Effect of Ozonated Water on the Color Stability of Denture Teeth and Heat Polymerized Acrylic Base Resin

Abstract Objective: To determine the effect of ozonated water on the color stability of denture tooth and denture bases. Material and Methods: Thirty denture base discs consisting of 15 Acropars and 15 ProBase Hot specimens with the dimensions of 40 × 5 mm were prepared. Fifteen denture teeth in shade A1 (Ivoclar Vivadent, Schaan, Liechtenstein) were mounted in a specific acrylic jig. All specimens were immersed in three solutions (1% sodium hypochlorite, ozonated water, and distilled water) for four months (one year of clinical use). Color measurements were done with a spectrophotometer and assessed using the CIE L*a*b* colorimetric system (0, 4, 8, 12, and 16 weeks). Data were analyzed using the three-way ANOVA and Tukey test (α=0.05). Results: Tukey's post hoc test revealed a significant change in color in the Acropars denture base for the distilled water group compared to the ozonated water and 1% hypochlorite (p<0.05). Regarding the ProBase Hot denture base, significantly less color change was observed in the 1% hypochlorite group compared to the ozonated water and distilled water (p≤0.001). For the denture teeth, significantly less color change was seen in the distilled water group than in the ozonated water (p=0.015) and 1% hypochlorite (p<0.05) groups. Conclusion: The color change of denture bases and denture tooth in ozonated water are acceptable. Ozonated water can be considered a good disinfectant for cleaning dentures.

Effect of staining and denture cleaning on color stability of differently polymerized denture base acrylic resins.

BACKGROUND: Denture hygiene is an important factor to remove dental plaque and discoloration, to provide optimal oral health, and to prevent denture stomatitis. AIM: The purpose of this study was to evaluate the effect of coffee staining and denture cleaner on the color stability of two differently polymerized (heat and microwave) denture acrylic resin in vitro. MATERIALS AND METHODS: Two commonly used denture base acrylic resins and effervesecnt tablet form denture cleaner were used in this study. Disc-shaped specimens from each acrylic resin were polymerized according to the manufacturer's instructions (n = 7). Color values were recorded before and after immersion in distilled water (I), denture cleaner (II), coffee (III), and coffee + denture cleaner (IV) with a tristimulus colorimeter using CIEDE2000 color difference formula. Two-way analysis of variance (ANOVA) and Fisher's least significant difference tests were used for multiple comparisons at a 95% confidence level (P < 0.05). Surface topography of the acrylic resin denture base specimens before and after immersion were taken under 500 × magnification. RESULTS: The two-way ANOVA revealed significant interactions between denture base resins and solutions (P < 0.001). Immersion in denture cleaner and coffee solution caused significant color changes in acrylic resin denture bases. CONCLUSION: Heat- and microwave-polymerized acrylic denture base resins can show different color stability. Immersion in coffee and denture cleaner solutions can cause noticeable color changes.

Evaluation of the effect of denture cleansers on the surface roughness of hard denture base material: An In vitro study.

BACKGROUND: Maintaining the oral hygiene of denture wearers is a challenge faced in modern dentistry. Biofilm formed on dentures has been associated with denture stomatitis, malodor, aspiration pneumonia, infectious endocarditis, gastrointestinal infection, and chronic obstructive pulmonary disease. OBJECTIVE: The purpose of this study was to evaluate the effect of denture cleansers on the surface roughness of hard denture base material. MATERIALS AND METHODS: A total of 100 heat-cure acrylic resin specimens were fabricated with dimensions 30 mm × 15 mm × 3 mm in length, width, and thickness, respectively. All specimens were distributed into four groups randomly. Three commonly prescribed denture cleansers were used for immersion in this study. Regular tap water was used for immersion in the control group. Surface roughness was determined before immersion and after immersion in denture cleansing solutions using contact profilometer. The data were subjected to statistical analysis using paired t-test, one-way analysis of variance, and Tukey's multiple post hoc test. RESULTS: The change in surface roughness of acrylic samples immersed in Clanden group was statistically significant (P < 0.05) at individual group level. However, the change in surface roughness of acrylic samples after immersion, when compared between the groups, namely, control, Clinsodent, Clanden, and Fittydent, was not statistically significant (P > 0.05). CONCLUSION: Within the limitation of this study, the three denture cleansing materials, namely, Clinsodent powder, Clanden tablet, and Fittydent tablet, are safe to be prescribed as denture cleansers.

Accidental aspiration of denture cleanser tablets caused severe mucosal edema in upper airway.

A 78-year-old man accidentally swallowed denture cleanser tablets (Polident® ). Although he immediately spat them out, he felt difficulty in breathing. Observation using a fiber optic bronchoscope revealed a constricted glottis with edema and redness. The instillation of 1% xylocaine with epinephrine to the epiglottis and larynx reduced the edema and enabled the bronchoscope to pass the glottis. Red and edematous mucosa of the trachea and major bronchus were also observed. We should be aware that accidental aspiration of denture cleansers may cause laryngeal edema.

The influence of patient characteristics on acrylic-based resilient denture liners embedded in maxillary complete dentures.

PURPOSE: A major complication associated with the use of resilient denture liners (RDLs) is a change in hardness over time. In vivo studies on the deterioration of RDLs over time are needed. We aimed to investigate the influence of patient characteristics on the hardness of acrylic-based RDLs (ARDLs) embedded in complete maxillary dentures. We hypothesized that 1 month after application of the ARDLs, the hardness would be influenced by age, saliva condition, occlusal force, smoking, drinking, denture wearing during sleeping, denture cleanser usage, and denture type. METHODS: Thirty complete maxillary denture wearers were recruited after obtaining informed consent. One investigator measured the Shore D hardness of the commercially available ARDLs, Soften (SFT), FD Soft (FDS), and Bio Liner (BIO) using a Vesmeter(®). The salivary flow rates and pH values and the occlusal force were measured for all patients before initiation of the study. T-tests and Pearson's correlation coefficients were used for the statistical analyses. A p-value of <0.05 was considered statistically significant. RESULTS: Smoking, wearing dentures while sleeping, use of denture cleansers, and denture type were associated with an increase in the hardness of the RDLs. The resting saliva pH only influenced the hardness of the SFT ARDLs. CONCLUSIONS: Smoking, denture wearing while sleeping, denture cleanser usage, denture type, and resting saliva pH are important predictors of the deterioration of ARDLs over time.

Effect of denture cleansing solutions on different retentive attachments.

STATEMENT OF PROBLEM: Various Locator abutments and attachments are available commercially for use in overdenture patients. Patients are advised to use cleansing agents to keep their overdentures clean. The effect of different cleansing agents on attachments with different retention is not known. PURPOSE: The purpose of this in vitro study was to evaluate the retention of 3 Locator abutment attachments after they were soaked in 3 different cleansing solutions. MATERIAL AND METHODS: An implant analog with a diameter of 4.1 mm was embedded into acrylic resin, and 1 Locator abutment was placed onto the analog. Seven specimens of clear, pink, and blue Locator attachments (n=7) were soaked in 3 different denture-cleansing solutions (NaOCl, sodium perborate, sodium perborate-sodium bicarbonate) for a time simulating 6 months of clinical use. The control group was soaked in tap water. A testing machine was used to test the attachments' retention. The retention of the attachments after they were soaked in denture cleansers was compared among the groups with repeated-measures analysis of variance followed by the Tukey HSD test (α=.05). RESULTS: The retention of the clear attachments was significantly less after they had been soaked in sodium bicarbonate-containing denture cleanser (P=.001). The retention of the pink Locator attachments was no different after they had been soaked in the different solutions, and the retention of the blue Locator attachments decreased significantly after they had been soaked in the NaOCl and sodium bicarbonate cleansing agents (P=.002). CONCLUSIONS: Attachments of different colors and retention were affected differently by cleansing agents.

Material compatibility and antimicrobial activity of consumer products commonly used to clean dentures.

STATEMENT OF PROBLEM: Regular denture cleaning is essential to good oral health, but only limited evidence is available regarding the effects of common cleaning routines. PURPOSE: The purpose of this in vitro study was to determine the compatibility of denture materials with and the antimicrobial effects of typical cleaning regimens. MATERIAL AND METHODS: The evaluated treatments were derived from a study of dental professional recommendations and consumer habits, including denture cleanser tablets, toothpaste, mouthwash, isopropyl alcohol (IPA), household bleach, soap, and vinegar. The material integrity of denture materials, including polymethyl methacrylate (PMMA) and metals, was evaluated by scanning electron microscopy and profilometry after treatment with laboratory regimens simulating 2 years of typical consumer use. Treatments were also evaluated in a microbial kill time assay against a range of oral microorganisms with typical treatment regimens. RESULTS: Alcohol-based mouthwash and IPA damaged the surface of PMMA, and brushing with toothpaste caused scratching and surface material loss. Bleach caused limited damage to PMMA, but corroded CoCr alloy (pitting) and solder (layer formation). Denture tablets caused little damage to any materials apart from the layer formation on silver solder. Vinegar and soap were compatible with all materials. In antimicrobial assays, bleach gave excellent results, and IPA and mouthwash required concentrated dilutions to be effective. Cleanser tablets were effective at 5 minutes treatment time against all organisms. Toothpaste was effective against bacteria but not Candida albicans. Vinegar, soaps, salt, and sodium bicarbonate were microbially ineffective. CONCLUSIONS: Bleach was highly antimicrobial but incompatible with metal dental prosthesis components. IPA and mouthwash were antimicrobial but damaged PMMA. Specialist denture cleanser tablets gave a good combination of microbial efficacy and reasonable material compatibility.

Effect of denture cleansers on the color stability of heat cure acrylic resin.

OBJECTIVE: To compare the color stability of heat cure acrylic resin after immersion in distilled water and denture cleansers. STUDY DESIGN: In-vitro experimental study. PLACE AND DURATION OF STUDY: Dr. Ishrat-ul-Ebad Khan Institute of Oral Health Sciences, Dow University of Health Sciences and Al-Karam Textiles, Karachi, from January to April 2012. METHODOLOGY: Seventy two rectangular shaped specimens; 18 specimens were measured at baseline (control group) of the study (0 day), 18 specimens were immersed in distilled water. Eighteen (18) in Fittydent denture cleanser tablets for 10 minutes and eighteen (18) in Dentipur denture cleanser tablets for 10 minutes. Specimens were polished and stored in istilled water for 24 hours prior to experiment. After 60 days of immersion, the specimens were tested for color changes with spectrophotometer. SPSS 16 was used for statistical analysis. RESULTS: There was statistically significant difference in the color change (ΔE) among all groups (p < 0.001) after 60 days of immersion. At baseline (0 day), trace amount of color change was observed whereas when specimens were immersed in Fittydent denture cleansers tablets for 60 days noticeable change in color was observed. Very slight change in color was bserved when specimens were immersed in distilled water and dentipur denture cleanser solution. CONCLUSION: The color stability of denture base acrylic resin was influenced by the type of denture cleansers used.

[Effect of Polident denture cleansers on the properties of heat-polymerized denture base acrylic resin].

OBJECTIVE: To study the change in properties of heat-polymerized acrylic resin after using one denture cleanser. METHODS: In the study, 20 disk-shaped (50.0 mm×0.5 mm) and 40 rectangular (34.0 mm×13.5 mm×1.3 mm) specimens prepared from heat-polymerized acrylic resin were randomly divided into four groups. The specimens were exposed to one of the three treatments as follows: Group 1 was without any treatment, Group 2 was exposed to air, Group 3 to distilled water, and Group 4 to Polident. The 4 exposures lasting 8 hours were conducted daily and repeated for 30 days. The color stability of heat-polymerized acrylic resin was determined by visual methods. The flexural strength and bonding strength of acrylic resin were measured using a universal testing machine. All the results were analyzed using ANOVA. RESULTS: The flexural strength test of acrylic resin demonstrated significant differences between Group 4 and Group 1 (P<0.05), there were no significant differences among Group 1, Group 2 and Group 3. No significant differences were found in other properties of the test materials. CONCLUSION: Long-term use of polident could alter the physical and mechnical properties of heat-polymerized acrylic resin. It may be related to the accelerating aging of resins caused by certain chemicals in denture cleansers. Polident may have some adverse effects on denture materials for decreasing flexural strength of heat-polymerized acrylic resin after 30-day immersion.

Influence of immersion time of denture cleansers on the surface roughness of resilient denture liners / Influência do tempo de imersão de limpadores químicos sobre a rugosidade de superfície de reembasadores resilientes para próteses removíveis

PURPOSE: The objective of this study was to evaluate the effect of different immersion times in denture cleansers on surface roughness (SR) of two resilient denture liners (RDL) after the cleanliness of Candida albicans biofilm. METHODS: Poly(methyl methacrylate) (PMMA) resin discs (10x1.5 mm) were relined with a 1.5 mm layer of RDL (PMMA or silicone-based). The initial SR of each specimen was measured and C. albicans biofilm was developed for 48 h. Subsequently, the discs were randomly assigned for one of four cleansing treatments (n=8): two alkaline peroxide (soaking for 3 or 15 min), 0.5 percent sodium hypochlorite (10 min) or distilled water as control (15 min). After the treatments, the SR was measured again. Data were analyzed by ANOVA and the Tukey post-hoc test (α=0.05) RESULTS: No differences were found between the cleansing treatments evaluated (P>0.05). The PMMA-based liner exhibited higher SR than silicon-based (P<0.001); however, both liners showed higher SR after the reatments compared with the baseline values (P<0.001). CONCLUSION: Within limitations of this study, it can be concluded that the surface roughness of RDL increased after the immersion in denture cleansers, independently of the time of immersion.

OBJETIVO: O objetivo deste estudo foi avaliar o efeito de diferentes tempos de imersão em limpadores químicos sobre a rugosidade de superfície ( RS)de reembasadores resilientes após a simulação da limpeza de biofilmes de Candida albicans. METODOLOGIA: Discos (10x1,5 mm) de poli(metilmetacrilato) (PMMA) foram cobertos com uma camada de 1,5 mm de reembasador resiliente (a base de PMMA ou silicone). A RS inicial de cada espécime foi mensurada e biofilmes de C. albicans desenvolvidos por 48 h. Em seguida, os espécimes foram submetidos aleatoriamente a um dos tratamentos (n=8): duas soluções alcalinas a base de peróxido (imersão por 3 ou 15 min), hipoclorito de sódio a 0.5 por cento (10 min) ou água destilada como grupo controle (15 min). Após o tratamento, a RS foi mensurada novamente. Os resultados foram analisados por ANOVA e teste Tukey (α=0,05). RESULTADOS: Não houve diferença estatística entre os tratamentos (P>0,05). O reembasador a base de PMMA apresentou maior RS que os de silicone (P<0,001); entretanto, ambos apresentaram um aumento da RS após os tratamentos (P<0,001). CONCLUSÃO: Dentro das limitações deste estudo, conclui-se que a RS dos reembasadores resilientes aumenta após a imersão em limpadores químicos, independentemente do tempo de imersão.

Influence of denture cleansers on the color stability of three types of denture base acrylic resin.

STATEMENT OF PROBLEM: Color stability is an important property of denture base acrylic resin. Color changes indicate aging or damaged dental materials. However, little information is available on the influence of denture cleansers on the color stability of acrylic resins. PURPOSE: The purpose of this study was to determine the influence of denture cleansers on the color stability of 3 different types of acrylic resin. MATERIAL AND METHODS: One heat-polymerized (HP) acrylic denture base resin (Acron), 1 autopolymerized (AP) hard direct reline acrylic resin (Denture Liner), and 1 visible-light-polymerized (VLP) hard direct reline acrylic resin (Tokuso Lite-Rebase) were evaluated. Five specimens of each material, 10 x 10 x 2 mm, were immersed in 1 of 9 commercial denture cleanser solutions or distilled water (control). Color changes were measured with a colorimeter and evaluated using the CIE L*a*b* colorimetric system. Data were analyzed using 1-way and 3-way ANOVA and the Student-Newman-Keuls test (alpha=.05). RESULTS: Significant differences (P<.05) were found among the acrylic resins and denture cleansers in terms of color change (DeltaE) produced after 365 days. The DeltaE values of all denture base acrylic resins increased with time. The DeltaE of the AP acrylic resin was larger than that of the other acrylic resins. The least discoloration was found with ZTC denture cleanser (acid type). The influence of alkaline peroxide-type denture cleanser (Steradent) on the color stability of HP acrylic resin and AP acrylic resin was significantly greater (P<.05) than that of the other cleansers. CONCLUSIONS: These results suggest that the color stability of denture base acrylic resins is influenced by polymerization type and the type of denture cleanser used.

Efeito das soluções de limpeza de dentadura na degradação de dois reembasadores macios / Effect of denture cleansers in the degradation of two soft liners

O objetivo deste estudo foi avaliar a degradação de dois materiais reembassadores macios. Coe Soft e Ufi Gel P, quando submetidos a tratamentos de limpeza química para próteses (Corega Tabs e hipoclorito de sódio a 1%). Foram confeccionados 30 corpos-de-prova de cada material divididos em 6 grupos G3 e G4 foram imersos diariamente na solução de Corega tabs e os dos grupos G5 e G6 da solução de hipoclorito de sódio 1%, por 5 e 10 minutos, respectivamente, durante 15 dias. Os resultados mostraram que o Coe Soft foi degredado nas três soluções, enquanto o Ufi Gel P foi pelo hipoclorito e água destilada, e não apresentou degradação no Corega tabs. A degradação entre os materiais foi similar nos diferentes tempos.

The effect of denture cleansing solutions on the retention of yellow Hader clips: an in vitro study.

PURPOSE: To evaluate the retention of yellow Hader clips after exposure to various denture cleansers. METHODS: Seven groups of 18 yellow Hader clips each were soaked for the equivalent of 6 months of clinical use in the following denture cleansing solutions: Polident Regular, Polident Overnight, Efferdent, 5.25% Sodium Hypochlorite (NaOCl, 1:10 dilution) 15 min/day, NaOCl (1:10 dilution) 8 hours/day, water and dry (control) group. A Universal Testing Machine, set at a crosshead speed of 2 in/min, pulled each clip once, and the peak load-to-dislodgement was recorded and used as a measure to reflect changes in the retention of the Hader clips. Data were analyzed by a one-way analysis of variance followed by Tukey's HSD test. A p value < or = 0.05 was considered significant. RESULTS: Denture cleansing solutions affected the retentive values of yellow Hader clips (F= 6.102, p< or = .0001). Sodium hypochlorite solution, 15 min/day for 6 months, caused an increase in the retentive values of the clips tested with a mean peak load-to-dislodgement of 22.63 +/- 1.29 N. In addition, clips soaked in water showed no difference in retentive values when compared with all other groups. Furthermore, Polident Regular, Polident Overnight, Efferdent, and NaOCl (8 hours/day) had no effect on the retentive values of yellow Hader clips. CONCLUSION: This in vitro study demonstrated that the retention of yellow Hader clips used in implant overdentures is unaffected when soaked in commercial effervescent denture cleansers (Polident 5 Minute, Polident Overnight, and Efferdent) for six simulated months. Sodium hypochlorite statistically increased the single-pull retentive values of the clips, an effect that may not be beneficial. Increased retentive values may be associated with reduced durability of clips; further research is needed to address this issue.

The effect of different solutions on the bond strength of soft lining materials to acrylic resin.

In this study, we investigated the effect of different solutions--coffee, tea, Turkish coffee, artificial saliva, mouthwash, denture cleanser, and distilled water--on the bond strength of soft lining materials (one acrylic- and three silicone-based) to acrylic resin. Acrylic specimens (40x10x10 mm) were prepared for the bond strength test. The specimens were stored in different solutions and tested after 24 hours, seven days, and 30 days. Using analysis of variance, the bond strength of soft lining materials to acrylic resin was found to be related to the type of material, storage time, and storage solution. Visco-gel had the lowest bond strength to cured acrylic resin, where its strength ranged from 0.149 MPa to 0.784 MPa. The bond strength of Visco-gel was also found to increase with time. Molloplast-B and Ufi Gel P demonstrated better bond strength than Visco-gel and Mollosil.

Soft tissue plasmacytosis. A case report.

Plasma cell gingivitis was identified during the early 1970s as an allergic reaction to a component in a chewing gum. The clinical picture was described as bright erythema of the entire gingiva, loss of stippling and generalized swelling. Today, many allergens appear to be responsible for this problem. This report presents an unusual case of soft-tissue plasmacytosis in a totally edentulous patient, which may have been related to the use of a household and kitchen cleaning solution on the prostheses.

Clinical evaluation of a new resilient denture liner. Part 1: Compliance and color evaluation.

PURPOSE: A new experimental resilient denture liner (MPDS-SL; Lai Laboratories, Burnsville, MN) and Molloplast-B (Buffalo Dental Manufacturing, Syosset, NY) were clinically evaluated for compliance and color change over a 1-year period. MATERIALS AND METHODS: In this crossover study, each of 20 patients had 2 dentures fabricated with long-term, silicone-based resilient liners, 1 denture with Molloplast-B and the other with MPDS-SL. Each denture was used for 6 months, during which time each patient kept a journal detailing his or her use and cleaning regimen. The 2 materials were assessed for compliance and color at the beginning of the study and again after 3 months and 6 months of use. Compliance was determined by applying a 3-lb force to the surface of the material following a square-wave pattern, using a closed-loop servohydraulic testing system. The force and position values were recorded using a storage oscilloscope. Compliance was measured at 3 locations on each denture and analyzed using data-acquisition software. Images of the dentures were captured using a zoom stereomicroscope with a charge-coupled video camera and image analysis software. The color was measured at 3 locations on each denture; RGB and L* a* b* were calculated. RESULTS: Compliance increased from baseline to 3 months and from 3 months to 6 months for almost all locations on both materials. Molloplast-B and MPDS-SL differed in average change in compliance at 6 months; the average change in compliance from baseline to 6 months was 453 (standard error, 46) for Molloplast-B and 284 (standard error, 46) for MPDS-SL (p = 0.019). For both materials, color changed significantly from baseline to 3 months and from baseline to 6 months (p < 0.01). MPDS-SL changed significantly less than Molloplast-B from baseline to 6 months for R (p = 0.039), G (p = 0.037), B (p = 0.005), and L* (p = 0.042). CONCLUSION: For both materials, compliance increased over 6 months of wear. The color change for MPDS-SL was considerably less significant than that for Molloplast-B.

Changes in surface roughness and colour stability of soft denture lining materials caused by denture cleansers.

Soft denture lining materials were immersed into solutions of denture cleansers for 8 h at room temperature, and immersed into distilled water for the remainder of the 24-h period at 37 degrees C. Surface roughness of the soft denture lining materials was measured by contact type surface roughness instrument. For the colour stability test, soft denture lining materials were immersed in the denture cleansers as described above for 180 days. Finally, the colour changes of each material were quantitatively measured by a photometrical instrument to obtain the colour differences between newly processed specimen and immersed specimens (P < 0.01). An autopolymerizing silicone material, Evatouch, exhibited severe changes in surface roughness by all denture cleanser, and the generic material GC Denture Relining showed the minimal changes. Severe colour changes were also observed with some liner and cleanser combinations (P < 0.01). Except for Evatouth, the four silicone soft liners were more stable in surface roughness and in colour change than the two acrylic soft liners. One autopolymerizing silicone (GC denture relining) and one heat curing silicone (Molloplast B) demonstrated the best stability.

Allergic contact cheilitis due to effervescent dental cleanser: combined responsibilities of the allergen persulfate and prosthesis porosity.

A 55-year-old man with a dental prosthesis for 3 years had had a chronic relapsing cheilitis for more than 1 year. He was patch tested with the European standard series, his own topicals, and the dental cleanser at 10% pet. A relevant positive reaction ++ was found to the cleansing agent, which contained 20% potassium persulfate. The breakdown of the test confirmed sensitivity to this agent and to ammonium persulfate, both positive (++) at 2.5% pet. The patient was free of symptoms after he had avoided the cleanser. Subsequent chemical investigations performed with a fragment of a used dental prosthesis revealed strong adsorption of persulfate, both on the resin and on the dental tartar. Cleansing agents, adsorbed on tartar and porous resins of worn dental prostheses, should be considered as potential sensitizers and consequently patch tested on such patients with chronic cheilitis.

Oral mucosal injury caused by denture cleanser tablets: a case report.

A case of chemical injury to the oral mucosa that resulted in obstructive sialadenitis of the submandibular glands is presented. The injury occurred when a patient chewed, swished, and expectorated an immersion-type denture-cleansing tablet attempting to clean a fixed bridge. The literature is reviewed for similar oral mucosal injury caused by improper use of denture-cleansing products. Suggestions for the prevention of such injuries are made.