title: Fatigue resistance of denture teeth.
abstract: OBJECTIVE
  There is no standard test to determine the fatigue resistance of denture teeth. With the increasing number of patients with implant-retained dentures the mechanical strength of the denture teeth requires more attention and valid laboratory test set-ups. The purpose of the present study was to determine the fatigue resistance of various denture teeth using a dynamic load testing machine.
  
  
  METHODS
  Four denture teeth were used: Bonartic II (Candulor), Physiodens (Vita), SR Phonares II (Ivoclar Vivadent) and Trubyte (Dentsply). For dynamic load testing, first upper molars with a similar shape and cusp inclination were selected. The molar teeth were embedded in cylindrical steel molds with denture base material (ProBase, Ivoclar Vivadent). Dynamic fatigue loading was carried out on the mesio-buccal cusp at a 45° angle using dynamic testing machines and 2,000,000 cycles at 2Hz in water (37 °C). Three specimens per group and load were submitted to decreasing load levels (at least 4) until all the three specimens no longer showed any failures. All the specimens were evaluated under a stereo microscope (20× magnification). The number of cycles reached before observing a failure, and its dependence on the load and on the material, has been modeled using a parametric survival regression model with a lognormal distribution. This allowed to estimate the fatigue resistance for a given material as the maximal load for which one would observe less than 1% failure after 2,000,000 cycles.
  
  
  RESULTS
  The failure pattern was similar for all denture teeth, showing a large chipping of the loaded mesio-buccal cusp. In our regression model, there were statistically significant differences among the different materials, with SR Phonares II and Bonartic II showing a higher resistance than Physiodens and Trubyte, the fatigue resistance being estimated at around 110 N for the former two, and at about 60 N for the latter two materials.
  
  
  CONCLUSIONS
  The fatigue resistance may be a useful parameter to assess and to compare the clinical risk of chipping and fracture of denture tooth materials.
authors.affiliation: Preclinical Research, R&D, Ivoclar Vivadent AG, Bendererstrasse 2, FL-9494 Schaan, Liechtenstein. Electronic address: siegward.heintze@ivoclarvivadent.com.
authors.forename: Siegward D
authors.initials: SD
authors.lastname: Heintze
authors.affiliation: Preclinical Research, R&D, Ivoclar Vivadent AG, Bendererstrasse 2, FL-9494 Schaan, Liechtenstein.
authors.forename: Dominik
authors.initials: D
authors.lastname: Monreal
authors.affiliation: University of Lausanne, Statistical Unit, Institute for Social and Preventive Medicine, Switzerland.
authors.forename: Valentin
authors.initials: V
authors.lastname: Rousson
mesh_terms: D003778:Dentures; D008422:Materials Testing; D055595:Mechanical Phenomena; D008963:Molar; D011475:Prosthesis Failure; D012044:Regression Analysis
keywords: Composite; Denture teeth; Double cross-linked polymer; Fatigue resistance; Parametric survival regression model