Denture Adhesive 2017 - Translate.pptx

COMPARISON OF THE RETENTIVE ABILITY ON INCISAL BITE FORCE BETWEEN ALOE VERA AND POLY(METHYL-VINYL-ETHER/MALEIC ACID) AS AN INGREDIENT OF ADHESIVE MATERIAL IN COMPLETE ACRYLIC DENTURE

Taufik Sumarsongko, Marisa Julinda, Gian Nur Alamsyah

New Full Denture Patient Do Not Confident For: - Biting and Chewing - Speaking Low Alveolar Ridge Retention Problem Operator Does Not Have confidence in The Success of Full Denture

Stabilization Problem Comfort

Supporting Tissue of Normal Alveolar Ridge Cannot Receive Pressure Uncomfortable 1. Comfort 2. Retention 3. Stabilization

Denture Adhesive Requirements : - Bio Compatible - Does Not Damage Soft Tissue - Does Not Increase UD - Does not cause Aloe vera damage Profit : - Increasing Biting Force of Incisal - Support Full Denture In creating Comfort and Lubrication

Incisal bite force Indicator for Evaluating the mastication and Biting Purpose With Acrylic Full Denture

Denture Adhesive :

- Synthetic - Herbal

 Synthetic DA Basic Material: Poly(methylvinylether/maleic acid)

 Herbal DA Basic Material: Extract Aloe vera

Acemannan Polysaccharide (Has Viscosity and Good Vision)

INDICATION OF DENTURE ADHESIVE 1. Centric Relation Record 2. Try in wax denture 3. Insertion of Denture (confidence, adaptation of new denture) 4. Immediate Denture 5. Reduce Tissue Irrigation 6. Systemic Disease 7. Oral Surgery Patient 8. Medicine Influence With Denture 9. Increase Stabilization of Denture

CONTRA INDICATION OF DENTURE ADHESIVE 1. Allergy 2. Extremely Loose Denture 3. A Big Loss in Vertical Dimension Due to Bone Resorption

4. Broken Denture 5. Dirty Denture Due to Adhesive

REQUIREMENTS OF DENTURE ADHESIVE MATERIAL 1. 2. 3. 4.

Powder, Paste/Gel Biocompatible Odorless and Tasteless Easy to Apply on Denture

5. Instead of the media grows bacteria 6. Produce Adhesive Between 12-16 Hours 7. Accomplish Patient Purpose

COMPOSITION OF HERBAL DENTURE ADHESIVE include carbohydrate which can be expand and sticky when correspond with water. Adhesion mechanism between Poly (methylvinylether/maleic acid) Acemannan end crown membrane is due to poly acemannan contains anion (-) choice molecule binding to cation (+) chorsed mucosa membrane protein ehich can be increased by water absorption.

• Gel Aloe Vera and water 99,5% • Carbohydrate, Monosaccharida, Polysaccharida (CH) • Acemannan Polysaccarida (Binding + Water) Expand and Sticky Aloe Vera can be used as anti-inflammation, antimicrobial, antidialetics and increase immune system

SINTHETIC DENTURE ADHESIVE

Poly (methylvinylether/maleic acid) is organic compound with chemical structure (C4H2O3.C3H6O)n. Poly (methylvinylether/maleic acid) is used as adhesive and coating, insoluble in water. Bio-adhesive and Mucoadhesive properties.

Adhesive Mechanism Poly (methylvinylether/maleic acid)

Carbohydrate Group

HI (Polymer) + Mucosa

Research Full Denture

adjustment 6-8 Week Sample - Full Denture Full Denture Without Transducer Maxilla

Full Denture With Transducer Maxilla Aloe vera

Result

Full Denture With Transducer Poly (methylvinylether/maleic acid)

Full Denture

region post and seal was scroped 2-3mm and depth 0,5-1mm along AH Line

Height of alveolar ridge (moderate) good retentive and stabilization.

mouth mirror, after 6-8 week

Incisal Bite Force was measured, transducer device was used to abserve the retentive ability of full denture

Pressure Transducer : Conversing of Chewing Technique

Electro Signal Dislodgment Incisal Bite Force Dorsal Plate Maxilla Denture

Pressure Transducer Was Being Made in Polytechnic Electro Laboratorium Malang

Pressure Transducer Application of denture adhesive bosed aloevera material and basal seat of full denture

Application of denture adhesive based Poly (methylvinylether/maleic acid)

Individual Jig on acrylic full denture

(occlusal view)

Mechanism of measuring tool Pressure Transducers which record the strength of patient’s teeth

Measuring tool was assembled between full denture of maxillary and mandibular anterior teeth

Maximal incisal bite force

Result Denture Adhesive Beat post palatal Seal

Denture Adhesive Aloe vera Denture Adhesive Maleic Acid

Result I.

Maximal incisal bite force Dental Adhesive + Aloe vera > Dental Adhesive + Maleic Acid Dental Adhesive + Aloe vera > Dental Adhesive + Without Dental Adhesive

II.

Incisal Bite Dislogment Force Dental Adhesive + Aloe vera > Dental Adhesive + Maleic Acid Without Dental Adhesive

III. Time required for dislodgement / duration of retentive support in full denture DA + Maleic Acid DA + Aloe vera/GTL Without DA Full denture bite force + DA Aloe vera Full denture Without + DA Maleic acid Maleic Acid

Analisis Perbedaan Nilai Pengukuran Gaya Gigit Insisal Pelepasan Without denture adhesive

Poly (methylvinylether/ maleic acid)

Aloe vera

4,41

5,62

7,00

Witouth denture adhesive

4,41

Poly (methylvinylether / maleic acid)

5,62

,0924

Aloe vera

7,00

,0088

,1828

Analisis Perbedaan Waktu yang dibutuhkan Gigi Tiruan Lengkap sampai Terlepas di Bagian Dorsal Without denture adhesive

Aloe vera

Poly (methylvinyleth er/ maleic acid)

58

927

6558

Without denture adhesive

58

Aloe vera

927

4,57E-15

Poly (methylvinylether/ maleic acid)

6558

1,18E-07

9,06E-07

DISCUSSION I.

Maximal Incisal Bite Force GTL + DA Aloe vera DA There is no difference in GTL + DA Maleic Acid full denture without DA Bite force in this research Mean 21,88 N. on anterior Boucer and Zarb 50 - 70 N. the move bitting toward posterior, the bigge the power of bite force 196,3 ±3 times

II.

Retentif Support Incisal Bite Force Meaning of difference : DA – Aloe vera toward full denture without DA No Difference: DA Aloe vera >< DA Maleic Acid DA Aloe vera > Higher than DA Maleic Acid

DISCUSSION III. Duration of difference removal calibration means Full denture DA + Maleic Acid >< Full denture DA – Aloe vera Full denture DA Aloe vera – Maleic Acid >< without DA Full denture Aloe vera >< without DA In this research, duration of full denture with DA maleic acid until going off is much different comporade with full denture without DA The Differences: - Aloe vera consist 98,3 % with water - Polysaccaride 60 % (active substance) dissolve in water long retentive, easily dissalve in water - Poly (methylvinylether/maleic acid) not easily dissolve in water does not dissolved by saliva long duration of retentive

CONCLUSION Incisal Bite Force: 1. DA + Aloe vera incisal bite force 7,00 N >< DA Poly (methylvinylether/maleic acid), mean 5,62 N. full denture without DA 4,41 N

2. DA - Poly (methylvinylether/maleic acid) without DA

Long lasting >< DA Aloe vera /

Thank You