Mishra Swati, Chaturvedi Saurabh, Ali Mariyam, Pandey Kaushik Kumar, Alqahtani Nasser M, Alfarsi Mohammed A, Addas Mohamed Khaled, Vaddamanu Sunil Kumar, Al Ahmari Nasser M, Alqahtani Saeed M, Yaqoob Ashfaq, Alqahtani Waleed M S
Department of Prosthodontics, Career Postgraduate Institute of Dental Sciences, Lucknow 226008, India.
Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia.
Polymers (Basel). 2023 Feb 1;15(3):744. doi: 10.3390/polym15030744.
An accurate and dimensionally stable trial denture base is required for a successful denture. The aim of this in vitro study was to assess the dimensional stability of a light-activated urethane dimethacrylate (UDMA) visible light cure (VLC) denture base with three fabrication techniques and different curing cycles. Forty-five VLC denture base samples were divided evenly into three groups. Group A used a conventional fabrication technique with a curing cycle of 5 min. Group B used a modified fabrication technique with two 4-min curing cycles. Group C used a multi-step fabrication technique with three curing cycles (4 min, plus 4 min, plus 2 min). The samples were sectioned and observed under a stereomicroscope to measure the discrepancy between the sample and the master cast. The mean dimensional discrepancy (mm) at the molar region at mid-palate, after 24 h in Group A, B and C was 0.790 mm, 0.741 mm and 0.379 mm, respectively; at the right ridge crest, it was 0.567, 0.408 and 0.185, while at the left ridge crest it was 0.475, 0.331 and 0.125, respectively. Statistical analysis showed significantly different dimensional discrepancies among the groups at all three sites; right ridge crest (F = 93.54, < 0.001), left ridge crest (F = 105.96, < 0.001) and mid-palate (F = 125.53, < 0.001). Within the limitations of this laboratory study, it can be concluded that the denture base using a multi-step fabrication technique with three curing cycles provides better adaptation than the conventional technique. The significance of the study is that clinicians should consider performing denture base fabrication using a multi-step technique to enhance adaptation and hence the stability of the dentures for patients.
一副成功的义齿需要一个精确且尺寸稳定的义齿基托试戴件。本体外研究的目的是评估采用三种制作技术和不同固化周期的光固化聚氨酯二甲基丙烯酸酯(UDMA)可见光固化(VLC)义齿基托的尺寸稳定性。45个VLC义齿基托样本被均匀分为三组。A组采用传统制作技术,固化周期为5分钟。B组采用改良制作技术,有两个4分钟的固化周期。C组采用多步制作技术,有三个固化周期(4分钟,加4分钟,加2分钟)。将样本切片并在体视显微镜下观察,以测量样本与母模之间的差异。A组、B组和C组在24小时后,在中腭部磨牙区域的平均尺寸差异(mm)分别为0.790mm、0.741mm和0.379mm;在右侧牙槽嵴顶分别为0.567、0.408和0.185,而在左侧牙槽嵴顶分别为0.475、0.331和0.125。统计分析表明,在所有三个部位,各组之间的尺寸差异均有显著不同;右侧牙槽嵴顶(F = 93.54,P < 0.001),左侧牙槽嵴顶(F = 105.96,P < 0.001)和中腭部(F = 125.53,P < 0.001)。在本实验室研究的局限性内,可以得出结论,采用有三个固化周期的多步制作技术的义齿基托比传统技术具有更好的贴合度。该研究的意义在于,临床医生应考虑采用多步技术进行义齿基托制作,以提高贴合度,从而增强患者义齿的稳定性。