This study aimed to investigate the effect of new fibers not widely used in dentistry and hybrid fibers as reinforcing agents on fracture resistance of complete upper dentures (CUD). Five types of fibers (not widely used and hybrid fibers) were selected. Six groups of specimens were constructed, each with six identical samples. Specifically, one group served as the control group (no reinforcement), while the remaining five were reinforced with one fiber type per group. Fiber meshes were incorporated into the CUD specimens using a modified version of an established method, ensuring proper fixation and preventing slippage during compression into the flasks. Fracture toughness was measured using a Phywe, Universal Testing Machine, adapted to simulate masticatory loads experienced in the oral cavity. Statistical evaluation was conducted using ANOVA (Kruskal-Wallis) and Mann-Whitney test, while the reliability of the results was further analysed using the Wheibull method. Results showed that reinforcement of CUD with these fibers increased fracture strength, and the Weibull reliability of fiber-reinforced groups exceeded that of the control group. The study also highlighted the superiority of the Weibull method in evaluating the reinforcement effect compared to the non-parametric methods used.
References
[1]
Clancy, J.M.S. and Dixon, D.L. (1989) Cyanoacrylate Home Denture Repair: The Problem and a Solution. The Journal of Prosthetic Dentistry, 62, 487-489. https://doi.org/10.1016/0022-3913(89)90187-x
[2]
Taylor, M., Masood, M. and Mnatzaganian, G. (2021) Longevity of Complete Dentures: A Systematic Review and Meta-Analysis. The Journal of Prosthetic Dentistry, 125, 611-619. https://doi.org/10.1016/j.prosdent.2020.02.019
[3]
Taylor, M., Masood, M. and Mnatzaganian, G. (2022) Longevity of Complete Dentures after Relines: A 20-Year Population Based Retrospective Study of 187,227 Publicly Insured Adults. Journal of Dentistry, 121, Article ID: 104073. https://doi.org/10.1016/j.jdent.2022.104073
[4]
Dhiman, R. and Chowdhury, S.R. (2009) Midline Fractures in Single Maxillary Complete Acrylic vs Flexible Dentures. Medical Journal Armed Forces India, 65, 141-145. https://doi.org/10.1016/s0377-1237(09)80128-7
[5]
Bacali, C., Constantiniuc, M., Moldovan, M., Nastase, V., Badea, M. and Constantin, A. (2019) Reinforcement of PMMA Denture Base Resins: from Macro to Nano Scale. International Journal of Medical Dentistry, 23, 374-378.
[6]
Choudhary, M. and Rao, H. (2019) Comparative Evaluation of Flexural Strength of Heat Polymerized Denture Base Resin after Reinforcement with Glass Fibers, Nylon Fibers, Carbon Fibers and Polyaramid Fibers: An In-Vitro Study. International Journal of Science and Research, 8, 1330-1335.
[7]
Kannaiyan, K., Biradar Sharashchandra, M., Kattimani, S., Devi, M., Rao, B. and Chinna, S. (2020) Comparison of Flexural Strength of Kevlar, Glass, and Nylon Fibers Reinforced Denture Base Resins with Heat Polymerized Denture Base Resins. Journal of Pharmacy and Bioallied Sciences, 12, Article No. 399. https://doi.org/10.4103/jpbs.jpbs_117_20
[8]
Yu, S., Lee, Y., Oh, S., Cho, H., Oda, Y. and Bae, J. (2012) Reinforcing Effects of Different Fibers on Denture Base Resin Based on the Fiber Type, Concentration, and Combination. Dental Materials Journal, 31, 1039-1046. https://doi.org/10.4012/dmj.2012-020
[9]
Clarke, D.A., Ladizesky, N.H. and Chow, T.W. (1992) Acrylic Resins Reinforced with Highly Drawn Linear Polyethylene Woven Fibres. 1. Construction of Upper Denture Bases. Australian Dental Journal, 37, 394-399. https://doi.org/10.1111/j.1834-7819.1992.tb00766.x
[10]
M Hamouda, I. and Makki, A. (2022) History and Development of Polymeric Denture Base Reinforcement. Acta Scientific Dental Scienecs, 6, 111-121. https://doi.org/10.31080/asds.2022.06.1389
[11]
Asghar, M., Ud Din, S. and Kaleem, M. (2017) Effect of Incorporating Two Different Woven Glass Fiber Reinforcent on the Flexural Strength of Acrylic Denture Base Materials. Research & Reviews: Journal of Dental Sciences, 5, 20-26.
Welcome to Kuraray VECTRAN™. https://www.vectranfiber.com/
[17]
Vogelesang, L.B. and Vlot, A. (2000) Development of Fibre Metal Laminates for Advanced Aerospace Structures. Journal of Materials Processing Technology, 103, 1-5. https://doi.org/10.1016/s0924-0136(00)00411-8
[18]
Asundi, A. and Choi, A.Y.N. (1997) Fiber Metal Laminates: An Advanced Material for Future Aircraft. Journal of Materials Processing Technology, 63, 384-394. https://doi.org/10.1016/s0924-0136(96)02652-0
[19]
Periasamy, M., Manickam, B. and Hariharasubramanian, K. (2012) Impact Properties of Aluminium—Glass Fiber Reinforced Plastics Sandwich Panels. Materials Research, 15, 347-354. https://doi.org/10.1590/s1516-14392012005000036
[20]
Kattimani, P.T., Shah, T., Pareek, V., Parmar, P., Nigam, H. and Shah, P. (2019) A Comparative Study of Palatal Shapes and Flexural Properties of Edentulous Maxillary Conventional Heat Polymerised Acrylic Resin Denture Bases with Glass Fibre/Metal Mesh Reinforced Bases. Journal of Dental and Medical Sciences, 18, 51-70.
[21]
Komala, D.J., Kumar, D.P.S., Bheri, D.S. and Deepti, D.G. (2018) To Evaluate the Fracture Resistance of Maxillary Complete Dentures Reinforced with Full and Partial Glass Fibre Mesh: An in Vitro Study. International Journal of Medical and Health Research, 4, 181-187. https://doi.org/10.22271/ijmhr.2018.v4.i8.36
[22]
Sung-Hun, K. and Watts, D. (2004) The Effect of Reinforcement with Woven E-Glass Fibers on the Impact Strength of Complete Dentures Fabricated with High-Impact Acrylic Resin. The Journal of Prosthetic Dentistry, 91, 274-280.
[23]
Prombonas, A., Sklavou, E., Ioannidou, A., Kosma, E. and Orfanou, K. (2023) An Alternative Method for Incorporating Fiber Meshes in Complete Upper Dentures. Journal of Biomedical Science and Engineering, 16, 43-52. https://doi.org/10.4236/jbise.2023.163003
[24]
Zarb, G.A., Bolender, C.I. and Carlsson, G.E. (1997) Boucher’s Prosthodontic Treatment for Edentulous Patients. 11th Edition, C.V. Mosby, 332-346.
[25]
Prombonas, A.E., Paralika, M.A. and Poulis, N.A. (2013) Investigation of the Torsional Deformation of the Complete Upper Denture: A Pilot Study. Journal of Biomedical Science and Engineering, 6, 443-448. https://doi.org/10.4236/jbise.2013.64055
[26]
Prombonas, A.E., Vlissidis, D.S., Maria, P.A. and Nikolas, P.A. (2012) The Stress State of the Fraenal Notch Region in Complete Upper Dentures. Medical Engineering & Physics, 34, 1477-1482. https://doi.org/10.1016/j.medengphy.2012.02.009
[27]
Hearle, J.W.S., Lomas, B. and Cooke, W.D. (1998) Atlas of Fibre Fracture and Damage to Textiles. Woodhead Publishing, 468. https://doi.org/10.1533/9781845691271.7.319
[28]
De Vos, L., Van de Voorde, B., Van Daele, L., Dubruel, P. and Van Vlierberghe, S. (2021) Poly(Alkylene Terephthalate)s: From Current Developments in Synthetic Strategies towards Applications. European Polymer Journal, 161, Article ID: 110840. https://doi.org/10.1016/j.eurpolymj.2021.110840
[29]
Anthony, P., Poulis, N.A. and Yannikakis, S.A. (2019) The Impact of Notches on the Fracture Strength of Complete Upper Dentures: A Novel Biomechanical Approach. European Scientific Journal ESJ, 15, 435-448. https://doi.org/10.19044/esj.2019.v15n24p433
[30]
Roylance, D. (2001) STRESS-STRAIN CURVES. Department of Materials Science and Engineering, Massachusetts Institute of Technology. https://web.mit.edu/course/3/3.11/www/modules/ss.pdf
[31]
Lennon, A.B. (2007) Sources of Nonlinearities in Biomechanical Models. Trinity Centre for Bioengineering, School of Engineering, Trinity College. https://pureadmin.qub.ac.uk/ws/portalfiles/portal/198191153/LennonAB_ESB2007SourcesOfNonlineari-ty_ExtendedAbstract.pdf
[32]
Fung, Y.C. (1993) Biomechanics: Mechanical Properties of Living Tissues. 2nd Edition, Springer-Verlag, 243-424.
[33]
Mazza, E. and Ehret, A.E. (2015) Mechanical Biocompatibility of Highly Deformable Biomedical Materials. Journal of the Mechanical Behavior of Biomedical Materials, 48, 100-124. https://doi.org/10.1016/j.jmbbm.2015.03.023
[34]
Sharabi, M. (2022) Structural Mechanisms in Soft Fibrous Tissues: A Review. Frontiers in Materials, 8, Article ID: 793847. https://doi.org/10.3389/fmats.2021.793647
[35]
Gains, C.C., Correia, J.C., Baan, G.C., Noort, W., Screen, H.R.C. and Maas, H. (2020) Force Transmission between the Gastrocnemius and Soleus Sub-Tendons of the Achilles Tendon in Rat. Frontiers in Bioengineering and Biotechnology, 8, Article No. 700. https://doi.org/10.3389/fbioe.2020.00700
[36]
Wilson, J.O. and Rosen, D. (2007) Systematic Reverse Engineering of Biological Systems. ASME 2007 International Design Engineering Technical Conferences & Computers and Information in Engineering Conference, Las Vegas, 4-7 September 2007, 1-10.
[37]
Laaksonen, P., Szilvay, G.R. and Linder, M.B. (2012) Genetic Engineering in Biomimetic Composites. Trends in Biotechnology, 30, 191-197. https://doi.org/10.1016/j.tibtech.2012.01.001
[38]
Yang, W., Meyers, M.A. and Ritchie, R.O. (2019) Structural Architectures with Toughening Mechanisms in Nature: A Review of the Materials Science of Type-I Collagenous Materials. Progress in Materials Science, 103, 425-483. https://doi.org/10.1016/j.pmatsci.2019.01.002
[39]
Zhao, L., Thambyah, A. and Broom, N. (2015) Crimp Morphology in the Ovine Anterior Cruciate Ligament. Journal of Anatomy, 226, 278-288. https://doi.org/10.1111/joa.12276
[40]
Szczesny, S.E., Driscoll, T.P., Tseng, H., Liu, P., Heo, S., Mauck, R.L., et al. (2016) Crimped Nanofibrous Biomaterials Mimic Microstructure and Mechanics of Native Tissue and Alter Strain Transfer to Cells. ACS Biomaterials Science & Engineering, 3, 2869-2876. https://doi.org/10.1021/acsbiomaterials.6b00646
[41]
Dorner, W. (2017) Using Excel for Weibull Analysis. https://www.scribd.com/doc/294141364/Using-Excel-for-Weibull-Analysis
[42]
Costa, J., Turon, A., Trias, D., Blanco, N. and Mayugo, J.A. (2005) A Progressive Damage Model for Unidirectional Fibre-Reinforced Composites Based on Fibre Fragmentation. Part II: Stiffness Reduction in Environment Sensitive Fibres under Fatigue. Composites Science and Technology, 65, 2269-2275. https://doi.org/10.1016/j.compscitech.2005.05.011
[43]
Amira, G., Nerseen, M. and Abeer, F. (2011) Clinical Deformation of Reinforced Single Maxillary Denture Base. E.D.J., 57, 1-10.
[44]
Hada, T., Suzuki, T., Minakuchi, S. and Takahashi, H. (2020) Reduction in Maxillary Complete Denture Deformation Using Framework Material Made by Computer-Aided Design and Manufacturing Systems. Journal of the Mechanical Behavior of Biomedical Materials, 103, Article ID: 103514. https://doi.org/10.1016/j.jmbbm.2019.103514
[45]
Yu, S., Oh, S., Cho, H. and Bae, J. (2017) Reinforcing Effect of Glass-Fiber Mesh on Complete Dentures in a Test Model with a Simulated Oral Mucosa. The Journal of Prosthetic Dentistry, 118, 650-657. https://doi.org/10.1016/j.prosdent.2017.03.018
[46]
Im, S., Huh, Y., Cho, L. and Park, C. (2017) Comparison of the Fracture Resistances of Glass Fiber Mesh-and Metal Mesh-Reinforced Maxillary Complete Denture under Dynamic Fatigue Loading. The Journal of Advanced Prosthodontics, 9, 22-30. https://doi.org/10.4047/jap.2017.9.1.22
[47]
Sethi, N., Sharma, A., Singh, R., Priya Singhal, M., Gautam, S. and Kaur, R. (2020) A Comparative Evaluation of Fracture Strength of Single Maxillary Complete Dentures Reinforced with Three Different Materials: An In-Vitro Study with a Clinical Component. International Journal of Current Pharmaceutical Review and Research, 6, 5208-5215.
[48]
Miyairi, H., Nagai, M. and Takayama, Y. (1983) Application of Carbon Fiber (CF)-Cloth Reinforcement to Upper Complete Denture Base. The Bulletin of Tokyo Medical and Dental University, 30, 109-117.
[49]
Pasha, G.R., Khan, M.S. and Pasha, A.H. (2007) Reliability Analysis of Fans. Journal of Research, 18, 19-33.
[50]
Pasha, G.R., Khan, M.S. and Pasha, A.H. (2006) Empirical Analysis of the Weibull Distribution for Failure Data. Journal of Statistics, 13, 33-45.
[51]
Chiang, Y.M., Birnie, D. and Kingery, W.D. (1997) Physical Ceramics: Principles for Ceramic Science and Engineering. John Wiley & Sons Inc., 1-544.
[52]
Davidge, R.W. (1980) Mechanical Behavior of Ceramics. Cambridge University Press, 1-174.
[53]
Bažant, Z.P. (2004) Probability Distribution of Energetic-Statistical Size Effect in Quasibrittle Fracture. Probabilistic Engineering Mechanics, 19, 307-319. https://doi.org/10.1016/j.probengmech.2003.09.003
[54]
Danzer, R., Lube, T. and Supancic, P. (2001) Monte Carlo Simulations of Strength Distributions of Brittle Materials—Type of Distribution, Specimen and Sample Size. International Journal of Materials Research, 92, 773-783. https://doi.org/10.1515/ijmr-2001-0143
[55]
De Santis, R., Sarracino, F., Mollica, F., Netti, P.A., Ambrosio, L. and Nicolais, L. (2004) Continuous Fibre Reinforced Polymers as Connective Tissue Replacement. Composites Science and Technology, 64, 861-871. https://doi.org/10.1016/j.compscitech.2003.09.008
