partial dentures 7 :denture base polymers Flashcards
What is a denture base? π€
The denture base is the part of the denture that supports and attaches the prosthetic teeth π¦·.
It replaces both hard and soft tissues (like the gingiva and alveolar bone) π§±.
It also has an aesthetic πΈ and functional πͺ role.
In all-acrylic dentures, it may act as the major connector too π.
What are the essential requirements for a denture base material? β
π¦· Bonds to denture teeth
π§ͺ Biocompatible
β¨ Highly polishable for aesthetics
π Colour stable & translucent
π« No porosity (no bubbles in America πΊπΈ during polymerisation!)
𧬠Low residual monomer (otherwise toxic)
π§ Low sorption/solubility
π₯ Flexural strength > 65 MPa
π Flexural modulus > 2 GPa
π ISO 1567 defines these properties!
What other properties are desirable but not in ISO standard? π§
π Resilience β energy absorbed until deformation
π₯ Toughness β energy absorbed until fracture
π§ High impact strength (dentures get dropped!)
π Dimensional stability
π Repairable if broken
π₯ Good thermal conductivity (helps patients sense hot foods!)
π©» Radio-opaque (can be seen on radiographs if swallowed)
π° Cheap
What is PMMA and when was it developed? π§ͺ
π§« PMMA = Polymethyl methacrylate
π¬ Developed in 1932, introduced for denture bases in 1935
By 1940, it replaced vulcanite! - car tyres
Used in other industries (e.g., windows/lenses β transmits 90% of light, more than glass!) ππ
Describe the 4 stages of polymerisation of PMMA π
Activation - heat ,light,chemcial
Initiation π₯ β free radical from initiator (benzoyl peroxide) starts reaction
Propagation β β monomer units keep joining
Termination β β no more monomer = end of chain
What is the most common activation method for PMMA denture base? π₯
Heat activation
Benzoyl peroxide (initiator) + heat > 60Β°C creates free radicals β‘
Heat = activator, usually via water bath immersion π
What happens during polymerisation in terms of volume? π
As monomers join to form polymers, space between them reduces = shrinkage
π§ͺ Pure MMA shrinkage = 21%!
To reduce this: pre-polymerized PMMA beads are added to limit volumetric shrinkage to 6% and 0.5% linear
Whatβs in the powder & liquid of heat-cured acrylic resin? π§΄π§
Powder:
PMMA beads
Benzoyl peroxide (initiator)
Pigments, dyes π¨
Optical pacifiers β¨
Plasticisers
Synthetic & coloured fibres π§΅
Liquid:
Methyl methacrylate (MMA)
Inhibitor π
Cross-linking agent π
What are the stages during mixing PMMA + MMA? π§βπ¬
Ratio: Powder:Liquid = 2:1
Sandy β beads just start melting
Stringy β swelling and thickening
Dough β gelation, best stage for moulding
Rubbery β monomer penetrates bead cores
What is the denture processing sequence? π§°
Wax pattern
Flasking
Boiling out wax β¨
Dough moulding
Boiling (polymerisation)
Deflasking
β³ Typically done overnight, ~8 hours
DENTURE MADE DURIGN LOS WAX TEHCNIQUE
WAX BOILED OUT - leaving space
What are the 3 types of porosity problems in processing? π«§
Gaseous porosity- due to monomer boiling before polymerises
occurs deep within thickest parts
MMA boils at 100Β°C
Exothermic polymerisation β temp can hit 170Β°C π¬
Causes bubbles inside
Prevention: slow heating
Contraction porosity
Shrinkage due to polymerisation
Prevention: pressure & excess dough
Granular porosity
Occurs if dough is left too long and dries out
Leads to incomplete bonding β
What are the advantages of PMMA? π
π Great aesthetics
π§ Easy to repair
β¨ High polishability
πΈ Cheap
π Easy to manufacture
π¦· Bonds to teeth
π¬ Low water sorption
π§± Good physical properties
What is Tg and why is it important? π‘
Glass transition temperature (Tg) = temp at which an amorphous polymer goes from glass-like to rubbery
π§ Needs to be >70Β°C to withstand hot food/drink in mouth
π Only PMMA has a Tg high enough!
What affects Tg? π¬
Molecular structure π§¬
Large pendant groups = more spacing = lower Tg
Plasticisers also lower Tg
What are the disadvantages of PMMA? π
π₯ Poor impact strength
β Poor thermal conductivity
π Denture fractures are common (costs NHS Β£9 million/year!)
π 68% fracture within 3 years
upper dentures
πΊ Common fracture in midline (stress from palatal tori, notches)
How can properties of PMMA be improved? π
Metal bars/mesh β π May worsen stress - areas
Co-polymerisation (e.g., with butadiene-styrene for high-impact acrylic) πͺ increases toughness
Reinforcement
Injection moulding β high tech, expensive π°
What are the features of plastic acrylic teeth? π¦·
β
Bonds chemically to denture base
π§ Adjustable
π§© Matches colour well
not wear of opposing teeth
β Minor wear under high force occlusion
β May stain over time β
What are other types of denture teeth materials? π¦·
πΉ Porcelain (high fusing ceramic) β aesthetic, hard, but brittle β
πΉ Fibre-reinforced β experimental
πΉ Polycarbonate/Nylon teeth β less common
Nylon used in flexible partials (Valplast, Flexiplast)
Aesthetic & flexible
BUT may β bone resorption due to pressure π
What are the curing methods for denture base polymers? π‘π₯π§ͺ
Chemically cured
Benzoyl peroxide + tertiary amine
Hydroquinone as inhibitor
Heat cured
Heat + pressure = good conversion, no porosity
Light cured
Blue light + photo-initiators
Used for custom trays, repair, record bases
What is the most common activation method for PMMA denture base? π₯
Heat activation using a water bath π
Benzoyl peroxide = initiator
Heat (>60Β°C) = activator
β‘ Heat + initiator = free radicals β start polymerisation
What causes shrinkage during polymerisation? π
Polymerisation pulls monomer chains closer together π€
Pure MMA shrinkage = 21% π±
To reduce shrinkage:
Add pre-polymerised PMMA beads = 6% volumetric + 0.5% linear shrinkage π