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1
Department of Prosthodontics, Faculty of Dentistry, Afyon Kocatepe University, Afyon, Turkey
2
Department of Prosthodontics, Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey
3
Department of Prosthodontics, Faculty of Dentistry, Izmir Katip Celebi University, Izmir, Turkey
4
Department of Prosthodontics, Faculty of Dentistry, Ankara University, Ankara, Turkey
5
Department of Prosthodontics, Faculty of Dentistry, Selçuk University, Konya, Turkey
Corresponding author, Bora BAGIS; E-mail: bbagis@yahoo.com
The purpose of this study was to evaluate the effect of denture cleansers on the surface roughness, hardness and color stability of
two polyamides (Valpast, Deflex), a butadiene styrene copolymer PMMA (Rodex), and PMMA polymer as a control group (Paladent).
Each material was divided into 5 sub-groups (n=7) as two control and three test groups. Three test groups were immersed for 20 days
in commercially available three denture cleansers (CO-Corega, PR-Protefix, VA-Valclean). Two-way analysis of variance and Tukey’s
post hoc HSD test were used to evaluate surface roughness and hardness data (α=0.05). ΔE, ΔL*, Δa* and Δb* mean values were used
for ANOVA, Tamhane test was used as post hoc. Polyamides showed low hardness and high roughness before and after immersion.
A significant decrease in hardness was observed for all resins except Rodex after immersion (p<0.05). The denture cleansers changed
the roughness, hardness and color of some resins.
Keywords: Denture cleansers, Base resins, Physical properties, Polyamide resins, Polystyrene graft copolymer resins
Potassium Monopersulfate;
Sodium Bicarbonate;
Corega Block Drug Company, Inc.,
CO Sodium Lauryl Sulfoacetate; white
Tabs Jersey City, New Jersey-NJ, USA
Sodium Perborate Monohydrate;
Sodium Polyphosphate
Cleansers
Sodium bicarbonate, Potassium caroate,
Queisser Pharma,
Protefix PR Sodium perborate, Citric acid, white
Flensburg, Germany
Sodium laurly sulphate, Aroma
specimens were fabricated in the conventional manner, Vickers hardness of denture base materials
as polymerization in water bath at 100°C for 30 min. The Vickers hardness (VHN) of the test samples was
The flask was then allowed to bench cool for 2 h before measured with a Vickers Hardness Tester (Struers A/S,
opening. Balerup, Denmark) using a 100-gf load for 30 s. The
One of the surfaces was finished using 200–800 grit diagonals of the pyramid impressed on the specimen
and with waterproof carbide papers using an automatic by the Vickers diamond indenter were measured and
polishing machine (Grin PO 2V grinder-polisher, Metkon noted. The VHN value is the arithmetic average of the
A.Ş, Bursa, Turkey) and polished on a wet rag wheel three measurements taken for each sample. In total, 140
with a slurry of pumice, followed by calcium carbonate samples (420 hardness measurements) were evaluated.
to standardize surface roughness. All measurements were recorded by one operator. The
mean Vickers hardness number was then calculated for
Immersion procedures each sample, and the average value was used to provide
A total of 35 specimens were produced for each base an overall mean value representative of the materials
resin/denture cleanser combination, which resulted after immersion in cleaning solutions.
in 7 specimens for each combination and time period
of immersion. The denture cleansers were prepared Color stability test
according to the manufacturers’ directions, ensuring The color of the specimens was measured using a
that the solutions covered all specimens. Specimens were portable colorimeter (Shade Eye- ex, Shofu, Japan)
immersed into each of the 3 denture cleansers for 15 min against a gray background with a lightness level of 5
at 50 °C, washed with tap water and distilled water, then Gray background was selected to make a standard for
immersed in distilled water after the other period time color measurements as performed in a previous study12).
at room temperature. Fresh denture cleanser solution The diameter of the measurement window was 3 mm;
was prepared each time/day. This procedure represents the illumination and light beam angle was 90°. Color
standard hygiene recommendations for patients using changes were examined for each specimen based on color
removable prosthetic restorations. These processes were specification using the CIEL*a*b* color space system.
repeated daily for 20 d. Distilled water was employed as The CIEL*a*b* system represents three-dimensional
a control solution (Table 2). color space with components of (L) lightness, (a) red-
green, and (b) yellow-blue23). Measurements were
Surface roughness of denture base materials performed at three points for each specimen to obtain
The surface roughness (Ra) of the test samples was a mean value. The differences in the L*a*b* values of
measured with a profilometer (SJ-201P, Mitutoya Corp, the specimens in each group before and after immersion
Kawasaki, Japan), using a 0.4-gf load for 5 s, where a were compared through post-polymerization as a
stylus traverses the surface, and an amplified trace of control group. The color differences (ΔE) resulting from
the profile is provided. The resolution of the data was immersion were calculated using the following equation:
0.01 µm. Surface roughness was standardized for all ΔE=[(ΔL*)2+(Δa*)2+(Δb*2)]1/2 for ΔL*=L1−L0, Δa*=a1−a0,
resins before immersion in solutions, but all of them Δb*=b1−b0. L0, a0, b0=immediate polymerization/before
were standardized in their own group. The Ra value immersion, L1, a1, b1=after immersion/20 days cleaning.
is the arithmetic average of all samples of the profile To relate the color differences (ΔE) to clinical environment,
through the mean sample length. In total, 140 samples the color data were quantified by the National Bureau
(420 roughness measurements) were evaluated. All of Standards (NBS) units24) through the Formula NBS
measurements were recorded by one operator. units=ΔE×0.92.
Color stability
According to the comparison of discoloration for each
resin in terms of cleansers, (Tables 4 and 5) and one-
way ANOVA, there was no statistical difference between
Dfl, Vlp, and Pld groups in terms of ∆E, ∆L*, ∆a*, ∆b*
(p>0.05). There was also no difference in terms ∆a* and
∆b* in Rdx groups (p>0.05); however in Rdx groups, (∆E)
values of PR cleansers were different than the control
group (p<0.05) but there was no difference between CO,
PR and VA solutions in terms of ∆E (p>0.05). Tamhane
test showed that the ∆L* value for Rdx after the
immersion of PR was smaller than the control group but
Fig. 1 Roughness of denture bases in different denture this positive ∆L* value also indicated that the slightly
cleansers. increase of lightness. NBS units of the Rdx group in
Table 3 Mean (SD) hardness values (kg/mm2) and standard deviations of materials evaluated
Cleansing Methods
Horizontally, means with same supercript lowercase letters are not statistically significant (p>0.05).
Vertically, means with same supercript uppercase letters are not statistically significant (p>0.05).
Dent Mater J 2013; 32(3): 367–375 371
Cleansing Methods
Rdx 5.89(0.91) aA
2.40(1.86) abA
0.53(1.06) bB
1.36(2.07)abA
Horizontally, means with same supercript lowercase letters are not statistically significant (p>0.05).
Vertically, means with same supercript uppercase letters are not statistically significant (p>0.05).
Horizontally, means with same supercript lowercase letters are not statistically significant (p>0.05).
Vertically, means with same supercript uppercase letters are not statistically significant (p>0.05).
Table 6 NBS units for all materials (Critical Marks of Color Differences)
Control IW20, CO, PR, VA were respectively: 5.42; 2.21; after immersion in VA cleanser. Except Rdx groups,
0.49; 1.25. All of the test groups showed predominatly surface roughnesses of the samples were increased after
similar results and classified as: slight. All of the Pld immersion of the cleansers. Figure 3 represents the
groups were classified as: slight (Table 6). highest roughness which was found in the Vlp polyamide
in the control group and increased roughness after the
SEM immersion of the tested cleansers.
SEM images of the specimens also confirm the results
of this study. The lowest roughness was observed in DISCUSSION
copolymer groups and the surface roughness of this
group (Rdx) did not change after the immersion of This study evaluated the effects of three commercial
the cleansers. Figure 2 represents the low surface denture cleansers on surface roughness, hardness and
roughness and similar surface property of the specimen color stability of two polyamides, one butadiene styrene
graft PMMA copolymer and a conventional PMMA resin resistance, health of oral tissue, comfort of the patient,
base material. aesthetics and retention of the dentures directly or
Considering the cleaning methods used by the indirectly2,26). In this study, the surface roughness of the
patients on the dentures, resin materials were immersed Rdx, butadiene styrene graft copolymer specimens, was
in 50ºC warm solutions for 15 min per day for a period not affected by the cleaning procedures evaluated.
of 20 days. Denture cleansers were prepared according In this study it was found that control group
to the manufacturers’ recommendations. The hypothesis samples of conventional PMMA resin had higher
that denture cleansers would not influence the surface hardness than polyamide-based resins. This difference
roughness, hardness or color stability of denture base stems from the differing structural properties of the
resins was partially rejected. materials. According to the manufacturers, polyamide
The surface roughness of the Rdx denture base resin resins had higher fibrous content and lower modulus of
specimens was not affected by the denture cleansers elasticity.
evaluated. This may be the strong surface character due The hardness of the polyamide resins and PMMA
to its crosslinking structure16,17). Since Vlp polyamide resin decreased after repeated immersion, regardless
resin had a higher initial surface roughness, roughness of the solution type used. Rdx resin has a butadiene
increased after the immersion. The surface roughness of styrene graft copolymer structure and is polymerized for
the polyamide and a conventional acrylic resin increased a long time, it has a high hardness. Since the literature
after 20 days of repeated immersion, regardless of the contains no study on the hardness of this resin in alkaline
solution type used. peroxide solution, it is not possible to compare the
One possible explanation for the increase in results; therefore, further studies should be carried out.
roughness observed for resin specimens may be that But we may consider that the hardness test suggested
the high water temperature and the oxygen-liberating that high impact resin can withstand stress through a
solution used during the disinfection procedure led to considerable degree of indentation, indicating that they
alterations in the surface of the resins. In all the resins, have sufficient longevity for insertion and removal from
the surface roughness of all samples was previously the denture cleansers.
standardized by smoothing and polishing procedures. Pinto et al.27) reported that polyamide resins had a
Bollen et al.25) reported that the surface roughness of higher mechanical resistance than acrylic resins. In the
acrylic resin depended on the polishing grit used. Since present study, although the hardness of the polyamides
copolymer and conventional PMMA resins have good as the control group was lower, when they were immersed
polishing properties, they have low initial roughness. in solutions, the decrease in hardness was lower than
However, since polyamide-based resins have fibrous that observed in the PMMA resins.
structure, semi-flexible structure and low surface Neppelenbroek et al.28) and Machado et al.2) reported
hardness. significantly reduced hardness for acrylic resins tested
SEM images also confirmed that polyamide-based with sodium perborate solution. Similarly, in the present
resins had higher roughness than control groups. study, hardness decreased in the PMMA resin. Hardness
The smoothing and polishing procedures were quite can decrease due to continuing polymerization reaction,
difficult with these materials. Surface structure of these monomer release, and combinations of these monomers
polyamide-based resins should be analyzed for the with free active radicals by bonding with oxygen.
content and distribution of the material after the setting Different alkaline peroxide-based denture cleansers
in the further studies. were selected with the idea that some possible differences
Peracini et al.1) immersed acrylic resin samples in in their structure would cause a different effect; however,
alkaline peroxide solution for 6 days and reported that no difference was found in terms of hardness. Resins
surface roughness of the resins were increased. This are cleaned with alkaline peroxide by decomposition of
finding is consistent with the results of our study. peroxide into free radicals. These free radicals convert
The current study is also consistent with the findings large molecules into small molecules through reduction
of Machado et al.2), who showed that sodium perborate and oxidation processes29).
solution increased surface roughness of acrylic resins. All When immersed in hot water, hydrogen peroxide
of the three solutions used in the present study showed is heated, and thus the oxygen in its structure is
similar effects. It was thought that these similar effects decomposed to free oxygen radicals and thus water
occurred as the solutions had the same basic structure. molecules are removed. Oxygen might cause a chemical
SEM results were consistent with surface roughness softening of the resin surface by damaging interchain
values. forces in the polymer. Nikawa et al.3) reported that the
Surface roughness is an important factor, which high peroxide content and level of oxygenation in the
affects the clinical life of materials and resistance to strongly alkaline solution is the damaging factor for
plaque formation. Surface roughness is related to the denture base materials. In the current study, specimens
abrasion of materials8,20). were immersed into each of the 3 denture cleansers for
Some in vivo studies suggested rough denture 15 min at 50ºC. The increase of the temperature may be
surface makes accumulation of microorganisms easier an activating agent for these cleansers.
and a higher level of biofilm formation occurs compared The hypothesis that denture cleansers could
to smooth surfaces. Rough surfaces also affect staining influence the color stability of the denture base materials
374 Dent Mater J 2013; 32(3): 367–375
was accepted. In the present study, color changes were cleansers increased surface roughness of the
performed using the CIE L*a*b* colorimetric system materials except for the graft copolymer PMMA
and NBS units color comparison parameters. No acrylic resin. However, there was no difference
difference was observed in ΔE values of the resins after between the three solutions.
immersion in denture cleansers for 20 days except Rdx. 2. The highest surface roughness was observed in
The reason for this might be that the materials were Vlp polyamide resin. No difference was observed
immersed in solution for a short daily period and that in PMMA resins.
they were immersed in distilled pure water again after 3. Polyamide resins demonstrated low Vickers
the immersion procedure. But color values of Rdx group hardness before and after immersion in the
changed after immersion of the solutions. denture cleansers.
The result of this study is consistent from those of 4. The slightly increase of lightness for copolymer
Ünlü et al.19) and Peracini et al.1), who also detected a resin after the immersion of PR solution was
significant whitening effect on heat polymerized acrylic noticed comparing the control group, which the
resins with perborate cleansing agents. However, Sato immersion solution is, distilled water.
et al.30) did not detect color changes in the PMMA based
acrylic resins with the use of three different denture ACKNOWLEDGMENTS
cleansers.
Hong et al.22) reported that color change level was The authors thank Dr. Tamer Tüzüner and Dr. Bilge
high in acrylic resins following immersion in alkaline Besir for their helpful assistance in the preparation of
peroxide denture cleanser solutions for 365 days. In the this manuscript.
present study the samples were immersed with denture
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