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ABSTRACT
Background: Soft lining materials have a key role in modern prosthodontics because of their capability of restoring
health of inflamed and distorted mucosa. Gradual changes of oral tissues require that complete or partial dentures
be relined to improve their adaptation to the supporting tissue. This study aimed to evaluate the tensile bond
strength of heat cure acrylic and Valplast denture base materials to silicone self-cure soft lining material stored in
artificial saliva.
Materials and method: Two types of self cured silicone soft lining material (one with prime the other without prime or
adhesive) applied to polymethylmethacrylate and injection-molded nylon denture base materials for tensile bond
strength testing using Instron machine.
Results: The comparison between all test groups after (48) hours immersion in artificial saliva were highly significantly different from
each other except for the comparison between groups PSP and VSP in which their means were non-significant. After (12) weeks,
the comparison between all test groups were highly significantly different from each other when compared statistically.
Conclusion: This study indicated that prime (adhesive) increase the bond strength of the silicone soft lining materials
with denture base materials. Silicone soft lining materials are affected by artificial saliva storage.
Key words: Self-cure silicone soft lining material, acrylic denture base, injection-molded nylon, tensile bond strength.
(J Bagh Coll Dentistry 2012; 24(Sp. Issue 2):5-9).
INTRODUCTOIN
Relining is defined as "the procedures used to During the use of soft liner, the materials are
resurface the tissue side of the denture with new in continuous contact with saliva and during
base material, thus producing an accurate denture storage they are soaked in water or an
adaptation to the denture foundation area" (1). aqueous cleaning solution (11). The desirable
A major objective in construction of complete properties of soft liner include long term
dentures is to attain a denture base that conforms elasticity; loss of elasticity could result in delivery
to the supporting tissues with a high degree of of higher occlusal forces to the underling mucosa.
accuracy. Also the soft liner should be resistant to imbibing
The greater the accuracy of the base, the more of the oral fluids or releasing compounds into the
stable is the prosthesis (2-4). saliva, fluid imbibition would result in liner
Polymethyl methacrylate resins have been discoloration and swelling and the potential
preferred as denture base resins because of their growth of microorganism (26).The relining
physical and esthetic properties as well as the material used my be classified as either hard or
material’s availability, reasonable cost, and ease soft, the selection depends on oral circumstance
of manipulation(5). and treatment planning (24,10,21). Silicone soft
The introduction of injection molding, which lining materials have the advantage of being
allows directional control of the polymerization inherently soft over a long period, whilst the
process through the flask design. A constant flow development of polyvinylsiloxanes similar to
of new material from the sprue compensates for those used in dental impression materials allows
the polymerization shrinkage. simple application procedures to be used.
Gradual changes of oral tissues require that However, the achilles heel of silicone products is
complete or partial dentures be relined to improve often an inadequate bonding to the denture base.
their adaptation to the supporting tissue (4). Soft Several publication have focused on the factors
liners provide comfort to patients who cannot which can affect bonding, including the nature
tolerate occlusal pressure (15). Soft liners are often and direction of the de-bonding force and liner
used for management of painful or atrophied thickness and. The tear strength of the soft liner
mucosa or traumatic ulceration associated with itself, the nature of the adhesive agent and
wearing dentures. The soft liner provides comfort variations in the structure of the acrylic resin
for the patient and may it reduce residual ridge denture base (29).
resorption by reducing the impact force in the Relining materials are classified to three
load –bearing areas in the supporting structures groups: hard reline materials, tissue conditioning
during function (16). materials and soft lining materials. There are
(1) Assistant lecturer. Department of Prosthetic Dentistry. College many types of soft lining materials like plasticized
of Dentistry. University of Baghdad acrylic type soft liner and silicone soft liner. They
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J Bagh College Dentistry Vol. 24(Sp. Issue 2), 2012 Evaluation of the tensile
basically consist of polydimethylsiloxane polymer NaH2Po4, 0.021 mM Na2S, 16.7 mM urea and
to which filler is adding to give the correct deionized distilled water. (mM=mg/m.wt.In 1
consistency. The material harden by cross linking liter) (m.wt.= molecular weight).
process, as the materials is already polymer this
cross linking can be achieved either by heat, using Tensile bond strength test:
benzoyl peroxide, or at room temperature, using 80 Specimens were prepared for tensile
tetraethyl silicate (9, 19) . testing in (2) groups, each groups was divided
into (4) subgroups each one contains (10)
specimens aging in 250 cc. closed polyethylene
MATERIALS AND METHODS containers containing artificial saliva in an
Specimens were prepared from two chemically incubator at 37.5oC.
different denture base materials Specimens of each group were divided as
1- Polymethylmethacrylate (Heat cure acrylic follow:
non cross linked ENTACRYL, ENTA B.V. Bergen op 1. (40) Specimens were tested after 48 hours
zoom the Netherlands ISO 9000, Holland). immersion in artificial saliva
2- Injection-molded nylon (Valplast 2. (40) Specimens were tested after 12 weeks
INTERNATIONAL CORP., New York, USA) immersion in artificial saliva.
denture base materials. Each specimens consisted of (2) heat-cure
Joined by two types of self-cure silicon soft acrylic or Valplast blocks denture base with
lining material one with prime (bredent), the other dimension of (6*6*30) mm width, depth, length
one without prime or adhesive (Zhermack), they respectively, and intermediate part of soft lining
were evaluated for changes in tensile bond material with dimensions of (6*6*3) mm width,
strength. (Immersion in artificial saliva at depth, length respectively joining the 2 pieces of
different time of immersion). denture base block so the total dimension of the
Specimens grouping: specimen was (6*6*63) mm, using digital vernier
Two major groups include (4) subgroups of for checking the dimension of the specimens (2,3) .
specimens, (2) subgroup of Preparation of denture base specimens:
polymethylmethacrylate and (2) subgroup of For the ease of sample preparation, a metal
injection-molded nylon, with (2) types of self- mould was constructed (14) .Figure (1), it consisted
cure silicone soft lining materials; the number of of sample parts which consist of 2 pattern of
specimens in each subgroup was depending on the samples, first pattern is (6*6*30) mm width,
tests made. The specimens grouping for each depth, length respectively indentations and the
major group were classified as follow: second pattern is (6*6*63) mm width, depth,
Group1: Specimens immersed in artificial length respectively indentation .The samples part
saliva for (48) hours for tensile bond strength test. contains a cover which is in intimate contact with
Group2: Specimens immersed in artificial samples part and held by screws. Before mixing
saliva for (12) weeks for tensile bond strength of acrylic or soft liner the mould should be
test. painted with separating medium (14, 28, 3).Fig (1 and
Each group was divided into (4) subgroup 2).
according to the material used:
(PS) heat cures acrylic denture base blocks
with soft lining material without prime or
adhesive.
(PSP) heat cures acrylic denture base blocks
with soft lining material with prime.
(VS) Valplast denture base blocks with soft
lining material without prime or adhesive.
(VSP) Valplast denture base blocks with soft
lining material with prime.
Preparation of the artificial saliva:
Artificial saliva was prepared in the Figure 1: Metal mould of denture base
pedodontic department in the College of Dentistry specimens for tensile testing
/University of Baghdad, under supervisions of the
seniors of the department (14).
The composition was as follows: 6.8 mM
NaCl, 5.4 mM CaCl2, 5.4 mM KCL, and 5.0 mM
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J Bagh College Dentistry Vol. 24(Sp. Issue 2), 2012 Evaluation of the tensile
DISCUSSION
The results of this study support the hypothesis
that the chemical and physical properties of
denture base resins, as well as surface treatments,
affect the bond strength of the soft lining
materials with denture base materials.
Tensile bond strength test is a good method of
investigating the bond strength of lining materials,
because it gives information on the bond strength
of the material (7, 18).
Figure 3: Bond strength for the four test group It is important to measure the adhesive bond
instead of the cohesive strength of resilient liners
Table 1: Description statistics for tensile to assess interfacial separation under oral
strength (N/mm2) in artificial saliva storage conditions. Otherwise, cohesive rupture of the
for different time intervals and t- test resilient liner give only limited information on the
Types of strength of the liner material (18).
Time Mean S.D. t-test p-value The tensile bond strength for the two types of
Surface
48 hours 1.56 0.054 0.000 denture base material were tested at (48 hours)
PS 7.003 and (12 weeks) after different types of soft lining
12 weeks 1.42 0.033 HS
48 hours 2.19 0.104 0.000 materials application. The soft lining materials
PSP 5.644 type and artificial saliva storage effects on tensile
12 weeks 1.9 0.059 HS
48 hours 1.79 0.119 0.000 bond strength were tested.
VS 6.607 In general the bond strength of the heat cure
12 weeks 1.52 0.043 HS
48 hours 2.15 0.043 0.000 acrylic denture base material (2.19 N/mm2) was
VSP 11.851 greater than that with Valplast thermoplastic
12 weeks 1.88 0.057 HS
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J Bagh College Dentistry Vol. 24(Sp. Issue 2), 2012 Evaluation of the tensile
denture base material (2.15 N/mm2).This could be denture border region as cracks involving
the result of the difference in the nature of the localized unhygienic debris, and it usually spreads
bond between the soft lining materials and the two inside a denture with time. The stress occurs
types of denture base materials(27,20,22,16) .The between the bonding surfaces when the soft lining
results in the table (1), showed samples with PSP material absorbs water. Thus, it is conceivable the
type of denture base obtained mean value higher adhesive failure starts from the edge of the
than the other type of samples. Because there is denture because the edge can be immersed in
no chemical reaction between soft liner and saliva more easily. In addition to these facts, the
polymethylmethacrylate denture base resin (17), recorded failure strength value and the mode of
the bond level of the soft liner attributed to the specimen failure were affected by the type of the
acryloxyalkylsilicone which as well as improving test method such as peel, tensile and shear tests
(30)
the cross linking of the silicone soft liner, it .
intended to adhere to the (PMMA), besides; the
adhesive contained a γ- REFERENCES
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