Arife Dogan

Effect of gender, facial dimensions, body mass index and type of functional occlusion on bite force

Objective Some factors such as gender, age, craniofacial morphology, body structure, occlusal contact patterns may affect the maximum bite force. Thus, the purposes of this study were to determine the mean maximum bite force in individuals with normal occlusion, and to examine the effect of gender, facial dimensions, body mass index (BMI), type of functional occlusion (canine guidance and group function occlusion) and balancing side interferences on it. Material and Methods Thirty-four individuals aged 19-20 years-old were selected for this study. Maximum bite force was measured with strain-gauge transducers at first molar region. Facial dimensions were defined by standardized frontal photographs as follows: anterior total facial height (ATFH), bizygomathic facial width (BFW) and intergonial width (IGW). BMI was calculated using the equation weight/height2. The type of functional occlusion and the balancing side interferences of the subjects were identified by clinical examination. Results Bite force was found to be significantly higher in men than women (p<0.05). While there was a negative correlation between the bite force and ATFH/BFW, ATFH/IGW ratios in men (p<0.05), women did not show any statistically significant correlation (p>0.05). BMI and bite force correlation was not statistically significant (p>0.05). The average bite force did not differ in subjects with canine guidance or group function occlusion and in the presence of balancing side interferences (p>0.05). Conclusions Data suggest that bite force is affected by gender. However, BMI, type of functional occlusion and the presence of balancing side interferences did not exert a meaningful influence on bite force. In addition, transverse facial dimensions showed correlation with bite force in only men.

Experiments on in vivo biofilm formation and in vitro adhesion of Candida species on polysiloxane liners.

OBJECTIVES Microorganisms may colonise polysiloxane soft liners leading to bio-deterioration. The aim of this study was to investigate in vitro adhesion and in vivo biofilm formation of Candida species on polysiloxane surfaces. METHODS The materials used in this study were Molloplast B, GC Reline soft, Mollosil Plus, Silagum Comfort and Palapress Vario. The in vitro retention of clinical isolates of Candida albicans to the relining and denture-base materials by microscopic (scanning electron microscopy, SEM), conventional culturing methods and antimicrobial properties of these materials were studied. Candida found on materials and mucosa following long-term use were identified and quantified, and biofilms covering the surfaces were investigated by SEM. RESULTS There was a significant decrease in the number of cells attached in vitro to saliva-coated surfaces compared with non-treated surfaces. An oral Candida carriage of 78% was found. Candida albicans, C. glabrata, C. intermedia and C. tropicalis were identified. In vivo biofilm formation on the liners appeared as massive colonisation by microorganisms. CONCLUSIONS The results of the in vitro experiments suggest that salivary film influences early colonisation of different C. albicans strains. The film layer also minimises the differences among different strains. The Candida carriage of these patients was similar to denture-wearing patients without soft liners.

Evaluation of Laser Treatment on Reline-Base Composites

The effects of different laser treatments on some mechanical properties of acrylic resin and soft liner were investigated. A total of 60 test specimens were fabricated according to test requirements. The specimens were roughened with Potassium-ticanyl-Phosphate (KTP), Er:YAG, and Nd:YAG lasers before application of soft liner. The flexural, peel, and tensile bond strengths were measured using a universal testing machine. Fourier transform infrared spectroscopy with attenuated total reflectance (FTIR-ATR) spectra of surfaces were also obtained to evaluate changes on the lased surfaces. No significant difference was apparent between the tensile bond strength values of the groups. Although peel strength values obtained for each of the laser types were lower than those of the control group, flexural strength values were higher than those of the control specimens. The spectra of specimens showed that lasing led to some chemical changes on the resin surfaces. Physical changes on the treated surfaces were visualized by scanning electron microscopy (SEM) analysis. Results of this study suggest that such treatments may be warranted because of the increase in flexural strength.

Peel bond strength of two silicone soft liners to a heat-cured denture base resin.

PURPOSE This study investigated the peel strength of two different soft liners to a polymethylmethacrylate (PMMA) denture base resin before and after thermocycling. MATERIALS AND METHODS The silicone-based soft liner materials tested were Molloplast B and Permaflex; the denture base material was a heat-cured acrylic resin, Meliodent. A total of 40 specimens was prepared using rectangular molds with dimensions of 100 x 10 x 2 mm for PMMA and 150 x 10 x 2 mm for soft liners, as described in ASTM-D903-93. For each of the liner materials, 10 specimens were packed against a cured PMMA denture base surface as recommended by the manufacturers. The other 10 specimens were packed against PMMA denture base dough and processed together. In each group, 5 of the specimens were tested directly, while the other 5 were thermocycled in a water bath (5°C to 55°C; 3000 cycles) before testing. Peel testing was performed using an Instron testing machine. RESULTS The results revealed that peel strength values of the Permaflex specimens prepared according to the manufacturers recommendations were significantly higher than those of Molloplast B (p < 0.05). However, when packing was done against uncured PMMA dough, the difference between the specimens of two liners was not significant. Thermocycling led to significant decreases in the peel strength of both Permaflex liner specimens packed against cured/uncured PMMA resin surfaces (p < 0.05), whereas this process did not affect the strength of Molloplast B specimens. CONCLUSION Results indicated that the material Molloplast B was superior to the material Permaflex in terms of peel strength when the specimens were simultaneously polymerized with PMMA and thermocycled.

The craniofacial morphology and maximum bite force in sleep bruxism patients with signs and symptoms of temporomandibular disorders

Abstract Objectives: The purpose of the present study was to compare craniofacial morphology and bite force of bruxist patients with signs and symptoms of temporomandibular disorders. Method: Fourteen subjects with sleep bruxism and 14 healthy subjects participated. The signs and symptoms of the temporomandibular disorders were identified according to the Craniomandibular Index (CMI). Maximum bite force was measured using strain-gage transducers. Lateral cephalometric films were taken, and linear and angular measurements were performed. Results: Bite force between bruxist and non-bruxist females was not significant, whereas males with bruxism revealed higher bite forces. None of the linear and angular measurements differed significantly between bruxist and non-bruxist males. However, higher mandibular corpus length and anterior cranial base length, and lower gonial angle were observed in bruxist females compared to non-bruxist females. Negative correlation between bite force and CMI values was found in both genders. Discussion: Bruxist females had higher CMI values than bruxist males, which could lead to relatively lower bite forces.

The bite force and craniofacial morphology in patients with acromegaly: a pilot study.

Objectives: Acromegaly is a metabolic disorder caused by increased growth hormone secretion. As a consequence of acromegaly some typical craniofacial morphology changes appear. This pilot study was conducted to compare the bite force and the characteristic size and shape of the craniofacial components of acromegalic patients with the healthy Turkish individuals. In additon, the correlations between bite force and craniofacial morphology of patients with acromegaly and control individuals were evaluated. Study Design: The maximum bite force of the participants was recorded with strain-gage transducer. Lateral x-ray scans were made under standard conditions, in centric occlusion. On cephalograms, the linear and angular measurements was performed. Results: Patients with acromegaly showed increased anterior and posterior total face height, ramus length, width of frontal sinuse, gonial angle and a negative difference between maxillary and mandibular protrusions. In addition, females with acromegaly showed larger lower anterior face height and sella turcica, decreased facial angle, increased mandibular plane angle. The cephalometric measurements, except one did not showed correlation with the bite force in acromegalic patients. In control group, significant correlations were observed between anterior total face height and anterior lower face height, mandibular plane angle and gonial angle. Conclusions: The greater changes were observed in the mandible. The maximum bite force of patients with acromegaly showed no difference from healthy individuals. The non-significant difference of bite force between healthy participants and acromegalic patients provide important information for dental treatment and prosthetic rehabilitation of acromegalic patients. Key words:Acromegaly, bite force, cephalometric analysis, mandibular prognathism.

Evaluation of the effect of two different occlusal splints on maximum occlusal force in patients with sleep bruxism: a pilot study

PURPOSE The occlusal splint has been used for many years as an effective treatment of sleep bruxism. Several methods have been used to evaluate efficiency of the occlusal splints. However, the effect of the occlusal splints on occlusal force has not been clarified sufficiently. The purpose of this study was to evaluate the effect of occlusal splints on maximum occlusal force in patients with sleep bruxism and compare two type of splints that are Bruxogard-soft splint and canine protected hard stabilization splint. MATERIALS AND METHODS Twelve students with sleep bruxism were participated in the present study. All participants used two different occlusal splints during sleep for 6 weeks. Maximum occlusal force was measured with two miniature strain-gage transducers before, 3 and 6 weeks after insertion of occlusal splints. Clinical examination of temporomandibular disorders was performed for all individuals according to the Craniomandibular Index (CMI) before and 6 weeks after the insertion of splints. The changes in mean occlusal force before, 3 and 6 weeks after insertion of both splints were analysed with paired sample t-test. The Wilcoxon test was used for the comparison of the CMI values before and 6 weeks after the insertion of splints. RESULTS Participants using stabilization splints showed no statistically significant changes in occlusal force before, 3, and 6 weeks after insertion of splint (P>.05) and participants using Bruxogard-soft splint had statistically significant decreased occlusal force 6 weeks after insertion of splint (P<.05). There was statistically significant improvement in the CMI value of the participants in both of the splint groups (P<.05). CONCLUSION Participants who used Bruxogard-soft splint showed decreases in occlusal force 6 weeks after insertion of splint. The use of both splints led to a significant reduction in the clinical symptoms.

Effect of Argon Plasma Pretreatment on Tensile Bond Strength of a Silicone Soft Liner to Denture Base Polymers

This study evaluated the effect of argon plasma treatment on tensile bonding of heat-cured and auto-polymerized acrylic resins prior to the processing of a silicone soft liner. Both types of polymethylmethacrylate (PMMA) resins were treated with argon plasma for 1 min or 10 min (n = 5). A control group, including untreated resin specimens, was also formed. After processing of the soft liner, the specimens were deflasked and stored dry for 24 h, and they were then subjected to tensile bond strength testing. In order to see the plasma effect on the resin surface chemistry, representative specimens were analysed by XPS. Highest tensile bond strengths were observed in the 1-min exposure group for each resin, and 10-min exposure yielded the lowest bond strength likely due to the damaging effect of the plasma treatment. XPS analysis showed that the O/C ratios increased greatly in treated samples and that the binding energy values were not significantly changed.

The bond strength of a highly cross-linked denture tooth to denture base polymers: a comparative study.

PURPOSE This study compared shear bond strength and type of bond failure between a highly cross-linked tooth and different denture base polymers. MATERIALS AND METHODS Cross-linked denture teeth were bonded to either a heat-, an auto-, a microwave-polymerized denture base resin or a relatively new injection-molded, microwave-polymerizable polyurethane-based resin. Six experimental groups were established for each of the shear and peel tests. In four of the groups, teeth were used as received and bonded to each of the denture base resins; in the remaining two groups, they were treated with dichloromethane to determine its effect on the bonding with heat or auto-polymerized denture base resins. Bond strength was determined by compressive load applied at 45 degrees on the palatal surface of each tooth until fracture; the type of bond failure was assessed by the peel test. RESULTS The results showed that heat-cured PMMA groups failed cohesively and demonstrated significantly higher bond strengths than the other resins used. The application of dichloromethane on the ridge lap areas of teeth resulted in a significant improvement of bond strengths in heat- and auto-cured resins. CONCLUSION Within the limitations of this experimental study, the results suggest that type of denture base material and processing methods may have an influence upon the bond strength between interpenetrating polymer network (IPN) denture teeth and base materials. Treatment of denture teeth with dichloromethane could provide substantial improvement in the bond strength of teeth with heat and auto-cured denture base resins; however, this finding should be validated in further investigations on the long-term effect of such treatment on the bond strength.

Effects of different high alkyl methacrylate monomers on tensile bond strength between resilient liner and acrylic resin

Abstract In the present study, tensile bond strength between an acrylic resin and a resilient denture liner, Molloplast B, was studied. To enhance the bonding capacity between these materials, acrylic resin surface was modified using ethyl methacrylate, iso-butyl methacrylate or tert-butyl methacrylate monomers. Changes on the modified surfaces were investigated by Fourier transform infrared spectroscopy with attenuated total reflectance. Only the modifications by iso-butyl methacrylate application appeared to have an increasing effect on the tensile bond strength value. Ethyl methacrylate and tert-butyl methacrylate, however, had a lowering effect on this value.