Tugberk Arda1, Ayla Arikan. 1. Department of Prosthodontics, Faculty of Dentistry, University of Marmara, No. 6 80200, Nisantasi, Istanbul, Turkey. tugberk@senerardagroup.com
Abstract
STATEMENT OF PROBLEM: The use of metal clasps on anterior teeth may cause esthetic problems. Recently, acetal resins have been used as an alternative tooth-colored denture clasp material to improve esthetics. However, there are few studies to support acetal resin use. PURPOSE: The purpose of this in vitro study was to compare the retentive force and deformation of acetal resin and cobalt-chromium clasps after 36 months of simulated clinical use. MATERIAL AND METHODS: Forty clasps each of acetal resin (1.2 or 2.0 mm thick) and cobalt-chromium (Dentorium)(1.2 mm thick) were fabricated using half-round standard prefabricated clasp patterns. The groups were further subdivided (n=10) into the type of tooth (premolar or molar metal model) and undercut (0.25 mm or 0.50 mm). The retentive force of the clasps was measured in distilled water by a specially designed insertion-removal testing apparatus with intervals corresponding to 0, 6, 12, 18, 24, 30, and 36 months of simulated clinical use of a removable partial denture. The distance between the clasp tips (mm) was measured with a microscope before and after the insertion-removal testing procedure. Comparison of the mean values of the retentive force (gram force) of the clasps and the distance (mm) between the clasp tips was conducted with 3-way analysis of variance and a Least Significant Difference (LSD) multiple range test (alpha=.05). RESULTS: The mean values of tensile load required to dislodge acetal resin clasps with 1.2-mm thickness (111.6 g or 0.11 N) and with 2.0-mm thickness (178.4 g or 1.75 N) was significantly lower than that to dislodge Co-Cr clasps (694.1 g or 6.81 N) (P<.001). The retentive force needed to dislodge all 3 types of clasps was significantly lower for the molar than premolar models and also lower for the models with 0.25-mm undercuts than for those with 0.50-mm undercuts (P<.001). After 36 months of simulated clinical use, there was evidence of deformation in the cobalt-chromium clasps but no deformation noted for the acetal resin clasps. The retentive force of cobalt-chromium clasps (297.4 g or 2.91 N) after deformation remained significantly higher (P<.001) than the retentive force of acetal resin clasps that were 1.2 mm (110.7 g or 1.08 N) and 2.0 mm thick (177.5 g or 1.74 N), respectively. CONCLUSION: Within the limitations of this study, the results suggest that both thicknesses of acetal resin clasps evaluated required less force for insertion and removal than Co-Cr clasps over a simulated 36-month period.
STATEMENT OF PROBLEM: The use of metal clasps on anterior teeth may cause esthetic problems. Recently, acetal resins have been used as an alternative tooth-colored denture clasp material to improve esthetics. However, there are few studies to support acetal resin use. PURPOSE: The purpose of this in vitro study was to compare the retentive force and deformation of acetal resin and cobalt-chromium clasps after 36 months of simulated clinical use. MATERIAL AND METHODS: Forty clasps each of acetal resin (1.2 or 2.0 mm thick) and cobalt-chromium (Dentorium)(1.2 mm thick) were fabricated using half-round standard prefabricated clasp patterns. The groups were further subdivided (n=10) into the type of tooth (premolar or molar metal model) and undercut (0.25 mm or 0.50 mm). The retentive force of the clasps was measured in distilled water by a specially designed insertion-removal testing apparatus with intervals corresponding to 0, 6, 12, 18, 24, 30, and 36 months of simulated clinical use of a removable partial denture. The distance between the clasp tips (mm) was measured with a microscope before and after the insertion-removal testing procedure. Comparison of the mean values of the retentive force (gram force) of the clasps and the distance (mm) between the clasp tips was conducted with 3-way analysis of variance and a Least Significant Difference (LSD) multiple range test (alpha=.05). RESULTS: The mean values of tensile load required to dislodge acetal resin clasps with 1.2-mm thickness (111.6 g or 0.11 N) and with 2.0-mm thickness (178.4 g or 1.75 N) was significantly lower than that to dislodge Co-Cr clasps (694.1 g or 6.81 N) (P<.001). The retentive force needed to dislodge all 3 types of clasps was significantly lower for the molar than premolar models and also lower for the models with 0.25-mm undercuts than for those with 0.50-mm undercuts (P<.001). After 36 months of simulated clinical use, there was evidence of deformation in the cobalt-chromium clasps but no deformation noted for the acetal resin clasps. The retentive force of cobalt-chromium clasps (297.4 g or 2.91 N) after deformation remained significantly higher (P<.001) than the retentive force of acetal resin clasps that were 1.2 mm (110.7 g or 1.08 N) and 2.0 mm thick (177.5 g or 1.74 N), respectively. CONCLUSION: Within the limitations of this study, the results suggest that both thicknesses of acetal resin clasps evaluated required less force for insertion and removal than Co-Cr clasps over a simulated 36-month period.