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DENTURE BASE RESINS
DENTURE BASE
• Denture :- they are prosthetic device constructed to
  replace the missing teeth which are supported by
  surrounding hard & soft tissues

•   Two types of denture:
•   COMPLETE DENTURE
•   REMOVBLE PARTIAL DENTURE
•   DENTURE BASE -fabricated using common polymer
• Commonly used denture polymers:
 Individual processing system
 Polymerization technique
GENERAL TECHNIQUE
1. Fabrication of accurate impression of the associated
   arch
2. Dental arch generated
3. Record base is fabricated on the cast
4. Wax added to record base & teeth is positioned in wax
5. Denture flask –tooth arrangement is encased in
   investing medium
6. Denture flask is opened & wax is eliminated
7. After through cleansing –a resin denture base material
   is introduced into the mold cavity denture base resin is
   polymerized
8. Denture is recovered &prepared for insertion
ACRYLIC RESINS
• Denture base fabricated with POLY (METHYL
  METHACRYLATE) resins
• Pure PMMA –colorless ,transparent solid
• Advantage PMMA as denture base material is the
  relative ease with which it an be processed .
• PMMA supplied –powder& liquid system
• powder-prepolymerized PMMA resin
• Liquid-non polymerized methyl methacrylate
• Liquid & powder mixed in a proper proportions-
  workable mass is formed .
HEAT –ACTIVATED DENTURE BASE
• Used in fabrication of all denture base
• Thermal energy required for polymerization –water bath
  or microwave oven
• COMPOSITION
• PMMA –powder & liquid
• Powder –prepolymerized spheres of PMMA & small
  amount of benzoyl peroxide(INITIATOR)
• Liquid –predominantly non polymerized methyl
  methacrylate with small amount of
  hydroquinone(INHIBITOR)
• Cross linking agent is added to liquid
methylmeth                                                       crosslinked
                                 Glycol
 acrylate                                                        polymethyl
                             dimethacrylate
                                                                methacrylate




  STORAGE- generally recommended specific temparature & time limits for storage of
  heat activated denture base
COMPRESSION MOLDING TECHNIQUE
Heat activated denture base are shaped via compression molding

 1) The master cast and the wax
 dentures are placed in the flask,
 to insure that the cast fit in the flask




2.The Inner surface of the flask is
coated with Vaseline, while the
base of the cast is painted with
separating medium (cold mold
seal). To prevent the investment
material (plaster of Paris) from
attaching to the cast
3) The first layer of gypsum
investment is poured in the
lower
half and the cast is placed on top
of the investment




4) After the set of the first gypsum
investment layer, a plaster
separating medium is painted on
it, to prevent the sticking of the
second layer of gypsum
investment to the first layer.
5) A mix of dental stone is placed
   over the surface of the teeth in
   the invested trial denture , which
   is referred to as coring.




6)The upper half of the flask
is put in
place, then the second mix of
gypsum investment is placed
on
the first layer and covers the
wax, denture base and teeth.
7) Before the second layer sets
the lid
or flask cover is put in place and
tapped to sit properly allowing
the excess gypsum to flow out of
the holes in the lid.




2- Wax elimination:
After the complete set of the gypsum
the flask is ready for the next step
which is "Wax
elimination", in which the flask is
placed in boiling water for 4 to 6
minutes. Then it is
removed from the water and opened.
Then the wax is washed away with
boiling water. After
that the mold is washed with boiling
water containing detergent, then finally
washing it with
clean boiling water.
3- Mixing:
Acrylic resin dough is made by mixing the powder (polymer) and liquid (monomer)
to form 'dough' which is packed into a gypsum mold for curing. The ratio of powder
to liquid is important since it controls the workability of the mix as well as the
dimensional changes on setting . The mixing should be done in a clean jar which
should be covered to prevent evaporation of the monomer.:
4- Packing:
It should be done when the mixture reaches dough stage, as the dough is rolled into a
rod-like form and placed in the upper half of the flask then a polyethelen (nylon sheet) is
placed over the dough in the upper half and then the two halves of the flask are closed until
they are almost in approximation, this is done to spread the dough evenly throughout the
mold.
             5- Curing:
             It is polymerization of the hot cure acrylic to produce the final denture. The mater
             is cured by heating in a water bath; pressure is applied during curing reasons:
             1- To decrease the effect of thermal expansion.
             2- To decrease the polymerization shrinkage.
             3- To increase the evaporation of monomer thus decreases porosity
SELECTION & APPLICATION OF
SEPARATING MEDIA
• It must prevent direct contact between the denture base
  resin & mold surface
• Failure to place appropriate separating medium leads to :
• it may effect the polymerization rate as well as optical &
    physical properties of the denture base
• Portions of the investing medium may become fused to
    denture base
• Widely accepted method : thin sheet of tin foil ,painting
    –on separating media
• Commonly used separating medium – water soluble
    alginate solutions
POLYMER-MONOMER RATIO
• Powder & liquid are mixed in proper proportions
• Polymer monomer ratio – 3:1 by volume
• Excess monomer – increase polymerization
  shrinkage
POLYMER –MONOMER INTERACTION

• When monomer &polymer are mixed in proper
    proportion –workable mass is formed
• Workable mass result in 5 stages:
I. SANDY-coarse or grainy
II. STRINGY-stringiness or stickiness when material is
     touched
III. DOUGHLIKE- ideal for compression molding
IV. RUBBERY or ELASTIC-mass rebounds when compressed
     or stretched
V. STIFF-resistant to mechanical deformation
• DOUGH FORMING TIME
• ADA specification- less than 40 min from start of mix
• Working time
• ADA specification – 5mins ,dough to remain
  moldable
• Extended by refrigeration
PACKING
• The placement & adaptation of denture base resin
  within mold cavity is termed PACKING
• OVERPACKING(placement of too much material)-
  excessive thickness & malpositioning of teeth
• UNDERPACKING(use of too little material)- leads to
  denture base porosity
• TO MINIMIZE OVERPAKING & UNDERPAKING:
1. Performed in doughlike stage
2. Rolled in ropelike form& bent in horseshoe shape
3. Polyethylene sheet placed over the resin
4. Designed pressed, until flask is closed
5. Polyethylene sheet is removed
6. Using gently rounded instrument , excess flash is
   removed
INJECTION MOLDING TECHNIQUE
1.      Denture base fabricated by specially designed flask
2.      One half of flask is filled with freshly dental stone &master cast is settled in the stone
3.      Dental stone is allowed to set , sprues are attached to the wax denture base
4.      Wax elimination
5.      Flask is placed into a carrier
6.      After completion of these steps
 the resin is injected in the mold
cavity
7.Powder &liquid mixture is used ,
resin is mixed & introduced in room
Temparature
8.Flask is placed in boiling water bath for
 polymerization of denture base resin
(as it polymerizes additional resin is introduced into the
 mold cavity , this effects polymerization shrinkage)
8. The denture is recovered , adjusted,finished ,polished
ADVANTAGE: denture base fabricated by injection molding provide improved clinical accuracy
POLYMERIZATION PROCEEDURE
• Denture base resin generally contain benzoyl peroxide
• When heated above 60 degree , molecules of benzoyl
  peroxide decompose to yield electrically neutral species
  containing unpaired electrons .These species are termed
  as FREE RADICALS
• DECOMPOSITION of benzoyl peroxide molecules yields
  free radicals which initiate the chain growth,benzoyl
  peroxide is termed as initiator
• Heat is termed as the activator
• Denture base carrier heat applied to resin by immersing
  flask in a water bath
TEMPARATURE RISE
• Polymerization of denture base resin is exothermic
• Resin occupies a position in centre of the mold->heat
  penetration takes longer time
• Temp of resin exceeds the boiling point of monomer(100.8 C)
• INTERNAL POROSITY
• Boiling yields porosity within complete denture base
• Heat is disipated ,surface tension of resin does not reach the
  boiling point of monomer ,because resin is a poor thermal
  conductor
• Peak temp of this resin may rise above the boiling point of
  monomer, cause unreacted monomer
• Unreacted monomer produce porosity within the processed
  denture
POLYMERISATION VIA MICROWAVE
• PMMA –using microwave energy
• Formulated resin & non metallic flask is used
• Conventional microwave oven –used to supply
  thermal energy
• Advantage: polymerization is accomplished with
  speed
CHEMICALLY ACTIVATED DENTURE BASE
              RESIN
  • Induce the denture base polymerisation
  • Does not require thermal energy, made in room
    temparature
  • chemically activated resins also referred-cold curing ,self
    curing or autopolymerizing resins
  • COMPOSITION
  • liquid(monomer) - Addition of tertiary amine like
    dimethyl-para-toluidine
  • Tertiary amines causes decomposition of benzoyl
    peroxide
  • Mold preparation &resin packing is same as heat
    activated resin
DIFFERENCE BETWEEN HEAT
ACTIVATED & CHEMICALLY ACTIVATED
• Benzoyl peroxide is divided to yield free radical
• Degree of polymerization is not as complete as heat activated
• DISADVANTAGE:
• The unreacted monomer cause 2 major difficulties:
• It acts as plasticizer –decreased transverse strength of denture resin
• Residual monomer serve as potential tissue irritant
• ADVANTAGE:
• Less shrinkage than heat activated resins-gives greater dimensional
  accuracy
• Color stability is inferior to the color stability of heat activated
  resins
• Working time is shorter than heat activated materials
• Rate of polymerization process decreases- resin remains in dough
  stage for extended period , working time is increased
FLUID RESIN TECHNIQUE
•   Pourable chemical activated resin
•   Resin is supplied in form of powder & liquid components
•   Very low viscosity resin
•   Completed tooth arrangement positioned in a fluid resin flask
•   Tooth arrangement is removed from irreversible hydrocolloid
•   Preparation of sprues and vents for resin
•   Repositioning of posterior teeth & master cast
•   Resin is poured into the mold cavity & allowed to polymerize
•   Flask is kept in pressureised chamber for 30 -45 mins
•   Recovery of complete denture prosthesis
ADVANTAGE:
1.     Improved adaptation to underlying soft tissue
2.     Decreased probability of damage to prosthetic teeth &denture bases during flasking
3.     Reduced material cost
4.     Simplification of flasking ,deflasking &finishing procedure
DISADVANTAGE:
1.     Noticeable shifting of prosthetic teeth during processing
2.     Air entrapment within the denture base material
3.     Poor bonding between the denture base material &acrylic resin teeth
4.     Technique sensitivity
LIGHT ACTIVATED DENTURE BASE
           RESINS
• Composite matrix of urethane dimethacrylate ,microfine
  silica ,&high molecular weight acrylic resin monomer
• Activator –visible light
• Initiator –camphorquinone
• Supplied in sheet &rope form packed in light proof pouches
• light activated resin cannot be flasked in conventional manner
• Opaque investing media provides the passage of light
• Teeth is arranged & the denture base sculpted using light
  activated resin
• Denture base is placed into a light chamber &polymerized
PHYSICAL PROPERTIES OF DENTURE
BASE RESINS
• Critical to fit & function of removable dental
  prostheses
• Characteristics-polymerization ,shrinkage ,porosity
  ,water absorption ,solubility ,processing stresses &
  crazing

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Denture base resins

  • 2. DENTURE BASE • Denture :- they are prosthetic device constructed to replace the missing teeth which are supported by surrounding hard & soft tissues • Two types of denture: • COMPLETE DENTURE • REMOVBLE PARTIAL DENTURE • DENTURE BASE -fabricated using common polymer
  • 3. • Commonly used denture polymers:  Individual processing system  Polymerization technique
  • 4. GENERAL TECHNIQUE 1. Fabrication of accurate impression of the associated arch 2. Dental arch generated 3. Record base is fabricated on the cast 4. Wax added to record base & teeth is positioned in wax 5. Denture flask –tooth arrangement is encased in investing medium 6. Denture flask is opened & wax is eliminated 7. After through cleansing –a resin denture base material is introduced into the mold cavity denture base resin is polymerized 8. Denture is recovered &prepared for insertion
  • 5. ACRYLIC RESINS • Denture base fabricated with POLY (METHYL METHACRYLATE) resins • Pure PMMA –colorless ,transparent solid • Advantage PMMA as denture base material is the relative ease with which it an be processed . • PMMA supplied –powder& liquid system • powder-prepolymerized PMMA resin • Liquid-non polymerized methyl methacrylate • Liquid & powder mixed in a proper proportions- workable mass is formed .
  • 6. HEAT –ACTIVATED DENTURE BASE • Used in fabrication of all denture base • Thermal energy required for polymerization –water bath or microwave oven • COMPOSITION • PMMA –powder & liquid • Powder –prepolymerized spheres of PMMA & small amount of benzoyl peroxide(INITIATOR) • Liquid –predominantly non polymerized methyl methacrylate with small amount of hydroquinone(INHIBITOR) • Cross linking agent is added to liquid
  • 7. methylmeth crosslinked Glycol acrylate polymethyl dimethacrylate methacrylate STORAGE- generally recommended specific temparature & time limits for storage of heat activated denture base
  • 8. COMPRESSION MOLDING TECHNIQUE Heat activated denture base are shaped via compression molding 1) The master cast and the wax dentures are placed in the flask, to insure that the cast fit in the flask 2.The Inner surface of the flask is coated with Vaseline, while the base of the cast is painted with separating medium (cold mold seal). To prevent the investment material (plaster of Paris) from attaching to the cast
  • 9. 3) The first layer of gypsum investment is poured in the lower half and the cast is placed on top of the investment 4) After the set of the first gypsum investment layer, a plaster separating medium is painted on it, to prevent the sticking of the second layer of gypsum investment to the first layer.
  • 10. 5) A mix of dental stone is placed over the surface of the teeth in the invested trial denture , which is referred to as coring. 6)The upper half of the flask is put in place, then the second mix of gypsum investment is placed on the first layer and covers the wax, denture base and teeth.
  • 11. 7) Before the second layer sets the lid or flask cover is put in place and tapped to sit properly allowing the excess gypsum to flow out of the holes in the lid. 2- Wax elimination: After the complete set of the gypsum the flask is ready for the next step which is "Wax elimination", in which the flask is placed in boiling water for 4 to 6 minutes. Then it is removed from the water and opened. Then the wax is washed away with boiling water. After that the mold is washed with boiling water containing detergent, then finally washing it with clean boiling water.
  • 12. 3- Mixing: Acrylic resin dough is made by mixing the powder (polymer) and liquid (monomer) to form 'dough' which is packed into a gypsum mold for curing. The ratio of powder to liquid is important since it controls the workability of the mix as well as the dimensional changes on setting . The mixing should be done in a clean jar which should be covered to prevent evaporation of the monomer.: 4- Packing: It should be done when the mixture reaches dough stage, as the dough is rolled into a rod-like form and placed in the upper half of the flask then a polyethelen (nylon sheet) is placed over the dough in the upper half and then the two halves of the flask are closed until they are almost in approximation, this is done to spread the dough evenly throughout the mold. 5- Curing: It is polymerization of the hot cure acrylic to produce the final denture. The mater is cured by heating in a water bath; pressure is applied during curing reasons: 1- To decrease the effect of thermal expansion. 2- To decrease the polymerization shrinkage. 3- To increase the evaporation of monomer thus decreases porosity
  • 13. SELECTION & APPLICATION OF SEPARATING MEDIA • It must prevent direct contact between the denture base resin & mold surface • Failure to place appropriate separating medium leads to : • it may effect the polymerization rate as well as optical & physical properties of the denture base • Portions of the investing medium may become fused to denture base • Widely accepted method : thin sheet of tin foil ,painting –on separating media • Commonly used separating medium – water soluble alginate solutions
  • 14. POLYMER-MONOMER RATIO • Powder & liquid are mixed in proper proportions • Polymer monomer ratio – 3:1 by volume • Excess monomer – increase polymerization shrinkage
  • 15. POLYMER –MONOMER INTERACTION • When monomer &polymer are mixed in proper proportion –workable mass is formed • Workable mass result in 5 stages: I. SANDY-coarse or grainy II. STRINGY-stringiness or stickiness when material is touched III. DOUGHLIKE- ideal for compression molding IV. RUBBERY or ELASTIC-mass rebounds when compressed or stretched V. STIFF-resistant to mechanical deformation
  • 16. • DOUGH FORMING TIME • ADA specification- less than 40 min from start of mix • Working time • ADA specification – 5mins ,dough to remain moldable • Extended by refrigeration
  • 17. PACKING • The placement & adaptation of denture base resin within mold cavity is termed PACKING • OVERPACKING(placement of too much material)- excessive thickness & malpositioning of teeth • UNDERPACKING(use of too little material)- leads to denture base porosity
  • 18. • TO MINIMIZE OVERPAKING & UNDERPAKING: 1. Performed in doughlike stage 2. Rolled in ropelike form& bent in horseshoe shape 3. Polyethylene sheet placed over the resin 4. Designed pressed, until flask is closed 5. Polyethylene sheet is removed 6. Using gently rounded instrument , excess flash is removed
  • 19. INJECTION MOLDING TECHNIQUE 1. Denture base fabricated by specially designed flask 2. One half of flask is filled with freshly dental stone &master cast is settled in the stone 3. Dental stone is allowed to set , sprues are attached to the wax denture base 4. Wax elimination 5. Flask is placed into a carrier 6. After completion of these steps the resin is injected in the mold cavity 7.Powder &liquid mixture is used , resin is mixed & introduced in room Temparature 8.Flask is placed in boiling water bath for polymerization of denture base resin (as it polymerizes additional resin is introduced into the mold cavity , this effects polymerization shrinkage) 8. The denture is recovered , adjusted,finished ,polished
  • 20. ADVANTAGE: denture base fabricated by injection molding provide improved clinical accuracy
  • 21. POLYMERIZATION PROCEEDURE • Denture base resin generally contain benzoyl peroxide • When heated above 60 degree , molecules of benzoyl peroxide decompose to yield electrically neutral species containing unpaired electrons .These species are termed as FREE RADICALS • DECOMPOSITION of benzoyl peroxide molecules yields free radicals which initiate the chain growth,benzoyl peroxide is termed as initiator • Heat is termed as the activator • Denture base carrier heat applied to resin by immersing flask in a water bath
  • 22. TEMPARATURE RISE • Polymerization of denture base resin is exothermic • Resin occupies a position in centre of the mold->heat penetration takes longer time • Temp of resin exceeds the boiling point of monomer(100.8 C) • INTERNAL POROSITY • Boiling yields porosity within complete denture base • Heat is disipated ,surface tension of resin does not reach the boiling point of monomer ,because resin is a poor thermal conductor • Peak temp of this resin may rise above the boiling point of monomer, cause unreacted monomer • Unreacted monomer produce porosity within the processed denture
  • 23. POLYMERISATION VIA MICROWAVE • PMMA –using microwave energy • Formulated resin & non metallic flask is used • Conventional microwave oven –used to supply thermal energy • Advantage: polymerization is accomplished with speed
  • 24. CHEMICALLY ACTIVATED DENTURE BASE RESIN • Induce the denture base polymerisation • Does not require thermal energy, made in room temparature • chemically activated resins also referred-cold curing ,self curing or autopolymerizing resins • COMPOSITION • liquid(monomer) - Addition of tertiary amine like dimethyl-para-toluidine • Tertiary amines causes decomposition of benzoyl peroxide • Mold preparation &resin packing is same as heat activated resin
  • 25. DIFFERENCE BETWEEN HEAT ACTIVATED & CHEMICALLY ACTIVATED • Benzoyl peroxide is divided to yield free radical • Degree of polymerization is not as complete as heat activated • DISADVANTAGE: • The unreacted monomer cause 2 major difficulties: • It acts as plasticizer –decreased transverse strength of denture resin • Residual monomer serve as potential tissue irritant • ADVANTAGE: • Less shrinkage than heat activated resins-gives greater dimensional accuracy • Color stability is inferior to the color stability of heat activated resins • Working time is shorter than heat activated materials • Rate of polymerization process decreases- resin remains in dough stage for extended period , working time is increased
  • 26. FLUID RESIN TECHNIQUE • Pourable chemical activated resin • Resin is supplied in form of powder & liquid components • Very low viscosity resin • Completed tooth arrangement positioned in a fluid resin flask • Tooth arrangement is removed from irreversible hydrocolloid • Preparation of sprues and vents for resin • Repositioning of posterior teeth & master cast • Resin is poured into the mold cavity & allowed to polymerize • Flask is kept in pressureised chamber for 30 -45 mins • Recovery of complete denture prosthesis ADVANTAGE: 1. Improved adaptation to underlying soft tissue 2. Decreased probability of damage to prosthetic teeth &denture bases during flasking 3. Reduced material cost 4. Simplification of flasking ,deflasking &finishing procedure DISADVANTAGE: 1. Noticeable shifting of prosthetic teeth during processing 2. Air entrapment within the denture base material 3. Poor bonding between the denture base material &acrylic resin teeth 4. Technique sensitivity
  • 27. LIGHT ACTIVATED DENTURE BASE RESINS • Composite matrix of urethane dimethacrylate ,microfine silica ,&high molecular weight acrylic resin monomer • Activator –visible light • Initiator –camphorquinone • Supplied in sheet &rope form packed in light proof pouches • light activated resin cannot be flasked in conventional manner • Opaque investing media provides the passage of light • Teeth is arranged & the denture base sculpted using light activated resin • Denture base is placed into a light chamber &polymerized
  • 28. PHYSICAL PROPERTIES OF DENTURE BASE RESINS • Critical to fit & function of removable dental prostheses • Characteristics-polymerization ,shrinkage ,porosity ,water absorption ,solubility ,processing stresses & crazing