Walker Mary P, Rondeau Meagan, Petrie Cynthia, Tasca Amy, Williams Karen
Department of Restorative Dentistry and Oral Biology, UMKC School of Dentistry, Kansas City, MO 64108, USA.
J Prosthodont. 2007 Sep-Oct;16(5):343-51. doi: 10.1111/j.1532-849X.2007.00206.x. Epub 2007 Jun 9.
The objectives of this investigation were to evaluate the effect of disinfection on surface quality and dimensional stability of more recent, reformulated vinylpolysiloxane (VPS) and polyether (PE) materials.
Using ANSI/American Dental Association (ADA) specification 19 protocols, 50 impressions of stainless steel dies were made with each material. Ten impressions of each material were randomly assigned to a treatment group: (1) no disinfectant; (2) 10-minute dual phenol immersion; (3) 1-hour dual phenol; (4) 10-minute sodium hypochlorite (NaOCl); and (5) 1-hour NaOCl. Impression surface quality immediately after disinfection was categorized as smooth/shiny, matte, or wrinkled/sticky. Dimensional stability was evaluated by measuring dimensional accuracy according to specification 19 after 24-hour, 1-week, and 2-week storage at ambient laboratory conditions.
The PE material surface quality was significantly affected (Pearson Chi-square, p<or= 0.05) by NaOCl with a mottled surface on 30% of the impressions after 10-minute immersion and a matte/sticky surface on 100% of the PE impressions after 1-hour immersion. Separate 2-factor analyses of variance (ANOVA) and Bonferroni post hoc tests of dimensional accuracy within each material indicated a significant difference (p<or= 0.05) between non-disinfected and disinfected PE impressions, which exhibited expansion. There were also significant differences (p<or= 0.05) in both VPS and PE dimensional accuracy as a function of measurement time related to increasing shrinkage over time in non-disinfected and disinfected impressions.
Despite PE expansion following disinfection and continued shrinkage of both the non-disinfected and disinfected VPS and PE impressions over a 2-week period, all dimensional accuracy measurements met the ADA standard, <or=0.5% dimensional change. Based on this evidence, neither NaOCl nor dual phenol disinfectants used for varying time periods adversely affected the dimensional stability of the more recent formulations of VPS and PE; however, Impregum PentaSoft PE surface quality appeared to be adversely affected by increasing exposure to NaOCl.
本研究的目的是评估消毒对更新的、重新配方的乙烯基聚硅氧烷(VPS)和聚醚(PE)材料的表面质量和尺寸稳定性的影响。
按照美国国家标准学会/美国牙科协会(ANSI/ADA)规范19的方案,用每种材料制作50个不锈钢模具的印模。每种材料的10个印模被随机分配到一个处理组:(1)不消毒;(2)双酚浸泡10分钟;(3)双酚浸泡1小时;(4)次氯酸钠(NaOCl)浸泡10分钟;(5)NaOCl浸泡1小时。消毒后立即将印模表面质量分为光滑/有光泽、哑光或起皱/发粘。在实验室环境条件下储存24小时、1周和2周后,根据规范19测量尺寸精度来评估尺寸稳定性。
PE材料的表面质量受到NaOCl的显著影响(Pearson卡方检验,p≤0.05),浸泡10分钟后,30%的印模表面有斑点,浸泡1小时后,100%的PE印模表面为哑光/发粘。对每种材料内尺寸精度进行单独的双因素方差分析(ANOVA)和Bonferroni事后检验表明,未消毒和消毒后的PE印模之间存在显著差异(p≤0.05),消毒后的印模出现膨胀。在未消毒和消毒后的印模中,VPS和PE的尺寸精度也因测量时间的不同而存在显著差异(p≤0.05),随着时间的推移,收缩率增加。
尽管消毒后PE印模出现膨胀,且未消毒和消毒后的VPS和PE印模在2周内持续收缩,但所有尺寸精度测量均符合ADA标准,尺寸变化≤0.5%。基于这些证据,不同时间段使用的NaOCl和双酚消毒剂均未对更新配方的VPS和PE的尺寸稳定性产生不利影响;然而,随着暴露于NaOCl时间的增加,Impregum PentaSoft PE的表面质量似乎受到了不利影响。