Polyzois G L, Tarantili P A, Frangou M J, Andreopoulos A G
Dental School, University of Athens, and National Technical University of Athens, Athens, Greece.
J Prosthet Dent. 2001 Dec;86(6):613-9. doi: 10.1067/mpr.2001.120069.
The ultimate goal of denture repair is to restore the denture's original strength and avoid further fracture. The best materials and methods for repair have not been conclusively determined.
This study investigated the fracture force, deflection at fracture, and toughness of a heat-polymerized denture base material repaired with heat-polymerized resin, autopolymerized resin alone, or autopolymerized resin with glass fiber or wire reinforcement.
Eight groups were evaluated: 6 with autopolymerized resin repairs, 1 with heat-polymerized resin repairs, and a control group of intact specimens. The 6 autopolymerized resin groups included 1 group with no reinforcement, 1 treated with microwave irradiation after polymerization, 2 with monolayer or multilayer glass fiber reinforcement, and 2 with round or braided wire reinforcement. Each group consisted of 12 specimens. The experimental specimens were cut, and a 3-mm butt joint gap was repaired as indicated by the group assignment. A 3-point bending test was used to determine the fracture force, deflection at fracture, and toughness of the specimens. The data were analyzed with 1-way analysis of variance and the Tukey post-hoc test (alpha=.05).
The fracture force (28.4 to 73.4 N), deflection (1.6 to 3.8 mm), and toughness (0.02 to 0.13 J) values for all repaired groups were significantly lower than those for the control group (82.79 N, 4.4 mm, and 0.16 J, respectively), with one exception: the mean fracture force of specimens reinforced with round wire (102.9 N). Failure mode was always adhesive, meaning that fracture occurred between the denture base and repair resin.
Among the repair treatments tested, the most effective was microwave-irradiated, autopolymerized resin reinforced with round wire or monolayer glass fiber ribbon.
义齿修复的最终目标是恢复义齿的原始强度并避免进一步断裂。修复的最佳材料和方法尚未最终确定。
本研究调查了用热聚合树脂、单独的自聚合树脂或带玻璃纤维或金属丝增强的自聚合树脂修复的热聚合义齿基托材料的断裂力、断裂时的挠度和韧性。
评估了八组:6组用自聚合树脂修复,1组用热聚合树脂修复,以及一组完整标本的对照组。6个自聚合树脂组包括1个无增强组,1个聚合后经微波照射处理组,2个单层或多层玻璃纤维增强组,以及2个圆形或编织金属丝增强组。每组由12个标本组成。将实验标本切割,并按照组分配指示修复3毫米的对接间隙。采用三点弯曲试验来确定标本的断裂力、断裂时的挠度和韧性。数据采用单因素方差分析和Tukey事后检验进行分析(α = 0.05)。
所有修复组的断裂力(28.4至73.4 N)、挠度(1.6至3.8 mm)和韧性(0.02至0.13 J)值均显著低于对照组(分别为82.79 N、4.4 mm和0.16 J),但有一个例外:圆形金属丝增强标本的平均断裂力(102.9 N)。失效模式总是粘结性的,这意味着断裂发生在义齿基托和修复树脂之间。
在所测试的修复处理中,最有效的是经微波照射的、用圆形金属丝或单层玻璃纤维带增强的自聚合树脂。