CAD/CAM milled complete removable dental prostheses: An in vitro evaluation of biocompatibility, mechanical properties, and surface roughness

Dent Mater J. 2018 Jul 29;37(4):526-533. doi: 10.4012/dmj.2017-207. Epub 2018 Mar 6.

Abstract

This study compared the biocompatibility, mechanical properties, and surface roughness of a pre-polymerized polymethyl methacrylate (PMMA) resin for CAD/CAM complete removable dental prostheses (CRDPs) and a traditional heat-polymerized PMMA resin. Two groups of resin substrates [Control (RC): conventional PMMA; Test (RA): CAD/CAM PMMA] were fabricated. Human primary osteoblasts and mouse embryonic-fibroblasts were cultured for biocompatibility assays. Mechanical properties and surface roughness were compared. ANOVA revealed no difference between the resin groups in the biocompatibility assays. RA demonstrated a higher elastic modulus (p=0.002), young's modulus (p=0.002), plastic energy (p=0.002), ultimate strength (p=0.0004), yield point (p=0.016), strain at yield point (p=0.037), and toughness (p<0.0001); while RC displayed a higher elastic energy (p<0.0001). Laser profilometry concluded a rougher surface profile (p<0.0001) for RA. This study concluded that the tested CAD/CAM resin was equally biocompatible and presented with improved mechanical properties than the traditional heat-polymerized PMMA resin used in the fabrication of CRDPs.

Keywords: CAD/CAM; CAD/CAM milled complete removable dental prostheses; Complete dentures; Laser profilometry.

MeSH terms

  • Animals
  • Biocompatible Materials / chemistry*
  • Cell Proliferation
  • Cells, Cultured
  • Computer-Aided Design
  • Denture Design*
  • Denture, Partial, Removable*
  • Elastic Modulus
  • Humans
  • Materials Testing
  • Mice
  • Osteoblasts
  • Polymethyl Methacrylate / chemistry*
  • Stress, Mechanical
  • Surface Properties

Substances

  • Biocompatible Materials
  • Polymethyl Methacrylate