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Advances in Dental PMMA Materials: Properties, Applications, and Future Trends

Advances in Dental PMMA Materials: Properties, Applications, and Future Trends


Abstract

Polymethyl methacrylate (PMMA) is a widely used material in dentistry, known for its excellent aesthetic properties, biocompatibility, and ease of manipulation. This review explores the historical development, chemistry, manipulation techniques, properties, applications, and recent modifications of PMMA in dental applications. The article concludes with a discussion on future trends and potential research directions for improving PMMA-based materials.

1. Introduction

Polymethyl methacrylate (PMMA) has been a cornerstone in dental prosthetics and restorative materials due to its favorable characteristics. From denture bases to temporary restorations, PMMA's adaptability makes it invaluable in clinical dentistry. However, the need for improved mechanical properties, wear resistance, and biocompatibility has driven ongoing research and material innovation.

2. Historical Background and Development

PMMA's use in dentistry dates back to the 1930s. Initially developed as a lightweight, transparent alternative to glass, PMMA's potential in medical and dental applications was soon recognized. Over the decades, the material has undergone significant advancements, including the introduction of high-impact variants and the incorporation of nanotechnology to enhance its properties.

3. Chemistry and Types of PMMA

PMMA is a synthetic polymer made by polymerizing methyl methacrylate (MMA) monomers. Different types of PMMA, such as heat-cured, self-cured, and microwave-cured variants, are utilized based on the specific requirements of dental procedures. These variations allow for flexibility in clinical applications, catering to different strength, aesthetic, and processing needs.

4. Manipulation

The manipulation of PMMA in dental laboratories and clinics involves processes such as molding, curing, and finishing. Heat-cured PMMA is often used for denture bases due to its superior mechanical properties, while self-cured PMMA is favored for repairs and relines due to its ease of use. Recent advancements in CAD/CAM technology have also enabled precise and efficient fabrication of PMMA-based prosthetics.

5. Properties of PMMA

  • Aesthetic appeal: High transparency and customizable coloring make it ideal for dental applications.
  • Biocompatibility: PMMA is well tolerated by oral tissues, reducing the risk of adverse reactions.
  • Mechanical strength: While traditional PMMA offers adequate strength, ongoing modifications aim to improve its impact resistance and wear properties.
  • Ease of fabrication: PMMA is easily moldable, allowing for detailed and customized dental prostheses.

6. Applications of PMMA

  • Denture bases: due to their aesthetic and functional properties.
  • Temporary crowns and bridges: Offering a cost-effective and efficient solution for interim restorations.
  • Orthodontic appliances: Leveraging their easy customization and durability.
  • Surgical guides: Benefit from its precision and biocompatibility in complex procedures.

7. Modifications of PMMA

  • Nanotechnology: incorporation of nanoparticles (e.g., zirconia, titanium dioxide) improves mechanical strength and antibacterial properties.
  • Fiber reinforcement: Adding fibers such as glass or carbon enhances impact resistance and flexural strength.
  • Surface treatments: techniques like silica coating improve PMMA's wear resistance and aesthetic longevity.

8. Conclusions and Future Trends

The evolution of PMMA materials in dentistry continues to address the limitations of traditional formulations. Future research will likely focus on further enhancing mechanical properties, developing biocompatible and antibacterial surfaces, and integrating advanced digital fabrication techniques. PMMA's role in dental prosthetics remains pivotal, with innovations promising even greater utility and patient satisfaction.

Acknowledgments: The authors thank the various contributors and institutions that have supported the research and development of PMMA materials in dentistry.

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