Do CAD/CAM dentures really release less monomer than conventional dentures?
Identifieur interne : 000895 ( Main/Exploration ); précédent : 000894; suivant : 000896Do CAD/CAM dentures really release less monomer than conventional dentures?
Auteurs : Patricia-Anca Steinmassl [Autriche] ; Verena Wiedemair [Autriche] ; Christian Huck [Autriche] ; Florian Klaunzer [Autriche] ; Otto Steinmassl [Autriche] ; Ingrid Grunert [Autriche] ; Herbert Dumfahrt [Autriche]Source :
- Clinical Oral Investigations [ 1432-6981 ] ; 2016.
Abstract
Computer-aided design (CAD)/computer-aided manufacturing (CAM) dentures are assumed to have more favourable material properties than conventionally fabricated dentures, among them a lower methacrylate monomer release. The aim of this study was to test this hypothesis.
CAD/CAM dentures were generated from ten different master casts by using four different CAD/CAM systems. Conventional, heat-polymerised dentures served as control group. Denture weight and volume were measured; the density was calculated, and the denture surface area was assessed digitally. The monomer release after 7 days of water storage was measured by high-performance liquid chromatography.
Whole You Nexteeth and Wieland Digital Dentures had significantly lower mean volume and weight than conventional dentures. Baltic Denture System and Whole You Nexteeth had a significantly increased density. Baltic Denture System had a significantly smaller surface area. None of the CAD/CAM dentures released significantly less monomer than the control group.
All tested dentures released very low amounts of methacrylate monomer, but not significantly less than conventional dentures. A statistically significant difference might nevertheless exist in comparison to other, less recommendable denture base materials, such as the frequently used autopolymerising resins.
CAD/CAM denture fabrication has numerous advantages. It enables the fabrication of dentures with lower resin volume and lower denture weight. Both could increase the patient comfort. Dentures with higher density might exhibit more favourable mechanical properties. The hypothesis that CAD/CAM dentures release less monomer than conventional dentures could, however, not be verified.
Url:
DOI: 10.1007/s00784-016-1961-6
PubMed: 27704295
PubMed Central: 5442236
Affiliations:
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institution-id-type="GRID">grid.5361.1</institution-id><institution>University Hospital for Dental Prosthetics and Restorative Dentistry,</institution><institution>Medical University of Innsbruck, MZA,</institution></institution-wrap>Anichstr. 35, A-6020 Innsbruck, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Anichstr. 35, A-6020 Innsbruck</wicri:regionArea><wicri:noRegion>A-6020 Innsbruck</wicri:noRegion></affiliation></author><author><name sortKey="Dumfahrt, Herbert" sort="Dumfahrt, Herbert" uniqKey="Dumfahrt H" first="Herbert" last="Dumfahrt">Herbert Dumfahrt</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8853 2677</institution-id><institution-id institution-id-type="GRID">grid.5361.1</institution-id><institution>University Hospital for Dental Prosthetics and Restorative Dentistry,</institution><institution>Medical University of Innsbruck, MZA,</institution></institution-wrap>Anichstr. 35, A-6020 Innsbruck, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Anichstr. 35, A-6020 Innsbruck</wicri:regionArea><wicri:noRegion>A-6020 Innsbruck</wicri:noRegion></affiliation></author></analytic><series><title level="j">Clinical Oral Investigations</title><idno type="ISSN">1432-6981</idno><idno type="eISSN">1436-3771</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>Computer-aided design (CAD)/computer-aided manufacturing (CAM) dentures are assumed to have more favourable material properties than conventionally fabricated dentures, among them a lower methacrylate monomer release. The aim of this study was to test this hypothesis.</p></sec><sec><title>Materials and methods</title><p>CAD/CAM dentures were generated from ten different master casts by using four different CAD/CAM systems. Conventional, heat-polymerised dentures served as control group. Denture weight and volume were measured; the density was calculated, and the denture surface area was assessed digitally. The monomer release after 7 days of water storage was measured by high-performance liquid chromatography.</p></sec><sec><title>Results</title><p>Whole You Nexteeth and Wieland Digital Dentures had significantly lower mean volume and weight than conventional dentures. Baltic Denture System and Whole You Nexteeth had a significantly increased density. Baltic Denture System had a significantly smaller surface area. None of the CAD/CAM dentures released significantly less monomer than the control group.</p></sec><sec><title>Conclusions</title><p>All tested dentures released very low amounts of methacrylate monomer, but not significantly less than conventional dentures. A statistically significant difference might nevertheless exist in comparison to other, less recommendable denture base materials, such as the frequently used autopolymerising resins.</p></sec><sec><title>Clinical relevance</title><p>CAD/CAM denture fabrication has numerous advantages. It enables the fabrication of dentures with lower resin volume and lower denture weight. Both could increase the patient comfort. Dentures with higher density might exhibit more favourable mechanical properties. The hypothesis that CAD/CAM dentures release less monomer than conventional dentures could, however, not be verified.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kattadiyil, Mt" uniqKey="Kattadiyil M">MT Kattadiyil</name></author><author><name sortKey="Goodacre, Cj" uniqKey="Goodacre C">CJ Goodacre</name></author><author><name sortKey="Baba, Nzcad" uniqKey="Baba N">NZCAD Baba</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bidra, As" uniqKey="Bidra A">AS Bidra</name></author><author><name sortKey="Taylor, Td" uniqKey="Taylor T">TD Taylor</name></author><author><name sortKey="Agar, Jr" uniqKey="Agar J">JR Agar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kattadiyil, Mt" uniqKey="Kattadiyil M">MT Kattadiyil</name></author><author><name sortKey="Jekki, R" uniqKey="Jekki R">R Jekki</name></author><author><name sortKey="Goodacre, Cj" uniqKey="Goodacre 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Alakuijala</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Autriche</li></country></list><tree><country name="Autriche"><noRegion><name sortKey="Steinmassl, Patricia Anca" sort="Steinmassl, Patricia Anca" uniqKey="Steinmassl P" first="Patricia-Anca" last="Steinmassl">Patricia-Anca Steinmassl</name></noRegion><name sortKey="Dumfahrt, Herbert" sort="Dumfahrt, Herbert" uniqKey="Dumfahrt H" first="Herbert" last="Dumfahrt">Herbert Dumfahrt</name><name sortKey="Grunert, Ingrid" sort="Grunert, Ingrid" uniqKey="Grunert I" first="Ingrid" last="Grunert">Ingrid Grunert</name><name sortKey="Huck, Christian" sort="Huck, Christian" uniqKey="Huck C" first="Christian" last="Huck">Christian Huck</name><name sortKey="Klaunzer, Florian" sort="Klaunzer, Florian" uniqKey="Klaunzer F" first="Florian" last="Klaunzer">Florian Klaunzer</name><name sortKey="Steinmassl, Otto" sort="Steinmassl, Otto" uniqKey="Steinmassl O" first="Otto" last="Steinmassl">Otto Steinmassl</name><name sortKey="Wiedemair, Verena" sort="Wiedemair, Verena" uniqKey="Wiedemair V" first="Verena" last="Wiedemair">Verena Wiedemair</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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