The evaluation of microleakage and bond strength of a silicone-based resilient liner following denture base surface pretreatment.
BACKGROUND
The failure of adhesion between a silicone-based resilient liner and a denture base is a significant clinical problem.


OBJECTIVE
The purpose of this study was to examine the effects of denture base resin surface pretreatments with different chemical etchants preceding the silicone-based resilient liner application on microleakage and bond strength. The initial effects of chemical etchants on the denture base resin in terms of microstructural changes and flexural strength were also examined.


METHODS
Forty-two polymethyl methacrylate (PMMA) denture base resin (Meliodent) specimens consisting of 2 plates measuring 30 x 30 x 2 mm were prepared and divided into 7 groups (n = 6). Specimen groups were treated by immersion in acetone for 30 (A30) or 45 (A45) seconds, methyl methacrylate monomer for 180 (M180) seconds, and methylene chloride for 5 (MC5), 15 (MC15) or 30 (MC30) seconds. Group C had no surface treatment and served as the control. Subsequently, an adhesive (Mollosil) and a silicone-based resilient denture liner (Mollosil) were applied to the treated surfaces, and all specimens were immersed in the radiotracer solution (thalium-201 chloride) for 24 hours. Tracer activity (x-ray counts), as a parameter of microleakage, was measured using a gamma camera. For bond-strength measurement, 84 rectangular PMMA specimens (10 x 10 x 40 mm) were surface-smoothed for bonding and treated with the different chemical etchants using the same previously described group configurations. The adhesive and the silicone-based denture liner were applied to the treated surfaces. Tensile bond-strength (MPa) was measured in a universal testing machine. Flexural strength measurement was performed with 49 PMMA specimens (65 x 10 x 3.3 mm according to ISO standard 1567) in 7 groups (n = 7), with 1 flat surface of each treated with 1 of the chemical etchants preceding adhesive application. The flexural strength (MPa) was measured using a 3-point bending test in a universal testing machine. The data were analyzed by 1-way analysis of variance and the Tukey HSD test (alpha = .05).


RESULTS
Significant differences were found between the groups in terms of microleakage (P < .0001). The lowest microleakage was observed in group M180 (30,000 x-ray counts) and the highest in the control group (44,000 x-ray counts). The mean bond strength to PMMA resin ranged from 1.44 to 2.22 MPa. All treated specimens showed significantly higher bond strength than controls (P < .01). The flexural strength values all significantly differed (P < .05). All experimental specimens that had chemical surface treatments showed lower flexural strength than controls (P < .05).


CONCLUSIONS
Treating the denture base resin surface with chemical etchants increased the bond strength of silicone-based resilient denture liner to denture base and decreased the microleakage between the 2 materials. Considering the results of both tests together, the use of methyl methacrylate monomer for 180 seconds was found to be the most effective chemical treatment.
Sarac
Duygu
D
Department of Prosthetic Dentistry, Faculty of Dentistry, Ondokuz Mayis University, Samsun, Turkey. dsarac@omu.edu.tr
Sarac
Y Sinasi
YS
Basoglu
Tarik
T
Yapici
Oktay
O
Yuzbasioglu
Emir
E
D000134:Acid Etching, Dental / Q000379:methods*; D000180:Acrylic Resins; D000268:Adhesiveness; D000704:Analysis of Variance; D001840:Dental Bonding; D003763:Dental Leakage / Q000517:prevention & control*; D003819:Denture Bases; D003822:Denture Liners; D008422:Materials Testing; D020366:Methylmethacrylate; D008855:Microscopy, Electron, Scanning; D018583:Pliability; D012826:Silicone Elastomers; D013499:Surface Properties; D013718:Tensile Strength
D000180:Acrylic Resins; C483159:Mollosil Plus; D012826:Silicone Elastomers; D020366:Methylmethacrylate