Alejandro Peregrina

Mechanical properties of urethane and bis-acryl interim resin materials

STATEMENT OF PROBLEM The fracture or dislodgement of an interim prosthesis may result in additional appointments and could negatively affect the outcome of a fixed prosthodontic procedure. PURPOSE The purpose of this study was to evaluate the flexural strength (FS), flexural modulus (FM), work-of-fracture (WOF), and Weibull parameters of 4 bis-acryl (Protemp Plus, Integrity, Turbo Temp 2, Temphase Fast-set) and 2 urethane (NuForm and Tuff-Temp) interim resins after being stored in distilled water for 1 hour and 24 hours. MATERIAL AND METHODS Rectangular beam specimens (25 × 2 × 2 mm) of each resin (n=23) were prepared and stored in distilled water at 37°C. Then 3-point bending tests were performed on 1-hour and 24-hour (wet) and 24-hour (dry and wet) specimens in a universal testing machine at a cross-head speed of 1.0 mm/min. Stress/strain curves were generated and flexural strength, flexural modulus, and WOF values were calculated. Data were subjected to 3-way ANOVA and the Tukey-Kramer pairwise comparison test (α=.05). FS data were also subjected to a 2-parameter Weibull analysis. RESULTS The 24-hour (wet) mean flexural strength and flexural modulus values were significantly higher than 1-hour values. The urethane Tuff-Temp, chemically and dual-polymerized, showed significantly higher (P<.05) 1-hour FS and FM, while the bis-acryl Protemp Plus showed significantly greater flexural strength and work-of-fracture than the other resins after 24 hours of wet storage. Protemp Plus, NuForm, and Turbo Temp 2 did not decrease in flexural strength and flexural modulus after 24 hours in dry and wet storage conditions. The Weibull modulus values of the flexural strengths of the interim resins at 1 hour and 24 hours ranged from 8.4 to 26.8. CONCLUSIONS Postgelation polymerization plays an important role in the substantial increase in the flexural strength and flexural moduli of the interim resins between 1 and 24 hours. A wide variation in the mechanical properties of the interim resin materials was noted but was, for the most part, not category specific.

Effect of two types of latex gloves and surfactants on polymerization inhibition of three polyvinylsiloxane impression materials.

STATEMENT OF PROBLEM Polymerization inhibition of polyvinylsiloxane impression materials has been reported when in sustained contact with some types of latex gloves. PURPOSE This study examined the polymerization inhibition of 3 polyvinylsiloxane impression materials placed in contact with surfaces subjected to prior contact with gloves or commonly used surfactants. MATERIAL AND METHODS A 2 x 3 x 4 x 2 design was used (n = 20), with 2 types of gloves (powdered and unpowdered), 3 types of polyvinylsiloxane impression materials (Aquasil, Extrude, and Affinis), 4 surfactant conditions (water, soap/water-rinse, alcohol, and unexposed), and 2 ambient temperatures of 22 degrees C and 36 degrees C. After glove exposure to surfactants, a glass surface was subjected to rubbing contact with the treated glove for a standardized time. After drying, automixed polyvinylsiloxane impression materials were dispensed onto the treated surface. Specimens were removed and evaluated for polymerization inhibition at the manufacturers recommended polymerization time (36 degrees C), or after 15 minutes at 22 degrees C. Specimens were rated as polymerized, or as inhibited if any polyvinylsiloxane residue remained on the slab. A chi-square analysis was used to evaluate the results (alpha=.05). RESULTS Setting inhibition was found only with one of the polyvinylsiloxane materials when alcohol was used as a surfactant. At 22 degrees C, the inhibition rate ranged from 95% to 100% for both glove types; at 36 degrees C inhibition ranged from 40% (unpowdered gloves) to 75% (powdered gloves), respectively. CONCLUSION Under these in vitro conditions, glove exposure to alcohol resulted in polymerization inhibition of 1 of 3 tested polyvinylsiloxane impression materials (Extrude).

Comparison of the effects of three sprue designs on the internal porosity in crowns cast with a silver-free high-palladium alloy

This study tested the effect of bsprue design on internal porosity of a silver-frees high-palladium alloy. The designs evaluated consisted of: (1) a cylindrical sprue, (2) a cylindrical sprue with a reservoir, and (3) cylindrical sprue with a constriction at the point of attachment with the pattern. Ten identical complete crowns were made with each sprue design. The cast crowns were embedded in epoxy resin, sectioned, and polished. A total of six sites for each sample were analyzing computer. The mean amount of internal porosity from all analyzed sites for each sprue design was calculated as a percent site porosity per total site and differences between the experimental sites and groups tested. The analysis of variance found no significant differences among the sprues and no significant interaction, but determined a significant difference (p less than 0.05) among the sites analyzed. Tukeys studentized range test showed that the sprue contained a significantly greater percentage of porosity than any of the other sites analyzed.

Occlusal accuracy of casts made and articulated differently.

This study evaluated the occlusal accuracy of gypsum casts constructed from irreversible hydrocolloid and selected nonaqueous elastomeric materials. Master metal casts were attached to a vertically moving apparatus that allowed their occlusal surfaces to produce repeatable contacts. Impressions were made with irreversible hydrocolloid, polysulfide, and vinylsiloxane. Resulting maxillary casts were mounted with a constant positioning device and mandibular casts were mounted with zinc oxide-eugenol paste records or by maximum intercuspation. Four specific master occlusal contacts were compared with contacts generated from the mounted gypsum casts; a perfect score was 40 (four contacts x 10 casts). A chi-square linear model for category data was used to compare groups. Results indicated that casts made from irreversible hydrocolloid should not be articulated with the use of a zinc oxide-eugenol paste but are best articulated by using maximum intercuspation (32/40 contacts).

Evaluating six sprue designs used in making high-palladium alloy castings.

Six different sprue designs were studied to determine which, if any, could be used to produce more complete castings with a high-palladium alloy. A standardized mesh test pattern was used to ensure objective measurements and accurate evaluations of the spruing techniques. This study of problems usually encountered when casting high-palladium alloys found that: Differing sprue designs effect significant differences in obtaining complete castings (p less than .05) as indicated in the ANOVA. The connection between the casting and the sprue should be constricted to improve castability of high-palladium alloys. Although this spruing technique may be used in different sprue designs to improve the quality of castings, further research seems indicated.

Alternatives to posterior complete crowns: Integrating foundations with cuspal protection

A common approach for restoring compromised posterior teeth is to reconstruct the missing anatomic crown with a dental restorative material and prepare the remaining tooth structure for an artificial veneer. Because this procedure is also compounded by designing subgingival finish lines for tooth preparations, a conservative approach for the fabrication of one-piece castings is suggested that incorporates both foundations and cuspal protection, with finish lines prepared above the gingival crest. Patient selection, advantages, disadvantages, and armamentarium are discussed.