An In Vitro Comparative Study of Maxillary Denture Base Retention Between Conventional Fabrication and 3D Printed Techniques
DOI:
https://doi.org/10.17656/sdj.10173Keywords:
PMMA, Retention, Complete denture, 3D printing, Additive manufacturingAbstract
Objective: Many researchers have attempted to assess 3D printing as a manufacturing method to be used as an alternative for the
conventional means. The current study aimed to determine the feasibility of 3D printed complete dentures in terms of retention.
Methods: An edentulous maxillary model with an overlaying layer of mucosa was fabricated by 3D printing, using two different resins
for the mucosa and model, which were then glued together to establish the final model. Afterwards, 8 single step putty and wash
impressions were recorded with addition silicone. Each impression was scanned with a laboratory scanner. From each impression a
stone cast was fabricated on which a conventional baseplate was constructed by heat polymerized PMMA with the pack and press
technique. Meanwhile, from the 8 STL files of the scanned impressions, 8 baseplates were designed and printed with the denture base
resin. Next, each of the 16 baseplates were connected to a loop at their center. Finally, the retentive value of all baseplates was measured by means of the universal testing machine. A statistical analysis was performed to evaluate the significance of retentive difference between the two groups.
Results: The statistical analysis revealed that the printed dentures were significantly more retentive than the conventional, with a p-
value of less than 0.029 and mean values of 15.0462 N and 12.05 N respectively.
Conclusions: This study concluded that 3D printed complete dentures were significantly more retentive than the conventionally
fabricated dentures.
References
Lee D, Saponaro P. Management of edentulous
patients. Dent Clin North Am. 2019;63(2):61-249.
Tandon R, Gupta S, Agarwal S. Denture base
materials: From past to future. Indian J Dent Sci.
;2(2):9-33.
Behairy N, Kabeel S, El-Sadany H. Evaluation of
Retention for Maxillary Complete Denture
Constructed by Conventional and 3D Printing
Techniques. Al-Azhar J Girls. 2022;9(2):245-50.
Goodacre B, Goodacre C, Baba N, Kattadiyil M.
Comparison of denture base adaptation between
CAD/CAM and conventional fabrication
techniques. J Prosthet Dent. 2016;16(2):249-56.
Vallejo-Labdara M, Ocampo B. comparison of the
polymerization shrinkage of eclipse resin for
prostheses with conventional acrylic resins. Int J
odontostomat. 2019;13(3):279-86.
Al-Hamashari L, Faraj S. The effect of the
wettability on the retention of different denture
base materials. MSc thesis. Universiry of
Baghdad; 2005.
Anusavice, Kenneth J. Philips’ Science of Dental
Materials. 11th ed. Rudolph P, Alvis K, editors.
Missouri: Saunders - Elsevier; 2003. 726 p.
Tasaka A, Uekubo Y, Mitsui T, Kasahara T,
Takanashi T, Homma S, et al. Applying intraoral
scanner to residual ridge in edentulous regions: In
vitro evaluation of inter-operator validity to
confirm trueness. BMC Oral Health. 2019;19(1):1-
Lin L, Fang Y, Liao Y, Chen G, Gao C, Zhu P. 3D
printing and digital processing techniques in
dentistry: a review of literature. Adv Eng Mater.
;21(6):1-28.
Goodacre B, Goodacre C, Baba N. Using intraoral
scanning to capture complete denture impressions,
tooth positions, and centric relation records. Int J
Prosthodont. 2018;31(4):377-81.
Patzelt S, Vonau S, Stampf S, Att W. (PDF)
Assessing the feasibility and accuracy of digitizing
edentulous jaws (2013) _ Sebastian B. J Am Dent
Assoc. 2013;144(8):914-22.
Berli C, Thieringer F, Sharma N, Johannes A,
Dedem P, Fischer J, et al. Comparing the
mechanical properties of pressed, milled, and 3D-
printed resins for occlusal devices. J Prosthet Dent.
;124(6):780-6.
Kessler A, Hickel R, Reymus M. 3D printing in
dentistry-state of the art. Oper Dent.
;45(1):30-40.
Khorsandi D, Fahimipour A, Abasian P, Saber S,
Seyedi M, Ghanavati S, et al. 3D and 4D printing
in dentistry and maxillofacial surgery: Printing
techniques, materials, and applications. Acta
Biomater. 2021;122:26-49.
The glossary of prosthodontic terms: Ninth edition.
J Prosthet Dent. 2017;117(5):e1-105.
Lammie G. The retention of complete dentures. J
Am Dent Assoc. 1957;55(4):502-8.
Darvell BW, Clark RKF. The physical
mechanisms of complete denture retention. Br.
Dent J. 2000;189(5):528-58.
Li D, Yang ST, Yuan Q, Mo AC, Yue L. Accuracy
and retention of denture bases fabricated by
injection molding, milling, and three-dimensional
printing. Zhonghua Kou Qiang Yi Xue Za Zhi.
;57(9):927-31. Chineese.
Mohsen R, Emera K, Shady M, Alnajih MA.
Comparison of retention and denture base
adaptation between conventional and 3D-printed
complete dentures. Tabriz Univ Med Sci.
;16(3):179-85.
Tasaka A, Matsunaga S, Odaka K, Ishizaki K,
Ueda T, Abe S, et al. Accuracy and retention of
denture base fabricated by heat curing and additive
manufacturing. J Prosthodont Res. 2019;63(1):85-
Cui X, Reason T, Pardi V, Wu Q, Martinez Luna
AA. CBCT analysis of crestal soft tissue thickness
before implant placement and its relationship with
cortical bone thickness. BMC Oral Health.
;22(1):1-10.
Terry DA, Tric O, Leinfelder KF, Blatz MB. The
custom impression tray: fabrication and utilization.
Dent Today. 2010;29(3):3-8.
Reeson MG, Jepson NJ. Achieving an even
thickness in heat-polymerized permanent acrylic
resin denture bases for complete dentures. J
Prosthet Dent. 1999;3:359-61.
Sarandha D. Textbook of complete denture
prosthodontics. textbook of complete denture
prosthodontics. New Delhi, India: Jaypee brothers
Medical publisher; 2007.
Collins LM, Dawes C. The surface area of the adult
human mouth and thickness of the salivary film
covering the teeth and oral mucosa. j Dent Res.
;8:1300-2.
Gao H, Yang Z, Lin WS, Tan J, Chen L. The effect
of build orientation on the dimensional accuracy of
d-printed mandibular complete dentures
manufactured with a multijet 3d printer. J
Prosthodon. 2021;30(8):684-9.
AlHelal A, AlRumaih HS, Kattadiyil MT, Baba
NZ, Goodacre CJ. Comparison of retention
between maxillary milled and conventional
denture bases: A clinical study. J Prosthet Dent.
;117(2):233-8.
Koike T, Ishizaki K, Ogami K, Ueda T, Sakurai K.
Influence of anterior palatal coverage on
perception and retention in complete dentures. J
Prosthet Dent. 2011;105(4):272-9.
Aboheikal MM, Nabi NA, Elkerdawy MW. A
study comparing patient satisfaction and retention
of CAD/CAM milled complete dentures and 3D
printed CAD/CAM complete dentures versus
conventional complete dentures: a randomized
clinical trial. Brazilian Dent Sci. 2022;25(1):1-11.
Kavita K, Iqubal MA, Singh R, Singh S, Nazeer J,
Singh R. Factors affecting patient satisfaction
among patients undergone removable
prosthodontic rehabilitation. J Fam Med Prim
Care. 2020;9(7):3544.
McCord JF, Smith P, Jauhar S. Complete dentures
revisited. Dent Update. 2014;41(3):250-9.
Maniewicz S, Imamura Y, El Osta N, Srinivasan
M, Müller F, Chebib N. Fit and retention of
complete denture bases: Part I – Conventional
versus CAD-CAM methods: A clinical controlled
crossover study. J Prosthet Dent. 2022;13(22):5-6.
Hsu CY, Yang TC, Wang TM, Lin LD. Effects of
fabrication techniques on denture base adaptation:
An in vitro study. J Prosthet Dent.
;124(6):740-07.
Zafar M. Prosthodontic applications of polymethyl
methacrylate (pmma): an update. Polymers
(Basel). 2020;12(10):2299.
Savirmath A, Mishra V. A comparative evaluation
of the linear dimensional changes of two different
commercially available heat cure acrylic resins
during three different cooling regimens. J Clin
Diagnostic Res. 2016;10(11):50-4.
Katheng A, Kanazawa M, Iwaki M, Arakida T,
Hada T, Minakuchi S. Evaluation of trueness and
precision of stereolithography-fabricated
photopolymer-resin dentures under different
postpolymerization conditions: An in vitro study. J
Prosthet Dent. 2022;128(3):514-20.
You SM, You SG, Kang SY, Bae SY, Kim JH.
Evaluation of the accuracy (trueness and precision)
of a maxillary trial denture according to the layer
thickness: An in vitro study. J Prosthet Dent.
;125(1):139-45.
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