SlideShare a Scribd company logo
1 of 129
All through the history of the making of dentures,we find a
constant struggle of the dentist to find a suitable denture
base material
COMPLETE DENTURE:
           “ A Removable Dental Prosthesis That Replaces the Entire Dentition and
Associated Structures of the Maxilla or Mandible ”
Composed of
          Artificial teeth
          Denture base
Support
          Contact with with underlying oral tissues
          Teeth
          Implants
Denture base materials
                  Metallic
                  Alloys
                  Denture base resins


   Advantages of denture base resins

  Denture should be




              Comfort              esthetics



                            FUNCTION
RETENTION
                                               Efficiency
GENERAL TECHNIQUE


Clinical steps           laboratory steps
TEETH ARRANGEMENT




       PROCESSING
      ( acrylization )
   Definition : According to GPT - VI, Denture
    Base is defined as the part of Denture that
    rests on the foundation tissue and to which
    teeth are attached. Denture Base Material is
    any substance of which denture base may
    be made
   Skillfully designed dentures
    were made as early as 700
    BC.and

   Talmud a collection of books
    of hebrews in 352-407 AD
    mentioned that teeth were
    made of gold ,silver,and wood.

   Egypt was the medical center
    of ancient world, the first
    dental prosthesis is believed to
    have been constructed in egypt
    about 2500 BC.
                                       Hesi-Re Egyptian dentist of about
                                                   3000 BC
Front and back views of mandibular fixed bridge, four natural incisor teeth
   and two carved ivory teeth
Bound With gold wire found in Sidon-ancient Phoenicia about fifth and
   fourth century BC.
   During medieval times dentures were seldom considered
    ,when installed they were hand carved and and tied in place
    with silk threads.
   Those wearing full denture had to remove them before
    eating.
   Upper and lower teeth fit poorly and were held together by
    steel springs.
   Earlier pictures of dental prosthesis are delivered to us by
    ABUL-CASIM an Arab born in Cordova Spain.




    Persian dentist of late eighteen      Indian surgeon of mid
    century                                   nineteenth century
WOOD

   For years, dentures were fashioned from wood .

   Wood was chosen
         -readily available
         -relatively inexpensive
         -can be carved to desired shape

   Disadvantages
          -warped and cracked in moisture
          -esthetic and hygienic challenges
          -degradation in oral environment
Wooden denture believed to be carved out of box wood in 1538 by Nakoka
  Tei a Buddist priestess




                            Wooden dentures
Bone

   Bone was chosen due to its availability, reasonable cost and
    carvability .

   It is reported that Fauchard fabricated dentures by measuring
    individual arches with a compass and cutting bone to fit the
    arches .

   It had better dimensional stability than wood, esthetic and
    hygienic concerns remained.
IVORY
    Denture bases and prosthetic teeth were fashioned by carving this
     material to desired shape
    Ivory was not available readily and was relatively expensive.
    Denture bases fashioned from ivory were relatively stable in the oral
     environment
    They offered esthetic and hygienic advantage in comparison with
     denture bases carved from wood or bone.




    Carved ivory upper denture retained in the mouth by springs with natural human teeth
        cut off at the
    Neck and riveted at the base.
   Since ancient times the most
    common material for false
    teeth were animal bone or
    ivory,especially from elephants
    or hippopotomus.

   Human teeth were also
    used,pulled from the deceased
    or sold by poor people from
    their own mouths.



   Waterloo dentures

                                           G.Fonzi an italian dentist in Paris invented the
                                           Porcelain teeth that revolutionized the
   1788 A.D. Improvement and                  construction
    development of porcelain dentures by   Of dentures.Picture shows partial denture of
    DeChemant.                                 about
                                           1830,porcelain teeth of fonzi’s design have
                                               been
                                           Soldered to a gold backing.
CERAMICS
 Porcelain denture bases were relatively expensive
 During subsequent years secrets of porcelain denture became
  known and it became common and inexpensive.
 ADVANTAGES over wood, bone , ivory were
      -Could be shaped using additive technique rather than
  subtractive (carving).
       -Additive technique facilitated correction of denture base
  surface.
       -this permitted more intimate contact with underlying
  soft tissues.
       -Could be tinted to simulate the colors of teeth and oral
  soft tissues.
       -stable in oral environment.
       -Minimal water sorption, porosity, and solubility.
       -Smooth surface provided hygienic properties.
 Among the drawbacks BRITTLENESS was most significant,
  fractures were common, often irreparable.
One piece porcelain upper denture crafted by Dr John
Scarborough,Lambertville,New Jersey 1868.
   In 1794 John Greenwood began to swage gold bases for dentures.
      Made George Washington's dentures.




George washington’s last dental prosthesis. The palate was swaged from a sheet of
   gold and ivory teeth riveted
To it.The lower denture consists of a single carved block of ivory. The two
   dentures were held togther by steel
Springs.
   In 1839 an important development took place CHARLES GOODYEAR
     discovered VULCANIZATION of natural rubber with sulphur(30%)
    and was patented by Hancock in england in 1843.

   NELSON GOODYEAR (brother of charles goodyear) got the patent for
    vulcanite dentures in 1864.

   . They proceeded to license dentists who used their material, and charged a
    royalty for all dentures made. Dentists who would not comply were sued.



   The Goodyear patents expired in 1881, and the company did not again
    seek to license dentists or dental products.



   Vulcanite dentures were very popular until the 1940s, when acrylic denture
    bases replaced them.
A set of vulcanite dentures worn by
Gen. John J. (Blackjack) Pershing,
commander of the American
Expeditionary Forces in France during
the First World War

                                        Set of complete dentures having palate
                                            of swaged
                                        Gold and porcelain teeth set in
                                            vulcanite.
   In 1868 John Hyatt, A US
    Printer, discovered the first
    plastic molding compound,
    called celluloid. He made it by
    dissolving nitrocellulose under
    pressure

   In 1909, another promising
    organic compound was found.
    This was phenol formaldehyde
    resin discovered by Dr. Leo
    Backeland .

                                  Celluloid upper denture 1880,celluloid as a
                                  Substitute for vulcanite was unsuccessful as
                                  It absorbs stains and odors in the mouth,
                                  Gradually turns black and was flammable.
   In 1937 Dr. Walter Wright gave dentistry its very useful resin.

   It was polymethyl methacrylate which proved to be much
    satisfactory material tested until now.




                  Dentures made of polymethyl methacrylate
   1. Vulcanite :
     In 1839 Vulcanized rubber was discovered and
    introduced as a Vulcanite and Ebonite.
     For the next 75 years Vulcanite rubber was the
    principal Denture base Material. But failed because
    of following reasons :

Disadvantages
 It absorbs Saliva and becomes unhygienic due to
  bacterial proliferation.
 Esthetics were poor.
 Dimensionally unstable.
 Objectionable taste and odor
2. Celluloid
   Although it was having tissue like color
   but having principal disadvantages like

 Disadvantages
   Lack of stability
   Unpleasant taste
   Unpleasant odor
   Stainability
   Flammable
3. Bakelite
  It was formed by heating and compressing a
    mixture of phenol and formaldehyde.

Disadvantages
  Lack of uniform quality
  Variable strength
  Variable color
  Dimensional unstability.
Chronology of events

   Charles Goodyear discovery of vulcanized rubber in 1839.
   John hyatt discovered celluloid in 1868
   Dr Leo Bakeland discovered phenol-formaldehyde resin (Bakelite).

   In the 1930’s Dr Walter Wright and the Vernon brothers working at
    the Rohn and Haas company in Philadelphia developed
    Polymethylmethacrylate (PMMA), a hard plastic.



   Although other materials were used for dental prosthesis, none
    could come close to PMMA and by the 1940;s 95% of all dentures
    were made from this acrylic polymer.
   Natural polymers include:

   Proteins (polyamides or polypeptides) containing the chemical
    group (-Co-NH-); this is known as an amide or peptide link.

   Polyesoprenes such as rubber and gutta percha.

   Polysaccharides, such as starch, cellulose, agar and alginates.

   Polynucleic acids, such as deoxyribonuclei acids (DNA) and
    ribonucleic acids (RNA).

   Synthetic polymers are produced industrially or in the
    laboratory, by chemical reaction.

Synthetic polymer : Defined as a non metallic compound
synthetically produced (usually from organic compounds) which
can be molded into various useful forms and then hardened for
use.
METHYL METHACRYLATE


       H   CH3
       C   C
       H   C O
           O
           CH3
POLY(METHYL METHACRYLATE)


    H CH3   H CH3   H CH3
    C C     C C     C C
    H C O   H C O   H C O
      O       O       O
      CH3     CH3     CH3
   Dimer - Polymer from two different
    mers
   Terpolymer - Polymer from three
       different mers
CH3          CH3
CH2 C       CH2 C
   C O          C O
   O            O
   CH3          C2H5
                       m

   Methyl      Ethyl
METHYL-, ETHYL-, BUTYL-
     METHACRYLATE
 COPOLYMER (TERPOLYMER)

   CH3         CH3         CH3
CH2 C       CH2 C       CH2 C
   C O         C O         C O
   O           O           O
   CH3         C2H5        C4H9
                                    m

   Methyl       Ethyl       Butyl
   Linear
   Branched
   Cross-linked
Homopolymer


Copolymer (random)



Copolymer (block)
Homopolymer

              Copolymer (random)
PLASTICIZER
(dibutyl phthalate)


        O
    C       O   C4H9


    C       O   C4H9
        O
DEFINITION: A polymer is a long chain organic molecule .It is
 produced by the reaction of many smaller molecules called
 monomers,or mers.

   If reaction occurs between two different but compatible monomers
    the polymeric product is called a COPOLYMER.

   Resin : A broad term used to describe natural or synthetic
    substances that form plastic materials after polymerization (GPT-7th
    edition).

  USES IN DENTISTRY
 Denture bases and artificial teeth.
 Denture liners and tissue conditioners.
  composite restorative and pit and fissure sealent.
 Impression materials
 Custom trays for impression
 Temporary restoratives.
 Mouth-guards.
 Maxillofacial prosthesis.
 Space maintainers.
 Veneers.
 Cements and adhesives.
CHEMISTRY OF POLYMERIZATION
   Monomers react to form polymer by a chemical reaction called
    polymerization.
   The most common polymerization reaction for polymers used in
    dentistry is addition polymerization.

 ADDITION POLYMERIZATION
 INDUCTION

 PROPOGATION

 CHAIN TRANSFER

 TERMINATION




INDUCTION
    1)ACTIVATION
    2)INITIATION
ACTIVATION Free radicals can be generated by activation of radical producing
  molecule using.
 Second chemical

 Heat

 Visible light

 Ultraviolet light

 Energy transfer from another compound that acts as a free radical.
     Commonly employed initiator is Benzoyl peroxide which is
    activated rapidly between 50 degree and 100 degree C to release
    two free radicals per benzoyl peroxide molecule.

   Second type is chemically activated ,consists of two reactants when
    mixed undergo reaction eg tertiary amine (the activator) and benzoyl
    peroxide (the initiator). Amine forms a complex with benzoyl
    peroxide which reduces the thermal energy (and thus the
    temperature) needed to split it into free radicals.

   Third type is light activated .The visible light light cured dental
    restoratives,camphorquinone and an organic amine
    (dimethylaminoethylmethacrylate) generate free radicals when
    irradiated by light in the blue to violet region.

   Light with a wavelength of about 470nm is needed to trigger this
    reaction.
PROPOGATION
CHAIN TRANSFER
 The active free radical of a growing chain is transferred to another
  molecule (eg monomer or inactivated polymer chain) and a new free
  radical for further growth is created termination occurs in the latter.
Reaction terminates when
  insufficient free radicals exist.
Reaction also may be stopped by
 any material that will react with
 free radical, decreasing the rate
of initiation, or increasing rate of
            termination.
TERMINATION
 Can occur from chain transfer.

 Addition polymerization reaction is terminated by

    -Direct coupling of two free radical chains ends
    -Exchange of hydrogen atom from one growing chain to another.
INHIBITION OF ADDITION REACTION

   Addition of small amount of Hydroquinone to the monomer inhibits
    spontaneous polymerization if no initiator is present and retards the
    polymerization in the presence of an initiator.

   Amount added is 0.006% or less

   Methyl ether of hydroquinone is generally present.

COPOLYMERIZATION
 When two or more chemically different monomers each with
  desirable properties can be combined to yield specific physical
  property of a polymer .eg small amount of ethyl acrylate may be co-
  polymerized with methyl methacrylate to alter the flexibility and
  fracture resistance of a denture.
METHYL METHACRYLATE
   The acrylic resins are derivative of ethylene and contains a vinyl
    group
      (-c=c-)
   Polyacids tends to imbibe water, due to polarity related to carboxyl
    group.
   Water tends to separate the chain and cause softening and loss of
    strength.
   Methyl methacrylate is a transparent liquid at room temp.
   Physical properties
               -Molecular wt=100
               -Melting point=-48 C
               -Boiling point=100 C
               -Density=0.945g/ml at 20 C
               -Heat of polymerization=12.9 Kcal/mol



                                      Methyl methacrylate
                                      molecule
POLYMETHYL METHACRYLATE
  Transparent resin, transmits light in uv range to a wavelength
   of 250 nm.
 it has got remarkable clarity.
 Hard resin ,knoop hardness no of 18 to 20.

 Tensile strength is 60 MPa

 Density is 1.19 g/cm cube.

 Modulus of elasticity 2.4 GPa(2400 MPa)

 It is chemically stable and softens at 1250C

 It can be molded as a thermoplastic material between 125
   and 200 C
 Depolarization takes place at approx 450 C .

 Absorbs water by imbibition

 Non crystalline structure possess high internal energy.

 Polar carboxyl group can form hydrogen bridge to a limited
   extent with water.
   Conventional heat cure acrylic resins

   Conventional cold cure acrylic resins

   High impact resistant acrylic resin

   Injection moulding resin

   Rapid heat polymerizing resin

   Light activated resin
COMPOSITION OF MONOMER


Methyl methacrylate
                      Main chemical which will polymerize
Hydroquinone (o.Oo3-o.1%)
                      Inhibitor while storage
Dibutyl phthalate
                      Plastisizer
Glycol dimethacrylate (1-2%)
                      Cross linking agent
Styrene vinyl acetate or ethyl methacrylate
                      As copolymers
   Typical smell of its own
   Clear, transparent liquid
   Boiling point 100.3*c
   Good organic solvent
   Can get evaporated
   Inflammable
   Stored in dark colored bottle
   Light weight
   Volumetric shrinkage of 21%
   It is a known allergen
LIQUID
 Methyl methacrylate monomer

 Cross linking agent Ethylene glycol dimethacrylate(5-15%).they are
   added to avoid crack or craze produced by stresses during drying.
 Inhibitor Hydroquinone (trace) to avoid premature polymerization
   and enhance shelf life.
 When MMA polymerizes it shrinks 21% by volume.

 Using a 3:1 powder liquid ratio it could be minimized to 6%.

 A correctly heat processed denture base could have as little as 0.3%
   to 2% residual monomer.
   Cyanide method
       Acetone and hydrocynic acid

   Phosgene method
       Petroleum propylene and phosgene
Polymethyl methacrylate
                          main ingredient
Benzoil peroxide
                          0.5-1.5%, initiator
Dibutyl phthalate
                          8-10%, plasticizer
Zinc or tetanium oxide
                          opacifier
Mercuric sulfide or iron oxide or titanium oxide
                          - pigments and dyes
Glass fibres or beads or zirconium sulfate
                          - to increase stiffness
Nylon or acrylic fibres
                          - in veined type
                          - capillaries of gum
POLYMER POWDER OF ACRYLIC DENTURE BASE MATERIAL
Normal pink
     -which resembles the normal pink
    color of gum
Clear polymer
     - no coloring agents are added
     - indicated in palatal area
Translucent
Veined or deep veined
Stable at room temperature
               - has long shelf life
Softening temperature
               - 125 * c
               - 125*-200*c
                        depolymerization occurs
               - 450 *c
                        converted back to monomer
Absorbs water and soluble in chloroform
Tensile strength
        - 600 kg/sq cm
Appearance
        - shiny
        - transparent
        - slippery
Produced in two shapes
        - spherical
        - granular
Control of particle size
         - no.52 sieve mesh
         - 300 micrometer
If particle size is smaller
         - softening will be quicker
         - granular shape softens faster
Spherical particles
By suspension polymerization
        - monomer and water are mixed with an emulsifier
i.e, powder talc.
        - then the mixture is heated and stirred
        - at the end talc is washed off to
        get polymerized polymer particles
Granular particles
        - solid block
        - then it is grinded or milled
CURING CYLES EMPLOYED IN THE STUDY
A Recommended curing cycles
    overnight water-bath cures:
  1) 7hr at 70 C
  2) 14hr at 70 C
  3) 7hr at 70 C +1hr at 100C
  4) 14hr at 70C + 1hr at 100C
Short and reverse cures:
   5) Boil water,insert flask , remove heat for 20 min return to boil for 10
   min.
   6) Boil water ,insert flask ,return to boil, boil for 10 min.
Dry heat cure:
   7)temp in excess of 100C using dry heat system
B Short curing cycles
  8) 7hr at 60C
  9) 7hr at 60C +1 hr at 90C
 10) Boil water, insert flask remove heat for 20 min return to 90 C hold at
   90C for 5 min
11) Boil water insert flask return to 90C hold at 90C for 5min.
(II)PHYSICAL PROPERTIES
     Should possess adequate strength and resiliency and resistance
      to biting and chewing forces impact forces and excessive wear
      in oral cavity.
     Should be dimensionally stable under all conditions of service
      including thermal changes and variations in loading.

I)    Specific gravity: It should have low value of specific gravity in
      order that dentures should be as light as possible.

II)   Thermal conductivity: It is defined as the number of calories per
      second flowing through an area of 1cm2 in which the
      temperature drop along the length of the specimen is 1 C/cm.

     It should have high value of thermal conductivity

     Radiopacity: It is the inhibition of passage of radiant energy.
     It should be ideally radiopaque
   Glass transition temperature:
     It is the temperature at which molecular motions become
      such that whole chains are able to move. It is close to
      softening temperature. At this temperature sudden change in
      elastic modulus occurs.
     Amorphous polymer below Tg behave as rigid solids while
      above Tg they behave as viscous liquids, flexible solids or
      rubbers.
     Increased chain branching  Decreased Tg.
      Increased number of cross links  Increased Tg

      Effect of molecular weight on properties
   In many polymers the chains are held together by secondary, or
Vander Waals forces and molecular entanglement. Materials of high
molecular weight have a greater degree of molecular entanglement,
and have greater rigidity and strength and higher values of Tg and
melting temperature than low molecular weight polymers.
Effect of plasticizers
   Plasticizers penetrate between the randomly oriented chains
    of polymer as a result of which molecules are further apart
    and forces between them are less. They soften the material
    and make it more flexible by lowering its Tg. They lubricate
    the movements of polymer chains and are sometimes added
    to help molding characteristics. This principle is used in
    producing acrylic soft lining materials.
 Effect of fillers
 Modulus of elasticity and strength are generally increased.

 A degree of anisotropy exist, that is the strength depends on
  the orientation of fibres in the polymers.

   Viscoelasticity : Polymers show viscoelastic behavior. Elastic
    behavior is caused by uncoiling of polymer molecules. Plastic
    behavior is caused by breaking of intermolecular Vander
    Waals forces
(III) MANIPULATION
 Should not produce toxic fumes or dust

 Easy to mix, insert, shape and cure and short setting time

 Oxygen inhibition, saliva and blood contamination should have little
    or no effect.
 Final product should be easy to polish and easy to repair in case of
    breakage.

(IV) AESTHETIC PROPERTIES
 Should be translucent to match oral tissues

 Capable of pigmentation

 No change in color after fabrication.



(v)ECONOMIC CONSIDERATION
 Cost should be low

 Processing should not require complex and expensive instruments.
(VI) CHEMICAL STABILITY
 Conditions in mouth are demanding and only the most chemically
  stable and inert materials can withstand such conditions without
  deterioration.




  “No resin has yet met all of these ideal criteria”. Methacrylate
  polymers fulfill the aforementioned requirement reasonably
  well.
2)AUTOPOLYMERIZING/COLD CURE POLYMETHYL
  METHACRYLATE (POUR RESIN)
 Composition same as the heat cure version with following
  differences
1)The powder contains beads of polymer that have a lower
  molecular wt. and benzoyl proxide (initiator)
2) The liquid contains a chemical activator ,tertiary amine such
  as dimethyl-para-toluidine.
 Upon mixing tertiary amine causes decomposition of benzoyl
  peroxide.
 Dentures processed have more residual monomer (1-4%),but
  lower dimensional change.
 Decreased transverse strength (residual monomer act as
  plastisizer).
 Compromised biocompatibility (residual monomer)
 Color stability inferior (teriaty amine susceptible to
  oxidation), stabilizing agents should be added
   Fluid resin and compression molding technique can be employed for
    the fabrication of denture.
   Also used as repair material
3)HIGH IMPACT RESISTANT ACRYLIC
     Similar to heat cured material but less likely to be broken if
      dropped.
     Produced by substituting the PMMA in the powder with a copolymer.
     Copolymer of butadiene with styrene or methyl methacrylate are
      incorporated into the beads.
     Phase inversion resulting in dispersion throughout the beads of tiny
      islands of rubber containing small inclusions of rubber/PMMA graft
      polymer.




Electron micrograph of high impact denture
Base showing size and shape of polystyrene-butadiene
Rubber inversion phase.
4) Injection molded polymers


   These are made of Nylon or Polycarbonate.

   The material is supplied as a gel in the form of a putty .

   It has to be heated and injected into a mold

   Equipment is expensive.

   Craze resistance is low .




      The SR-Ivocap system uses specialized flasks and clamping
      presses to keep the molds under a constant pressure of 3000
      lbs
5) RAPID HEAT POLYMERIZED POLYMER

   Same as conventional material except that they contain
    altered initiation system.

   These initiator allow them to be processed in boiling water
    for 20 min.

   A problem with these is that areas of the base thicker than
    approx.6mm have a high level of porosity.

   Short duration of heating also leaves a higher level of residual
    monomer,3-7 times greater than conventional heat cured
    denture base.
6) MICROWAVE POLYMERIZED POLYMERS
   Resins are the same as used with conventional material and are
    processed in a microwave.
    Denture base cures well in Special polycarbonate flask (instead of
    metal).
   The properties and the accuracy of these materials have been shown
    to be as good or better than those of the conventional heat cured
    material.
   Processing time is much shorter (4-5 min).




             Microwave resin and non metallic microwave flask
7)Light activated denture base resins
   This material is a composite having a matrix of urethane
    dimethacrylate, microfine silica and high molecular wt acrylic resin
    monomers
   Acrylic resin beads are included as organic fillers.
   Visible light is the activator, whereas camphorquinone serves as the
    initiator for polymerization.
   Can be used as repair material and as custom tray material.
   Single component denture base is supplied as sheet and rope form
    in light proof pouches.




                                       Light curing unit for polymerizing
                                       Dimethacrylate
8) FIBER –REINFORCED POLYMER

   Glass, carbon/graphite, aramid and ultrahigh molecular wt
    polyethylene have been used as fiber reinforcing agents.

   Metal wires like graphite has minimal esthetic qualities.

   Fibers are stronger than matrix polymer thus their inclusion
    strengthens the composite structure.

   The reinforcing agent can be in the form of
    unidirectional, straight fiber or multidirectional weaves.
COMPRESSION MOLD TECHNIQUE


INJECTION MOULD TECHNIQUE

FLUID RESIN TECHNIQUE

MICROWAVE PROCESSING


LIGHT ACTIVATED DENTURE BASE RESINS
Primary impressions
Secondary impressions
Jaw relations
Try in stage
        acrylization
                flasking
                dewaxing
                packing- under pressure
                curing
   Acceptance before demounting
   Proper finishing
   Periphery is sealed
   Petroleum jelly
   inner surface of the flask
   Casts
   Adjustment of the plaster model
   Plaster molels are wetted
   Wax dentures with casts are soaked with
    slurry water
“ The Art of Investing in a Flask ”
                                 - GPT 99
“ The Process of Investing the Cast With the
 Waxed Denture in a Flask to Make a Sectional
 Mold Used to Form the Acrylic Resin Denture Base ”
                                 - HEARTWELL
“ The process of investing the cast and a wax replica
  of the desired form in a flask preparatory to molding
  the restorative material into the desired product ”
Flask



                  surround or invest
      “ a metal case or tube used in investing
procedure”
        - metal
        - brass
-3 or 4 parts
FLASKING



TWO POUR TECHNIQUE   THREE POUR TECHNIQUE
   Selection of flask
   Petroleum jelly lubrication
   Demounting done
   Preparation of the waxed denture with the
    stone cast
   Soaking of the cast – slurry water
   Artificial stone is mixed
   Stone mix is placed in flask and wax
    denture and casts are settled in to the mix
   Periphery of
    flask should be
    in level with
    the rim of the
    flask

   Occlusal plane
    – parallel to
    the base of the
    flask
Tilting   of the casts


Retromolar  pads and
tuberosity- should be
protected


Devoid    of undercut


Shaping  of the stone –
blade or knife
   Providing taper


   Undercuts – removed
    or corrected


   Distance from top lid
    – 6 mm


   Stone is smoothened
Checking   the seating of flask
members


Investedflask & cast is
washed in clear slurry water


Surface  tension reducing
agent is applied to the exposed
wax


Separating   medium is applied
   Second mix is mixed

   Hand spatulation

   Mechanical spatulation
      -Under reduced atmospheric pressure
      -Minimum air inclusion
      -Reduces finishing time

   Stone is coated in occlusal & inter-
     Proximal areas with stiff brush
   Stone is poured in flask
   Vibrator can be used
   In absence of vibrator
   Flask is filled till approximately ¼ of the flask
   Stone is removed in incisal & occlusal surfaces
   Stone is allowed to set
   After the stone is set separating medium
    is coated

   Occlusal & incisal surfaces shouldn’t be
    coated with the separating medium

   Clear slurry is poured till the stone is
    mixed

   Slurry is poured off, flask is filled with
    the stone
Lid   is closed




Flask   is clamped
A. Flasks cannot be separated after dewaxing
   Cause
       Undercuts in flasking and casts
       Improper application of separating medium
   Solution
       Examining the casts
       Remove undercuts
       Proper application of separating medium
B. Heel broken on mandibular cast
   Cause
       Undercut not blocked out
   Solution
       Blocking and protecting the heel area
C. Denture with acrylic blubs
       Cause
               -Investing stone not painted
                  Properly on waxed denture
                  During flasking
               - Improper investing stone mix
       Solution
               - Paint investing stone on teeth
                  With brush
               - Use of mechanical spatulator
   The denture is taken out from the flask.
   It is then trimed
   Finally wet and dry polishing is done.
   Porosity
   Crazing
   Warpage
   Fracture
   Presence of voids within structure of resin
   Porosity can be of two types
    ◦ Internal
    ◦ External
   Internal porosity is due to voids within the
    structure usually at thicker portion
   Cause – due to vaporization of the monomer
    (100.8C)
   Solution- long low temperature curing cycle
    is recommended.
   External porosity is due porosities which
    occur near the surface of denture.
   Cause
    ◦ Lack of homogeneity of dough.
    ◦ Lack of adequate pressure.
   Prevention – use proper monomer – powder
    ratio, packing in dough stage.
   Crazing is formation of surface cracks on
    denture base resin.
   Causes –
    ◦ Incorportion of stress
    ◦ Attack by solvent (alcohol)
    ◦ Incorporation of water during processing.
   Prevention
    ◦   Avoidance of solvent
    ◦   Proper use of separating media
    ◦   Metal moulds
    ◦   Use of cross linked acrylic
   Denture warpage is change in shape or fit of
    denture.
   Cause is incorporation of stress in deture
    ◦   Packing in late dough or rubbery stage.
    ◦   Stress induced during curing
    ◦   Improper deflasking
    ◦   Rise in temp while polishing
    ◦   Immersion of processed denture in hot water.
Denture warpage
   Improper deflasking
   Denture base excessively thin
   Accidental dropping at time of polishing
   Care to taken at time of dewaxing procedure
   Rearticulation to be done after processing the
    denture to check of occllusal discrepancy.
Denture Base Materials Through History

More Related Content

What's hot

Elastic impression materials
Elastic impression materialsElastic impression materials
Elastic impression materialsSaransh Malot
 
Casting Procedures & Casting Defects in Dentistry
Casting Procedures & Casting Defects in DentistryCasting Procedures & Casting Defects in Dentistry
Casting Procedures & Casting Defects in DentistryJehan Dordi
 
Dental Ceramics and Porcelain fused to metal
Dental Ceramics and Porcelain fused to metal Dental Ceramics and Porcelain fused to metal
Dental Ceramics and Porcelain fused to metal isabel
 
Dental cast base metal alloys (2)
Dental cast base metal alloys (2)Dental cast base metal alloys (2)
Dental cast base metal alloys (2)IAU Dent
 
Silicone based impression materials
Silicone based impression materialsSilicone based impression materials
Silicone based impression materialsAamir Godil
 
elastomeric Impression DENTAL material
elastomeric Impression DENTAL materialelastomeric Impression DENTAL material
elastomeric Impression DENTAL materialDr-Faisal Al-Qahtani
 
GLASS IONOMER CEMENT AND ITS RECENT ADVANCES- by Dr. JAGADEESH KODITYALA
GLASS IONOMER CEMENT AND ITS RECENT ADVANCES- by Dr. JAGADEESH KODITYALAGLASS IONOMER CEMENT AND ITS RECENT ADVANCES- by Dr. JAGADEESH KODITYALA
GLASS IONOMER CEMENT AND ITS RECENT ADVANCES- by Dr. JAGADEESH KODITYALAJagadeesh Kodityala
 

What's hot (20)

Dental ceramics.ppt
Dental ceramics.pptDental ceramics.ppt
Dental ceramics.ppt
 
Elastic impression materials
Elastic impression materialsElastic impression materials
Elastic impression materials
 
Denture base materials
Denture base materialsDenture base materials
Denture base materials
 
Restorative resins
Restorative resinsRestorative resins
Restorative resins
 
denture base Resins
denture base Resinsdenture base Resins
denture base Resins
 
Dental ceramics
Dental ceramicsDental ceramics
Dental ceramics
 
Denture bases
Denture basesDenture bases
Denture bases
 
Dental ceramics
Dental ceramicsDental ceramics
Dental ceramics
 
Casting Procedures & Casting Defects in Dentistry
Casting Procedures & Casting Defects in DentistryCasting Procedures & Casting Defects in Dentistry
Casting Procedures & Casting Defects in Dentistry
 
Dental Ceramics and Porcelain fused to metal
Dental Ceramics and Porcelain fused to metal Dental Ceramics and Porcelain fused to metal
Dental Ceramics and Porcelain fused to metal
 
Elastomers
ElastomersElastomers
Elastomers
 
Dental waxes final ppt
Dental waxes final pptDental waxes final ppt
Dental waxes final ppt
 
ZINC OXIDE EUGENOL IMPRESSION PASTE (1).pptx
ZINC OXIDE EUGENOL IMPRESSION PASTE (1).pptxZINC OXIDE EUGENOL IMPRESSION PASTE (1).pptx
ZINC OXIDE EUGENOL IMPRESSION PASTE (1).pptx
 
Dental Cements
Dental CementsDental Cements
Dental Cements
 
Dental cast base metal alloys (2)
Dental cast base metal alloys (2)Dental cast base metal alloys (2)
Dental cast base metal alloys (2)
 
Silicone based impression materials
Silicone based impression materialsSilicone based impression materials
Silicone based impression materials
 
elastomeric Impression DENTAL material
elastomeric Impression DENTAL materialelastomeric Impression DENTAL material
elastomeric Impression DENTAL material
 
GLASS IONOMER CEMENT AND ITS RECENT ADVANCES- by Dr. JAGADEESH KODITYALA
GLASS IONOMER CEMENT AND ITS RECENT ADVANCES- by Dr. JAGADEESH KODITYALAGLASS IONOMER CEMENT AND ITS RECENT ADVANCES- by Dr. JAGADEESH KODITYALA
GLASS IONOMER CEMENT AND ITS RECENT ADVANCES- by Dr. JAGADEESH KODITYALA
 
Composite resin
Composite resinComposite resin
Composite resin
 
Denture Base Resin
Denture Base Resin Denture Base Resin
Denture Base Resin
 

Viewers also liked

DENTURE BASE RESIN PPT
DENTURE BASE RESIN PPTDENTURE BASE RESIN PPT
DENTURE BASE RESIN PPTJyoti Patawari
 
DENTURE BASE RESIN PPT.
DENTURE BASE RESIN PPT.DENTURE BASE RESIN PPT.
DENTURE BASE RESIN PPT.Jyoti Patawari
 
The flexible denture - Presentation of my graduating thesis.
The flexible denture - Presentation of my graduating thesis.The flexible denture - Presentation of my graduating thesis.
The flexible denture - Presentation of my graduating thesis.mihaelaursu
 
Metallic denture base materials new1/endodontic courses
Metallic denture base materials new1/endodontic coursesMetallic denture base materials new1/endodontic courses
Metallic denture base materials new1/endodontic coursesIndian dental academy
 
denture base considerations
denture base considerationsdenture base considerations
denture base considerationsBibin Bhaskaran
 

Viewers also liked (9)

Denture base materials
Denture base materials Denture base materials
Denture base materials
 
DENTURE BASE RESIN PPT
DENTURE BASE RESIN PPTDENTURE BASE RESIN PPT
DENTURE BASE RESIN PPT
 
DENTURE BASE RESIN PPT.
DENTURE BASE RESIN PPT.DENTURE BASE RESIN PPT.
DENTURE BASE RESIN PPT.
 
Flexible denture
Flexible dentureFlexible denture
Flexible denture
 
Denture base resins
Denture base resinsDenture base resins
Denture base resins
 
The flexible denture - Presentation of my graduating thesis.
The flexible denture - Presentation of my graduating thesis.The flexible denture - Presentation of my graduating thesis.
The flexible denture - Presentation of my graduating thesis.
 
Metallic denture base materials new1/endodontic courses
Metallic denture base materials new1/endodontic coursesMetallic denture base materials new1/endodontic courses
Metallic denture base materials new1/endodontic courses
 
denture base considerations
denture base considerationsdenture base considerations
denture base considerations
 
Flexible resin denture presentation power point
Flexible resin denture presentation power pointFlexible resin denture presentation power point
Flexible resin denture presentation power point
 

Similar to Denture Base Materials Through History

Non metallic denture base material / dental crown & bridge courses
Non metallic denture base material / dental crown & bridge coursesNon metallic denture base material / dental crown & bridge courses
Non metallic denture base material / dental crown & bridge coursesIndian dental academy
 
History and scope of prosthodontics
History and scope of prosthodonticsHistory and scope of prosthodontics
History and scope of prosthodonticsDr. Sonu Kumar✅
 
Evolution of denture base materials and reveiw of current ones
Evolution of denture base materials and reveiw of current onesEvolution of denture base materials and reveiw of current ones
Evolution of denture base materials and reveiw of current onesSilas Toka
 
DENTAL IMPLANTS-1 HISTORY- Dr MEENU MERRY C PAUL
DENTAL IMPLANTS-1 HISTORY- Dr MEENU MERRY C PAULDENTAL IMPLANTS-1 HISTORY- Dr MEENU MERRY C PAUL
DENTAL IMPLANTS-1 HISTORY- Dr MEENU MERRY C PAULMeenuMerryCPaul
 
A Short Painful History of Dentistry
A Short Painful History of DentistryA Short Painful History of Dentistry
A Short Painful History of Dentistrytimothy4andrews07
 
History and evolution of implants /prosthodontic courses
History and evolution of implants /prosthodontic coursesHistory and evolution of implants /prosthodontic courses
History and evolution of implants /prosthodontic coursesIndian dental academy
 
History & intro implant/ cosmetic dentistry training
History & intro implant/ cosmetic dentistry trainingHistory & intro implant/ cosmetic dentistry training
History & intro implant/ cosmetic dentistry trainingIndian dental academy
 
History & intro implant/ dental implant courses
History & intro implant/ dental implant coursesHistory & intro implant/ dental implant courses
History & intro implant/ dental implant coursesIndian dental academy
 
History and evolution of dental implants
History and evolution of dental implantsHistory and evolution of dental implants
History and evolution of dental implantsIndian dental academy
 
History and evolution of implants raju /orthodontic courses by Indian dental ...
History and evolution of implants raju /orthodontic courses by Indian dental ...History and evolution of implants raju /orthodontic courses by Indian dental ...
History and evolution of implants raju /orthodontic courses by Indian dental ...Indian dental academy
 
History and evolution of implants /certified fixed orthodontic courses by Ind...
History and evolution of implants /certified fixed orthodontic courses by Ind...History and evolution of implants /certified fixed orthodontic courses by Ind...
History and evolution of implants /certified fixed orthodontic courses by Ind...Indian dental academy
 
Arrangement of teeth in complete denture
Arrangement of teeth in complete dentureArrangement of teeth in complete denture
Arrangement of teeth in complete dentureAbhilash Mohapatra
 
HISTORY AND EVOLUTION OF IMPLANTS1.pptx
HISTORY AND EVOLUTION OF IMPLANTS1.pptxHISTORY AND EVOLUTION OF IMPLANTS1.pptx
HISTORY AND EVOLUTION OF IMPLANTS1.pptxmalti19
 
Esthetic orthodontic applainces /certified fixed orthodontic courses by India...
Esthetic orthodontic applainces /certified fixed orthodontic courses by India...Esthetic orthodontic applainces /certified fixed orthodontic courses by India...
Esthetic orthodontic applainces /certified fixed orthodontic courses by India...Indian dental academy
 
history and development of posterior denture teeth/endodontic courses
history and development of posterior denture teeth/endodontic courseshistory and development of posterior denture teeth/endodontic courses
history and development of posterior denture teeth/endodontic coursesIndian dental academy
 
history and development of posterior denture teeth / dental crown & bridge co...
history and development of posterior denture teeth / dental crown & bridge co...history and development of posterior denture teeth / dental crown & bridge co...
history and development of posterior denture teeth / dental crown & bridge co...Indian dental academy
 

Similar to Denture Base Materials Through History (20)

Non metallic denture base material / dental crown & bridge courses
Non metallic denture base material / dental crown & bridge coursesNon metallic denture base material / dental crown & bridge courses
Non metallic denture base material / dental crown & bridge courses
 
History and scope of prosthodontics
History and scope of prosthodonticsHistory and scope of prosthodontics
History and scope of prosthodontics
 
Evolution of denture base materials and reveiw of current ones
Evolution of denture base materials and reveiw of current onesEvolution of denture base materials and reveiw of current ones
Evolution of denture base materials and reveiw of current ones
 
DENTAL IMPLANTS-1 HISTORY- Dr MEENU MERRY C PAUL
DENTAL IMPLANTS-1 HISTORY- Dr MEENU MERRY C PAULDENTAL IMPLANTS-1 HISTORY- Dr MEENU MERRY C PAUL
DENTAL IMPLANTS-1 HISTORY- Dr MEENU MERRY C PAUL
 
A Short Painful History of Dentistry
A Short Painful History of DentistryA Short Painful History of Dentistry
A Short Painful History of Dentistry
 
History and evolution of implants /prosthodontic courses
History and evolution of implants /prosthodontic coursesHistory and evolution of implants /prosthodontic courses
History and evolution of implants /prosthodontic courses
 
History & intro implant/ cosmetic dentistry training
History & intro implant/ cosmetic dentistry trainingHistory & intro implant/ cosmetic dentistry training
History & intro implant/ cosmetic dentistry training
 
History & intro implant/ dental implant courses
History & intro implant/ dental implant coursesHistory & intro implant/ dental implant courses
History & intro implant/ dental implant courses
 
History and evolution of dental implants
History and evolution of dental implantsHistory and evolution of dental implants
History and evolution of dental implants
 
History and evolution of implants raju /orthodontic courses by Indian dental ...
History and evolution of implants raju /orthodontic courses by Indian dental ...History and evolution of implants raju /orthodontic courses by Indian dental ...
History and evolution of implants raju /orthodontic courses by Indian dental ...
 
History of dentures
History of denturesHistory of dentures
History of dentures
 
Dental ceramics seminar
Dental ceramics   seminarDental ceramics   seminar
Dental ceramics seminar
 
Dental ceramics seminar
Dental ceramics   seminarDental ceramics   seminar
Dental ceramics seminar
 
History and evolution of implants /certified fixed orthodontic courses by Ind...
History and evolution of implants /certified fixed orthodontic courses by Ind...History and evolution of implants /certified fixed orthodontic courses by Ind...
History and evolution of implants /certified fixed orthodontic courses by Ind...
 
Arrangement of teeth in complete denture
Arrangement of teeth in complete dentureArrangement of teeth in complete denture
Arrangement of teeth in complete denture
 
HISTORY AND EVOLUTION OF IMPLANTS1.pptx
HISTORY AND EVOLUTION OF IMPLANTS1.pptxHISTORY AND EVOLUTION OF IMPLANTS1.pptx
HISTORY AND EVOLUTION OF IMPLANTS1.pptx
 
Esthetic orthodontic applainces /certified fixed orthodontic courses by India...
Esthetic orthodontic applainces /certified fixed orthodontic courses by India...Esthetic orthodontic applainces /certified fixed orthodontic courses by India...
Esthetic orthodontic applainces /certified fixed orthodontic courses by India...
 
history of orthodontics
history of orthodonticshistory of orthodontics
history of orthodontics
 
history and development of posterior denture teeth/endodontic courses
history and development of posterior denture teeth/endodontic courseshistory and development of posterior denture teeth/endodontic courses
history and development of posterior denture teeth/endodontic courses
 
history and development of posterior denture teeth / dental crown & bridge co...
history and development of posterior denture teeth / dental crown & bridge co...history and development of posterior denture teeth / dental crown & bridge co...
history and development of posterior denture teeth / dental crown & bridge co...
 

More from Abhilash Mohapatra

More from Abhilash Mohapatra (6)

seminar diagnosis and treatment planning.pptx
seminar diagnosis and treatment planning.pptxseminar diagnosis and treatment planning.pptx
seminar diagnosis and treatment planning.pptx
 
ALL ON 4.pptx
ALL ON 4.pptxALL ON 4.pptx
ALL ON 4.pptx
 
Principles of rpd design
Principles of rpd designPrinciples of rpd design
Principles of rpd design
 
Rishu 1st Birthday celbration
Rishu 1st Birthday celbrationRishu 1st Birthday celbration
Rishu 1st Birthday celbration
 
Kennedy classification
Kennedy classificationKennedy classification
Kennedy classification
 
Ceramics
CeramicsCeramics
Ceramics
 

Denture Base Materials Through History

  • 1.
  • 2. All through the history of the making of dentures,we find a constant struggle of the dentist to find a suitable denture base material
  • 3. COMPLETE DENTURE: “ A Removable Dental Prosthesis That Replaces the Entire Dentition and Associated Structures of the Maxilla or Mandible ” Composed of Artificial teeth Denture base Support Contact with with underlying oral tissues Teeth Implants
  • 4. Denture base materials Metallic Alloys Denture base resins Advantages of denture base resins Denture should be Comfort esthetics FUNCTION RETENTION Efficiency
  • 5.
  • 7. TEETH ARRANGEMENT PROCESSING ( acrylization )
  • 8.
  • 9. Definition : According to GPT - VI, Denture Base is defined as the part of Denture that rests on the foundation tissue and to which teeth are attached. Denture Base Material is any substance of which denture base may be made
  • 10. Skillfully designed dentures were made as early as 700 BC.and  Talmud a collection of books of hebrews in 352-407 AD mentioned that teeth were made of gold ,silver,and wood.  Egypt was the medical center of ancient world, the first dental prosthesis is believed to have been constructed in egypt about 2500 BC. Hesi-Re Egyptian dentist of about 3000 BC
  • 11. Front and back views of mandibular fixed bridge, four natural incisor teeth and two carved ivory teeth Bound With gold wire found in Sidon-ancient Phoenicia about fifth and fourth century BC.
  • 12. During medieval times dentures were seldom considered ,when installed they were hand carved and and tied in place with silk threads.  Those wearing full denture had to remove them before eating.  Upper and lower teeth fit poorly and were held together by steel springs.  Earlier pictures of dental prosthesis are delivered to us by ABUL-CASIM an Arab born in Cordova Spain. Persian dentist of late eighteen Indian surgeon of mid century nineteenth century
  • 13. WOOD  For years, dentures were fashioned from wood .  Wood was chosen -readily available -relatively inexpensive -can be carved to desired shape  Disadvantages -warped and cracked in moisture -esthetic and hygienic challenges -degradation in oral environment
  • 14. Wooden denture believed to be carved out of box wood in 1538 by Nakoka Tei a Buddist priestess Wooden dentures
  • 15. Bone  Bone was chosen due to its availability, reasonable cost and carvability .  It is reported that Fauchard fabricated dentures by measuring individual arches with a compass and cutting bone to fit the arches .  It had better dimensional stability than wood, esthetic and hygienic concerns remained.
  • 16. IVORY  Denture bases and prosthetic teeth were fashioned by carving this material to desired shape  Ivory was not available readily and was relatively expensive.  Denture bases fashioned from ivory were relatively stable in the oral environment  They offered esthetic and hygienic advantage in comparison with denture bases carved from wood or bone. Carved ivory upper denture retained in the mouth by springs with natural human teeth cut off at the Neck and riveted at the base.
  • 17. Since ancient times the most common material for false teeth were animal bone or ivory,especially from elephants or hippopotomus.  Human teeth were also used,pulled from the deceased or sold by poor people from their own mouths.  Waterloo dentures G.Fonzi an italian dentist in Paris invented the Porcelain teeth that revolutionized the  1788 A.D. Improvement and construction development of porcelain dentures by Of dentures.Picture shows partial denture of DeChemant. about 1830,porcelain teeth of fonzi’s design have been Soldered to a gold backing.
  • 18. CERAMICS  Porcelain denture bases were relatively expensive  During subsequent years secrets of porcelain denture became known and it became common and inexpensive.  ADVANTAGES over wood, bone , ivory were -Could be shaped using additive technique rather than subtractive (carving). -Additive technique facilitated correction of denture base surface. -this permitted more intimate contact with underlying soft tissues. -Could be tinted to simulate the colors of teeth and oral soft tissues. -stable in oral environment. -Minimal water sorption, porosity, and solubility. -Smooth surface provided hygienic properties.  Among the drawbacks BRITTLENESS was most significant, fractures were common, often irreparable.
  • 19. One piece porcelain upper denture crafted by Dr John Scarborough,Lambertville,New Jersey 1868.
  • 20. In 1794 John Greenwood began to swage gold bases for dentures. Made George Washington's dentures. George washington’s last dental prosthesis. The palate was swaged from a sheet of gold and ivory teeth riveted To it.The lower denture consists of a single carved block of ivory. The two dentures were held togther by steel Springs.
  • 21. In 1839 an important development took place CHARLES GOODYEAR discovered VULCANIZATION of natural rubber with sulphur(30%) and was patented by Hancock in england in 1843.  NELSON GOODYEAR (brother of charles goodyear) got the patent for vulcanite dentures in 1864.  . They proceeded to license dentists who used their material, and charged a royalty for all dentures made. Dentists who would not comply were sued.  The Goodyear patents expired in 1881, and the company did not again seek to license dentists or dental products.  Vulcanite dentures were very popular until the 1940s, when acrylic denture bases replaced them.
  • 22. A set of vulcanite dentures worn by Gen. John J. (Blackjack) Pershing, commander of the American Expeditionary Forces in France during the First World War Set of complete dentures having palate of swaged Gold and porcelain teeth set in vulcanite.
  • 23. In 1868 John Hyatt, A US Printer, discovered the first plastic molding compound, called celluloid. He made it by dissolving nitrocellulose under pressure  In 1909, another promising organic compound was found. This was phenol formaldehyde resin discovered by Dr. Leo Backeland . Celluloid upper denture 1880,celluloid as a Substitute for vulcanite was unsuccessful as It absorbs stains and odors in the mouth, Gradually turns black and was flammable.
  • 24. In 1937 Dr. Walter Wright gave dentistry its very useful resin.  It was polymethyl methacrylate which proved to be much satisfactory material tested until now. Dentures made of polymethyl methacrylate
  • 25. 1. Vulcanite : In 1839 Vulcanized rubber was discovered and introduced as a Vulcanite and Ebonite. For the next 75 years Vulcanite rubber was the principal Denture base Material. But failed because of following reasons : Disadvantages  It absorbs Saliva and becomes unhygienic due to bacterial proliferation.  Esthetics were poor.  Dimensionally unstable.  Objectionable taste and odor
  • 26. 2. Celluloid Although it was having tissue like color but having principal disadvantages like Disadvantages  Lack of stability  Unpleasant taste  Unpleasant odor  Stainability  Flammable
  • 27. 3. Bakelite It was formed by heating and compressing a mixture of phenol and formaldehyde. Disadvantages  Lack of uniform quality  Variable strength  Variable color  Dimensional unstability.
  • 28. Chronology of events  Charles Goodyear discovery of vulcanized rubber in 1839.  John hyatt discovered celluloid in 1868  Dr Leo Bakeland discovered phenol-formaldehyde resin (Bakelite).  In the 1930’s Dr Walter Wright and the Vernon brothers working at the Rohn and Haas company in Philadelphia developed Polymethylmethacrylate (PMMA), a hard plastic.  Although other materials were used for dental prosthesis, none could come close to PMMA and by the 1940;s 95% of all dentures were made from this acrylic polymer.
  • 29. Natural polymers include:  Proteins (polyamides or polypeptides) containing the chemical group (-Co-NH-); this is known as an amide or peptide link.  Polyesoprenes such as rubber and gutta percha.  Polysaccharides, such as starch, cellulose, agar and alginates.  Polynucleic acids, such as deoxyribonuclei acids (DNA) and ribonucleic acids (RNA).  Synthetic polymers are produced industrially or in the laboratory, by chemical reaction. Synthetic polymer : Defined as a non metallic compound synthetically produced (usually from organic compounds) which can be molded into various useful forms and then hardened for use.
  • 30.
  • 31.
  • 32. METHYL METHACRYLATE H CH3 C C H C O O CH3
  • 33.
  • 34.
  • 35. POLY(METHYL METHACRYLATE) H CH3 H CH3 H CH3 C C C C C C H C O H C O H C O O O O CH3 CH3 CH3
  • 36.
  • 37. Dimer - Polymer from two different mers  Terpolymer - Polymer from three different mers
  • 38. CH3 CH3 CH2 C CH2 C C O C O O O CH3 C2H5 m Methyl Ethyl
  • 39. METHYL-, ETHYL-, BUTYL- METHACRYLATE COPOLYMER (TERPOLYMER) CH3 CH3 CH3 CH2 C CH2 C CH2 C C O C O C O O O O CH3 C2H5 C4H9 m Methyl Ethyl Butyl
  • 40. Linear  Branched  Cross-linked
  • 41.
  • 43.
  • 44. Homopolymer Copolymer (random)
  • 45.
  • 46.
  • 47.
  • 48. PLASTICIZER (dibutyl phthalate) O C O C4H9 C O C4H9 O
  • 49. DEFINITION: A polymer is a long chain organic molecule .It is produced by the reaction of many smaller molecules called monomers,or mers.  If reaction occurs between two different but compatible monomers the polymeric product is called a COPOLYMER.  Resin : A broad term used to describe natural or synthetic substances that form plastic materials after polymerization (GPT-7th edition). USES IN DENTISTRY  Denture bases and artificial teeth.  Denture liners and tissue conditioners.  composite restorative and pit and fissure sealent.  Impression materials  Custom trays for impression  Temporary restoratives.  Mouth-guards.  Maxillofacial prosthesis.  Space maintainers.  Veneers.  Cements and adhesives.
  • 50. CHEMISTRY OF POLYMERIZATION  Monomers react to form polymer by a chemical reaction called polymerization.  The most common polymerization reaction for polymers used in dentistry is addition polymerization. ADDITION POLYMERIZATION  INDUCTION  PROPOGATION  CHAIN TRANSFER  TERMINATION INDUCTION 1)ACTIVATION 2)INITIATION
  • 51. ACTIVATION Free radicals can be generated by activation of radical producing molecule using.  Second chemical  Heat  Visible light  Ultraviolet light  Energy transfer from another compound that acts as a free radical.
  • 52. Commonly employed initiator is Benzoyl peroxide which is activated rapidly between 50 degree and 100 degree C to release two free radicals per benzoyl peroxide molecule.  Second type is chemically activated ,consists of two reactants when mixed undergo reaction eg tertiary amine (the activator) and benzoyl peroxide (the initiator). Amine forms a complex with benzoyl peroxide which reduces the thermal energy (and thus the temperature) needed to split it into free radicals.  Third type is light activated .The visible light light cured dental restoratives,camphorquinone and an organic amine (dimethylaminoethylmethacrylate) generate free radicals when irradiated by light in the blue to violet region.  Light with a wavelength of about 470nm is needed to trigger this reaction.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 60. CHAIN TRANSFER  The active free radical of a growing chain is transferred to another molecule (eg monomer or inactivated polymer chain) and a new free radical for further growth is created termination occurs in the latter.
  • 61. Reaction terminates when insufficient free radicals exist. Reaction also may be stopped by any material that will react with free radical, decreasing the rate of initiation, or increasing rate of termination.
  • 62.
  • 63. TERMINATION  Can occur from chain transfer.  Addition polymerization reaction is terminated by -Direct coupling of two free radical chains ends -Exchange of hydrogen atom from one growing chain to another.
  • 64. INHIBITION OF ADDITION REACTION  Addition of small amount of Hydroquinone to the monomer inhibits spontaneous polymerization if no initiator is present and retards the polymerization in the presence of an initiator.  Amount added is 0.006% or less  Methyl ether of hydroquinone is generally present. COPOLYMERIZATION  When two or more chemically different monomers each with desirable properties can be combined to yield specific physical property of a polymer .eg small amount of ethyl acrylate may be co- polymerized with methyl methacrylate to alter the flexibility and fracture resistance of a denture.
  • 65. METHYL METHACRYLATE  The acrylic resins are derivative of ethylene and contains a vinyl group (-c=c-)  Polyacids tends to imbibe water, due to polarity related to carboxyl group.  Water tends to separate the chain and cause softening and loss of strength.  Methyl methacrylate is a transparent liquid at room temp.  Physical properties -Molecular wt=100 -Melting point=-48 C -Boiling point=100 C -Density=0.945g/ml at 20 C -Heat of polymerization=12.9 Kcal/mol Methyl methacrylate molecule
  • 66. POLYMETHYL METHACRYLATE  Transparent resin, transmits light in uv range to a wavelength of 250 nm. it has got remarkable clarity.  Hard resin ,knoop hardness no of 18 to 20.  Tensile strength is 60 MPa  Density is 1.19 g/cm cube.  Modulus of elasticity 2.4 GPa(2400 MPa)  It is chemically stable and softens at 1250C  It can be molded as a thermoplastic material between 125 and 200 C  Depolarization takes place at approx 450 C .  Absorbs water by imbibition  Non crystalline structure possess high internal energy.  Polar carboxyl group can form hydrogen bridge to a limited extent with water.
  • 67.
  • 68. Conventional heat cure acrylic resins  Conventional cold cure acrylic resins  High impact resistant acrylic resin  Injection moulding resin  Rapid heat polymerizing resin  Light activated resin
  • 69.
  • 70. COMPOSITION OF MONOMER Methyl methacrylate Main chemical which will polymerize Hydroquinone (o.Oo3-o.1%) Inhibitor while storage Dibutyl phthalate Plastisizer Glycol dimethacrylate (1-2%) Cross linking agent Styrene vinyl acetate or ethyl methacrylate As copolymers
  • 71. Typical smell of its own  Clear, transparent liquid  Boiling point 100.3*c  Good organic solvent  Can get evaporated  Inflammable  Stored in dark colored bottle  Light weight  Volumetric shrinkage of 21%  It is a known allergen
  • 72. LIQUID  Methyl methacrylate monomer  Cross linking agent Ethylene glycol dimethacrylate(5-15%).they are added to avoid crack or craze produced by stresses during drying.  Inhibitor Hydroquinone (trace) to avoid premature polymerization and enhance shelf life.  When MMA polymerizes it shrinks 21% by volume.  Using a 3:1 powder liquid ratio it could be minimized to 6%.  A correctly heat processed denture base could have as little as 0.3% to 2% residual monomer.
  • 73. Cyanide method Acetone and hydrocynic acid  Phosgene method Petroleum propylene and phosgene
  • 74. Polymethyl methacrylate main ingredient Benzoil peroxide 0.5-1.5%, initiator Dibutyl phthalate 8-10%, plasticizer Zinc or tetanium oxide opacifier
  • 75. Mercuric sulfide or iron oxide or titanium oxide - pigments and dyes Glass fibres or beads or zirconium sulfate - to increase stiffness Nylon or acrylic fibres - in veined type - capillaries of gum
  • 76. POLYMER POWDER OF ACRYLIC DENTURE BASE MATERIAL
  • 77. Normal pink -which resembles the normal pink color of gum Clear polymer - no coloring agents are added - indicated in palatal area Translucent Veined or deep veined
  • 78. Stable at room temperature - has long shelf life Softening temperature - 125 * c - 125*-200*c depolymerization occurs - 450 *c converted back to monomer Absorbs water and soluble in chloroform
  • 79. Tensile strength - 600 kg/sq cm Appearance - shiny - transparent - slippery Produced in two shapes - spherical - granular
  • 80. Control of particle size - no.52 sieve mesh - 300 micrometer If particle size is smaller - softening will be quicker - granular shape softens faster
  • 81. Spherical particles By suspension polymerization - monomer and water are mixed with an emulsifier i.e, powder talc. - then the mixture is heated and stirred - at the end talc is washed off to get polymerized polymer particles Granular particles - solid block - then it is grinded or milled
  • 82. CURING CYLES EMPLOYED IN THE STUDY A Recommended curing cycles overnight water-bath cures: 1) 7hr at 70 C 2) 14hr at 70 C 3) 7hr at 70 C +1hr at 100C 4) 14hr at 70C + 1hr at 100C Short and reverse cures: 5) Boil water,insert flask , remove heat for 20 min return to boil for 10 min. 6) Boil water ,insert flask ,return to boil, boil for 10 min. Dry heat cure: 7)temp in excess of 100C using dry heat system B Short curing cycles 8) 7hr at 60C 9) 7hr at 60C +1 hr at 90C 10) Boil water, insert flask remove heat for 20 min return to 90 C hold at 90C for 5 min 11) Boil water insert flask return to 90C hold at 90C for 5min.
  • 83. (II)PHYSICAL PROPERTIES  Should possess adequate strength and resiliency and resistance to biting and chewing forces impact forces and excessive wear in oral cavity.  Should be dimensionally stable under all conditions of service including thermal changes and variations in loading. I) Specific gravity: It should have low value of specific gravity in order that dentures should be as light as possible. II) Thermal conductivity: It is defined as the number of calories per second flowing through an area of 1cm2 in which the temperature drop along the length of the specimen is 1 C/cm.  It should have high value of thermal conductivity  Radiopacity: It is the inhibition of passage of radiant energy.  It should be ideally radiopaque
  • 84. Glass transition temperature:  It is the temperature at which molecular motions become such that whole chains are able to move. It is close to softening temperature. At this temperature sudden change in elastic modulus occurs.  Amorphous polymer below Tg behave as rigid solids while above Tg they behave as viscous liquids, flexible solids or rubbers.  Increased chain branching  Decreased Tg. Increased number of cross links  Increased Tg Effect of molecular weight on properties In many polymers the chains are held together by secondary, or Vander Waals forces and molecular entanglement. Materials of high molecular weight have a greater degree of molecular entanglement, and have greater rigidity and strength and higher values of Tg and melting temperature than low molecular weight polymers.
  • 85. Effect of plasticizers  Plasticizers penetrate between the randomly oriented chains of polymer as a result of which molecules are further apart and forces between them are less. They soften the material and make it more flexible by lowering its Tg. They lubricate the movements of polymer chains and are sometimes added to help molding characteristics. This principle is used in producing acrylic soft lining materials.  Effect of fillers  Modulus of elasticity and strength are generally increased.  A degree of anisotropy exist, that is the strength depends on the orientation of fibres in the polymers.  Viscoelasticity : Polymers show viscoelastic behavior. Elastic behavior is caused by uncoiling of polymer molecules. Plastic behavior is caused by breaking of intermolecular Vander Waals forces
  • 86. (III) MANIPULATION  Should not produce toxic fumes or dust  Easy to mix, insert, shape and cure and short setting time  Oxygen inhibition, saliva and blood contamination should have little or no effect.  Final product should be easy to polish and easy to repair in case of breakage. (IV) AESTHETIC PROPERTIES  Should be translucent to match oral tissues  Capable of pigmentation  No change in color after fabrication. (v)ECONOMIC CONSIDERATION  Cost should be low  Processing should not require complex and expensive instruments.
  • 87. (VI) CHEMICAL STABILITY  Conditions in mouth are demanding and only the most chemically stable and inert materials can withstand such conditions without deterioration. “No resin has yet met all of these ideal criteria”. Methacrylate polymers fulfill the aforementioned requirement reasonably well.
  • 88. 2)AUTOPOLYMERIZING/COLD CURE POLYMETHYL METHACRYLATE (POUR RESIN)  Composition same as the heat cure version with following differences 1)The powder contains beads of polymer that have a lower molecular wt. and benzoyl proxide (initiator) 2) The liquid contains a chemical activator ,tertiary amine such as dimethyl-para-toluidine.  Upon mixing tertiary amine causes decomposition of benzoyl peroxide.  Dentures processed have more residual monomer (1-4%),but lower dimensional change.  Decreased transverse strength (residual monomer act as plastisizer).  Compromised biocompatibility (residual monomer)  Color stability inferior (teriaty amine susceptible to oxidation), stabilizing agents should be added
  • 89. Fluid resin and compression molding technique can be employed for the fabrication of denture.  Also used as repair material
  • 90. 3)HIGH IMPACT RESISTANT ACRYLIC  Similar to heat cured material but less likely to be broken if dropped.  Produced by substituting the PMMA in the powder with a copolymer.  Copolymer of butadiene with styrene or methyl methacrylate are incorporated into the beads.  Phase inversion resulting in dispersion throughout the beads of tiny islands of rubber containing small inclusions of rubber/PMMA graft polymer. Electron micrograph of high impact denture Base showing size and shape of polystyrene-butadiene Rubber inversion phase.
  • 91. 4) Injection molded polymers  These are made of Nylon or Polycarbonate.  The material is supplied as a gel in the form of a putty .  It has to be heated and injected into a mold  Equipment is expensive.  Craze resistance is low . The SR-Ivocap system uses specialized flasks and clamping presses to keep the molds under a constant pressure of 3000 lbs
  • 92. 5) RAPID HEAT POLYMERIZED POLYMER  Same as conventional material except that they contain altered initiation system.  These initiator allow them to be processed in boiling water for 20 min.  A problem with these is that areas of the base thicker than approx.6mm have a high level of porosity.  Short duration of heating also leaves a higher level of residual monomer,3-7 times greater than conventional heat cured denture base.
  • 93. 6) MICROWAVE POLYMERIZED POLYMERS  Resins are the same as used with conventional material and are processed in a microwave.  Denture base cures well in Special polycarbonate flask (instead of metal).  The properties and the accuracy of these materials have been shown to be as good or better than those of the conventional heat cured material.  Processing time is much shorter (4-5 min). Microwave resin and non metallic microwave flask
  • 94. 7)Light activated denture base resins  This material is a composite having a matrix of urethane dimethacrylate, microfine silica and high molecular wt acrylic resin monomers  Acrylic resin beads are included as organic fillers.  Visible light is the activator, whereas camphorquinone serves as the initiator for polymerization.  Can be used as repair material and as custom tray material.  Single component denture base is supplied as sheet and rope form in light proof pouches. Light curing unit for polymerizing Dimethacrylate
  • 95. 8) FIBER –REINFORCED POLYMER  Glass, carbon/graphite, aramid and ultrahigh molecular wt polyethylene have been used as fiber reinforcing agents.  Metal wires like graphite has minimal esthetic qualities.  Fibers are stronger than matrix polymer thus their inclusion strengthens the composite structure.  The reinforcing agent can be in the form of unidirectional, straight fiber or multidirectional weaves.
  • 96.
  • 97. COMPRESSION MOLD TECHNIQUE INJECTION MOULD TECHNIQUE FLUID RESIN TECHNIQUE MICROWAVE PROCESSING LIGHT ACTIVATED DENTURE BASE RESINS
  • 98. Primary impressions Secondary impressions Jaw relations Try in stage acrylization flasking dewaxing packing- under pressure curing
  • 99. Acceptance before demounting  Proper finishing  Periphery is sealed  Petroleum jelly  inner surface of the flask  Casts  Adjustment of the plaster model  Plaster molels are wetted  Wax dentures with casts are soaked with slurry water
  • 100. “ The Art of Investing in a Flask ” - GPT 99 “ The Process of Investing the Cast With the Waxed Denture in a Flask to Make a Sectional Mold Used to Form the Acrylic Resin Denture Base ” - HEARTWELL “ The process of investing the cast and a wax replica of the desired form in a flask preparatory to molding the restorative material into the desired product ”
  • 101. Flask surround or invest “ a metal case or tube used in investing procedure” - metal - brass -3 or 4 parts
  • 102.
  • 103.
  • 104.
  • 105. FLASKING TWO POUR TECHNIQUE THREE POUR TECHNIQUE
  • 106. Selection of flask  Petroleum jelly lubrication  Demounting done  Preparation of the waxed denture with the stone cast  Soaking of the cast – slurry water  Artificial stone is mixed  Stone mix is placed in flask and wax denture and casts are settled in to the mix
  • 107.
  • 108. Periphery of flask should be in level with the rim of the flask  Occlusal plane – parallel to the base of the flask
  • 109. Tilting of the casts Retromolar pads and tuberosity- should be protected Devoid of undercut Shaping of the stone – blade or knife
  • 110. Providing taper  Undercuts – removed or corrected  Distance from top lid – 6 mm  Stone is smoothened
  • 111. Checking the seating of flask members Investedflask & cast is washed in clear slurry water Surface tension reducing agent is applied to the exposed wax Separating medium is applied
  • 112. Second mix is mixed  Hand spatulation  Mechanical spatulation -Under reduced atmospheric pressure -Minimum air inclusion -Reduces finishing time  Stone is coated in occlusal & inter- Proximal areas with stiff brush
  • 113. Stone is poured in flask  Vibrator can be used  In absence of vibrator  Flask is filled till approximately ¼ of the flask  Stone is removed in incisal & occlusal surfaces  Stone is allowed to set
  • 114. After the stone is set separating medium is coated  Occlusal & incisal surfaces shouldn’t be coated with the separating medium  Clear slurry is poured till the stone is mixed  Slurry is poured off, flask is filled with the stone
  • 115. Lid is closed Flask is clamped
  • 116. A. Flasks cannot be separated after dewaxing Cause Undercuts in flasking and casts Improper application of separating medium Solution Examining the casts Remove undercuts Proper application of separating medium B. Heel broken on mandibular cast Cause Undercut not blocked out Solution Blocking and protecting the heel area
  • 117. C. Denture with acrylic blubs Cause -Investing stone not painted Properly on waxed denture During flasking - Improper investing stone mix Solution - Paint investing stone on teeth With brush - Use of mechanical spatulator
  • 118. The denture is taken out from the flask.  It is then trimed  Finally wet and dry polishing is done.
  • 119. Porosity  Crazing  Warpage  Fracture
  • 120. Presence of voids within structure of resin  Porosity can be of two types ◦ Internal ◦ External  Internal porosity is due to voids within the structure usually at thicker portion  Cause – due to vaporization of the monomer (100.8C)  Solution- long low temperature curing cycle is recommended.
  • 121.
  • 122. External porosity is due porosities which occur near the surface of denture.  Cause ◦ Lack of homogeneity of dough. ◦ Lack of adequate pressure.  Prevention – use proper monomer – powder ratio, packing in dough stage.
  • 123. Crazing is formation of surface cracks on denture base resin.  Causes – ◦ Incorportion of stress ◦ Attack by solvent (alcohol) ◦ Incorporation of water during processing.  Prevention ◦ Avoidance of solvent ◦ Proper use of separating media ◦ Metal moulds ◦ Use of cross linked acrylic
  • 124.
  • 125. Denture warpage is change in shape or fit of denture.  Cause is incorporation of stress in deture ◦ Packing in late dough or rubbery stage. ◦ Stress induced during curing ◦ Improper deflasking ◦ Rise in temp while polishing ◦ Immersion of processed denture in hot water.
  • 127. Improper deflasking  Denture base excessively thin  Accidental dropping at time of polishing
  • 128. Care to taken at time of dewaxing procedure  Rearticulation to be done after processing the denture to check of occllusal discrepancy.