Title Author(s) Citation Issued Date URL Rights The pressure and temperature changes in heat-cured acrylic resin during processing Yau, Wai-fung, Elizabeth.; 邱慧鳳. Yau, W. E. [邱慧鳳]. (1999). The pressure and temperature changes in heat-cured acrylic resin during processing. (Thesis). University of Hong Kong, Pokfulam, Hong Kong SAR. Retrieved from http://dx.doi.org/10.5353/th_b3195410. 1999 http://hdl.handle.net/10722/40677 The author retains all proprietary rights, (such as patent rights) and the right to use in future works. THE PRESSURE AND TEMPERATURE CHANGES IN HEAT-CURED ACRYLIC RESIN DURING PROCESSING YAU WAI FUNG ELIZABETH M. D. S. DISSERTATION THE UNIVERSITY OF HONG KONG I 999 ACKNOWLEDGEMENTS My sincere gratitude is expressed to the following: Dr. T.W. Chow, my supervisor of the M.D.S. course, for his invaluable support, guidance and the treasured experiences shared throughout my course of study. Mr. Leo Y.Y. Cheng, my supervisor of the research, for his guidance, generous help and full technical support. Professor R.K.F. Clark, consultant of United Medical and Dental School, for his invaluable advice on the use of the transducer. Dr. C.W. Kwan, Assistant Research Officer, for his generous assistance with the data analysis and the computer work. Miss S.W. Cheng, Technician, Oral Rehabilitation, for her sincere help and great technical assistance. Mr. S.W. Ho, Mr. K.D. Lee and Mr. D.B. Yuen, Staff in Dental Materials Sciences, for their generous support on the instrumentation. - vi - THE UNIVERSITY OF HONG KONG LIBRARY Thesis Collection Deposited by the Author THE PRESSURE AND TEMPERATURE CHANGES IN HEAT-CURED ACRYLIC RESIN DURING PROCESSING YAU WAI FLING ELIZABETh, 13.DÒS. This thesis is presented in partial fuHilment ofthe requirements for the degree of Master of Dental Surgery Faculty of Dentistry The University of Hong Kong July 1999 \ : ' I 1p Abstract Acrylic resìn is commonly used for denture construction. It is generally believed that the gaseous porosity sometimes found in acrylic resin after processing is a result of the temperature having reached the boìling point of monomer durìng heat curing. The important factors involved are temperature and pressure. The aims of this study are to measure the pressure arid temperature changes of acrylic resin during processing, to record the highest temperature achieved when curing in boiling water and to determine the elevated boiling point ofmonomer under high pressure. A submìniature pressure transducer (temperature compensated to 94°C) and a thermocouple were placed on the palate of a standardized maxillary complete denture base. A heat-cured resin (Trevalon C) was polyrnerized by a long heating cycle (72°C for 6.5h and 92°C for 1.5h). Recordings ofpressure and temperature (n=6) were made at initial clamping of denture flasks and throughout the heating and cooling cycles of resin processing. The temperature ofthe acrylic resin was also monitored during a fast cycle, which was accomplished by placIng the flask directly into boiling water for 40mm. The pressure of acrylic dough inside the clamped flask was initìafly i i .S3atrn (SD=323) and reached a peak of 22.Olatm (SD3.45) during the long heating cycle. The elevated boiling point of monomer at increased pressure was calculated to be about 193.33°C (at ll.53atm) and 227.86°C (at 22.Olatm). These elevated boiling points are higher than the maximum temperature 13 1.21°C (SD=6.56) reached during the fast curing cycle. No porosity was observed iii the denture bases heat cured by the fast cycle. In conclusion, the highest temperature reached by heating of resin during processing ìs well below the elevated boiling point of monomer. Monomer therefore does not boil in clamped denture flasks under sufficient pressure. Thus adequate clamp pressure prevents gaseous porosity irrespective ofcuring cycle used. CONTENTS Contents i Index of Figures iv Index of Tables y Acknowledgements vi 1. INTRODUCTION I 2. LITERATURE SURVEY 3 2. 1 . History of Denture Base Materials . 3 Early Natural Materials 2.1.2 Vulcanite 2.1.3 Cellulose Nitrate 2.1 .4 Phenol-formaldehyde Resin 2.1.5 VinylPolymers 2.1.6 EpoxyResin 2.1.7 Polystyrenes 2.1.8 Nylon 2.1.9 Polycarbonate 3 3 2.1.10 Poly(methyl methacrylate) 9 2. 1 I . 4 5 6 7 8 8 8 2.2. Types of Acrylic Resins i Heat-cured Acrylic Resin 2.2.2 Cold-cured Acrylic Resin 2.2.3 Microwave-cured Acrylic Resin 2.2.4 Light-cured Acrylic Resin 2.2. 1 5 17 18 19 21 23 2.3. Processing Methods 2.3.1 Compressionmou.1ding Tecbnìque 2.3.2 Jnjection-moulthng Technique 2.3.3 Pour Resin Technique 2.3.4 Mìcrowave Curing Cycle 2.3.5 LightCuring 23 26 26 28 29 30 2.4. Porosìty 2.4.1 GaseousPorosity 2.4.2 Contraction Porosity 2.4.3 Porosity Caused by In&lequate Homogenicity ofthe Dough 31 32 32 2.5. Temperature Control during Processing 33 2.6. Pressure Control during Processing 37 -1- 2.7. Elevation of Boìlìng Point 40 3. OBJECTJVESOFTRE STUDY 43 4. MATERIALS AND METHODS 44 4.1.Materials 4.1 I Pressure Transducer . Thermocouple 4.1.3 Dynamic Strainnieter 4. 1 .4 Standard Maxillary Casts and Patterns 4. 1 .5 Modified Hanau Denture Flasks 4.1.6 AcrylicResin 4.1.7 CuringTank 4.1.8 ChartRecorder and Computer 4_ i .2 44 46 48 49 52 52 54 54 55 4.2. Methods 55 57 62 4.2.1 Preparations 4.2.2 Packing the Resin Dough 4.2.3 Curing Cycles 4.3. Observation ofPorosity 62 4.4. Elevation ofBoìling Point 63 5. RESULTS 5. 1 . 64 64 Pressure Change during Packing 5 .2. Temperature and Pressure Changes in Long Curing Cycle 5 .3 . 69 Temperature Change in Fast Cycle 5.4. Elevation ofBoíling Point during Processing 6. DISCUSSION 6. 1 . 67 71 73 73 Packing Pressure 6.2. Temperature and Pressure Changes during Processing 75 75 77 6.2.1. Temperature Changes 6.2.2. Pressure Changes 6.3. Temperature Change in Fast Cycle 83 6.4. Elevation ofBoiling Point and Gaseous Porosity 84 6.5. DiseussionofMaterials andMethods 86 88 7. CONCLUSIONS -11 - 8. REFERINCES 89 9. APPENDICES 109 9.1. Calibration of Thermometer 109 9.2. Calibration of Strainmeter for Measuring Temperature 110 10. CONFERENCE PRESENTATION 111 -Ill - LIST OF FIGURES SECTION 4 Fig. 4.1 Subminiature Pressure Transducer 47 Fìg. 4.2 Transducer Placed Insìde Protective Sleeve 47 Fig. 4.3 Thermocouple Fig. 4.4 Strainmeters 50 Fig. 4.5 RTV Silicone Moulds of Maxillary Edentulous Arch 51 Fìg. 4.6 Standardized Wax Pattern of Complete Denture Base 51 and Thermometer 50 Formed on Duplicate Cast Fig. 4.7 Modìfied Hanau Denture Flasks 53 Fig. 4.8 Chart Recorder 53 Fig. 4.9 Flaskìng ofthe Cast 59 Fìg. 4.10 Assembly ofthe Flask 59 Fig. 4.11 Cross-section ofthe Set-up ofTransducer and 60 Thermocouple on the Denture Base Fig. 4.12 Trial Pack under Hydraulic Press 61 Fig. 4.13 Torque Applied 61 Fig. 5.1 Typical Pressure Change during Packing and Clamping 66 Fig. 5.2 Typical Pressure and Temperature Changes during 68 Section 5 Long Curing Fig. 5.3 Typical Temperature Change ofAcrylic Resin during 70 Fast Curing Section 6 Fig. 61 Pressure and Temperature Changes during the First 81 12 Hours Fig. 6.2 Pressure Change in Clamped Flask with No Heat Applied 82 -IV - LIST OF TABLES Section 4 Table 4.1 Range and Gain of the Strainmeter 48 Section 5 Table S . i Pressure of Acrylic Resin at the First and the Second Thai 65 Pack Table 5.2 Pressure ofAcrylic Resìn at the Final Closure and at the 65 Steady State Table 5.3 Peak Temperature ofAcrylic Resìn durIng Fast Curing 69 Table 5.4 Pressure ofAcrylìc Resin in Clamped Denture Flask at 71 Ambient Temperature Table 5.5 Peak Pressure and the Elevated Boiling Point 71 Table 5.6 Lowest Pressure ofthe Acrylic Resin 72 Table 5.7 Pressure at the End ofthe Cycle 72 Table 9. 1 Calibration of Thermometer i 09 Table 9.2 Calibration of Strairimeter for Temperature i 10 Section 9 -V- INTRODUCTION 1. Introduction Acrylic resins were first introduced to dentistry in 1937 (Peyton, 1975). They are now the most commonly used materials in constructing partial and complete dentures. In addition to its excellent physical, colour arid optical properties, the advantage of acrylic resins is the ease with which it can be mould.ed and processed for the construction of dentures. Polymerization of acrylic resins can be either heat activated, chemical activated or light activated. Heat-cured acrylic resin is always the choice for constructing denture bases because heat curing provides a higher degree of polymerization, which in turn gives the denture bases superior strength and colour stability (Winkler, 1984; Al-Mulla et al.. 1988; Combe, 1992; Phillips, 1996). In heat-cured acrylic resins, polymerization is started by free radicals from the beazoyl peroxide, which is activated by heat. As the polymerization proceeds, a certain amount of heat is liberated. It is generally believed that excessìve heat generated may boil the monomer before the process is complete. Tuckfield et al. (1943) suggested that the vapour trapped in the rapidly polymerizìng resin would give rise to internal porosity. Thus the rate and degree of temperature rise must be well controlled by reducing both the rate of heating and the temperature to whIch the flask is subjected during the curing cycle. Yeung et al. (1995) has shown that a temperature i INTRODUCTION spike was absent if a slow heating cycle (6.5b at 72°C and then 3Omìn at 100°C) was used. Faraj and Ellis (1 979) suggested that porosity would form in the cured resin only ifthe vapour pressure in the monomer (methyl methacrylate) at above 100°C was above atmospheric pressure; and that such pressure might exceed the denture flask clamping pressure. The clamping pressure is originally designed for adapting the denture base to the master cast during the thermal contraction in the cooling process. The boiling point of the methyl methacrylate, however, will be raised if it is under pressure. Whether the monomer will boil inside the flask then becomes questionable. The pressure mentioned in most studies in the literature unfortunately is the external pressure applied on the flask during trial closure; the main crIterion for such pressure is to obtain metal-to-metal contact between the two halves of the flask in a hydraulic press (Peyton, 1950; Faraj and Ellis, 1979; SeIg, 1982; Morrow et al., 1986). The flasks subsequently were fransferred to the spring clamp, which was hand- tightened without recording the magnìtude of the pressure applied (Sowter and Barton, 1986; Phillips, 1996). Also, no attempt has been made to record the internal pressure of the acrylic resin during curing cycle. In the present study, internal pressure arid the temperature of the resin during packing and processing of heat-cured acrylic denture base were investigated. 2 LITERATURE SURVEY 2. Literature Survey 21 History of Fenture Base Materials Replacement of missing teeth is one of the main problems dentists face. In order to provide effective dental services to patients dentists require ideal materials. The ideal material is one which is biologically compatible, readily available, reasonably ìnexpensive, and sìmple to manipulate with a readily controlled technical procedure to develop a prosthesis that is functionally effective and pleasing in appearance (Peyton, 1975). 2.1.1 Early Natural Materials It is interesting to note that as recently as i 840 dentistry depended to a large degree on naturally occurring materials for replacement of missing teeth. Structures resembling dentures, fashioned from hardwood, ivory or bone and fastened to natural teeth by screws, gold wire or other means, were reported to be common before i 800 (Peyton, 1975). 2.1.2 Vulcanite The art of vulcanizing rubber was developed in i 839 by Charles Goodyear (Winkler, 1984). In about 1855 vulcanized hard rubber was developed and introduced as a denture base material, so-called ebonite or vulcanite (Gibson, 1922). The 3 LITERA TURE SUR VEY combination of porcelain teeth mounted in vulcanite greatly improved comfort and function of dentures for edentulous patients. Porcelain teeth mounted in vulcanite was the standard in denture making for the next 75 years, but its principal disadvantage was poor esthetic quality. The natural colour of vulcanite is a dark olive browm Colouring it meant the addition of considerable amounts of dyes and pigments, whìch decreased ìts slrength and. durability (Winkler and Vernon, i 978). Early colouring attempts used ester-soluble dyes, but these were either easily degraded or deslioyed by the catalyst or the heat, or turned out to be ìnhibitors. Water-soluble dyes were tried but their colour stability was poor. Also, because rubber ìs opaque only surface colour was visible. Moreover, vulcanite was easily contaminated by the absorption of saliva and food flavors and odours. Attempts to address this problem were made by subjecting the materìal to various processing conditions. However, results were less than ideal. 2.1.3 Cellulose Nitrate In I 868 John Wesley Hyatt developed a. thermoplastic polymer popularly known as "celluloid" by combining cellulose nitrate and camphor while searching for a substìtute for ivory for the manufacture of billìard balls (Purrias, 1942; Sweeney 1958; Brydson, 1982). Celluloid was produced in pink colours (Woodforde. 1968; Greener et aL, 1972), which were more pleasing than the dark colours of vulcanite. 4 LITERA TLJRE SUR VEF Celluloid, however, discoloured and stained easily because of its porous structure. Also, the camphor - added in maximum quantity of 30% as plasticizer to facilitate moulding - made the taste and odour of the finished dentures unpleasant to patients (Woodforde, 1968; Greener et al., 1972; Combe and Grant, 1973; Paffenbarger and Rupp, 1973; Combe, 1992). In addition, because cellulose nitrate lacked stability, the dentures had a tendency to warp and distort in service (Peyton, 1950). Furthermore, the dentures were difficult to repair if fractured, and the material was ìnflanirnable. Other cellulose compounds, such as acetate, acetate-butyrate, and ethyl cellulose, were produced but they had warpage and distortion characteristics similar to the nitrate compound and thus were not well accepted. 2.1.4 Phenol-formaldehyde Resin Dr. Leo Bakeland invented phenol-formaldehyde resin - known as "Bakelite" -ìn 1907 (Peyton, 1975) but phenol-formaldehyde dentures were not prepared until 1924 by Dr. Stryker (Paffenbarger and Rupp, 1973). The main disadvantages of these dentures were their lack of uniformity and the inability to control their physical qualities, which depended to a large degree on the processing conditions. Undercuring the resin resulted in dimensional instability, while overcuring reduced strength and colour quality. LITERA TURE SURVEY When processed, it had an excellent appearance but the material was very brittle (Barber, 1934; Kimball, 1936) due to extensive cross-linking (Combe, 1992); it was also very stiff and difficult to mould, probably owing to vaporization of phenol durìng preparation (Kìmball. 1936; Gieler and Skinner, 1939; Combe and Grant, 1973; Combe, 1992). It was ìmpossible to repair, discoloured in service and retained the taste of phenol. Because of the organic properties of phenol and formaldehyde, polymerization is affected by water, thus the investment needed to be completely dried before processing (Greener et al., 1972). 2.1.5 Vinyl Polymers Mixtures of polynierized vinyl chloride and vinyl acetate were available for dentures after 1932 (Paffenbarger and Rupp, 1973). Their colour was pleasing but the processing method was difficult to follow without residual stresses developing. These stresses frequently caused slow warpage (Greener et al., 1972) arid fracture in service. Modifications of vinyl polymers, for example, Luxene 44, were introduced in 1939. They contained the original proportions of vinyl chloride to vinyl acetate copolymer, plasticìsed with methyl methacrylate monomer (Skinner and Cooper, 1943; Smith, 1957). The materials showed lìttle water absorption (Woelfel et al., 1963; Brauer, 1966; Stafford arid Smith, 1968b), high fatigue resistance (Stafford and Smith, 1970; Combe and Grant, 1973). and hìgh ìmpact resistance. LITERATURE SURVEY Nevertheless, they had a low elastic modulus (Brauer, 1966; Braden and Stafford, 1968) and a low transitìonal temperature of 80°C (Braden and Stafford, I 968), which could lead to distortion when cleaning or polishing at high temperatures. Furthermore, polyvinyl acrylics were supplied in gel form and required special injectìori-moiilding equipment for processing (Winkler, 1984). The injection moulding technique involved feeding compressed air into a cylinder that drove a piston, forcing the resin into the mould. Such a processing method was extraordinary long and complìcated. 2.1.6 Epoxy Resin Epoxy resins were first synthesized in 1 937 by Pierre Casten (Brauer, i 97Th). Their advantages are toughness (Causton, 1978), strength, hardness. low curing shrinkage and good adhesion to metals (Kydd and Wykhuis, 1958; Smith, 1962). Their shortcomings are suspected toxicity of some of the polyaniine curing agents (Combe and Grant, 1973; Brauer, 1977a; Combe, 1992), discolouration (Chevitarese et al., 1962; Smith, 1962; Causton, 1978), high water sorption (Greener et al., 1972; Paffenbarger and Rupp, i 973) and poor adhesion to vinyl polymers, resulting in poor bonding with the synthetic teeth (Sinìth, 1962). 7 LITERATURE SURVEY 2.1.7 Polystyrenes High-impact polystyrene, Jectron, was introduced in 1951 for denture-base construction. It showed lower water sorptìon than other denture base-materials (Woelfel et ciL, 1963; Brauer, 1966) but numerous upper midline fractures were reported (Woelfel, 1971 ; Smith, 1973). Also Jectron does not reproduce the impression surface as faithfully as does poly(methyl methacrylate) and this makes it less useful. 2.1.8 Nylon Nylon was first used in the construction of denture bases in the 1950s (Matthews and Smìth, 1955; Watt, 1955). Nylon displayed considerable strength (Anderson et al., 1974) but was unsatisfactory for denture bases because of its high moulding shrinkage, high water absorption and discolouration (Smith, 1962; Combe and Grant, 1973; Combe, 1992), high flexibility and poor chemical union with the teeth. The surface cannot be as highly polished as acrylic resin, and roughening leads to plaque accumulation (Smith, 1957; Greener et al., 1972). 2.1.9 Polycarbonate Polycarbonates can be synthesized from bisphenol A and diphenyl carbonate (Brauer. 1 977a). Polycarbonates have higher impact resistance than poly(methyl methacìylate) (Smith, 1962; Stafford and Smith, 1968b; Bikales, 1971; Combe and LITERATURE SURVEY Grant, 1973; McCabe and Wilson, 1974; Brauer, 1977a; Williams and Cunningham 1979) and good dimensional stability due to their low water sorption (Brauer, 1966; Bates, 1 973 ; Williams and Cunningham, I 979). They also have high tensile strength, high elastic modulus, high abrasion resistance and good colour stability (Wennstrom. 1965; Brauer, 1966; Stafford and SIIIÌth,, 1967; Bikales, 1971). Polycarbonates, however, were not widely used in dentistry because their use requires the installation of complex instruments and because of the high incidence of dentures cracking, owing to the stresses induced by the differential thermal shrinkage rates of polymer and gypsum mould. Also, the use of polycarbonate is limited to porcelain teeth because ofits required high moulding temperature (Brauer, 1966). 2.1.10 Poly(methyl methacrylate) A more satisfactory plastic denture base material emerged in 1937, when Dr. Walter Wright made known the results of his clinical evaluation of poly(methyl methacrylate), known as Vernonite (Peyton, 1975). PoIy(methyl methacrylate) is popular as denture-base material because ìt has excellent esthetic properties, adequate strength, low water sorption, and low solubility (Brauer, 1977a). It is bard, with a Knoop hardness number 18 to 20 (Phillips, 1996). Its tensile strength is about 59MPa and its specific gravity is 1.19. The modulus of LITEk4 TURF SUR VEY elasticity is about 2.4GPa. The polymer starts to soften at 125°C and depolynierize at 200°C. At 450°C 90% of the polymer will have depolymerized to the monomer. In addition, poly(methyl methacrylate) dentures are free from toxicity. can be easily repaired, have the ability to reproduce accurately, and retain indefinitely the details and dimensions of a pattern. Poly(methyl methacrylate) can be used with a simple moulding and processing technique (Leong and Harcourt, I 974; Brauer, 1977a) for the construction of denture base. Poly(methyl methacrylate) is colourless in its pure state and can be easily pigmented and characterized (Winkler, 1984). The main deficiency of poly(methyl methacrylate) is its low tensile strength, particularly under fatigue and impact condìtions, together with its high notch sensitivity (Stafford and Smìth, 1968a; Hargreaves, 1971), high coefficient of thermal expansion (Leong and Harcourt, I 974) and poor resistance to abrasion (Hargreaves, 197!). Moreover the dimensìonal accuracy of a poly(methyl methacrylate) denture ìs greatly affected by processing shrinkage and water sorption. Reported linear shrinkage ranges between 0.26% and i .20% (Grunewald et al., 1952; Matthews 1952; Chen aL, 1992; et al., et aL, 1988; DaBreo and Herman, 1991; Dixon et aL, 1992; Huggett et Cheng et al., 1993; Yeung et al., 1995; Sadamori et al., 1997) It has been reported that typical dental acrylic resins show a water sorption of about O.5mass% (Peyton arid Mann, 1942; Cheng et aL, 1993; Wong et aL, 1999). lo LiTERATURE SURVEY While many resins were introduced and subsequently withdrawn in the past 60 years, poly(methyl methacrylate) remains the most popular denture base material. Attempts to improve its clinical performance have been made by modì1.'ing the resin. The incorporation of low-molecular-mass styrene-butadiene rubber was found to increase the impact strength and fatigue resistance of poly(methyl methacrylate) while maintaining the elastic modulus (Stafford and Smith, I 970; Stafford and Lewis, 1980; Braden and Causton, 1979; Manley and Stonebanks, 1980; Winkler, 1984; Rodford, 1990; Craig, 1991). The polybutadiene rubber has a molecular mass of about 30,000 and forms a copolyrner with methyl methacrylate in bead form (Cornell, i 969). The beads form an interpenetrating network with poly(methyl methacrylate) during polymerization (Stafford et ai, 1980). This increases the impact strength up to 0.133 and the elastic modulus to 2.3GPa, compared with about OE025J and 2-OGPa, respectively, for traditional materials. The major disadvantage of polybutadiene rubbers is their cost. They also have a higher diffusion coefficìent (Stafford and Huggett, 1973; Stafford et al., 1983) and are technique sensitive. The addition of fibres was also used to reinforce the acrylic resins. Carbon fibres were found to be associated with increases in transverse strength, impact resistance, tensìle strength and fatigue resìstance (Schreìber, 197 1 and 1974; Wylegala, 1973; Manley et al, 1979; Manley and Stonebanks, 1980; Kimura, 1982). The main disadvantage ofthe fibres was their unsìghtly appearance withìn the denture and also the potential risk ofbìocompatibility ifexposed (Bowman et al., 1974). Glass 11 LITERATURE SUR VEY fibres (Smith, 1957; Vallittu, 1996; Waltimo et al., 1999) and aramid fibres (Berrong et al., 1990) were also tried but the same problems were encountered. Furthermore, a reduced transverse strength was reported if the fibres were poorly prepared (Braden, 1966; Kobiltz et al., 1974; Stafford and Handley, 1975; Ilirabayashi et al., 1984; Vallittu, 1997). Polyethylene fibres were developed and incorporated into the denture base resins in 1988 Polyethylene fibres were biocompatible (Rubin, 1983) and were reported to increase in Young's modulus and strength in axial direction when drawn at a temperature below their melting point (Capaccio and Ward, 1973). These fibres were added into the dentures, which then showed an increase in toughness and stiffliess and a reduction in water sorption, without deterioratìon in other properties (Braden et aL, 1988; Ladizeskyetal., 1990 and 1994; Chowetal., 1992 and 1993). In the past, swallowing of fragments of fractured dentures was occasionally encountered. To be able to locate inspirated or swallowed fragments in patients' upper respiratory or digestive tracts, researchers attempted to incorporate the resins with radiopaque substances such as silver alloy, lead acetate, finely ground gold, gold leaf, magnesium oxide, bismuth subcarbonate, barium sulphate, poiy(barium acrylate), and barium fluoride (Chandler et al., 1971; Combe, 1971 and 1972; Stafford and. MacCulloch, 1971; McCabe and Wilson, 1976; Winkler, 1984). Ten to 15% bismuth or uranyl salts (BiCl3, BiBr3, UO2(NO3)2) or 35% Zirconyl dimethylerylate were found to produce a satisfactory radiopacity (Rawls et al., 1990) but they were not 12 LITERATURE SURVEY used, especially in cold-cured acrylic resins because amìne in the monomer would precipitate the metal ions present (Craìg i 991). Esthetics is always an important factor in determining the success of a prosthesìs. Colouring of the denture base was done by adding inorganic pigments: cadmium suiphide, cadmium sulpho-seleiiide, iron oxide, zinc chromate and mercuric suiphide. Titanium dioxide was most frequently used as ari opacifier (Winkler and Vernon, 1978). The pìgments were added in very small proportions in the powder and did not affect the mechanical properties of the resins. However, the resultant colour varied because of variations in both the preparations and the types of resin. In the late 1950s organic pìgments aimed at overcoming the problems of inorganic pigments began to appear on the market. Although they could be used in smaller amounts and in simplìfied procedures, they were unstable under ultraviolet light and affected by the temperatures necessary for polymerization. hitemally coloured polymers were then tried during polymerìzation but these failed because polymerizing monomer rejects inorganic pigments. Different fibres are also used to increase denture characterization. For example, veined acrylìc resin contains short (3mm) fibres to simulate blood vessels of the mucosa. Acetate rayon fibres were firstly used because they were completely insoluble in monomer. However, they were capable of absorbing a considerable amount ofmonomer, leading to changes in diameter and length. 13 LITERATURE SURVEY When rayon fibres were exposed durìng services they absorbed the oral fluids or were broken off leaving voids and trapping matters that discoloured. Therefore, the characterization was lost within a short period of time and the capillary effect was replaced by discolouration. Acrylic resin fibres showed negligible amount of swelling and were compatible with the denture base resin. Nylon fibres were also used to simulate the minute blood vessels of the oral mucosa (Quinhivan, 1975; Winkler arid Vernon, 1978). 14 LITERATURE SURVEY 22 Types of Acrylic Resins Different types of acrylic resins are developed for dìfferent clinical and laboratory applications. They are usually supplìed as powder-liquid systems. The powder (polymer) is mixed with the lìquìd (monomer). Acrylic dough is formed and packed into the mould prior to polymerization of monomer (Winkler, i 984; Phillips, i 996). The liquid contains unpolymerized methyl methaciylate. It ìs clear and transparent. It has a melting point of -48°C. boiling point of 1OO.3C (Ellis and Carleton, 1936; Taylor, 1941), density of O.945g/mL at 20°C and the heat of polymerization of 54.OkJ/mol. It exhibits a light vapour pressure and is ari excellent organic solvent (O'Brien and Ryge, 1978). Cross-linkage agents such as ethylene and butylene glycol dimethacrylate are used to improve the craze resistance, solvent resistance (Mark, i 942; Jagger and Huggett, 1990), heat resistance, hardness, and fatigue limit ofthe final poiymer (Fujii, 1989). These cross-linkage agents are chemically and structurally similar to methyl methacrylate and therefore believed to be incorporated into growing chains. However, it was reported that abrasion resistance and impact strength were not significantly improved (Harrison et al., 1978). This was because the powder provided by manufacturers was pre-fomied polymer, and only a small amount of cross-linkings 15 LITERATURE SURVEY fanned during polymerization; thus most of the cross linkings could not incorporate into the original polymer chain. If pure methyl methacrylate is left standing it may polymerize very slowly without the aid of initìators and activators, as free radicals and chance of collisions are inevitably present. An inhibitor, such as hydroquinone or monomethyl ether of hydroquinone is added to prevent premature polymerization, but some inhibitors may affect the colour of the final product. Plasticizers such as dibutyl ptbalate are usually added to the liquid to increase the solubility ofthe polymer. The powder is composed mainly of poly(methyl methacrylate) beads that may have been modified with small amounts of ethyl methacrylate or ethyl acrylate to produce a softer ñnal product. Benzayl peroxide is added for the initiation of polymerization. The thy, finely ground pigments are mechanically blended with the polymer particles, or the polymers are internally coloured during their production in the reactor kettle. Characteristic fibres are present to ìmprove the esthetics; acrylic fibres are found to be more serviceable than rayon fibres (Winider and Vernon, 1978). Also supplied is gel or plastic cake, in which monomer and polymer are premixed and packed as soft, rubbery, one-unit cakes ready for immediate use. Though their respective proportions are accurate and their mixing is thorough (Winkler, 1964) their use is limited owing to their short shelf life, even when stored under refrigeration (Winkler, 1984). LITERA TUI SUR VEY Conventional acrylic resin is polymerized by heat, and advances in technology have seen the development of self-cured, lìght-cured and microwave-cured acrylic resins. 2.2.1 Heat-cured Acrylic Resin In heat-cured acrylic resin, benzoyl peroxide ìs commonly used to initiate reaction because of its low cost. Molecules of benzoyl peroxide decompose. producing pairs of free radicals. when heated above 60°C. Each radical rapidly attacks one carbon atom of the double bond ìn methyl methacrylate, forming further free radicals, inìtiaIing chain reaction. CH3 R+CH2=C r R- CH -C COOCH3 COOCH3 The chains propagate rapidly and terminate either by the coupling of two radicals directly or by the Iransfer of a single hydrogen ion from one chain to another. Benzoyl peroxide can also dissociate at room temperature but at a slow rate; heat is usually required to achieve a sufficiently high rate of polymerization. Thermal energy is supplied either by immersing a denture flask and flask carrier in a hot water tank (compression mould technique and injection mould technique) or by microwaves (Nishìì, 1968; Hashìmoto etal, 1968). 17 LITERATURE SURVEY 2.2.2 Cold-cured Acrylic Resin In i 947, chemical activators that initiated polymerization at room temperature were developed. Such acrylic resins are described as self-cured, cold-cured, or autopolymerized. Tertiaiy amine such as NN-dimethy1-para-to1uidine is added to the monomer and decomposes benzoyl peroxide to fonii sufficient free radicals on mixing. The use of an Initiator system based on barbìturic acid is quite popular among European manufacturers (Schaefer, 1970; Gross, 1976). Cold-cured resins and heat-activated resins are quite sìniilar but the degree of polymerization achieved in cold-cured resins is usually less. Therefore less polymerization shrinkage is usually observed (Mowery et aL, 1958). The linear shrinkage reported ranged from 0.01% to 0.43% (Skinner and Jones, 1955; Mowery et al., 1958). Thus cold-cured acrylic resìns were commonly reported as having less dimensional change and better adaptation to the cast than heat-cured systems (McCracken, 1952; Woelfel et aL, 1960; Anthony and Peyton, 1962; Peyton and Anthony, 1963). It is also possible that the lower polymerization temperature introduces less strain in the dentures. Cold-cured acrylic resin ìs usually associated with a higher level of residual monomers. The unreacted monomers may decrease the transverse strength of the denture base (Arab et al., 1989). They also lower the tensile strength, hardness, stiffness and fatigue resistance (Smith, 1962; Honorez et aL, 1989), possibly due to the plasticizing effect ofthe monomers. 18 LITERATURE SURVEY Several reports in the literature stated that a hìgh level of resìdual monomers was responsible for mucosal irritation (Bradford, 1948; Nyquist, 1952; Fisher, 1954 and 1956; Turrell, 1966; McCabe and Basker, 1976; Giunta and Zablotsky, 1976; Austin and Basker, 1980; asker et al., 1978; Ali er al., 1986; Dogan et aL 1995). McCabe and Basker (1976) reported the residual monomer levels causing mucosal irritation ranged between 0.186% and 0.233%. In Austin and Basker studies (1980), the level ranged between 1.7% and 3.2%. On the other hand, Smith and Bains (1955) and Woelfel (1 977) argued that residual monomers were unlikely to be the cause of tissue irritation because most of them would be exiracted by water or salìva within the first few hours of a denture's service. It was also noted that the average expansion of autopolymerized dentures during service owing to water sorption was slightly greater than that of heat-cured dentures (Mowery et al. , i 958; Mirza, I 961). Moreover, the presence of tertiary amìnes makes their colour stability inferior to that of heat-actIvated acrylic resins, owing to the subsequent oxidation forming coloured end products. 2.2.3 Microwave-cured Acrylic Resin Microwaves are electromagnetic waves produced by a generator called a magnetron (Rohren and Bulard, i 985). Methyl methacrylate molecules orient 19 LITERA TURE SUR VEY themselves in the electromagnetic field of the microwaves - 2,45OIvIBz, as produced in domestic ovens and change their direction nearly 5 billion times a second. Heat released during the resulting collisions ofthe molecules is adequate to break down the benzoyl peroxide molecules into free radicals, initiating chain reactions (De Clerck, 1987). The reported advantages of this method are shorter curing time (Reìtz et al., 1985; Hayden, 1986; Levin et aL, 1989), ease, cleanliness, and substitution of the heavy brass flask and water-bath curing tank by the lighter plastic flask and mìcrowave oven (Nìshii, I 968, Hasbimoto et al., i 968). The physical properties of microwave-cured resins were reported to be as good as those of heat-cured resins (Nishii. 1968). Lower (Sanders residual et al., monomer levels (De Clerck, 1987) and reduced porosity 1987) were also shown. Some authors, however, continued to encounter the problem of porosity when the sections were 2.5-3.0mm thick (Reitz et aL, 1985;Al-Doorietal., 1988). In 1991, Bafíle et al. claimed to have reduced the mean porosity of microwave-cured resin by processing with a special liquid (Micro Liquìd, H.D. Justi., Oxnard, Calif.). The liquid's formula has never been revealed by the manufacturer but the authors have suggested that it may contain eìther a triethylene or tetraethylene glycol, which are dìmethacrylates having a reaetìve group on each end. 20 LITERATURE SURVEY Dimethacrylates have low vapour pressure, which would allow processing at elevated temperatures without porosity occurring. Kimura et aL (1984) suggested that improvement in acbptatìon was the result of the homogerious heating of the investing plaster and resin by the microwaves causing fewer internal stresses to be introduced into the processed denture. On the other hand, Shlosberg (1 989) concluded that the density, dimensional accuracy, transverse strength, hardness, and residual-monomer levels of denture base resin polymerized by microwave were not different from those of denture base resIn polymerized by hot water. Although most of the physical properties of microwave-cured resins are comparable with those of heat-cured resins, microwave processing requires a microwave oven, a special resin and unique non-metal flasks, which deteriorate more rapidly than metal flasks (Rudd, 1996). The procedure is also technique sensitive to porosity or insufficient curing of resin (Baille et al., 1991). Hence, the use of microwave energy to cure denture resins is not readily accepted. 2.2.4 Light-cured Acrylic Resin In 1985, Dentsply International Company developed visible-light-cured resin denture base material, which it marketed under the trade naine Triad'. It is composed of a matrix of urethane dimethacrylate, and small amounts of rnicrofine silica to 21 LITERATURE SURVEY control rheology. The filler consìsts of varying sizes of acrylic-resin beads, which become part of an interpenetrating polymer network structure when cured. It is supplied in theet and rope forms, reducìng the risk of air bubbles being trapped during mixing, and is packed in light-proofpouches to prevent premature polymerization. Visible light, usually the shorter blue 400 to 500 nanometer wavelength, is the activator. and eamphorquinone is the initiator. Although visible-light-cured resin had comparable transverse strength, hardness, rigidity, nontoxicity with heat-cured acrylic resins, its susceptibility to staining and brittleness and its low-impact resistance limited its use (Ogle et aL, 1986; Khan et al., 1987; Al-Mulla et al., 1988). Light- cured dimethacrylate denture material was reported to absorb water at a much slower rate than heat-cured acrylic resìn, but had a higher percentage of water uptake (AlMulla et al., 1989). 22 LITERATURE SURVEY 23 Processing Methods Along with the continual evolution of denture base materials, different processing methods were developed, not only to cope with the changes in materials but also to improve the efficiency and properties ofthe final dentures. 2.3.1 Compression-moulding Technique Traditionally, acrylic resin dentures are processed in brass denture flasks by compression moulding the acrylic resin in its dough state. The flasks are placed in a temperature-controlled water bath for a specified time to permit resin polymerization. Physical properties are generally believed to be related to the curing time and temperature provided and possibly the stresses accumulated (Stanford et al., 1955; Rupp et aL, 1957; Lorton and Phillìps, 1979; Jerolimov et al., 1991). The rate of cooling also has a significant effect on dìmensìonal accuracy. Warpage and larger shrinkage were reported when the dentures were quenched in water (Chen et al., 1988; YeungetaL, 1995). 2.3.1.1 Long Curing Cycle without Terminal Boil A long curing cycle of 7 to 14h at around 70°C ìs used to cure the acrylic (Harrison and Huggett, 1992; Vallittu et al., 1998). It ìs believed that the relatively low curing temperature prevents boiling of the monomer during the exothermic 23 LITERA TUPE SUR VEY reaction. The reaction is slow, because fewer radicals are produced and therefore the process must be prolonged to achieve a high degree of polymerization. Unfortunately, a relatively high content of residual monomer was found ìn dentures cured at 70°C for 9h (Vallittu et aL , i 998). The author suggested that this was due to the relatively low polymerization temperature. The low temperature, which is below the glass transition temperature of the polymer, not only produced fewer radicals but also caused lower molecular chain motions for polymerization. The rate of free-radicals formation and the rate of polymerization were higher at 100°C than at 70°C. When the terminal boil was omitted in the curing cycles a lower glass transition temperature of the denture was reported (Jerolimov et al., 1991) and reduced transverse bend strength and surface hardness were found (Arab et al. , i 989). It is probable that the plasticizing effect of the high levels of residual monomers effectively reduced interchain forces, leading to greater deformation under loading. 2.3.1.2 Long Curing Cycle with Terminal Boil A two-stage curing cycle of 7h at 70°C followed by a terminal boil for 1h at 100CC was suggested and found to produce the best indentation strength and tensile strength (Jagger, i 978). This cycle was also shown to have an optimum level of polymerization and to avoid the risk ofporosity even in thick sections (Hathson. and 24 LITERATURE SURVEY Huggett, i 992). This cycle allows near-absolute polymerization at 70°C and removal ofmost ofthe residual monomer at 100°C. Using this cycle, residual monomer levels ranged between 0.54 and 1.08% among different brands ofactylic resins. The dimensional accuracy of the denture base was reported to be adversely affected by the terminal boil but the effect was too small to be clinically significant (Huggett et al., 1984). 2.3.1.3 Short Cycle Curing the acrylic resin by boiling the dough for 30mm to 2k Is sometimes recommended by the manufacturers and commonly done in commercial laboratories owing to time and cost savings. However, consìderably higher levels of residual monomer, up to 20%, were demonstrated (Austin and Basker, 1982; Harrison and Huggett, 1992; Vallittu et aL, 1998). It was also claimed that, in short cycles there was a. potential risk of porosity in the thick sectìons of denture bases, owing to possible high exothermic reaction (Jerolìmov et al. 1989a; Harrison and Huggett, I 992). Moreover, McCartney (1984) showed a 25% increase in the amount of palatal base distortion space and a 50% increase m induced malocclusion. Quenching the flask immediately after processing is contraindicated owing to the large stress and distortion introduced. A bench cool is usually recommended. 25 LITERA TUILE SURVEY 2.3.2 Inj ection-moulding Technique A specially designed flask is used. It can be placed into a carrier that maintains pressure on the assembly during resin introduction and processing. Thermoplastic resin is softened by heat and, while still hot, injected ìnto the mould. The resin is allowed to cool and solidify. In the case of powder-Iìquid resin, the components are mixed and injected into the mould at room temperature. The flask is then placed in a water bath for polymerization. Powder-lìquid resin can also be supplied mechanically premixed and packaged in capsule form. This premixing is an attempt to produce a more evenly mixed, homogenous denture base (Trage, 1980). The injection-moulding technique can be used either for beat-cured or selfcured acrylic resins and was first introduced in 1942 by Pryor, who claimed that it had the advantages of eliminating flash and the consequent "raised bite" improving dimensional form and reducing porosity. The injection moulding technique was demonstrated to cause statistically sinìficant less contraction than the compression moulding method (Huggett et ai, 1992). Furthennore it reduced production time and cost. Reduced skin contact and monomer-vapour inhalation are other suggested advantages. 2.3.3 Pour Resin Technique Pour resin technique was first developed in 1955, and generally accomplished using cold-cured acrylic resins and hydrocolloid moulds. The basic principle of pour 26 LITERATURE SURVEY resin is similar to that of the ìnjection-moulding technique. The wax pattern of the final denture ìs placed in the specially designed flask, which is then filled with hydrocolloid. Cold-cured acrylic is preferred for this technique because the hydrocolloid is easily destroyed by high temperature. The main advantages of the pour resin technique are the elimìnation of stress and increase in aeclusal vertical dimensìon commonly found when using the compression-moulding technique, and time saving. A reduction in the occlusa! vertical dimension was sometimes found because of shrinkage in the resin during polyrnerizatìon. Antonopoulos (1978) found that fluid resin underwent more curing shrinkage (0.617%) than did heat-cured resin (0.377%). Tooth movement occasionally occurs when the flasks vibrate during assembly (Winkler, 1984). Voids or porosity in the resin can occur owing to ìncorrect spruce positioning or ifthe pouring resin is too viscous. In a four-year follow up examination of patients with complete dentures processed ìn either pour resin or heat-activated acrylic resine the pour resin denture bases were poorer in mechanical properties, leading to fractures and increased wear (Trudso et aL , I 980). Dislodgment of teeth was also encountered because of the heavy anterior tooth contact resulting from curing shrinkage ofthe resin (Winkler, 1984). 27 LITERATURE SU1VEY 2.3.4 Microwave Curing Cycle The microwave oven used is usually in 550W power and 2,450MHz with 12cm wavelength (Ilbay eÍ al., 1994). A teflon flask (polytetrafluoroethylene) is used instead of metal because microwaves are reflected by metal surfaces (IDe Clerck, 1987; Kimura et al., 1983; Reìtz et al., 1985). Continuous pressure is applied by tightening the teflon screws on the flask. In respect of the quality of cured resin, in terms of colour, texture and porosity, Kimura et al. (1983) reported that the best result was obtained in 3mm of curing at 550W. This was supported by Ilbay studies (1994), which found that the Vickers hardness of microwave-cuied resin (22.46VKN) is comparable with that of heat-cured resin (21VKN) (Wilson et al., 1987). Hayden (1 986) stated that curing occurred in 4mm and that no curing occurred at low power. On the other hand, Reitz et al. (1985) showed that curing took 5mm at high power and 13mm at low power, 90W only. The time was reduced to 10mm if the power was raised to 113W (ilbay et al., 1994). De Clerck (1987) reported that acceptable curing was obtained in 8mm at high power. No specific porosìty was observed in mìcrowave-cured resin (Kimura et al., 1983; Reitz et al., 1985; Ilbay et al., 1994). It has been stated that choice ofa suitable acrylic resin, current power and polymerization time is important in order to reduce porosìty to aminimurn level (Levin et ai, 1989; Sanders et al., 1987). 28 LITERATURE SURVEY 2.3.5 Light Curing The curing unit for light-cured resin emits high-intensity collimated shielded light from quartz halogen lamps. The light is concenirated in the shorter blue 400 to 500nm wavelength spectrum ofvisible light (Triad VLC system). High-intensity light results in deep polymerization of the material to a depth of 5 to 6mm. The unit contains a rotating platform that is elevated to a chamber where the soft uncured resin ìs polymerìzed (Ogle et al., 1986). Applying an air-bather coating before fInal polymerization can prevent air inhibition ofthe surface layer. LITERATURE SURVEY 2.4 Porosity Porosity is one ofthe undesirable characteristics ofpoly(methyl methacrylate). Its presence in denture base is often attributed to the presence of residual monomer (Beech, 1975; Jagger and Huggett, 1975). Porosity wìIl result in high internal stress and make the dentures vulnerable to distortion and warpage (Craig, 1980). The mechanical properties are adversely affected by porosity (Firtell and Harman, 1983; Chee et al, 1988; Honorez et al. , 1 989). The tensile strength of porous acrylic resin was reported to be one sixth to one eighth that of dense poly(niethyl methacrylate) (Gettleman et aL, 1977). Harbouring of organisms, retention of fluids, staining and calculus deposits are common problems caused by surface porosity (Tuckfield et al., 1943; Davenport, 1970, 1972). The accumulation offood debris and plaque ìn the voids Inevitably leads to foul odour (Firtell and Harman, 1983). Porosity can be classified as gaseous porosity, contraction porosity arid porosity caused by inadequate homogenicity of the dough (Osborne, 1942; Thckfield et al., 1943; Phillips, 1996) 30 LITERATURE SURVEY 2.4.1 Gaseous Porosity Gaseous porosity results from the vaporization of unreacted monomer and low-molecule-mass polymers. when the temperatnre of a resin reaches or surpasses its boiling point (1003°C) (Taylor, 1941; Tucklield eÍ al., 1943; Peyton, 1950; Atkinson and Dennis, 1959; Atkinson and Grant, 1966; Faraj and Ellis, 1979). Gaseous porosity is usually nearer the centre of the mass, whereas the non-porous section is in the periphery, as heat ìs conducted away (Phillips, 1996; Greene et aL, 1972). Gaseous porosity usually appears in regular shape (Osborne and Wìlson, 1970; Phillips, 1996) and the affected area is smallest in comparison with the other two types of porosity (Wolfaardt et al., 1986). Bubble size ranges between 1.92 x 102 to 4.23 x 102 _; average diameter is 2.9 x lOmm (Faraj and Ellis, 1979). It is generally believed that the exothermie heat during polymerization is the major factor causing gaseous porosity (Peyton, 1950; Faraj and Ellis, 1979). The maximum exothermic temperature reached during curing of acrylic denthre base depends on the composition of the powder and the liquid, the powder/liquid ratio used, the size and geometry of the test piece or denture, the thermal conductivìty of the mould and the heat-transfer medium in wbìch the mould is placed (Paraj and Ellis, 1979; Gay and King, 1979; Firtell and Harman, 1983; Wolfaardt et al., 1986; Jerolimov etal., 1989a and 1989b). 31 LITERATURE SURVEY 2.4.2 Contraction Porosity Contraction porosity is produced as a result of inadequate pressure or insufficient material in the mould during polymerization (Phillips, I 996). Packing the resins at the sandy or stringy stages also produces contraction porosity. The large amount of monomer present between the polymer particles the resin will flow too readily out of the mould, which then becomes under-packed (Mutlu et al., i 992). The voids of contraction porosity may occur locally or may be dispersed throughout the denture and. unlìke gaseous porosity, they can occur in thin sections (Tuckfleld et al., 1943; Phillips, 1996). Contraction porosìty is usually irregularly shaped and the affected area is of intermediate size, compared with the other two types ofporosìty (Wolfaardt et aL, 1986). 2.4.3 Porosity Caused by Inadequate Homogenicity of the Dough Inadequate mixing of powder and liquid, or air inclusion, will lead to some regions having more monomer than others and thus shrink more. Such localized shrinkage tends to produce voids. This kind of porosity occurs either on surface or subsurface locations. It is irregular in shape and usually in larger size than the other two types of porosity (Wolfaardt et al., 1986). Occurrences of this type of porosity can be minimized by ensuring proper polymer-to-monomer ratio, well-controlled mixing procedures and delaying packing until the dough stage is reached (Phillips, 1996). 32 LITERATURE SURVEY 2.5 Temperature Control during Processing In order to improve the working effcìency and mechanìcal properties of denture base without boiling the monomer during processing, nmerous studies were conducted to investigate the optimal temperature for the curIng cycle (Harnian and Pittsburgh, 1949; Atkinson and Dennis, 1959; Jagger, 1978; Harrison and Huggett, 1992; VallittuetaL, 1998). The polymerization reactìon of poly(methyl methacrylate) is an exothennie reaction. The temperature ñse was first demonstrated by Tuckfield et al. in 1943. They found a peak of temperature occurring in a one-inch cube specimen when the temperature in the centre of the acrylic cube reached approximately 73°C. The maximum temperature recorded was almost 140°C, which may be sufficient to cause boiling of free monomer and thus lead to the formation of porosity. A temperatare peak during processing was also demonstrated by other researchers (Hannan and Pittsburgh 1949; Aticinson and Grant, 1966; Faraj and Ellis, 1979). It has been determined that methyl methacrylate polymerizes readily at a temperature of 70 to 75°C (Tylman and Peyton, 1946) when a common catalyst, benzoyl peroxide, is used. The justification. for using low temperature with a longer period (7 to 14h) was based on the critical polymerization temperature together with the exothermie heat liberated during the polymerization process. Peyton (1950) stated that a greater tendency toward porosity was found when the acrylic resin was cured above 75CC. 33 LITERA TU1tE SURVEY This cycle was supported by Hai-man and Pittsburgh (1949). They reported that using a 3mm thick, 60 x 65mm specimen plate under extended constant cure at 71°C caused a continuous change in the mechanical properties of the resin produced. Both stiffliess and breaking load increased in the same order as the increase in curing time when 2.5, 5.5, 9, 18, 24 48 and 72h were used. Those cured for 9h or more showed acceptable mechanical properties according to ADA specification No.12. Those cured for 48h and 72h demonstrated a lack of flexìbility, which made the dentures brittle. Thus Harman and Pittsburgh suggested that 9h at 71ÓC was the best cycle. Allowing polymerization to take place at a slower rate without causing large exothermic heat is an effective way ofminimizing porosity (Jerolimov et al., 1989a). FIrtell et aL (1981), however, noted that although low processing temperature could reduce porosity, it produced a weakened material because of the formation of shorter molecular chains of the resìn, and a higher level ofresidual monomer. In 1958 Smith studied the residual monomer concentratìon in different curing cycles. The residual monomer was found to lower the transverse strength, tensile strength, hardness, stiffness and fatigue resistance of the denture (Smith, 1962; Honorez et al. 1989; Arab et al., 1989). Smith found that 80 to lOOh were needed for the residual monomer concentrations to reach a limiting value at 70°C. This was impractìcal and complete polymerization was considered to be impossible. He then suggested a curing cycle of 16 to 24h at 7OC followed by bench cool (Smith, 1959). 34 LITERA TITRE SUR VEY A two-stage curìng cycle was developed to overcome the problems of residual monomer without causing porosity. The resin is cured at a lower temperature until most of the monomers convert to polymer, and followed by a terminal boil to remove the unreacted monomer. Tuckfield et al. (1943) found a satisfactory curing cycle was 65.5°C for l.Sh followed by raising to the boil at IOOÖC for O.5h. Harman and Pittsburgh (1949) attempted to find a shorter cycle. They found that a curing cycle of 71°C for l.25h and boiling for another half-hour was a good cycle to preclude bubbles in thick sections, and provide the necessary strength in thin portions. Jagger (1978) suggested that 7h at 70°C and lii at 100°C could be used. He explained that the initial low temperature of 70°C ensured that porosìty was avoided and hìgh molecular mass was obtained. The residual monomer was then removed quickly in the terminal boil. A curing cycle of 7h at 70°C plus a terminal boil producing a porosity-free denture irrespective of thickness was also shown (Hathson and Huggett, I 992). In addition Clarke et al. (1992) showed that the temperature changes inside a denture base with embedded thermocouples followed closely the cuÑig cycle of the water bath; the variation is not more than 2°C. Yeung et aL (1995) had also shown that a temperature spìke was absent if a slow heating cycle (6.5h at 72°C and then LITERATURE SURVEY 30mm at 100°C) was used. Therefore monomer is uriJikely to boil in the long curing cycle with terminal boil. Apart from temperature control, it was also noted that the maximum temperature reached in the processing cycle is also affected by the geometry of the denture base and the type ofpoly(methyl methzcrylate) used. The peak temperature of polymerization was reduced by decreasing the thickness of the denture base and by the substitution of higher-molecular-mass polymer of methacrylates for poly(methyl methacrylate) (Brauer et al. , 1986; Vallittu, i 996). LITERATURE SURVEY 2.6 Pressure Control during Processing According to Faraj and Ellis (1979) porosity was not found in acrylic discs (50mm in diameter and 8mm thick) heat-cured at 7OC provided that sufficient clamping pressure was used and the flask was fully packed. They suggested avoiding porosity either by processing initially at a maximum temperature of 70°C or increasing the clampìng pressure. This was suppotied by other authors (Atkinson and Dennis, 1959; Keller et al., 1978; Keng et al., 1979; Berg and Gjerdet, 1985; Chee et aL, 1988). Pressure is generally believed to be necessary for resin to flow into, fill and conform to the shape of the mould (O'Brien arid Ryge, 1978; Faraj and Ellis, 1979; Mutlu et al., 1992 and 1994). However, few studies have been done to investigate the optimal pressure required and pressure changes during processing. In 1941, Taylor studied pressure caused by the thennal expansion of acrylic during processing and believed that pressure applied could overcome a portion of the polymerization shrinkage. The experiment was done by confining the material in a cylìnder and following its dimensional changes by the movement of a piston upon which was maintained a given load. As the resin contracted and expanded,, the platform of the testing machine moved up and down, and this movement was recorded. The resin dough. was then packed into the mould at room temperature with a pressure of 1 3øpsi (9. 1 atm) and then heated, the pressure required to compress the resin back to its original volume during the processing was measured. It was 37 LITERA T1JRE SUR VEY expressed in pounds per cubic inch. The maximum pressure found was close to 6OOO pounds per cubic inch (29.4atm). However, this method was criticized because of the fact that the resin tended to stick to the sìdes of the mould and a fin of the resin was forced up between the piston and the cylinder, making the whole setup less sensitive to pressure change. Taylor then suggested that a compressive stress of 6,000 pounds per cubìc inch (29.4atm) employed at the time that polymerization commenced could compensate part of the shrinkage of the resin. High pressure is objected because the teeth are prone to displacement. Woelfel (1977) stated that no more than 1,500psi (lOSatm) should be used for trial closures and only 3,500ps1 (245atm) should be used for final closure. These pressures were adopted (Shlosberg et al. , I 989; Nelson et al. , i 99 1). Becker et al. (1977) used higher pressures - 2,500 to 3,SOOpsi (175 to 245atm) for trial closures and 4,SOOpsi (3 1 5atm) for final closures. Xia et al. (1996) showed that the acrylic resìn cured at 120°C in a pressure cooker with 6kg'cm2 (5 .8atm) did not have any porosity. They suggested that the boiling point ofmonomer under this pressure was raised to 168.9°C and that therefore it would not boil. On the other hand, Keng et ai. (1979) encountered porosity when boiling acrylic resin of thicknesses of 25mm and 5mm, respectively, for i 5mm. The IITERATUPE SURVEY pressure they applied on the flasks was 50kg/cm2 (48.5atm) in the final closure and the flasks were transferred to sprìng clamp during curing. Since there ìs no standard pressure suggested, the main criterion used by most authors is to obtain metal-to-metal contact between the two halves of the flask under hydraulic pressure during final closure (Peyton, 1950; Faraj and ElIìs, 1979; Morrow et al., 1986). To maintain the pressure during processing, the flasks arc transferred to the spring clamp, which ìs then only hand tightened (Becker et al., 1977; Sowter and Barton, 1986; Rudd, 1996; Phillips, 1996). All the above-discussed pressures are the external pressures applied on the flasks; a higher pressure in the acrylic dough is expected during processing. This is because pressure builds up due to thermal expansìon as the acrylic is completely confined inside the mould (Taylor, 1941). To date the amount of pressure developed in the acrylic dough is still unknown. LITERATURE SUR VEY 2.7 Elevation of Boiling Point The boiling temperature of a substance is the temperature at which ìts vapour pressure is equal to the ambient pressure (Moore, 1972). A relation between the changes in pressure and temperature for vapour and liquid phases that remain in equilibrium when either variable is modified can be expressed by the Clapeyron equation. This equation was first proposed by the French engineer Clapeyron in 1834 (Williams and Williams, 1973). The equation contains three variables, pressure (p), volume (V), and temperature (T) dpidT= where tr Si V S is the entropy change and t V is the volume change for the phase transition. Clausius niodìfied this equation about 30 years later. The Clausius-Clapeyron equation can be regarded as an equation for the temperature variation of the vapour pressure of the liquid. That ìs because the equation contains only two variables, pressure and temperature provided that the heat of vaporization is assumed constant over the temperature and pressure range of interest. This equation can be transformed to ptpeX wheH/R(1/T'-1/T) 40 LITERATURE SURVEY In this expression, vap H is the heat of vaporization, R is the gas constant, p is the vapour pressure at a temperature T, and p' is the vapour pressure at T. According to Clapeyron-Clausius equation, it is logical to expect that the boiling point of the monomer will be elevated under pressure. Thus, the elevated boiling point of monomer in the acrylic dough, if the pressure is measured, can be calculated by the following equation: -H/R(1!T2- l/T) 1nP2TP1 where 2 S the pressure measured during processing, P1 is the atmospheric pressure, H is the heat of vaporization of methyl methacrylate (37.5kJ/mol), R is the gas constant(8.314J/Kmol), T2 is the elevated boiling point at P2 and T1 is the boiling point at Pi (atmospheric pressure). Unfortunately, the pressure applied on the resIn is still not clearly defined in the literature. Therefore the level to which the boiling point is elevated and whether the monomer will boil are still questionable. To summarize, denture base materials have been under constant development in order to improve their strength, ease of manipulation, esthetic qualìty arid patients' comfort. Acrylic resin remains the most popular material used for consiructing 41 LITERATURE SURVEY dentures 60 years after its introduction to the dental profession. performance, however, is sensìtìve to manipulation techniques. compression moulding and heat curing techniques is a widely Its clinical Combining accepted processing method because a superior material can be obtained. Processing defects such as porosity are encountered occasionally and usually require careful attention to control temperature. On the other hand, the boiling of monomer is believed to be affected by the pressure applied. There is insufficient data on pressure during processìng and this issue requires further investigation. OBJECTI VES 3. Objectives of the Study Because the gaseous porosìty caused when the monomer boils durIng processìng has detrimental effects on the mechanical properties and esthetics of the final dentures and encourages plaque accumulation during service, temperature during processing cycles has been well studied and controlled, to prevent boiling of the monomer. In the compression-moulding technique the boiling point of monomer will be raìsed when the resin is under pressure. Whether the monomer will actually vaporize insIde the flask then becomes questionable. The pressure mentioned in most studies in the literature, as discussed earlier, does not ìndicate the true pressure inside the acrylic dough. Therefore there is no data on the internal pressure of the acrylic resin during processing. This study aims: i) to measure the changes in pressure and temperature of acrylic resin dunng processing; iì) to record the highest temperature reached by the acrylic resin when fast cured in boiling water; iii) to calculate the elevated boiling point ofmonomer under high pressure. 43 VÍATERJALS AND METHODS 4. Materials and Methods In thìs study, a subminiature pressure lransducer and a thermocouple were placed into the palate of an acrylic denture base. The pressure and the temperature changes during the packing and curing cycle were recorded simultaneously. Two curing cycles were investigated: a long cycle with a terminal boiJ, and a fast cycle. A thermocouple was placed into the water bath to monitor the temperature of the curing cycle. 4,1 Materials 4.1.1 Pressure Transducer A subminiature pressure transducer (model S-1000 psig, Sensotec, Ohio, USA) (Fig. 4.1) was placed in the centre of the palate to measure pressure. It consisted of a diaphragm at one end and temperature-sensitive electronic components at the other end, at which the cable is connected. The main advantage is the transduce?s small size (16.5 1mm in diameter and 19.05mm in length). It can be fitted into the denture flask and occupy only a small volume ofthe acrylic dough. The diaphragm is made of stainless steel and is 9.53mm in diameter. It ìs unitized with the sidewalls, that is, both are made from a single piece of stainless steel. Although the diaphragm is rugged ìt can be made thin enough to measure low pressure. The flush diaphragm detects pressure changes in the environment, fluids, 44 MATEJUALSAND METIIOI)S gases and semi-solids, and gives a voltage output. The overload safety is up to 50% over its capacity. Compared with the semiconductor type oftransducer, this foil gauge transducer is less affected by thermal changes and provides high, long-term stability. The transducer is temperature compensated by the temperature-sensitive electronic components located inside the end portion. According to the manufacturer, the temperature compensation ranges from 2OO to 2OOF (-2&89° to 93.33°C). Nevertheless the dìaphragm can operate under a wider temperature range of -65° to 3OO'F (54Ó to 150°C) without damage, although it is not temperature compensated. The 3m-long submersible cable attached to the transducer terminated in 4 twisted leads. The transducer was calibrated by the manufacturer as follows: capacity of l000psi (68.O5atm), maximum excitation voltage of SV, calibration ratio of 2.438OmV/V Special care was required to prevent damaging the thin diaphragm, overloading the transducer and overheating the electronic components. Care was also needed to prevent damage to the cable through scratching and tearing ofthe coating. A brass sleeve (Fig. 4.2) was made for the transducer to protect it from damage by the stone during flasking, processing and deflasking. Notches were made 45 MA TEPJALS AND METHODS on ìts outer surface to increase interlocking with the stone. In order to prevent acrylic resin from getting ìnto the screw space between the head of the transducer and the internal threads of the sleeve during trIal packs and processing. the space was sealed with putty (Lasticomp, Kettenbach Germany). To facilitate removal after processing no catalyst was added to the putty. The head ofthe sleeve together with the diaphragm was then wrapped and sealed with microwave wrap (Glad microwave wrap, First Brands Corporation, Danbury, CT, USA). The microwave wrap is about 0.005mm thick and capable oftolerating temperatures of-60° to about 140°C. It was used to prevent the acrylic resin from adhering to the diaphragm and to facilìtate deflasking. 4.1.2 Thermocouple Two K-type thermocouples (Fig. 4.3) each 0.25mm in diameter and sheathed with Kapton (TC Limìted, Uxbridge) Middlesex, UK) were used. Each thermocouple was w&ded with a Vulcan 3a Welder (Orthomax Dental Ltd., Bradford, West Yorkshire, UK). One thermocouple was placed in the centre of the acrylic dough just below the area of dìaphragm. It was connected to a thermometer (KM 2013, KaneMay Instrumentation Ltd., Hertfordshire, UK), which converted the temperature input into voltage output (Appendix 1) for recordìng. The second thermocouple was placed in the curing tank to monitor the water temperature. 46 MA TERL4LS AND METHODS Fig.4. i Subminiature pressure transducer. Fig.4.2 Transducer placed inside protective sleeve. 47 MATERIALS AND METHODS 4.1.3 Dynamic Strainmeter Two dynamic strainmeters (DC-92D, Tokyo Sokki Kenkyajo, Tokyo, Japan) (Fig. 4.4) were used as amplífíers, by which small voltage inputs were amplified for improved recording. The strainmeters have a maximimi measuring range of 5OmV and a voltage output of± 10.5V. The gain ofthe strainmeter is listed in Table. 4.1. Table.4.l Range and gain of the strainmeter Range Gain lOOxlOE6 Approx. 10,000 times 200xl0 5,000 500x106 2,000 lKx10& 1,000 2Kx10 500 5Kx106 200 The maximum voltage output ofthe subminiature pressure transducer is: 5Vx 2.4380mV1V 12.l9mV As the maximum voltage output ofthe strainmeter is ±10.5V, the amplìfication ratio is: 10.5V I 12.l9mV = 814 The closest amplification ratio provided by the strairimeter is i ,000. MATERIALS AND METHODS The voltae output of thermometer is l5O.2mV at lOO.2C (Appendix 9.1), the amplification is: 10.5V / 150.2mV =70 times Since the minimum gain of the strainmeter i 200 times, a custom-made resistance circuit was constructed to give a resultant amplìfication of 50 times. With this amplification, a temperature range ofü° to 140ÒC (Appendix 9.2) could be measured. 4.1 .4 Standard Maxillary Casts and Patterns A room-temperature vulcanizing (RTV) silicone mould (Silastic E, Dow Cornìng, Michigan, USA) (Fig. 4.5) was formed from a master edentulous maxillary cast. Twelve maxillary casts were recovered in artificial stone (Kaffir D, British Gypsum, Newark, Nottinghamshire, UK); powder-water ratio was 100g per 30ml distilled water. A wax pattern of a denture base was made on the master cast. The thickness of the wax denture base in the palate was 2.5mm. Two wax spruces were attached to the tuberosity regions. Another silicone mould was made over the wax base. A wax base could be formed by pouring molten wax into the mould through the spruce holes. The casts and wax-patterns (Fìg. 4.6) recovered from the moulds were of standard size, shape and thickness and had no undercut. 49 MA TEPJALS AND METHODS Fig.4.3 Thermocouple and thermomeLer. Fig.4.4 Strainmeters. 50 MATERIALS AND METHODS Fig.4.5 RTV silicone inoulds of maxillary edentuous arch. Fig4.6 Standardized wax pattern of coniplete denim e base formed on duplicate cast. Dl MATERIALS AND METHODS 4.1.5 Modified Hanau Denture Flasks Hanau denture flasks (Teledyne Hanau, Buffalo, NY, USA) (Fig. 4.7) were used. The cast was flasked into the bottom halfofthe lower flask, which is shallower than the top half. This arrangement has the advantage of having more room for the placement of the transducer. A 3cm-diameter hole was drilled in the centre of the lid of the ower flask and a i 5 x 8mm rectangular hole was drilled at the edge of the lid of the upper flask to accommodate the transducer with its protective sleeve, its cable and the thermocouple. 4.1.6 Acrylic Resin Maxillary acrylic denture bases were made of clear heat-cured acrylic resin (Trevalon C, Dentsply Limited, De Trey Division, Weybridge, Surrey, UK). The powder contains copolyrner ofbutyl (6%) and methyl methacrylate (94%), and 0.28% benzoyl peroxide. The liquid contains 93% methyl methacrylate, 6% ethylene glycol dirnethacrylate and 0.006% hydroquinone. The curing cycles suggested by the manufacturer ìnclude short cycles of boiling the resìn for 20mm and any type oflong curing cycles. A 10mm bench cool before water cool is recommended for the short cycles. 52 MATERIALS AND METHODS Fig4.7 Modified Hanau denture flasks. Fig.4.8 Chart recorder. 53 MATERIALS AND METHODS 4.1.7 Curing Tank A thermostatically controlled curing tank (Reco Dental, Wiesbaden, Germany) was used and was programmed to cure the acrylic resin at 72°C for 6.5h and 92CC for I .5h for the long cycle. lt was adjusted to keep the water boiling for 40mm during the fast cycle. 4.1.8 Chart Recorder and Computer A 12-channel hybrid chart recorder (AH series AHS2O-GNN, Chino, Japan) (Fig. 4.8) was used. It is capable of recording temperature and pressure every 30s. Owing to the limitations ofits speed, a computerized data acquisition program (Visual Basic 4.0, Microsoft Corporation, Redmond, Washington, USA) was custom-made to record the pressure and temperature of the resin at the high speed of once every second. Thus the pressure and the temperature ofthe acrylic dough were monitored by both the chart recorder and the computer in order to detect any rapid changes. The second thermocouple, which had been placed in the curing tank to monitor the heat supply, was connected to the chart recorder only. 54 MATERIALS AND METHODS 4.2 Methods 4.2.1 Preparations 4.2.1.1 Calibration of Strain Amplifiers For measuring pressure, a stramnmeter was calibrated by DC voltage calibrator (model 2003, Time Electronìcs Ltd., Tonbridge, Kent, UK) to amplify the subminiature pressure transducer output 1OOO times for improved recording. The thermocouple in the acrylic dough was connected to a thermometer that converted the temperatures measured into voltage signals. The second strainmeter in conjunction with a custom-made resistance circuit, was calibrated to gìve a resultant amplification ofthermometer signais by 50 times. The thermostatically-controlled curing tank was calibrated to ensure that the temperature did not go above 94°C in the long cycle. 4.2.1.2 Making the Maxillary Cast andthe Wax Pattern The silicone moulds were cleaned with detergent and dried. A thin layer of Aurofiim (Aurofiim, BEGO, Germany) was applied to the mould for the stone cast. It was used as a wetting agent to obtain a smooth stone surface. 100g artificial stone was vacuum (Model D, Whip-Mix CorporatìOn Louisville, Kentucky, USA) mixed with 30ml distilled water and then poured into the mould. When the stone was set, the cast was transferred into the second mould for making the wax pattern. Molten rtiodeling MATERJALSANI METHODS wax was poured into the mould through the spruce holes. The wax baseplate and the cast were recovered after cooling of the modeling wax. The spi-aces were cut and the surface was smoothed by rubbing with a tissue paper. A total of twelve samples were prepared. 4.2.1.3 Flasking the Wax Pattern The bases of maxillary casts were trimmed in order to give more room for the transducer inside the flask. The thickness of the cast at the palate was about i .5cm. The cast was then flaskeci in the bottom halfofthe lower flask (Fìg. 4.9). A thermocouple was embedded in middle of the palate and just beneath the oral surface of the wax. The diaphragm of the transducer was fixed immediately over the position ofthe thermocouple. The top half of the flask was then filled with stone in 2 stages because it could facilitate the removal of the transducer aÍer the experiment. Only half of the top mould was filled in each stage. After the stone had set, the pattern was carefully de- waxed with boiling water and detergent, without giving excessive heat to the electronic components near the end of transducer. MATERIALS AND METHODS 4.2.L4 Connection to the Chart Recorder and Computer An empty upper flask was placed on the top of the lower flask (Fig. 4.10). The end portion and the transducer cable together with the thermocouple wire were fed through the base hole of the flask. The cable and the wIre were connected to their respective amplification complexes, which were already connected to both the computer and the chart recorder. The setup can be seen in Fig. 4. 1 i. 4.2.1.5 Preparations for the Fast Curing Cycle A similar set up cycle. The transducer of the acrylic but without the transducer was prepared for the fast curing was omìtted because the fast cycle involved continuous heating dough for 40mm at 100°C, which is above the temperature cornpensatable by the transducer. 4,2.2 Packing the Resin Dough Two thin layers of sodium alginate solution (Separating fluid, Ivoclar AG, Schuan, Liechtenstein) were applied to the stone with a soft brush and allowed to dry completely. 20mg of heat-cured Trevalon C polymer powder was mixed with 9ml of monomer liquid according to the manufacturer's instructions. The acrylic resin was left undisturbed in a covered jar for i 5mm until the dough stage was achìeved. The 57 MA TEJUALS AN» METHODS actylic dough was kneaded and then adapted to the mould. A small amount of resin was put around the thermocouple. A sheet of polyethylene (Dentsply, DeTrey GmbH, Weybridge, Surrey, UK) was placed between the upper and the lower halves of the flask for trial packs. Two trial packs were performed in a hydraulic press (Hydrofix, BEGO Bremer Goldschlägerei With, Herbst Gmbh and Co., Bremen, Germany) (Fig. 4.12). The force was gradually increased to 2OkN over a period of approximately maintained at this force for 5mm hmm and before removal of flash. The pressure and the temperature changes were recorded. The flasks were then transferred to the spring clamp. A 36Nm torque was applied to the spring clamp by a torque bar (Fig. 4.13) in order to maintain the pressure achieved by the hydraulic press at the final closure. 58 MATERL4LS AND METHODS Fig.4.9 Flasking of the cast. Fig.41O Assembly of the flask. 59 MATERIALS AND METHODS To strain meter Lead wire with temperature sensitive components for temperature compensation -=-- rL --- Brass sleeve for ______ holding and protecting the pressure transducer Top half of mould Screw for fixation of the pressure transducer Pressure ¡a ph ragm Bottom half of mould I.J';i,.J.J I Position of thermocouple Fig.4J i Cross section of the set-up of transducer and thermocoup'e on the denture base. MATERIALS AND METHODS Fig.4. 12 Trial pack under hydraulic press. Fig.4.13 Torque applied. 61 MA TEPJALS AND METHODS 4.2.3 Curing Cycles The clamped flasks were placed into the thermostatically controlled curing tank. Two curing cycles were used: a long curing cycle arid a fast cycle. Six samples were used for each cycle. 4.2.3.1 Long Curing Cycle A long curing cycle (72°C for 6.5h and 92°C for i .5h) was performed. The flasks were left undisturbed in the curing tank for at least 36h to allow the acrylic resin to cool slowly to the ambient temperature (24° to 28°C). Pressure and temperature were recorded for the entire duration until the flask was opened. 4.2.3.2 Fast Curing Cycle The clamped flasks were placed into the curing tank with boiling water (100°C) for 40mm. They were then bench-cooled for 10mm and then water-cooled in a water tank of22° - 24°C for a further 20mm. 4.3 Observation of Porosity All the denture bases from both curing cycles were observed for gaseous porosìty by visual inspection (International Organization Por Standardization 1567, 1988). 62 MATERJALÇ4ND METHODS 4.4 Elevation of Boiling Point The ekvation of boiling point of methyl methacrylate was calculated by the following equation: InP2ÍP1 =-H/R(l/T2-l/T1) where P2 = pressure measured, P1 = atmospheric pressure, H - heat of vaporization (37.5kJImolforMMA), R= gas constant (8.314J/Kmol), T2 =boilingpoint at P2 and Ti = boiling poInt at P. 63 RESULTS 5. Results 5.1 Pressure Change during Packing The pattern of pressure change during packing of the acrylic dough was reproducible in all six samples (Table 5.1 and 52). A typical tracing is shown in Fig.5J. When the hydraulic pressure was increased, the pressure of the acrylic dough increased from I atm. It reached a peak (25.2latm) when the hydraulic force was increased up to 2OkN. The pressure then dropped rapidly. Ructuations of pressure were recorded when the hydraulìc press was reactivated in order to maintain 2OkN. The pressure returned to the atmospheric pressure when the hydraulic pressure was released. A similar pattern of pressure change was found ìn the second trial pack. However, there was typically a higher peak (29.l7atm) arid the pressure dropped at a slower rate than the first trial pack. In the final closure, the pressure of the dough was lower than that of the trial packs and the pressure was aimost constant throughout the five minutes. The average maximum pressure was about l5atm. Only a small drop from the peak was recorded and the pressure then became almost steady (12.38atm). When the flasks were spring clamped to a torque of 36Nm, the pressure was about llatm, which was close to the RESULTS pressure achieved in the final closure. Table3.1 Pressure of acrylic resin at the first and the second trial pack Sample First trial pack /attn Second trial pack /alm i 22.70 27.63 2 23.12 27.27 3 22.87 25.10 4 25.11 30.82 5 27.86 29.64 6 29.61 34.54 Mean 25.21(2.91) 29.17(3.34) ( ) = standard deviation Table.5.2 Pressure of acrylic resin at the final closure and at the steady state Sample Peak pressure /atm Steady State latin I 16.77 13.82 2 13.63 8.89 3 18.40 15.73 4 17.78 15.60 5 12.44 8.89 6 12.84 11.35 Mean 15.32(2.64) 12.38(3.13) ( ) = standard deviation 65 40 35 30 25 20 15 10 o 0 5 10 15 20 25 Time I min Fig.5.1 Typical pressura change during packing and clamping. 30 35 40 RESULTS 5.2 Temperature and Pressure Changes in Long Curing Cycle Similar patterns of temperature and pressure changes of acrylic resin during the long curing cycle were found in the six samples. A typical tracing is shown in Fig. 5.2. The recorded temperature of the acrylic dough during the processing cycles followed closely the heat supplied and. no temperature spike was observed. The temperature difference between the acrylic dough and the curing tank was about 1° to 2°C only. The pressure of the acrylic dough in the clamped denture flask ranged from 7.07 to 14.78atm. When the curing cycle started the temperature and the pressure of the acrylic dough increased continuously for 30mm. The pressure reached a peak (17.35 to 27.l3atm) when the temperature was raised to 72°C. The temperature was maintained at 72°C the pressure dropped gradually and was close to the atmospheric pressure, I to I .2 latin, at its lowest pressure. The pressure of the resin remained low until the terminal boil. A tiny drop in pressure was recorded when the temperature was raised from 72°C to 92°C. The pressure was almost steady when the temperature was kept at 92°C. The heater was turned off automatically after l.5h, the temperature of the acrylic resin started to drop gradually, closely following that of the water. On the contrary, the pressure increased slowly until a plateau ranging from 7.70 to i i .56atrn was reached at ambient temperature (26° ± 2°C). 67 100 25 90 80 20 70 P60 15 E & 10 40 30 20 10 o O 10 20 30 40 50 60 70 Time I h Fig5.2 Typlc& pressure and temperature changes during long curing. 80 RESULTS 5.3 Temperature Change in Fast Cycle A typical tracing of the temperature of the acrylic resin is shown in Fig. 5.3. When the flasks were placed into the curing tank with boìling water at I 00°C, the temperature of the resin Increased rapidly from the ambient temperature (20° to 23°C). A temperature spike occurred around 25-30mm and reached a peak (1 19.17° to 136.34°C). The peak temperature recorded in the six samples are shown in Table 5.3. Table.5.3 Peak temperature of acrylic resin during fast curing Sample Temperaturc/C I 136.34 2 131.37 3 14.88 4 129.18 5 136.34 6 119.17 Mean 131.21(6.56) ( ) = standard deviation The temperature then dropped to and stayed at 100°C. After boiling for 40mìn the flasks were allowed to bench cool and the temperature dropped to 85°C. The flasks were then cooled under water (22°C to 24°C) and a faster drop in temperature was recorded (about 25°C in 10mm). Pk 1i0C 140 120 100 C.) 8C 60 40 20 0 20 40 60 80 Time 1mm Fig. 5.3 Typical temperature change of acrylic resin during fast curing. Q 100 120 RESULTS 54 Elevation of Boiling Point during Processing According to the pressures measured, the elevated boiling point of methyl methacrylate was calculated. The results are shown in Table 5.4 to 5.6. Table.5.4 Pressure of acrylic resin in damped denture flask at ambient temperature ( ) Sample Pressurelatm Corresponding boiling pointl°C 1 13.60 202.89 2 7.07 172.22 3 14.78 207.01 4 14.31 205.45 5 8.47 180.29 6 10.92 192.14 Mean 11.53(3.23) 193.33(14.44) standard deviation Table.5.5 Peak pressure and the elevated boiling point Sample Pressure/attn Corresponding boiling pointi°C Temperature of resiri?C I 20.90 225.44 68 2 17.35 215.42 70 3 22.67 229.95 70 4 27.13 240.21 69 5 24.21 233.73 72 6 19.77 222.40 72 Mean 22.01(3.45) 227.86(8.74) 70.17(1.60) ( ) - standard deviation 71 RESULTS Table.5.6 Lowest pressure of the acrylic resin Sample Pressure/atm Conesponding boiling pointl°C I LOO 100.3 2 1.00 100.3 3 1.00 100.3 4 1.21 106.27 5 1.04 101.51 6 1.00 100.3 Mean 1.04(0.08) 101.50(2.39) ( ) = standard deviation The recorded pressure of the denture base at the end of the processing cycle is shown in Table 5.7. Since the denture was hardened, the boiling point of methyl methacrylate was not elevated. Table.5.7 Pressure at the end of cycle ( ) - standard Sample Pressure/atm i 7.74 2 11.40 3 11.56 4 10.03 5 9.57 6 7.70 Mean 9.67(1.69) deviation, ambient temperature = 24° to 28°C. 72 DISSCUSION 6. Dis cussion 6.1 Packing Pressure The purpose of trial closure is to remove the excess resin and conform the acrylic dough into the shape of mould (O'Brien and Ryge, 1978; Faraj and Ellis, I 979, Mutlu et aL , I 994). Pressure inside the acrylic dough depends on the magnitude and the rate of pressure applìed, the amount of acrylic resin placed and the consistency ofthe acrylic dough when packed. In this experiment, a peak pressure ranging from 22.70 to 29.6latm (mean 25.2latm) was recorded in the frst trial pack under 2OkN hydraulic press but it dropped rapidly because the excess resin was extruded out of the flask quickly. When the monomer molecules had penetrated to the centre of the polymer beads, entanglements were formed between the polymer chains. This would make the acrylic dough viscous and stiff. A higher resistance force against the removal of excess resin was developed inside the acrylic dough (O'Brien and Ryge, 1978; Williams and Cunningham, 1979; Phillips, 1996). Therefore, a typically higher pressure (29. i 7atm) was found in the second trial pack and the flow of resin out of the flask was slower. Most of the excess resin had been removed ìn the first two trial packs, therefore in the final closure of the flask the pressure became almost steady. Since the 73 DISSCUSION cross-sectional area of the denture flask is approximately 80cm2, under 2OkN hydraulic press, the pressure actìng on the acrylic dough is calculated to be about 25atm. However, the recorded pressure of the aerylìc dough in the final closure at the steady state (12.38atm) was well below this calculated pressure. Lt was probably due to a relatively soft dough and a rigid gypsum mould in the metal flask. Thus the force acting on the flask indicated by the hydraulic press might not be sufficient to reflect the actual pressure of the acrylic dough. In daily laboratory practice, the acrylic dough is usually cured under clamped denture flask because ofthree suggested reasons (O'Brien and Ryge, 1978): to reduce the effect of thermal expansion. to compensate for polymerization shrinkage and to reduce vaporization of the monomer. The spring clamp is often hand-tightened with or without the help of a hammer (Peyton, 1950; Faraj and Ellis, 1979; Seig, 1982; Morrow ei al., 1986). Thus the actual amount of torque given to the spring is subjected to individual differences and is not clearly known (Sowter and Barton, 1986; Phillips, 1996). In this experiment, 36Nm torque applied on the spring clamp was shown to give a pressure comparable with that of the final closure. Too little pressure might lead to contraction voids and excessive pressure would lead to mould distortion and teeth dìsplacement (Taylor, 1941; O'Brien and Ryge, 1978). 74 DISSCUSION 6.2 Temperature and Pressure Changes during Processing 6.2.1 Temperature Changes Polymerization of poly(methyl metliacrylate) is an exothermic reaction. Temperature control has been well studied to prevent porosity formation and to improve efficiency (Harman and Pìttsburgh, 1949; Atkìnson and Dennìs 1959; Jagger, 1978; Harrison and Huggett, 1992; Vallittu et aL, 1998). lt has been suggested that the peak temperature is affected by the volume of polymer, powder-to-liquìd ratio. amount of fillers, composition of the resins, geometry of the denture base, thermal conductivity of the stone mould and the heat transfer medium in which the mould ìs placed (Faraj and Ellis, 1979; Vallittu, 1996). Atkìnson and Dennis (1959) showed that a difference of4cC in the processing temperature could make the difference of 60öC within the acrylic resin. A temperathre spike was also demonstrated in a long curing cycle, as shown in sorne dental material science textbooks (Philips, 1996) and publìcations (Tuckfield et al., 1943; Harman and Pittsburgh, 1949; Faraj and Ellis, 1979). Tuekfield et aL (1943) demonstrated that a temperature spike (about 90°C) occurred in an acrylic cube of O.Sin (12.7mm) when the water temperature was 73°C only. Harman and Pittsburgh (1949) recorded the temperature changes in an archshaped acrylic sample of 60 X 65 x 3mm at thìn sectIon and 60 x 65 x 12.7mm at thick section under constant cure at 71°C. The peak temperatures were 83°C and I 16°C respectively. Faraj and Ellis (1979) recorded a temperature peak of 88°C in 95mm 75 DISSCUS!ON when the acrylic resin was cured at 70°C. The samples they used were acrylic discs 8mm thick and 50mm in diameter. Although all the discs showed a temperature spike in the 1011g curing cycle, a criticism was that the acrylic samples were unrealistically thick. The amount of exothermic heat is related to the rate of reaction, which in turn is related to the processing temperature and thickness of the resin (Woelfel et aL, 1960). The peak temperature correlating to the thickness of the acrylic resin was also due to a reduction in surface area to volume ratio, affecting heat dissipation (Faraj and Ellis, 1979; Vallittu, 1996). In this experiment, the temperature of the acrylic resin followed that of the curing tank closely and a temperature spike was absent ìn the long curing cycle. These factors could be confirmed by previous studies (Taylor, 1941; Honorez et al., 1989, Clarke et aL, 1992; Yeung et al., 1995). The temperature difference between the water and the acrylìc dough (2° - 3°C on heating up), and the time lag (about 3mm) were small. This could be explained by the slow heating of the acrylic resin and conduction of heat by the gypsum mould. The heat conducted away from the thermocouple was probably negligible because its diameter is only 0.25mm and its outer surface is insulated. DISSCUSION 6.2.2 Pressure Changes Pressure and temperature changes in the curing cycle are shown ¡ri Fig. 6.1. When the temperature ofthe curing tank was increased, both the flasks and the acrylic dough would undergo thermal expansion (Komiyama and Kawara, 1998). The expansion of the flasks (20x106 I °C for brass) and the stone (1 1x106 I °C) would result in a larger mould and lead to a drop in pressure. However, the acrylic resin has a greater coefficient of thermal expansion (81x1OE'6 I °C) and expands to a larger extent than that of the brass flasks and the stone. As the acrylic dough was confined inside the mould, thennal expansion in this confined space would exert a higher pressure inside the body ofthe acrylic dough. Therefore the pressure increased rapidly from the clamped pressure i I .53atm. The peak pressure (22.Olatm) was found when the temperature reached 72°C. Peaking was probably due to the fact that the thermal expansion of the acrylic dough and the flasks stopped as the temperature reached 72°C and did not go higher. The pressure then started to drop because of the polymerization shrinkage of poly(inethyl methacrylate). In fact, polymerization took place almost as soon as the polymer powder and the liquid were mixed. Polymerization was due to the collisions of molecules, which are ìnevitably present. In some heat-cured acrylic resins (Acron Rapid, DeTrey QC 20, Donc, President Quick Cure, Stellon i 00. Trevalon and some others), the manufacturers add a small amount of tertiary amine (<1%) in order to increase the 77 IiISSCUSION rate of reaction. This will cause some polymerizatìon to occur at a low rate alter mixing so that a large exothermic heat associated with sudden polymerization is avoided (Jerolimov et al., 1989a; Harrison and Huggett, 1992). However, the rate of such polymerization is very slow. The rate will increase when benzoyl peroxide is heated and breaks down at 60°C. Nevertheless, the amount of free radicals produced is small and the rate of reaction is impractical at 60°C. Therefore the curing temperature is raised to 70° - 72°C (Harman and Pittsburgh, 1949; Jagger, 1978; Harrison and Huggett, 1992). When the polymerization proceeded, the volume was expected to reduce by 21% as the density of the monomer changed from 0.94 to 1.19mg/cm3 (Phillips, 1996). Since two-thirds of the monomer was replaced by the polymer beads in the acrylic dough, polymerization shrinkage would reduce the volume by 7%. The acrylic resin shrinking away from the transducer and the surroundings would reduce the pressure. The effect ofpolymerization shrinkage on the pressure was shown (Eig.6.2) in a pilot study in which acrylic dough was placed in a spring clamped flask and the flask left at room temperature for more than 40h. As the pressure and the temperature of the flasks were kept steady, the pressure of the acrylic resin dropped gradually, probably owing to the polymerization shrinkage. 78 DISSCUSION The pressure then dropped to its lowest point of about latm. The acrylic resin was probably at an advanced stage of polymerization and had shrunk away from the diaphragm ofthe transducer. This occurred around 15h after starting the curing cycle and small variations (3.4 to 18h) were found. Since then no more fluctuation of pressure was observed because the polynierized resin became hardened. On heating up to 92°C, which simulates the terminal boil ìn practice, a rapid drop in pressure was caused by rapid expansion ofthe moulds. In this stage the acrylic resin was just about to expand because of the small time lag in heat conduction. When the temperature reached 92°C, the mould stopped expandìng and became stable, and the polymerized acrylic resin expanded but only slìghtly as it was already hardened. Therefore there was a small increase of pressure. When the temperature was kept steady at 92°C both the mould and the acryLic resin remained stable arid the pressure was steady until the cooling process started. On cooling, the thermal shrinkage (Komiyarna and Kawara 1998) of the acrylic resin was expected to cause a drop ìn pressure. However, an increase in pressure was recorded. This might be explained by both the spring clamp and the contraction of the moulds compressing the resin and trying to get close adaptation of the denture base (Taylor, 1941; Orien and Ryge, 1978), resulting in a net increase of pressure. When the curing tank reached the ambient temperature, the pressure became steady because both the flasks and the acrylic resin were dimensionally stable. 79 DISSCUSION On deflasking, the pressure dropped to i atm, that is, atmospheric pressure. In some cases a small gap was visually detected between the cured denture base arid the gypsum after processing. This was also reported by other investigators (Pickett and Appleby, 1970; McCartney, 1984; Lechner and Lautenschlager, 1984; Al-Hanbali et al. 1991). Pickett and Appleby (1970) studied the posterior palatal seal of denture bases cured under pressure in long cycles at 71 °C, with or wìthout terminal boil. They reported that the denture bases were closely adapted to the models on the buccal portion, the crest, and the crestal third of the lingual portion of the ridges, but not at the palatal border, and that there was a space ranging from 0.24 to 0.28mm at the posterior edge. loo 25 90 80 70 60 E 50 E 40 10 Q. 30 20 5 10 o o 2 4 6 8 10 Time I h Fig.6.1 Pressure and temperature changes during the first 12 hours. 12 14 18 16 14 12 10 4 2 0 5 10 15 20 25 Time ¡ h FIg.6.2 Pressure change in clamped flask with no heat applied. 30 35 DISSCUSIOÍV 6.3 Temperature Change in Fast Cycle Continuous heating of the acrylic dough at i OOC dissociated a large number of benzoyl peroxide molecules and created many free molecules to initiate the polymerization. In addition, the heat energy supplìed would increase the vibrations and movements of the molecules, by which reaction takes place more rapìdly. The large amount of exotherniic heat created a temperature spike of about 131°C in the fast cycle. A temperature spike was also shown in previous studies (Faraj and Ellis, 1979; Vallittu, 1996). Faraj and Ellis (1979) showed that a temperature peak of 136°C occurred 25rnjn after placing the denture flask in a water bath at 100°C. Vallittu (1996) showed that different temperature peaks occurred in different volumes of acrylìc bar cured at 98°C: 137°C for 750mm3, 189°C for 1500mm3 and 199°C for 3000mm3. The peak exothermic reaction represents a maximum rate of polymerization taking place. In this experiment, the peak occurred around 25 to 30mm. A curing time of 20mm, however, is recommended by the manufacturer. If those instructions are followed during denture construction, a certain amount of monomer may remain unpolymerized, with reaction still taking place when the flask starts to cool in the air. The sudden reduction of the surrounding temperature will cause the denture flasks to contract and stress may be introduced. 83 DISSCUSION 6.4 Elevation of Boiling Point and Gaseous Porosity According to the Academy of Denture Prosthetics (1968), a denture is considered to be hygìenically acceptable when it is non-porous, because porosity will detrimentally affect the resistance of the material to staìning. calculus deposition and adherent substances. Furthermore, porosity in acrylic denture bases also results in reduced tensile strength, foul odours, high internal stress and vulnerability to distortion and warpage (Gettleman et al., 1977; Craig, 1980; Firtell and Haiman. 1983). To prevent porosity formation, it was suggested that thick dentures should be avoided or that lower curing temperatures should be used (Gay and King, 1979). Since the thickness of a denture ìs deterniìned by the anatomy of alveolar ridge, curing temperature was well studied to obtaìn an optimal cycle (Harman and Pittsburgh, 1949; Atkinson and Dennis, 1959; Jagger, 1978; Harrison and Huggett, 1992; Vallittu et aL, 1998). Harman and Pittsburgh (1949) were able to produce porosity-free resin in acrylic blocks of 12.7mm thick at a curing temperature of 70°C. Long curing cycle either with or without a terminal boíl was a well-adopted practice to reduce the risk of porosity. Besìdes temperature control, pressure was also applied in attempt to reduce porosity (Smith et aL, 1967). Keller et al. (1978) demonstrated a reduction in porosity in a two-stage process at curing pressure of about 0.68 to 3.44MPa (671 to 3395atm). DISSCUSION The elevation of the boiling point of monomer under pressure was noted by Taylor in 1941. However, lack of sufficient instrumentation arid data dId not permit him further discussion. Xia et aL (1996) cooker at 6kgf/cm2 cured 10 acrylic samples of 6 x 50 x 60mm in a pressure (5.8atm). Water temperature was raised, reaching 120ÖC. The temperature and pressure were held for 10mm before the power was turned off. No porosity was found in any of the samples. It was explained that the boiling point of the monomer was elevated to 168.9°C under 6kgflcm2 and that it was unlikely that the monomer had boiled. However, the pressure suggested was the air pressure on the cooker and not the pressure on the water nor on the acrylic resins. Doubt was raised on the actual elevated boiling point of monomer. As the pressure of the acrylic resins was measured in this experiment, the elevated boiling point of methyl methacrylate could be calculated. It was elevated to 193.46°C when spring clamped at 36Nm (ll.53atm). The boiling poìnt was elevated to 227.97°C when the acrylic dough was at 22.Olatm at 72°C. The maximum temperature achìevcd among the six samples in the fast cycle (136°C) was well below these elevated boìling points. Porosity of denture bases was detected by the suggested criteria: 'there shall be no bubbles or voids when viewed without magriificatìon' (American Dental Associations' specification, No.12, 1975; ISO 1567, 1988). No porosity was observed DISSCUSION by direct visìon in the denture bases cured in the fast cycle. Thìs confirmed that under sufficient pressure monomer would not boìl. 6.5 Discussion ofMaterials and Methods No studies have previously been carried out to investigate pressure during processing. This is mainly because of instrument limitations. However, a subminiature pressure transducer, as used in this study, solved the instrumentation problem. Although the transducer is only temperature compensated to 94°C because of the electronic components incorporated in its end portion, this does not affect the validity of the experiment for the Jong curing cycle. This is because the acrylic resin has already polymerized before the terminal boil. However, the transducer could not be used in the fast curing cycle, because the high temperature could have damaged it. Thus the actual pressure was not known and the elevated boiling point of the monomer could not be calculated. The pressure was assumed, following the Iogìcal explanation in the long curing cycle. An even higher elevated boiling point of the monomer might be expected because of the greater thermal expansion of the acrylic dough at the higher temperature achieved before polymerization. Further studies may reveal the higher pressure. Because of the concavity of the palate the thickness of the acrylic resin beneath the transducer was about 4mm and the base had to be waxed up to the flat DISSCUSION diaphragm of the transducer. Although this was thicker than is usual in dentures, a 4iiim thick denture base or even thicker was commonly encountered in certain parts of dentures replacing the tissues of severely resorbed alveolar ridge. As thick areas and the palate were always believed to be at highest risk of porosity, testing on a thick palate could be particularly useful. In this experiment, a torque bar was used to indicate and standardize the amount of torque given to the spring clamp. In laboratory practice the spring clamp is usually tightened by hand or with a hammer and the force applied is purely subjective. Individual variations among technicians, however, subject the spring clamp to different pressures and may lead to porosity. 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Ycung KC, Chow 1W and Clark RKF (1995) Temperature and dimensional changes in the two-stage processing technique for comp lete dentures. J Dent, 23: 245-53. APPENDICES 9. Appendices 9.1 Calibration of Thermometer Thermometer: Kane-May Instrumentation Thermocouple: K-type Ambient Temperature: 21.5°C Table 9.1 Calibration of Thermometer Temperature I °C Meter reading I mV 24.8 36.5 50.0 74.5 75.1 112.4 100.2 150.2 125.3 189.0 150.4 227.0 199.0 302.0 300.0 454.0 400.0 604.0 500.0 756.0 601.0 908.0 700.0 1060.0 800.0 1210.0 899.0 1361.0 i 09 4PPENLJ!CES 9.2 Calibration of Strainmeter for Measuring Temperature Dynamic strainmeters: DC-92D, Tokyo Sokki Kenkyujo, Tokyo, Japan Thermometer: Kane-May Irstrumeritation Thcniocouplc: K-type Amplification factor: 50 Th!e 9.2 Calibration ofStrainmeter for Temperature Temperature I °C Meter reading / V 30.6 2.208 40.5 2.929 50.2 3.656 60.1 4.374 70.0 5.113 72.0 5.258 so:i 5.847 90.0 6.585 94.1 6.880 100.1 7.323 hO CONFERENCE PRESENTATION 10. Conference Presentation A poster presentation was done in the British Society 46th Annual Conference of for the Study ofProsthetic Dentìstry in March 1999, Liverpool. Ill CONFERENCE PRESENTATION Monomer Never Boils! Yau WFE*, Cheng YY, Chow TW and Clark RKF The University of Hong Kong and GKT Dental Institute It n gen,raft bheaerl thai tire gneorrn porool nomebines found n acryhc room after processeig ta a resub of the lofrrfterahoe hooted rtaachod tite bodhrg pomi of monomer durIng heOt Conng Cousu__ci I To measure tiro changos In pressura 800 temperature cit cicnyIic tasio during prote soìnJ 2 To record tir. lodheol IatflpItraIUrn rsothmt by aa-pirro rosin wtten laOt c1od ei boiling Annambty cil (lairs. and (rl) (laStro sptlrrg clamped lo 3611m torque (C) water- 3 To calculada filin Utevated bailing point IflOtlOfiter tardai high Pressura of Long cycle The acrylIc rosin dough wss cured by a orig s j_,_ _*l. b fr; I software, pressure damped priai cyc,. A loader let-up of tite ceinte doctas brano, willi ftrennocouple only. was processed by a teal curing C)lCle )100C fctr IOni(o) Equation mn of m*idtwy a Cuflng cydo (lic for 8 bIt and 94t for i irti) The citenpos (ti pressano cand lemp.ralure emra recorded Willi conryirter data icqulattlonI (aimed one lnPIJpt 'u (tilodal S-tOdd. irtIP Wgfti.ttipt0n UK) voll acmpwreaban ta alt . and tIfi tosida PrOectIOS __._ .-- - rOechoti e ire.tl cli 22Oefm during Irre (OrIg curing cycte (Tabt t ) The alevatod boning point of monomer ai Iii. inr.raesod pressura wan oalculated to 1w about 105C at In harm) rand about 228C at 22081m) Tiras. cilaullad boiling points ere higher than tite rnnaxtmum temperatura (131t) macbent durIng Inc fasi CuiiniO cycle )F1g 2). Thus lire motnomar did not resell It, bolting p0(01 end no gaseous pettily wits observad In (tre curad denture I Thir fnlgftest temperature l050tlsd try the acrylic resin drrn(n processing In watl below tire elevated boiling polio) rit monomer, 2 Mcrnnancer Iherafars rarO not bolt tin clamped danlure Pastis under nufbcient pressure / ( . ' T.aPrltaum'.atair tri Adequate clamp peosaur, prevents gaSeous porosity trTeWiuclJan of curing tyd usad 1:\ : \ r - a mean baso T.fl,pflth..-PMIfA w o it Lnosea TIra at P.atel..srainci -o ta (b) bricr curling, of the acrylic dough inside the flask wan Inillally II hait and .oss,prana p...o. r.ta nf rsuoicaoea? (MrirO Irr Jlrncta Mi A(. R =a- mOU.aI)u3l5J5iintT. ne0nQ EIsdmolca. luuripurittea apoccmon doting long of in. . wawuna nncaasin e, o!cei. ci -H)R(I/T2-l/T) shows o repl050nninflvo recordIng temporalure end pressure thengeb n L- ----- . !.c!_!6 - , , ._._ sa ci Is 04 I Ut e S c 0& M.. .m 1 ow ci- 'no Pt*uwsIstm Corrpondtng Bofl(na Point! C Cm.aMcIton øf Iba i.up of f,adtica alid mummcaups an Itt. ditthia, bean Thi mould $nt4t. 115(3Z) led Psek 220 (34) 22d \1M in3 ' Roi, 3 *M Q * 4s ii: