1
|
Santhaveesuk P, Saenthaveesuk P, Holland JN, Kiat-Amnuay S. Microwave disinfection of facial silicone prostheses, Part 1: Color stability. J Prosthet Dent 2024; 131:980.e1-980.e8. [PMID: 38448355 DOI: 10.1016/j.prosdent.2024.02.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Revised: 02/14/2024] [Accepted: 02/15/2024] [Indexed: 03/08/2024]
Abstract
STATEMENT OF PROBLEM The choice of cleaning method is an important consideration for lengthening the serviceable time of facial prostheses as microbial organisms and biofilms could degrade facial prostheses and cause skin irritation. Whether microwave disinfection is a suitable cleaning method without degradation of the properties of a prosthesis is unclear. PURPOSE The purpose of this in vitro study was to measure the color stability of 6 commonly used facial silicone elastomers after microwave disinfection over a simulated 1.5-year period. MATERIAL AND METHODS Six different facial silicone elastomers: MDX4-4210, MDX4-4210/Type A, M511, A-2186, VST-50, and A-2000 were mixed with intrinsic silicone white opacifier (except for the control group) and subsequently combined with 4 silicone intrinsic pigment color groups: red (R), yellow (Y), burnt sienna (B), and a mixture of R+Y+B (M). The control group was a silicone elastomer without opacifier or pigment. Each of the 30 experimental groups consisted of 5 specimens (N=150). Five specimens were placed in a 250-mL Erlenmeyer flask filled with 160 mL of tap water. Seven flasks were then placed in a 660-W microwave oven. An exposure of 6 minutes was used according to the antimicrobial efficacy of microwave disinfection protocol on facial silicone prostheses with a final water temperature of 60 °C for 18 times (simulating 1.5 years of microwave disinfection with one 6-minute exposure monthly). A spectrophotometer was used to measure reflectance color change values (∆E). Color differences were calculated following CIELab (∆E*ab) and CIEDE2000 (∆E00) formulae. ∆E*ab and ∆E00 were statistically analyzed by a linear mixed effects model with 3 factors (silicone type, color shade, and time) using the R Statistical software program (α=.05). RESULTS Both ∆E*ab and ∆E00 of all silicone elastomers studied were less than the visual perceptibility thresholds (∆E*ab<1.1 and E00<0.7) and were considered clinically acceptable (∆E*ab<3.0 and E00<2.1) after the 1.5-year simulation of microwave disinfection. Yellow and blue pigments had more effect on MDX4-4210 and M511, while red pigment had more effect on MDX4-4210, MDX4-4210/Type A, and M511 (P<.05). Nevertheless, the values were still below the perceptibility threshold (∆E*ab≤1.0 and E00<0.6). CONCLUSIONS All 6 facial silicone elastomers maintained clinically acceptable color after 18 months of exposure to microwave disinfection.
Collapse
Affiliation(s)
- Penchanok Santhaveesuk
- Former Prosthodontic Resident, Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand; and Former AEGD Preceptor, University of Texas Health Science Center at Houston, School of Dentistry, Houston, Texas
| | - Pensiri Saenthaveesuk
- Lecturer, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand; and Former AEGD Resident, University of Texas Health Science Center at Houston, School of Dentistry, Houston, Texas
| | - Julian Nathaniel Holland
- Senior Statistician, Office of Research, University of Texas Health Science Center at Houston, School of Dentistry, Houston, Texas
| | - Sudarat Kiat-Amnuay
- Professor and Section Head, Department of General Practice and Dental Public Health, Houston Center for Biomaterials and Biomimetics, University of Texas Health Science Center at Houston, School of Dentistry, Houston, Texas.
| |
Collapse
|
2
|
Santhaveesuk P, Serichetaphongse P, Kiat-Amnuay S. Microwave disinfection of facial silicone prostheses, part 2: Mechanical properties. J Prosthet Dent 2024; 131:340.e1-340.e6. [PMID: 38212157 DOI: 10.1016/j.prosdent.2023.11.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Revised: 11/21/2023] [Accepted: 11/21/2023] [Indexed: 01/13/2024]
Abstract
STATEMENT OF PROBLEM Part 1 of this 2-part study determined that microwave disinfection did not degrade the color stability of facial silicone prostheses. However, investigations on the effects of microwave disinfection on the mechanical properties of different silicone elastomers are lacking. PURPOSE The purpose of this in vitro study was to examine the mechanical properties of commonly used colored facial silicone elastomers before and after microwave disinfection over a simulated 1.5-year period. MATERIAL AND METHODS Six commonly used facial silicone elastomers: MDX4-4210, MDX4-4210/Type A, M511, A-2186, VST-50, and A-2000 were combined with functional intrinsic silicone pigments and opacifier (red, yellow, blue, and white). A total of 288 specimens were fabricated (n=12). Half of the specimens were tested for mechanical properties as the baseline, while the other specimens were tested after microwave disinfection. Microwave disinfection was performed with 660 W, 6 minutes of exposure time, and microwaved for 18 cycles to simulate 1.5 years of usage (one 6-minute exposure monthly). For mechanical property testing, all specimens were tested for tensile strength and percentage elongation (ASTM D412), tear strength (ASTM D624), and hardness (ASTM D2240). For each property, a 2-way ANOVA (silicone type and microwave disinfection factors) and Tukey multiple comparison test were performed using the R statistical software program (α=.05). RESULTS Following microwave disinfection, tensile strength and percentage elongation of A-2000 increased significantly (P<.05). MDX4-4210, MDX4-4210/Type A, and A-2000 showed significant increases in their hardness (P<.001). Tear strength also increased significantly for MDX4-4210 and VST-50 (P<.05). Among the materials tested (ranked from highest to lowest value,=not statistically significant different), for tensile strength, VST-50>A-2186=A-2000>MDX4-4210/Type A=M511=MDX4-4210 (P<.05). For percentage elongation, VST-50>MDX4-4210/Type A>A-2186>M511=A-2000=MDX4-4210=M511 (P<.05). For hardness, A-2000=A-2186>M511=VST-50>MDX4-4210>MDX4-4210/Type A (P<.05). For tear strength, VST-50>A-2186>A-2000>M511>MDX4-4210/Type A=MDX4-4210 (P<.05). CONCLUSIONS Overall, the mechanical properties of all the silicones tested were not adversely affected by microwave disinfection. VST-50 showed the best mechanical properties among the materials tested both before and after microwave disinfection. Microwave energy is a safe method of disinfecting the silicone elastomers tested in this study.
Collapse
Affiliation(s)
- Penchanok Santhaveesuk
- Former Prosthodontic Resident, Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand; and Former AEGD Preceptor, University of Texas Health Science Center at Houston, School of Dentistry, Houston, Texas
| | - Pravej Serichetaphongse
- Associate Professor, Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Sudarat Kiat-Amnuay
- Professor and Section Head, Department of General Practice and Dental Public Health, Houston Center for Biomaterials and Biomimetics, University of Texas Health Science Center at Houston, School of Dentistry, Houston, Texas.
| |
Collapse
|
3
|
Lakshmi DM, Nandini VV, Raj SN, Albar NH, Alamoudi A, Bahammam SA, Zidane B, Bahammam HA, Patil S. A Comparative Evaluation of Three Methods of Disinfection of Gypsum Casts and the Changes in Surface Roughness and Dimensional Accuracy after Disinfection-An Ex Vivo Study. Niger J Clin Pract 2024; 27:47-53. [PMID: 38317034 DOI: 10.4103/njcp.njcp_303_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Accepted: 12/12/2023] [Indexed: 02/07/2024]
Abstract
BACKGROUND One of the major problems of everyday dental practice is cross-contamination. It can place office personnel, dentists, and patients at risk of acquiring serious illness. Disinfection helps in controlling this cross-contamination to an extent. The evaluation was done to find the efficient disinfection method on gypsum casts. AIMS The aim of this study is to evaluate and compare the efficacy of three methods of disinfection of gypsum casts, namely, chemical disinfection by immersion, spray method, and microwave method, and also to evaluate and compare changes in surface roughness and dimensional accuracy between the three methods after disinfection. MATERIALS AND METHODS Ex vivo and experimental study. Thirty participants were selected, and impressions of the maxillary arch were made using polyvinyl siloxane impression material. Ninety type IV die stone gypsum casts were poured. It was divided into three groups and was subjected to chemical disinfection by immersion and spray methods, and microwave method. The disinfected casts were evaluated for microbial growth, surface roughness, and dimensional accuracy. It was performed by using the one-way analysis of variance test and paired t-test followed by the Kruskal - Wallis test and Wilcoxon signed rank test (α = 0.05). RESULTS Microwave disinfection was more effective than both immersion and spray chemical disinfection methods (P < 0.010 and <0.001). The surface roughness of the microwave-irradiated casts had significantly increased after disinfection. However, there were no significant dimensional changes by any of the methods of disinfection. CONCLUSION Within the limitations of the study, the microwave method of disinfection is more effective in eradicating microorganisms when compared to chemical methods of disinfection by immersion and spray methods.
Collapse
Affiliation(s)
- D M Lakshmi
- Department of Prosthodontics and Implantology, Private Practitioner (Aluminus of SRM Kattankulathur Dental College), SRM Nagar, Kattankulathur, Tamil Nadu, India
| | - V V Nandini
- Department of Prosthodontics and Implantology, SRM Dental College and Hospital, Kattankulathur, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur, Tamil Nadu, India
| | - S N Raj
- Department of Prosthodontics and Implantology, SRM Dental College and Hospital, Kattankulathur, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur, Tamil Nadu, India
| | - N H Albar
- Department of Restorative Dentistry, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - A Alamoudi
- Department of Oral Biology, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - S A Bahammam
- Department of Preventive Dental Sciences, College of Dentistry, Taibah University, Medina, Kingdom of Saudi Arabia
| | - B Zidane
- Department of Restorative Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - H A Bahammam
- Department of Pediatric Dentistry, College of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - S Patil
- College of Dental Medicine, Roseman University of Health Science, South Jordan, UTAH, USA
| |
Collapse
|
4
|
Wezgowiec J, Wieczynska A, Wieckiewicz M, Czarny A, Malysa A, Seweryn P, Zietek M, Paradowska-Stolarz A. Evaluation of Antimicrobial Efficacy of UVC Radiation, Gaseous Ozone, and Liquid Chemicals Used for Disinfection of Silicone Dental Impression Materials. MATERIALS 2022; 15:ma15072553. [PMID: 35407884 PMCID: PMC8999620 DOI: 10.3390/ma15072553] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Revised: 03/24/2022] [Accepted: 03/28/2022] [Indexed: 02/02/2023]
Abstract
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.
Collapse
Affiliation(s)
- Joanna Wezgowiec
- Department of Experimental Dentistry, Wroclaw Medical University, 50-425 Wroclaw, Poland; (J.W.); (A.M.); (P.S.); (M.Z.)
| | - Anna Wieczynska
- Department of Physicochemistry of Microorganisms, Institute of Genetics and Microbiology, University of Wroclaw, Przybyszewskiego 63/77, 51-148 Wroclaw, Poland;
- Department of Engineering and Technology of Chemical Processes, Faculty of Chemistry, Wroclaw University of Science and Technology, Wybrzeze Wyspianskiego 27, 50-370 Wroclaw, Poland
| | - Mieszko Wieckiewicz
- Department of Experimental Dentistry, Wroclaw Medical University, 50-425 Wroclaw, Poland; (J.W.); (A.M.); (P.S.); (M.Z.)
- Correspondence: (M.W.); (A.P.-S.)
| | - Anna Czarny
- Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, 12 R. Weigl St., 53-114 Wroclaw, Poland;
| | - Andrzej Malysa
- Department of Experimental Dentistry, Wroclaw Medical University, 50-425 Wroclaw, Poland; (J.W.); (A.M.); (P.S.); (M.Z.)
| | - Piotr Seweryn
- Department of Experimental Dentistry, Wroclaw Medical University, 50-425 Wroclaw, Poland; (J.W.); (A.M.); (P.S.); (M.Z.)
| | - Marek Zietek
- Department of Experimental Dentistry, Wroclaw Medical University, 50-425 Wroclaw, Poland; (J.W.); (A.M.); (P.S.); (M.Z.)
| | - Anna Paradowska-Stolarz
- Division of Dentofacial Anomalies, Department of Maxillofacial Orthopedics and Orthodontics, Wroclaw Medical University, 50-425 Wroclaw, Poland
- Correspondence: (M.W.); (A.P.-S.)
| |
Collapse
|
5
|
Effect of chemical, microwave irradiation, steam autoclave, ultraviolet light radiation, ozone and electrolyzed oxidizing water disinfection on properties of impression materials: A systematic review and meta-analysis study. Saudi Dent J 2019; 32:161-170. [PMID: 32405219 PMCID: PMC7211894 DOI: 10.1016/j.sdentj.2019.12.003] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Revised: 12/05/2019] [Accepted: 12/15/2019] [Indexed: 11/30/2022] Open
Abstract
Objectives The objective of this systematic review and meta-analysis study was to identify the different disinfection methods and materials and the existing evidence on their effect on properties of the different impression materials. Material and methods An electronic search of MEDLINE (PubMed), Science Direct, and Google Scholar databases was performed to retrieve related English-language articles published between January 2000 and July 2019. Available studies with search terms such as: Impression disinfection, disinfection method, impression dimensional stability and impression wettability were used. The selected articles were reviewed by screening their titles and abstracts and full text. Finally, a total of 70 articles were considered relevant and were included in this study. Results Extensive studies were conducted to determine the effect of the different disinfection methods and materials on the properties of the different impression materials such as dimensional stability, wettability and surface roughness. While some studies reported significant changes in the properties of the impression materials, others reported either no changes or minor insignificant effects. Conclusions Some studies reported significant changes in the properties of the impression materials as a result of using different disinfection methods, whereas others reported either minor insignificant or no changes. Although the findings of the studies were controversial, care should be taken to avoid distortion of impressions and loss of their surface details that can adversely affect the fitting accuracy of the restorations. Therefore, better designed and standardized studies are needed to evaluate the effect of different commonly used disinfectants on properties of impression materials. Moreover, manufacturers should be encouraged to recommend specific disinfection methods and materials for disinfecting the impression materials to ensure their optimal accuracy.
Collapse
|