Effect of CAD/CAM Constructed BIOHPP versus Zirconia Frameworks Reinforced Maxillary Complete Denture on Fracture Resistance (In vitro Study)

Doaa Ibrahim Ibrahim Elsebai; Hany Ibrahim Eid; Ahmed Mohamed Osama; Hebatallah Tarek Mohamed

doi:10.3889/oamjms.2023.11546

Authors

Doaa Ibrahim Ibrahim Elsebai Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, Egyptian Russian University, Badr, Egypt https://orcid.org/0000-0001-7969-6917
Hany Ibrahim Eid Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, Egyptian Russian University, Badr, Egypt
Ahmed Mohamed Osama Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, Egyptian Russian University, Badr, Egypt
Hebatallah Tarek Mohamed Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, Egyptian Russian University, Badr, Egypt https://orcid.org/0000-0002-8280-4656

DOI:

https://doi.org/10.3889/oamjms.2023.11546

Keywords:

Reinforced denture, BioHpp, Zirconia, Fracture resistance

Abstract

Aim: this study was to investigate the effect of reinforcing material on the fracture resistances of Computer-aided design/computer-aided manufacturing (CAD-CAM) BIOHPP (Bio High Performance Polymer) and Zirconia-reinforced maxillary complete dentures under fatigue loading. Materials And Methods: BIOHPP and Zirconia framework-reinforced maxillary complete dentures were fabricated using silicone moulds and acrylic resin. A control group was prepared with no reinforcement (n =5 per group). After cyclic loading was applied using a chewing simulator, fracture resistance was measured by a universal testing machine. The fracture resistance was measured for each denture. Results: After cyclic loading, none of the dentures showed cracks or fractures. During fracture resistance testing, all unreinforced dentures experienced complete fracture. The framework-reinforced dentures showed fracture of the acrylic without framework fracture. BIOHPP reinforced maxillary denture showed the highest fracture resistance (1705.70±213.75), followed by the Zirconia reinforced maxillary denture (1690.10±135.40) (p<0.001). Conclusion: CAD/CAM Zirconia and BIOHPP frameworks used as reinforcement for maxillary complete denture shows higher fracture resistance and more retentive dentures under cyclic loading. Maxillary complete denture reinforced by BIOHPP framework show higher fracture resistance than Zirconia. The BIOHPP and Zirconia-reinforced denture exhibits a fracture resistance higher than that of the unreinforced denture, with dentures maintaining their shape even after fracture, indicating the possibility of easier repair.

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References

Murthy HM, Shaik S, Sachdeva H, Khare S, Haralur SB, Roopa KT. Effect of reinforcement using stainless steel mesh, glass fibers, and polyethylene on the impact strength of heat cure denture base resin-an in vitro study. J Int Oral Health. 2015;7(6):71-9. PMid:26124604

Im SM, Huh YH, Cho LR, Park CJ. Comparison of the fracture resistances of glass fiber mesh-and metal mesh-reinforced maxillary complete denture under dynamic fatigue loading. J Adv Prosthodont. 2017;9(1):22-30. https://doi.org/10.4047/jap.2017.9.1.22 PMid:28243388 DOI: https://doi.org/10.4047/jap.2017.9.1.22

Hada T, Suzuki T, Minakuchi S, Takahashi H. Reduction in maxillary complete denture deformation using framework material made by computer-aided design and manufacturing systems. J Mech Behav Biomed Mater. 2020;103:103514. https://doi.org/10.1016/j.jmbbm.2019.103514 PMid:31778908 DOI: https://doi.org/10.1016/j.jmbbm.2019.103514

Zoidis P, Papathanasiou I, Polyzois G. The use of a modified poly-ether-ether-ketone (PEEK) as an alternative framework material for removable dental prostheses. Clin Rep J Prosthodont. 2016;25(7):580-4. https://doi.org/10.1111/jopr.12325 PMid:26216668 DOI: https://doi.org/10.1111/jopr.12325

Vosshans J, Schelhove M, Schnieder F. BioHPP-a metal-free material for prosthetic restorations. Zahntech Mag. 2013;17(3):138-43.

Sailer I, Zembic A, Jung RE, Hämmerle CH, Mattiola A. Single-tooth implant reconstructions: Esthetic factors influencing the decision between titanium and zirconia abutments in anterior regions. Eur J Esthet Dent. 2007;2(3):296-310. PMid:19655552

Ayad NM, Badawi MF, Fatah AA. The effect of reinforcement of high-impact acrylic resin with zirconia on some physical and mechanical properties. Cairo Dent J. 2008;24(2):245-50.

El Charkawi G, Goodkind J, DeLong R, Douglas H. The effect of the resilient-layer distal-extension partial denture on movement of the abutment teeth: A new methodology. J Prosthet Dent. 1988;60(5):622-30. https://doi.org/10.1016/0022-3913(88)90226-0 PMid:3058944 DOI: https://doi.org/10.1016/0022-3913(88)90226-0

Takahashi Y, Yoshida K, Shimizu H. Fracture resistance of maxillary complete dentures subjected to long-term water immersion. Gerodontology. 2012;29(2):e1086-91. https://doi.org/10.1111/j.1741-2358.2012.00616.x PMid:22260149 DOI: https://doi.org/10.1111/j.1741-2358.2012.00616.x

Heintze SD, Zimmerli B. Relevance of in vitro tests of adhesive and composite dental materials, a review in 3 parts. Part 1: Approval requirements and standardized testing of composite materials according to ISO specifications. Schweiz Monatsschr Zahnmed. 2011;121(9):804-16. PMid:21987305

Sia P, Masri R, Driscoll F, Romberg E. Effect of locator abutment height on the retentive values of pink locator attachments: An in vitro study. J Prosthet Dent. 2017;117(2):283-7. https://doi.org/10.1016/j.prosdent.2016.08.012 PMid:27765392 DOI: https://doi.org/10.1016/j.prosdent.2016.08.012

Zappini G, Kammann A, Wachter W. Comparison of fracture tests of denture base materials. J Prosthet Dent. 2003;90(6):578-85. https://doi.org/10.1016/j.prosdent.2003.09.008 PMid:14668759 DOI: https://doi.org/10.1016/j.prosdent.2003.09.008

Kruth JP, Mercelis P, Van Vaerenbergh J, Froyen L, Rombouts M. “Advances in Selective Laser Sintering”, Invited Keynote Paper. Leiria: Proceedings of the 1st International Conference on Advanced Research in Virtual and Rapid Prototyping (VRAP2003); 2003. p. 59-70.

Papathanassiou I, Kamposiora P, Papavasiliou G, Ferrari M. The use of PEEK in digital prosthodontics: A narrative review. BMC Oral Health. 2020;20(1):217. https://doi.org/10.1186/s12903-020-01202-7 PMid:32741366 DOI: https://doi.org/10.1186/s12903-020-01202-7

Hossam M, Elshahawy W, Masoud GE. Evaluation of marginal adaptation and fracture resistance of BioHPP and zirconia. Dent J. 2018;64(1489):1501.

Muhsin SA, Hatton PV, Johnson A, Sereno N, Wood DJ. Determination of polyetheretherketone (PEEK) mechanical properties as a denture material. Saudi Dent J. 2019;31(3):382-91. https://doi.org/10.1016/j.sdentj.2019.03.005 PMid:31337944 DOI: https://doi.org/10.1016/j.sdentj.2019.03.005