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 Stabilization Problem

confidence in The Success of
Full Denture Comfort
 Supporting Tissue of Normal Alveolar Ridge Cannot Receive
Pressure Uncomfortable

1. Comfort
2. Retention Denture Adhesive
3. Stabilization
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. Powder, Paste/Gel
2. Biocompatible
3. Odorless and Tasteless
4. 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 Muco-
adhesive properties.
Adhesive Mechanism Poly (methylvinylether/maleic acid) Carbohydrate Group

Research HI (Polymer) + Mucosa

Full Denture

adjustment 6-8 Week

Sample - Full Denture

Full Denture
Full Denture With Full Denture With Transducer
Without Transducer Poly (methylvinylether/maleic
Transducer Maxilla Aloe vera acid)
Maxilla

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

Height of alveolar ridge (moderate) mouth mirror, after 6-8 week

good retentive and stabilization.
 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 Poly Aloe vera
denture (methylvinylether/
adhesive maleic acid)

4,41 5,62 7,00

Witouth denture
adhesive 4,41

Poly
(methylvinylether 5,62 ,0924
/ maleic acid)

Aloe vera 7,00 ,0088 ,1828

Analisis Perbedaan Waktu yang dibutuhkan Gigi Tiruan
Lengkap sampai Terlepas di Bagian Dorsal
Without Poly
denture (methylvinyleth
adhesive Aloe vera 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) Long lasting >< DA Aloe vera /

without DA
Thank You