Viswambaran M, Kapri Anita, D'Souza Dsj, Kumar Manjit
Associate Professor, Department of Dental Surgery, AFMC, Pune - 40.
Graded Specialist (Prosthodontics), Dental Centre, INHS Sanjivani, Naval Base, Kochi - 682004.
Med J Armed Forces India. 2011 Oct;67(4):343-7. doi: 10.1016/S0377-1237(11)60081-6. Epub 2011 Oct 22.
Polymethylmethacrylate (PMMA) is the most common material used to fabricate interim fixed partial denture (FPD). Several attempts have been made to improve fracture strength of this material with various methods of reinforcement, but its effect on the fracture resistance of interim FPD was not evaluated.
The study was designed in two stages. In the first stage various methods of reinforcement (glass fibre, polyethylene, combination of glass and polyethylene, and stainless steel) for interim FPD of PMMA were used and its effect on the fracture resistance of interim FPD was evaluated by three point bending test using universal testing machine. In the second stage, fibres which showed the highest fracture resistance value was used to ascertain the most appropriate site of placement for reinforcing interim FPD. Comparisons were made with analysis of variance.
Stainless steel and glass fibres showed significantly higher fracture resistance value than polyethylene alone or mixed with glass fibres (P < 0.001). Fibre placement in the occlusal third region of the pontic resulted in higher fracture resistance than the other locations (P < 0.05).
There was a definite improvement in the fracture resistance after reinforcement with fibres and stainless steel. The occlusal third region of the pontic is the most appropriate site of placement for reinforcement in interim FPD.
聚甲基丙烯酸甲酯(PMMA)是用于制作临时固定局部义齿(FPD)最常用的材料。人们已多次尝试通过各种增强方法来提高这种材料的断裂强度,但未评估其对临时FPD抗折性的影响。
本研究分两个阶段进行。第一阶段,采用多种增强方法(玻璃纤维、聚乙烯、玻璃与聚乙烯的组合以及不锈钢)对PMMA临时FPD进行增强,并使用万能试验机通过三点弯曲试验评估其对临时FPD抗折性的影响。第二阶段,使用显示出最高抗折性值的纤维来确定增强临时FPD的最合适放置部位。采用方差分析进行比较。
不锈钢和玻璃纤维显示出的抗折性值显著高于单独的聚乙烯或与玻璃纤维混合的聚乙烯(P < 0.001)。在桥体的咬合三分之一区域放置纤维导致的抗折性高于其他位置(P < 0.05)。
用纤维和不锈钢增强后,抗折性有明显改善。桥体的咬合三分之一区域是临时FPD增强的最合适放置部位。