova and Tukey’s HSD test. Results: A significant statistical difference was observed with regard to the polymerisation method and the GFR (p < 0.05). Without the GFR, the acrylic resin VC presented the highest hardness values, and VF and LT presented the lowest. In the presence of GFR, VC resin still presented the highest Vickers hardness values, and VF and QC presented the lowest. Conclusions: The acrylic resin VC and VW presented higher hardness values than VF and QC resins. Moreover, GFR increased the Vickers hardness of resins VW, VC and LT.     

Comparative analysis of biofilm levels in complete upper and lower dentures after brushing associated with specific denture paste and neutral soap

Objectives: The objective of this study was to compare and correlate biofilm levels in complete upper and lower prosthesis after brushing, associated with specific paste and soap, by means of computerised methodology. Materials and methods: Forty‐five complete denture wearers were selected and instructed to brush their prostheses (Soft Oral B 40) three times a day for 3 weeks with water (Control), specific paste for complete dentures (Corega Brite) (Experiment 1) and neutral soap (Experiment 2). The study was based on a cross‐over model and a wash‐out period was not included. For biofilm quantification, the internal surfaces were dyed (neutral red 1%), photographed (Canon EOS Digital) and the disclosed biofilm was measured with the Image Tool 2.0 software. The products were assessed by means of a questionnaire regarding their hygiene properties and acceptance. Results: The variance analysis indicated that the lower prostheses exhibited a mean biofilm percentage, significantly higher than the upper prostheses and that brushing with paste (Experiment 1) was more effective than soap (Experiment 2) and, in turn, this was more effective than water (Control). There was a high biofilm correlation (Pearson correlation) between both prostheses. Both products were well accepted by the patients, but the most favoured one was the paste. Conclusions: This was effective in controlling the biofilm and can be used preventatively in the maintenance of oral health by wearers of complete dentures. This is important where the lower prosthesis can harbour microorganisms which may act as a reservoir for other areas of the mouth and thus enhance the importance of proper hygiene.     

Assessment of changes in oral health‐related quality of life among patients with complete denture before and 1 month post‐insertion using Geriatric Oral Health Assessment Index

doi:10.1111/j.1741‐2358.2009.00323.x
Assessment of changes in oral health‐related quality of life among patients with complete denture before and 1 month post‐insertion using Geriatric Oral Health Assessment Index Objective: Geriatric Oral Health Assessment Index (GOHAI) is a 12‐item measure of “patient‐reported oral functional problems” intended for use in the assessment of the effectiveness of dental treatment. Design and Setting: As there is scanty literature available on GOHAI in the Indian population, the present study was undertaken to assess the changes in GOHAI before and 1 month after placement of dentures in completely edentulous patients reporting to a dental hospital at Indore, India. Measurements: The GOHAI questionnaire was completed by the examiner who interviewed the patients (n = 35) before placement of complete dentures and 1 month later. Mean, median values were calculated and the data were analysed using Wilcoxon signed‐rank test. Results: When overall mean was considered, the GOHAI scores increased from 27.48 to 30.19 (p = 0.002; highly significant). Conclusion: Patients reported improvement in functional changes after placement of complete dentures.     

Seasonal changes in composition and biomass of epilithic algal floras of a chalk stream and a soft water stream with estimates of production

Microscopic epilithic algae in the River Itchen at Otterbourne near Southampton and in the Ober Water in the New Forest were studied during 1984 and 1985. The River Itchen rises from chalk springs and has a steady pH near 8.2 and a mean alkalinity of 236 mg HCO₃ 1^–1; at the study site the river is about 16 m wide and 20 cm deep, with a mean flow rate of 0.33 m s^–1 and a discharge ranging through the year between 0.34 and 2.46 m³ s^–1. The Ober Water, which drains sands and gravels, has a pH between 6.9 and 7.2 and a mean alkalinity of about 50 mg HCO₃ 1^–1; at the study site it is about 6 m wide, with a mean flow rate of 0.27 m s^–1 and a discharge ranging through the year between 0.08 and 1.0 m³ s^–1.Epilithic algae removed from the pebbles that form the major part of the beds of both streams show seasonal changes in abundance and composition. Diatoms peaked in April/May and dominate the epilithic flora in both streams, comprising 70–95% of all algal cells; highest numbers of chlorophytes occurred in summer and cyanophytes increased in autumn. The species composition of the epilithic flora in the two streams was different, as was the population density; algal cell numbers ranged between 500 and 7000 cells mm^–2 of stream floor in the River Itchen and between 8 and 320 cells mm^–2 of stream floor in the Ober Water. The chlorophyll a content of epilithic algae in the River Itchen ranged between 115 and 415 mg m^–2 of stream floor, representing an annual mean biomass of about 8 g m^–2, whereas in the Ober Water a chlorophyll a content of 2.2 to 44 mg m^–2 of stream floor was found, representing an annual mean biomass of about 1 g m^–2. Cautious estimates of the annual production of epilithic algae in these streams suggest a value of about 600 g organic dry weight m^–2 in the River Itchen and about 75 g m^–2 in the Ober Water.