Background The aim of this study was to investigate the shear bond strength of CAD/CAM and conventional heat polymerized acrylic resin denture bases bonded to self-cured and heat-cured acrylic resins after aging. Material and Methods A total of 40 cubic specimens were fabricated from conventional heat-polymerized and CAD/CAM denture base resins. Denture base resin specimens in each group were divided into two subgroups (n=10) in which they were bonded to either a heat-cured (HC) or a self-cured (SC) reline resin. Subsequently, the specimens were subjected to thermocycling. Then the shear bond strength (SBS) of specimens was measured using the universal testing machine. After testing, modes of failure were examined using light microscopy. The results were submitted to statistical analysis. Results Mann-Whitney test showed that in each group of denture base materials, specimens bonded to HC reline resin had significantly higher SBS than those bonded to SC reline resin ( P <0.001). Conventional denture base bonded to HC resin exhibited the highest value of SBS. There was no statistically significant differences between the SBS of HC reline resin bonded to conventional and CAD/CAM with regards to SBS ( P =0.218). However, the SBS of SC reline resin was significantly higher when bonded to CAD/CAM compared to conventional denture base resin ( P <0.001). Conclusions Heat-cured reline resin showed higher shear bond strength to both CAD/CAM and conventional heat-polymerized denture resin in comparison to self-cured reline resin. Although there was no difference between the bond strength of heat-cured reline resin to CAD/CAM and conventional denture base, self-cured reline material produced stronger bond with CAD/CAM denture base. Key words: CAD/CAM, shear bond strength, reline, denture base resin.
Aim. The aim of this study was to compare lower dental arch changes using two types of space regainers, including a removable appliance with a distalizing screw and a fixed double-banded appliance. Methods and Materials. In this case-control study, the study sample was comprised of thirty-eight children with mixed dentitions, all of whom had unilateral space deficiency due to premature loss of the second deciduous molar in the mandibular arch. Patients were treated with either a removable appliance with a distalizing screw or a fixed double-banded space regainer (DBSR) (n = 19). Pre- and posttreatment dental casts and lateral cephalograms of patients were evaluated to compare the effects of the two space-regaining devices on the mandibular dental arch. The data were analyzed using paired and independent t-tests. Results. Available space, molar angle, IMPA, and the first molar distance to the mandibular plane and symphysis increased significantly in both groups ( P < 0.001 ). The mean amount of IMPA changes was significantly greater in the distalizing screw group than in the DBSR group ( P < 0.05 ). But, there were no statistically significant differences between the mean changes of available space, molar angle, and the first molar distance to the mandibular plane and symphysis in the distalizing screw and the DBSR group ( P < 0.05 ). The DBSR group’s treatment time was significantly shorter ( P < 0.001 ). Conclusion. The removable device with a distalizing screw and the DBSR were both able to regain mild-to-moderate unilateral space loss, achieving an increase in molar angle, IMPA, and molar extrusion. However, treatment time with the DBSR was shorter and with less incisor tipping as a side effect.
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