Shear bond strength between denture teeth and denture base using different bonding resins and tooth surface treatments

Abstract

Aim of studyThe aim of the present study was to evaluate the influence of surface treatments of the ridge lap area of PMMA acrylic denture teeth on their shear bond strength with different bonding resins to denture base milled from prefabricated PMMA block, in a two-way factorial experiment. The traditional heat-curing method was included as a reference method to compare to the proposed new method that employs digital technology. Materials and methodsFifty-four cylindrical rods were prepared from two different types of PMMA based denture resin; one specially designed for the computer-aided design and computer-aided manufacturing (CAD/CAM) milling method (groups A, n = 18 and B, n = 18) and a conventional heat-curing resin (group C, n = 18). A central maxillary incisor was selected as the experimental tooth. The specimens of each group A, B, and C were divided equally into three subgroups (a, b, c; n = 6 for every subgroup) according to three surface conditionings (no treatment, sandblasting, sandblasting plus methyl-methacrylate application, respectively). A specially designed bonding resin for digital dentures was used in group A, and a common self-curing resin for repairs in group B, while in group C the specimens were prepared by the conventional heat-curing method. Shear bond strength was determined using an electro-mechanic loading frame (MTS Insight) with a cross-head speed to 1 mm/min. ResultsThere was a statistically significant interaction between the construction method (A, B, C) and tooth surface treatment (a, b, c) (p = 0.026). After eliminating one subgroup, the effect of tooth surface treatment was not significant (p = 0.42). ConclusionsSurface treatment seems not to affect the teeth-base bond. Denture teeth bonded to a CAD/CAM denture base using PMMA self-curing resin for repairs (group B) showed the highest bond strength compared to groups A and C. Clinical significanceIn terms of bond strength, the digital denture construction method can be successfully used in everyday clinical and laboratory practice and replace effectively the conventional heat curing method.