Comparative evaluation of elastic recovery of three different elastomeric impression materials on chemical disinfection and autoclaving: An in vitro study

Comparative analysis of dimensional changes in autoclavable polyvinyl siloxane (PVS) impressions under various Sterilization/Disinfection Protocols: A randomized controlled trial

Background

Impressions that maintain their dimensional stability after autoclaving effectively control cross-infection and contamination resulting from a patient's oral secretions.

Purpose

The study aimed to assess the dimensional stability of autoclavable polyvinyl siloxanes after disinfection and sterilization.

Methods

A stainless steel metal model containing three full veneer crown preparations was fabricated according to ANSI/ADA specification No. 19. Reference grooves were established on the occlusal and axial surfaces of the abutments for accurate measurements. Forty impressions were created from the master model using single-step impression technique monophase polyvinyl siloxane material (AFFINIS, Coltene/Whaledent, Altstatten, Switzerland). The impressions were categorized into four groups: Group A (control, ten untreated impressions), Group B (ten disinfected impressions with 5.25 % sodium hypochlorite [NaOCl]), Group C (ten disinfected impressions with 2 % glutaraldehyde), and Group D (ten autoclaved impressions at 134 °C for 18 min). Subsequently, stone casts were produced using type IV gypsum products (Gelstone R, BK Giulini Chemie, Ludwigshafen/Rh., Germany). The dimensional accuracy of the obtained casts was assessed by measuring the inter-abutment measurements (between the abutments) and the intra-abutment measurements (diameter and height of the abutments). These measurements were performed using a universal measuring microscope (Olympus stereomicroscope B061 Imaging Corp. Tokyo, Japan) with a precision of 0.001 mm. The dimensions of the stone casts from the study groups were then compared to those of the control group. Data analysis was performed using a one-way ANOVA with a significance level of α = 0.05.

Results

AFFINIS impressions subjected to chemical disinfection in 5.25 % NaOCl and 2 % glutaraldehyde with different immersion times showed slight expansion in the intra- and inter-abutment measurements. The impressions autoclaved at 134 °C for 18 min showed slight shrinkage in the intra- and inter-abutment measurements. The dimensional change was statistically non-significant, and the percent of dimensional changes within the experimental groups was within the clinically accepted limit (α < 0.5).

Conclusion

AFFINIS polyvinyl siloxanes retain dimensional stability suitable for clinical use when subjected to chemical disinfection and steam autoclaving.

Mechanical and Physical Properties of an Experimental Chemically and Green-Nano Improved Dental Alginate after Proven Antimicrobial Potentials

OBJECTIVES

Impression materials could be a source of cross-contamination due to the presence of microorganisms from blood and saliva inside the oral cavity. Nevertheless, routinely performed post-setting disinfection could compromise the dimensional accuracy and other mechanical properties of alginates. Thus, this study aimed to evaluate detail reproduction, dimensional accuracy, tear strength, and elastic recovery of new experimentally prepared self-disinfecting dental alginates.

METHODS

Two antimicrobial-modified dental alginate groups were prepared by mixing alginate powder with 0.2% silver nitrate (AgNO₃ group) and a 0.2% chlorohexidine solution (CHX group) instead of pure water. Moreover, a third modified group was examined by the extraction of Boswellia sacra (BS) oleoresin using water. The extract was used to reduce silver nitrate to form silver nanoparticles (AgNPs), and the mixture was used as well in dental alginate preparation (BS + AgNP group). Dimensional accuracy and detail reproduction were examined as per the ISO 1563 standard guidelines. Specimens were prepared using a metallic mold engraved with three parallel vertical lines 20, 50, and 75 µm wide. Detail reproduction was evaluated by checking the reproducibility of the 50 µm line using a light microscope. Dimensional accuracy was assessed by measuring the change in length between defined reference points. Elastic recovery was measured according to ISO 1563:1990, in which specimens were gradually loaded and then the load was released to allow for recovery from the deformation. Tear strength was evaluated using a material testing machine until failure at a crosshead speed of 500 mm/min.

RESULTS

The recorded dimensional changes between all tested groups were insignificantly different and within the reported acceptable values (between 0.037-0.067 mm). For tear strength, there were statistically significant differences between all tested groups. Groups modified with CHX (1.17 ± 0.26 N/mm) and BS + AgNPs (1.11 ± 0.24 N/mm) showed higher tear strength values compared to the control (0.86 ± 0.23 N/mm) but were insignificant from AgNO₃ (0.94 ± 0.17 N/mm). All tested groups showed elastic recovery values that met both the ISO standard and ADA specifications for elastic impression materials and tear strength values within the acceptable documented ranges.

DISCUSSION

The CHX, silver nitrate, and green-synthesized silver nanoparticles could be promising, inexpensive alternatives for the preparation of a self-disinfecting alginate impression material without affecting its performance. Green synthesis of metal nanoparticles could be a very safe, efficient, and nontoxic method, with the advantage of having a synergistic effect between metal ions and active chemical constituents of plant extracts.

Tear strength and elastic recovery of new generation hybrid elastomeric impression material: A comparative study

Objective

Since there is no material in the market met all the ideal requirements of an impression material, thus in an attempt to find one, hybridization between the two most commonly used impression materials were done. The aim of the hybridization was to obtain a new material combining the good merits of both and eliminate their shortcomings. Thus, this study aimed to assess the impact of hybridization between polyether with addition silicone on tear strength and elastic recovery of the new material and compare such effect with regard to parent materials.

Results

A polyether (PE), polyvinyl siloxanse (PVS) and vinyl polyether silicone (VPES) hybrid elastomers were used in the present study. Tear strength was measured one hour after setting time of each material according to the manufacturer and the three materials showed statistically comparable tear strength in N/mm. Elastic recovery was evaluated one minute after the setting time recommended by the manufacturer. The three materials were statistically insignificant from each other, and all met the ISO4823 requirement of having greater than 96.5% recovery.

Evaluation of Antimicrobial Efficacy of UVC Radiation, Gaseous Ozone, and Liquid Chemicals Used for Disinfection of Silicone Dental Impression Materials

Effective disinfection of dental impressions is an indispensable requirement for the safety of dental personnel and patients. The ideal method should be not only effective but also convenient, cheap, and environmentally friendly. This study aimed to reliably evaluate the efficacy of ultraviolet C (UVC) radiation, gaseous ozone, and commercial liquid chemicals used for silicone dental impressions disinfection. These methods were applied to two types of elastomeric impression materials: condensation silicones and addition silicones of various consistency (putty, medium, and light). The antimicrobial effectiveness against Pseudomonas aeruginosa, Staphylococcus aureus, and Candida albicans was evaluated in vitro by counting colony-forming units (CFU) on the surface of samples. The one-way ANOVA with a Tukey HSD test or the Kruskal–Wallis with a Dunn’s test was performed. The results obtained revealed the efficacy of the proposed methods for disinfection of both C-silicones and A-silicones in most of the studied groups. Only one material (Panasil initial contact Light) was not effectively disinfected after UVC irradiation or ozone application. In conclusion, the potential of each disinfection method should be evaluated separately for each material. Moreover, in further research, the possible influence of the proposed methods on the physical properties of the impression materials should be thoroughly investigated.