Denture plaque and adherence of Candida albicans to denture-base materials in vivo and in vitro.
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The aim of this paper is to review our understanding of the mechanisms and clinical significance of adhesion of C. albicans to denture-base materials in relation to denture plaque and denture-related stomatitis. Earlier reports in the literature of a 65% prevalence level of denture-related stomatitis seem to be exaggerated. More recent studies indicate that denture-related stomatitis is considerably less common, particularly in normal healthy subjects. The etiology of the condition is discussed in this review, and although much of the literature supports the view that the condition is strongly associated with C. albicans, this is not always so. In some subjects, the cause appears to be related to a non-specific plaque. This review also considers the role of denture plaque in the pathogenesis of denture-related stomatitis, the sequential development of denture plaque, and its colonization by Candida organisms. Designing controlled in vivo studies is difficult, and as a consequence, many investigators have had to resort to in vitro studies. The majority of these studies have attempted to investigate the hydrophobicity of C. albicans, relating the surface free-energy of denture-base materials, particularly acrylic resin, to that of the organism. Surprisingly little work has been directed at surface roughness and how it affects retention of organisms. Further, no attention has been paid to the properties and character of the surface, other than average surface roughness, as it affects adhesion. A comparison of results from in vitro studies on the effect on adhesion of pre-coating the surfaces of denture-base materials with saliva has produced equivocal conclusions. This is largely due to little standardization of experimental protocols between studies, particularly in the collection and handling of the saliva used. In conclusion, the review strongly supports the suggestion that adherence of C. albicans to denture-base materials in vitro is related to the hydrophobicity of the organism. The clinical significance of the observation and the mechanisms for the development and maturation of denture plaque are yet to be understood. There is a clear need for further investigation of other factors that may moderate the adhesion of organisms and subsequent colonization of denture-base materials. (+info)
Current trends in removable prosthodontics.
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BACKGROUND: This article discusses trends in the demographics and treatment of the edentulous patient. It is clear that there still is a tremendous need for removable-prosthodontic services today. While the basic process of making dentures has changed little over the past several decades, new materials and techniques can help laboratories and clinicians provide functional, esthetic restorations that offer exceptional value to patients. Implant treatment is a tremendous adjunct to removable prosthodontics in the treatment of edentulous patients, but it is not within the financial reach of all dental patients. CLINICAL IMPLICATIONS: The clinical skills required to deliver excellent complete denture care are also paramount to successful implant prosthodontics (fixed and removable) and esthetic dentistry. Even so, the opportunities to develop these skills and the interest appear to be decreasing at the same time that the need is projected to increase. In service to our patients, the profession must examine this trend closely. (+info)
Complete denture covering mandibular tori using three base materials: a case report.
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The torus mandibularis presents many challenges when fabricating a complete denture. The mucosa tends to be thin and will not tolerate normal occlusal loads on a denture. Large mandibular tori can prevent complete seating of impression trays and denture. To address this problem, we fabricated a new mandibular complete denture incorporating a combination of soft acrylic flanges and liners. (+info)
Application of sintered titanium alloys to metal denture bases: a study of titanium powder sheets for complete denture base.
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The purpose of this study was the fabrication of titanium powder sheets to enable the application of sintered titanium alloys as metal denture bases. The effects of titanium particle shape and size, binder content, and plasticizer content on the surface smoothness, tensile strength and elongation of titanium powder sheets was investigated. To select a suitable ratio of powdered metal contents for application as a metal denture base, the effects of aluminum content in Ti sheets and various other powder metal contents in Ti-Al sheets on the density, sintering shrinkage, and bending strength were evaluated. Based on the results of the above experiments, we developed a mixed powder sheet composed of 83Ti-7Al-10Cr with TA45 titanium powder (atomized, -45 microm), and 8 mass% binder content. This titanium alloy sheet had good formability and ductility. Its sintered titanium alloy had a density of 3.2 g/cm3, sintering shrinkage of 3.8%, and bending strength of 403 MPa. The titanium alloy sheet is clinically acceptable for fabricating denture bases. (+info)
Application of electrolyzed acid water to sterilization of denture base part 1. Examination of sterilization effects on resin plate.
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Bactericidal activities of electrolyzed strong and weak acid waters for acrylic denture base resin were evaluated in order to discuss the applicability of these waters for sterilization of denture base. Only 1-minute immersion in the electrolyzed strong or weak acid water could completely eliminate the attached bacteria, Staphylococcus aureus 209P, on the resin plate. When the resin was relined with tissue conditioner, 5-minute immersion or 1- to 2-minute ultrasonic cleaning reduced the number of the bacteria from 10(5)/cm2 level to 10(1)/cm2 and no surviving bacteria could be detected after 10-minute treatment. These findings suggest that both the electrolyzed strong and weak acid waters are well applicable to the disinfectant for acrylic denture base showing excellent bactericidal activities in a significantly shorter treatment as compared with the conventional denture cleaning. (+info)
Adding silanes to MMA: the effects on the water absorption, adhesive strength and mechanical properties of acrylic denture base resins.
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The adhesive strength of porcelain artificial teeth and polymethylmethacrylates (PMMAs), which contained silanes with various number of vinyl or ethoxy groups, and the mechanical and physical properties of the PMMAs were measured. Four types of PMMAs with silanes showed high adhesive shear strength and caused fractures in the porcelain. Water absorption of the PMMAs increased with the addition of silane, but that of one type with silane was almost the same as the PMMA only type. The flexural strengths of the PMMAs with silane, except for one type, showed no significant differences compared with that of PMMA (p < 0.05). The Tg levels of all PMMAs with silane fell less than that of PMMA. From these results, it was found that PMMA with silane from three vinyl groups and one ethoxy group showed excellent chemical bonding to porcelain and low water absorption. (+info)
Differential scanning calorimetric study of acrylic resin powders used in dentistry.
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The thermal behavior of eight dental acrylic resin powders was studied using differential scanning calorimetry (DSC). In addition, high performance liquid chromatography was performed to supplement the DSC analysis. The HPLC analysis revealed that the contents of residual monomers and benzoyl peroxide (BPO) in the powders were 0.01-0.97 mass% and 0.25-1.28 mass%, respectively. All the resin powders produced one broad exothermic peak, while a mixture of BPO and PMMA powders generated two peaks. One peak pattern was assigned to the decomposition of BPO included within the polymer particles. The results suggested that BPO was present inside the particles and little BPO was mixed into the resin powders. Moreover, the present study demonstrated a unique useability of DSC in characterizing resin powders. (+info)
Content and release of bisphenol A from polycarbonate dental products.
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Bisphenol A (BPA) is an endocrine disruptor, and is used as a raw material for bisphenol A diglycidyl methacrylate and polycarbonate, that are used in the dental materials. In this study, the total and released amounts of BPA from polycarbonate-based dental materials were measured with high-pressure liquid chromatography (HPLC). The specimens used were orthodontic brackets and denture base resins in the same condition as when obtained commercially were cut into 3 x 3 x 4 mm pieces and crushed into powder. The HPLC analysis was carried out after immersion of the specimens in water or ethanol for a determined time. The total amount of BPA in the specimens was analyzed after dissolution in chloroform. The amount of BPA released after immersion in water for 1 hr was 0.01-0.4 microgram/g for the block samples and 0.14-4.22 micrograms/g for the crushed samples, while that in ethanol for 1 hr was 0.12-9.42 micrograms/g for the block samples and 0.42-22.24 micrograms/g for the crushed samples. The control of BPA in the denture preform resin was 78.9 micrograms/g and this increased to 90.2 micrograms/g after heating to form dentures and then to 250 micrograms/g with mechanical crushing. The results of this study indicate that BPA is released from polycarbonates used in dentistry, and that the thermal conditions during the manufacturing of restorations may cause polymer decomposition resulting in the formation of BPA. (+info)