Citation Information :
Selvam D, Natarajan S, Seenivasan MK. Comparison of Retention of Clasps Fabricated with Cast Cobalt Chromium and Acetal Resin in Maxillary Obturator Prosthesis: An In Vitro Study. Int J Prosthodont Restor Dent 2024; 14 (3):178-184.
Purpose: To compare the retention of clasps made from cast cobalt-chromium (Co-Cr) and acetal resin in maxillary obturator prostheses for Aramany class 1 and class 2 defects with two different undercut depths (0.010 and 0.015 inch) on anterior and molar abutment teeth before and after cyclic testing.
Materials and methods: Maxillary obturator prostheses for Aramany class 1 and class 2 defects were fabricated with clasps of Co-Cr and acetal resin. The study comprised four groups: group A (Co-Cr clasps, class 1 defects), group B (Co-Cr clasps, class 2 defects), group C (acetal resin clasps, class 1 defects), and group D (acetal resin clasps, class 2 defects). Each group was subdivided based on undercut depth (0.010 and 0.015 inch). The obturator prostheses were tested for retention using pull-out tests before and after 1,095 mechanical stress cycles. Statistical analysis was done using the Mann–Whitney U test.
Results: For class 1 defects, cobalt-chromium clasps with 0.010 inch undercuts showed an initial retention force of 13.42 N (anterior) and 14.17 N (molar), which decreased postcycling. Clasps with a 0.015 inch undercut started with slightly higher retention, which also reduced after cycling. Acetal resin clasps, on the other hand, demonstrated lower initial retention values (e.g., 6.70 N and 7.25 N) and a significant drop postcycling. For class 2 defects, cobalt-chromium clasps performed similarly with higher initial forces than acetal resin, which again showed lower initial retention and greater reduction over time. Across both defect classes, cobalt-chromium clasps maintained superior retention compared to acetal resin.
Conclusion: The study shows that both acetal resin and Co-Cr clasps provide good retention in maxillary obturator prostheses. Acetal resin is beneficial for esthetics and comfort, while Co-Cr offers superior strength and durability, making both materials valuable in different clinical scenarios.
Kharchaf M, Zaki H. General Principles of Maxillofacial Prosthetics. Otolaryngol Facial Plast Surg - Medscape. February 2020.
Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2018;68:394–424. DOI: 10.3322/caac.21492
Iyer S, Thankappan K. Current concepts in maxillary reconstruction. In: Kuriakose MA, editor. Contemporary oral oncology. Cham: Springer; 2017.
Borlase G. Use of obturators in rehabilitation of maxillectomy defects. Ann R Australas Coll Dent Surg 2000;15:75–79. PMID: 11709985.
Ducic Y. An effective, inexpensive, temporary surgical obturator following maxillectomy. Laryngoscope 2001;111:356–358. DOI: 10.1097/00005537-200102000-00030
Curtis TA, Beumer J. Restoration of acquired hard palate defects: etiology, disability, and rehabilitation. In: Beumer J, Curtis TA, Marunick MT, editors. Maxillofacial rehabilitation: prosthodontic and surgical considerations. 1st ed. St Louis: Ishiyaku Euro-America; 1996. pp. 225–284.
Vallittu PK, Kokkonen M. Deflection fatigue of cobalt chromium, titanium, and gold alloy cast denture clasp. J Prosthet Dent 1995;74:412–419. DOI: 10.1016/s0022-3913(05)80384-1
Kim D, Park C, Yi Y, et al. Comparison of cast Ti-Ni alloy clasp retention with conventional removable partial denture clasps. J Prosthet Dent 2004;91:374–382. DOI: 10.1016/j.prosdent.2004.02.015
Pal H, Nair KC, Sinha S. Effect of cast Co-Cr and acetal resin removable clasp on the surface of enamel. J Interdiscip Dentistry 2017;7:60–64. DOI: 10.4103/jid.jid_9_17
Lekha K, Savitha NP, Roseline M, et al. Acetal resin as an esthetic clasp material. J Interdiscip Dent 2012;2:11–14. DOI: 10.4103/2229-5194.94185
Mohamed T, Baraka OA, Badawy MM. Comparison between acetal resin and cobalt-chromium removable partial denture clasps: effect on abutment teeth supporting structure. Int J Prosthodont Restor Dent 2011.
Fitton JS, Davies EH, Howlett JA, et al. The physical properties of a polyacetal denture resin. Clin Mater 1994;17:125–129. DOI: 10.1016/0267-6605(94)90135-x
Kirsch A, Ackermann KL. The IMZ osseointegrated implant system. Dent Clin North Am 1989;33:733–791. PMID: 2680660.
Phoenix RD, Mansueto MA, Ackerman NA, et al. Evaluation of mechanical and thermal properties of commonly used denture base resins. J Prosthodont 2004;13:17–27. DOI: 10.1111/j.1532-849X.2004.04002.x
Aramany MA. Basic principles of obturator design for partially edentulous patients. Part I: classification. J Prosthet Dent 1978;40(5):554–557. DOI: 10.1016/0022-3913(78)90092-6
Parr GR, Tharp GE, Rahn AO. Prosthodontic principles in the framework design of maxillary obturator prostheses. 1989. J Prosthet Dent 2005;93(5):405–411. DOI: 10.1016/j.prosdent.2005.02.017
Devlin H, Barker GR. Prosthetic rehabilitation of the edentulous patient requiring a partial maxillectomy. J Prosthet Dent 1992;67:223–227. DOI: 10.1016/0022-3913(92)90458-m
Keyf F. Obturator prostheses for hemimaxillectomy patients. J Oral Rehab 2001;28:821–829. DOI: 10.1046/j.1365-2842.2001.00754.x
Gürbüz A, Hasanreisoğlu U. Clinical comparison of different types of obturators constructed after maxillary resections. Ankara Univ Hekim Fak Derg 1990;17:103–108. PMID: 2104039.
Aramany MA. Basic principles of obturator design for partially edentulous patients. Part II: design principles. J Prosthet Dent 2001;86:562–568. DOI: 10.1016/0022-3913(78)90065-3
Arda T, Arikan A. An in vitro comparison of retentive force and deformation of acetal resin and cobalt-chromium clasps. J Prosthet Dent 2005;94:267–274. DOI: 10.1016/j.prosdent.2005.06.009
Mohamed T, Baraka OA, Badawy MM. Comparison between acetal resin and cobalt-chromium removable partial denture clasp retention: an in vitro study. Int J Prosthodont Restor Dent 2013;3(2):50–56.
Jiao T, Chang T, Caputo L. Load transfer characteristics of unilateral distal extension removable partial dentures with polyacetal resin supporting components. Aust Dent J 2009;54:31–37. DOI: 10.1111/j.1834-7819.2008.01085.x
Ahmad I, Sherriff M, Waters NE. The effect of reducing the number of clasps on removable partial denture retention. J Prosthet Dent 1992;68:928–933. DOI: 10.1016/0022-3913(92)90553-m
Meenakshi A, Gupta R, Bharti V, et al. An evaluation of retentive ability and deformation of acetal resin and cobalt-chromium clasps. J Clin Diagn Res 2016;10:ZC37–ZC41. DOI: 10.7860/JCDR/2016/15476.7078
Tannous F, Steiner M, Shahin R, et al. Retentive forces and fatigue resistance of thermoplastic resin clasps. Dent Mater 2012;28:273–278. DOI: 10.1016/j.dental.2011.10.016
Bridgeman JT, Marker VA, Hummel SK, et al. Comparison of titanium and cobalt-chromium removable partial denture clasps. J Prosthet Dent 1997;78(2):187–193. DOI: 10.1016/s0022-3913(97)70124-0
Fathy SM, Abdel-Halim MS, El-Safty S, et al. Evaluation of polymethyl-methacrylate and acetal denture base resins processed by two different techniques before and after nano-chlorohexidine surface treatment. BMC Oral Health 2023;23:985. DOI: 10.1186/s12903-023-03718-0
Ozkan Ata S, Ugurlutan R. Tensile bond strength of hypoallergenic acetal resin and heat-cured acrylic resin to soft denture liners. Int J Prosthodont Restor Dent 2022;12(4):162–166. DOI: 10.5005/jp-journals-10019-1381
Mohamed T, Baraka OA, Badawy MM. Comparison between acetal resin and cobalt chromium removable partial denture clasp retention: an in vitro study. Int J Prosthodont Restor Dent 2013;3(2):50–56.
Zwwyer RM, Mansoor NS. Color stability of re-injection acetal resin with different percentages or several times. Tikrit J Dent Sci 2023;11(2):153–161. DOI: 10.25130/tjds.11.2.1
Salem SH, AlSourori AA, Mostafa MH. Effect of thermocycling on acetal resin versus PEEK surface hardness and flexure strength of implant-retained overdenture bars: in vitro study. Bull Natl Res Cent 2023;47:152. DOI: 10.1186/s42269-023-01126-6