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Natural Sciences, Stomotology, 2026

COMPARATIVE CLINICAL AND MICROBIOLOGICAL EFFECTS OF 0.12% CHLORHEXIDINE ON PMMA VERSUS POLYAMIDE DENTURE BASES: A CONTROLLED STUDY ANCHORED TO ISO 20795-1

This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Submitted: 2026-04-08
CC BY-NC 4.0 This work is licensed under Creative Commons Attribution–NonCommercial International License (CC BY-NC 4.0).

Abstract

Objective: To compare the clinical, microbiological, immunological, and ISO-aligned laboratory effects of a 14-day
0.12% chlorhexidine (CHX) regimen on PMMA versus polyamide denture bases.
Methods: Forty edentulous participants were allocated to PMMA (n=20) or polyamide (n=20). Primary outcomes were.
Budtz-Jørgensen denture plaque index and Newton’s classification; secondary outcomes included PI, GI, GCF
cytokines (IL-6, TNF-α), Candida CFU/cm², and ISO 20795-1 laboratory metrics (Ra, ΔE, flexural properties,
sorption/solubility).
Results: Both materials demonstrated significant clinical and microbiological improvements after CHX, whereas
PMMA exhibited greater surface and color changes; polyamide showed superior esthetic stability.
Conclusions: CHX is an effective short-term adjunct regardless of base material; material-dependent surface/esthetics
effects should guide maintenance protocols.

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