Resumo
Objetivo: Avaliar a influência da higienização com diferentes pastilhas de limpeza na rugosidade superficial de placas oclusais confeccionadas em PMMA por impressão CAD/CAM aditiva, discutindo as possíveis implicações para a durabilidade clínica. Métodos: Foram confeccionadas cinquenta amostras (N=50) medindo 2X2 cm em polimetilmetacrilato (PMMA) a partir do processo de impressão CAD/CAM aditivo, sendo divididas em Grupo Controle (GC), Corega Tabs 3 minutos (G1), Corega Tabs Branqueador (G2), Efferdent (G3) e Kin Oro (G4), com dez amostras para cada grupo. Foi feita a simulação de 6 meses de uso, de acordo com o tempo de ação de cada pastilha de limpeza. Resultados: Foi utilizado o teste de normalidade de Kolmogorov-Smirnov e, posteriormente, o teste de Kruskal-Wallis. Não houve alterações significativas na rugosidade das placas oclusais após a higienização com as pastilhas de limpeza (p>0,05 em todas as medidas). Conclusão: O uso das pastilhas de limpeza como forma de higienização não causa mudanças significativas na rugosidade superficial das placas feitas de PMMA, sugerindo boa compatibilidade do material nas condições laboratoriais avaliadas.
Referências
AKIN H, et al. In Vitro Comparison of the Cytotoxicity and Water Sorption of Two Different Denture Base Systems. Journal of Prosthodontics, 2014; 24(2): 152-155.
ALBAGIEH H, et al. Occlusal splints-types and effectiveness in temporomandibular disorder management. The Saudi Dental Journal, 2022; 35(1).
ALLA R, et al. Conventional and contemporary polymers for the fabrication of denture prosthesis: part I – overview, composition and properties. Int J Appl Dent Sci, 2015; 1(4): 82-89.
ANUSAVICE KJ, et al. Phillips' Science of Dental Materials. 12ª ed. Elsevier Health Sciences: Philadelphia-PA, 2012.
AXE AS, et al. Dental health professional recommendation and consumer habits in denture cleansing. The Journal of Prosthetic Dentistry, 2016; 115(2): 183-188.
BARBOSA DB, et al. Flexural strength of acrylic resins polymerized by different cycles. Journal of Applied Oral Science, 2007; 15(5): 424-428.
BRIGHENTI N, et al. Effects of an Interdisciplinary Approach in the Management of Temporomandibular Disorders: A Scoping Review. International Journal of Environmental Research and Public Health, 2023; 20(4): 2777.
ÇAKMAK G, et al. Effect of simulated brushing and disinfection on the surface roughness and color stability of CAD-CAM denture base materials. Journal of the Mechanical Behavior of Biomedical Materials, 2022; 134.
DYLINA TJ. A common-sense approach to splint therapy. The Journal of Prosthetic Dentistry, 2001; 86(5): 539-545.
ESCOBAR VELANDO G, et al. La Fisioterapia en el tratamiento interdisciplinar de la disfunción de la articulación temporomandibular. Fisioterapia, 2002; 24(1): 2-9.
GARRIGÓS-PEDRÓN M, et al. Temporomandibular disorders: improving outcomes using a multidisciplinary approach. Journal of Multidisciplinary Healthcare, 2019; 12: 733-747.
GAUTAM R, et al. Biocompatibility of polymethylmethacrylate resins used in dentistry. Journal of Biomedical Materials Research Part B: Applied Biomaterials, 2012; 100B(5): 1444-1450.
GONZÁLEZ-SÁNCHEZ B, et al. Temporomandibular Joint Dysfunctions: A Systematic Review of Treatment Approaches. Journal of Clinical Medicine, 2023; 12(12): 4156.
HADA T, et al. Effect of Printing Direction on the Accuracy of 3D-Printed Dentures Using Stereolithography Technology. Materials, 2020; 13(15): 3405.
HASSAN M, et al. Thermoset polymethacrylate-based materials for dental applications. Materials for Biomedical Engineering, 2019; 273-308.
INTERNATIONAL ORGANIZATION FOR STANDARDIZATION e ASTM INTERNATIONAL. ISO/ASTM 52900:2021 – Additive manufacturing — General principles — Fundamentals and vocabulary. Geneva: ISO, 2021.
KALYONCUOĞLU UT, ATIK E. Impact of effervescent denture cleaning tablets on color and surface characteristics of additively manufactured and hand-cast splint materials. Clinical Oral Investigations, 2024; 28(1).
KUZMANOVIC PFICER J, et al. Occlusal stabilization splint for patients with temporomandibular disorders: Meta-analysis of short and long term effects. PLOS ONE, 2017; 12(2): e0171296.
MACHADO AL, et al. Hardness and surface roughness of reline and denture base acrylic resins after repeated disinfection procedures. The Journal of Prosthetic Dentistry, 2009; 102(2): 115-122.
NEJATIAN T, et al. Acrylic denture base materials. Advanced Dental Biomaterials, 2019; 79-104.
ORAL K, et al. Etiology of temporomandibular disorder pain. The Journal of the Turkish Society of Algology, 2009; 21(3): 89-94.
PRPIĆ V, et al. Comparison of Mechanical Properties of 3D-Printed, CAD/CAM, and Conventional Denture Base Materials. Journal of Prosthodontics, 2020; 29(6): 524-528.
SASAKI H, et al. Effect of long-term water immersion or thermal shock on mechanical properties of high-impact acrylic denture base resins. Dental Materials Journal, 2016; 35(2): 204-209.
SHARMA P. Effect of Denture Cleansers on Surface Roughness and Flexural Strength of Heat Cure Denture Base Resin – An In vitro Study. Journal of Clinical and Diagnostic Research, 2017.
SHIM JS, et al. Printing accuracy, mechanical properties, surface characteristics, and microbial adhesion of 3D-printed resins with various printing orientations. The Journal of Prosthetic Dentistry, 2020; 124(4): 468-475.
TAKAHASHI Y, et al. Flexural properties of denture base resins subjected to long-term water immersion. Acta Odontologica Scandinavica, 2012; 71(3-4): 716-720.
TAKHTDAR M, et al. Effect of denture cleansers on color stability and surface roughness of denture bases fabricated from three different techniques. Clinical and Experimental Dental Research, 2023; 9(5): 840-850.
TANAKA E, et al. Degenerative Disorders of the Temporomandibular Joint: Etiology, Diagnosis, and Treatment. Journal of Dental Research, 2008; 87(4): 296-307.
YADAV S, KARANI J. The Essentials of Occlusal Splint Therapy. International Journal of Prosthetic, 2011; 2011(1): 12-21.
ZAFAR MS. Prosthodontic Applications of Polymethyl Methacrylate (PMMA): An Update. Polymers, 2020; 12(10): 2299.
