FARKLI DEZENFEKSİYON YÖNTEMLERİNİN CAD / CAM VE KONVANSİYONEL AKRİLİK REZİNLERİN YÜZEY SERTLİĞİNE ETKİSİ
Amaç: Bu çalışmanın amacı, farklı dezenfeksiyon yöntemlerinin (%2 glutaraldehit, %5 sodyum hipoklorit ve mikrodalga) yeni üretilen prefabrike olarak polimerize edilmiş CAD/CAM akrilik rezin, ısı ile ve kimyasal polimerize olan akrilik rezinlerin yüzey sertliği üzerindeki etkisini değerlendirmektir. Gereç ve yöntem: 15 mm çapında 2 mm kalınlığında disk şeklinde hazırlanan örnekler kontrol ve 3 farklı test grubuna ayrılmıştır (n = 8): Grup 1: kontrol, 37°C'de distile su içinde; Grup 2: %2’lik glutaraldehit; Grup 3: %5’lik sodyum hipoklorit; Grup 4: mikrodalga dezenfeksiyonu (650 W / 6 dak). G2 ve G3 örnekleri bir saat boyunca dezenfektan solüsyonda bekletilmiştir. Yüzey sertliği ölçümleri (Vickers Sertliği), 2 yönlü ANOVA ve Tukey’s Honestly Significant Difference testi (α=.05) kullanılarak analiz edilmiştir. Bulgular: Tüm gruplarda en yüksek yüzey sertlik değerleri kontrol gruplarında bulunmuştur. Prefabrike olarak polimerize edilmiş CAD/CAM akrilik rezinler bütün gruplarda en yüksek yüzey sertliği göstermiştir (p<0,001). %5’lik sodyum hipoklorit dezenfeksiyonu, ısı ile ve kimyasal polimerize olan akrilik rezinlerin yüzey sertliği üzerinde etkili olmuştur (p <0,001). Sonuçlar: Bu çalışmanın sınırları dahilinde, yeni üretilen prefabrike olarak polimerize edilmiş CAD/CAM akrilik rezinlerin yüzey sertliği, dezenfektan yöntemlerinden bağımsız olarak dezenfeksiyondan etkilenmemiştir. Anahtar Kelimeler: Akrilik rezin, Dezenfektan solüsyon, Dezenfeksiyon, CAD/CAM akrilik, Protez Kaide Materyali Effect of Various Disinfection Methods on the Surface Hardness of CAD/CAM and Conventional Acrylic Resins ABSTRACT Objectives: The aim of the current study was to assess the effect of simulated disinfections (2% glutaraldehyde, 5% sodium hypochlorite, and microwave) on the surface hardness of newly introduced pre-polymerized acrylic resin, heat and self cured acrylic resin. Materials and Methods: Disc shaped specimens, 15 mm diameter and 2 mm thickness, were divided into a control and 3 test groups (n=8): Group 1: control, stored in distilled water at 37°C; Group 2: 2% glutaraldehyde; Group 3: 5% sodium hypochlorite; Group 4: microwave disinfection (650 W/6 min). G1 to G3 were immersed for an hour in the disinfectant solution. Measurements of surface hardness (Vickers Hardness) were analyzed using 2-way ANOVA and Tukey’s Honestly Significant Difference (HSD) test (α=.05). Results: The control groups showed the highest surface hardness values in all groups. Pre-polymerized block acrylic resin showed the highest surface hardness in all of the groups (p<0,001). The 5% sodium hypochlorite disinfection had an effect on the surface hardness of heat and self cured acrylic resins (p<0,001). Conclusions: Within the limitation of the current study, surface hardness of newly introduced pre-polymerized acrylic resin was not affected by disinfection regardless of the disinfectant methods. Keywords: Acrylic resin, Disinfectant solution, Disinfection, CAD/CAM acrylic, Denture Base Material
___
- 1. ADA Council on Scientific Affairs and ADA Council on Dental Practice: Infection control recommendations for the dental office and the dental laboratory. J Am Dent Assoc 1996;127:672-80.
- 2. Vafaee F, Radan P, Firouz F, et al: Microbial contamination of pumice powder and slurry in dental laboratories of Hamadan. Avi J Dent Res 2013;5:e19377.
- 3. Savabi O, Attar K, Nejatidanesh F, Goroohi H, Badrian H. Effect of different chemical disinfectants on the flexural strength of heat-polymerized acrylic resins. Eur J Prosthodont Restor Dent 2013;21:105-8.
- 4. Vasconcelos LR, Consani RLX, Mesquita MF, Sinhoreti MAC. Effect of chemical and microwave disinfection on the surface microhardness of acrylic resin denture teeth. J Prosthodont 2013;22:298–303.
- 5. Pawashe KG, Tewary S, Sanyal PK, Nilesh K. An In vitro Comparative Evaluation of Disinfectants on Standard and Clinical Microbial Strains on Heat Cure Resins. J Clin Diagn Res 2017;11:ZC54-ZC58
- 6. Muscat Y, Farrugia C, Camilleri L, Arias‐Moliz MT, Valdramidis V, Camilleri J. Investigation of acrylic resin disinfection using chemicals and ultrasound. J Prosthodont 2018;27:461-468.
- 7. Harrison Z, Johnson A, Douglas WI. An in vitro study into the effect of a limited range of denture cleaners on surface roughness and removal of Candida albicans from conventional heat-cured acrylic resin denture base material. J Oral Rehabil 2004;31:460–67.
- 8. Iseri U, Uludamar A, Ozkan YA. Effectiveness of different cleaning agents on the adherence of Candida albicans to acrylic denture base resin. Gerodontology 2011;28:271–76.
- 9. Silva MM, Vergani CE, Giampaolo ET, Neppelenbroek KH, Spolidorio DM, Machado AL, et al. Effectiveness of microwave irradiation on the disinfection of complete dentures. Int J Prosthodont 2006;19:288–93.
- 10. Gandhi N, Daniel S, Benjamin S, Kurian N, Varghese VS. Evaluation of surface microhardness following chemical and microwave disinfection of commercially available acrylic resin denture teeth. J Clin Diagn Res 2017;1:ZC87-ZC91
- 11. Çetindağ MT, Meşe A. Diş hekimliğinde kullanılan CAD/CAM (Bilgisayar Destekli Tasarım/Bilgisayar Destekli Üretim) sistemleri ve materyaller. J Dent Fac Atatürk Uni 2016;26:524-33.
- 12. Ayman AD. The residual monomer content and mechanical properties of CAD\CAM resins used in the fabrication of complete dentures as compared to heat cured resins. Electronic physician 2017l;9:4766.
- 13. Srinivasan M, Gjengedal H, Cattani-Lorente M, Moussa M, Durual S, Schimmel M, Müller F. CAD/CAM milled complete removable dental prostheses: An in vitro evaluation of biocompatibility, mechanical properties, and surface roughness. Dent Mater J 2018;37:526-533.
- 14. Al‐Dwairi ZN, Tahboub KY, Baba NZ, Goodacre CJ. A Comparison of the Flexural and Impact Strengths and Flexural Modulus of CAD/CAM and Conventional Heat‐Cured Polymethyl Methacrylate (PMMA). J Prosthodont 2018 Jun 13. doi: 10.1111/jopr.12926.
- 15. Anusavice KJ, Phillips RW. Phillip’s science of dental materials. 11th ed. St Louis: Elsevier; 2003. p. 33-47.
- 16. Orsi IA, Junior AG, Villabona CA, Fernandes FH, Ito IY. Evaluation of the efficacy of chemical disinfectants for disinfection of heat‐polymerised acrylic resin. Gerodontology 2011;28:253-7.
- 17. Consani RL, Mesquita MF, de Arruda Nobilo MA, Henriques GE. Influence of simulated microwave disinfection on complete denture base adaptation using different flask closure methods. J Prosthet Dent 2007;97:173-8.
- 18. Neppelenbroek KH, Pavarina AC, Vergani CE, Giampaolo ET. Hardness of heat-polymerized acrylic resins after disinfection and long-term water immersion. J Prosthet Dent 2005;93:171-6.
- 19. Hamanaka I, Iwamoto M, Lassila LV, Vallittu PK, Takahashi Y. Wear resistance of injection-molded thermoplastic denture base resins. Acta Biomater Odontol Scand 2016;2:31-37
- 20. Suwannaroop P, Chaijareenont P, Koottathape N, et al. In vitro wear resistance, hardness and elastic modulus of artificial denture teeth. Dent Mater J 2011;30:461–468.
- 21. Jaiswal P, Pande N, Banerjee R, Radke U. Effect of repeated microwave disinfection on the surface hardness of a heat-cured denture base resin: An In vitro study. Contemp Clin Dent 2018;9:446-451.
- 22. Mahmood MA, Khalaf BS, Abass SM. Efficiency of Different Denture Disinfection Methods. Global J Bio-sci Biotech 2017;6:439-4.
- 23. Azevedo A, Machado AL, Vergani CE, Giampaolo ET, Pavarina AC, Magnani R. Effect of disinfectants on the hardness and roughness of reline acrylic resins. J Prosthodont 2006;15:235-42.