Impact of ZrO2 nanoparticles addition on flexural properties of denture base resin with different thickness
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
PURPOSE. This study aimed to evaluate the effect of incorporating zirconium oxide nanoparticles (nano-ZrO2) in polymethylmethacrylate (PMMA) denture base resin on flexural properties at different material thicknesses. MATERIALS AND METHODS. Heat polymerized acrylic resin specimens (N = 120) were fabricated and divided into 4 groups according to denture base thickness (2.5 mm, 2.0 mm, 1.5 mm, 1.0 mm). Each group was subdivided into 3 subgroups (n = 10) according to nano-ZrO2 concentration (0%, 2.5%, and 5%). Flexural strength and elastic modulus were evaluated using a three-point bending test. One-way ANOVA, Tukey’s post hoc, and two-way ANOVA were used for data analysis (α = .05). Scanning electron microscopy (SEM) was used for fracture surface analysis and nanoparticles distributions. RESULTS. Groups with 0% nano-ZrO2 showed no significant difference in the flexural strength as thickness decreased (P = .153). The addition of nano-zirconia significantly increased the flexural strength (P < .001). The highest value was with 5% nano-ZrO2 and 2 mm-thickness (125.4 ± 18.3 MPa), followed by 5% nano-ZrO2 and 1.5 mm-thickness (110.3 ± 8.5 MPa). Moreover, the effect of various concentration levels on elastic modulus was statistically significant for 2 mm thickness (P = .001), but the combined effect of thickness and concentration on elastic modulus was insignificant (P = .10). CONCLUSION. Reinforcement of denture base material with nano-ZrO2 significantly increased flexural strength and modulus of elasticity. Reducing material thickness did not decrease flexural strength when nano-ZrO2 was incorporated. In clinical practice, when low thickness of denture base material is indicated, PMMA/nano-ZrO2 could be used with minimum acceptable thickness of 1.5 mm.
Abstract
PURPOSE. This study aimed to evaluate the effect of incorporating zirconium oxide nanoparticles (nano-ZrO2) in polymethylmethacrylate (PMMA) denture base resin on flexural properties at different material thicknesses. MATERIALS AND METHODS. Heat polymerized acrylic resin specimens (N = 120) were fabricated and divided into 4 groups according to denture base thickness (2.5 mm, 2.0 mm, 1.5 mm, 1.0 mm). Each group was subdivided into 3 subgroups (n = 10) according to nano-ZrO2 concentration (0%, 2.5%, and 5%). Flexural strength and elastic modulus were evaluated using a three-point bending test. One-way ANOVA, Tukey’s post hoc, and two-way ANOVA were used for data analysis (α = .05). Scanning electron microscopy (SEM) was used for fracture surface analysis and nanoparticles distributions. RESULTS. Groups with 0% nano-ZrO2 showed no significant difference in the flexural strength as thickness decreased (P = .153). The addition of nano-zirconia significantly increased the flexural strength (P < .001). The highest value was with 5% nano-ZrO2 and 2 mm-thickness (125.4 ± 18.3 MPa), followed by 5% nano-ZrO2 and 1.5 mm-thickness (110.3 ± 8.5 MPa). Moreover, the effect of various concentration levels on elastic modulus was statistically significant for 2 mm thickness (P = .001), but the combined effect of thickness and concentration on elastic modulus was insignificant (P = .10). CONCLUSION. Reinforcement of denture base material with nano-ZrO2 significantly increased flexural strength and modulus of elasticity. Reducing material thickness did not decrease flexural strength when nano-ZrO2 was incorporated. In clinical practice, when low thickness of denture base material is indicated, PMMA/nano-ZrO2 could be used with minimum acceptable thickness of 1.5 mm.
참고문헌 (34)
- Rickman LJ, "Contemporary denture base resins : part 1", Dent Update, 39, pp.25~28 (2012)
- "Revised American Dental Association specification no. 12 for denture base polymers", J Am Dent Assoc, 90, pp.451~458 (1975)
- Wieckiewicz M, "Physical properties of polyamide-12 versus PMMA denture base material", Biomed Res Int, 2014, pp.150298~ (2014)
- Zakkula SBS, "Evaluation of palatal plate thickness of maxillary prosthesis on phonation-a comparative clinical study", J Clin Diagn Res, 8, pp.ZC11~ZC13 (2014)
- Mazaro JV, "Influence of different base thicknesses on maxillary complete denture processing : linear and angular graphic analysis on the movement of artificial teeth", J Craniofac Surg, 22, pp.1661~1665 (2011)
- Rodrigues AH, "Metal reinforcement for implant-supported mandibular overdentures", J Prosthet Dent, 83, pp.511~513 (2000)
- Khuder T, "Finite element analysis and clinical complications in mandibular implant-overdentures opposing maxillary dentures", J Mech Behav Biomed Mater, 75, pp.97~104 (2017)
- Dong J, "Influence of abutment height on strain in a mandibular overdenture", J Oral Rehabil, 33, pp.594~599 (2006)
- Choi M, "Resinous denture base fracture resistance : effects of thickness and teeth", Int J Prosthodont, 25, pp.53~59 (2012)
- Berry HH, "Vitallium strengthener to prevent lower denture breakage", J Prosthet Dent, 26, pp.532~536 (1971)
- Gonda T, "Effect of reinforcement on overdenture strain", J Dent Res, 86, pp.667~671 (2007)
- Jagger DC, "The reinforcement of dentures", J Oral Rehabil, 26, pp.185~194 (1999)
- Gad MM, "PMMA denture base material enhancement:a review of fiber, filler, and nanofiller addition", Int J Nanomedicine, 12, pp.3801~3812 (2017)
- Gad M, "The reinforcement effect of nano-zirconia on the transverse strength of repaired acrylic denture base", Int J Dent, 2016, pp.7094056~ (2016)
- Leão RS, "Influence of addition of zirconia on PMMA : a systematic review", Mater Sci Eng C Mater Biol Appl, 106, pp.110292~ (2020)
- Neset Volkan Asar, "Influence of various metal oxides on mechanical and physical properties of heat-cured polymethyl methacrylate denture base resins", The Journal of Advanced of Prosthodontics, 5(3), pp.241~247 (2013), 대한치과보철학회[DOI]
- Gad MM, "Influence of incorporation of ZrO2 nanoparticles on the repair strength of polymethyl methacrylate denture bases", Int J Nanomedicine, 11, pp.5633~5643 (2016)
- Zidan S, "Evaluation of equivalent flexural strength for complete removable dentures made of zirconia-impregnated PMMA nanocomposites", Materials(Basel), 13, pp.2580~ (2020)
- Zhang XY, "Hybrid effects of zirconia nanoparticles with aluminum borate whiskers on mechanical properties of denture base resin PMMA", Dent Mater J, 33, pp.141~146 (2014)
- Yu W, "Reinforcement of denture base PMMA with ZrO2 nanotubes", J Mech Behav Biomed Mater, 32, pp.192~197 (2014)
- Lung CY, "Aspects of silane coupling agents and surface conditioning in dentistry : an overview", Dent Mater, 28, pp.467~477 (2012)
- Liua M JZ, "Recent advance in research on halloysite nanotubes-polymer nanocomposite", Prog Polym Sci, 39, pp.1498~1525 (2014)
- Caravaca C, "Direct silanization of zirconia for increased biointegration", Acta Biomater, 46, pp.323~335 (2016)
- Otsuka T, "Poly(methyl methacrylate)(PMMA)-based hybrid materials with reactive zirconium oxide nanocrystals", Polym J, 42, pp.58~65 (2010)
- Lwanga SK, "Sample size determination in health studies: a practical manual", Wold Health Organization, 1~22 (1991)
- Takahashi Y, "Fracture resistance of maxillary complete dentures subjected to longterm water immersion", Gerodontology, 29, pp.e1086~e1091 (2012)
- Gad MM, "Flexural and surface properties of PMMA denture base material modified with thymoquinone as an antifungal agent", J Prosthodont, 29, pp.243~250 (2020)
- Tokgoz S, "Effects of denture base thicknesses and reinforcement on fracture strength in mandibular implant overdenture with bar attachment : under various acrylic resin types", Eur J Dent, 13, pp.64~68 (2019)
- Fajardo RS, "The effect of E-glass fibers and acrylic resin thickness on fracture load in a simulated implant-supported overdenture prosthesis", J Prosthet Dent, 106, pp.373~377 (2011)
- Kaehler T, "Nanotechnology : basic concepts and definitions", Clin Chem, 40, pp.1797~1799 (1994)
- Hameed HK, "The effect of addition nano particle ZrO2 on some properties of autoclave processed heat cure acrylic denture base material", J Baghdad Coll Dent, 27, pp.32~39 (2015)
- Wada H, "Investigation of loading rate and plate thickness effects on dynamic fracture toughness of PMMA", Eng Fract Mech, 54, pp.805~811 (1996)
- Ajaj-Alkordy NM, "Elastic modulus and flexural strength comparisons of high-impact and traditional denture base acrylic resins", Saudi Dent J, 26, pp.15~18 (2014)
- Keyf F, "The effects of glass fiber reinforcement at different concentrations on the transverse strength, deflection and modulus of elasticity of a provisional fixed partial denture resin", J Biomater Appl, 16, pp.149~156 (2001)
