Al-Athel Moodhy S
Department of Prosthetic Dental Sciences, King Saud University, Riyadh, Saudi Arabia.
J Contemp Dent Pract. 2008 Sep 1;9(6):57-64.
The aim of this study was to investigate the effect selected variables have on the retention of irreversible hydrocolloid impression material in an impression tray.
To simulate custom impression trays, acrylic resin plates were fabricated from autopolymerizing tray resin and visible light-activated composite resin (VLC). A total of 240 plates of each material were fabricated. Half of the plates of each material were polymerized against baseplate wax and the other half against tinfoil. Specimens fabricated against wax were divided into four groups of 30 specimens each and were prepared as follows: Group 1 (control): plain, left untreated plates, Group 2: plates were perforated, Group 3: plates were coated with a tray adhesive, Group 4: plates were perforated and coated with adhesive. Specimens fabricated against tinfoil were also divided into four similar groups. Impression holders were prepared from autopolymerizing acrylic resin (AAR). Neocolloid (an irreversible hydrocolloid impression material) was mixed, applied to the tray plate, and seated over the impression holder. The test assembly was then placed in an incubator and allowed to set for 5 minutes. Tensile forces were applied to specimens using an Instron testing machine at a crosshead speed of 5 mm/min. The results were recorded in Kg/mm2. The mode of failure was recorded as either adhesive or cohesive. Data analysis was conducted using one-way analysis of variance (ANOVA) and the Scheffe post hoc tests (p<0.05).
The tensile bond strength of Neocolloid to AAR specimens fabricated against wax and specimens fabricated against tinfoil increased significantly when both methods of retention (perforation and adhesive) were applied. The same was observed with VLC specimens fabricated against wax and tinfoil. The best tensile bond strength of all specimens tested was obtained with the combination of VLC/tinfoil specimens having both methods of retention. Bond failure occurred at the Neocolloid-adhesive interface in all specimens.
Tray materials, type of spacers, and retention methods interacted to influence the tensile bond strength of irreversible hydrocolloid. The performance of the VLC resin fabricated against tinfoil spacer was consistently superior to AAR. Applying an adhesive to a perforated acrylic surface produced significantly greater tensile bond strength. All specimen failures occurred adhesively indicating a weak bond between the adhesive and the irreversible hydrocolloid impression material.
The results of this investigation suggested perforating custom trays, routinely applying irreversible hydrocolloid adhesive, and using a custom tray made from VLC resin that was fabricated against a tinfoil spacer is needed to achieve the maximum tensile bond strength during impression making.
本研究旨在调查所选变量对不可逆水胶体印模材料在印模托盘内固位的影响。
为模拟定制印模托盘,用自凝托盘树脂和可见光固化复合树脂(VLC)制作丙烯酸树脂板。每种材料共制作240块板。每种材料的一半板与基板蜡聚合,另一半与锡纸聚合。与蜡聚合制作的标本分为四组,每组30个标本,制备如下:第1组(对照组):未处理的 plain 板;第2组:板打孔;第3组:板涂托盘黏合剂;第4组:板打孔并涂黏合剂。与锡纸聚合制作的标本也分为四个类似组。用自凝丙烯酸树脂(AAR)制作印模托。将新胶体(一种不可逆水胶体印模材料)混合,涂覆于托盘板上,并放置在印模托上。然后将测试组件置于培养箱中5分钟使其凝固。使用Instron测试机以5mm/min的十字头速度对标本施加拉伸力。结果以kg/mm²记录。失效模式记录为黏附性或内聚性。采用单因素方差分析(ANOVA)和谢费尔事后检验进行数据分析(p<0.05)。
当同时应用两种固位方法(打孔和黏合剂)时,新胶体与和蜡聚合制作的AAR标本以及和锡纸聚合制作的标本之间的拉伸黏结强度显著增加。与蜡和锡纸聚合制作的VLC标本也观察到同样情况。所有测试标本中,采用两种固位方法的VLC/锡纸标本组合获得了最佳拉伸黏结强度。所有标本的黏结失效均发生在新胶体 - 黏合剂界面。
托盘材料、间隔物类型和固位方法相互作用,影响不可逆水胶体的拉伸黏结强度。与锡纸间隔物聚合制作的VLC树脂性能始终优于AAR。在打孔的丙烯酸表面涂覆黏合剂可产生显著更高的拉伸黏结强度。所有标本失效均为黏附性,表明黏合剂与不可逆水胶体印模材料之间的黏结较弱。
本研究结果表明,在制取印模过程中,需要对定制托盘打孔、常规应用不可逆水胶体黏合剂,并使用与锡纸间隔物聚合制作的VLC树脂定制托盘,以获得最大拉伸黏结强度。