Impact of ZrO(2) nanoparticles addition on flexural properties of denture base resin with different thickness

PURPOSE: This study aimed to evaluate the effect of incorporating zirconium oxide nanoparticles (nano-ZrO(2)) in polymethylmethacrylate (PMMA) denture base resin on flexural properties at different material thicknesses. MATERIALS AND METHODS: Heat polymerized acrylic resin specimens (N = 120) were fabricated and divided into 4 groups according to denture base thickness (2.5 mm, 2.0 mm, 1.5 mm, 1.0 mm). Each group was subdivided into 3 subgroups (n = 10) according to nano-ZrO(2) concentration (0%, 2.5%, and 5%). Flexural strength and elastic modulus were evaluated using a three-point bending test. One-way ANOVA, Tukey's post hoc, and two-way ANOVA were used for data analysis (α = .05). Scanning electron microscopy (SEM) was used for fracture surface analysis and nanoparticles distributions. RESULTS: Groups with 0% nano-ZrO(2) showed no significant difference in the flexural strength as thickness decreased (P = .153). The addition of nano-zirconia significantly increased the flexural strength (P < .001). The highest value was with 5% nano-ZrO(2) and 2 mm-thickness (125.4 ± 18.3 MPa), followed by 5% nano-ZrO(2) and 1.5 mm-thickness (110.3 ± 8.5 MPa). Moreover, the effect of various concentration levels on elastic modulus was statistically significant for 2 mm thickness (P = .001), but the combined effect of thickness and concentration on elastic modulus was insignificant (P = .10). CONCLUSION: Reinforcement of denture base material with nano-ZrO(2) significantly increased flexural strength and modulus of elasticity. Reducing material thickness did not decrease flexural strength when nano-ZrO(2) was incorporated. In clinical practice, when low thickness of denture base material is indicated, PMMA/nano-ZrO(2) could be used with minimum acceptable thickness of 1.5 mm.