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ACS Applied Materials & Interfaces Jul 2024An essential requirement for biomedical devices is the capability of conformal adaptability on diverse irregular 3D (three-dimensional) nonflat surfaces in the human...
An essential requirement for biomedical devices is the capability of conformal adaptability on diverse irregular 3D (three-dimensional) nonflat surfaces in the human body that may be covered with liquids such as mucus or sweat. However, the development of reversible adhesive interface materials for biodevices that function on complex biological surfaces is challenging due to the wet, slippery, smooth, and curved surface properties. Herein, we present an ultra-adaptive bioadhesive for irregular 3D oral cavities covered with saliva by integrating a kirigami-metastructure and vertically self-aligning suction cups. The flared suction cup, inspired by octopus tentacles, allows adhesion to moist surfaces. Additionally, the kirigami-based auxetic metastructure with a negative Poisson's ratio relieves the stress caused by tensile strain, thereby mitigating the stress caused by curved surfaces and enabling conformal contact with the surface. As a result, the adhesive strength of the proposed auxetic adhesive is twice that of adhesives with a flat backbone on highly curved porcine palates. For potential application, the proposed auxetic adhesive is mounted on a denture and performs successfully in human subject feasibility evaluations. An integrated design of these two structures may provide functionality and potential for biomedical applications.
PubMed: 38949691
DOI: 10.1021/acsami.4c03363 -
Cureus May 2024Edentulism is characterized by the loss of teeth, which can significantly impact oral health and the quality of life of older patients. Among the challenges faced by...
Edentulism is characterized by the loss of teeth, which can significantly impact oral health and the quality of life of older patients. Among the challenges faced by individuals with edentulism is the occurrence of flabby ridges, a common consequence of prolonged tooth loss. Flabby ridges, characterized by soft, compressible tissue in the edentulous ridge area, present unique management challenges for dental professionals. Fibrous or flabby alveolar ridges present challenges in the fabrication of predictable prostheses. Impression making, a critical step in prosthodontic treatment, becomes particularly problematic as forces exerted during the process can distort the mobile denture-bearing tissues, which will cause the denture to become unstable and loose. This case report aims at an impression technique that can enhance the treatment outcomes for edentulous patients with fibrous alveolar ridges as this decreases the pressure over flabby tissue.
PubMed: 38947578
DOI: 10.7759/cureus.61292 -
Journal of Indian Prosthodontic Society Jul 2024Occurrence of denture stomatitis and prosthesis breakage are common problems faced by elderly people wearing removable dentures. To overcome this, several attempts are...
AIM
Occurrence of denture stomatitis and prosthesis breakage are common problems faced by elderly people wearing removable dentures. To overcome this, several attempts are made to improve the denture material by addition of antimicrobials without compromising original properties. The aim of the study was to evaluate flexural strength and microhardness of self-cured polymethyl methacrylate (PMMA) denture base resin after addition of Vaccinium macrocarpon (commonly called as cranberry), extract as antimicrobial, at varying proportions.
STUDY SETTING AND DESIGN
Experimental in vitro study.
MATERIALS AND METHODS
Frozen cranberry fruits were subjected to extraction process in the presence of aqueous solvents. Lyophilized extract was added in proportions of 0, 0.5, 1.0, 1.5, and 2.0 dry wt/wt % into polymer of self-cure PMMA denture base resin. Based on cranberry inclusion, the study comprised one control (0%) and four test groups (0.5%-2%) with total of 100 samples. A three-point bending test for flexural strength was done for fifty study samples (n = 10). Surface of fractured samples was analyzed using a scanning electron microscope (SEM). Microhardness was determined using Vickers hardness test.
STATISTICAL ANALYSIS USED
One-way statistical ANOVA test was done to find the difference between groups, followed by Tukey's post hoc test for multiple pairwise comparison.
RESULTS
Flexural strength ranged from 66.80 to 69.28 MPa, and a statistically insignificant difference was observed between groups (P > 0.05). SEM evaluation showed uniformly dispersed strands of cranberry extract in PMMA matrix. With higher concentration, less voids were seen. Vickers microhardness value significantly decreased from 15.96 in the control group to 14.57 with 2% cranberry addition (P < 0.05).
CONCLUSION
Incorporation of cranberry extract into self-cure PMMA denture base resin, up to 2 dry wt %, did not decline the flexural strength. However, there was a significant decrease in Vickers microhardness values when compared against the control group (0% cranberry inclusion).
Topics: Polymethyl Methacrylate; Hardness; Flexural Strength; Vaccinium macrocarpon; Plant Extracts; Materials Testing; Humans; Denture Bases; Dental Materials; Anti-Infective Agents; In Vitro Techniques
PubMed: 38946510
DOI: 10.4103/jips.jips_25_24 -
Journal of Indian Prosthodontic Society Jul 2024Assessment of occlusion changes during laboratory phase of relining is essential to evaluate the occlusal discrepancies that could get incorporated in the denture with...
AIM
Assessment of occlusion changes during laboratory phase of relining is essential to evaluate the occlusal discrepancies that could get incorporated in the denture with the use of different relining materials. Since the long term stability and functional success of the denture is heavily influenced by occlusion, an In-vitro study to assess these changes after relining is warranted. The aim of the study is to evaluate the changes in occlusion during laboratory phase of relining procedure.
SETTINGS AND DESIGN
This is an in vitro study with a total of 30 specimen.
MATERIALS AND METHODOLOGY
A total of 30 maxillary standardized dentures were fabricated after mounting on a semi adjustable articulator. These samples will be divided into three groups based on the relining material used (Autopolymerizing resin, Heat-cure resin, Tissue conditioner). The vertical dimension, Centric contact points and eccentric contact points were measured before and after relining.
STATISTICAL ANALYSIS USED
The variables were tested to see if they had a normal distribution using the Shapiro-Wilk test. Parametric distribution was seen for ECP leading to further comparison using one way analysis of variance (ANOVA). Non-parametric distribution was found while testing the VD, CCP leading to adoption of Kruskal-wallis test for comparison of groups. Dunn Bonferroni test was done for VD since results were significant.
RESULTS
The results of this in-vitro study showed statistically significant difference with respect to change in vertical dimension in all groups pre and post relining (P = 0.005). The centric contact points showed lesser variation in position when comparing the pre to the post relining phase with the use of autopolymerising resins, whereas heat cure resins and tissue conditioners showed statistically significant difference in the centric point contacts post relining. No statistically significant changes were seen in eccentric occlusion post relining in all groups. Tissue conditioners showed minimum mean changes in eccentric contacts.
CONCLUSION
Within the limitations of this study, the use of autopolymerising resins depicted the most stable results with respect to occlusion, for relining of dentures.
Topics: Humans; In Vitro Techniques; Dental Occlusion; Denture Retention; Dental Materials; Denture Liners
PubMed: 38946509
DOI: 10.4103/jips.jips_363_23 -
Journal of Indian Prosthodontic Society Jul 2024The aim is to determine thermal conduction by heat-activated polymethylmethacrylate (PMMA) infiltrated with 1 weight% Titanium Dioxide (TiO2) and 1 weight% Zirconium...
Effect of titanium dioxide and zirconium dioxide nanoparticle incorporation on the thermal conductivity of heat-activated polymethylmethacrylate denture base resins: An in vitro experimental study.
AIM
The aim is to determine thermal conduction by heat-activated polymethylmethacrylate (PMMA) infiltrated with 1 weight% Titanium Dioxide (TiO2) and 1 weight% Zirconium Dioxide (ZrO2) nanoparticles and to compare with that of conventional PMMA.
STUDY SETTING AND DESIGN
In vitro experimental study.
MATERIALS AND METHODS
Eighteen disc shaped specimens with a thickness of 5 mm and diameter of 50 mm, were fabricated and grouped according to the material used: Group B1 (resin infiltrated with 1 weight% TiO2), Group B2 (resin infiltrated with 1 weight% ZrO2), and Control Group B3 (heat-activated conventional PMMA resin). Disc-shaped specimens were analyzed for thermal conductivity using "modified guarded hot plate apparatus" in the thermal lab of the Indian Space Research Organisation.
STATISTICAL ANALYSIS USED
One-way ANOVA followed by Tukey's post hoc test was used to compare the arithmetic means of all three groups.
RESULTS
A statistically significant difference was noted among all three groups. Group B2 had the maximum thermal conductivity, followed by Group B1. Thermal conductivity was the least for Group B3. A post hoc comparison revealed that the difference was significant between Group B2 and Group B3.
CONCLUSION
Nano ZrO2 addition in PMMA increased its thermal conductivity. There is evidence that it improves its mechanical properties as well. Hence, Nano ZrO2 addition in PMMA is highly recommended. Nano TiO2 addition in PMMA did not provide any significant advantage in terms of thermal conductivity, but its addition in PMMA is justified because of its mechanical and antimicrobial properties.
Topics: Titanium; Zirconium; Polymethyl Methacrylate; Thermal Conductivity; Nanoparticles; Hot Temperature; Denture Bases; Materials Testing; In Vitro Techniques
PubMed: 38946506
DOI: 10.4103/jips.jips_575_23 -
Journal of Dentistry Jun 2024To compare the efficacy of test (ultrasonic cleaner combined with immersion in denture cleanser solution) and control (immersion in denture cleanser solution followed by...
OBJECTIVE
To compare the efficacy of test (ultrasonic cleaner combined with immersion in denture cleanser solution) and control (immersion in denture cleanser solution followed by conventional brushing) denture cleaning interventions in enhancing denture cleanliness, reducing denture stomatitis, and improving patient satisfaction.
METHODS
A prospective, single-blind, block-randomised, two-period crossover, superiority-controlled clinical trial was conducted of a 3-month intervention. The study design included a pre-intervention period (2 weeks), intervention period one (3 months), washout period (2 weeks), and intervention period two (3 months). A total of 56 community-dwelling elders were block-randomized into either sequence Test/Control or sequence Control/Test. The intervention, period, and carryover effects for the changes in the cleanliness of extensive partial and complete acrylic dentures, denture stomatitis, and changes in patient satisfaction were estimated using Generalized Estimating Equations models.
RESULTS
Percentage plaque area coverage, patient satisfaction, and denture stomatitis were significantly improved for both intervention and control arms after 3 months (P < 0.05). The intervention arm was found to significantly improve denture cleanliness (P < 0.001) and patient satisfaction (P = 0.002) more than the control arm. Denture-wearing habits and denture age were also significantly associated with the changes in denture plaque coverage (P < 0.05). However, the effect of the test intervention on denture stomatitis was not significantly different compared to the control arm (P = 0.284).
CONCLUSION
This study revealed that the test intervention group was significantly more effective than the control group in improving denture cleanliness and patient satisfaction among community-dwelling elders. This test intervention is recommended for maintaining optimum denture hygiene among older adults.
CLINICAL SIGNIFICANCE
Removable dentures can harbor opportunistic pathogens, emphasizing the need for effective denture hygiene intervention using ultrasonic cleaner combined with immersion in denture cleanser solution to eliminate denture biofilm in community-dwelling elders.
PubMed: 38944265
DOI: 10.1016/j.jdent.2024.105215 -
BMC Oral Health Jun 2024Tissue conditioners are used for treating and improving the tissues supporting complete dentures. On the other hand, recent advances in nanotechnology have...
BACKGROUND
Tissue conditioners are used for treating and improving the tissues supporting complete dentures. On the other hand, recent advances in nanotechnology have revolutionized various fields of science, including dentistry. The present study aimed to investigate novel antimicrobial applications of copper oxide nanoparticle-based tissue conditioner used in complete prostheses.
METHODS
The present experimental study included 126 tissue conditioner samples with different concentrations of copper oxide nanoparticles (20%, 10%, 5%, 2.5%, 1.25%, 0.625%, and 0% w/w). The samples were incubated with Enterococcus faecalis, Pseudomonas aeruginosa, and Candida albicans in 24-well plates for 24 h. Then, samples from the wells were re-incubated for 24 h, and the microorganisms were counted.
RESULTS
The culture media containing E. faecalis and P. aeruginosa showed significantly different growth between different nanoparticle concentrations following 24 h (P < 0.001), showing a reduction in bacterial growth with increased nanoparticle concentration. Both bacteria did not show any growth at the 20% concentration. However, C. albicans showed significant differences in growth between different nanoparticle concentrations following 48 h (P < 0.001), showing a reduction in growth with increased nanoparticle concentration. Also, the least growth was observed at the 20% concentration.
CONCLUSIONS
In conclusion, the CuO nanoparticles were prepared using a green synthesis methon in the suitable sizes. Moreover, the tissue conditioners containing CuO nanoparticles showed acceptable antimicrobial properties against E. faecalis, P. aeruginosa, and C. albicans.
Topics: Copper; Enterococcus faecalis; Candida albicans; Pseudomonas aeruginosa; Anti-Infective Agents; Denture, Complete; Nanoparticles; Humans; Metal Nanoparticles
PubMed: 38943115
DOI: 10.1186/s12903-024-04534-w -
British Dental Journal Jun 2024
Topics: Humans; Tooth Loss; Dentures
PubMed: 38942848
DOI: 10.1038/s41415-024-7587-1 -
The Journal of Prosthetic Dentistry Jun 2024Maxillary defects pose challenges for prosthodontists, especially when patients have no remaining teeth. This clinical report describes rehabilitation with a complete...
Maxillary defects pose challenges for prosthodontists, especially when patients have no remaining teeth. This clinical report describes rehabilitation with a complete denture obturator fabricated in 2 visits for an edentulous patient after a maxillectomy. The obturator base and artificial teeth were digitally designed and merged into a 1-piece prosthesis. Following a virtual reduction, the integrated prosthesis and a gingival veneer were calculated and then printed and bonded together to complete the fabrication. Balanced occlusion was achieved with the assistance of a digital occlusion analyzer at the insertion visit. This approach avoided base-tooth assembly deviations and provided a prosthesis with good patient-reported outcomes at the 6-month follow-up.
PubMed: 38942715
DOI: 10.1016/j.prosdent.2024.05.021 -
The International Journal of Oral &... Jun 2024Several anatomical and histological limitations can complicate implant placement, angulated implant positioning appeared to compensate these limitations. However several...
OBJECTIVES
Several anatomical and histological limitations can complicate implant placement, angulated implant positioning appeared to compensate these limitations. However several studies suggested a higher rate of marginal bone loss and implant failure regarding tilted implants in comparison with conventional implant. Therefore this umbrella review aims to summarize and analyze all the evidence available concerning marginal bone loss and implant failure between tilted and axial implants.
METHODS
An electronic literature search was conducted, without any language restrictions and only systematic reviews with meta-analysis or meta-analysis studies were included. The outcomes assessed in this review were implant failure and marginal bone loss in mm. Relative risks (RRs) and the differences of the mean (MD) were calculated with 95% confidence intervals (CIs) regarding implant failure and marginal bone loss respectively.
RESULTS
in total 8 studies were included, based on the short-term results, a non-significant mean difference (MD=0.00; 95% Cl; -0.01-0.02; p-value = 0.75) was recorded between tilted and axial implants supporting full-arch dentures, meanwhile a significant mean difference was recorded on a 3 years and long term follow-up reached (MD= 0.08 95% Cl = 0.05-0.11; p value<0.00001)) and (MD= 0.18; 95% Cl= 0.15-0.20; p value< 0.00001) respectively, and an insignificant difference was observed between tilted and axial implants regarding implant failure (RR=1.02; 95% Cl=0.85-1.23; p value= 0.81) Conclusion: this review based on high and moderated quality studies with low risk of bias demonstrated no significant outcome was observed between tilted implants supporting full-arch or fixed partial denture and axial implants regarding implant failure.
PubMed: 38941170
DOI: 10.11607/jomi.10885