Effect of Nanoclay on Mechanical Properties of Two Types of Heat Cure Acrylic Resin-An In Vitro Study
Dr Sreepriya S S *1, Dr Sheeba Gladstone 2, Dr Sharon Ann Jose 3
1,2,3. Department of Prosthodontics, PMS college of Dental Sciences and Research, Trivandrum, Kerala.
Corresponding Author: Dr Sreepriya S S, Department of Prosthodontics, PMS college of Dental Sciences and Research, Trivandrum, Kerala.
Copy Right: © 2023 Dr Sreepriya S S, This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received Date: March 25, 2022
Published Date: April 01, 2022
Abstract
Background and Objective: The present study was designed to evaluate the effect of nanoclay on the mechanical properties of standard and high impact heat cure acrylic resin.
Methods: A sample of 80 specimens were made from standard and high impact heat cure acrylic resin for testing flexural strength and impact strength ( 10 in each group).The flexural strength testing was done on universal testing machine and impact strength was tested using charpys impact testing machine. The force at which the specimen break was recorded. The results were statistically analysed.
Results and Conclusion : The results were statistically evaluated with ANOVA. The study shows significant level p <0.001. The samples of standard heat cure acrylic resin exhibited low flexural strength upon adding nanoclay. However, it showed improved impact strength. The high strength resin showed decrease in both flexural strength and impact strength upon adding nanoclay.
Keywords: PMMA, nanoclay, flexural strength, impact strength
Introduction
Polymethyl methacrylate was introduced in 1973 by Dr Walter Wright and is currently the material of choice for the fabrication of removable partial complete denture. PMMA is continued to be in use because of its favourable working characteristics, processing ease, accurate fit, stability in the oral environment and superior esthetics. Despite the excellent properties, there is a need for improvement especially in terms of strength properties (1).
Many studies were carried out to improve the properties of the denture base materials by adding suitable fillers into PMMA denture base. Till date, maximum impact strength (IS) 6.55kJ/m2 was observed by Asar et al using 2% of ZrO2 incorporated in PMMA acrylic resin(3). The most popular material currently employed as an alternative to conventional PMMA is a rubber modified acrylic polymer. (4) For example, modification of PMMA denture base using styrene butadiene rubber to enhance the impact strength has been done. Synthetic rubber acts as an impact modifier, which absorbs the energy during the application of fracture load. However, till date no reports were found on using nitrile butadiene rubber to reinforce PMMA denture base (4).
Nanotechnology is widely used in our day-to-day life including its use in medicine. Using nanotechnology, it is easy to analyse and manipulate atoms, chemical bonds and molecules present between various compounds. While choosing the nanoparticle for the use in the field of nano dentistry its chemical, physical, along with the biological aspect of nanostructures are taken into account. Often various atoms or molecules are added to form the functional structure. Nanostructures are used in either innovations or diagnosis of dentistry. Some nanoparticles are used for oral disease preventive drugs, prostheses and for teeth implantation. Nanomaterials further deliver oral fluid or drugs, preventing and curing some oral disease (oral cancer) and maintain oral health (9).
In recent years, perceiving the advances in the nanotechnology sciences, many attempts have been made to use these particles in dental acrylic resin to improve its fatigue behaviour, impact strength, thermal conductivity and achieved success (6). Polymer materials have been filled with nanometre scaled, layered silicates in order to obtain improved mechanical properties and better thermal resistivity. The effects of the filler on the composite materials depend on its size, aspect ratio, hybrid morphology, and dispersion quality. Generally, the layered silicate fillers had a thickness on the order of 1 nm along with a high aspect ratio of between 10: 1 and 1000:
1. These nanometre scaled silicate pellets with such high aspect ratios tend to produce good reinforcement and improve the mechanical properties of the polymer (9).
Review of Literature & Background
A review of the most recent research revealed the following conclusions
S. B. Sehajpal, et al (1989) studied the effect of metal fillers on some physical properties of acrylic resin. Addition of metal fillers to PMMA can result in a composite material for denture bases that will have thermal conductivity matching that of metal denture bases. It will overcome the major disadvantages of acrylic resin bases (thermal conductivity) and those of metal bases such as higher cost, tedious fabrication, the finishing process, and difficulty in relining. Additional advantages of adding metal fillers to PMMA are a decrease in the coefficient of thermal expansion of acrylic resin, reduced curing shrinkage, and the reduction of internal stresses in processed dentures. Metal fillers also reduce water sorption and thus may help in the reduction of organic growth on acrylic resin dentures (13). P. K. Vallittu et al (1995) investigated the impact strength of heat-cured acrylic resin that reinforced with 1mm diameter steel wire and continuous E glass fibres. The result showed that, compared with the unreinforced specimens, both types of reinforcement increased the impact strength. Specimens with fibre concentrations greater than 25 wt % yielded to the higher impact strength more readily than those with the metal wire reinforcement (14). J. John et al (2001). Performed a study to determine the flexural strength of commercially available heat polymerised acrylic denture base material improved by reinforcement with glass, aramid or nylon fibres, and concluded that the reinforcement of denture based resin with glass, aramid or nylon fibres improved the structural strength of the resin. Type of fibre depends on the type of prosthesis fabricated. Glass or aramid fibres appear to be suitable for long term use in complete dentures and distal extension partial denture bases, which is considered prone to fracture. Glass fibre reinforcement may also help to prevent fracture in provisional fixed partial dentures by strengthening them at the connector sites (15). DC Jagger et al; (2002) investigated transverse and impact strength of five high strength acrylic denture based materials. The aim of the study was to find out high strength denture-based material among them. The five high strength material compared with a conventional heat cure acrylic resin. Among the five materials, three of them showed significantly high impact strength (16). Solhi L.et al., in 2012 ,in the study on a novel dentin bonding system containing poly (methacrylic acid)grafted nanoclay: synthesis, characterization and properties, concluded that the incorporation of PMAA-g-nanoclay to the adhesive resulted in a significant increase in micro shear bond strength ,DTS and FS. Higher PMAA-g-nanoclay contents resulted in increased flexural modulus (8). Mowade TK et al (2012), investigated the effect of reinforcement with different fibres on impact strength of heat polymerized polymethyl methacrylate denture base resin and the effect of surface treatment of the fibres on the impact strength. The study showed that reinforcement with 2% by weight of glass, polyethylene and polypropylene fibres on the impact strength of PMMA resin and the surface treatment of the fibres further increased the impact strength significantly.
Reinforcement with plasma treated polypropylene fibre showed the highest impact strength, hence can be used clinically to reinforce the denture base to minimize the denture fracture (22).
Methodology
The study was done to evaluate the effect of nanoclay on the mechanichal properties of standard and high impact heat cure acrylic resin. The materials and methods used in the study are described under the following subheadings
Study Subjects
Dependent Variable
Armamentarium
Sample Size
Study sample was calculated using comparison of Two Mean
Procedure
Specimen preparation: Metal dies are made for sample preparation as per ADA specification no:12 and ISO/DIS 1567:1998 for denture base resins in 1999,with specified length, width and thickness respectively(1)
Preparation of mould: Metal dies were fabricated. Type III Dental Stone was poured to dental flask base and metal dies were invested. A second layer of type III Dental Stone was poured. After the setting of stone, dental flask was opened and patterns were removed. The resulting shape of the metal die obtained in the flask was used as a mould for packing acrylic for specimen fabrication.
Addition of nanoclay to polymer : Nanoclay 0.5 wt% of the W/P ratio of the acrylic resin according to manufacture was proportioned using electronic weighing balance. A measuring jar was used to measure monomer. Nanoclay was added to the polymer by mechanical mixing for 3 minutes. Monomer was mixed with modified polymer on a clean, dry porcelain vessel with a clean mixing spatula for 30 seconds. Compression moulding technique was used to pack the acrylic. The flask assembly was placed on hydraulic press and pressure was applied incessantly until the flask was firmly closed. The flash was teased away gently with spatula. Flasks were immersed in water bath at 100?C for 2 hours.
Deflasking and removal of specimens: Flasks were allowed to cool for 30 minutes. Then it was immersed in water bath for 15 minutes at room temperature before deflasking.
Finishing and polishing of specimens: The specimens were trimmed with tungsten carbide burs and acrylic stone burs. The specimens were ground to final dimension with silicon carbide abrasive paper. Pumice was used for final polishing.
Testing of specimens: As per ADA specification No.12 and ISO/DIS 1567:1998 for denture base resins. (1)
Flexural strength: The specimen were mounted on the designed part of Universal Testing machine (three point loading and testing equipment). The load of 1 Newton was applied on the centre of the specimen. The flexural strength of the specimen was calculated using the standard formula. The measuring unit is Mega-Pascal’s. [MPa]
S= 3LP / 2WT²
Where S=Flexural strength, P=Maximum load before fracture, L=Distance between supports, W=Width of the specimen (10mm), T=Thickness of the specimen (2.5mm).
Impact strength-The samples were tested with Pendulum impact tester using Charpys method. The specimens were placed horizontally, and the swinging pendulum is used to break the specimens. The load at which the specimen fractured was noted and values obtained were tabulated for statistical analysis.
Impact strength is calculated using the following formula. The measuring unit of is J/mm2 .
IS =E/wt where IS is the impact strength, E is the energy required to break the specimen w is the width (6 mm) and t is the thickness of the specimen (4 mm)
Statistical Analysis
The data derived were analysed statistically using computer software [SPSS 17.0].The mean and standard deviation was calculated in each group and normal distribution curve was appraised. ANOVA was used for statistical analysis. The pair wise comparison was done using Tukey – Kramer test and Scheffs test. Statistical significance was set at p<0.05.
Results
The results include flexural strength of the standard heat cure acrylic resin (TREVALON) and high strength heat cure acrylic resin (TREVALON HI), with and without adding 0.5 wt % nanoclay . The impact strength of standard heat cure acrylic resin and high strength heat cure acrylic resin, before and after the addition of 0.5wt% of nanoclay.
The statistical summary of flexural strength of standard heat cure acrylic resin (TREVALON) is shown in Table 1. It shows an arithmetic mean value of flexural strength as 71.36. SD is 8.9208.
Table 2 shows the statistical summary of flexural strength of standard heat cure acrylic resin with adding 0.5wt percentage nanoclay (TREVALON + NANOCLAY). The arithmetic mean value is 11.5130. The standard deviation is 5.2987.
The table 3 is the statistical summary of flexural strength of high impact heat cure acrylic resin (TREVALON HI). The arithmetic mean obtained was 57.71. The standard deviation is 11.8417.
The table 4 shows the statistical summary of flexural strength of high impact heat cure acrylic resin with addition of nanoclay (0.5wt %) .SD is 13.2115. The arithmetic mean obtained was 36.800.
The graphical representation shows that the flexural strength comparison within the group. The standard and high strength heat cure acrylic resin with the addition of nanoclay showed reduced flexural strength compared to conventional resin.
Table 6 Statistical summary of impact strength in standard heat cure acrylic resin (TREVALON). The arithmetic mean of impact strength is 0.1383. The standard deviation is 0.004304.
The table 7 shows the summary statistics of impact strength in standard heat cure acrylic resin added with 0.5wt percentage nanoclay (TREVALON + NANOCLAY). The arithmetic mean is 0.1467.
The arithmetic mean of high impact heat cure acrylic resin (TREVALON HI) as shown in Table 8 is 0.1492.The standard deviation is 0.009171.
The table 9 shows the statistical summary of high impact heat cure acrylic resin added with 0.5wt percentage nanoclay. The arithmetic mean is 0.1450.
Levene's test done for equality of error variances. The comparison between the impact strength in all group is done with ANOVA with a significant level P<0.001. Tukey-Kramer test is done for all pair wise comparison.
Discussion
PMMA is the most commonly used denture base material, which has survived the introduction of various alternative materials such as polycarbonates and polyamides. It has a combination of both favorable and unfavorable properties.[8] Therefore, many attempts were made to enhance these properties by modifying the chemical structure of resin or by the addition of reinforcement materials. [11,12,36,38]
Various methods were tried to reinforce the acrylic resin denture bases. Metal inserts were used in the form of wires, metal oxides, metal straighteners, meshes, and plates, and the different fibres include Kevlar, glass, carbon graphite fibers, aramid fiber, ultra?high?molecular?weight polyethylene fiber, and polyethylene fibers to improve its mechanical properties. In this study Montmorillonite (MMT)nanoclay is used to reinforce the PMMA.
Nanoclay is another material which is used to improve the properties of composite and acrylic polymers. Montmorillonite (MMT) is one of the available forms of nanoclay, which consists of small layers with internal octahedral layer interposed between two tetrasilicate layers. This structure claimes to prevent formation of cracks and, therefore, it can improve flexural strength. [11]
It was reported that incorporation of 0.5 wt% of nanoclay into the acrylic resin increased its yield strength and shear strength. Incorporation of higher concentrations of this material increased the shear modulus of the material. [8]. Mortazavi et al. [11] evaluated the effect of pure nanoclay fillers and PMMA-grafted nanoclay fillers on the flexural strength of (fiber reinforced composite) FRC resins. The results showed that the modified nanoclay fillers increased the flexural strength of FRC. However, incorporation of unmodified particles did not significantly affect the flexural strength and even at various concentrations, none of the two above-mentioned fillers altered the flexural strength (47). Soihi et al reported that incorporation of nanoclay filler reinforced with PMMA into adhesive resin showed improved flexural modulus. (8)
Conclusion
Within the limitation of the study, it was concluded that Incorporation of 0.5 wt% nanoclay particles into a standard heat cure acrylic resin reduced the flexural strength but improved impact strength. Incorporation of nanoclay particles into high strength heat cure acrylic resin not only reduced the flexural strength but also reduced impact strength.The hydrophilic nature of montmorillonite nanoclay particles shows a tendency to agglomerate. The agglomerated sites act as stress concentration sites in the polymerised resin during force application. This can be reduced by proper dispersion of nanoclay particles. The surface modification of the nanoparticles can also change the agglomeration property. Further studies are required to find out other possible ways to improve the mechanical properties of PMMA with nanoclay.
References
1. Smith DC.The acrylic denture.Mechanical evaluation,Mid-line fracture.J Prosthetic Dent 1961;110:257-67
2. Dogan OM,Bolayir G,Keskin S,Dogan A,Bek B,Boztug A.The effect of esthetic fibers on impact resistance of a conventional heat cured denture base resin.Dent Mater J 2007;26:733-8
3. Ucar Y,Akova T,Aysan I.Mechanical properties of polyamide versus different PMMA denture base materials.J Prosthodont 2012;21:173-6
4. Asar NV,Albayark H,Korkmaz T,Turkyilmaz I.Influence of various metal oxides on mechanichal and physical properties of heat cured poly methyl methacrylate denture base resins.J Adv Prosthodont 2013;5(4):241-7
5. Žukas T, Jankauskait? V, Žukien? K, Baltušnikas A. The Influence of Nanofillers on the Mechanical Properties of Carbon Fibre Reinforced Methyl Methacrylate Composite. Materials Science (Medžiagotyra). 2012; 18: 250255.
6. Yu B, Ahn JS, Lim JI, Lee YK. Influence of TiO2 nanoparticles on the optical properties of resin composites. Dent Mater. 2009; 25: 1142-1147
7. DePolo WS, Baird DG. Particulate reinforced PC/ PBT composites. II. Effect of Nano- clay Particles on Dimensional Stability and Structure-Property Relationships. Polymer Composites. 2009; 2: 200-213
8. Solhi L,Atai M,Nodehi A,Imani M. A novel dentin bonding system containing poly(methacrylate) grafted nanoclay:Synthesis,characterization and properties. Academy of dental materials. 2012; 28: p. 1041-1050
9. Paul D,Robeson L.Polymer nanotechnology:Nanocomposites.Polymer (Guildf)2008:49:3187-204
10. Atai M, Solhi L, Nodehi A, Mirabedini SM, Kasraei S, Akbari K, et al. PMMA-grafted nanoclay as novel filler for dental adhesives. Dent Mater. 2009; 25: 339-347.
11. Solhi L, Atai M, Nodehi A, Imani M,Ghaemi A,Khosravi K,et al,.Poly(acrylic acid) grafted montmorillonite as novel fillers for dental adhesives:Synthesis,characterization and properties of the adhesive.Dent Mater 2012;28:367-77.
12. Ghaffari T., et al.Effect of nanoclay on Thermal Conductivity and Flexural Strength of Polymethyl Methacrylate Acrylic Resin. J Dent Shiraz UnivMed Sci., 2016 June; 17(2):121-127
13. S. B. Sehajpal, V. K. Sood. Effect of metal fillers on some physical properties of acrylic resin. J prosthet dent 1989;61:746-51.
14. Vallittu P K ea. Comparision of the impact strength of denture polymethyl methacrylate reinforced with continuous glass fibres or metal wire. Acta Odontol Scand. 1995; 53: p. 392-396.
15. Jacob John, Shivaputrappa A. Gangadhar and Ila Shah, Flexural strength of heat- polymerized polymethyl methacrylate denture resin reinforced with glass, aramid, or nylon fibers, J Prosthetic Dent, 2001 86:424-7.
16. D C Jagger, R G Jagger, S M Allen, A. Harrison. An investigation into the transverse and impact strength of `high strength' denture base acrylic resins. Journal of Oral Rehabilitation 2002 29; 263±267
17. Ayman E. Ellakwa,Mohamed A. Morsy, Ali M. El-Sheikh. Effect of Aluminum Oxide Addition on the Flexural Strength and Thermal Diffusivity of Heat-Polymerized Acrylic Resin. J Prosthodont 2008 Aug;17(6):439-44
18. Sanjiv Rajendar Dagar Ashok J Pakhan,R U Thombare,Bhagwandas K Motwani. The evaluation of flexural strength and impact strength of heat polymerized polymethyl methacrylate denture base resin reinforced with glass and nylon fibers: An in vitro study. The Journal of Indian prosthodontic soceity. 2008 June; 8(2): p. 98-104.
19. Pires- de- Souza ea. Impact and fracture resistance of an experimental acrylic polymer with elastomar in different proportions. Material research. 2009; 12: p. 415-418
20. Atai M, Solhi L, Nodehi A, Mirabedini SM, Kasraei S, Akbari K, Babanzadeh S. PMMA-grafted nanoclay as novel filler for dental adhesives. Dent Mater. 2009 Mar;25(3):339-47.
21. Chladek G,Mertas A,Rybarek IB,Nalewajek T,Zmudzki J,et al;Antifungal activity od denture soft lining material modified by silver nanoparticles-A pilot study.Int.J.Mol.Sci.2011,12,4735-4744.
22. T K Mowade ,S P Dange , M B Thakre.Effect of fiber reinforcement on impact strength of heat polymerized polymethyl methacrylate denture base resin:in vitro study and SEM analysis.J Adv Prosthodont 2012;4:30-6
23. Yadav P1, Mittal R, Sood VK, Garg R. Effect of incorporation of silane-treated silver and aluminum microparticles on strength and thermal conductivity of PMMA. J Prosthodont. 2012 Oct;21(7):546-51.
24. M Matthew ea. Impact strength of E-glass reinforced PMMA. Journal of evolution of medical and dental sciences. 2013; 2(32): p. 5971-5979.
25. Tokushi Fujieda , Mitsunori Uno , Hajime Ishigami , Masakazu Kurachi , Hideo Kamemizu , Nobukazu Wakamatsu , Yutaka Doi. Effects of dental porcelain containing silver nanoparticles on static fatigue. Dent Mater J. 2013; 32(3): p. 405-408.
26. Koray Soygun ,Giray Bolayir,Ali Boztug.Mechanical and thermal properties of polyamide versus reinforced PMMA denture base materials. J. Adv. Prosthodont. 2013; 5: p. 153-160.
27. Yingying Pan,Fengwei Liu,Xiaoze Jiang,Hao Yu,Meifang Zhu.noval acrylic resin denture base with enhanced machanichal propertirs by the incorporation of PMMA- modified hydroxyapatite. Progress in Natural Science:Materials International 2013;23(1):89-93
28. Jacob John, Shani Ann Mani, Kalpana Palaniswamy, Anand Ramanathan, Abdul Aziz Abdul Razak. Flexural Properties of Poly(Methyl Methacrylate) Resin Reinforced with Oil Palm Empty Fruit Bunch Fibers: A Preliminary Finding. Journal of Prosthodontics 00 (2014) 1–6
29. P Kawaguchi ea. Effect of heat treatment of polymethyl methacrylate powder on mechanical properties of denture base resin. Journal of the mechanical behaviour of biomedical materials. 2014; 39: p. 73-78
30. Ibrahim M Hamouda ea. Addition of glass fibres and Titanium dioxide nanoparticles to the acrylic resin denture base materials: Comparitive study with the conventional and high impact types. OHDM. 2014 March; 13(1).
31. Hamedi R ea. Effect of nanosilver on Thermal and Mechanical Properties of Acrylic Base Complete Dentures. jdt.tums.ac. 2014 September; 11(5): p. 495-505.339
32. Praveen B et al; Comparison of Impact Strength and Fracture Morphology of Different Heat Cure Denture Acrylic Resins: An In vitro Study. Journal of International Oral Health. 2014; 6(5): p. 12-16
33. Tahereh Ghaffari,Fahimeh Hamedirad,Baharak Ezzati.In Vitro Comparison of Compressive and Tensile stengths of Acrylic resins reinforced by silver nanoparticles at 2% and 0.2% concentrations.JODDD,Vol.8,No.4 Autum 2014.
34. R.Arun Jaikumar,Suma Karthigeyan,Syed Asharf Ali,Madhulika Naidu,R.Pradeep Kummar,K Vijayalakshmi. Comparision of flexural strength in three types of denture base resins: An invitro study. J. Pharm Bioll Sci. 2015; 7: p. 461-464.
35. P Spazojevic et al; The mechanical properties of a polymethy methacrylate denture base material modified with dimethyl itaconate and di-n-butyl itaconate. International journal of polymer science. 2015.
36. Ahmed Onvan Alhareb,Hazizan Md Akil,Zainal Arifin Ahmad. Impact strength, fracture toughness and hardness improvement of PMMA denture base through addition of nitrite rubber ceramic fillers. The Saudi Journal for dental research. 2017; 8: p. 26- 34.
37. Ronak H. Chokshi,Pranav V.Mody.Flexural properties and impact strength of denture base resins reinforced with micronized glass fibres. J. Indian Prosthodont Soc. 2016; 16: p. 264-270.
38. Koroglu A et al; Silver nanoparticles incorporation effect on mechanical and thermal properties of denture base acrylic resins. J Appl Oval Sci. 2016; 24(6): p. 590-596.
39. Ghahremani L,Saeed Shiravand,Faezeh Akbari.Tensile strength and impact strength of color modified acrylic resin reinforced with titanium dioxide nanoparticles. J Clin Exp Dent. 2017; 9(5): p. 661-665
40. Berrong JM, Weed RM, Young JM. Fracture resistance of Kevlar-reinforced poly (methyl methacrylate) resin: a preliminary study. Int J Prosthodont 1990, 3:391-5.
41. Somkuwar S et al; Comparision of flexural strength of polymethyl methacrylate resin reinforced with multiwalled carbon nanotubes and processed by conventional water bath technique and micro wave polymerisation. The journal of Indian prosthodontic society. 2017; 17(4): p. 332-
42. Rongrong Chen ea. Antibacterial activity, cytotoxicity and mechanical behaviour of nano-enhanced denture base resin with different kinds of inorganic antibacterial agents. DentMater J. 2017
43. Anne G et al; Comparative evaluation of flexural strength of conventional and reinforced heat cure acrylic resins:an in vitro study. J Dent Rev. 2017; 4: p. 9-12.
44. Fariba Golbidi Maryam Amini Pozveh.Flexural Strength of Polymethyl Methacrylate Repaired with Fiberglass.J Dent (Tehran). July 2017; Vol.14, No. 4
45. Galav A, Deogade SC, Mantri S, Sumathi K, Galav S. Effect of water storage on the flexural strength of heat-cured denture base resin reinforced with stick (s) glass fibers. Contemp Clin Dent 2017;8:264-71
46. Barzegar A GT. Nanoclay- reinforced polymethyl methacrylate and mechanical properties. Dent Rcs J. 2018; 15: p. 295-301.
47. Hersek GUaN. Comparison of the Fracture Resistance of Six Denture Base Acrylic Resins. J Biomater Appl. 2002;: p. 17-19.
48. Acosta-Torres LS, López-Marín LM, Núñez-Anita RE, Hernández-Padrón G, Castaño VM. Biocompatible Metal-Oxide Nanoparticles: Nanotechnology Improvement of Conventional Prosthetic Acrylic Resins. J Nanomaterials. 2011; 11: 281-285.
49. Munhoz T ea. Effect of nanoclay addition on physical, chemical, optical and biological properties of experimental dental resin composites. Dent Mater. 2016;: p. 1-9.
50. Kul ea. Evaluation of thermal conductivity and flexural strength properties of poly (methyl methacrylate) denture base material reinforced with different fillers. J Prosthet Dent. 2016; 116: p. 803-810.
51. Gülay Uzun and Nur Hersek .Comparison of the Fracture Resistance of Six Denture Base Acrylic Resins. J Biomater Appl 2002 17: 19.
52. Munhoz T, et al., Effect of nanoclay addition on physical, chemical, optical and biological properties of experimental dental resin composites. Dent Mater (2016).1-9.
53. Kul , et al., Evaluation of thermal conductivity and flexural strength properties of poly (methyl methacrylate) denture base material reinforced with different fillers. J Prosthet Dent 2016; 116:803-810.
54. Peyton FA. History of resins in dentistry. Dent Clin North Am 1975;19:211?22.
55. Yazdanie N, Mahood M. Carbon fiber acrylic resin composite: An investigation of transverse strength. J Prosthet Dent 1985;54:543?7.
56. Beyli MS, von Fraunhofer JA. An analysis of causes of fracture of acrylic resin dentures. J Prosthet Dent 1981;46:238?41.
57. Vallittu PK, Lassila VP. Reinforcement of acrylic resin denture base material with metal or fibre strengtheners. J Oral Rehabil 1992;19:225?30.
58. Vallittu PK, Lassila VP, Lappalainen R. Acrylic resin?fiber composite – Part I: The effect of fiber concentration on fracture resistance. J Prosthet Dent 1994;71:607?12.
59. Arima T, Murata H, Hamada T. Properties of highly cross?linked autopolymerizing reline acrylic resins. J Prosthet Dent 1995;73:55?9.
60. Uzun G, Hersek N, Tinçer T. Effect of five woven fiber reinforcements on the impact and transverse strength of a denture base resin. J Prosthet Dent 1999;81:616?20.
61. Franklin P, Wood DJ, Bubb NL. Reinforcement of poly (methyl methacrylate) denture base with glass flake. Dent Mater 2005;21:365?70.
62. Ramos V Jr., Runyan DA, Christensen LC. The effect of plasma?treated polyethylene fiber on the fracture strength of polymethyl methacrylate. J Prosthet Dent 1996;76:94?6.
63. Hoshiai K, Tanaka Y, Hiranuma K. Comparison of a new autocuring temporary acrylic resin with some existing products. J Prosthet Dent 1998;79:273?7.
64. Jagger D, Harrison A, Jagger R, Milward P. The effect of the addition of poly (methyl methacrylate) fibres on some properties of high strength heat?cured acrylic resin denture base material. J Oral Rehabil 2003;30:231?5.
65. Archadian N, Kawano F, Ohguri T, Ichikawa T, Matsumoto N. Flexural strength of rebased denture polymers. J Oral Rehabil 2000;27:690?6.
66. Gutterridge DL. Reinforcement of poly (methyl methacrylate) with ultrahigh-modulus polyethylene fibre. J Dent 1992;20:50-4
67. Segerström Susanna; Ruyter I Eystein Effect of thermal cycling on flexural properties of carbon-graphite fiber-reinforced polymers, Dental materials: official publication of the Academy of Dental Materials2009, 25(7): pages 845-51.
68. Kim SH, Watts DC (The effect of reinforcement with woven E-glass fibers on the impact strength of complete dentures fabricated with high impact acrylic resin. 2004 march.
69. Vallittu PK. Effect of some properties of metal strengtheners on the fracture resistance of acrylic denture base material construction. J Oral Rehabil 1993; 20:241-8.
Where;
Z∞ = 1.96 for ∞ = 0.05
Zβ = 0.84 for β = 0.20
Δ = μT – μC (difference in mean)
σ = Standard deviation
In this study (12): -
Pooled standard deviation of flexural strength (σ) = 11.5
Mean difference in flexural strength between methods (Δ) = 17
Minimum sample size is 8 in each group
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Figure 6
Figure 7