MODERN STRUCTURAL MATERIALS FOR REMOVABLE PLATE DENTURES IN PATIENTS WITH GASTROESOPHAGEAL REFLUX DISEASE: A SYSTEMATIC REVIEW AND SELECTION CRITERIA

Viktor Nauman; Nadezhda Fedorova

doi:10.18481/2077-7566-2026-22-1-193-198

VAK Russia 3.1.7 UDC 616.31 CSCSTI 76.29

3 more Collapse

MODERN STRUCTURAL MATERIALS FOR REMOVABLE PLATE DENTURES IN PATIENTS WITH GASTROESOPHAGEAL REFLUX DISEASE: A SYSTEMATIC REVIEW AND SELECTION CRITERIA

Published in Actual problems in dentistry · Volume 22, Issue 1 · Pages 193–198 · Rubric: ORTHOPEDIC AND DIGITAL DENTISTRY. REVIEWS

DOI: https://doi.org/10.18481/2077-7566-2026-22-1-193-198

Received: 22.01.2026 Accepted: 30.01.2026 Published: 19.04.2026 Language of publication: RUS

Authors

Viktor Nauman

Nadezhda Fedorova

ORCID

Viktor Nauman

Chuvash State University named after I. N. Ulyanov aspirant · ortopedicheskaya stomatologiya i ortodontiya · Cheboksary

Nadezhda Fedorova

Academic degree: doctor of medical sciences

Science rang: docent

I.N. Ulianov Chuvash State University Associate Professor · Department of Orthopedic Dentistry and Orthodontics · Russian Federation · Cheboksary

ORCID

ABSTRACT

Gastroesophageal reflux disease (GERD) causes chronic acidification of the oral environment, creating aggressive conditions for dental materials and necessitating a well-founded selection of materials for removable plate dentures. Constant contact with gastric acid can lead to hydrolytic degradation of polymers and corrosion of metals, reducing the lifespan of the prostheses. The aim of this work is to conduct a systematic analysis of modern data on the behavior of denture base materials under conditions simulating the effects of gastric acid and to formulate practical criteria for their clinical selection based on this analysis. Based on a review of scientific publications over the past 10 years, a comprehensive assessment of the resistance of both traditional and modern materials, including heat-polymerized acrylics, CAD/CAM materials, and metal alloys, to an acidic environment was conducted. The study was based on key parameters: retention of flexural strength, stability of surface roughness, corrosion resistance, and biocompatibility. The analysis results show that traditional polymethyl methacrylate significantly loses strength and its surface becomes rougher after acid exposure, which promotes microbial adhesion. At the same time, materials fabricated using digital technologies, such as CAD/CAM milled prepolymers, high-strength composites, and 3D-printed nanocomposites, demonstrate significantly higher stability of microstructure and properties. Among metals, cobalt-chromium alloy, especially when produced by milling, exhibits better corrosion resistance compared to nickel-chromium alloy. Biocompatible fiber-reinforced composites are also considered promising alternatives. Thus, for patients with GERD, priority should be given to selecting modern digital materials and additive manufacturing technologies that ensure high resistance to an acidic environment. The key selection criteria are resistance to HCl (pH 1.2–3.0), stability of mechanical properties and surface roughness, corrosion resistance, and biocompatibility. Further standardized in vitro experimental studies are required to verify the long-term stability of these materials under conditions that closely mimic the clinical setting.

KEYWORDS

gastroesophageal reflux disease (GERD), removable plate dentures, structural materials, acid resistance, corrosion, CAD/CAM, 3D printing, biocompatibility

1. Andreev D.N., Maev I.V., Bordin D.S., Abdulhakov S.R., Shaburov R.I., Sokolov F.S. Rasprostranennost' gastroezofageal'noy reflyuksnoy bolezni v Rossii: metaanaliz populyacionnyh issledovaniy. Terapevticheskiy arhiv. 2024;96(8):751-756. [Andreev D.N., Maev I.V., Bordin D.S., Abdulkhakov S.R., Shaburov R.I., Sokolov Ph.S. Prevalence of gastroesophageal reflux disease in russia: a meta-analysis of population-based studies. Terapevticheskii arkhiv. 2024;96(8):751-756. (In Russ.)]. https://doi.org/10.26442/00403660.2024.08.202807

2. Ayvazova R.A., Polikanova E.N., Samsonov A.A., Yurenev G.L., Evarnickaya N.R., Shahbazyan L.R. i dr. Vnepischevodnye proyavleniya gastroezofageal'noy reflyuksnoy bolezni: fokus na stomatologicheskie simptomy. Farmateka. 2017;(13):48–52. [Aivazova R.A., Polikanova E.N., Samsonov A.A., Yurenev G.L., Evarnitskaya N.R., Shakhbazyan L.R. et al. Extra-esophageal manifestations of gastroesophageal reflux disease: focus on dental symptoms. Pharmateca. 2017;(13):48–52. (In Russ.)]. https://pharmateca.ru/articles/Vnepishevodnye-proyavleniya-gastroezofagealnoi-refluksnoi-bolezni-fokus-na-stomatologicheskie-simptomy.html

3. Lukina G.I., Ivannikova A.V. Vliyanie patologicheskih kislyh gastroezofageal'nyh reflyuksov na funkcional'nye i mikrobiologicheskie parametry polosti rta. Dental Forum. 2017;(3):28–32. [Lukina G.I., Ivannikova A.V. The effect of pathological acidic gastroesophageal refluxes on functional and microbiological parameters of the oral cavity. Dental Forum. 2017;(3):28–32. (In Russ.)]. http://den7208516.nichost.ru/DF_2017/Dental_Forum_%E2%84%963_2017.pdf

4. Bekzhanova O.E., Alimova S.H., Shamsieva Sh.F. Chastota i struktura erozivnyh porazheniy zubov u pacientov s gastroezofageal'noy reflyuksnoy bolezn'yu. Medicinskie novosti. 2022;(7):71-74. [Ekjanova O.E., Alimova S.X., Shamsiyeva Sh.F. Frequency and structure of erosive dental lesions in patients with gastroesophageal reflux disease. Meditsinskie novosti. 2022;(7):71-74. (In Russ.)]. https://cyberleninka.ru/article/n/chastota-i-struktura-erozivnyh-porazheniy-zubov-u-patsientov-s-gastroezofagealnoy-reflyuksnoy-boleznyu

5. Basmaci F., Bulut A.C., Soganci Unsal G. Impact of Simulated Gastric Acid and Surface Treatment on the Color Stability and Roughness of Zirconia. Applied Sciences. 2025;15(16):8802. https://doi.org/10.3390/app15168802

6. Aldhafyan M., Khan R., Saeed W.S., Al-Odayni A.B., Asiri R., Althagfan F. et al. In Vitro Hydrolytic Degradation of Giomer-Based and Fluoride-Releasing Bulk Fill Composites Simulated for Patients with Gastroesophageal Reflux Disease. ACS Omega. 2025;10(21):21621-21629. https://doi.org/10.1021/acsomega.5c00784

7. Tinastepe N., Malkondu O., Kazazoglu E. Hardness and surface roughness of differently processed denture base acrylic resins after immersion in simulated gastric acid. The Journal of Prosthetic Dentistry. 2023;129(2):364.e1-364.e9. https://doi.org/10.1016/j.prosdent.2022.12.001

8. Pisarevskiy Yu.L., Kibalina I.V., Naydanova I.S., Pershin V.A., Ranzhurov V.V. Harakteristika mestnogo immuniteta polosti rta u pol'zovateley s'emnymi akrilovymi protezami na fone gastroezofageal'noy reflyuksnoy bolezni. V: Teoreticheskie i prakticheskie voprosy klinicheskoy stomatologii: Materialy Vserossiyskoy nauchno-prakticheskoy konferencii; Sankt-Peterburg; 09–10 oktyabrya 2024 goda. Sankt-Peterburg: Voenno-medicinskaya akademiya imeni S.M.Kirova; 2024. S. 58-61. [Pisarevsky Yu.L., Kibalina I.V., Naidanova I.S., Pershin V.A., Ranzhurov V.V. Characteristics of local oral immunity in users of removable acrylic dentures against the background of gastroesophageal reflux disease. In: Theoretical and practical issues of clinical dentistry: Proceedings of the All-Russian Scientific and Practical Conference; St. Petersburg; October 09-10, 2024. Saint Petersburg: Military Medical Academy named after S.M. Kirov; 2024. Pp. 58-61. (In Russ.)]. https://elibrary.ru/item.asp?id=75068951

9. Bollepalli A., Viswanathan A.K., Balasubramaniam M. Effect of simulated gastric acid on the mechanical properties of conventional and polypropylene mesh reinforced poly methyl methacrylate denture base resin. The Journal of Indian Prosthodontic Society. 2025;25(3):251-257. https://doi.org/10.4103/jips.jips_130_25

10. Aldhafyan M., Khan R., Saeed W.S., Al-Odayni A.B., Asiri R., Althagfan F. et al. In Vitro Hydrolytic Degradation of Giomer-Based and Fluoride-Releasing Bulk Fill Composites Simulated for Patients with Gastroesophageal Reflux Disease. ACS Omega. 2025;10(21):21621-21629. https://doi.org/10.1021/acsomega.5c00784

11. Carneiro Pereira A.L., Dias A.C.M., Santos K.S., Andrade J.O., de Boa P.W.M., de Medeiros A.K. et al. Influence of salivary pH on the surface, mechanical, physical, and cytotoxic properties of resins for 3D-printed and heat-polymerized denture base. Journal of Dentistry. 2025;156:105721. https://doi.org/10.1016/j.jdent.2025.105721

12. Dwivedi H., Tushar, Singh S., Rani P., Ananya, Kumar S. Analysis of the Microstructural and Mechanical Properties of 3D‑Printed Removable Partial Denture Base Materials. Journal of Pharmacy and Bioallied Sciences. 2024;16(Suppl 1):S681-S683. https://doi.org/10.4103/jpbs.jpbs_939_23

13. Alshahrani F.A., AlToraibily F., Alzaid M., Mahrous A.A., Al Ghamdi M.A., Gad M.M. An updated review of salivary pH effects on polymethyl methacrylate (PMMA)-based removable dental prostheses. Polymers. 2022;14(16):3387. https://doi.org/10.3390/polym14163387

14. Bechir F., Bataga S.M., Tohati A., Ungureanu E., Cotrut C.M., Bechir E.S. et al. Evaluation of the behavior of two CAD/CAM fiber‑reinforced composite dental materials by immersion tests. Materials. 2021;14(23):7185. https://doi.org/10.3390/ma14237185

15. Mercieca S., Caligari Conti M., Buhagiar J., Camilleri J. Assessment of corrosion resistance of cast cobalt- and nickel-chromium dental alloys in acidic environments. Journal of Applied Biomaterials & Functional Materials. 2018;16(1):47-54. https://doi.org/10.5301/jabfm.5000383

16. Cotruț C.M. Materials and manufacturing techniques trends in prosthetic dentistry. Acta Stomatologica Marisiensis 2022;5(1):1-5. https://doi.org/10.2478/asmj-2022-0001

17. Borg W., Cassar G., Camilleri L., Attard N., Camilleri J. Surface Microstructural Changes and Release of Ions from Dental Metal Alloy Removable Prostheses in Patients Suffering from Acid Reflux. Journal of Prosthodontics. 2018;27(2):115-119. https://doi.org/10.1111/jopr.12470

18. Parunov V.A., Bykova M.V., Kazachkova M.A. i dr. Titan i ego splavy dlya zubnyh protezov: monografiya. Moskva: Novik; 2020. 83 s. [Parunov V.A., Bykova M.V., Kazachkova M.A. et al. Titanium and its alloys for dentures: a monograph. Moscow: Novik; 2020. 83 p. (In Russ.)].

19. Yoshizaki T., Akiba N., Inokoshi M., Shimada M., Minakuchi S. Hydrophilic nanosilica coating agents with platinum and diamond nanoparticles for denture base materials. Dental Materials Journal. 2017;36(3):333-339. https://doi.org/10.4012/dmj.2016-243

20. Chizhov Yu.V., Maskadynov L.E., Rubaylo A.I., Maksimov N.G., Truhin M.N. Izuchenie monomerov bazisnyh akrilovyh plastmass metodom spektrofotometrii. Institut stomatologii. 2018;(1):108-109. [Chizhov Yu.V., Maskadynov L.E., Rubaylo A.I., Maximov N.G., Trukhin M.N. Studying of monomers of basic acrylic plastic by spektrofotometriya method. The Dental Institute. 2018;(1):108-109. (In Russ.)]. https://elibrary.ru/item.asp?id=34964805

This work is licensed under Creative Commons Attribution 4.0 International

JATS XML

Editor in Chief

Sergey Zholudev

zholudev_se@mail.ru

Deputy editor

Yuliya Mandra

jmandra@mail.ru

308

downloads

This work is licensed under Creative Commons Attribution 4.0 International Creative Commons

GOST

Nauman V. A., Fedorova N. S. MODERN STRUCTURAL MATERIALS FOR REMOVABLE PLATE DENTURES IN PATIENTS WITH GASTROESOPHAGEAL REFLUX DISEASE: A SYSTEMATIC REVIEW AND SELECTION CRITERIA // Actual problems in dentistry. 2026. no. 1. pp. 193-198. DOI: https://doi.org/10.18481/2077-7566-2026-22-1-193-198. (Date of access 22.10.2026).

MLA

Viktor Nauman, Fedorova N. S.. "MODERN STRUCTURAL MATERIALS FOR REMOVABLE PLATE DENTURES IN PATIENTS WITH GASTROESOPHAGEAL REFLUX DISEASE: A SYSTEMATIC REVIEW AND SELECTION CRITERIA." Actual problems in dentistry 22.1 (2026): 193-198. DOI: https://doi.org/10.18481/2077-7566-2026-22-1-193-198.

APA

Nauman V. A., Fedorova N. S. (2026). MODERN STRUCTURAL MATERIALS FOR REMOVABLE PLATE DENTURES IN PATIENTS WITH GASTROESOPHAGEAL REFLUX DISEASE: A SYSTEMATIC REVIEW AND SELECTION CRITERIA. Actual problems in dentistry, 22(1), 193-198. https://doi.org/10.18481/2077-7566-2026-22-1-193-198

Chicago

Viktor Nauman, Fedorova N. S.. "MODERN STRUCTURAL MATERIALS FOR REMOVABLE PLATE DENTURES IN PATIENTS WITH GASTROESOPHAGEAL REFLUX DISEASE: A SYSTEMATIC REVIEW AND SELECTION CRITERIA." Actual problems in dentistry 22, no. 1 (2026): 193-198. https://doi.org/10.18481/2077-7566-2026-22-1-193-198.

WIKI

{{cite journal | author = Nauman V. A., Fedorova N. S. | title = MODERN STRUCTURAL MATERIALS FOR REMOVABLE PLATE DENTURES IN PATIENTS WITH GASTROESOPHAGEAL REFLUX DISEASE: A SYSTEMATIC REVIEW AND SELECTION CRITERIA | journal = Actual problems in dentistry | year = 2026 | volume = 22 | issue = 1 | pages = 193-198 | doi = 10.18481/2077-7566-2026-22-1-193-198 }}

Copy

Export: BibTeX EndNote RefMan RusMARC

MODERN STRUCTURAL MATERIALS FOR REMOVABLE PLATE DENTURES IN PATIENTS WITH GASTROESOPHAGEAL REFLUX DISEASE: A SYSTEMATIC REVIEW AND SELECTION CRITERIA

Confirmation