# Nanopigmented Acrylic Resin Cured Indistinctively by Water Bath or Microwave Energy for Dentures

Authors: L. S. Acosta-Torres; M. C. Arenas; R. E. Nuñez­-Anita; F. H. Barceló-Santana; C. A. Álvarez-Gayosso; J. Palacios-Alquisira; J. de la Fuente-Hernández; Marcos Cajero-Juárez; V. M. Castaño
Journal: Journal of Nanomaterials
 (2014)

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## Abstract

The highlight of this study was the synthesis of nanopigmented poly(methyl methacrylate) nanoparticles that were further processed using a water bath and/or microwave energy for dentures. The experimental acrylic resins were physicochemically characterized, and the adherence ofCandida albicans and biocompatibility were assessed. A nanopigmented acrylic resin cured by a water bath or by microwave energy was obtained. The acrylic specimens possess similar properties to commercial acrylic resins, but the transverse strength and porosity were slightly improved. The acrylic resins cured with microwave energy exhibited reduced C. albicans adherence. These results demonstrate an improved noncytotoxic material for the manufacturing of denture bases in dentistry.


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## Body

## 1. Introduction

Poly(methyl methacrylate) (PMMA) is the main commercial acrylic resin used in denture fabrication [1]. Advances in polymer science for denture bases have developed different molding and activation techniques [2]. The heat- and microwave-generated commercial acrylic resins have similar chemical formulations [3], but there are specific components to the curing of resins for each technique. The microwave method for PMMA denture base polymerization has the following advantages: shorter times for curing and for attaining the plastic phase and less porosity and excellent adaptation of a prosthetic material in contrast to conventional heat-water polymerization. Despite these advantages, this method has limited use in the dentistry field [4].A few studies regarding the experimental acrylic resin have been reported. In our previous works, spherical particles of an experimental acrylic resin were synthesized by the polymerization suspension technique using sodium alginate or gelatin as suspension agents. A clear PMMA was obtained and the morphology, particle size, thermal behavior, and flexural properties were fully characterized. The result was a material comparable with the commercial acrylic resins for dentures when the material was processed by a water bath or a microwave technique [5]. Metallic oxide nanoparticles were included in the synthesis as pigments to obtain a pink PMMA that was similar to the gums in color. These nanopigmented PMMA particles were thermopolymerized with the water bath technique, and they presented lower porosity and solubility compared with the clear PMMA [6]. Different types of fibers [7] or silver nanoparticles [8] were added in the nanopigmented PMMA formulation, but the fibers did not change the flexural strength, and the nanoparticles decreased this value, despite an improvement of the antifungal effect against Candida albicans.The nanopigmented PMMA needs to be assessed in all the physical, antimicrobial, and cytocompatible properties when it is processed indistinctively by a water bath and microwave thermopolymerization techniques. These methods do not sacrifice the resin’s physicochemical properties and might generate a cheap and nontoxic material. The material needs to be compared with the commercial acrylic resins available for each specific technique. The material was compared with the Lucitone 199 and Acron MC acrylic resins for denture bases that are commercially available for specific water bath and microwave polymerization techniques, respectively.


## 2. Materials and Methods

Methyl methacrylate (MMA) monomer and benzoyl peroxide (both from Sigma-Aldrich, St. Louis, MO, USA) were used as received. Sodium alginate (Manufacturera-Dental-Continental, Mexico) was used as a suspension agent. Iron oxide and titanium oxide nanoparticles (Fe2O3 [R-4511] and TiO2 [RF-9400] (González-Cano y Compañía, Mexico) were used as pigments. The commercial heat-cured acrylic resins Lucitone 199 (water bath thermopolymerized; Dentsply/Trubyte, York, PA) and Acron MC (GC Lab Technologies, Alsip, IL) were selected for the comparisons.


## 3. Synthesis of Nanopigmented PMMA Particles

Nanopigmented PMMA, a pink substance similar to the gums, was synthesized by the suspension polymerization technique described in previous work [5]. The brief method was as follows. In a five-neck flask, 200 mL of deionized water, 1.5 g of sodium alginate, 200 g of MMA monomer, and 0.2 g of initiator were mixed with reflux; nitrogen gas was added; the mixture was stirred (1,200 rpm) and heated at 70°C for 2 h. The TiO2 and Fe2O3 nanopigments were dissolved in 30 mL of deionized water and added to the reactor 30 min before the initiator incorporation. Constant stirring throughout the reaction was used to ensure equal distribution of pigments. When the reaction was finished and the PMMA particles had sedimented, they were separated by decantation. The PMMA was washed with deionized water four times until the water was clear to eliminate the nonreactant products. The polymer particles were dried at room temperature.


## 4. Characterization of Nanopigmented PMMA Particles

The nanopigmented PMMA, Lucitone 199, and Acron MC powders were characterized. Fourier transform infrared (FT-IR) spectroscopy was conducted in a Bruker Vector 33 Instrument using the transmittance technique. The samples were prepared in KBr translucent disks and analyzed with 17 scans in the wavelength region between 400 and 4,000 cm−1.For scanning electron microscopy (SEM) analysis, the polymer particles were coated with gold by vacuum evaporation, and the observations were carried out with a JSM-6060LV scanning microscope (JEOL, Peabody, MA). The particle size distribution and standard deviation were obtained for each acrylic resin.


## 5. Water Bath and Microwave Polymerization for Specimen Preparation

To obtain the PMMA specimens, the nanopigmented PMMA powder was separated in two parts to form two experimental groups. Mixtures were prepared with the powders of each group and were collocated in three molds with the following dimensions: 65 × 10 × 2.5 mm, 50 × 0.5 mm, and 10 × 2 mm.The first group, designated PMMA-wb, was obtained by mixing the PMMA with a MMA monomer (3 : 1) and benzoyl peroxide (1%), packing the mixture into metallic molds, and processing in a water bath for 90 min at 70°C and then for 30 min at 90°C. The second group, designated PMMA-mw, was obtained by mixing the PMMA particles with a MMA monomer (3 : 1) and benzoyl peroxide (1%) and packing the mixture into polyester molds, which was followed by curing with microwave energy at 500 W for 3 min. After the curing process, the molds were cooled at room temperature for 30 min and placed into cold water at 4°C for 30 min before opening the molds.The commercial acrylic resins Lucitone 199 and Acron MC were cured following the manufacturers’ instructions.The specimens obtained were plates of 65 × 10 × 2.5 mm for the flexural strength and flexural modulus calculations (n=10), discs of 50 × 0.5 mm for the water sorption and solubility tests (n=10), and discs of 10 × 2 mm for the C. albicans adherence and cytotoxicity assays (n=9). All the specimens were trimmed with wet abrasive paper of grit 100 and 300 (Fandeli, Mexico) prior to use.Table1 summarizes the curing technique, batch number, and viscosity molecular weight of each evaluated acrylic resin. The mentioned molecular weight belongs to the experimental PMMA without the nanopigment particles.Table 1
Summary of processing methods for curing of commercial acrylic resin and experimental PMMA.
Acrylic resin
Processing method
Manufacturer (location)
Viscosity mol wt (g/mol)a
Lucitone 199
Water bath cured at70°C for 90 min and 90°C for 30 min
Dentsply/Trubyte (York, PA)
19 × 10−5
Acron MC
Microwave cured at500 W for 3 min
GC (Alsip, IL)
14 × 10−5
Experimental PMMA
Water bath curedat 70°C for 90 min and 90°C for 30 min;microwave cured at 500 W for 3 min
—
36 × 10−5
aThe viscosity molecular weight was reported previously [5].


## 6. Characterization of the Cured Nanopigmented PMMA Specimens

The processed PMMA-wb, PMMA-mw, Lucitone 199, and Acron MC samples were tested as follows.Thermogravimetrical analysis (TGA) was carried out on a fragment of each group of the nanopigmented PMMA cured resins using a thermogravimetric analyzer (TA Instrument Q500 V6.3) at a heating rate of 10°C/min up to 900°C in an N2 atmosphere.For the characterization of the flexural behavior, the samples were placed in a transverse deflection machine (Mecmesin, Sterling, VA) at 5 N/min until they fractured. The flexural modulus and transverse strength values were obtained using the equations reported previously [5, 6].For the water sorption and solubility test, 10 discs (n=10) were weighed (reported in mg), placed in a silica gel desiccator, and weighed every 24 h until a constant mass (m1) was obtained. The discs were placed in distilled water for 7 days at 37±1°C. The discs were then dried and weighed (m2). The discs were placed in the desiccator again and weighed every 24 h until a constant mass (m3) was reached. The area (A) of each sample was calculated (reported in cm2). The water sorption (Ws) and solubility (Sl) were calculated according to ADA 12, 1990 [9], as follows: Ws =(m2−m1)/A; Sl =(m1−m3)/A.For the porosity test, the fractured plates were adjusted to obtain plates of 30 × 10 × 2.5 mm. They were weighed to obtain their mass, and the volume of each sample was calculated (Vsp). The samples were weighed every 24 h and placed in a silica gel desiccator until a constant mass was obtained. The volume of each sample was determined, and the internal porosity (Vip) was calculated as follows:
(1)Vip=Vsp-Wa(dr-da).Wa is the weight of the sample (in g), dr is the acrylic resin density (1.198 g/cm3), da(0.00123 g/cm3) is the Mexico City air density (at T=294 K, 78 kPa), and Vsp is the volume of the sample (in cm3).One of the broken parts from each group after the flexural tests was used to observe the fracture zone by SEM.The contact angles of the PMMA polymer films have been measured by the spheroidal segment method using a contact angle measurement system [10].For the biological testing (C. albicans adherence and cytotoxicity assays), C. albicans strain 90026 (American Type Culture Collection, Manassas, VA) was cultured in 24-well plates at a density of 1 × 105 cells/mL. The PMMA samples were sterilized by exposing both faces to ultraviolet irradiation for 5 min [8, 11]. Each acrylic resin sample was placed in contact with the microorganisms for 24 h, and the samples were removed and washed with distilled water under stirring conditions. The samples were placed in new 24-well plates, and 100 μL of benzalkonium chloride was added to each sample to extract the adhered C. albicans cells. The plate contents were stirred for 15 min, and the samples were removed. A microbial cell viability assay based on luminescent ATP measurements (BacTiter Glo; Promega, Fitchburg, WI) was performed to determine the number of viable cells that had adhered to the composite resins. Briefly, extract aliquots (20 μL each) were mixed with 30 μL of BacTiter Glo reagent in 1.5-mL clear Eppendorf tubes, and the luminescence was recorded after 5 min using a luminometer (Turner Biosystems, Sunnyvale, CA) at an emission wavelength of 590 nm. The relative luminescence intensity, in 10 sec integration periods, was measured in triplicate.A MTT assay was performed using NIH 3T3 mouse fibroblast-like cells (ATCC No. CRL-1658). The nanopigmented and commercial PMMA samples were sterilized by exposing both faces to ultraviolet irradiation for 5 min. The cells were exposed to acrylic resins specimens, and proliferation was assessed by measuring the reductase enzymatic activity based on the transformation of 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) into the colored, reduced form of MTT [12]. After 24 and 48 h incubation times, the resins were removed, the MTT assay was performed following the manufacturer’s instructions (Sigma-Aldrich), and the absorbance was measured in a microplate reader (Bio-Rad 680) at a wavelength of 655 nm.The viability percentage was calculated as follows: [(optical density of the samples)/(optical density of the control group)] × 100. The control group was cultured without acrylic resins. The samples were analyzed in triplicate, and three independent experiments were performed.For the statistical analysis, One-Way Analysis of Variance (P<0.05) and Tukey tests were applied for the water sorption, solubility, flexural modulus, transverse strength, porosity, cytotoxicity, and C. albicans adherence values.


## 7. Results and Discussion

### 7.1. FTIR and Size Distribution of Nanopigmented PMMA

Figure1 shows the infrared spectrum of the nanopigmented PMMA compared with those of the commercial PMMA resins (Lucitone 199 and Acron MC) in the wavelength range of 4,000 cm−1 to 650 cm−1. All the spectra present similar responses, in which the characteristic peaks of the PMMA were observed [9, 10, 13]. The peaks at 2,950 cm−1 and 1,720 cm−1 correspond to the C–H and C=O (ester carbonyl) stretching vibrations, and the band at 1,434 cm−1 is due to the C–H bending vibrations. Other peaks at low frequencies, 1,139 cm−1, 840 cm−1, and 752 cm−1, are related to the H–C–H stretching vibration, to the O–C–O deformation vibration, and to the puckering vibration of PMMA, respectively. The absence of peaks in the range of 1,680 cm−1 to 1,640 cm−1 indicates that the MMA monomer was fully polymerized [12].Figure 1
Infrared spectra of polymer particles of nanopigmented PMMA, Lucitone 199, and Acron MC showing the main stretching bands of the PMMA molecule.Despite the similarities in the infrared results for the PMMA samples, the particle sizes were very different according to the SEM results (not shown here). The nanopigmented PMMA particle sizes were between 4.5 and 10μm, and the sizes for Lucitone 199 and Acron MC were in the range of 30 to 60 μm and 60 to 120 μm, respectively. Figure 2 shows the distribution of the particles sizes, where the averages for the samples were 16.51 μm ± 6.5 μm (nanopigmented PMMA), 32.23 μm ± 10.8 μm (Lucitone 199), and 69.69 μm ± 23.88 μm (Acron MC).Statistical particle size distribution of (a) nanopigmented PMMA compared to the commercial acrylic resins: (b) Lucitone 199 and (c) Acron MC.
(a)
(b)
(c)


### 7.2. Evaluation of Nanopigmented PMMA Cured Using a Water Bath and Microwave Thermopolymerization

The nanopigmented PMMA particles were cured by a water bath and by microwave methods. The thermal stability of the PMMA specimens (PMMA-wb and PMMA-mw, Lucitone and Acron MC) was determined from the thermogram profiles (Figure3). As shown in Figure 3(a), abrupt reductions in weight at approximately 300°C to 400°C (80 to 98% weight loss) were observed for all specimens, and these were attributed to the complete degradation of the polymer chain. As shown in the inset of Figure 3(a), the profile of PMMA-wb is slightly later than Lucitone 199, indicating a better stability. PMMA-mw is slightly less thermally stable than Acron MC. Based on the derived weight profiles (Figure 3(b)), the two main peaks between 276°C and 285°C (12 to 20% weight loss) and between 364°C and 379°C (80 to 98% weight loss) could be attributed to other components in the commercial acrylic resins, such as plasticizers, comonomers, or cross-linking agents with different thermal behaviors. The manufacturer specifications of Lucitone 199 mention the presence of ethylene dimethacrylate in its liquid composition, and Acron MC presents a copolymer of poly (methyl methacrylate/ethylacrylate) in the powder formulation. It is clear that microwave energy influences in thermal stability of the nanopigmented PMMA specimens.(a) TGA profiles and (b) derived weight profiles of PMMA-wb and PMMA-mw compared with the commercial acrylic resins.
(a)
(b)In the flexural modulus, there were no statistically significant differences between any of the tested groups (P>0.05). PMMA-wb, Lucitone 199 and Acron MC showed slightly higher transverse strength values than the nanopigmented PMMA processed by microwaves (PMMA-mw) (Table 2), and this value fulfilled the minimum allowed value according to ISO 1567 (65 MPa) [14]. These values are still better compared with those of other commercial acrylic resins [15].Table 2
Physical properties of PMMA polymerized by water bath and with microwave energy.
Acrylic resin
Flexural modulus (GPa)
Transverse strength (MPa)
Water sorption (mg/cm2)
Solubility (mg/cm2)
Porosity (%)
Contact angle (°)
Candida albicans  adherence (×105 LRUs)
PMMA-WB
2.5 ± 0.14*
77.6 ± 5.1*
0.27 ± 0.02*
0.03 ± 0.004*
4.6 ± 0.4*
60.29 ± 1.8
5.8  ± 1.3
PMMA-MW
2.5 ± 0.30
68.1 ± 2.8
0.31 ± 0.06
0.04 ± 0.005
5.5 ± 0.5
32.66 ± 7.4
2.6 ± 0.5
Lucitone 199
2.5 ± 0.20+
78.2 ± 0.2+
0.37 ± 0.04
0.02 ± 0.010
6.8 ± 1.0+
36.02 ± 4.4
6.3 ± 2.2
Acron MC
2.5 ± 0.17
75.8 ± 5.1
0.30 ± 0.10
0.04 ± 0.008
5.4 ± 0.4
53.02 ± 3.1
1.6 ± 0.4
*[6]; +[7].One important property of acrylates is water sorption and release, which allows for dimensional instability, subjecting the material to internal stresses that might result in crack formation and eventually might fracture the denture. The water molecules spread between the macromolecules of the material, forcing them apart and affecting the dimensional behavior and denture stability. Water sorption and solubility of these materials should be as low as possible [16]. In the water sorption test, there was a marked difference. The PMMA-wb had a lower value (0.27±0.02 mg/cm2), and Lucitone 199 had a higher value (0.37±0.04 mg/cm2). The materials processed by microwave energy had similar results. All the groups were tested for water sorption and solubility according to the ADA number 12-required values [17], which were lower than 0.8 and 0.04 mg/cm2, respectively.The mechanical properties of denture base materials decrease as the solubility increases. One study showed that water bath polymerization results in enhanced mechanical properties. It has been established that the water sorption and solubility of polymers depend on the homogeneity of the material; less water absorbed and less solubility are presented in a homogeneous material [16]. PMMA-wb presented lower porosity than Lucitone 199, but there were no significant differences between the PMMA-mw and Acron MC. The low porosity of PMMA-wb was in accordance with the expected values, and it is important to emphasize that the porosities of all the nanopigmented PMMA specimens were lower than other acrylic resins [18].After the flexural behavior evaluations, the topographies of the fractured zone of each specimen were examined in transverse sections by SEM (Figure4). The micrographs showed irregular surfaces in the four acrylic resins, and the morphology changed according to the curing method. A slightly nonhomogeneous surface for PMMA-mw was observed, which was in concordance with the low transverse strength value.SEM images of the fracture zone of (a) PMMA-wb and (b) PMMA-mw compared with the commercial resins (c) Lucitone 199 and (d) Acron MC.
(a)
(b)
(c)
(d)The mechanical properties and wear resistance of denture materials have improved substantially, but their antibacterial properties are still of great interest [19]. In the present study, a C. albicans adherence assay was performed. Figure 5(a) shows the results of the adherence assay, in which PMMA-wb and Lucitone 199 resulted in slightly higher values than the acrylic resins processed by microwave energy (PMMA-mw, Acron MC). Acron MC showed the lowest value, followed by nanopigmented PMMA-mw, which was indicative of a lower C. albicans adherence compared with PMMA-wb and Lucitone 199. C. albicans possesses various virulence factors, including the capacity to form biofilms, which render antifungal drugs less efficient. C. albicans has the ability to form hyphae, which facilitates soft tissue invasion, allowing the microorganisms to hide from the host defense system [20]. It is difficult to avoid the adhesion of pathogenic microorganisms to the surface of dental materials, though some efforts toward this have been made [21]. The exact mechanisms by which C. albicans adheres to acrylic surfaces are unknown, but many factors that affect C. albicansadherence have been described, including surface roughness, salivary pellicle formation, hydrophobic property, and electrostatic interactions [22].The antifungal effects and biocompatibility of PMMA-wb and PMMA-mw. (a) The adherence ofC. albicans as measured in a luminescent microbial cell viability assay. The luminescence was determined based on light relative units (LRUs). (b) and (c) The viability of NIH 3T3 cells after exposure to materials for 24 and 48 h, respectively.
(a)
(b)
(c)The water contact angle was measured to estimate the hydrophobicity of the nanopigmented PMMA and commercial acrylic resins (Table2). The nanopigmented PMMA-wb specimens presented a high water contact angle and a large amount of C. albicans.This is contrary to the references, where the adherence was linearly related to high hydrophobicity [22]. These specimens are composed of small particles and have low porosity, which could influence the C. albicansadherence. The Acron MC specimens formed with large particles present low amounts of C. albicansand high hydrophobicity. The PMMA-mw and Acron MC specimens cured with microwave energy presented similar porosities and a low amount of C. albicans, and there was a great difference in the particle sizes.Cytotoxicity tests were designed to determine how the sample material affected a particular cell type. Figures5(b) and 5(c) show the results of the cytotoxicity assays for all the groups when they were in contact with mouse fibroblast-like NIH 3T3 cell cultures for 24 and 48 h. The MTT test was used because it is based on an evaluation of mitochondrial function after exposure to potential toxic substances [23]. The results were not statistically significantly different (P>0.05), indicating that the synthesized PMMA and the commercial acrylic resins are nontoxic materials.Consideration must be given to the relative biocompatibility of all denture base materials. Considerations of the incidence and severity of side effects of denture bases have been included as parts of some general studies on dental materials. Local reactions that have been reported are not severe, and the most common are lichenoid reactions in the oral mucosa and skin reactions such as rashes, dermatitis, and eczematous lesions. These reactions depend on the chemical composition of the materials used and their degradation products, absorption, accumulation, and other factors associated with leachable substances from the restoration. Another group of side effects are related to cell proliferation. One study showed that a PMMA-based denture base polymer triggered death signals in cell culture [24]. Another study showed that treatment in a water bath postpolymerization reduced the cytotoxicity of Lucitone 550 [25]. In this work, Lucitone 199 and Acron MC were used as controls, representing noncytotoxic resins. The results showed that no significant differences were observed regarding fibroblast cell viability, therefore PMMA-wb and PMMA-mw can be considered biocompatible materials.


## 7.1. FTIR and Size Distribution of Nanopigmented PMMA

Figure1 shows the infrared spectrum of the nanopigmented PMMA compared with those of the commercial PMMA resins (Lucitone 199 and Acron MC) in the wavelength range of 4,000 cm−1 to 650 cm−1. All the spectra present similar responses, in which the characteristic peaks of the PMMA were observed [9, 10, 13]. The peaks at 2,950 cm−1 and 1,720 cm−1 correspond to the C–H and C=O (ester carbonyl) stretching vibrations, and the band at 1,434 cm−1 is due to the C–H bending vibrations. Other peaks at low frequencies, 1,139 cm−1, 840 cm−1, and 752 cm−1, are related to the H–C–H stretching vibration, to the O–C–O deformation vibration, and to the puckering vibration of PMMA, respectively. The absence of peaks in the range of 1,680 cm−1 to 1,640 cm−1 indicates that the MMA monomer was fully polymerized [12].Figure 1
Infrared spectra of polymer particles of nanopigmented PMMA, Lucitone 199, and Acron MC showing the main stretching bands of the PMMA molecule.Despite the similarities in the infrared results for the PMMA samples, the particle sizes were very different according to the SEM results (not shown here). The nanopigmented PMMA particle sizes were between 4.5 and 10μm, and the sizes for Lucitone 199 and Acron MC were in the range of 30 to 60 μm and 60 to 120 μm, respectively. Figure 2 shows the distribution of the particles sizes, where the averages for the samples were 16.51 μm ± 6.5 μm (nanopigmented PMMA), 32.23 μm ± 10.8 μm (Lucitone 199), and 69.69 μm ± 23.88 μm (Acron MC).Statistical particle size distribution of (a) nanopigmented PMMA compared to the commercial acrylic resins: (b) Lucitone 199 and (c) Acron MC.
(a)
(b)
(c)


## 7.2. Evaluation of Nanopigmented PMMA Cured Using a Water Bath and Microwave Thermopolymerization

The nanopigmented PMMA particles were cured by a water bath and by microwave methods. The thermal stability of the PMMA specimens (PMMA-wb and PMMA-mw, Lucitone and Acron MC) was determined from the thermogram profiles (Figure3). As shown in Figure 3(a), abrupt reductions in weight at approximately 300°C to 400°C (80 to 98% weight loss) were observed for all specimens, and these were attributed to the complete degradation of the polymer chain. As shown in the inset of Figure 3(a), the profile of PMMA-wb is slightly later than Lucitone 199, indicating a better stability. PMMA-mw is slightly less thermally stable than Acron MC. Based on the derived weight profiles (Figure 3(b)), the two main peaks between 276°C and 285°C (12 to 20% weight loss) and between 364°C and 379°C (80 to 98% weight loss) could be attributed to other components in the commercial acrylic resins, such as plasticizers, comonomers, or cross-linking agents with different thermal behaviors. The manufacturer specifications of Lucitone 199 mention the presence of ethylene dimethacrylate in its liquid composition, and Acron MC presents a copolymer of poly (methyl methacrylate/ethylacrylate) in the powder formulation. It is clear that microwave energy influences in thermal stability of the nanopigmented PMMA specimens.(a) TGA profiles and (b) derived weight profiles of PMMA-wb and PMMA-mw compared with the commercial acrylic resins.
(a)
(b)In the flexural modulus, there were no statistically significant differences between any of the tested groups (P>0.05). PMMA-wb, Lucitone 199 and Acron MC showed slightly higher transverse strength values than the nanopigmented PMMA processed by microwaves (PMMA-mw) (Table 2), and this value fulfilled the minimum allowed value according to ISO 1567 (65 MPa) [14]. These values are still better compared with those of other commercial acrylic resins [15].Table 2
Physical properties of PMMA polymerized by water bath and with microwave energy.
Acrylic resin
Flexural modulus (GPa)
Transverse strength (MPa)
Water sorption (mg/cm2)
Solubility (mg/cm2)
Porosity (%)
Contact angle (°)
Candida albicans  adherence (×105 LRUs)
PMMA-WB
2.5 ± 0.14*
77.6 ± 5.1*
0.27 ± 0.02*
0.03 ± 0.004*
4.6 ± 0.4*
60.29 ± 1.8
5.8  ± 1.3
PMMA-MW
2.5 ± 0.30
68.1 ± 2.8
0.31 ± 0.06
0.04 ± 0.005
5.5 ± 0.5
32.66 ± 7.4
2.6 ± 0.5
Lucitone 199
2.5 ± 0.20+
78.2 ± 0.2+
0.37 ± 0.04
0.02 ± 0.010
6.8 ± 1.0+
36.02 ± 4.4
6.3 ± 2.2
Acron MC
2.5 ± 0.17
75.8 ± 5.1
0.30 ± 0.10
0.04 ± 0.008
5.4 ± 0.4
53.02 ± 3.1
1.6 ± 0.4
*[6]; +[7].One important property of acrylates is water sorption and release, which allows for dimensional instability, subjecting the material to internal stresses that might result in crack formation and eventually might fracture the denture. The water molecules spread between the macromolecules of the material, forcing them apart and affecting the dimensional behavior and denture stability. Water sorption and solubility of these materials should be as low as possible [16]. In the water sorption test, there was a marked difference. The PMMA-wb had a lower value (0.27±0.02 mg/cm2), and Lucitone 199 had a higher value (0.37±0.04 mg/cm2). The materials processed by microwave energy had similar results. All the groups were tested for water sorption and solubility according to the ADA number 12-required values [17], which were lower than 0.8 and 0.04 mg/cm2, respectively.The mechanical properties of denture base materials decrease as the solubility increases. One study showed that water bath polymerization results in enhanced mechanical properties. It has been established that the water sorption and solubility of polymers depend on the homogeneity of the material; less water absorbed and less solubility are presented in a homogeneous material [16]. PMMA-wb presented lower porosity than Lucitone 199, but there were no significant differences between the PMMA-mw and Acron MC. The low porosity of PMMA-wb was in accordance with the expected values, and it is important to emphasize that the porosities of all the nanopigmented PMMA specimens were lower than other acrylic resins [18].After the flexural behavior evaluations, the topographies of the fractured zone of each specimen were examined in transverse sections by SEM (Figure4). The micrographs showed irregular surfaces in the four acrylic resins, and the morphology changed according to the curing method. A slightly nonhomogeneous surface for PMMA-mw was observed, which was in concordance with the low transverse strength value.SEM images of the fracture zone of (a) PMMA-wb and (b) PMMA-mw compared with the commercial resins (c) Lucitone 199 and (d) Acron MC.
(a)
(b)
(c)
(d)The mechanical properties and wear resistance of denture materials have improved substantially, but their antibacterial properties are still of great interest [19]. In the present study, a C. albicans adherence assay was performed. Figure 5(a) shows the results of the adherence assay, in which PMMA-wb and Lucitone 199 resulted in slightly higher values than the acrylic resins processed by microwave energy (PMMA-mw, Acron MC). Acron MC showed the lowest value, followed by nanopigmented PMMA-mw, which was indicative of a lower C. albicans adherence compared with PMMA-wb and Lucitone 199. C. albicans possesses various virulence factors, including the capacity to form biofilms, which render antifungal drugs less efficient. C. albicans has the ability to form hyphae, which facilitates soft tissue invasion, allowing the microorganisms to hide from the host defense system [20]. It is difficult to avoid the adhesion of pathogenic microorganisms to the surface of dental materials, though some efforts toward this have been made [21]. The exact mechanisms by which C. albicans adheres to acrylic surfaces are unknown, but many factors that affect C. albicansadherence have been described, including surface roughness, salivary pellicle formation, hydrophobic property, and electrostatic interactions [22].The antifungal effects and biocompatibility of PMMA-wb and PMMA-mw. (a) The adherence ofC. albicans as measured in a luminescent microbial cell viability assay. The luminescence was determined based on light relative units (LRUs). (b) and (c) The viability of NIH 3T3 cells after exposure to materials for 24 and 48 h, respectively.
(a)
(b)
(c)The water contact angle was measured to estimate the hydrophobicity of the nanopigmented PMMA and commercial acrylic resins (Table2). The nanopigmented PMMA-wb specimens presented a high water contact angle and a large amount of C. albicans.This is contrary to the references, where the adherence was linearly related to high hydrophobicity [22]. These specimens are composed of small particles and have low porosity, which could influence the C. albicansadherence. The Acron MC specimens formed with large particles present low amounts of C. albicansand high hydrophobicity. The PMMA-mw and Acron MC specimens cured with microwave energy presented similar porosities and a low amount of C. albicans, and there was a great difference in the particle sizes.Cytotoxicity tests were designed to determine how the sample material affected a particular cell type. Figures5(b) and 5(c) show the results of the cytotoxicity assays for all the groups when they were in contact with mouse fibroblast-like NIH 3T3 cell cultures for 24 and 48 h. The MTT test was used because it is based on an evaluation of mitochondrial function after exposure to potential toxic substances [23]. The results were not statistically significantly different (P>0.05), indicating that the synthesized PMMA and the commercial acrylic resins are nontoxic materials.Consideration must be given to the relative biocompatibility of all denture base materials. Considerations of the incidence and severity of side effects of denture bases have been included as parts of some general studies on dental materials. Local reactions that have been reported are not severe, and the most common are lichenoid reactions in the oral mucosa and skin reactions such as rashes, dermatitis, and eczematous lesions. These reactions depend on the chemical composition of the materials used and their degradation products, absorption, accumulation, and other factors associated with leachable substances from the restoration. Another group of side effects are related to cell proliferation. One study showed that a PMMA-based denture base polymer triggered death signals in cell culture [24]. Another study showed that treatment in a water bath postpolymerization reduced the cytotoxicity of Lucitone 550 [25]. In this work, Lucitone 199 and Acron MC were used as controls, representing noncytotoxic resins. The results showed that no significant differences were observed regarding fibroblast cell viability, therefore PMMA-wb and PMMA-mw can be considered biocompatible materials.


## 8. Conclusions

Nanopigmented PMMA particles were successfully synthesized and cured by a water bath or by microwaves for denture bases. According to results, the particle sizes and the curing process influence the physical properties of the PMMA. The PMMA specimens exhibited good physical and mechanical properties and were noncytotoxic, similar to commercial acrylic resins. These nanopigmented particles will be appliedin vivoin the denture field in further work.



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*Source: 198572-2014-02-20.xml*