Elastomers for maxillofacial applications

A Platform for Testing the Biocompatibility of Implants: Silicone Induces a Proinflammatory Response in a 3D Skin Equivalent

Biocompatibility testing of materials is carried out in 2D cell cultures or animal models despite serious limitations. 3D skin equivalents are advanced in vitro models for human skin. Silicone has been shown to be noncytotoxic but capable of eliciting an immune response. Our aim was to (1) establish a 3D skin equivalent to (2) assess the proinflammatory properties of silicone. We developed a coculture of keratinocytes and fibroblasts resulting in a 3D skin equivalent with an implant using samples from a breast implant. Samples with and without the silicone implant were studied histologically and immunohistochemically in comparison to native human skin samples. Cytotoxicity was assessed via LDH-assay, and cytokine response was assessed via ELISA. Histologically, our 3D skin equivalents had a four-layered epidermal and a dermal component. The presence of tight junctions was demonstrated in immunofluorescence. The only difference in 3D skin equivalents with implants was an epidermal thinning. Implanting the silicone samples did not cause more cell death, however, an inflammatory cytokine response was triggered. We were able to establish an organotypical 3D skin equivalent with an implant, which can be utilised for studies on biocompatibility of materials. This first integration of silicone into a 3D skin equivalent confirmed previous findings on silicone being non-cell-toxic but capable of exerting a proinflammatory effect.

Comparative evaluation of tensile strength, tear strength, color stability and hardness of conventional and 1% trisnorbornenylisobutyl polyhedralsilsesquioxane modified room temperature vulcanizing maxillofacial silicone after a six month artificial aging period

Aims

Silicone elastomers, chemically known as polydimethylsiloxane used in maxillofacial rehabilitation, over a period of time, undergo degradation and discoloration once aged, thereby reducing clinical longevity. Many previous studies reinforced the maxillofacial silicone material with stronger materials to increase its mechanical properties. However, no studies have been conducted to evaluate all the primary properties using single reinforcing agent. This study was conducted to evaluate and compare the tensile strength, tear strength, color stability, and Shore A hardness of conventional and 1% trisnorbornenylisobutyl polyhedralsilsesquioxanes (POSS) modified room temperature vulcanizing (RTV) maxillofacial silicone after a 6 - month artificial aging period.

Setting and Design

In vitro comparative study.

Materials and Methods

Eighty-eight silicone samples were fabricated. Therefore for each parameter of tensile strength, tear strength, color stability and hardness, twenty two samples comprising of 11 samples of conventional RTV silicone (Group 1) and 11 for POSS modified RTV silicone (Group 2) were fabricated in stainless steel molds using ASTM D 412-06, ASTM D 624, and ASTM D 2240-15 Standards. Baseline measurements for Shore A hardness and color values were recorded. Samples were then exposed to 6 months of natural weathering process and evaluated for tensile and tear strengths, color stability (ΔE), and hardness.

Statistical Analysis Used

Paired and unpaired t-test.

Results

Intragroup and intergroup comparison was done using unpaired and paired t-test. At the end of 6-month aging period, the tensile strength and tear strength of POSS-modified RTV silicone were significantly higher than conventional RTV silicone (P < 0.0001 and P = 0.00014, respectively). Intragroup comparison of conventional group showed highly statistically notable changes in L, a, and b values (P = 0.01631, > 0.0001, and = 0.0.0067, respectively), whereas the POSS-modified RTV silicone showed statistically nonsignificant results in L, a, and b values' (P = 0.91722, 0.15174, and 0.10847, respectively) comparisons after aging. Intergroup ΔE value comparisons showed an extremely statistically difference (P < 0.0001) within the groups. Intergroup comparisons postaging hardness showed a high statistical difference between both the groups, indicating a significant increase in hardness in the conventional group (P < 0.0001). However, intragroup comparison for hardness values showed a statistically highly significant difference for Group 1 (P < 0.0001) and a nonsignificant difference (P = 0.4831) for Group 2.

Conclusion

After the simulated 6-month aging procedure, 1% NB 1070 trisnorbornenylisobutyl POSS-incorporated RTV maxillofacial silicone showed better tensile strength, tear strength, Shore A hardness and color stability as compared to conventional RTV silicone. Hence, trisnorbornenylisobutyl POSS is a potent cross-linking agent which enhances the primary mechanical properties of RTV silicone can result in in significant increase in the mean life expectancy of RTV silicone even after 6 months of weathering.

Past, Present, and Future of Soft-Tissue Prosthetics: Advanced Polymers and Advanced Manufacturing

Millions of people worldwide experience disfigurement due to cancers, congenital defects, or trauma, leading to significant psychological, social, and economic disadvantage. Prosthetics aim to reduce their suffering by restoring aesthetics and function using synthetic materials that mimic the characteristics of native tissue. In the 1900s, natural materials used for thousands of years in prosthetics were replaced by synthetic polymers bringing about significant improvements in fabrication and greater realism and utility. These traditional methods have now been disrupted by the advanced manufacturing revolution, radically changing the materials, methods, and nature of prosthetics. In this report, traditional synthetic polymers and advanced prosthetic materials and manufacturing techniques are discussed, including a focus on prosthetic material degradation. New manufacturing approaches and future technological developments are also discussed in the context of specific tissues requiring aesthetic restoration, such as ear, nose, face, eye, breast, and hand. As advanced manufacturing moves from research into clinical practice, prosthetics can begin new age to significantly improve the quality of life for those suffering tissue loss or disfigurement.

Advancements in Soft-Tissue Prosthetics Part B: The Chemistry of Imitating Life

Each year, congenital defects, trauma or cancer often results in considerable physical disfigurement for many people worldwide. This adversely impacts their psychological, social and economic outlook, leading to poor life experiences and negative health outcomes. In many cases of soft tissue disfigurement, highly personalized prostheses are available to restore both aesthetics and function. As discussed in part A of this review, key to the success of any soft tissue prosthetic is the fundamental properties of the materials. This determines the maximum attainable level of aesthetics, attachment mechanisms, fabrication complexity, cost, and robustness. Since the early-mid 20th century, polymers have completely replaced natural materials in prosthetics, with advances in both material properties and fabrication techniques leading to significantly improved capabilities. In part A, we discussed the history of polymers in prosthetics, their ideal properties, and the application of polymers in prostheses for the ear, nose, eye, breast and finger. We also reviewed the latest developments in advanced manufacturing and 3D printing, including different fabrication technologies and new and upcoming materials. In this review, Part B, we detail the chemistry of the most commonly used synthetic polymers in soft tissue prosthetics; silicone, acrylic resin, vinyl polymer, and polyurethane elastomer. For each polymer, we briefly discuss their history before detailing their chemistry and fabrication processes. We also discuss degradation of the polymer in the context of their application in prosthetics, including time and weathering, the impact of skin secretions, microbial growth and cleaning and disinfecting. Although advanced manufacturing promises new fabrication capabilities using exotic synthetic polymers with programmable material properties, silicones and acrylics remain the most commonly used materials in prosthetics today. As research in this field progresses, development of new variations and fabrication techniques based on these synthetic polymers will lead to even better and more robust soft tissue prosthetics, with improved life-like aesthetics and lower cost manufacturing.

Advancements in Soft-Tissue Prosthetics Part A: The Art of Imitating Life

Physical disfigurement due to congenital defects, trauma, or cancer causes considerable distress and physical impairment for millions of people worldwide; impacting their economic, psychological and social wellbeing. Since 3000 B.C., prosthetic devices have been used to address these issues by restoring both aesthetics and utility to those with disfigurement. Internationally, academic and industry researchers are constantly developing new materials and manufacturing techniques to provide higher quality and lower cost prostheses to those people who need them. New advanced technologies including 3D imaging, modeling, and printing are revolutionizing the way prostheses are now made. These new approaches are disrupting the traditional and manual art form of prosthetic production which are laborious and costly and are being replaced by more precise and quantitative processes which enable the rapid, low cost production of patient-specific prostheses. In this two part review, we provide a comprehensive report of past, present and emerging soft-tissue prosthetic materials and manufacturing techniques. In this review, part A, we examine, historically, the ideal properts of a polymeric material when applied in soft-tissue prosthetics. We also detail new research approaches to target specific tissues which commonly require aesthetic restoration (e.g. ear, nose and eyes) and discuss both traditional and advanced fabrication methods, from hand-crafted impression based approaches to advanced manufactured prosthetics. We discuss the chemistry and related details of most significant synthetic polymers used in soft-tissue prosthetics in Part B. As advanced manufacturing transitions from research into practice, the five millennia history of prosthetics enters a new age of economic, personalized, advanced soft tissue prosthetics and with this comes significantly improved quality of life for the people affected by tissue loss.

Effect of accelerated aging on the viscoelastic properties of a medical grade silicone

The viscoelastic properties of cylinders (diameter 5 mm, height 2.2 ± 0.2 mm) of Nagor silicone elastomer of medium hardness, were investigated before and after the specimens had undergone accelerated aging in saline solution at 70°C for 38, 76 and 114 days (to simulate aging at 37°C, for 1, 2 and 3 years, respectively). All sets of specimens were immersed in physiological saline solution at 37°C during testing and the properties were measured using dynamic mechanical analysis (DMA). A sinusoidal cyclic compression of 40 N ± 5 N was applied over a frequency range, f, of 0.02-25 Hz. Values of the storage, E', and loss, E″, moduli were found to depend on f; the dependence of E' or E″ on the logarithm (base 10) of f was represented by a second-order polynomial. After accelerated aging, the E' and E″ values did not increase significantly (p<0.05). Furthermore, scanning electron microscopy (SEM) showed that accelerated aging did not affect the surface morphology of silicone. Attenuated total reflectance Fourier transform infra-red spectroscopy (ATR-FTIR) showed that accelerated aging had a negligible effect on the surface chemical structures of the material. Differential scanning calorimetry (DSC) showed no changes to the bulk properties of silicone, following accelerated aging.

Color stability of thermochromic pigment in maxillofacial silicone

PURPOSE

Maxillofacial silicone elastomer is usually colored intrinsically with color pigments to match skin colors. The purpose of this study was to investigate the color stability of a maxillofacial silicone elastomer, colored with a thermochromic, color changing pigment.

MATERIALS AND METHODS

Disc-shaped maxillofacial silicone specimens were prepared and divided into 3 groups: a conventionally colored control group, one group additionally colored with 0.2 wt% thermochromic pigment , and one group with 0.6 wt% thermochromic pigment. Half of the surface of each specimen was covered with an aluminium foil. All of the specimens were exposed to UV radiation in 6 hour cycles over 46 days. In between the UV exposures, half of the specimens were stored in darkness, at room temperature, and the other half was stored in an incubator, at a humidity of 97% and a temperature of +37℃. Color measurements were made with a spectrophotometer and registered according to the CIELAB L^*a^*b^* color model system. The changes in L^*, a^* and b^* values during artificial aging were statistically analyzed by using paired samples t-test and repeated measures ANOVA. P-values <.05 were considered as statistically significant.

RESULTS

The UV exposure resulted in visually noticeable and statistically significant color changes in the L^*, a^* and b^* values in both of the test groups containing thermochromic pigment. Storage in the incubator lead to statistically significant color changes in the a^* and b^* values of the specimens containing thermochromic pigment, compared to those stored at room temperature.

CONCLUSION

The specimens containing thermochromic pigment were very sensitive to UV radiation, and the thermochromic pigment is not suitable, as such, to be used in maxillofacial prostheses.

Material properties of a maxillofacial chlorinated polyethylene elastomer stored in simulated skin secretions

STATEMENT OF PROBLEM

Facial prostheses deteriorate in a service environment primary due to exposition to various environmental factors, including sebaceous oils (sebum) and perspiration.

PURPOSE

This study investigated the physical properties of an experimental, facial prosthetic after immersion for 6 months in simulated sebum, and perspiration at 37 degrees C.

MATERIAL AND METHODS

Chlorinated polyethylene (CPE) specimens were immersed in simulated perspiration as well as in sebum. Compression tests were conducted on a Zwick testing machine. Shore A hardness measurements were carried out in a CV digital Shore A durometer. Melting and glass transition temperatures were evaluated with a differential scanning calorimeter. Weight changes were measured and color changes were determined in the CIE LAB system using a MiniScan XE spectrophotometer. Simple mathematical models were developed to correlate the measured properties with immersion time. The data were also subjected to analyses of variance (ANOVA) and the Tukey multiple range tests at a level of alpha = 0.05.

RESULTS

Specimens immersed in perspiration became harder due to facilitation of the propagation of cross-linking reaction that probably occurred during aging of the CPE samples. Some weight increase was observed for the specimens immersed into the aqueous solutions, whereas for those immersed in sebum, weight loss was recorded, probably because of extraction of some compounds. The color change was higher for the specimens immersed in sebum than that corresponding to simulated perspiration.

CONCLUSIONS

The chlorinated polyethylene specimens aged for a period, which simulates 1.5 years of clinical service1, showed significant deformations in their physical properties.

Histopathologic study of rat connective tissue responses to maxillofacial silicone elastomers

The aim of this histopathologic study was to assess and compare the subcutaneous connective tissue reaction to three different maxillofacial silicone elastomers (Cosmesil, Multisil, Episil). The test materials were directly inserted subcutaneously into the dorsal subcutaneous tissue of Wistar albino rats. Histopathological examinations were done at 7, 30, and 90 days after the implantation procedure. The presence of inflammation, presence of inflammatory giant cells, and the thickness of fibrous connective tissue adjacent to each inserted sample were recorded. Data was evaluated by analysis of variance, Wilcoxon signed ranks test and Kruskal Wallis test. Cosmesil, Multisil and Episil silicone elastomers at 7 days elicited a severe inflammatory reaction. However, these reactions decreased by the 30 and 90 days. All silicone elastomers elicited a moderate inflammatory reaction at 30 and 90 days. There were no significant differences in tissue reaction between the materials at 7, 30, and 90 days (P > 0.05). All the maxillofacial silicone elastomers evaluated can not be assigned a favorable biocompatibility level based on this study's histologic findings.

The effect of artificial accelerated weathering on the mechanical properties of maxillofacial polymers PDMS and CPE

The effect of UVA-UVB irradiation on the mechanical properties of three different industrial types of polydimethylsiloxane and chlorinated polyethylene samples, used in maxillofacial prostheses, was investigated in this study. Mechanical properties and thermal analysis are commonly used to determine the structural changes and mechanical strength. An aging chamber was used in order to simulate the solar radiation and assess natural aging. Compression and tensile tests were conducted on a Zwick testing machine. Durometer Shore A hardness measurements were carried out in a CV digital Shore A durometer according to ASTM D 2240. Glass transition temperature was evaluated with a differential scanning calorimeter. Simple mathematical models were developed to correlate the measured properties with irradiation time. The effect of UVA-UVB irradiation on compressive behavior affected model parameters. Significant deterioration seems to occur due to irradiation in samples.

The Use of Silicon Elastomer in Maxillofacial Rehabilitation as a Substitute for or in Conjunction With Resins

Maxillofacial prosthetic rehabilitation aims to restore anatomic function when serious tissue defects are present, as a result of congenital factors, trauma, or surgery. The aims are both aesthetic and functional, and results are obtained using devices that contain, reconstruct, and fill. This study introduces a technique using methods and materials that are acceptable to the patient in that they satisfy chewing, phonetic, and aesthetic functions, while respecting bone structure and restoring function to the soft tissues without causing trauma to them. Our techniques do not use innovative materials, but ones that are structurally different and that, until now, have not been connected with attachment systems. Acrylic resin, acetylic resin, and silicon are used, each in such a way as to take maximum advantage of each material's characteristics and thus give the best results.

Using a colorimeter to develop an intrinsic silicone shade guide for facial prostheses

PURPOSE

To determine if using CIE L*a*b* color measurements of white facial skin could be correlated to those of silicone shade samples that visually matched the skin. Secondly, to see if a correlation in color measurements could be achieved between the silicone shade samples and duplicated silicone samples made using a shade-guide color formula.

MATERIALS AND METHODS

A color booth was designed according to ASTM specifications, and painted using a Munsell Value 8 gray. A Minolta colorimeter was used to make facial skin measurements on 15 white adults. The skin color was duplicated using custom-shaded silicone samples. A 7-step wedge silicone shade guide was then fabricated, representing the commonly encountered thicknesses when fabricating facial prostheses. The silicone samples were then measured with the Minolta colorimeter. The readings were compared with the previous L*a*b* readings from the corresponding patient's skin measurements, and the relative color difference was then calculated. Silicone samples were fabricated and analyzed for three of the patients to determine if duplication of the visually matched silicone specimen was possible using the silicone color formula, and if the duplicates were visually and colorimetrically equivalent to each other. The color difference Delta E and chromaticity was calculated, and the data were analyzed using a coefficient-of-variation formula expressed by percent. A Pearson Product Moment Correlation Coefficient was performed to determine if a correlation existed between the skin and the silicone samples at the p < or = .05 level.

RESULTS

The highest correlation was found in the b* dimension for silicone thicknesses of 1 to 4 mm. For silicone thicknesses of 6 to 10 mm, the highest correlation was found in the L* dimension. All three dimensions had positive correlations (R2 > 0), but only the 1-mm and 4-mm b* readings were very strong. Patient and silicone L*a*b* measurement results showed very little change in the a* axis, while the L* and b* measurements showed more change in their numbers, with changes in depth for all patient silicone samples. Delta E numbers indicated the lowest Delta E at the 1-mm depth and the highest Delta E at the 10-mm depth. All duplicated samples matched their original silicone samples to a degree that visual evaluation could not distinguish any color differences. Using volumetric measurements, a shade guide was developed for all 15 patients.

CONCLUSIONS

There was good correlation between the patient's colorimeter measurements and the silicone samples, with the b* color dimension the most reproducible, followed by the L* and the a*. Silicone samples at 6, 8, and 10 mm matched the patient the best, and this study showed that silicone samples can be duplicated successfully if a good patient-silicone match is obtained. Rayon flocking fibers and liquid makeup are effective at matching facial prostheses and can be used to develop a simple shade guide for patient application.

Evaluation of a new silicone elastomer for maxillofacial prostheses

PURPOSE

Although numerous advances in maxillofacial materials have been made in the past several years, the need for improvement continues. Currently, the most widely used materials are the silicones, especially the room temperature-vulcanizing type. This study compared the physical properties of a new silicone material Cosmesil K10 (Cosmedica Ltd, Cardiff, United Kingdom) with those of MDX4-4210 (Dow Corning Corporation, Midland, MI), a popular material for maxillofacial prostheses.

MATERIALS AND METHODS

The properties that were investigated were tensile strength, modulus at 100% elongation, percentage of elongation, tear strength, and hardness. The properties tested were selected because of their clinical significance for fabricating maxillofacial prostheses. Tensile strength and elongation were measured with a Monsanto Tensometer (Monsanto Ltd, Swindon, England) and dumbell-shaped specimens according to the International Organization for Standardization (ISO) specification no. 37. The tear test was performed on the Monsanto machine with unnicked 90 degree angle-shaped specimen following the ISO specification no. 34. The type A Shore durometer was used to measure hardness on specimens 25 x 25 x 10 mm according to the American Society for Testing Materials specification no. D2240.

RESULTS

The results showed that MDX4-4210 had a greater tensile strength and modulus (P = .0002; P = .0015). No significant difference (P = .1986) was found for the percentage of elongation between MDX4-4210 and Cosmesil K10. Cosmesil K10 had a greater tear strength and was slightly harder (P = .0022; P = .0421) than MDX4-4210.

CONCLUSIONS

Cosmesil K10 showed physical properties similar to those of MDX4-4210. An improvement in the predictability of the mechanical behavior of Cosmesil K10 would further enhance the value of the material.

An assessment of the physical properties and biocompatibility of three silicone elastomers

The physical properties of two room-temperature vulcanizing (RTV) silicones, A-2186 and Silbione 71556, and one high-temperature vulcanizing (HTV) material, Mollomed, were compared. The potential cytotoxicity of the silicone materials was assessed with the agarose overlay test. The properties that were investigated were tensile strength, percentage elongation, modulus, permanent set, tear strength, and hardness. The properties tested were selected because of their clinical significance for fabricating facial prostheses. The results of this study indicate that the A-2186 material has a better combination of high tear strength and elongation at break with a softer surface compared with Mollomed silicone, and Silbione 71556 silicone proved to be the weakest material. All materials demonstrated absence of cytotoxicity in the cell culture tests.

Effects of RTC-silicone maxillofacial prosthetic elastomers on cell cultures

The use of a wide variety of materials in the construction of maxillofacial prostheses makes biocompatibility testing a necessity. However, the dental literature contains few reports of biocompatibility testing of maxillofacial prosthetic materials. The cytotoxic profiles of five room-temperature cross-linking (RTC)-silicone elastomers were investigated by means of two in vitro cell culture techniques. Mouse fibroblast cells (L929) were used, and the results indicated that RTC-silicone elastomers adversely affected cells in culture and that storage of samples for 1 week in saline solution did not alter this effect. Clinical follow-up of patients wearing prostheses made of these silicone materials is warranted to evaluate host reactions in long-term contact with human mucous membrane and skin tissue.

In vitro evaluation of dental materials

Biocompatibility has been described as the ability of a material to perform with an appropriate host response in a specific application. Appropriate host response means no (or a tolerable) adverse reaction of a living system to the presence of such a material. An adverse reaction may be due to the toxicity of a dental material. Therefore toxicity may be regarded as one reason for nonbiocompatibility of a dental material. The toxicity of a dental material can be evaluated by in vitro tests, animal experiments and clinical trials. There exists a variety of different in vitro test methods. The most widely used biological systems for toxicity screening of dental materials are cell cultures. Cell cultures for toxicity screening of dental materials are valuable tools for understanding their biological behavior, if the limitations of the methods are taken into consideration, especially concerning the interpretation of the results. Further research should concentrate on better simulations of the in vivo situation in cell cultures. In this review the applications of various cell culture methods to evaluate the cytotoxicity of a wide range of dental materials, e.g. metals, alloys, polymers and cements, are described.

Some physical properties of an improved facial elastomer: a comparative study

An attempt was made to evaluate some properties of clinical importance of a new facial elastomer, Cosmesil HC2. A comparative study versus Silskin II and Cosmesil SM4 was also carried out and took into account the effect of weathering after exposure to ultraviolet radiation. The results showed that Cosmesil HC2 is a resilient material and yet displays good tensile characteristics. The results also showed that weathering does not significantly affect Cosmesil HC2 elastomer's tear strength. The overall effect of irradiation was moderate in all materials tested.

Effects of environmental factors on maxillofacial elastomers: Part III--Physical properties

The physical properties of four currently used and two recently introduced maxillofacial prosthetic materials were evaluated after the materials were subjected to the following seven environmental variables: natural weathering, normal aging, two types of adhesives, two types of cleaning agents and cosmetics. Ultimate tensile strength, percent elongation, tear strength, and Shore A hardness were evaluated. The physical properties recorded for the currently used materials were consistent with previous studies. Although the properties of the recently introduced materials were similar to those currently in use, one of the new materials, A-2186, showed high strength values, although it was one of the softest materials tested. Unfortunately, this new material lost these advantageous characteristics as it was weakened and made harder by most of the tested environmental variables.

Effects of environmental factors on maxillofacial elastomers: Part I--Literature review

Part I of a four-part report presents a comprehensive review of the literature pertaining to physical property testing of materials for facial and somatoprostheses. The report was conducted in preparation for testing four current maxillofacial elastomers: MDX 4-4210, Silastic 4-4515, Medical Adhesive type A, and Epithane-3, and two recently introduced materials: Silicone A-2186 and Silicone A-102.

A study of some mechanical properties of an RTV polydimethylsiloxane for extraoral maxillofacial prostheses

The construction of facial prostheses simulating the missing tissues as closely as possible is an imperative and demanding task. Such prostheses will be comprised of parts presenting different mechanical properties attempting to simulate facial tissues. In this study the mechanical properties of a room temperature vulcanized (RTV) silicone facial elastomer were modified, altering the molecular architecture by controlling the amount of cross-linking. A wide range of compliance was achieved which enables more lifelike facial prostheses to be made in clinical practice.

Properties of a modified cross-linked silicone for maxillofacial prostheses

A dimethyl siloxane-triacetoxy terminated silane, Type A adhesive, can be modified with the base component of a medium grade polydimethyl siloxane with vinyl groups, MDX 4-4210, to produce more pliable maxillofacial prostheses. The mechanical properties of samples with various Type A adhesive/MDX 4-4210 ratios were determined. Addition of the MDX 4-4210 base decreased the hardness, modulus, and ultimate tensile strength, while the percentage elongation increased. The initial tear strength was relatively constant for the various ratios except for the 50/50 mix, where a 50% decrease was observed. The ability to obtain different mechanical properties by using various ratios of Type A adhesive and MDX 4-4210 could result in the production of maxillofacial prostheses which will more closely stimulate the properties of facial tissues.

Polydimethyl siloxane materials in maxillofacial prosthetics: evaluation and comparison of physical properties

The need for more acceptable materials for use in maxillofacial prosthetics has long been recognized. In this study, the physical properties of several currently available polydimethyl siloxane materials were evaluated and compared with those of two previously tested materials. The properties chosen were tensile strength, elongation, tear strength, and hardness. These properties were chosen as indicators of the strength, flexibility, durability, and lifelike feel of the materials in clinical service. Testing procedures were intended to duplicate as nearly as possible those used by Chalian and Jones and to conform closely to ASTM specifications. In general, the physical properties of the five silicone materials tested in this study were superior to those of MDX-4-4210 and MDX-4-4514, tested previously. This superiority was particularly evident in terms of strength and elongation. Although the materials failed to demonstrate the softness of other materials, they may prove acceptable with the addition of available modifiers. Although no material was consistently superior to the others, potential merit is seen especially in Q7-4635 and SE-4524U. These materials exhibited high strength and softness and are available in one component system. Unlike the two-component addition chemistry systems, these materials have an indefinite pot life and are much more easily manipulated.(ABSTRACT TRUNCATED AT 250 WORDS)

Biostability of medical elastomers: a review

Biostability of synthetic elastomers used for manufacturing artificial replacements of human organs or their parts is a critical property of such materials as it determines the long-term function of a specific biomedical device. This paper presents a critical review of the present knowledge of biostability of elastomeric biomedical materials used as artifacts functioning under the simultaneous effects of dynamic flexing and contact with body fluids. The main topics discussed are silicone rubber, elastomers for artificial blood pumps, and the methodology of model fatigue-life testing.