Chewing efficiency and occlusal forces in PMMA, acetal and polyamide removable partial denture wearers. 2016

Anna Macura-Karbownik, and Grzegorz Chladek, and Jarosław Żmudzki, and Jacek Kasperski
Chair of Prosthetics and Dental Materials, Department of Dental Prosthetics, Medical University of Silesia in Katowice, School of Medicine with the Division of Dentistry in Zabrze, Zabrze, Poland.

OBJECTIVE Thermoplastic materials, such as acetal (AC) and polyamide (PA), constitute an alternative to polymethyl methacrylate (PMMA) based resins as the materials for removable partial dentures. However, none of the previous studies compared chewing efficiency and occlusal forces in the wearers of dentures made of various materials. Therefore, the aim of this study was to determine and compare the chewing efficiency and occlusal forces in PMMA, PA and AC RPDs' wearers. The hypothesis was that the type of denture base material shows a significant effect on chewing efficiency (expressed as a degree of food fragmentation) and occlusal force. METHODS The experiment included the group of 30 patients using removable partial dentures. The dentures made of PMMA, acetal and polyamide were tested in each patient. Each denture was worn for 90 days, with a random sequence of the denture manufacturing and insertion. After 7, 30 and 90 days of each denture wear, chewing efficiency coefficient was determined with the aid of a sieving method, and occlusal force was measured with a dynamometer. RESULTS The use of dentures made of PMMA or acetal was reflected by a marked increase in chewing efficiency and occlusal force. None of these parameters changed significantly with the time of denture wear. Moreover, no significant correlation was found between chewing efficiency and occlusal forces. CONCLUSIONS Denture base material exerts significant effects on the degree of food fragmentation and the level of occlusal forces. The use of dentures and clasps made of materials with lower modulus of elasticity is associated with lower chewing efficiency and lower occlusal forces.

UI MeSH Term Description Entries
D008297 Male Males
D008409 Mastication The act and process of chewing and grinding food in the mouth. Chewing
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009757 Nylons Polymers where the main polymer chain comprises recurring amide groups. These compounds are generally formed from combinations of diamines, diacids, and amino acids and yield fibers, sheeting, or extruded forms used in textiles, gels, filters, sutures, contact lenses, and other biomaterials. Polyamides,Dermalon,Ethilon,Nylon,Polyamide,Supramid,Dermalons,Ethilons,Supramids
D001732 Bite Force The force applied by the masticatory muscles in dental occlusion. Masticatory Force,Occlusal Force,Bite Forces,Force, Bite,Force, Masticatory,Force, Occlusal,Forces, Bite,Forces, Masticatory,Forces, Occlusal,Masticatory Forces,Occlusal Forces
D003832 Denture, Partial, Removable A partial denture designed and constructed to be removed readily from the mouth. Removable Partial Denture,Denture, Removable Partial,Dentures, Removable Partial,Partial Denture, Removable,Partial Dentures, Removable,Removable Partial Dentures
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000080 Acetals Diethers with the structure -C(OR'')(OR'''), where R'' and R''' are not hydrogen. Mixed acetals have R'' and R''' groups which differ. Acetal
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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