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      Effect of Chemical Disinfection on Surface Detail Reproduction and Dimensional Stability of a New Vinyl Polyether Silicone Elastomeric Impression Material

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          Abstract

          Background:

          Surface detail reproduction (SDR) and dimensional stability of elastomeric impression material play a crucial role in fixed prosthodontics.

          Aim and Objectives:

          The aim of this study was to compare the effect of chemical disinfection on SDR and dimensional stability of polyvinyl siloxane (PVS) and polyether (PE) with a new vinyl polyether silicone (VPES) elastomeric impression material.

          Materials and Methods:

          A stainless steel mold was made to fabricate the study specimens for nonaqueous PVS, PE, and VPES elastic dental impression materials. Single mix impression techniques with light- and heavy-body consistency of all three materials were used to prepare the test specimens. The specimens were immersed in glutaraldehyde (Cidex) 2.45% and sodium hypochlorite (Hypo) 3.0% disinfection for 15 min (T1) and 12 h (T2) immersion after which dimensional stability and SDR were recorded using stereomicroscope and digital Vernier caliper.

          Statistical Analysis:

          The data were analyzed using the one-way ANOVA, paired t-test, Kruskal–Wallis test, and Wilcoxon signed-rank test.

          Results:

          Dimensional stability at the T2 time interval showed a highly significant difference for control and glutaraldehyde groups ( P < 0.001), whereas a statistically significant difference for Hypo group ( P < 0.05). SDR of the three materials when compared at T1 time interval showed a statistically significant difference ( P = 0.015). A comparison between two disinfectants at T1 time interval revealed a highly significant difference ( P < 0.001), while at T2 interval significant difference was obtained ( P = 0.009).

          Conclusion:

          VPES impressions display acceptable dimensional stability and SDR for clinical use with immersion disinfection. Although some statistically significant differences in linear dimensional stability and semidefinite programming were observed among VPES, PE, and PVS, but the clinical impact of these differences is minor considering the overall accuracy of casts which was high.

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          Most cited references26

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          Infection control recommendations for the dental office and the dental laboratory. ADA Council on Scientific Affairs and ADA Council on Dental Practice.

          (1996)
          This report is based on the recommendations of the Centers for Disease Control and Prevention and other publications in the medical and dental literature. The recommendations here, which have been accepted by the ADA Council on Scientific Affairs and the ADA Council on Dental Practice, are intended to offer general guidance for dental offices and laboratories on infection control. They are not intended to establish a standard of care or industry custom, nor are they intended to deprive the dentist of the ability to exercise his or her professional judgment.
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            Impression materials: a comparative review of impression materials most commonly used in restorative dentistry.

            B. Rubel (2007)
            Impression materials are used to record intraoral structures for the fabrication of definitive restorations. Accurate impressions are necessary for construction of any dental prosthesis. The relationship between static and mobile oral structures must be reproduced accurately for an optimum cast. The more common types of impressions are used for fabricating diagnostic and master casts. Accurate impressions depend on identifying the applications that do or do not fit each material's characteristics. Materials used without adequate knowledge of their characteristics can impair a successful outcome. Often, the choice of impression materials depends on the subjective choice of the operator based on personal preferences and past experience with particular materials.
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              Carriage of oral flora on irreversible hydrocolloid and elastomeric impression materials.

              This study assessed the carriage and persistence of oral flora on irreversible hydrocolloid and elastomeric impression materials. In the first part of the study, a single isolate each of Streptococcus mutans, Escherichia coli, Staphylococcus aureus, and Candida albicans were inoculated onto each of two elastomeric and two irreversible hydrocolloid impression surfaces artificially created in vitro. Then the inoculum was discarded, samples of impression material (13 mm in diameter) were removed over a 5-hour period, and the remainder of viable organisms were estimated. In the second part of the study, impressions were made from 21 dentate and eight edentulous patients, and bacterial counts were estimated as described. The results showed twofold to fivefold retention of bacteria on the irreversible hydrocolloids compared with the elastomeric impression surfaces. With all impression materials, the number of viable bacteria retained within 5 hours decreased 65% to 98% except for the "disinfectant" irreversible hydrocolloid Blueprint Asept, which totally destroyed the organisms in less than 3 minutes. It is concluded that the total bacterial "load" on impression surfaces is relatively low and decreases rapidly after impression making. However, disinfection of impression surfaces should be mandatory to prevent cross-infection.
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                Author and article information

                Journal
                Contemp Clin Dent
                Contemp Clin Dent
                CCD
                Contemporary Clinical Dentistry
                Wolters Kluwer - Medknow (India )
                0976-237X
                0976-2361
                Jan-Mar 2020
                13 July 2020
                : 11
                : 1
                : 10-14
                Affiliations
                [1] Department of Prosthodontics and Crown & Bridge, Hitkarini Dental College and Hospital, Hitkarini Hills, Dumna Airport Road, Jabalpur, India
                [1 ] Department of Prosthodontics and Crown & Bridge, Government Dental College and Hospital, Medical Campus, Medical Square, Nagpur, India
                [2 ] Department of Conservative Dentistry, Hitkarini Dental College and Hospital, Hitkarini Hills, Dumna Airport Road, Jabalpur, India
                [3 ] Department of Pedodontics, Hitkarini Dental College and Hospital, Hitkarini Hills, Dumna Airport Road, Jabalpur, Madhya Pradesh, India
                [4 ] Department of Prosthodontics and Crown & Bridge, Harsaran Dass Dental College and Hospital, Ghaziabad, Uttar Pradesh, India
                Author notes
                Address for correspondence: Dr. Suryakant C. Deogade, 404-Shivgiri, Himalayan Empire, Fulmati Lay Out, Babulkheda, Nagpur - 440 027, Maharashtra, India. E-mail: dr_deogade@ 123456yahoo.co.in
                Article
                CCD-11-10
                10.4103/ccd.ccd_9_19
                7580758
                33110302
                10ef5697-9254-452e-af23-65dba1642d5b
                Copyright: © 2020 Contemporary Clinical Dentistry

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 02 January 2019
                : 19 December 2019
                Categories
                Original Article

                Dentistry
                glutaraldehyde,immersion disinfection,polyether,polyvinyl siloxane,sodium hypochlorite,vinyl polyether silicone

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