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Bahra 2013
Bahra 2013
Bahra 2013
a r t i c l e i n f o a b s t r a c t
Article history: Objectives. The aim of this study was to evaluate the linear and volumetric dimensional
Received 12 October 2012 changes of six denture base resins processed by their corresponding injection-molding
Received in revised form systems at 3 time intervals of water storage.
10 May 2013 Materials and methods. Two heat-curing (SR Ivocap Hi Impact and Lucitone 199) and four
Accepted 24 July 2013 auto-curing (IvoBase Hybrid, IvoBase Hi Impact, PalaXpress, and Futura Gen) acrylic resins
were used with their specific injection-molding technique to fabricate 6 specimens of each
material. Linear and volumetric dimensional changes were determined by means of a digital
Keywords: caliper and an electronic hydrostatic balance, respectively, after water storage of 1, 30, or 90
Denture base resin days. Means and standard deviations of linear and volumetric dimensional changes were
Injection-molding calculated in percentage (%). Statistical analysis was done using Student’s and Welch’s t
Linear dimensional change tests with Bonferroni–Holm correction for multiple comparisons (˛ = 0.05).
Volumetric dimensional change Results. Statistically significant differences in linear dimensional changes between resins
were demonstrated at all three time intervals of water immersion (p ≤ 0.05), with exception
of the following comparisons which showed no significant difference: IvoBase Hi Impact/SR
Ivocap Hi Impact and PalaXpress/Lucitone 199 after 1 day, Futura Gen/PalaXpress and PalaX-
press/Lucitone 199 after 30 days, and IvoBase Hybrid/IvoBase Hi Impact after 90 days. Also,
statistically significant differences in volumetric dimensional changes between resins were
found at all three time intervals of water immersion (p ≤ 0.05), with exception of the com-
parison between PalaXpress and Futura Gen.
Significance. Denture base resins (IvoBase Hybrid and IvoBase Hi Impact) processed by the
new injection-molding system (IvoBase), revealed superior dimensional precision.
© 2013 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.
∗
Corresponding author at: Department of Prosthodontics, Propaedeutics and Dental Materials, School of Dentistry, Christian-Albrechts
University at Kiel, Germany. Tel.: +49 431 5972877; fax: +49 431 5972860.
E-mail address: selbahra@proth.uni-kiel.de (S. El Bahra).
0109-5641/$ – see front matter © 2013 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.
http://dx.doi.org/10.1016/j.dental.2013.07.020
1092 d e n t a l m a t e r i a l s 2 9 ( 2 0 1 3 ) 1091–1097
Electromechanical
Polymerization
pressure-pot 2 bar
of the halves, and filled with the same stone. All flasks, which
parameters
in boiling water
were used in our study to prepare specimens, were poured
by using vacuum-spatulated stone according to manufactur-
ers’ recommendations and a single pouring technique. After
the stone had set (45 min), the flask was heated and the two
halves of the flask were separated to flush out the wax sprue,
Polymerization
polymerizing
polymerizing
polymerizing
polymerizing
polymerizing
(ISO-K blau, Candulor, Wangen bei Dübendorf, Switzerland)
were applied to the exposed stone surfaces and allowed to dry.
type
Auto-
Auto-
Auto-
Auto-
Heat-
Heat-
Thereafter, the flask was clamped and the powder/liquid mix-
ture of denture base material was prepared to be polymerized.
The investigated denture base resins were mixed according to
UNIPRESS Injection
Success Injection
IvoBase Injection
IvoBase Injection
Fabrication
Palajet Injection
System
System
System
System
System
30 g:20 ml
20 g:30 ml
35 g:16 ml
30 g:15 ml
21 g:10 ml
2.2. Measurements
2010006210 (powder)
2010005960 (liquid)
100506 (powder)
Batch no.
100406 (liquid)
NM0157
N35171
val the specimens were removed from the water and dried by
blotting with absorbent tissue.
Dentsply International Inc.,
Schaan, Liechtenstein
Schaan, Liechtenstein
Manufacturer
Rosbach, Germany
IBHY
ICHI
IBHI
LUC
FUT
PLX
SR Ivocap Hi Impact
IvoBase Hi Impact
IvoBase Hybrid
Lucitone 199
PalaXpress
FuturaGen
Product
L − L0
L (%) = 100
L0
Table 2 – Mean linear dimensional changes −L%, and standard deviations ( ) of test groups measured after storage in
water for 1, 30, and 90 days.
Product Abbreviation 1 day 30 days 90 days
IvoBase Hybrid IBHY −0.29 (0.01) a
−0.13 (0.02)a
−0.07 (0.02)a
IvoBase Hi Impact IBHI −0.35 (0.02)b −0.19 (0.03)b −0.09 (0.03)a
SR Ivocap Hi Impact ICHI −0.39 (0.05)b −0.33 (0.05)c −0.30 (0.05)b
FuturaGen FUT −1.11 (0.10)c −0.96 (0.11)d −0.87 (0.09)c
PalaXpress PLX −1.25 (0.07)d −1.08 (0.08)de −1.01 (0.08)d
Lucitone 199 LUC −1.28 (0.05)d −1.19 (0.06)e −1.14 (0.06)e
Means with different superscript letters in each column are significantly different at the 95% confidence level.
Table 3 – Mean volumetric dimensional changes −V%, and standard deviations ( ) of test groups measured after storage
in water for 1, 30, and 90 days.
Product Abbreviation 1day 30 days 90 days
IvoBase Hybrid IBHY −1.08 (0.09) a
−0.52 (0.08) a
−0.23 (0.09)a
IvoBase Hi Impact IBHI −1.39 (0.05)b −0.92 (0.07)b −0.56 (0.07)b
SR Ivocap Hi Impact ICHI −3.18 (0.15)c −3.08 (0.16)c −3.01 (0.15)c
PalaXpress PLX −4.75 (0.15)d −4.33 (0.20)d −4.14 (0.17)d
FuturaGen FUT −4.84 (0.17)d −4.49 (0.19)d −4.32 (0.22)d
Lucitone 199 LUC −6.94 (0.32)e −6.65 (0.33)e −6.58 (0.33)e
Means with different superscript letters in each column are significantly different at the 95% confidence level.
The linear dimensional changes of SR Ivocap Hi Impact and latter two materials, which could contribute to the statistically
Lucitone 199 in our investigation were less than that reported different dimensional changes of them.
by Anderson et al. [15]. In contrast, the linear dimensional In this study, only simple-shape acrylic resin specimens
changes of FuturaGen and PalaXpress were greater than that were used. Accordingly, clinical studies should be conducted
reported by Venus et al. [26]. The differences in results between to establish correlation with laboratory findings. However,
studies could be due to the use of different specimen design for the clinical situation, it would be necessary to take into
or measuring conditions. account the influences on the dimensional accuracy of den-
FuturaGen and PalaXpress showed relatively high values tures from many other factors, such as the size and shape, the
of dimensional changes, in comparison with the other inves- thickness of the denture, and the presence of teeth.
tigated materials with the exception of Lucitone 199, although
these resin materials were already injected into the mold
under a considerable pressure. An explanation for such find- 5. Conclusions
ings can be the polymerization technique [24–26], and the
chemical composition of the material, since the exact nature On the basis of the results and conditions of this study, the
of the material is not disclosed by the manufacturer. As well as, following conclusions are drawn:
it might be attributed to the processing method conditions, in
which the flask clamping tools (flask closure) do not provide a 1. Dimensional precision of acrylic resins polymerized by
sufficient pressure applied to the flasks during polymerization the IvoBase system is more accurate than that of resins
process. processed by the other studied curing techniques.
FuturaGen and PalaXpress are auto-polymerizing denture 2. Despite the statistically significant differences in dimen-
base materials which have slightly different powder/liquid sional stability among the tested denture base materials,
mixing ratios, different respective polymerization protocols, further studies are required to reveal, whether these sig-
and injection-molding systems. However, these two materials nificant differences are clinically relevant.
did not exhibit statistically significant differences regarding
both volumetric dimensional changes at all three time inter-
vals, and linear dimensional changes after 30 days, whereas Acknowledgments
they showed statistically significant differences in linear
dimensional changes after 1 and 90 days of water immersion. Based on a DMD thesis submitted to the Christian-Albrechts
Accordingly, this could suggest that the linear dimensional University at Kiel. The authors wish to express appreciation
changes are not uniformly distributed within the processed for technical assistance and laboratory support from Dr. Mar-
denture base resins. tin Steiner, Rüdiger Möller, Frank Lehmann, Detlev Gostomsky,
IvoBase Hybrid and IvoBase Hi Impact denture base resin Reinhard Busch, and Karsten Radzinsky of Department of
materials exhibited the lowest values of either linear dimen- Prosthodontics, Propaedeutics and Dental Materials, School of
sional or volumetric dimensional inaccuracies in comparison Dentistry, Christian-Albrechts University at Kiel.
with the other evaluated materials, irrespective of water The study was financially supported by Ivoclar Vivadent,
immersion duration. This might be due to the chemical com- Schaan, Liechtenstein which provided also materials and
position of these two materials or the technique conditions, injection systems.
in which the dry heat and pressure applied to the flask, are
digitally controlled during processing procedure.
references
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