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Original article

Bond strength of denture teeth to acrylic resin: effect of


thermocycling and polymerisation methods

Debora Barros Barbosa, Valentim Adelino Ricardo Barão, Douglas Roberto Monteiro, Marco
Antonio Compagnoni and Juliê Marra
Department of Dental Materials and Prosthodontics, Araçatuba Dental School, São Paulo State University (UNESP), São Paulo, SP, Brazil

doi:10.1111/j.1741-2358.2008.00218.x
Bond strength of denture teeth to acrylic resin: effect of thermocycling and polymerisation methods
Background: Failure of bonding between acrylic resin teeth and denture base material is a considerable
problem for patients who wear complete dentures.
Objective: The purpose of this study was to evaluate the bond strength between acrylic resins and resin
denture teeth with different thermocycling and polymerisation methods.
Materials and methods: Microwave-polymerised (Onda-Cryl), heat-polymerised (Clássico) and auto-
polymerising (Jet) acrylic resins and resin denture tooth (Biotone) were used. The acrylic resins were
polymerised according to the following: (A) microwave – fast cycle, Onda-Cryl; (B) microwave – long cycle,
Onda-Cryl; (C) microwave – manufacturer’s cycle, Onda-Cryl; (T) water bath – long cycle, Clássico; and (Q)
bench polymerisation cycle, Jet. Twenty specimens were prepared for each polymerisation method. Ten
were thermocycled, and 10 did not receive thermocycling. For the purpose of the study, a shear test was
used. Data were analysed with the Kruskal–Wallis test and Dunn’s multiple comparisons test (p = 0.05).
Results: Cycles B, C and T were similar (p > 0.05), and had statistically higher bonding values than cycles
A and Q (p < 0.05) for the thermocycled and non-thermocycled groups. For all cycles, there were no
statistically significant differences between thermocycled and non-thermocycled groups (p > 0.05), except
for cycle Q (p = 0.0038).
Conclusion: Thermocycling decreased the bond strength, but not significantly for microwave and heat-
polymerised cycles. Regarding the bond strength of denture teeth to acrylic resin, the fast microwave
polymerisation cycle should be avoided when polymerising Onda-Cryl acrylic resin. In addition, Jet acrylic
resin is not adequate for use in denture repair.

Keywords: acrylic resins, bonding, shear strength, denture bases, tooth, artificial, thermocycling.

Accepted 9 December 2007

debonding of acrylic teeth from the acrylic resin


Introduction
denture base continues to present problems1,4.
The most common reason for the elderly to seek The failure rate of acrylic resin dentures resulting
dental treatment is for the replacement of missing from fracture has been reported to be unacceptably
teeth1. Although the number of edentulous people high5, with the most common type of failure
has decreased, there are still many patients needing encountered being debonding or fracture of the
treatment that require complete dentures2. teeth6. According to Huggett et al.7, approximately
Various materials and fabrication techniques 30% of all denture repairs received by commercial
have been used to prepare dentures1. An acrylic dental laboratories involved faults attributed to
resin denture base material has been available to failed bonding between the teeth and the denture
the dental profession for over 60 years, and base resin. Several factors affect this bond, such as
although materials with superior properties have wax remaining on the ridge lap area of the teeth,
been on the market for the same time, it still careless application of the separating medium
remains the most popular choice3. However, during processing8, insufficient available monomer
 2008 The Authors
Journal compilation  2008 The Gerodontology Association and Blackwell Munksgaard Ltd, Gerodontology 2008; 25: 237–244 237
238 D.B. Barbosa et al.

during processing8 and the polymerisation method polymerised acrylic resins to denture teeth was
used in the processing of denture base resins9. greater than that of conventional heat-polymerised
Intraoral temperature changes are produced acrylic resins26.
from routine eating10, drinking11 and breathing12, Differences in types of denture teeth, acrylic re-
and can change the interface between the sin and the experimental technique used might
acrylic resin teeth and acrylic resin denture explain the variation in reported results27.
base. Laboratory simulations of clinical service Depending on the study, the load mode was
are often performed because clinical trials are tensile16,19,28–33, shear3,26,34–37, peel7,24, compres-
costly and time-consuming13. Thermocycling is sive25,29 and transverse three-point3,35–39 or four-
an in vitro process used to simulate in vivo point bending40.
events and is often represented in these studies. In the literature, most of the bond strength
However, the regimens used vary considerably studies used conventional heat-polymerised den-
between studies and, with few exceptions14, are ture base materials and autopolymerising acrylic
always proposed without reference to in vivo resins7,27,34,38,39. Studies of microwave-polymer-
observations13. ised denture base materials 25,26 and the effect of
The bond strength between two types of acrylic thermocycling15,16,32 on bond strengths are more
resin denture teeth and a pour-type denture base rare, especially when denture base resins are
resin after thermocycling was examined by Chai polymerised by microwave energy and thermally
et al.15 Thermocycling significantly decreased the cycled19.
bond strength of the two types of resin teeth. If the problem of debonding teeth were solved,
These results were in agreement with the findings the elderly population would benefit by avoiding
of Amin16, who compared the bond strength of repeated repair of their dentures1. The purpose of
heat-polymerised and autopolymerising acrylic this study was to evaluate the bond strength be-
resin to acrylic denture teeth after storage in water tween three types of acrylic resin and resin denture
and thermocycling. The deterioration in bond teeth with different thermocycling and polymeri-
strength was attributed to leaching of monomer sation methods. On the basis of the limited data
and water sorption resulting in some interfacial available, the null hypothesis was that neither
separation. thermocycling nor polymerisation methods would
The method of denture base resin polymerisation affect the shear bond strength between the acrylic
might also influence the adhesion between acrylic resin and the artificial tooth.
teeth and the acrylic resin denture base9. Poly-
merisation by microwave energy is an alternative
Materials and methods
to conventional water-bath processing17,18, pre-
senting the principal advantage of greatly reducing A representative brand of resin cross-linked den-
the polymerisation time of the denture base resin19. ture teeth, composed of poly-methylmethacrylate,
However, there is the difficulty of controlling the ethylene glycol dimethacrylate, mineral pigments
rising temperature of the exothermic polymerisa- and fluorescent organic pigment (Biotone, Dents-
tion reaction20, such that a rise above the boiling ply Ind. e Com., Rio de Janeiro, RJ, Brazil) was
point of the monomer leads to the formation of chosen for bonding three types of acrylic resins: a
porosities18. heat-polymerised resin, a microwave-polymerised
Polyzois and Zissis21 found inferior bonding be- resin and an autopolymerising resin. The acrylic
tween acrylic teeth and denture base material resins are listed in Table 1 with the polymerisation
polymerised by microwave energy compared to hot methods used in this study. Twenty specimens
water-bath polymerisation. Porosities can reduce were prepared for each polymerisation method;
the strength properties of the denture base mate- ten were thermocycled, and 10 were not thermo-
rial22,23, with the formation of porosities at the cycled.
interface between the artificial teeth and denture The ridge-lap surfaces of the denture teeth were
base resin as a probable explanation for the bond ground using 320, 400 and 600-grit wet/dry sand-
failure after microwave polymerisation24. The same paper (Norton; Saint-Gobain Abrasivos Ltd, Vin-
results were found by Schneider et al.19 and Ta- hedo, SP, Brazil) in a polishing machine (Arotec
kahashi et al.25 The higher bond strengths to the Ind. e Com. Ltd, Cotia, SP, Brazil) at 300 r.p.m.
tested denture teeth were obtained with the con- until flat. Flattering this surface does not affect the
ventional heat-polymerised acrylic resin than with cross linking within the teeth, since the cross
the microwave-polymerised acrylic resin. However, linking is part of the matrix of the acrylic resin
in another study, the bond strength of microwave- polymer tooth42. The cross-linked polymer matrix
 2008 The Authors
Journal compilation  2008 The Gerodontology Association and Blackwell Munksgaard Ltd, Gerodontology 2008; 25: 237–244
Bond strength of denture teeth to acrylic resin 239

Table 1 Acrylic resins and polymerisation methods used in the study.

Acrylic resin Polymerisation method Manufacturer Mixing ratio

Onda-Cryl (microwaveable Cycle A – microwave: Artigos Odontológicos Clássico Ltd, 1.097 g/0.5 ml
denture resin) 500 W/3 min41 São Paulo, SP, Brazil
Onda-Cryl (microwaveable Cycle B – microwave: Artigos Odontológicos Clássico Ltd, 1.097 g/0.5 ml
denture resin) 90 W/13 min + 500 W/90 s41 São Paulo, SP, Brazil
Onda-Cryl (microwaveable Cycle C – microwave: Artigos Odontológicos Clássico Ltd, 1.097 g/0.5 ml
denture resin) 320 W/3 min + 0 W/4 min + São Paulo, SP, Brazil
720 W/3 mina
Clássico (conventional Cycle T – water bath: Artigos Odontológicos Clássico Ltd, 1.097 g/0.5 ml
thermopolymerised 74C/9 h41 São Paulo, SP, Brazil
denture resin)
Jet (autopolymerising Cycle Q – bench Artigos Odontológicos Clássico Ltd, 1.097 g/0.5 ml
acrylic resin) polymerisation at 23C São Paulo, SP, Brazil
a
Cycle recommended by Onda-Cryl manufacturer.

of a proprietary tooth is usually not evenly Henkel Ltd, Diadema, SP, Brazil). Tracing com-
distributed in the tooth structure, with the gingival pound (Kerr Corporation, Orange, GA, USA) was
ridge-lap area not as highly cross-linked as the then melted and packed into the hole of the sili-
incisal area of the tooth42. cone rubber mould. The silicone rubber mould and
Each denture tooth was embedded in an auto- embedded tooth were invested with dental stone
polymerising polymer (PMMA) using an embed- (Gesso-Rio; Orlando Antonio Bussioli-ME, Rio
ding machine (Arotec Ind. e Com. Ltd), which Claro, SP, Brazil) into a denture flask. After the
heats a polymer above its glass transition temper- dental stone had set, the flask was opened and the
ature. After cooling, the denture tooth was firmly tracing compound was removed from the mould.
embedded into the polymer (Fig. 1) and the pro- The tooth surface was carefully cleaned with a
jecting ridge-lap surface of each embedded denture small brush and distilled water to remove any
tooth was ground flat with 320, 400 and 600-grit impurities. The microwave and water bath-poly-
wet/dry sandpaper. The specimens were then merised resins were mixed according to the man-
cleaned with water. ufacturer’s recommendations (Table 1) and were
A silicone rubber mould frame (Zetalabor; Zher- then polymerised.
mack S.p.A., Rovigo, Italy), with a cavity approxi- The autopolymerising acrylic resin was mixed
mately 5 mm diameter and 2.5 mm deep, was according to the manufacturer’s instructions, with
used to control the bonding area15,43. The micro- the dough resin packed directly into the hole of
wave, heat and auto-polymerising acrylic resins the silicone mould. Resin processing for these
were packed into the mould and polymerised specimens was not performed in the denture
(Fig. 2) 3,29. flask. The silicone mould, embedded tooth and
The silicone mould was fixed on the embedded autopolymerising acrylic resin were kept on the
tooth with an adhesive (Super Bonder; Loctite bench until the polymerisation was completed

Figure 1 Denture tooth in the poly-


mer after the embedding process.
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Journal compilation  2008 The Gerodontology Association and Blackwell Munksgaard Ltd, Gerodontology 2008; 25: 237–244
240 D.B. Barbosa et al.

Figure 2 Sample specimen and method for determination of shear bond strength. Diameter /1 and /2 were 5.0 mm
(approximately) and 2.5 mm for the acrylic resin polymer processed on the surface tooth15,43.

and the silicone mould was then carefully re- Table 3 Dunn’s multiple comparison test among cycles
moved. according to each situation.
The completed specimens were deflasked after
the final polymerisation and flask cooling. All Non-thermocycling Thermocycling
specimens were stored at 37C for 50 ± 2 h in
distilled water. Half of the specimens were then B C T Q B C T Q
thermocycled between 4 and 60C with 30 s dwell A * ** ** ns * * * ns
times for 5000 cycles. B – ns ns * – ns ns ***
The apparatus that was used to test shear bond C – ns *** – ns ***
strength, which allowed the application of force T – ** – ***
0.50 ± 0.02 mm from the joint surface, is repre- Q – –
sented in Fig. 2. The specimen was adjusted and
ns, nonsignificant difference (p > 0.05).
fixed for shear testing, with all tests performed on a *Significant difference (p < 0.05).
Universal testing machine (EMIC-DL 3000; EMIC **Significant difference (p < 0.01).
Equip. e Sist. de Ensaios Ltd, Curitiba, PR, Brazil) ***Significant difference (p < 0.001).
using a crosshead speed of 1 mm/min43. The load at
fracture was recorded.
Mean values for all the groups tested were adhesive failure patterns at the acrylic resin/den-
analysed using Kruskal–Wallis test. The variables ture tooth interface.
were polymerisation method and thermocycling.
Dunn’s post hoc multiple comparisons test was
Results
computed to identify those groups which were
significantly different at p < 0.05. SPSS for Win- Mean shear bond strength and standard deviation
dows was used for data analysis (SPSS Inc., (SD) values for the groups and the Dunn’s
Chicago, IL, USA). test are illustrated in Tables 2 and 3. They list
The fracture sites were evaluated with a scanning the post hoc analysis according to each cycle,
electronic microscope (SEM) (Scanning Microscope where the groups and cycles were compared.
Jeol JSM-T330a; JEOL Ltd, Tokyo, Japan) at a For all cycles, no significant differences were
magnification of 350 to determine cohesive and found between the thermocycling and non-

Table 2 Mean shear bond strength (MPa) and standard deviation for each group.

Polymerisation cycles

Groups A B C T Q

Non-thermal 4.57 ± 1.18 9.1 ± 2.78 10.18 ± 2.45 9.74 ± 1.50 4.22 ± 1.22
Thermal 3.43 ± 1.98 8.70 ± 2.20 9.32 ± 2.92 8.34 ± 1.26 1.66 ± 0.47

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Journal compilation  2008 The Gerodontology Association and Blackwell Munksgaard Ltd, Gerodontology 2008; 25: 237–244
Bond strength of denture teeth to acrylic resin 241

(a) (b)

Figure 3 (a) Scanning electronic


microscope (SEM) view of adhesive
acrylic resin surface failure. (b) SEM
view of adhesive acrylic resin surface (c) (d)
failure, with surface topography
appearing to be the polymer matrix
with bead exposition. (c) SEM view
of mixed adhesive-cohesive surface
failure within acrylic resin. (d) SEM
view of mixed adhesive-cohesive
surface failure within denture tooth.
Original magnification ·350,
bar = 50 lm.

thermocycling groups (p > 0.05), except for cycle induced by differential thermochanges, inducing
Q (p = 0.0038). crack propagation through bonded interfaces15.
There were no significant differences in the bond The results of this study are in general agreement
strengths between the non-thermocycling and with previous bonding studies involving thermo-
thermocycling groups for cycles A and Q cycling15,44. Nevertheless, Clancy et al.32 found that
(p > 0.05). The highest significant values were this did not affect the adhesion between acrylic
found for cycles B, C and T (p < 0.01), with no resins and denture teeth. The differences in the
significant differences between the cycles (Table 3). thermocycling protocol most probably accounted
Following shear bond testing, the fracture inter- for the variations found among the studies. Chai
faces of specimens were evaluated with SEM. et al.15 and Saavedra et al.44 performed 10 000 and
Adhesive failures were observed for the thermo- 12 000 thermocycles, respectively, whereas Clancy
cycling groups, regardless of the polymerisation et al.32 used 1000 cycles.
cycle (Fig. 3a,b). Adhesive failures were relatively However, it has been observed that there is no
common for the non-thermocycling groups, concrete evidence that bonding failures in clinical
although mixed cohesive-adhesive failures also practice occur as a result of thermostress13. Whe-
occurred in cycles B and C (Fig. 3c,d). ther failures occur because of flowing in one or
another layer in the bonded structure is un-
known13. According to Gale and Darvell13, layer
Discussion
flow must be dependent on the glass transition
The original research hypothesis was rejected. In temperatures of the bonded materials. These au-
this study, thermocycling and polymerisation thors supposed that such flow would lead to
methods influenced the bond strength between collapse in a truly static test, at a stress below the
acrylic resin and artificial teeth. The 5000 30-s ordinary static strength.
thermocycles between 4 and 60C decreased the The test results from the current and other
bond strength of all polymerisation methods. studies15,32,44 cannot discriminate these issues by
However, only the Q polymerisation method thermocycling. The type of denture tooth and
exhibited significantly reduced strength values acrylic resin could account in part for the incon-
when comparing thermocycling and non-thermo- sistency of bonding strength results.
cycling groups. In addition, the thermocycled Regarding the polymerisation methods, the
group failed adhesively, while the non-thermo- microwave-polymerised cycles B and C, and the
cycled group showed mixed cohesive and adhesive conventional water bath-polymerised cycle (T)
failures. An explanation for the lower bond exhibited higher bond strengths. Cycle A, which
strength values and the adhesive fractures of ther- represents a fast microwave polymerisation
mocycling groups might be mechanical stresses method, and cycle Q achieved the lowest shear
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Journal compilation  2008 The Gerodontology Association and Blackwell Munksgaard Ltd, Gerodontology 2008; 25: 237–244
242 D.B. Barbosa et al.

bond strength values. This result might suggest tooth bond surface may be mechanically treated by
that these cycles resulted in less monomer pene- grinding39 or chemically treated with methyl
tration into the tooth and acrylic resin polymer methacrylate monomer44.
networks. The bond strength depends on the de-
gree of penetration of the monomer and the
Conclusion
strength of the interwoven polymer network
formed thereafter25. Moreover, unpolymerised Within the limitations of this in vitro study, the
acrylic resin was in contact with the tooth surface following conclusions were drawn.
for a longer period in cycles B, C and T than for 1. Thermocycling insignificantly decreased the
the other cycles19. bond strength of all polymerisation methods, ex-
The findings of Polyzois and Dahal24 disagree cept for microwaveable cycle Q, which was statis-
with the current results. The bond strength with tically significantly decreased.
microwave-polymerised denture base resin showed 2. The polymerisation methods affected the bond
higher values than water bath-polymerised resin, strength of the thermocycling and non-thermocy-
except for cycle A, where the bond strength was cling groups.
significantly lower than that observed for cycle T. 3. The conventional water bath cycle (T) and
In cycle A, a rise in the temperature above the microwaveable cycles B and C produced the high-
boiling point of the monomer might have occurred. est bond strength values.
More energy at the beginning of the polymerisation
reaction could have led to a rapid rise in resin
Acknowledgements
temperature18,45, resulting in the formation of
porosities at the tooth–denture base resin inter- This study was supported by the FAPESP (grant
face18. number 04/11250-9), FUNDUNESP (grant number
The differences in bond strength values in the 850/04-DFP) and PIBIC/Reitoria UNESP. The au-
literature might be explained by the size and shape thors thank Raphael Freitas de Souza for the sta-
of the specimens or the method and magnitude of tistical analysis, and Jeremy Matis for the English
loading used during the test34. In this respect, a review.
universal testing technique might be required to
replace the many methods of determining tooth-
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Correspondence to:
strength of acrylic teeth to denture base resin after
various surface conditioning methods before and Debora Barros Barbosa, Department of Dental
after thermocycling. Int J Prosthodont 2007; 20: 199– Materials and Prosthodontics, Faculdade de
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45. Lai CP, Tsai MH, Chen M et al. Morphology and 1193, Araçatuba, São Paulo, SP, Brazil 16015-050.
properties of denture acrylic resins cured by micro- Tel./fax: (55) 18 3636 3245
wave energy and conventional water bath. Dent Mater E-mail: debora@foa.unesp.br
2004; 20: 133–141.

 2008 The Authors


Journal compilation  2008 The Gerodontology Association and Blackwell Munksgaard Ltd, Gerodontology 2008; 25: 237–244

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