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Surface Roughness and Microbial Adhesion on Four Provisional Prosthodontic Restorative Materials
Ola Al Hatem1, Joe C Ontiveros1, Donald M Belles1
1Department of Restorative Dentistry and Prosthodontics, School of Dentistry, The University of Texas Health Science Center, Houston, TX 77054, USA.
Dentistry Journal
|November 26, 2025
Summary
Zirconium oxide and milled poly methyl methacrylate (PMMA) show superior surface properties and reduced microbial adhesion compared to other provisional materials. These findings support their use in long-term provisional restorations for improved clinical outcomes.
Area of Science:
- Biomaterials Science
- Dental Materials Science
- Microbiology
Background:
- Provisional prosthodontic materials are crucial for temporary restorations.
- Surface properties and microbial adhesion influence the longevity and success of dental restorations.
- Understanding material behavior is key to preventing secondary infections and complications.
Purpose of the Study:
- To evaluate and compare surface roughness (Ra) and microbial adhesion of four provisional prosthodontic materials against zirconium oxide.
- To assess the suitability of different provisional materials for long-term use based on their surface characteristics and microbial resistance.
Main Methods:
- Four provisional materials (PMMA, Bis-acryl, 3D-printed resin, milled PMMA) and zirconium oxide were tested.
- Surface roughness (Ra) was measured using a digital profilometer after standardized polishing.
- Microbial adhesion of Candida albicans and Streptococcus mutans was quantified using colony-forming units (CFU) after incubation.
Main Results:
- Zirconium oxide exhibited the lowest surface roughness and significantly reduced microbial adhesion (p < 0.001).
- Milled PMMA showed significantly lower roughness and microbial adhesion than conventional PMMA (p < 0.001).
- Bis-acryl and 3D-printed resins demonstrated higher microbial retention, suggesting potential limitations for extended use.
Conclusions:
- Zirconia and milled PMMA offer superior surface properties and reduced microbial adhesion, making them suitable for long-term provisional restorations.
- Conventional PMMA, bis-acryl, and 3D-printed resins may be less ideal for extended provisional use due to higher microbial retention.
- Material selection based on these findings can enhance clinical outcomes, with a need for further in vivo validation.

