Shear bond strength of denture teeth to two chemically different denture base resins after various surface treatments.

PURPOSE: Debonding of acrylic teeth from the denture base remains a major problem in prosthodontics. The objective of this study was to evaluate the effect of various surface treatments on the shear bond strength of the two chemically different denture base resins-polymethyl methacrylate (PMMA) and urethane dimethacrylate (UDMA). MATERIALS AND METHODS: Two denture base resins, heat-cured PMMA (Meliodent) and light-activated UDMA (Eclipse), were used in this study. A total of 60 molar acrylic denture teeth were randomly separated into four groups (n = 15), according to surface treatment: acrylic untreated (group AC), Eclipse untreated (group EC), treated with eclipse bonding agent (group EB), and Er:YAG laser-irradiated eclipse (group EL). Shear bond strength test specimens were prepared according to the manufacturers' instructions. Specimens were subjected to shear bond strength test by a universal testing machine with a 1 mm/min crosshead speed. The data were analyzed with one-way ANOVA and post hoc Tukey-Kramer multiple comparison tests (α = 0.05). RESULTS: The highest mean bond strength was observed in specimens of group EB, and the lowest was observed in group EC specimens. A statistically significant difference in shear bond strength was found among all groups (p < 0.001), except between groups EC and EL (p = 0.61). CONCLUSION: The two chemically different denture base polymers showed different shear bond strength values to acrylic denture teeth. Laser-irradiation of the adhesive surface was found to be ineffective on improving bond strength of acrylic denture teeth to denture base resin. Eclipse bonding agent should be used as a part of denture fabrication with the Eclipse Resin System.

Surface roughness of denture base and reline materials after disinfection by immersion in chlorhexidine or microwave irradiation.

BACKGROUND: This study evaluated the effect of disinfection by immersion and microwave irradiation on the roughness of one denture base resin (Lucitone-L) and five relining materials, three hard (Tokuyama Rebase II-TR, New Truliner-NT, Ufigel Hard-UH) and two resilient (Trusoft-T, Sofreliner-S). METHODS: Fifty specimens were made and divided into groups: CL2 specimens were brushed with 4% chlorhexidine (1 min), immersed in the same solution (10 min) and immersed in water (3 min); MW2 specimens were immersed in water and microwave irradiated (650W; 6 min); CL2 and MW2 specimens were disinfected twice; CL7 and MW7 specimens were submitted to seven cycles using chlorhexidine or microwave irradiation, respectively; W specimens were not disinfected and remained in water (37°C; 7 days). RESULTS: Results were statistically analysed (p = 0.05) and revealed that, at baseline, the highest mean value was observed for T (p < 0.001). Material NT showed increase in roughness after the first (p = 0.003), second (p = 0.001), seventh (p = 0.000) cycles of microwave disinfection and after 7 days of immersion in water (p = 0.033). CONCLUSIONS: Resilient liner S presented significant increase in roughness after the second cycle of disinfection with chlorhexidine (p = 0.003). Material T exhibited significantly decreased roughness in group W (p = 0.010), while microwaving produced severe alterations on its surface.

UV-curable gel formulations: Potential drug carriers for the topical treatment of nail diseases.

Nail diseases are common, cause significant distress and treatments are far from successful. Our aim was to investigate the potential of UV-curable gels - currently used as cosmetics - as topical drug carriers for their treatment. These formulations have a long residence on the nail, which is expected to increase patient compliance and the success of topical therapy. The gels are composed of the diurethane dimethacrylate, ethyl methacrylate, 2-hydroxy-2-methylpropiophenone, an antifungal drug (amorolfine HCl or terbinafine HCl) and an organic liquid (ethanol or NMP) as drug solvent. Following its application to a substrate and exposure to a UVA lamp for 2 min, the gel polymerises and forms a smooth, glossy and amorphous film, with negligible levels of residual monomers. No drug-polymer interactions were found and drug loading did not affect the film's properties, such as thickness, crystallinity and transition temperatures. In contrast, the organic solvent did influence the film's properties; NMP-containing films had lower glass transition temperatures, adhesion and water resistance than ethanol-based ones. Water-resistance being a desired property, ethanol-based formulations were investigated further for stability, drug release and ungual permeation. The films were stable under accelerated stability testing conditions. Compared to terbinafine, amorolfine was released to a greater extent, had a higher ungual flux, but a lower concentration in the nailplate. However, both drugs were present at considerably high levels in the nail when their MICs are taken into account. We thus conclude that UV-curable gels are promising candidates as topical nail medicines.

Laser-induced damage to transparent polymers: chemical effect of short-pulsed (Q-switched) Nd:YAG laser radiation on ophthalmic acrylic biomaterials. II. Study of monomer release from artificial intraocular lenses.

Commercial intraocular lenses and polymer specimens, both poly(methyl methacrylate) (PMMA) and poly(2-hydroxyethyl methacrylate) p(HEMA), were subjected to various levels of irradiation from a Q-switched Nd:YAG laser, and then to extraction and sample-enrichment techniques. The extracts were analysed by capillary gas chromatography. In PMMA samples, residual contents of 0.05-0.89% (wt) MMA were found and it appeared that the laser radiation did not cause a detectable increase of the monomer content. No residual HEMA could be found in p(HEMA) samples before or after laser bombardment. It is concluded that the accidental exposure of lenses to Nd:YAG laser cannot produce a significant release of monomers. Depolymerization induced by laser is a process unlikely to occur at the energy levels used in ophthalmic surgery.

Laser-induced damage to transparent polymers: chemical effect of short-pulsed (Q-switched) Nd:YAG laser radiation on ophthalmic acrylic biomaterials. I. A review.

The use of short-pulsed lasers in ophthalmic surgery inspired and called for research on the damage inflicted by the laser radiation upon the acrylic polymers from which artificial intraocular lenses are made. The possible release of toxic monomers by laser-induced depolymerization is of great concern but past investigations of this phenomenon have been very limited. The present knowledge of various types of laser-induced damage to transparent polymers is reviewed with particular emphasis on the acrylic materials and intraocular lenses.

Theoretical and experimental investigation of dose enhancement due to charge storage in electron-irradiated phantoms.

Recent measurements have shown that significant errors in radiation dosimetry can arise by the use of insulating plastic phantoms which have been exposed to electron beams. The effect has been attributed to the generation of large electric fields in the phantom by charge storage causing alteration of electron trajectories and an increase in the measured dose. In this report, we examine this hypothesis theoretically by calculating the change in response to radiation of an ion chamber in a cylindrical cavity in an electron-irradiated polymethylmethacrylate phantom. The electric field distribution is determined using a model which allows for charge leakage by radiation-induced conductivity, and the dose in the cavity is determined by a Monte Carlo simulation using the EGS (electron gamma shower) code modified to account for electron trajectories in the electric field. The theoretical results are shown to agree well with new and previously published experimental dose enhancement data. The agreement is taken as confirmation of the reported explanation of the effect. The use of conducting phantoms in radiation dosimetry is advocated.

Surface roughness in PMMA is linearly related to the amount of excimer laser ablation.

OBJECTIVE: To determine if surface roughness after excimer laser ablation is a function of the amount of ablation and to identify a standard unit for ablation roughness. METHODS: We used a VISX 20/20 excimer laser to perform a series of single zone 6-mm diameter ablations (photorefractive keratectomy [PRK]) in polymethylmethacrylate (PMMA). Corrections ranged from -1.00 diopter (D) to -15.00 D. A scanning white light interferometry microscope (Zygo Corp, Middlefield, Conn) was used to quantify the surface roughness at the center of each ablation. RESULTS: We found a linear increase in surface roughness as the refractive correction increased. Each diopter increment resulted in an approximately 300 nm increased peak-to-valley measurement. This represented an increase of 25 nm roughness per micron of ablation in PMMA. CONCLUSIONS: Surface irregularities in PMMA increase with ablation depth. We propose a unit of measure of roughness, the "ablation," expressed as the peak-to-valley distance in nm/divided by m of ablation.

Biconvex intraocular lenses and Nd:YAG capsulotomy: experimental comparison of surface damage with different poly(methyl methacrylate) formulations.

Biconvex posterior chamber lenses have optical advantages and decrease the risk of capsular opacification, but they are more likely to be pitted during ND:YAG capsulotomy because of apposition of the lens to the capsule. This study reports the likelihood of surface damage to different formulations of poly(methyl methacrylate) at the energy levels required to open posterior capsules. Molded lenses are more easily damaged than higher molecular weight lathe-cut materials (P less than .01), as expected. However, by keeping energy output low, even injection-molded lenses showed minimal damage, with mean pit size 39 +/- 39 microns at 1 mJ. By using a converging contact lens, low power, and keeping the focus behind the capsule, damage to all materials tested should be clinically insignificant.

Effect of neodymium:YAG laser photodisruption on intraocular lenses in vitro.

Poly(methyl methacrylate) (PMMA) based intraocular lenses (IOLs) such as injection-molded PMMA and lathe-cut PMMA IOLs and soft IOLs such as silicone and poly(hydroxyethyl methacrylate)(polyHEMA) IOLs were tested for vulnerability to Nd:YAG laser photodisruption. The laser beam was focused on the posterior surface and inside of the IOLs in balanced salt solution. Cracks and central defects with radiating fractures were observed in PMMA IOLs; blistered lesions and localized pits were observed in silicone and polyHEMA IOLs, respectively. A molten edge surrounding the large hole, which was an indication of the thermal effect of the laser, was observed in the injection-molded PMMA while only a minute lesion was found in the polyHEMA IOL which contained 38% water. The size of the superficial damage of the IOL increased as the power of laser irradiation increased and PMMA IOLs showed greater damage than soft IOLs (P < .05).

Effects of the picosecond neodymium:YLF laser on poly(methyl methacrylate) intraocular lenses during experimental posterior capsulotomy.

We evaluated the effect of the neodymium:YLF picosecond laser on intraocular lenses (IOLs) during experimental posterior capsulotomy and established the minimum damage threshold for lathe-cut poly(methyl methacrylate) (PMMA) IOLs. Single-piece, biconvex, lathe-cut PMMA lenses were placed in a model eye chamber against a latex membrane with a central area of lens-capsule touch. Energy levels from 40 micro J to 360 microJ pulse (0.4 mJ to 3.6 mJ) with a 0.5 mm line and a spot pattern were tested using different focal offsets. Threshold damage level was determined under the scanning electron microscope after observing the minimal energy level that did not cause damage to or pits in the IOLs. Lenses were then analyzed for size and type of damage. The 0.5 mm line pattern at 160 microJ using 350 microns offset was safe and effective for posterior capsulotomy in vitro. spot pattern caused IOL damage in the form of small pits at much lower energy levels of 80 microJ using 400 microns offset than the line pattern.

Effect of the Nd:YAG laser on polymethylmethacrylate, HEMA copolymer, and silicone intraocular materials.

Recent trends of cataract extraction feature both small surgical wounds and preservation of posterior capsules. The development of safe, reliable, and flexible implant materials that can withstand near impact with a Nd:YAG laser during secondary posterior capsule discissions are required. An in vitro experiment was performed to analyze the effects of Nd:YAG laser irradiation on polymethylmethacrylate (PMMA), hydroxyethylmethacrylate (HEMA), hydroxyethylhydroxymethylmethacrylate (HEMA-MEMA) copolymer combination, and a silicone compound. The HEMA and HEMA-MEMA compounds were the least susceptible to Nd:YAG laser damage in this laboratory setting.

Neodymium:YAG laser damage to UV-absorbing poly(methyl methacrylate) and UV-absorbing MMA-HEMA-EGDMA polymer intraocular lens materials.

MemoryLenses and UV-poly(methyl methacrylate) intraocular lenses, which served as controls, were individually exposed to twenty 5 mJ shots of the Nd:YAG laser focused onto the posterior surface while placed in a sterile holder containing 5 ml of saline. The MemoryLens is a new foldable intraocular lens (IOL) manufactured from a polymer consisting of methyl methacrylate (MMA), 2-hydroxyethyl methacrylate (HEMA), and ethylene glycol dimethyacrylate (EGDMA) with a UV absorber. Damage to the lenses was assessed by scanning electron microscopy. Cytotoxicity tests designed to detect potentially toxic substances released during laser damage were conducted with the saline solution by incubating it with mouse fibroblasts. Additional tests of the saline solution were conducted by high performance liquid chromatography and spectrophotometry. Damage induced by the Nd:YAG laser to the UV-poly(methyl methacrylate) IOLs was similar to that reported by other authors. Damage to the MemoryLens appeared less severe and showed no radial stress cracking. Cytotoxicity tests were negative for both types of IOLs. High performance liquid chromatography tests were negative for residual monomers (MMA, HEMA, EGDMA) and spectrophotometry did not reveal residual UV absorber.

Controlled drug dissolution by radiation-induced polymerization in the presence of dimethylaminoethyl methacrylate-methyl methacrylate copolymer or methacrylic acid-methyl acrylate copolymer.

Polymer-containing tablet preparation was studied using radiation-induced polymerization of glass-forming monomers at low temperatures in the presence of dimethylaminoethyl methacrylate-methyl methacrylate copolymer or methyl acrylate-methacrylic acid copolymer. Drug dissolution from tablets was in the pH 3.0-8.0 range. A copolymer contained in the tablets dissolved in the dissolution medium at a specific pH. Drug dissolution from tablets took place rapidly at pH greater than 6.0 in the presence of methyl acrylate-methacrylic acid copolymer and at pH less than 5.0 in the presence of dimethylaminoethyl methacrylate-methyl methacrylate copolymer. The polymers had fibrous or capillary pore structures in contrast to the spherical pore structures formed in the presence of polyethylene glycol 600.

Dimensional stability of denture bases following repair with microwave resin.

The dimensional stability of a commercially available acrylic resin, designed specifically for polymerization by microwave irradiation, was compared with that of a conventional water-bath-cured resin. Resin bases were processed on duplicate stone casts prepared from a cobalt chromium master die. Twenty bases were polymerized, using acrylic resin modified for rapid heat curing, in a water-bath at 100 degrees C for 22 min. A further 20 bases were polymerized using a microwave curing acrylic resin, in a conventional microwave oven at 500 W power output for 3 min. Ten bases from each group were sectioned in a parasagittal direction and repaired using the microwave curing resin. Following each curing cycle the fit of the posterior border of each base was evaluated via a silicone index formed between the base and the master die. The index was invested in stone and sectioned through the posterior palatal region to allow measurement of its thickness by means of an eyepiece micrometer. One-way analysis of variance and unpaired Student's t tests were employed to compare the differences in distortion at the initial cure and following repair. No significant differences were found in the distortion of the acrylic resin bases produced from the heat-cured or microwave-cured materials. All bases exhibited significant further distortion on repair with the microwave-cured acrylic resin.

Volumetric shrinkage of composites using video-imaging.

OBJECTIVE: This study involves investigation of the use of video-imaging for measurement of volumetric shrinkage of composites. METHODS: Six composites were tested for volumetric shrinkage using video-imaging. The volumetric shrinkage was measured using the single- and multi-view volumetric reconstruction modes. All composites were cured using a VIP(TM) curing light for 40s at 500 mW/cm(2). Dynamic shrinkage was measured using the single-view mode with a red filter placed over the detector opening. RESULTS: Analysis of the volumetric shrinkage values by a one way ANOVA for each composite showed no difference for the single- and multi-view measurement mode. The shrinkage values determined by video-imaging were compared to those measured for the same composites by mercury dilatometry by one way ANOVA followed by a paired comparison using the Bonferroni method. CONCLUSION: The video-imaging technique gives reproducible results for volumetric shrinkage of composites comparable to those measured by dilatometry.

Tinting effect of ultraviolet radiation on intraocular lenses of polymethyl methacrylate.

Intraocular lenses (IOL) made of polymethyl methacrylate (PMMA) lack an important yellowish pigment useful as a filter in the visual process and in the protection of the retina from short wavelength light. It was found that the PMMA used for IOL manufacturing can be tinted by dry exposure to mercury near-UV emitting lamp (emission maximum, 365 nm, light bandwidth +/- 140 nm; irradiance of 50-100 W/sq m as measured at the PMMA surface; time of exposure 70-100 h, room temperature). The UV irradiated samples were stored in the atmosphere of N2 under the heating-protected and clean conditions. The IOL sample holder allowed to remove IOL loops and their fixation areas from the zone of the passing light. The absorptive properties of IOLs treated with UV light were similar to those of young human lenses. Raman vibration and fluorescence spectral analyses of IOLs have shown that the yellow colour and its intensity in the irradiated samples depends on the presence of conjugated C = C and C = O groups (pi-pi conjugation) in the chemical composition of PMMA. When the PMMA samples were exposed for 70 h to a high level of UV radiation (50-100 W/sq m) no damage was seen with scanning electron microscopy at both side surfaces of the IOLs. The PMMA water exhaustive extracts made by 70 h of UV radiation exposure did not show any cytological damage when injected into the cell cultures of fibroblasts. The threshold for optical breakdown in PMMA was detected by 100 h of UV radiation at the level of exposure equivalent to at least 20,000 times levels for expected ambient UV exposure to PMMA within the eye. A rigorous quality index defined as the ratio of the line C = C/C = O stretching mode intensities was introduced for the UV-absorbing PMMA photostability. The findings suggest an applicability of the photochemical tinting and further research to test the efficacy and safety of UV-absorbing chromophore induction in the PMMA IOLs.

[UV cured acrylates--potent contact allergens in the occupational environment]. / UV-haerdende akrylater--potente kontaktallergener i arbejdsmiljøet.

Allergic contact dermatitis is still an important disease in occupational medicine. Acrylic compounds are known to be potent contact sensitizers causing allergic eczema after occupational exposure. To illustrate the problem and the need for preventive arrangements the authors present an unusual clustering of allergic contact dermatitis in three technicians who produced hearing aids using ultraviolet cured akrylate compounds. All three technicians developed eczema on their fingers few months after introduction of the new acrylate compounds in the production. Skin patch testing with the products confirmed that sensitization.