Effect of Using Two Different Techniques of Denture Base Fabrication on Retention of Maxillary Complete Denture: An in Vivo Comparative Study

Document Type : Original Article

Authors

1 Faculty of dentistry Suez Canal University

2 Professor of prosthodontics, Faculty of Dentistry, Suez Canal University.Egypt.

3 Professor of Prosthodontics, Faculty of Dentistry – Suez Canal University.

4 Assistant Professor of Prosthodontics, Faculty of Dentistry – Suez Canal University.

Abstract

Introduction: Complete denture is used to replace the entire dentition and restore
mastication, speech, and aesthetics. All other tooth-supported solutions have been
exhausted. Because Computer-Aided Design/ Computer-Aided Manufacturing (CAD/
CAM) dentures are milled from pre-polymerized Polymethyl Methacrylate (PMMA)
blocks that do not display polymerization shrinkage, they can eliminate the laboratory
processes of acrylic processing (setting up of teeth, try-in, flasking and de flasking).
Aim: to compare the retention values of maxillary conventional heat-polymerized
denture bases with digitally milled denture bases. Materials and Methods: Sixteen
totally edentulous patients participated in the study, which was divided into two groups
(n=8) (A) and (B). Patients in the group (A) received traditional heat-cured acrylic resin
dentures with a long cycle water path curing procedure, in group (B) received dentures
created using the CAD/CAM technique. For both groups, a metallic hook affixed to the
geometric center of the maxillary dentures was pulled by a digital force-meter gauge to
measure retention. Results: The mean retention values were recorded for both groups,
tabulated, and statistically analyzed; the following results were obtained. Regarding
group (A), retention values showed a significant increase at the beginning of the
study as well as at the end of the study. Regarding group (B), retention values showed
a significant initial increase at the beginning of the study, till the end of the study.
A significant difference was revealed between the mean retention values of the two
tested groups, with clear superiority of the retention of the CAD/CAM acrylic resin
dentures (group B) than that of the conventional heat-cured acrylic resin dentures
(group A). Conclusion: CAD/CAM acrylic resin dentures were superior in terms of
maxillary denture retention compared to conventional heat-cured acrylic resin dentures.
Retention was increased gradually over time in both two studied groups.

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