Heat-cured polymethyl methacrylate is (PMMA) is the most common denture base material and some mechanical properties such as flexural strength and impact resistance etc. may lead to fail, besides its excellent properties. Polypropylene (PP) hernia mesh is a commercially available medical textile used in surgical repair of different types of hernia. It was aimed to investigate the effect of two different knitting patterns of PP meshes on the flexural properties of the PMMA denture base resin when they are used as reinforcement and compare with glass fiber mesh reinforced and no mesh used resins. Knitting patterns of the PP mesh structures were hexagonal honeycomb pattern and square pattern and these were used as single or double layer as reinforcement. 6 groups were established in the study: control group with no mesh and 5 reinforced groups with meshes (glass fiber mesh, single layer honeycomb patterned PP mesh, double layer honeycomb patterned PP mesh, single layer square patterned PP mesh, double layer square patterned PP mesh). A total of 60 samples with the dimensions of 65x10x3 mm, n=10 in each group were fabricated. The flexural strength, maximum deformation, and flexural modulus were determined by three-point bending test. Fracture surfaces were evaluated by scanning electron microscopy. The obtained data were statistically analyzed by two-way ANOVA test with Bonferroni corrections. The single layer square patterned PP mesh group exhibited the highest (76.67 ± 7.64 MPa), and the control group showed the lowest (63.49 ± 7.18 MPa) flexural strength values. The single layer glass fiber mesh group showed the highest (7.13 ± 0.55 mm) and the control group showed the lowest (4.72 ± 0.81 mm) maximum deformation values. The single layer glass fiber mesh group exhibited the highest (2131.87 ± 205.76 MPa), and the control group exhibited the lowest (1582.26 ± 98.63 MPa) flexural modulus values. Significant increase in flexural strength was observed in all polypropylene mesh-reinforced groups compared to the control group except double layer honeycomb patterned PP mesh group (p < 0.05). Using PP fiber mesh for reinforcement provide a very favorable aesthetic view and PP fiber mesh is concluded to be a promising material for reinforcement of heat-cured PMMA denture base resins.
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