denture base materials 12
TRANSCRIPT
CLASSIFICATION OF RESINS
Due to their heterogenous structure and complex nature it
is difficult to classify them.
Based on the thermal behaviour, they are classified as;
Thermoplastic:
Refers to resins that are softened and moulded under heat
and pressure without any chemical changes occurring. They are
cooled after moulding. They are fusible and are usually soluble
in organic solvents. E.g., Polymethyl methacrylate, polyvinyl
acrylics and polystyrene.
Thermoset:
Refers to resins in which a chemical reaction takes place
during moulding. The final product is chemically different from
the original substance. These cannot be softened by reheating
like the thermoplastic resins. They are generally infusible and
insoluble. E.g., Crosslinked poly (methyl methacrylate), silicones
etc.
A more exact means for classification is in terms of its
structural units.
BASIC NATURE OF POLYMERS:
“Polymer”:
Denotes a molecule that is made up of many parts. The
mer ending represents the simplest repeating chemical
structural unit from which the polymer is composed. Poly
(methyl methacrylate) is a polymer having chemical structural
units derived from methyl methacrylate. Usually any chemical
possessing a molecular weight higher than 5000 is considered to
be a polymer.
“Monomer”:
The molecules from which the polymer is constructed are
called monomers (one part).
Polymer molecules may be prepared from a mixture of
different types of monomers and they are called co-polymers.
Molecular weight:
The molecular weight of polymer molecule equals the
molecular weight of the various mers multiplied by the number
of mers. They may range from thousand to millions of molecular
weight units depending on preparation conditions.
The molecular weight of polymers play an important role in
determining its physical properties.
Degree of polymerization: Defined as the total number of
mers in a polymer.
The higher the molecular weight of the polymer made
from a single monomer, the higher the degree of
polymerization.
The strength of the resin increases with increase in the
degree of polymerization until a certain molecular
weight is reached. Above this there is no change.
Molecular weight distribution:
A narrow molecular weight distribution gives the most
useful polymers. However most polymers have a wide range of
molecular weights and so vary widely in their properties. For
example, the higher the molecular weight, the higher the
softening and melting points and the stiffer the plastic.
Polymerization chemistry:
The term polymerization refers to a series of chain
reactions by which a macromolecule or polymer is formed from a
single molecule known as “monomer”.
These structural units are connected to each other within
the polymer molecules by bonds. Polymerization is a repetitive
intermolecular reaction that is functionally capable of
proceeding indefinitely.
Types: Most polymerization reactions fall into two basic types.
1) Condensation polymerization:
Condensation resins are divided into two groups:
a) Those in which polymerization is accompanied by
repeated elimination of small molecules: The primary
compounds react with the formation of by products such
as water, halogen acids, and ammonia. The process can
repeat itself and forms macromolecules.
b) Those in which functional groups are repeated in the
polymer chains: The mers are joined by functional
groups (like amide, urethane, ester or sulfide linkages).
Formation of a by-product is not necessary. E.g.,
polyurethane.
In the past several condensation resins have been used
to make denture bases. E.g., bakelite (phenol-
formaldehyde resin).
The formation of polymers by the condensation method
is rather slow. Also, it tends to stop before the
molecules have reached a truly giant size. Thus, building
molecules with high molecular weights is very difficult.
At present, condensation resins are not widely used in
dentistry.
2) Addition polymerization:
All resins employed extensively in dental procedures are
produced by addition polymerization. The word polymerization
when used alone means addition polymerization. Here there is
no change in chemical composition and no by products are
formed during the formation of macromolecules. In this type of
polymer the structure of the monomer is repeated many times in
the polymer.
Giant molecules of almost unlimited size can be produced
in this manner. Starting from an active center, one molecule at a
time is added and a chain rapidly builds up, which can grow
almost identifinitely as long as the supply of building blocks is
available. This process is simple but not easy to control.
ACRYLIC RESINS
The acrylic resins are derivatives of ethylene and contain a
vinyl group in their structural formula. The acrylic resins used in
dentistry are the esters of;
1) Acrylic acid, CH2=CHCOOH
2) Methacrylic acid, CH2=C(CH3)COOH
95 percent of the complete dentures made today use one
of the acrylic resins. These are available as methylmethacrylate
(liquid) and poly (methyl methacrylate) – (powder).
Poly(Methylmethacrylate) resins:
These are widely used in dentistry to fabricate various
appliances. One of the reasons for its wide popularity is the ease
with which it can be processed. Although, it is a thermoplastic
resin, in dentistry is not usually molded by the thermoplastic
means. Rather, the liquid (monomer) methylmethacrylate is
mixed with the polymer (powder). The monomer plasticizes the
polymer to a doughlike consistency which can be easily
moulded.
Types: Based on the method used for its activation;
i) Heat activated resins
ii) Chemically activated resins
iii) Light activated resins
Heat-activated denture base resins:
Mode o supply:
Available as: 1) Powder and liquid
2) Gels – sheets and cakes
Composition:
LIQUID
Methyl methacrylate dibutyl phthalate - Plasticizer
Glycol dimethacrylate (1-2%) - Crosslinking agent
Hydroquinone (0.006%) - Inhibitor
The liquid (monomer) is supplied in tightly sealed amber
coloured bottles (to prevent evaporation and premature
polymerization by light or ultraviolet radiation on storage).
POWDER
Poly (methyl methacrylate)
Other copolymers – 5%
Benzoyl peroxide - Initiator
Compounds of mercuric sulfide, cadmium sulfide - Dyes
Zinc or titanium oxide - Opacifiers
Dibutyl phthalate - Plasticizer
Dyed organic filler
Inorganic particles like glass fibers of beads
The powder is in the form of beads or small spherical
particles. The high molecular weight poly (methyl methacrylate)
dissolves in the monomer very slowly. So the following methods
are used to increase the solubility.
1) By incorporating an additive. E.g., a copolymer of methyl
methacrylate and ethyl acrylate.
2) By adding a plasticizer such as dibutyl phthalate, either
by ball milling it with the pearls or by adding it to the
monomer (8 to 10%).
3) By blending the high molecular beads with poly (methyl
methacrylate) of lower molecular weight, which is more
soluble in the monomer.
Polymerization reaction:
Polymerization is achieved by application of heat and
pressure. The simplified reaction is outlined below:
Powder Liquid
(Polymer) (Monomer)
+ + + + Heat --- Polymer + Heat
Initiator) Inhibitor) (External)
(Reaction)
Technical consideration:
1) Compression moulding technique
2) Injection moulding technique
I. Compression Moulding Technique:
This is the most commonly used technique in the
fabrication of acrylic resin dentures.
Steps:
1. Preparation of the wax pattern
2. Preparation of the split mould
i) The pattern is invested in a dental flask using
dental stone or plaster.
ii) After the stone or plaster sets, it is dewaxed by
placing the flask in boiling water for not more than
5 minutes.
3. Application of separating medium:
The resin must be protected from contact with gypsum
surface for the following reasons:
i) To prevent water from the mould entering into the
acrylic resin. This may affect the rate of
polymerization and colour of the resin.
ii) To prevent monomer penetrating into the mould
material, causing plaster to adhere to the acrylic
resin and producing a rough surface.
Types of separating media:
The various separating media used are:
a. Tinfoil
b. Cellulose lacquers
c. Solution of alginate compounds
d. Evaporated milk
e. Soap
f. Sodium silicate
g. Starches
Tin foil was the material used earlier. This is a time
consuming and difficult process. It has been largely replaced by
other separating media known as tinfoil substitutes.
4. Mixing of powder and liquid:
The correct proportions of polymer and monomer are
mixed.
Proportion: Polymer – Monomer = 3 : 1 by volume
OR
2 : 1 by weight
Mixing is normally carried out by placing a suitable volume
of liquid into a clean, cry mixing vessel followed by slow addition
of powder, allowing each powder particle to become wetted by
monomer. The mixture is then stirred and allowed to stand in a
closed container.
Physical stages of polymerization:
After mixing polymer & monomer, it is allowed to stand in a
closed mixing vessel jar. The material goes through various
physical stages. No polymerization reaction takes place during
these stages. But the plasticization takes place by a partial
solution of the polymer in the monomer.
Stage 1 : Wet sand stage: The polymer gradually settles into
the monomer forming a fluid, incoherent mass
Stage 2 : Sticky stage: The monomer attacks the polymer by
penetrating into the polymer. The mass is sticky and
stringy (cobweb like) if the mixture is touched or
pulled apart.
Stage 3 : Bough or gel stage: As the monomer diffuses into
the polymer, the mass becomes more saturated with
polymer in solution. It becomes smooth and dough
like. It does not adhere to the walls of the jar. It
consists of undissolved polymer particles suspended
in a plastic matrix of monomer and dissolved
polymer. The mass is plastic and homogenous and
packed into the mould at this stage.
Stage 4 : Rubbery stage: The monomer disappears by further
penetration into the polymer and evaporation. The
mass is cohesive, rubber like, non plastic and
cannot be moulded.
Stage 5 : Stiff.
5. Packing: The powder – liquid mixture should be packed into
the flask at the dough consistency for several reasons:
i) If it is packed at the sandy or stringy stages, too
much monomer will be present between the polymer
particles, and the material will be of too low a
viscosity to pack well and will flow out of the flask too
easily. Packing too early may also result in porosity in
the final denture base.
ii) If packed at the rubbery to the stiff stage, the
material will be too viscous to flow, and metal-to-
metal contact of the flask halves will not be obtained.
Delayed packing will result in loss of detail in the
denture, movement or fracture of the teeth and
increase in the contact vertical dimension of the
denture.
6. Curing: After the final closure of the flasks, they should
remain at room temperature for 30 to 60 minutes.
Sometimes this is called as “Bench curing”.
Curing cycle:
The curing or polymerization cycle is the technical name
for the heating process employed to control the initial
propagation of polymerization in the denture mould. The curing
cycle selected should depend on the thickness of the resin.
Following are the recommended curing cycles.
i) Heat the flask in water at 600 to 700C for 9 hours.
ii) Heat the flask at 650C for 90 minutes, then boil the
water for 1 hour for adequate polymerization in thinner
portions.
7. Cooling: The flask should be cooled slowly i.e.
bench cooled. If it is placed directly into tap water,
warpage of the denture takes place due to differential
thermal contraction of the resin and gypsum mould.
Cooling overnight is ideal.
8. Deflasking: This has to be done with care to avoid
flexing and breaking of the acrylic dentures.
9. Finishing and polishing: A suspension of finely
ground pumice in water is commonly used for polishing.
II. Injection moulding technique:
The mould space may be filled by injecting the resin under
pressure before it hardens. A sprue hole and a vent hole are
formed in the gypsum mould and the metal flask is constructed
such that it will adapt to the injection moulding equipment. The
soft resin is contained in the injector and is forced into the
mould space as needed. The resin is injected in dough stage and
kept under pressure until it has hardened.
In the case of the polystyrene resin, the polymer is first
softened under heat and injected while hot. The thermoplastic
resin then solidifies in the mould upon cooling.
No trial closures are required with this technique. There is
no difference in accuracy or physical properties as compared to
compression moulding technique.
Advantages Disadvantages
1. Dimensional accuracy 1. High capital costs
2. Low free monomer content 2. Difficult mould design problems
3. Good impact strength 3. Less craze resistance
4. Less creep resistance
5. Special flask is required
Polymerization procedure
Polymerization:
When the temperature of the dough increases above 600C
the molecules of benzoyl peroxide decompose to form free
radicals. A free radical reacts with a monomer molecule, and a
new free radical is formed, which in turn gets attached to
another monomer molecule. The chain reaction is thus
propagated until a termination occurs.
The rate of polymerization depends upon the rate at which
the free radicals of benzoyl peroxide are released. This is
dependant on the temperature.
Lower temperature of polymerization results in greater
molecular weight of the polymer.
Temperature rise:
The polymerization reaction is exothermic. As the
temperature of water and plaster are increased from room
temperature to 1000C in 60 minutes, the temperature of acrylic
increases to the same rate until the temperature rises slightly
above 700C.
At this time the temperature of the resin begins to rise
rapidly. At this temperature more number of benzoyl peroxide
molecules are activated producing a chain reaction. Because of
this the temperature of the interior of the resin rises above the
temperature of boiling water at which the resin was polymerized.
Curing cycle:
The curing cycle is the technical name for the heating
process employed to control the initial propagation of
polymerization in the denture mould.
The recommended curing cycles are;
i) Heat the flask in water at 600 to 700C for 9 hours.
ii) Heat the flask at 650C for 90 minutes, then boil water
for 1 hour for adequate polymerization in thinner
portions.
Apart from water bath, a variety of other methods of
supplying the necessary heat to accelerate the polymerization
function have been used. They include;
1. Steam 4. Infrared heating
2. Dry air oven 5. Induction or dielectric heating
3. Dry heat (electrical) 6. Microwave radiation
Results of various processing studies have shown that
equally satisfactory, but not superior, results may be obtained
with any of the methods compared to water bath method if
adequate temperature control and pressure are maintained.
Polymerization by microwave energy: Poly (methyl
methacrylate)
Resin can also be polymerized by microwave energy.
Advantages:
1. It is cleaner and faster than polymerization with the
conventional hot water.
2. The fit of the denture is comparable or superior.
3. Acrylic resins formulated for microwave polymerization
are less prone to porosity.
Advantages
1. Good appearance
2. High glass transition
3. Ease of fabrication
4. Low capital costs
5. Good surface finish …Is2
Disadvantages:
1. Radiolucency
2. Free monomer content or formaldehyde may cause
sensitization.
3. Fatigue life too short
4. Low impact strength
Chemically activated denture base acrylic resins:
The chemically activated acrylic resins polymerize at room
temperature. They are also known as ‘self-curing’, ‘cold cure’ or
‘autopolymer’ resins.
In cold cured acrylic resins, the chemical initiator benzoyl
peroxide is activated by another chemical. (dimethyl-para
toluidine) which is present in the monomer.
Therefore, the fundamental difference between heat cure
and self cure resins is the method of activation of benzoyl
peroxide.
Composition Liquid
Methyl methacrylate
Dimethyl-p-toluidine - Activator
Dibutyl phthalate - Plasticize
Glycol dimethacrylate 1 to 2% - Cross linking agent
Hydroquinone 0.006% - Inhibitor
Powder
Poly (methyl methacrylate)
Other copolymers – 5%
Benzoyl peroxide - Initiator
Compounds of mercuric
sulfide, cadmium sulfide
- Dyes
Zinc or titamium oxide - Opacifiers
Dibutyl phthalate - Plasticizer
Dyed organic fillers
Inorganic particles like glass fibres or beads
Manipulation:
1. Sprinkle on technique
2. Adapting technique
3. Fluid resin technique
4. Compression moulding technique
5. Injection moulding technique
Fluid resin technique: (Pour-type acrylic resins)
The chemical composition of the pour type of denture resin
is similar to the poly (methyl methacrylate) materials that are
polymerized at room temperature. The principal difference is
that the pour type of denture resins have high molecular weight
powder particles that are much smaller and when they are mixed
with monomer, the resulting mix is very fluid. Therefore they are
referred as ‘fluid resins’. They are used with significantly lower
powder liquid ratio, i.e., it ranges from 2:1 to 2.5:1. This aids to
prevent undue increase in viscosity during mixing and pouring
stages.
The main difference with these materials lies in the
methods of flasking and curing. This technique most commonly
involves the use of agar hydrocolloid for the mould preparation
in place of usual gypsum investment. The fluid mix is quickly
poured into the mould and allowed to polymerize under pressure
at 0.14 MPa (20 psi).
Light-Activated Denture Base Resins
This denture base material consists of a urethane
dimethacrylate matrix with an acrylic copolymer, microfine silica
fillers, and a photoinitiator systems. (Camphoroquinone amine
photoinitiator).
It is supplied in premixed sheets having a claylike
consistency. It is provided in opaque tight packages to avoid
premature polymerization. The denture base material is adapted
to the cast while it is in a plastic state. The denture base can be
polymerized without teeth and used as a base plate. The teeth
are added to the base with additional material and the anatomy
is sculptured while the material is still soft. It is polymerized in a
light chamber (curing unit) with blue light of 400-500 nm from
high intensity quartz halogen bulbs. The denture is rotated
continuously in the chamber to provide uniform exposure to the
light source.
Properties of denture resins:
Methyl methacrylate monomer:
It is a clear, transparent, volatile liquid at room
temperature. It has a characteristic sweetish odour. The physical
properties of monomer are:
Melting point : - 480C
Boiling point : 100.80C
Density : 0.945 gm/ml at 200C
Heat of polymerization : 12.9 Kcal/mol
Volume shrinkage during polymerization : 21%
Poly (methyl methacrylate):
1. Taste and odour: Completely polymerized acrylic resin is
tasteless and odourless.
2. Esthetics: It is a clear transparent resin which can be
pigmented (coloured) easily to duplicate the oral
tissues. It is also compatible with dyed synthetic fillers.
3. physical and mechanical properties:
Density: The polymer has a density of 1.19 gm/cm3
Strength:
Compressive and tensile strengths:
These materials are typically low in strength. However,
they have adequate compressive and tensile strength for
complete or partial denture applications.
Compressive strength - 75 MP
Tensile strength - 52 MP
Hardness:
Acrylic resins are materials having low hardness. They can
be easily scratched and abraded.
Heat cured acrylic resin : 18.20 KHN
Self cured acrylic resin : 16 – 18 KHN
Modulus of elasticity:
Acrylic resins have sufficient stiffness (modulus of
elasticity – 2400 MPa) for use in complete and partial dentures.
However, when compared with metal denture bases it is low.
Self cured acrylic resins have slightly lower values.
4. Dimensional stability:
A well processed acrylic resin denture has good
dimensional stability. The processing shrinkage is balanced by
the expansion due to water sorption.
a) Shrinkage: Acrylic resins shrink during processing due to
two reasons:
1. Thermal shrinkage on cooling
2. Polymerization shrinkage
Polymerization shrinkage:
During polymerization, the density of the monomer
changes from 0.945 gm/cc to 1.19 gm/cc. This results in a
shrinkage in the volume of monomer-polymer dough.
However, inspite of the high shrinkage, the fit of the
denture is not affected because the shrinkage is uniformly
distributed over all surfaces of the denture. Thus, the actual
linear shrinkage observed is low.
Volume shrinkage - 8%
Linear shrinkage - 0.53%
Self cured resins have a lower shrinkage (linear shrinkage –
0.26%).
b) Water sorption:
Acrylic resins absorb water (0.6 mg/cm2) and expand. This
partially compensates for its processing shrinkage. This process
is reversible. Thus, on drying they lose water and shrink.
(However, repeated wetting and drying should be avoided as it
may result in warpage of the denture).
Solubility:
Poly (methyl methacrylate) is virtually insoluble in water
and oral fluids.
They are soluble in ketones, esters and aromatics and
chlorinated hydrocarbons. Alcohol causes crazing in some resins.
6. Thermal properties:
a. Stability to heat: Poly(methyl methacrylate) is chemically
stable to heat. It softens at 1250C. However, above this
temperature i.e., between 1250C and 2000C it begins to
depolymerize. At 4500C, 90% of the polymer will
depolymerize to monomer.
b. Thermal conductivity: They are poor conductors of heat
and electricity.
c. Coefficient of thermal expansion: These materials have a
high coefficient of thermal expansion (81 x 10 -6/0C).
Addition of fillers reduces the coefficient of expansion.
7. Colour stability: Heat cured acrylic resins have (greater)
colour stability. The colour stability of selfcure resins is
slightly lower (yellows very slightly).
8. Biocompatibility: completely polymerized acrylic resins are
biocompatible.
Pure monomer if inhaled over a long period is toxic. It may
also cause allergic manifestations in some individuals.
Precautions to be taken are;
i. Minimize residual monomer content by using proper
processing techniques.
ii. Avoid direct handling of acrylic dough with bare hands.
iii. Work in well ventilated areas to avoid inhalation of the
monomer vapour and the usage of mouth mask.
Residual monomer:
During the polymerization process the amount of residual
monomer decreases first rapidly and then later more slowly.
The highest residual monomer level is observed with
chemically activated denture base resins at 1% to 4% shortly
after processing. When they are processed in less than one hour
in boiling water the residual monomer is 1% to 3%. IF they are
processed for 7 hours at 700C and then boiled for 3 hours the
residual monomer content may be less than 0.4%.
In heat cured acrylic before the start of curing the residual
monomer is 26.2%. In 1 hour at 700C it decreased to 6.6% and at
1000C it was 0.29%.
In order to reduce the residual monomer in heat cured
dentures it should be processed for a longer time in boiling
water. The processing temperature should be raised to boiling
when most of the polymerization is completed otherwise porosity
may result.
9. Adhesion: The adhesion of acrylic to metal and porcelain is
poor, so mechanical retention is required. Adhesion to
plastic (denture) teeth is good.
10. Shelf life: The shelf life varies considerably. The acrylic
resins dispensed as powder/liquid have the best shelf life.
The gel type has a lower shelf life and has to be stored in a
refrigerator.
Porosity
Porosity is a processing error in acrylic resins. When
porosity is present on the surface, it makes the appearance of
denture base unsightly. Proper cleaning of the denture is not
possible, so the denture hygiene and thus the oral hygiene
suffer. Even when it appears as internal porosity in the form of
pores or blebs, it weakens the denture base and the pores are
areas of stress concentration, thus the denture warps as the
stresses relax.
Porosity may be:
1. Internal porosity
2. External porosity
1. Internal porosity: Is in the form of voids or bubbles within
the mass of the polymerized acrylic. It is usually not
present on the surface of a denture. It is confined to the
thick portions of the denture base and it may not occur
equally throughout the affected area.
2. External Porosity: It can occur due to two reasons:
i) Lack of homogeneity: If the dough is not
homogenous at the time of polymerization, the
portions containing more monomer will shrink more
than the adjacent areas. This localized shrinkage
results in voids. The resin appears white.
It can be avoided or minimized by using proper
powder-liquid ratio and mixing it well. The mix is
more homogenous in the dough stage, so packing
should be done at the dough stage.
ii) Lack of adequate pressure: During polymerization
or due to lack of dough in the mould during final
closure. Bubbles appear which are not spherical
and the resin appears white. A pigmented resin
appears lighter in colour due to lack of pressure
during polymerization.
Crazing
Crazing is formation of surface cracks on the denture base
resin. These cracks may be microscopic or macroscopic in size.
In some cased it has a hazy or foggy appearance raphe than
cracks.
Crazing has a weakening effect on the resin and reduces
the esthetic qualities. Cracks formed on crazing are indicative of
the beginning of a fracture.
Causes: Crazing is due to
1. Mechanical stresses or
2. Attack by a solvent of water
Recent advances:
Several modified poly (methyl methacrylate) materials
have been used for denture base applications. These include:
Pour type of denture resins, hydrophilic polyacrylates. High
impact strength resins, Rapid heat polymerized acrylic and
Light-activated denture base material.
High impact strength materials:
These materials are butadiene styrene rubber-reinforced
poly (methyl methacrylate). The rubber particles are grafted to
methylmethacrylate so that they will bond well to the heat
polymerized acrylic matrix. These materials are supplied in a
powder-liquid form and are processed in the same way, as other
heat-accelerated methyl methacrylate materials.
Rapid heat-polymerized resins:
These are hybrid acrylics that are polymerized in boiling
water immediately after being packed into a denture flask. After
being placed into the boiling water, the water is brought back to
a full boil for 20 minutes. After the usual bench cooling to room
temperature, the denture is deflasked, trimmed, and polished in
the usual manner. The initiator is formulated to allow for rapid
polymerization without the porosity that one might expect.
METALLIC DENTURE BASE MATERIALS
Chrome castings, gold castings and aluminum castings are
still in use. Gold cast bases have some drawbacks. The recent
prices are extremely high.
Gold is very heavy when used as a base; of course its
accuracy is outstanding and adjustment factor causes no
problems. A maxillary denture with a gold base can be self
defeating because of weight.
Chrome metal bases are economical to cast and fit
acceptably. They are used as lower full cast lower bases. They
are difficult to adjust. Chrome also used to reinforce acrylic
denture for added strength and for less dimensional change in
denture resin.
Cast aluminum bases are always acceptable they are used
as they are easy to adjust with simple burs and rubber wheels.
Aluminum can be destroyed by soaking in denture cleansers with
chloride ions. They can be used as palatal cover as chrome
castings or a full casting veneered with denture resin.
Advantages of metal bases:
Metal base prevents warpage during processing while
acrylic resin does not.
Metal base is stronger than acrylic resin and is less
subject to breakage.
The fit of metal is more accurate and tissue detail in
reproduced more faithfully than acrylic resin bases.
Less tissue change seems to occur metal bases than
under those of acrylic resin.
A metal base is less porus than organic material.
Metal is a better thermal conductor than organic
material.
Dentures made with metal bases show less lateral
deformation in function than do others.
Patients appear to master the use of dentures made with
metal bases more quickly than do with others.
Problems of patients with poor ridges have been treated
more successfully with metal bases than others.
A snugness of fit, attainable with metal base dentures,
seems to be absent in acrylic resin denture bases.
Metal denture bases
Metal denture bases may be made from a number of
different materials such as gold, aluminum – manganese,
platinum, satellite (cobalt-chromium) alloys and stainless steel.
Some disadvantages of metal bases are;
Greater initial cost and greater restorative cast.
Difficulty and expense of rebasing and regrinding
occlusion of metal dentures.
Less margin of error permissible in post palatal seal on a
metal denture.
Advantages of cast metal bases:
The metal base prevents warpage during processing
while acrylic resin does not.
Metal bases is stronger than acrylic resin and is less
subject to breakage.
The fit of aluminum is more accurate and tissue detail is
more.
Less tissue change seems to occur under aluminum or
other metal bases than under those of acrylic resin.
A metal base is less porus than organic material.
Classification of dental casting alloys:
In 1932, dental materials group at the National Bureau of
Standards surveyed the alloys being used and roughly classified
them as;
Type I - Soft (VHN 50-90)
Type II - Medium (VHN 90-120)
Type III - Hard (VHN 120-150)
Type IV - Extrahard (VHN ≥ 150)
According to ADA Specification No. 5 a dental casting alloy
is classified as;
Type I (Soft): For restorations subjected to very slight stress
such as inlays.
Type II (Medium): For restoration subjected to moderate stress
such as inlays.
Type III (Hard): For high stress situations, including onlays,
crowns, thick veneer crowns and short span fixed partial
dentures.
Type IV (Extra hard): for extremely high stress such as
endodontic posts and cores, thin veneer crowns, long span fixed
partial dentures and removable partial dentures.
Desirable qualities of casting alloys:
Metal must exhibit biocompatibility.
Ease of melting, casting, brazing (or soldering and
polishing.
Little solidification shrinkage, minimal reactivity with
mold material.
Good wear resistance, high strength and sag resistance.
Excellent tarnish and corrosion resistance.
Alloys can also be classified as;
Alloys for all metal restorations
Metal ceramic restorations
Removable partial dentures
Alloys for removable partial dentures:
Highly noble - Au – Ag – Cu – Pd
Noble – Ag – Pd – Au – Cu
Ag – Pd
Base metal - Pure Titanium
Titanium aluminum vanadium
Ni-Cr-Mo-Be
Ni-Cr-Mo
Co-Cr-Mo
Co-Cr-W
Requirements of cast metal bases:
Bases should be;
As thin as possible and at same time rigid depending on
alloy used.
Dense
Accurate that is having a positive fit on master cast
without rocking.
Of a biologically acceptable alloy.
Design principles of metal bases:
Although some aspects of construction of cast metal bases
depend entirely on alloy chosen, the principles of design remain
essentially the same the design of cast metal base always must
be a clinical decision. A mount of coverage, placement of finish
lines and type of resin retention used has to be determined.
Maxillary bases:
Maxillary bases can cover;
Only the palate
The palate and ridge crest
Entire denture bearing area
The most satisfactory design covers complete palate and
ridge crest, but leaves denture borders in resin. An acceptable
variation in this design also places the posterior palatal seal area
in metal and begins resin periphery at pterygomaxillary notch
area.
If posterior palatal seal is to be in metal, it is essential that
dentist establish this critical area accurately.
Mandibular bases:
The mandibular cast base is of only two types;
With crest of ridge coverage.
With complete coverage of mandibular denture space.
Since exact determination and registration of mandibular
denture space is difficult clinically. The crest of ridge coverage
with resin peripheries is preferable, especially when using chrome
base alloys because adjustment and subsequent repolishing are
much more difficult than when using resin peripheries.
Resin retention:
Resin retention for maxillary or mandibular bases is of four
types;
Raised (relieved) retention mesh.
Non-relieved retention of beads.
Nail beads
Loops.
Since relieved retention places thin resin adjacent to
denture bearing tissues, it is inferior to non-relieved types which
permit a butt joint of thicker resin. In addition non-relieved
retention uses less inter-ridge space.
GOLD DENTURE BASES
Pure gold is a soft and ductile metal and so is not used for
casting dental restorations and appliances dental casting golds
are alloyed commonly with copper, silver, platinum, palladium,
nickel and zinc, alloying with these elements not only improves
its physical and mechanical properties but also reduces its cost.
Type IV (Extra hard) gold alloys are used for fabrication of
removable partial denture frameworks. The composition of type
IV gold alloy is;
Gold - 69%
Copper - 10%
Silver - 12.5%
Palladium - 3.5%
Platinum - 3%
Traces of indium, tin, iron, zinc and gallium function of
alloying elements.
Gold: Provides tarnish and corrosion resistance and has a
desirable appearance it also provides ductility and malleability, it
has low strength. Gold melts at 10640C and has a density of
19.329/cc.
Copper: Is the principal hardener, it reduces melting point and
density of gold, it present in sufficient quantity , it gives reddish
color, it also helps to age harden alloys in greater amounts it
reduces the resistance to tarnish and corrosion of gold alloy.
Hence it should not exceed 16%.
Silver: It whitens the alloy, thus helping to counteract the
reddish colour of copper to a slight extent it increases harden and
strength in large amounts it reduces tarnish resistance.
Platinum: It increases the strength and corrosion resistance, it
also increases the melting point and has a whitening effect on
alloy it helps to reduce grain rise.
Palladium: It is similar to platinum in its effect, it hardens as
well as whitens alloy it also raises the fusion temperature and
provides tarnish resistance it is less expensive than platinum thus
reducing the cost.
Trace elements:
Zinc: It acts as a scavenger for oxygen without zinc the silver in
the alloy causes absorption of oxygen during melting. Later
during solidification, the oxygen is rejected producing gas
porosities in the casting.
Indium tin and iron: They help to harden the metal ceramic
gold-palladium alloys, iron being the most effective.
Gallium: It is added to compensate for the decreased coefficient
of thermal expansion that results when the alloy is made silver
free. The elimination of silver reduces the tendency for green
stain at the margin of metal porcelain interface.
Iridium, ruthenium, rhenium: They help to decrease the grain
size they are added in very small quantities.
Desirable properties in a gold base dentures:
It has weight which is very important in retention of lower
denture.
It has the closest possible adaptation to underlying
tissues. Since it is cast directly to a refractory duplicate
cast.
It provides bracing which prevents the acrylic resin from
contracting in horizontal dimension during processing and
ensures better over all adaptation of denture base.
It is kind to underlying tissue because of excellent
tolerance of tissues to gold.
Chrome cobalt alloy bases in comparison with gold:
Chrome cobalt alloys cannot be cast to same degree of
accuracy.
Being lighter, the base has to be cast to such a thickness
to obtain desired weight that it might interfere with proper
tooth placement in some degrees.
Cobalt chromium alloys are so hard that they are difficult
to adjust.
A cobalt-chrome alloy framework is wholly covered by
acrylic resin is a highly desirable adjust to any lower denture.
If desired weight cannot be obtained excessive bulk
section of tungsten rods can be spot welded to frame or at
points of least interference.
Characteristics of gold bone lower dentures:
Gold bases was thin and appeared to be utilized primarily
to provide good tissue adaptation.
Should not employed for a patient having appreciable
undercuts existing in lower ridge.
Weight and bracing are most important factors provided
by lower gold base close tissue adaptation and tissue
tolerance are secondary.
Possible relining.
To fulfill above requirements, gold base should;
Cover as much of basal surface of lower denture as
possible and still allow at least 3 mm of acrylic resin
around the entire border.
Cover about one half of retromolar pad.
Should have enough finger like extension into denture to
insure good retention of acrylic.
Be cast in a hard, partial denture type of gold.
Extent of gold base:
Gold base should not be extended into undercut as it may
require trimming of final cast to seat the casting.
Gold base extension in cast of undercut height of contour
should be marked with pencil held vertically, if tip of
pencil touches the cast beyond undercut and is outside
the border extension then undercut should not be
covered.
It tip of pencil touches the cast beyond the undercut and is
inside the border extension, then undercut can be covered by
gold. This is permissible because the casting will contact the cast
firmly beyond the area trimmed and prevent the acrylic resin
from flowing under the casting and displacing it during
processing.
Indications of cast gold base:
Can be used in all types of edentulous mandibular ridges, it
is especially indicated for patients who has a resorbed residual
ridge and has worn small under-extended dentures. This is
because the tendency of lip and cheek to return to their habitual
position will result in vertical displacement of the usual light
weight lower denture. This tendency will not result in
displacement of a gold base denture because of its added weight.
Contraindications of lower gold base dentures:
Lower gold bases are not indicated for dentures for very
old patients who have suffered a great loss of muscle tone
and have no residual ridge. These patients are often
stooped and head in a forwardly inclined position. In these
patients weighted lower denture slides forward on body of
mandible, and lower lip is too weak to hold it in place, the
result is a constant protrusion and soreness of oral surface
of lower lip.
Patients who fear of oral cancer, these patients will not
permit the use of gold base for fear the hard metal would
cause cancer.
Some patients have a fixed idea that even a denture with
a plastic base is too heavy. Such patients cannot tolerate
the added weight of gold base.
Weight of the base:
Gold bases varies in weight from10 to 24 dwt. According to
clinical results the weight should be between 12 to 20 dwt. A
weight of 16 dwt was considered to be ideal.
Weight of denture base and vertical dimension of rest
position:
According to clinical analysis, the vertical dimension
established at rest will be increased by about 1.5 mm after 30
days of insertion of denture with gold base.
Relining:
Gold base lower dentures can be relined satisfactorily
providing there is sufficient extension of acrylic resin beyond the
gold around the border.
Comparison of weight of gold and weight of lost tissue
(teeth and bone):
The weight of teeth and bone lost through extraction and
extensive resorption will be around 29 dwt and 23 grains. The
weight of lower denture with porcelain teeth and gold base is 16
dwt.
Summary:
Most lower dentures weigh less than half as much as the
teeth and supporting tissues have been lost. This reduction in
weight might contribute to improper muscle function and a
reduction in normal rest V.D. This is an important factor in
adequate extension and retention of lower dentures. These
deficiencies can be overcomed by a cast gold lower denture base
and adequate expansion of the bone.
ALUMINUM DENTURE BASES
First casting of aluminum complete denture base – by
Bean (US).
Few years later Caroll presented a method for casting the
aluminum bases under pressure.
Advantages: Thermal conductivity, malleability and rigidity.
Disadvantages: Warpage and imperfect density of casting.
Review
Campbell
Aluminum is best base upon which a denture can be
fabricated. Because of thermal conductivity it provides favorable
patient response and also promotes a normal pink, physiologic
condition of mouth.
Sizeland-Coe
First to discuss super-pure aluminum alloy for
construction of denture base. Purity of newer alloy
eliminated much of intraoral corrosion that existed with
earlier alloy.
Anodizing aluminum alloy:
This process adds an oxide layer to surface of alloy which
helps to prevent tarnish and corrosion and it enables the
aluminum to be colored as desired. This process is called as
“Alumilite process”. Alumilite process was recommended by
the aluminum company of America (“ALCOA”). Alumilite
gives maximum corrosion resistance.
Granger
Recommended use of metal bases particularly aluminum.
According to him they provide greater surface detail and
more accurate fit which causes both stability and retention
of his bases.
Neill
Compared physical properties of aluminum with other alloys.
PropertiesAluminum
alloy
Acrylic
resin
Chrome
cobaltGold alloy
Density 2.66 1.18 8.2-8.6 15
Hardness (Brinell) 60.68 23.29 280 Soft-138
Hard -210
Ultimate tensile
strength
9.6 3 49 Soft-26
Hard -49
Melting range 580.640 - 1270-1305 870-985
% of elongation 4 - 5 Soft-4.25
Hard -1-6
Landquist: In region of midpalatine
Average discrepancy – 0.020 inch for heat cured resin under
light pressure.
- 0.0039 inch for aluminum bases.
Primary disadvantage:
Grayish discoloration rather than shiny silver finish may be
due to inadequate cleaning.
Barosoum et al.
Accuracy of aluminum is better than cold cure and heat
cure resin and hence they will be less irritating and provide
tissue health.
Swartz: Compared the retention of various bases (One
hook in mid-palatal region).
Aluminum (most retentive – 15.46 pounds)
Porcelain (13.24 pounds)
Cold cure acrylic resin (12.89 pounds)
Heat cured acrylic resin (least retentive 12.26 pounds)
Defurio and Gehl
Compared retention of various bases (Seven hooks in
periphery of base as well as in mid-palatal region).
Aluminum, acrylic resin, gold and chrome cobalt alloy.
Chrome cobalt alloy – resisted displacement to greatest
degree).
Aluminum – second in retentive ability.
Regli and Kydol
Lateral deformation in horizontal plane gold metal base with
28 gauge – 8.5 times more resistance to lateral deformation
than acrylic resins.
Jha
Tissue response of aluminum bases;
After 8 weeks- Decrease in thickness of stratumcorneum.
- No connective tissue changes.
- Mild increase in vascularity and fibrosis along
with small number of chronic inflammatory
cells.
Technical considerations:
Several techniques can be used for making aluminum
denture bases depending on the impression method, duplication
method and counting procedures utilized.
One of main reasons for using cast aluminum alloy as a
denture base material is its accurate fit. Therefore impression
techniques should be one which accurately records tissue detail
and has as great a tissue coverage as possible.
The problems most frequently encountered are pitting and
porosity of aluminum casting. These are largely due to passivity
of aluminum because of aluminum’s affinity for oxygen, it
oxidizes rapidly in air to form a strong adherent oxide layer at
higher temperatures, oxidation occurs much more rapidly, if the
alloy is overheated during casting, or if it is heated for a longer
period of time than necessary, an excessive amount of oxygen is
incorporated into molten alloy, upon solidification, oxygen is
retained, resulting in pitting and porosity.
COBALT CHROMIUM ALLOYS
Cobalt chromium alloys have been available since 1920’s.
These alloys are hard, rigid and corrosion resistant. Because of
their corrosion resistance at high temperature they are also used
for car sparking plugs and turbine blades. They are also known as
“Stellites” because they maintain their shiny, star-like
appearance under different conditions.
Composition:
Cobalt - 35-65%
Chromium - 20-35%
Nickel - 0-30%
Molybdenum - 0-7%
Carbon upto 0.4%
Tungsten, manganese, silicon and iron may also be present
in small quantities.
Effect of constituents:
Cobalt: Principal element, cobalt is hard, strong and rigid metal
high melting point.
Chromium: Forms a solid solution with cobalt it renders the alloy
corrosion resistant, due to a passivating effect. Chromium
content is directly proportional to tarnish and corrosion resistant,
it reduces melting point.
Nickel: It replaces some of cobalt-nickel and cobalt are
interchangeable, it decreases hardness, strength, MOE and fusion
temperature, increases ductility. Molybdenum, tungsten,
manganese and silicon harden and strengthen the alloy.
Molybdenum reduces the grain size.
Manganese and silicon primarily act as oxide scavengers
and prevent oxidation of other metals during melting. They also
function as hardners.
Carbon: It is invariably present and it reacts with many of other
metals or constituents to form carbides. These solidify lost during
cooling after casting, so appear at grain boundaries, the carbon
content of cobalt chromium depends on;
The quantity of carbon initially present before casting
and
Pick-up carbon from a heating flame, if this technique of
melting is used.
Control of carbon content of these alloys is most important.
The carboides that are formed embrittle the alloy with the
consequent danger of for example, partial denture clasp fracture.
Properties:
Cobalt-chromium alloys have replaced type IV gold alloys
because of their lower cast and adequate mechanical properties.
Chromium is added for tarnish resistance since chromic oxide
forms an adherent and resistant surface layer.
Physical properties:
Density: The density is half that of gold alloys, so they are
lighter in at 8 to 9 gms/cm2.
Fusion temperature: The casting temperature of this alloy is
considerably higher than that of gold alloys 12500C to 14800C.
ADA specification No. 14 divides it into two types based on
fusion temperature, which is defined as liquidus temperature.
Type I (High fusing): Liquidus temperature greater than
13000C.
Type II (Low fusing): Liquidus temperature not greater than
13000C.
Technical properties:
Yield strength: It is higher than that of gold alloys 710 MPa.
Elongation: Their ductility is lower than that of gold alloys
depending on compression rate of cooling and the fusion and
mold temperature employed it ranges from 1 to 12%.
These alloys work harden easily so care must be taken while
adjusting clasp arms of partial denture.
Modulus of elasticity: They are twice as stiff as gold alloys.
Thus, casting can be made more thinner, thus decreasing the
weight of RPD adjustment of clasp is not easy 225 X 103 MPa.
Hardness: These alloys are 50% harder than gold alloys. Thus
cutting grinding and finishing is difficult.
Tarnish and corrosion:
Formation of a layer of chromium oxide on surface of these
alloys prevents tarnish and corrosion in oral cavity. This is called
“Passive effect”.
Solutions of hypochlorite and other chlorine containing
compounds that are present in some denture cleansing agents
will cause corrosion in such base metal alloys. Even the
oxygenating denture cleansers will stain such alloys. Therefore,
these solutions should not be used for cleaning chromium base
alloys.
Casting shrinkage: Casting shrinkage is much greater than that
of gold alloys, so limited use in crown and bridge 23%. High
shrinkage is due to their high fusion temperature.
Porosity: As in gold alloys, porosity is due to shrinkage and
release of dissolved gasses. Porosity is affected by compression
of alloy and its manipulation.
Comparison with gold alloys:
Materials ConditionMOE
GN/m2
Proportiona
l limit
Ultimate
tensile
strength
MN/m2
Elongatio
nHardness M.R.
Densit
y
Gold alloy
type IV
Soft 95 360 480 15 130-
150
850-
950
15
Gold alloy
type IV
Hard 100 585 790 10 210-
230
210-
230
15
Cobalt
chromium
alloy
As Cast 250 515 690 4 370 370 8
Silver
palladium
alloy
Soft 95 345 480 9 140-
170
950-
105
0
12
The proportional limit of cobalt-chromium alloys is less
than that of the hardened gold alloys, and the ultimate
tensile strength of former is slightly lower than that of
latter material.
The cobalt-chromium alloys have a modulus of elasticity
about twice that of gold alloys that is they are stiffer.
This is very desirable for connectors and it means the
sections of cobalt chromium alloys of about half the
thickness of gold alloys can be used to achieve that same
degree of rigidity. Gold alloy clasps, however, are more
flexible and can be withdrawn over a greater degree of
undercut than clasps of cobalt chromium.
Cobalt chromium alloys are more brittle (lower
percentage elongation).
Higher melting range and greater hardness of cobalt
chromium alloys.
Casting shrinkage of cobalt-chromium alloys is greater
than that of gold containing materials but the available
investment materials appear to give satisfactory
compensation for this contraction.
The density of cobalt-chromium is about half that of gold.
This together with fact that cobalt-chromium dentures
can be made of thinner cross section.
Manipulation:
The casting technique for these alloys is similar to that of
gold alloys, but the following differences in manipulation should
be noted.
The melting point of these alloys is on range of 12500C –
14500C, hence gypsum bonded investment should not be
used. A silica bonded or phosphate bonded material
should be chosen.
Because of high melting range, gas/air torches cannot
raise the alloy temperature sufficiently to melt it. There
is a choice of using either.
Oxy-acetylene flame: This requires careful control use the
correct ratio of oxygen to acetylene. Too much of the former gas
may result in oxidation of alloy: too much acetylene will result in
carbon pick-up by alloy which must be avoided.
Induction heating, where the alloy is heated electrically.
This method is usually preferred, as it avoids the problems
mentioned above.
Because of great hardness of alloy special polishing and
finishing techniques are required.
Sand blasting is used to smooth the surface of
casting and remove adherent investment materials.
Electrolytic polishing is then applied the principle is
the same as for electroplating, except that the
appliance is made the anode of on electrolytic cell.
When a current is applied the surface layer is
dissolved.
STAINLESS STEEL DENTURE BASE
Stainless steel has been occasionally used or a denture base
material since about 1921. of particular importance is the 18/8
austenitic type material.
Composition:
Steel is an alloy of iron and carbon, with upto 2% carbon
alloys with greater quantities of iron are cast iron or pig iron.
Chromium may be added in (12-30%) small quantities to
improve tarnish resistance. When chromium is added the alloy is
called as stainless steel. Other than chromium it may also contain
other elements such as nickel which also helps in corrosion
resistance and strength of alloy.
Passivating effect:
Stainless steels are resistant to tarnish and corrosion,
because of passivating effect of chromium, a thin, transparent
but tough and impervious oxide layer forms on surface of alloy
when it is subjected to an oxidizing atmosphere (air), which
protects against tarnish and corrosion, it loses its protection if
the oxide layer is ruptured by mechanical or chemical factors.
Conventional method of swaging:
A stainless steel sheet is pressed between a die and a
counter die in a hydraulic press. Dies and counter-dies are mode
of low fusing alloys, such as zinc, copper-magnesium-aluminum,
tin-antimony-copper, lead antimony tin and lead bismuth alloys.
Some problems associated with this conventional swaging
procedure are;
Possible dimensional in accuracy, particularly if
contraction of die metal or alloy is not matched by
expansion of model.
Loss of fine detail, since many stages are involved
between recording the original impression and obtaining
the final product.
Dies and counter dies can be damaged under hydraulic
pressure. It was usually customary to use more than one
die and counter-die.
It was difficult to ensure a uniform thickness of finished
plate.
Uneven pressure on die and counter die could cause
wrinkling of steel.
Properties:
Despite difficulties in swaging mentioned above, stainless
steel has some merit as a denture base material.
Very thin denture base can be produced. Figures of as
low as 0.11 mm have been quoted compared to about
1.52 mm of acrylic denture.
Steel is fracture resistant.
Such dentures are not heavy, because of the thinness of
material, and the fact that the density of steel is not high
compared to some other metallic materials.
The corrosion resistance is good.
The thermal conductivity of stainless steel is such that
the sensation of temperature is rapidly transmitted to the
palate. This is an advantage not shared by polymeric
denture base materials.
Newer methods of swaging:
To overcome problems with previous method newer
methods of swaging have been investigated.
Explosion forming:
A die made using an epoxy resin is prepared from the dental
impression. A stainless steel plate is placed on top of the die,
with a layer of “plasticine” on it. A pressure wave is produced by
a small charge of high explosives. The pressure is transmitted
through plasticine on to the steel, forcing it into required shape.
Explosion hydraulic forming:
This is similar to the above, except that water is used as
medium for transmitting pressure wave.
Hydraulic forming:
The apparatus for this technique is as follows;
A die is placed in a metal cone and located in pressure
vessel.
A sheet of stainless steel of required thickness is placed
in position over the die.
A rubber diaphragm is placed over the stainless steel,
and a cover plate inserted in place and held in position
by high tensile bolts.
Oil is pumped into chamber upto a pressure of around
70mn/M2.
After the pressure has been released, the chamber is
opened and the work-piece is removed and cleaned.
The denture base is cut to size, and retentive tags are
resistance welded into position.
After polishing denture, it can, it necessary be reformed
on the die to eliminate distortion that may have occurred
during welding.
The stainless steel can be annealed by heating at 1050 0C
for two minutes, followed by quenching in water.
TITANIUM AND TITANIUM ALLOYS
Features:
Resistant to electrochemical degradation.
Stable oxide layer
Repassivating effect
Biocompatibility
Low weight, low density, low MOE and high strength.
Characteristics of titanium:
Titanium is attractive for its low-weight to volume.
High strength to weight.
Fatigue resistance
Corrosion resistance
Biocompatibility: Titanium is hypoallergic and posses
many of clinically favorable properties of type III and IV
dental gold alloys
Casting requirements of titanium:
Melting point of pure titanium is 17200C and is usually
achieved by electric arc. Melting method not used in
dentistry.
Molten titanium is extremely reactive with other
elements such as nitrogen and oxygen and with
compounds such as silica used in casting investments.
When cooling from a molten state, titanium crystallizes in
an alpha phase below 8830C. Alpha phase mechanical
properties are similar to those of type III and IV dental
gold alloys.
Above the critical 8830C temperature, crystallization
occurs in β-phase characterized by brittleness and
increased strength.
Titanium light weight presents another formidable
obstacle for common centrifugal force casting methods.
Atomic weight of titanium is 47.90 making it one half as
heavy as nickel chromium alloys and one fourth as heavy
as high gold alloys.
Two systems for casting of titanium:
One system uses centrifugal force generated by a
powerful motor wound spring and an argon gas melting
and casting environment.
Other system uses a vacuum/pressure casting machine
with electric arc melting in an argon gas environment.
TEMPORARY DENTURE BASE MATERIALS
Elder (1955) gave the following requirement of temporary
denture base.
The temporary denture base should adopt to basal seat
area as finished denture.
The temporary denture base should have the same
border form as the finished denture base.
The temporary denture base should be sufficiently rigid
to resist biting forces.
The temporary denture base should be dimensionally
stable.
The baseplate as constructed should permit its use as a
base for setting up teeth.
It should be possible to construct baseplate quickly,
easily and inexpensively.
Baseplate should have no undesirable color.
(Tucker, 1966) baseplate should not abrade the cast
during removal and replacement.
Shellae recording base material:
Shellae is a commonly used material for recording bases. It
is supplied commercially in forms shaped to correspond to
general shapes of maxillary and mandibular arches. It is
inexpensive and can be easily and quickly adapted accurately,
strengthened and handled carefully. It can be effectively utilized
both for maxillary and mandibular recording bases, if not
adequately strengthened, shellac tends to warp when subjected
to repeated changes in temperature being a brittle material it is
also subjected to breakage. Wires of 12 to 14 gauge should be
used to increase strength and rigidity and thus reduce distortion
of shellac bases. For the maxillary cast, the wire is placed across
the posterior palatal seal area, while for the mandibular cast it is
adapted within lingual flange.
This material is similar to the one used for special tray
construction but is thinner, generally pink in color and contains
no filler. Shellac is more stable than wax at mouth temperature
but is more difficult to adjust at the chairside.
Shellac is a thermoplastic material supplied in shapes
suitable for upper and lower arch forms. Some materials contain
on aluminum powder which is said to increase the strength and
decrease the brittleness of shellac.
Composition:
Shellac derived from resinous exudate of scale insect, is the
base of this base plate material. Other materials such as
powdered talc or mica, serve or fillers and increase the strength.
Properties:
Shellac baseplate will adapt to intimate contact with cast,
they often warp when rewarmed as a result of release of stresses
baseplates of shellac, a thermoplastic material, also warps when
warm wax is added while forming the occlusion rim and setting
denture teeth.
Advantage:
The principal advantage of shellac baseplate is minimal
amount of time required to adopt and make them.
Disadvantage:
The main disadvantage is the chance of losing initial
adaptation, but it is equally true that shellac baseplates readily
readapt.
METHODS:
1st method:
Shellac should finish just below the crest of ridge and at
the junction of hard and soft palate. This position is
drawn on cast which is then dusted lightly with French
chalk to prevent shellac sticking to it.
Shellac is softened and adopted to palate care should be
taken to prevent thinning
Its periphery is resoftened and trimmed to a general
shape by use of scissors. Final shaping is accomplished
by use of a file, the edge of shellac being chamfered to
blend into the ridge. It may need further heating and
adaptation before edges are smoothened with sand
paper. Retentive form for attachment of rim is made by
roughening the shellac with a hot wax knife in the form of
a 5 mm wide band and coating it lightly with sticky wax.
A strip of modeling wax, the length of sulcus area, is
softened and adapted to sulcus. Outer surface of alveolar
ridge and on roughened area of shellac. It is sealed to
shellac by use of a wax hot knife.
Muscle attachments are relieved and fitting surface of
bone checked for accuracy of detail.
2nd method:
All undercuts must be blocked out prior to adapting the
base. Wet asbestos is recommended, since shellac requires heat
to soften and this heat could distort wax and other plastic
materials. Cast should be dusted with talcum powder or soaked in
water for a short period of time until the surface of cast is moist.
As an alternative, tin foil (0.001 inch) can be adapted to the cast.
Using a Bunsen flame shellac is first adapted on palatal or lingual
side than on the ridge crest and later on the buccal side firm
pressure is applied with wet fingers or wet cotton to accurately
adapt the shellac to cast. While material is still warm and soft, it
is removed from the cast and trimmed with scissors. Leaving
approximately 5 mm beyond the edge of the cast, the shellac is
repositioned and reheated and then carefully readapted the
trimmed edges are heated using a hanau torch, elevated from the
cast, and folded into themselves, and burnished with No. 7 wax
spatula to form a smooth, rounded border.
Care must be taken not to overheat the shellac.
Overheating will cause the molten shellac to penetrate the pores
of stone and adhere to surface of cast on coding attempts to
remove the shellac base can result in a fracture of cast surface.
Bubbling or smoothing of shellac indicates overheating, the
shellac also turns black if overheated and is esthetically
unacceptable.
Stabilized shellac baseplates:
As shellac baseplate tends to undergo warpage. Many
materials were recommended for stabilizing them. They were;
ZOE impression paste
Elastomeric impression material
Autopolymerizing resin
Baseplate stabilized with ZnOE impression paste:
Shellac baseplates reinforced with ZnOE paste exhibit better
adaptation and dimensional stability. This adapts well to the cast
and can improve the dimensional stability of shellac baseplate.
Their disadvantages are that the baseplates are thicker
because of the thickness of impression paste liner, their
construction requires additional time, and block out of undercuts
on cast is essential as rigid, stabilized baseplates cannot extend
into undercuts.
Baseplate stabilized with elastomeric impression
materials:
The advantages of using these materials as stabilizers are
their inherent flexibility and smooth surfaces. The flexibility of
material permits baseplate extensions into moderate undercuts
and minimizes the need for blockout of cast. The principal
disadvantage of this procedure is added thickness of baseplate
and it costs more because of materials and increase in
construction time.
Baseplate stabilized with autopolymerizing resin:
Autopolymerizing resin improves both adaptation and
rigidity of baseplate. The disadvantages of this method are
possibility of warping baseplate as a result of internal stresses
being released in resin liner and additional time required for
fabrication.
Baseplate wax:
Baseplate wax recording bases are inexpensive, easily
formed and esthetic. But they lack rigidity, dimensional stability
and can easily be distorted. A strengthening wire adapted in
posterior palatal seal area of maxillary base or incorporated into
lingual flange of mandibular bore will increase both rigidity of
mandibular bone will increase both rigidity and the resistance to
distortion. Talcum powder is applied to cast to prevent wax
stiching to the cast. As an alternative, the cast may be increased
in water for a short period until moist, the wax is softened over a
Bunsen flame and adapted. Excess wax is removed with a sharp
instrument and borders rounded and smoothed.
Impression compound base:
Impression compound may be used as an alternative to
shellac but it is normal to confine its use to cases where the rim
is to be of the same material. It is reasonably stable at mouth
temperature and can be adjusted at the chairside by use of a
warm wax knife.
Impression compound is softened in a water bath at a
temperature of 600C and flattened into an arch form about 1.5
mm thick and large enough to cover the whole cast. It is
resoftened and adapted to the cast as described for wax bases.
The edge may be resoftened in water or over a Bunsen burner
flame to allow for trimming a file is used for final trimming.
Impression compound is easily thinned and distorted during
construction of the base but is reasonably stable once shaped.
Reference:
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