Effect of vulcanization temperature and dental stone colour on colour degradation of maxillofacial silicone elastomers

Frequently used extraoral maxillofacial prosthetic materials and their longevity - A comprehensive review

The longevity of an extraoral prosthesis depends on its physical and mechanical properties and user maintenance. Faced with multiple outcome measures, researchers find it difficult to determine the most appropriate extraoral prosthetic material. This comprehensive review evaluates the most used extraoral prosthesis materials and qualitatively assesses their longevity and function. The study aims to identify and interpret the results of current updates on the factors that affect longevity and functionality. This comprehensive review summarizes and evaluates differences in the properties of commonly used extraoral maxillofacial prosthetic materials. The review was planned to focus on all factors related to the longevity and function of the extraoral maxillofacial prosthetics. An electronic search covered English articles in PubMed, Scopus, Google Scholar, Web of Science, and grey literature. Manual searching was also performed. Six authors participated in the screening. Search engines extracted 1107 records, and 88 studies were included for qualitative and bias assessments. Silicones are the most frequently used extraoral maxillofacial prosthetic materials. Heat-cured silicones are more color-stable than those cured at room temperature. Additional ingredients and processing techniques affect prosthesis longevity.

A Systematic Review on Maxillofacial Prosthesis with Respect to Their Color Stability

The aim of this systematic review was to identify and analyze the findings of various studies that analyzed the changes in the color stability of maxillofacial prosthetic materials after the addition of various colorants and nanoparticles and assess the change in color after being subjected to either natural or artificial accelerated aging as well as outdoor aging. This systematic review was conducted in accordance with the guidelines of transparent reporting of systematic reviews and meta-analysis (PRISMA Statement). The primary objective of this systematic review was to evaluate the color stability of maxillofacial prosthesis. The secondary objective was to assess the effect of various colorants; pigments; opacifiers; UV absorbers-such as inorganic colorants (dry earth pigments); metal oxides; and organic colorants. The time period of the included studies extended from 2013 to 2023. Electronic database search identified a total of 217 studies. Ten studies were included to meet the research question. All 10 included studies analyzed the effect of various colorants and their exposure to various aging and weathering conditions. It was found that various pigments and nanoparticles had an effect on the color stability. Also weathering and aging conditions had a direct effect on the color stability as well. In terms of disinfection, although there was not much color difference observed, highest change in color stability was observed when rubbing or brushing of the prosthesis was carried out. In conclusion, the color stability of maxillofacial prosthetics is a critical factor that influences both patient satisfaction and the overall cosmetic look. The potential of pigments and nanoparticles to enhance the color stability of silicone-based maxillofacial prosthesis has received much research. By avoiding color fading and discoloration brought on by environmental variables including UV radiation, aging, and chemical exposure, the inclusion of various pigments and nanoparticles has been demonstrated to improve the color stability of silicone maxillofacial prostheses.

The Effect of Nano Zinc Oxide Particles on Color Stability of MDX4-4210 Silicone Prostheses

Objective  This article aimed to study the effect of different concentrations of nano zinc oxide particles on the color change of MDX4–4210 facial silicone elastomer after artificial aging.

Materials and Methods  Silicone specimens ( N = 150) were fabricated by incorporating intrinsic pigments and divided into three groups—white, yellow, and red, each group consisting of 50 specimens ( n = 50). In each color, specimens were subdivided into five subgroups according to the quantity of zinc oxide nanoparticles (0, 0.5, 1.0, 1.5, and 2.0% weight), where the 0% weight served as the control in each group. All specimens were then subjected to artificial aging using an accelerated aging machine chamber for 12, 24, 48, and 72 hours. L*a*b* values of specimens were noted after a different aging period by a spectrophotometer and ∆ E * was calculated.

Statistical Analysis  Two-way repeated analysis of variance (ANOVA) was done to examine the effects under test conditions (concentration and aging time) of each color group. Then color, concentration, and the aging period were subjected to three-way repeated ANOVA to investigate the effects of different colors and concentrations on ∆ E *. Bonferroni’s test was performed to identify differences between groups. The significant level was at p = 0.05.

Results  The control group showed significantly higher ∆ E * values than the test groups. The 1.5% test group showed significantly lower ∆ E * compared with the others. The 0.5 to 2.0% of nano zinc oxide significantly decreased the color change of the silicone elastomer ( p < 0.05), but there were no significant differences among groups.

Conclusions  Incorporation of 1.5% of nano zinc oxide can improve the color stability of silicone prosthesis (MDX4–4210).

In vitro study of effects of aging and processing conditions on colour change in maxillofacial silicone elastomers

Background

The inherent colour change in maxillofacial silicone elastomers becomes perceptible 6–12 months after fabrication. Determining the factors that accelerate the degradation of the prosthesis can help the clinicians increase its life span. Therefore, the aim of the study was to investigate the effect of time passage, processing temperature, and molding-stone colour on the colour change of maxillofacial silicone elastomers after darkroom storage for 6000 h.

Methods

A total of ten study molds, each incorporating ten specimen gaps were fabricated using five different colors of dental stones. The gaps were filled with coloured Cosmesil M511 maxillofacial silicone elastomer. Five of the study molds, one of each stone color, were processed at room temperature (25 °C) for 24 h while the remainder were vulcanized at 100 °C for 1 h. Two stainless-steel molds were also fabricated to obtain a total of twenty control-group specimens of the same dimensions that were processed under the same conditions as the study molds. Colour measurements of the vulcanized silicone samples were performed using a Konica Minolta spectrophotometer. Initial measurements were obtained after the blocks were removed from the molds and the final measurements were recorded 6000 h after storage in the dark at 25 °C and 40% relative humidity. The CIEDE2000 colour-difference formula was used to measure the changes in the colour. One-way and two-way ANOVA, and an independent-sample t-test were used for statistical assessments.

Results

For every group, the colour change exceeded the perceptible thresholds. Thus, either the vulcanization temperature or the colour of the molding stone has a significant effect on the colour change over time. Those samples vulcanized in green and white molding stones at 100 °C exhibited a significantly higher ∆L*, ∆a*, and ∆b* values relative to the samples vulcanized at room temperature.

Conclusion

The molding-stone colour and vulcanization temperature both affect the degree of colour change after storage in a dark environment. The L*, a*, and b* values for the maxillofacial silicone elastomers are influenced by the direction of the increase or decrease according to the selected colour. This effect varies as the temperature increases.