Former Graduate Prosthodontics Resident, Department of Restorative Sciences, Texas A&M University College of Dentistry, Dallas, Texas.
Clinical Assistant Professor, Department of Restorative Sciences, Texas A&M University College of Dentistry, Dallas, Texas.
J Prosthet Dent. 2020 Apr;123(4):641-646. doi: 10.1016/j.prosdent.2019.03.010. Epub 2019 Jul 26.
High flexural strength is one of the desirable properties for denture base resins, yet only few studies have evaluated the physical properties of newer denture bases such as computer-aided design and computer aided manufacturing (CAD-CAM) milled products.
The purpose of this in vitro study was to compare the flexural strength of 3 different types of denture base resins: compression molded, injection molded, and CAD-CAM milled.
Three groups (n=10) of acrylic denture base resins were tested: injection molded, compression molded, and CAD-CAM milled resin. ISO-compliant, rectangular specimens were fabricated (64×10×3.3 mm) (n=30). Specimens were stored in water for 1 week, and flexural strength was measured by using a 3-point bend test until failure. The Student t test was used to evaluate differences in the flexural strength and modulus of elasticity among specimen groups. The Bonferroni formula was used to set significance at α=.017 to account for multiple comparisons among the 3 groups.
The flexural strength of the CAD-CAM milled group was significantly higher than that of the other 2 groups (P<.001), while the strength of the compression molded group was significantly greater than that of the injection molded group (P<.001). The flexural modulus of the CAD-CAM group was significantly higher than that of the other 2 groups (P<.001).
CAD-CAM milled denture bases may be a useful alternative to conventionally processed denture bases in situations where increased resistance to flexural strength is needed.
高弯曲强度是义齿基托树脂的理想特性之一,但只有少数研究评估了较新的义齿基托的物理性能,如计算机辅助设计和计算机辅助制造 (CAD-CAM) 铣削产品。
本体外研究的目的是比较 3 种不同类型的义齿基托树脂的弯曲强度:压缩成型、注塑成型和 CAD-CAM 铣削。
将 3 组(每组 n=10)丙烯酸义齿基托树脂进行测试:注塑成型、压缩成型和 CAD-CAM 铣削树脂。按照 ISO 标准制造矩形试件(64×10×3.3mm)(n=30)。将试件在水中储存 1 周,然后使用三点弯曲试验测量弯曲强度,直至试件破坏。采用 Student t 检验评估各组试件的弯曲强度和弹性模量差异。采用 Bonferroni 公式将 3 组间的多重比较的显著性水平设为α=.017。
CAD-CAM 铣削组的弯曲强度明显高于其他 2 组(P<.001),而压缩成型组的强度明显高于注塑成型组(P<.001)。CAD-CAM 组的弯曲模量明显高于其他 2 组(P<.001)。
在需要增加弯曲强度的情况下,CAD-CAM 铣削义齿基托可能是传统加工义齿基托的有用替代品。