Refining of maxillary complete dentures significantly positively impacts the quality of life of patients in all the tested domains (masticatory function, psychological discomfort, social disability, pain and oral hygiene). Better results were achieved using a silicone-based soft liner, which recommends it as the material of choice for relining dentures.
Determining the vertical dimension of occlusion requires 5.5 mm subtraction from the position of the mandible in pronunciation of the word "OLO" or 7.5 mm in pronunciation of the word "ELE".
Acrylic restorations in the mouth are exposed to strong occlusal forces. Their mechanical properties depend on the type and method of their polymerization. The aim of this study is a comparative analysis of mechanical properties (flexural strength and modulus of elasticity) of acrylic materials before and after the post-polymerization treatments (water boiling, microwave irradiation and water storage). The study included denture base resins, as well as an acrylate for orthodontic appliances impregnated with aesthetic beads. Flexural strength, modulus of elasticity and the deflection were measured immediately after polymerization, after a hot and microwave post-polymerization and after immersion in a water bath at the temperature of 37 °C. The applied post-polymerization methods resulted in an increase in flexural strength and modulus of elasticity relative to the initial values for all tested materials. Being aware of the reduction in fracture risk of dental prosthesis after a proposed post-polymerization procedure, it could be used in all clinical situations where there is an increased risk of damage to dentures.
In order to improve biological features of acrylic resin materials, it was recommended that dentures lined with soft or hard cold-polymerized acrylates should be kept at least 1 to 7 days in water before being given to a patient. So, as to reach high degree of biocompatibility preparation of prosthetic restorations from heat-polymerized acrylate was unnecessary.
The aim of the present study was to determine the content of residual monomer methyl methacrylate (MMA) in cold and hot polymerized poly(methyl methacrylate) (PMMA), both widely applicable in dentistry, by using MHE-GC-MS (multiple headspace extraction analysis by gas chromatographymass spectrometry) in combination with GC-FID (gas chromatography with flame-ionization detection). The samples of PMMA were obtained by free-radical polymerization of MMA at room temperature (cold polymerized PMMA) and at 100 C (hot polymerized PMMA), according to the manufacturer's instructions. The MHE-GC-MS method consisted of ten successive extractions of MMA from the polymerized samples. According to the constructed calibration curve, the content of residual MMA in PMMA samples (mg MMA /g PMMA ) was determined. Intramuscular implantation of sample materials was performed in experimental animals (rats) in order to demonstrate potential adverse effects of the unpolymerized residual reactants to the tissue in direct contact with polymeric implants. The content of residual monomer in cold polymerized PMMA was higher (15.75 mg MMA/ g PMMA ) in comparison to hot polymerized PMMA (10.96 mg MMA/ g PMMA ). The implanted samples of cold-polymerized acrylic resin showed intense inflammatory response of the surrounding tissue. According to the obtained results, hot polymerized PMMA is safer for use in dentistry.
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