Gad Mohammed M, Rahoma Ahmed, Al-Thobity Ahmad M, ArRejaie Aws S
Department of Substitutive Dental Sciences.
Department of Restorative Dental Sciences, College of Dentistry, University of Dammam, Dammam, Saudi Arabia; Department of Dental Materials, College of Dentistry, Al-Azhar University, Assiut, Egypt.
Int J Nanomedicine. 2016 Oct 27;11:5633-5643. doi: 10.2147/IJN.S120054. eCollection 2016.
Repeated fracture of the denture base is a common problem in prosthodontics, and it represents a nuisance and a time sink for the clinician. Therefore, the possibility of increasing repair strength using new reinforcement materials is of great interest to prosthodontists.
This study aimed to evaluate the effects of incorporation of zirconia nanoparticles (nano-ZrO) on the flexural strength and impact strength of repaired polymethyl methacrylate (PMMA) denture bases.
One hundred eighty specimens of heat-polymerized acrylic resin were fabricated (90 for each test) and divided into three main groups: one control group (intact specimens) and two groups divided according to surface design (45° bevels and butt joints), in which specimens were prepared in pairs to create 2.5 mm gaps. Nano-ZrO was added to repair resin in 2.5 wt%, 5 wt%, and 7.5 wt% concentrations of acrylic powder. A three-point bending test was used to measure flexural strength, and a Charpy-type test was used to measure impact strength. Scanning electron microscopy was used to analyze the fracture surfaces and nano-ZrO distribution. The results were analyzed with a paired sample -test and an unpaired -test, with a -value of ≤0.05 being significant.
Incorporation of nano-ZrO into the repair resin significantly increased flexural strength (<0.05). The highest value was found in the bevel group reinforced with 7.5% nano-ZrO, whereas the lowest value was found in the butt group reinforced with 2.5% nano-ZrO. The impact strength values of all repaired groups were significantly lower than those of the control group (<0.05). Among repaired groups, the higher impact strength value was seen in the butt group reinforced with 2.5% nano-ZrO. The bevel joint demonstrated mainly cohesive failure, whereas the butt joint demonstrated mainly adhesive failure.
Incorporation of nano-ZrO into the repair resin improved the flexural strength of repaired denture bases, whereas it decreased impact strength, especially with high nano-ZrO concentrations.
义齿基托反复折断是口腔修复学中的常见问题,给临床医生带来困扰且耗费时间。因此,使用新型增强材料提高修复强度的可能性备受口腔修复医生关注。
本研究旨在评估添加氧化锆纳米颗粒(纳米ZrO)对修复的聚甲基丙烯酸甲酯(PMMA)义齿基托弯曲强度和冲击强度的影响。
制作180个热聚合丙烯酸树脂标本(每组测试90个),分为三个主要组:一个对照组(完整标本)和两组根据表面设计划分(45°斜面和对接接头),其中标本成对制备以形成2.5毫米的间隙。纳米ZrO以2.5重量%、5重量%和7.5重量%的丙烯酸粉末浓度添加到修复树脂中。采用三点弯曲试验测量弯曲强度,采用夏比型试验测量冲击强度。使用扫描电子显微镜分析断裂表面和纳米ZrO分布。结果采用配对样本检验和非配对检验进行分析,P值≤0.05具有显著性。
在修复树脂中添加纳米ZrO显著提高了弯曲强度(P<0.05)。在添加7.5%纳米ZrO的斜面组中发现最高值,而在添加2.5%纳米ZrO的对接组中发现最低值。所有修复组的冲击强度值均显著低于对照组(P<0.05)。在修复组中,添加2.5%纳米ZrO的对接组具有较高的冲击强度值。斜面接头主要表现为内聚破坏,而对接接头主要表现为粘结破坏。
在修复树脂中添加纳米ZrO可提高修复义齿基托的弯曲强度,但会降低冲击强度,尤其是在纳米ZrO浓度较高时。