Mechanical Properties of the Modified Denture Base Materials and Polymerization Methods: A Systematic Review

Amidst growing technological advancements, newer denture base materials and polymerization methods have been introduced. During fabrication, certain mechanical properties are vital for the clinical longevity of the denture base. This systematic review aimed to explore the effect of newer denture base materials and/or polymerization methods on the mechanical properties of the denture base. An electronic database search of English peer-reviewed published papers was conducted using related keywords from 1 January 2011, up until 31 December 2021. This systematic review was based on guidelines proposed by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The search identified 579 papers. However, the inclusion criteria recognized 22 papers for eligibility. The risk of bias was moderate in all studies except in two where it was observed as low. Heat cure polymethyl methacrylate (PMMA) and compression moulding using a water bath is still a widely used base material and polymerization technique, respectively. However, chemically modified PMMA using monomers, oligomers, copolymers and cross-linking agents may have a promising result. Although chemically modified PMMA resin might enhance the mechanical properties of denture base material, no clear inferences can be drawn about the superiority of any polymerization method other than the conventional compression moulding technique.

[1]  Syed Mahmood,et al.  Influence of Processing Techniques on Microhardness and Impact Strength of Conventional and Reinforced Heat Cured Acrylic Resin: A Comparative Study , 2021, Materiale Plastice.

[2]  A. Aldegheishem,et al.  Influence of Reinforcing Agents on the Mechanical Properties of Denture Base Resin: A Systematic Review , 2021, Polymers.

[3]  M. Helal,et al.  Strength and Surface Properties of a 3D-Printed Denture Base Polymer. , 2021, Journal of prosthodontics : official journal of the American College of Prosthodontists.

[4]  E. Mayo-Wilson,et al.  The PRISMA 2020 statement: an updated guideline for reporting systematic reviews , 2021, BMJ.

[5]  Suma Karthigeyan,et al.  Effect of novel cycloaliphatic comonomer on the flexural and impact strength of heat-cure denture base resin. , 2020, Journal of oral science.

[6]  M. Kanazawa,et al.  Mechanical properties of a polymethyl methacrylate block for CAD/CAM dentures. , 2020, Journal of oral science.

[7]  A. Fugolin,et al.  Strategies for Potential Toughening of Acrylic Denture Bases Polymerized With Microwave Energy. , 2020, Brazilian dental journal.

[8]  Frauke Müller,et al.  CAD/CAM Complete Denture Systems and Physical properties: A Review of the Literature. , 2020, Journal of prosthodontics : official journal of the American College of Prosthodontists.

[9]  Jane Evans,et al.  Incorporation of antimicrobial agents in denture base resin: A systematic review. , 2020, The Journal of prosthetic dentistry.

[10]  J. Becerra,et al.  Influence of High-Pressure Polymerization on Mechanical Properties of Denture Base Resins. , 2020, Journal of prosthodontics : official journal of the American College of Prosthodontists.

[11]  Z. Schauperl,et al.  Comparison of Mechanical Properties of 3D-Printed, CAD/CAM, and Conventional Denture Base Materials. , 2020, Journal of prosthodontics : official journal of the American College of Prosthodontists.

[12]  M. Gad,et al.  Influence of Addition of Different Nanoparticles on the Surface Properties of Poly(methylmethacrylate) Denture Base Material. , 2020, Journal of prosthodontics : official journal of the American College of Prosthodontists.

[13]  R. Kotian,et al.  Effect of titanium dioxide nanoparticle reinforcement on flexural strength of denture base resin: A systematic review and meta-analysis. , 2020, The Japanese dental science review.

[14]  Faiza Amin,et al.  Flexural strength of modified and unmodified acrylic denture base material after different processing techniques. , 2020, Journal of Ayub Medical College, Abbottabad : JAMC.

[15]  Elias D. Kontogiorgos,et al.  Flexural strength of denture base acrylic resins processed by conventional and CAD-CAM methods. , 2020, The Journal of prosthetic dentistry.

[16]  S. Soares,et al.  Knoop microhardness of conventional and microwaved denture base acrylic resins , 2019, Indian journal of dental research : official publication of Indian Society for Dental Research.

[17]  A. Fugolin,et al.  Effect of the combination of a crosslinking agent and a thiourethane additive on the properties of acrylic denture bases processed with microwave energy. , 2019, Journal of the mechanical behavior of biomedical materials.

[18]  G. Deepthi,et al.  Evaluation of Impact Strength of Dental Acrylic Resins by Incorporation of TiO2 Nanoparticles Using Two Different Processing Techniques. , 2019, The journal of contemporary dental practice.

[19]  Yeliz Hayran,et al.  Flexural strength of polymethyl methacrylate copolymers as a denture base resin. , 2019, Dental materials journal.

[20]  S. Ali,et al.  Monomer Modifications of Denture Base Acrylic Resin: A Systematic Review and Meta-analysis , 2019, Journal of pharmacy & bioallied sciences.

[21]  M. R. Khosravani,et al.  Mechanical behavior of restorative dental composites under various loading conditions. , 2019, Journal of the mechanical behavior of biomedical materials.

[22]  A. Khraisat,et al.  Use of High Performance Polymers as Dental Implant Abutments and Frameworks: A Case Series Report. , 2019, Journal of prosthodontics : official journal of the American College of Prosthodontists.

[23]  P. Hatton,et al.  Determination of Polyetheretherketone (PEEK) mechanical properties as a denture material , 2019, The Saudi dental journal.

[24]  Ana Flávia Sanches Borges,et al.  Mechanical and optical properties of conventional restorative glass-ionomer cements - a systematic review , 2019, Journal of applied oral science : revista FOB.

[25]  Frauke Müller,et al.  CAD-CAM milled dentures: The Geneva protocols for digital dentures. , 2019, The Journal of prosthetic dentistry.

[26]  C. Wulfman,et al.  Mechanical Properties of CAD/CAM Denture Base Resins. , 2019, The International journal of prosthodontics.

[27]  M. A. Montes,et al.  Effect of Pressure, Post-Pressing Time, and Polymerization Cycle on the Degree of Conversion of Thermoactivated Acrylic Resin , 2018, International journal of dentistry.

[28]  J. N. Waddell,et al.  Adhesive evaluation of three types of resilient denture liners bonded to heat‐polymerized, autopolymerized, or CAD‐CAM acrylic resin denture bases , 2018, The Journal of prosthetic dentistry.

[29]  M. Tahriri,et al.  Effects of incorporation of 2.5 and 5 wt% TiO2 nanotubes on fracture toughness, flexural strength, and microhardness of denture base poly methyl methacrylate (PMMA) , 2018, The journal of advanced prosthodontics.

[30]  P. Vallittu,et al.  Single and Multi-Walled Carbon Nanotube Fillers in Poly(methyl methacrylate)-Based Implant Material , 2017 .

[31]  Al-Dharrab Ayman The residual monomer content and mechanical properties of CAD\CAM resins used in the fabrication of complete dentures as compared to heat cured resins , 2017, Electronic physician.

[32]  Yaqin Wu,et al.  Effect of polyimide addition on mechanical properties of PMMA-based denture material. , 2017, Dental materials journal.

[33]  S. Mantri,et al.  Effect of Water Storage on the Flexural Strength of Heat-cured Denture Base Resin Reinforced with Stick (s) Glass Fibers , 2017, Contemporary clinical dentistry.

[34]  Eduardo Christiano Caregnatto de Morais,et al.  CAD/CAM in dentistry – a critical review , 2016 .

[35]  Mathew T Kattadiyil,et al.  Comparison of denture base adaptation between CAD-CAM and conventional fabrication techniques. , 2016, The Journal of prosthetic dentistry.

[36]  T. Pegoraro,et al.  Effect of conventional water-bath and experimental microwave polymerization cycles on the flexural properties of denture base acrylic resins. , 2015, Dental materials journal.

[37]  A. Bacchi,et al.  Thio-urethane oligomers improve the properties of light-cured resin cements. , 2015, Dental materials : official publication of the Academy of Dental Materials.

[38]  B. Eser,et al.  Effects of coating with different ceromers on the impact strength, transverse strength and elastic modulus of polymethyl methacrylate. , 2015, Dental materials journal.

[39]  O. Şahin,et al.  Investigation of flexural strength and cytotoxicity of acrylic resin copolymers by using different polymerization methods , 2015, The journal of advanced prosthodontics.

[40]  M. Vojdani,et al.  Polyamide as a Denture Base Material: A Literature Review , 2015, Journal of dentistry.

[41]  R. Durkan,et al.  Comparative Effect of different Polymerization Techniques on Residual Monomer and Hardness Properties of PMMA-based Denture Resins , 2014, Journal of applied biomaterials & functional materials.

[42]  R. Moraes,et al.  The role of resin cement on bond strength of glass-fiber posts luted into root canals: a systematic review and meta-analysis of in vitro studies. , 2014, Operative dentistry.

[43]  S. S. Abdulwahhab High-impact strength acrylic denture base material processed by autoclave. , 2013, Journal of prosthodontic research.

[44]  R. Durkan,et al.  Influence of acrylamide monomer addition to the acrylic denture-base resins on mechanical and physical properties , 2013, International Journal of Oral Science.

[45]  G. Malakondaiah,et al.  An in vitro study to compare the transverse strength of thermopressed and conventional compression-molded polymethylmethacrylate polymers. , 2013, Indian journal of dental research : official publication of Indian Society for Dental Research.

[46]  Yoshimasa Igarashi,et al.  Effect of high-pressure polymerization on mechanical properties of PMMA denture base resin. , 2013, Journal of the mechanical behavior of biomedical materials.

[47]  Luke J Rickman,et al.  Contemporary denture base resins: Part 1. , 2012, Dental update.

[48]  R. Moraes,et al.  Control of polymerization shrinkage and stress in nanogel-modified monomer and composite materials. , 2011, Dental materials : official publication of the Academy of Dental Materials.

[49]  B. Singh,et al.  Mechanical properties of denture base resins: an evaluation. , 2011, Indian journal of dental research : official publication of Indian Society for Dental Research.

[50]  R. D. de Souza,et al.  INFLUENCE OF INCORPORATION OF FLUOROALKYL METHACRYLATES ON ROUGHNESS AND FLEXURAL STRENGTH OF A DENTURE BASE ACRYLIC RESIN , 2009, Journal of applied oral science : revista FOB.

[51]  A. Usanmaz,et al.  In vitro comparison of autoclave polymerization on the transverse strength of denture base resins. , 2008, Dental materials journal.

[52]  M. V. Kahraman,et al.  Preparation and characterization of light curable hybrid coating: Its potential application for dental restorative material , 2008 .

[53]  T. Kawase,et al.  Basic study of a new soft resin applied with bisfunctional siloxane oligomer. , 2007, Dental materials journal.

[54]  Regina V. Oliveira,et al.  Residual monomer of reline acrylic resins. Effect of water-bath and microwave post-polymerization treatments. , 2007, Dental materials : official publication of the Academy of Dental Materials.

[55]  R. Giordano Materials for chairside CAD/CAM-produced restorations. , 2006, Journal of the American Dental Association.

[56]  M. Dadmun,et al.  The reinforcement of polystyrene and poly(methyl methacrylate) interfaces using alternating copolymers , 2003 .

[57]  P. Vallittu,et al.  Water Sorption, Solubility and Dimensional Changes of Denture Base Polymers Reinforced with Short Glass Fibers , 2003, Journal of biomaterials applications.

[58]  R. N. Rached,et al.  Heat-cured acrylic resin repaired with microwave-cured one: bond strength and surface texture. , 2001, Journal of oral rehabilitation.

[59]  V. Blagojevic,et al.  Microwave polymerization of denture base materials. A comparative study. , 1999, Journal of oral rehabilitation.

[60]  O. Komiyama,et al.  Distortion Behavior of Heat-activated Acrylic Denture-base Resin in Conventional and Long, Low-temperature Processing Methods , 1998, Journal of dental research.