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April 28, 2026Clinical and Experimental Dental Research0 citationsOpen Access

Flexural Strength, Monomer Release, and Wear of Occlusal Splint Materials Fabricated Through Conventional, Milled, or 3D‐Printed Methods

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NANurul Liyana AminuddinHPHaralampos Petridis

Key Points

  • The study aims to compare the flexural strength, monomer release, and wear resistance of occlusal splint materials.
  • 60 rectangular and 100 disc specimens fabricated from heat-cured PMMA, milled PMMA, and 3D-printed resins.
  • Flexural strength tested using a three-point bend test; wear assessed with a chewing simulator for 140,000 cycles.
  • Monomer release analyzed via UV spectrophotometry over 7 days, statistical analysis using Shapiro–Wilk test and one-way ANOVA.
  • Milled PMMA demonstrated the highest mean flexural strength (115.5 ± 5.3 MPa, p < 0.0001).
  • Monomer release peaked on Day 3, with KS showing the highest concentration (29.7 ± 3.6 ppm).
  • Milled PMMA showed the lowest mean volume loss (2.5 ± 1.3 mm³, p < 0.01) compared to other materials.

Abstract

ABSTRACT Objective To evaluate the flexural strength, monomer release, and wear resistance between conventional, milled polymethylmethacrylate (PMMA), and 3D‐printed resins built at 90° and 60° printing angles for occlusal splints. Materials and Methods 60‐rectangular and 100‐disc specimens were fabricated from heat‐cured PMMA (Oracryl HP, Bracon Dental, United Kingdom), milled PMMA (Kerox Premia KP, Kerox Dental, Hungary), and 3D‐printed resins (FreePrint Splint2.0 FS, Detax, Ettlingen, Germany, and KeySplint Hard KS, Keystone Industries, Myerstown, USA) at 90° and 60° printing angles. Specimens for flexural strength and wear tests were immersed immediately in 37°C water for 50 h and thermally aged for 20,000 cycles. Flexural strength was evaluated using a three‐point bend test. Wear was tested using a chewing simulator for 140,000 cycles, and volume loss was calculated using Autodesk MeshMixer software. Monomer release was analyzed via UV spectrophotometry over 7 days. Statistical analysis was performed using the Shapiro–Wilk test and one‐way ANOVA with Tukey's multiple comparison tests. Results KP showed the highest mean flexural strength (115.5 ± 5.3 MPa, p 0.05). Monomer release peaked on Day 3 for all groups, with KS consistently showing the highest concentration (29.7 ± 3.6 ppm), followed by FS (28.8 ± 3.8 ppm), HP (27.9 ± 4.9 ppm), and lastly, KP showed the lowest concentration (24.9 ± 3.8 ppm). KP demonstrated the lowest mean volume loss (2.5 ± 1.3 mm 3 , p < 0.01), followed by HP (4.4 ± 1.7 MPa), whereas 3D‐printed resin showed the highest. No significant wear differences were observed between 90° and 60° printing angles. Conclusion Milled PMMA outperformed other materials, followed by conventional PMMA, while 3D‐printed resin showed inferior performance in flexural strength, wear resistance, and monomer release. Printing angles significantly influenced flexural strength but not wear properties in 3D‐printed resins.

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Cite This Study

Aminuddin et al. (2026) studied this question.

synapsesocial.com/papers/69f04e9b727298f751e72906https://doi.org/10.1002/cre2.70361
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