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过氧乙酸和十六烷基氯化吡啶消毒对可摘局部义齿材料的影响

Impact of Peracetic Acid and Cetylpyridinium Chloride Disinfection on Removable Partial Denture Materials.

作者信息

Freiria de Oliveira Carolina Alves, Macedo Ana Paula, Oliveira Viviane de Cássia, de Moraes Leonardo Guedes Silva, Tonin Bruna Santos Honório, Galo Rodrigo, Pagnano Valéria Oliveira

出版信息

Int J Prosthodont. 2025 Sep 16;0(0):1-21. doi: 10.11607/ijp.9470.

DOI:10.11607/ijp.9470
PMID:40957068
Abstract

PURPOSE

This in vitro study evaluated the effects of peracetic acid (PA, 0.25 mg/mL) and cetylpyridinium chloride (CPC, 0.5 mg/mL) solutions on the surfaces of heat-polymerized acrylic resin and cobalt-chromium alloy (Co-Cr).

MATERIALS AND METHODS

Heat-7 polymerized acrylic resin specimens, 90 (ᴓ1_4 × 3 m_m),_ 7_0 (65 × 10 × 3.3 mm), and 78 Co-Cr (ᴓ1_2 × 3 m_m) underwent daily 10-minute immersions for periods simulating roughly 3 years (8-23 days) or 5 years (13-38 days) in: distilled water (8/13 days), CPC 10 (23/38 days), or PA (8/13 days). Evaluated parameters for acrylic resin included: surface 11 r_o_u_g_h_n_e_s_s (R_a, μm),_ Knoop Hardness (HK, kgf/mm²), c_o_l_o_r c_h_a_n_g_e (ΔE),_ a_n_d f_l_e_x_u_r_a_l strength (MPa). For Co-Cr, were assessed: Ra, gloss change (ΔGU), and chemical degradation and surface topography using a scanning electron microscope (SEM). Data were analyzed by ANOVA, Wald Test, and Kruskal-W_a_l_l_i_s f_o_l_l_o_w_e_d b_y D_u_n_n's t_e_s_t _(_α = _0.05).

RESULTS

PA enhanced resin flexural strength. CPC induced minor resin discoloration post 3 years (p=0.015). For Co-Cr, after 5 years, roughness values rose significantly in both CPC and PA immersions, PA also enhanced corrosion resistance through the formation of a more stable passivation layer.

CONCLUSION

PA proved promising as a disinfectant for removable partial denture, suggesting a new clinical application due to its high oxidative potential. PA prosthesis disinfection in laboratories is recommended, considering positive impact on preserving mechanical properties and preventing metal alloy corrosion.

摘要

目的

本体外研究评估了过氧乙酸(PA,0.25毫克/毫升)和西吡氯铵(CPC,0.5毫克/毫升)溶液对热聚合丙烯酸树脂和钴铬合金(Co-Cr)表面的影响。

材料与方法

热聚合丙烯酸树脂试件,90个(直径14×3毫米),70个(65×10×3.3毫米),以及78个Co-Cr(直径12×3毫米),每天浸泡10分钟,浸泡时间模拟大约3年(8 - 23天)或5年(13 - 38天),浸泡于:蒸馏水(8/13天)、CPC 10(23/38天)或PA(8/13天)。评估丙烯酸树脂的参数包括:表面粗糙度(Ra,微米)、努氏硬度(HK,千克力/平方毫米)、颜色变化(ΔE)以及挠曲强度(兆帕)。对于Co-Cr,评估参数包括:Ra、光泽度变化(ΔGU),以及使用扫描电子显微镜(SEM)观察化学降解和表面形貌。数据通过方差分析、 Wald检验以及Kruskal-Wallis检验后进行Dunns检验(α = 0.05)分析。

结果

PA提高了树脂的挠曲强度。3年后,CPC导致树脂轻微变色(p = 0.015)。对于Co-Cr,5年后,在CPC和PA浸泡中粗糙度值均显著升高,PA还通过形成更稳定的钝化层提高了耐腐蚀性。

结论

PA被证明有望作为可摘局部义齿的消毒剂,因其高氧化电位而提示了一种新的临床应用。考虑到对保留机械性能和防止金属合金腐蚀的积极影响,建议在实验室中对PA进行义齿消毒。

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