Glenn E. Gordon

Dimensional stability and detail reproduction of irreversible hydrocolloid and elastomeric impressions disinfected by immersion.

STATEMENT OF PROBLEM Because irreversible hydrocolloid impressions imbibe blood and saliva, immersion rather than spray disinfection may be more effective. Polyether has been shown to be dimensionally sensitive to immersion disinfection. PURPOSE The aim of this study was to determine whether irreversible hydrocolloid and polyether impressions could be disinfected by immersion without sacrificing accuracy and surface quality. MATERIAL AND METHODS Impressions were made of a master mandibular arch containing a crown preparation. Changes between the master and working casts were assessed. Irreversible hydrocolloids (Jeltrate; Palgaflex), a polyether (Impregum F), and an addition silicone (President) were used. Disinfectants were an iodophor (Biocide), a glyoxal glutaraldehyde (Impresept de), and a phenol glutaraldehyde (Sporicidin). The control was without disinfection. Casts were formed in Type IV gypsum. The roughness of working dies was also recorded and an analysis of variance was used for statistical evaluation. Results. Casts from disinfected irreversible hydrocolloid and elastomeric impressions maintained accuracy for anteroposterior and cross arch dimensions where differences from the master was less than 0.1%. Buccolingual and mesiodistal dimensions of working dies (disinfected and control) were 6 to 8 microm larger than the master for addition silicones and 11 to 16 pm for polyethers. The occlusogingival dimension of dies for control and disinfected polyether was 9 pm longer than the master compared with -3 microm for addition silicone. The range of mean surface roughness of working dies made from irreversible hydrocolloids was 1.4 to 1.7 microm and ranged from 0.5 to 0.7 microm for elastomeric impressions. Conclusion. Immersion disinfection of Jeltrate material with iodophor and Palgaflex material with glyoxal glutaraldehyde produced casts and dies as accurate as the control. Control and disinfected elastomeric impression produced dies as clinically accurate and smooth as the master. Disinfection of irreversible hydrocolloid impressions with the glyoxal and phenol glutaraldehyde produced a surface smoother than controls.

The effect of tray selection on the accuracy of elastomeric impression materials

This study evaluated the accuracy of reproduction of stone casts made from impressions using different tray and impression materials. The tray materials used were an acrylic resin, a thermoplastic, and a plastic. The impression materials used were an additional silicone, a polyether, and a polysulfide. Impressions were made of a stainless steel master die that simulated crown preparations for a fixed partial denture and an acrylic resin model with cross-arch and anteroposterior landmarks in stainless steel that typify clinical intra-arch distances. Impressions of the fixed partial denture simulation were made with all three impression materials and all three tray types. Impressions of the cross-arch and anteroposterior landmarks were made by using all three tray types with only the addition reaction silicone impression material. Impressions were poured at 1 hour with a type IV dental stone. Data were analyzed by using ANOVA with a sample size of five. Results indicated that custom-made trays of acrylic resin and the thermoplastic material performed similarly regarding die accuracy and produced clinically acceptable casts. The stock plastic tray consistently produced casts with greater dimensional change than the two custom trays.

Effects of chemical disinfectants on the surface characteristics and color of denture resins

PURPOSE Because dentures are disinfected repeatedly and for various amounts of time, it was of clinical interest to determine whether chemical disinfectants altered the surface texture or inherent color. MATERIAL AND METHODS Five chemical disinfectants (Clorox, Banicide, Cidex-7, Biocide, and Multicide) in combination with five denture resins (Dentsply reline material, Hygenic HyFlo, Hygenic Perm, Lucitone 199, and Triad VLC reline resin) were evaluated at four different times of immersion (10 minutes, 30 minutes, 24 hours, and 7 days). Changes from baseline for surface roughness and color were recorded. Surface roughness data were recorded with a surface analyzer. Color data in CIE L*a*b* color space were measured with a colorimeter. Data were analyzed with repeated-measures analysis of variance and single-factor analysis of variance. RESULTS Although statistical differences were demonstrated among disinfectants and resins for both measured parameters, the magnitudes of change in color and roughness was most often clinically insignificant. CONCLUSIONS One disinfectant (Multicide) cannot be used on all five resins, and the remaining four disinfectants can be used on any of the five resins for up to a period of 30 minutes. All resins tested can be immersed in the four remaining disinfectants for up to 30 minutes without appreciable alteration to surface texture or color. Lucitone 199 resin can be immersed in any of the four disinfectants for up to 7 days without perceivable color change.

Effects of chemical disinfectants on surface characteristics and color of three fixed prosthodontic crown materials.

STATEMENT OF PROBLEM Dental restorations should reproduce similar optical effects as natural tooth structure to achieve a good color match. Mismatch can result in unsatisfactory shade matching. PURPOSE This study determined whether chemical disinfectants affected the surface texture and color of 3 fixed prosthodontic materials. MATERIAL AND METHODS Five chemical disinfectants (Clorox, Banicide, Cidex-7, Biocide, and Multicide) in combination with 3 restorative materials (Dicor, Vita VMK ceramometal porcelain, Midas ADA type III noble casting alloy) were evaluated at 4 different times of immersion (10 minutes, 30 minutes, 24 hours, and 7 days). Changes from baseline for surface roughness and color were evaluated. Surface roughness data were recorded with a surface analyzer and color data in CIE L*a*b* color space were measured with a colorimeter. Data were analyzed with repeated measures analysis of variance and single factor analysis of variance. RESULTS There were no statistical differences in surface roughness among disinfectants and restorative materials. However, there were statistical differences of changes in color, increase in deltaE and decrease in deltaL, among disinfectants and the noble casting alloy. CONCLUSION Only 2 of the 3 materials evaluated, Dicor and Vita VMK ceramometal porcelain, can be used with all 5 disinfectants up to 7 days of immersion. Three chemical disinfectants (Biocide, Clorox, and Multicide) caused clinically significant color changes with the noble casting alloy after 7 days of immersion.