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Bonding Between Denture Base and Artificial Teeth in CAD/CAM-Fabricated Complete Dentures: A Review

Year 2025, Volume: 34 Issue: 3, 556 - 565, 30.12.2025
https://doi.org/10.34108/eujhs.1673927

Abstract

One of the most frequent failures observed in complete or partial dentures is the separation of resin teeth from the denture base resin. This issue has also been reported in modern, digitally manufactured dentures. This review aimed to present an updated overview of the bonding mechanisms between artificial teeth and denture base materials produced through digital fabrication techniques. A comprehensive literature search was carried out across PubMed, Scopus, and Web of Science databases to identify relevant studies published up to Feb 1, 2025. Studies that reported bond strength values between 3D-printed denture base resins and artificial teeth were included in the analysis. To enhance the retention of denture teeth, dental technicians frequently employ chemical agents (such as monomers, ethyl acetate, surface conditioning solutions, and adhesives) and mechanical approaches (including grinding, laser treatment, and sandblasting), though the effectiveness of these methods remains a topic of debate. A primary cause of bonding failure is the incompatibility between materials and insufficient copolymerization. As the field of denture manufacturing evolves, novel materials continue to emerge, highlighting the need for further research to determine optimal tooth-denture base resin pairings. Current evidence suggests that the bond strength between artificial teeth and base resin in 3D printed dentures is lower and the type of bond failure is less favorable than in conventionally manufactured dentures. In this context, traditional methods appear to be the more reliable option until advances in digital technology become available.

References

  • Choi JJE, Uy CE, Plaksina P, Ramani RS, Ganjigatti R, Waddell JN. Bond strength of denture teeth to heat-cured, CAD/CAM and 3D printed denture acrylics. J Prosthodont. 2020;29(5):415-421. doi:10.1111/jopr.13125.
  • Han SY, Moon YH, Lee J. Shear bond strength between CAD/CAM denture base resin and denture artificial teeth when bonded with resin cement. J Adv Prosthodont. 2020;12(5):251-258. doi:10.4047/jap.2020.12.5.251.
  • Cleto MP, Silva MDD, Nunes TSBS, Viotto HEC, Coelho SRG, Pero AC. Evaluation of shear bond strength between denture teeth and 3D-printed denture base resin. J Prosthodont. 2023;32(S1):3-10. doi:10.1111/jopr.13527.
  • Colebeck AC, Monaco EA Jr, Pusateri CR, Davis EL. Microtensile bond strength of different acrylic teeth to high-impact denture baseresins. J Prosthodont. 2015;24(1):43-51. doi:10.1111/jopr.12196.
  • Meng GK, Chung KH, Fletcher-Stark ML, Zhang H. Effect of surface treatments and cyclic loading on the bond strength of acrylic resin denture teeth with autopolymerized repair acrylic resin. J Prosthet Dent. 2010;103: 245-252.doi:10.1016/S0022-3913(10)60038-8.
  • Palitsch A, Hannig M, Ferger P, Balkenhol M. Bonding of acrylic denture teeth to MMA/PMMA and light-curing denture base materials: the role of conditioning liquids. J Dent. 2012;40(3):210-21. doi: 10.1016/j.jdent.2011.12.010.
  • Goodacre CJ, Garbacea A, Naylor WP, Daher T, Marchack CB, Lowry J. CAD/CAM fabricated complete dentures: concepts and clinical methods of obtaining required morphological data. J Prosthet Dent. 2012;107(1): 34-46. doi:10.1016/S0022-3913(12)60015-8.
  • Yoon HI, Hwang HJ, Ohkubo C, Han JS, Park EJ. Evaluation of the trueness and tissue surface adaptation of CAD-CAM mandibular denture bases manufactured using digital light processing. J Prosthet Dent. 2018;120(6):919-926. doi:10.1016/j.prosdent.2018.01.027.
  • Infante L, Yilmaz B, McGlumphy E, Finger I. Fabricating complete dentures with CAD/CAM technology. J Prosthet Dent. 2014;111: 351-355. doi:10.1016/j.prosdent.2013.10.014.
  • Ansari IH. Establishing the posterior palatalseal during the final impression stage. J Prosthet Dent. 1997;78(3):324-326. doi:10.1016/S0022-3913(97)70034-9.
  • Anadioti E, Kane B, Soulas E. Current and emerging applications of 3D printing in restorative dentistry. Curr Oral Health Rep. 2018;5:133-139.
  • Goodacre BJ, Goodacre CJ. Additive Manufacturing for complete denture fabrication: A narrativere view. J Prosthodont. 2022;31(S1):47-51. doi:10.1111/jopr.13426.
  • Bosniac P, Rehmann P, Wöstmann B. Comparison of an indirect impression scanning system and two direct intraoral scanning systems in vivo. Clin Oral Investig. 2019;23(5):2421-2427. doi:10.1007/s00784-018-2679-4.
  • Unkovskiy A, Wahl E, Zander AT, Huettig F, Spintzyk S. Intraoral scanning to fabricate complete dentures with functional borders: a proof-of-concept case report. BMC Oral Health. 2019;19(1):46. doi:10.1186/s12903-019-0733-5.
  • Virard F, Venet L, Richert R, et al. Manufacturing of an immediate removable partialdenture with an intraoral scanner and CAD-CAM technology: a case report. BMC Oral Health. 2018;18(1):120. doi:10.1186/s12903-018-0578-3.
  • Park GH, Son K, Lee KB. Feasibility of using an intraoral scanner for a complete-arch digital scan. J Prosthet Dent. 2019;121(5): 803-810. doi:10.1016/j. prosdent.2018.07.014.
  • Pang JH, An X, Jeong SM, Choi BH. Digital intraoral impression technique for edentulous jaws. J Prosthet Dent. 2018;119(4): 499-500. doi:10.1016/j. prosdent.2017.05.008.
  • Hada T, Kanazawa M, Iwaki M, Arakida T, Minakuchi S. Effect of printing direction on stress distortion of three-dimensional printed dentures using stereolithography technology. J Mech Behav Biomed Mater. 2020;110:103949. doi: 10.1016/j.jmbbm.2020.103949.
  • Gad MA, Abdelhamid AM, El Samahy M, Abolgheit S, Hanno KI. Effect of aging on dimensional accuracy and color stability of CAD-CAM milled and 3D-printed denture base resins: a comparative in-vitro study. BMC Oral Health. 2024;24(1):1124. doi:10.1186/s12903-024-04848-9.
  • Pereira ALC, Porto de Freitas RFC, Grangeiro MTV, et al. Targeting bonding protocols to increase the bond between acrylic resin or 3D printed denture bases and prefabricated or 3D printed denture teeth. J Prosthet Dent. 2024;131(6):1252.e1-1252.e10. doi: 10.1016/j.prosdent.2024.02.027.
  • Han JY, Shin JH, Shim JS, Kim RJY. Effects of dentinbonding agents and silanization on bond strength between 3D printed resin and composite resin. Dent Mater J. 2024;43(3):400-406. doi:10.4012/dmj.2023-181.
  • Tzanakakis EG, Pandoleon P, Sarafianou A, Kontonasaki E. Adhesion of conventional, 3D-printed and milled artificial teeth to resin substrates for complete dentures: A narrative review. Polymers (Basel). 2023;15(11):2488. doi:10.3390/polym15112488.
  • Ettinger RL, Qian F. Longitudinal assessment of denture maintenance needs in an overdenture population. J Prosthodont. 2019;28:22-29. doi:10.1111/jopr.12735.
  • Teodorescu C, Preoteasa E, Preoteasa CT, Murariu-Magureanu C, Teodorescu IM. Perception and attitudes of dentists regarding the complications of conventional acrylic dentures and over dentures supported by teeth or implants. J Med Life. 2022;15:1031-1037. doi:10.25122/jml-2022-0020.
  • Spratley MH. An investigation of the adhesion of acrylic resin teeth to dentures. J Prosthet Dent. 1987; 58:389-392. doi:10.1016/0022-3913(87)90065-5.
  • Aguiar EF, Tonani R, Paiola FdG, et al. Influence of aging on bond strength of artificial teeth to denture base acrylic resins. Braz J Oral Sci. 2018;17: e18373.doi:10.20396/bjos. v17i0.8652929.
  • Kiteska, B, Funduk N, Cevc P, Jesih A, Anžlovar A, Kopac I. The influence of free-radical concentration on the shear bond strength of dental composites. Mater. Tehnol. 2018;52:177-182. doi:10.17222/mit.2017.072.
  • Bahrani F, Khaledi AA. Effect of surface treatments on shear bond strength of denture teeth to denture base resins. Dent Res J (Isfahan). 2014;11(1):114-118.
  • Pereira ALC, Troconis CCM, Segundo HVM, Barão VAR, Carreiro ADFP. Impact of CAD-CAM materials and bonding protocol on the bond strength between denture base/artificial teeth: A systematic review and meta-analysis. Int J Prosthodont. 2023;36:769-776. doi:10.11607/ijp.8062.
  • Boonpitak K, Wongkamhaeng K, Sanpanyawai P, Natparan S, Aunaumporn A, Klaisiri A. Experimental article comparative effect of different surface treatments on the shear bond strength between 3D-printed artificial acrylic teeth and 3D-printed denture based resins. J Int Dent Med Res. 2022;15:1416-1421.
  • Aydin N, Uslu Kavrama F, Yosuncigir H, Ucar Y. A comparison of the shear bond strength between denture teeth and denture base resins manufactured either conventionally or with a 3D printer. J Prosthet Dent. 2023;130(5):742.e1-742.e6. doi:10.1016/j.prosdent.2023.08.035.
  • Kalberer N, Mehl A, Schimmel M, Müller F, Srinivasan M. CAD-CAM milled versus rapidly prototyped (3D-printed) complete dentures: An in vitro evaluation of trueness. J Prosthet Dent. 2019;121(4):637-643. doi:10.1016/j.prosdent.2018.09.001.
  • Kane B, Shah KC. In vitro analysis of shear stress: CAD milled vs printed denture base resins with bonded denture tooth. J Prosthodont. 2023;32(S1):29-37. doi:10.1111/jopr.13552.
  • Alotaibi HN. Patient Satisfaction with CAD/CAM 3D-Printed Complete Dentures: A Systematic Analysis of the Clinical Studies. Healthcare (Basel). 2025;13:388. doi:10.3390/healthcare13040388.

CAD/CAM ile Üretilen Tam Protezlerde Kaide ve Yapay Diş Bağlantısı: Derleme

Year 2025, Volume: 34 Issue: 3, 556 - 565, 30.12.2025
https://doi.org/10.34108/eujhs.1673927

Abstract

Tam veya kısmi protezlerde en sık görülen başarısızlıklardan biri, yapay dişlerin protez kaide rezininden ayrılmasıdır. Bu sorun dijital olarak üretilen protezlerde de bildirilmiştir. Bu derleme, yapay dişler ve dijital üretim teknikleriyle üretilen protez kaide materyalleri arasındaki bağlanma mekanizmalarına ilişkin güncellenmiş bir genel bakış sunmayı amaçlamaktadır. PubMed, Scopus ve Web of Science veri tabanlarında 1 Şubat 2025’e kadar yayınlanmış ilgili çalışmaları kapsayacak şekilde bir literatür taraması yapıldı. 3 boyutlu yazıcı ile üretilmiş protez kaide rezinleri ile yapay dişler arasındaki bağlanma dayanımı değerlerini rapor eden çalışmalar analize dahil edildi. Diş teknisyenleri, protez dişlerinin bağlantısını artırmak için sıklıkla kimyasal maddeler (monomerler, etil asetat, yüzey şartlandırma solüsyonları ve adezivler vb.) ve mekanik yöntemler (frez ve taşlar ile aşındırma, lazerle pürüzlendirme ve kumlama dahil) kullanılmaktadır. Ancak bu yöntemlerin etkinliği tartışma konusudur. Bağlanma başarısızlığının birincil nedeni, malzemeler arasındaki uyumsuzluk ve yetersiz kopolimerizasyondur. Protez üretim teknikleri geliştikçe, yeni materyaller ortaya çıkmaktadır. Bu durum yapay dişlerle protez kaide rezini arasındaki bağlanmanın geliştirilmesi için daha fazla araştırmaya ihtiyaç duyulduğunu ortaya koymaktadır. Mevcut kanıtlar, 3 boyutlu yazıcılarla üretilmiş protezlerde yapay dişler ve kaide rezini arasındaki bağlanma dayanımının, geleneksel olarak üretilen protezlere kıyasla daha düşük ve bağlanma başarısızlığı tipinin de daha istenmeyen şekilde olduğunu göstermektedir. Bu bağlamda, dijital teknolojideki gelişmeler gerçekleşene kadar geleneksel yöntemlerin daha güvenilir seçenekler olduğu görülmektedir.

Ethical Statement

Bu çalışmada etik onay alınmasına ihtiyaç yoktur.

References

  • Choi JJE, Uy CE, Plaksina P, Ramani RS, Ganjigatti R, Waddell JN. Bond strength of denture teeth to heat-cured, CAD/CAM and 3D printed denture acrylics. J Prosthodont. 2020;29(5):415-421. doi:10.1111/jopr.13125.
  • Han SY, Moon YH, Lee J. Shear bond strength between CAD/CAM denture base resin and denture artificial teeth when bonded with resin cement. J Adv Prosthodont. 2020;12(5):251-258. doi:10.4047/jap.2020.12.5.251.
  • Cleto MP, Silva MDD, Nunes TSBS, Viotto HEC, Coelho SRG, Pero AC. Evaluation of shear bond strength between denture teeth and 3D-printed denture base resin. J Prosthodont. 2023;32(S1):3-10. doi:10.1111/jopr.13527.
  • Colebeck AC, Monaco EA Jr, Pusateri CR, Davis EL. Microtensile bond strength of different acrylic teeth to high-impact denture baseresins. J Prosthodont. 2015;24(1):43-51. doi:10.1111/jopr.12196.
  • Meng GK, Chung KH, Fletcher-Stark ML, Zhang H. Effect of surface treatments and cyclic loading on the bond strength of acrylic resin denture teeth with autopolymerized repair acrylic resin. J Prosthet Dent. 2010;103: 245-252.doi:10.1016/S0022-3913(10)60038-8.
  • Palitsch A, Hannig M, Ferger P, Balkenhol M. Bonding of acrylic denture teeth to MMA/PMMA and light-curing denture base materials: the role of conditioning liquids. J Dent. 2012;40(3):210-21. doi: 10.1016/j.jdent.2011.12.010.
  • Goodacre CJ, Garbacea A, Naylor WP, Daher T, Marchack CB, Lowry J. CAD/CAM fabricated complete dentures: concepts and clinical methods of obtaining required morphological data. J Prosthet Dent. 2012;107(1): 34-46. doi:10.1016/S0022-3913(12)60015-8.
  • Yoon HI, Hwang HJ, Ohkubo C, Han JS, Park EJ. Evaluation of the trueness and tissue surface adaptation of CAD-CAM mandibular denture bases manufactured using digital light processing. J Prosthet Dent. 2018;120(6):919-926. doi:10.1016/j.prosdent.2018.01.027.
  • Infante L, Yilmaz B, McGlumphy E, Finger I. Fabricating complete dentures with CAD/CAM technology. J Prosthet Dent. 2014;111: 351-355. doi:10.1016/j.prosdent.2013.10.014.
  • Ansari IH. Establishing the posterior palatalseal during the final impression stage. J Prosthet Dent. 1997;78(3):324-326. doi:10.1016/S0022-3913(97)70034-9.
  • Anadioti E, Kane B, Soulas E. Current and emerging applications of 3D printing in restorative dentistry. Curr Oral Health Rep. 2018;5:133-139.
  • Goodacre BJ, Goodacre CJ. Additive Manufacturing for complete denture fabrication: A narrativere view. J Prosthodont. 2022;31(S1):47-51. doi:10.1111/jopr.13426.
  • Bosniac P, Rehmann P, Wöstmann B. Comparison of an indirect impression scanning system and two direct intraoral scanning systems in vivo. Clin Oral Investig. 2019;23(5):2421-2427. doi:10.1007/s00784-018-2679-4.
  • Unkovskiy A, Wahl E, Zander AT, Huettig F, Spintzyk S. Intraoral scanning to fabricate complete dentures with functional borders: a proof-of-concept case report. BMC Oral Health. 2019;19(1):46. doi:10.1186/s12903-019-0733-5.
  • Virard F, Venet L, Richert R, et al. Manufacturing of an immediate removable partialdenture with an intraoral scanner and CAD-CAM technology: a case report. BMC Oral Health. 2018;18(1):120. doi:10.1186/s12903-018-0578-3.
  • Park GH, Son K, Lee KB. Feasibility of using an intraoral scanner for a complete-arch digital scan. J Prosthet Dent. 2019;121(5): 803-810. doi:10.1016/j. prosdent.2018.07.014.
  • Pang JH, An X, Jeong SM, Choi BH. Digital intraoral impression technique for edentulous jaws. J Prosthet Dent. 2018;119(4): 499-500. doi:10.1016/j. prosdent.2017.05.008.
  • Hada T, Kanazawa M, Iwaki M, Arakida T, Minakuchi S. Effect of printing direction on stress distortion of three-dimensional printed dentures using stereolithography technology. J Mech Behav Biomed Mater. 2020;110:103949. doi: 10.1016/j.jmbbm.2020.103949.
  • Gad MA, Abdelhamid AM, El Samahy M, Abolgheit S, Hanno KI. Effect of aging on dimensional accuracy and color stability of CAD-CAM milled and 3D-printed denture base resins: a comparative in-vitro study. BMC Oral Health. 2024;24(1):1124. doi:10.1186/s12903-024-04848-9.
  • Pereira ALC, Porto de Freitas RFC, Grangeiro MTV, et al. Targeting bonding protocols to increase the bond between acrylic resin or 3D printed denture bases and prefabricated or 3D printed denture teeth. J Prosthet Dent. 2024;131(6):1252.e1-1252.e10. doi: 10.1016/j.prosdent.2024.02.027.
  • Han JY, Shin JH, Shim JS, Kim RJY. Effects of dentinbonding agents and silanization on bond strength between 3D printed resin and composite resin. Dent Mater J. 2024;43(3):400-406. doi:10.4012/dmj.2023-181.
  • Tzanakakis EG, Pandoleon P, Sarafianou A, Kontonasaki E. Adhesion of conventional, 3D-printed and milled artificial teeth to resin substrates for complete dentures: A narrative review. Polymers (Basel). 2023;15(11):2488. doi:10.3390/polym15112488.
  • Ettinger RL, Qian F. Longitudinal assessment of denture maintenance needs in an overdenture population. J Prosthodont. 2019;28:22-29. doi:10.1111/jopr.12735.
  • Teodorescu C, Preoteasa E, Preoteasa CT, Murariu-Magureanu C, Teodorescu IM. Perception and attitudes of dentists regarding the complications of conventional acrylic dentures and over dentures supported by teeth or implants. J Med Life. 2022;15:1031-1037. doi:10.25122/jml-2022-0020.
  • Spratley MH. An investigation of the adhesion of acrylic resin teeth to dentures. J Prosthet Dent. 1987; 58:389-392. doi:10.1016/0022-3913(87)90065-5.
  • Aguiar EF, Tonani R, Paiola FdG, et al. Influence of aging on bond strength of artificial teeth to denture base acrylic resins. Braz J Oral Sci. 2018;17: e18373.doi:10.20396/bjos. v17i0.8652929.
  • Kiteska, B, Funduk N, Cevc P, Jesih A, Anžlovar A, Kopac I. The influence of free-radical concentration on the shear bond strength of dental composites. Mater. Tehnol. 2018;52:177-182. doi:10.17222/mit.2017.072.
  • Bahrani F, Khaledi AA. Effect of surface treatments on shear bond strength of denture teeth to denture base resins. Dent Res J (Isfahan). 2014;11(1):114-118.
  • Pereira ALC, Troconis CCM, Segundo HVM, Barão VAR, Carreiro ADFP. Impact of CAD-CAM materials and bonding protocol on the bond strength between denture base/artificial teeth: A systematic review and meta-analysis. Int J Prosthodont. 2023;36:769-776. doi:10.11607/ijp.8062.
  • Boonpitak K, Wongkamhaeng K, Sanpanyawai P, Natparan S, Aunaumporn A, Klaisiri A. Experimental article comparative effect of different surface treatments on the shear bond strength between 3D-printed artificial acrylic teeth and 3D-printed denture based resins. J Int Dent Med Res. 2022;15:1416-1421.
  • Aydin N, Uslu Kavrama F, Yosuncigir H, Ucar Y. A comparison of the shear bond strength between denture teeth and denture base resins manufactured either conventionally or with a 3D printer. J Prosthet Dent. 2023;130(5):742.e1-742.e6. doi:10.1016/j.prosdent.2023.08.035.
  • Kalberer N, Mehl A, Schimmel M, Müller F, Srinivasan M. CAD-CAM milled versus rapidly prototyped (3D-printed) complete dentures: An in vitro evaluation of trueness. J Prosthet Dent. 2019;121(4):637-643. doi:10.1016/j.prosdent.2018.09.001.
  • Kane B, Shah KC. In vitro analysis of shear stress: CAD milled vs printed denture base resins with bonded denture tooth. J Prosthodont. 2023;32(S1):29-37. doi:10.1111/jopr.13552.
  • Alotaibi HN. Patient Satisfaction with CAD/CAM 3D-Printed Complete Dentures: A Systematic Analysis of the Clinical Studies. Healthcare (Basel). 2025;13:388. doi:10.3390/healthcare13040388.
There are 34 citations in total.

Details

Primary Language Turkish
Subjects Prosthodontics
Journal Section Review
Authors

Seyran Mehdiyev 0009-0006-8648-0587

Gülfem Ergün 0000-0001-9981-5522

Submission Date April 11, 2025
Acceptance Date September 30, 2025
Publication Date December 30, 2025
Published in Issue Year 2025 Volume: 34 Issue: 3

Cite

APA Mehdiyev, S., & Ergün, G. (2025). CAD/CAM ile Üretilen Tam Protezlerde Kaide ve Yapay Diş Bağlantısı: Derleme. Sağlık Bilimleri Dergisi, 34(3), 556-565. https://doi.org/10.34108/eujhs.1673927
AMA Mehdiyev S, Ergün G. CAD/CAM ile Üretilen Tam Protezlerde Kaide ve Yapay Diş Bağlantısı: Derleme. JHS. December 2025;34(3):556-565. doi:10.34108/eujhs.1673927
Chicago Mehdiyev, Seyran, and Gülfem Ergün. “CAD/CAM/Ile/Üretilen/Tam/Protezlerde/Kaide/Ve/Yapay/Diş/Bağlantısı:/Derleme”. Sağlık Bilimleri Dergisi 34, no. 3 (December 2025): 556-65. https://doi.org/10.34108/eujhs.1673927.
EndNote Mehdiyev S, Ergün G (December 1, 2025) CAD/CAM ile Üretilen Tam Protezlerde Kaide ve Yapay Diş Bağlantısı: Derleme. Sağlık Bilimleri Dergisi 34 3 556–565.
IEEE S. Mehdiyev and G. Ergün, “CAD/CAM ile Üretilen Tam Protezlerde Kaide ve Yapay Diş Bağlantısı: Derleme”, JHS, vol. 34, no. 3, pp. 556–565, 2025, doi: 10.34108/eujhs.1673927.
ISNAD Mehdiyev, Seyran - Ergün, Gülfem. “CAD/CAM/Ile/Üretilen/Tam/Protezlerde/Kaide/Ve/Yapay/Diş/Bağlantısı:/Derleme”. Sağlık Bilimleri Dergisi 34/3 (December2025), 556-565. https://doi.org/10.34108/eujhs.1673927.
JAMA Mehdiyev S, Ergün G. CAD/CAM ile Üretilen Tam Protezlerde Kaide ve Yapay Diş Bağlantısı: Derleme. JHS. 2025;34:556–565.
MLA Mehdiyev, Seyran and Gülfem Ergün. “CAD/CAM/Ile/Üretilen/Tam/Protezlerde/Kaide/Ve/Yapay/Diş/Bağlantısı:/Derleme”. Sağlık Bilimleri Dergisi, vol. 34, no. 3, 2025, pp. 556-65, doi:10.34108/eujhs.1673927.
Vancouver Mehdiyev S, Ergün G. CAD/CAM ile Üretilen Tam Protezlerde Kaide ve Yapay Diş Bağlantısı: Derleme. JHS. 2025;34(3):556-65.