Cavex ColorChange Research Articles

Comparative evaluation of the dimensional accuracy of two commercially available extended pour alginates and a conventional alginate impression material at various time intervals – An in vitro study

Because of its acceptable accuracy, affordable price, accessible availability, and simplicity of handling, alginate impression materials continue to be a crucial component of dental practice despite many developments.The purpose of this study was to evaluate and compare the dimensional accuracy of two commercially available extended pour alginates (Cavex ColorChange and Algeniux) and a conventional alginate impression material (Zelgan) at different time intervals. On a maxillary model (Columbia Dentoform, Long Island City, N.Y.) the canines and the first molars were replaced with metal dies. This was selected as the master model. A ‘+’ mark was inscribed on these metal dies to serve as a reference for measurements. A self-cure acrylic resin custom tray was fabricated such that it was positioned over the model in the same spatial relationship with equal amount of space between the tray and model every time an impression was made. A total of 180 impressions were made of the master model, 15 impressions with each material at four different time intervals; immediate, 30 minutes, 48 hours (2 days) and 120 hours (5 days) to obtain gypsum cast. Manufacturer recommended water/powder ratios and storage conditions were followed in the process. Following the designated storage time interval, the casts were poured in minimum expansion Type IV dental stone. Measurements were done with a coordinate measuring machine after 7 days when the casts were completely dry. To evaluate and compare the dimensional accuracy of materials across various time points, for each group, the mean and standard deviation were estimated and subjected to statistical analysis. Two Way Repeated Measure Analysis of Variance (ANOVA) was performed to determine if the dimensions differed significantly across groups with time. The pair wise analysis for materials and time points was performed using Tukey’s post-hoc test. The p value was taken as significant when less than 0.05.Across different time points, a minimum % change was observed at immediate time point, which gradually increased at 30 minutes and at 48 hour, but at 120 hour the % change was maximum for all dimensions. Among three groups, Cavex ColorChange material showed minimum % change across time points, whereas Zelgan group showed maximum % change across all dimensions. All the paired differences were statistically insignificant (p > 0.05) for Algeniux and Cavex ColorChange group. But for Zelgan group, the difference between all the pairs of time points were statistically significant (p < 0.05), except for the pair immediate vs. 30 minutes. These results suggest that Zelgan material showed significant changes after 30 min for all the dimensions.: The results revealed that both the extended pour alginates Cavex ColorChange and Algeniux produced dimensionally accurate casts at all time intervals while the conventional alginate, Zelgan was accurate only at immediate and 30-minute time interval. It was also observed that, among the 4-time intervals investigated, most accurate casts were obtained when the impressions were poured immediately.

Dimensional stability of stored extended-pour irreversible hydrocolloids materials

The purpose of this study was to evaluate the linear dimensional stability of four extended-pour irreversible hydrocolloids (EPIHs). Material and Methods: Five samples per material (Cavex ColorChange, Cavex Orthotrace, Jeltrate Plus, and Orthoprint) were prepared following the manufacturers’ instructions. The samples were prepared using a cylindrical matrix coupled with a nylon-polyamide ring. Two parallel, 25-mm equidistant lines were made on its surface following ANSI/American Dental Association (ADA) Specification 18 for plaster reproducibility and compatibility and Specification 19 for linear dimensional change. The samples were stored in an environment with a relative humidity of 70% (± 3) and temperature of 28°C (± 2). Photo images were obtained using a digital camera to record images for 120 hours, with a standardized distance of 80cm between the lens and the specimen. Adobe Photoshop CS3 software was used for the measurement of the recorded images. The measurements refer to the equivalent distance between the two parallel lines printed on the samples. Data were analyzed using one-way analysis of variance (ANOVA) and Tukey’s test for multiple comparisons between the means of the groups. Results: There was no statistically significant difference (p > 0.05) when EPIHs were compared at the same time of evaluation. Orthoprint, Cavex Orthotrace, and Cavex Colorchange presented with least dimensional stability up to 24 hours (p > 0.05) of storage, followed by Jeltrate Plus (48 hours). Conclusions: Storage of EPIHs for more than 24 hours for Cavex ColorChange and 48 hours for others EPIHs studied produces significant dimensional changes in the impressions stored at a humidity of 70% (± 3) and temperature of 28°C (± 2). Extended storage times produce large dimensional changes.

Dimensional stability of alginate molds scanned at different storage times

The aim of this study was to evaluate the precision and accuracy of molds made with four commercial brands of alginate scanned at different times using digital model analysis. Eighty molds of a standard Typodont were made using 4 types of alginate (CCC: Cavex Color Change; IA: Identic Alginate; HY5: Hydrogum 5 and JP: Jeltrate Plus). The molds were scanned at four times: immediately (T1), 24h (T2), 72h (T3) and 120h (T4) after molding. Measurements were taken in three dimensions: anteroposterior, transverse and vertical. Significant differences in dimensional changes were noted between the materials over time (p<0.05). Anteroposterior dimensional variation was noted between times, especially for IA and JP. For transverse and vertical variables, a difference was found between the groups, especially at 24 h, 72 h and 120 h. CCC presented significant dimensional shrinkage only at T120 (transverse). IA and JP presented larger dimensional distortions in the vertical measurements. The molding materials used were not dimensionally stable when evaluated after 120 hours of molding. However, such evidence suggests that alginates with longer storage time, such as Cavex Color Change, are more accurate than conventional alginates.

Linear dimensional stability of irreversible hydrocolloids with and without disinfection at different storage times

Irreversible hydrocolloids have been used in dental practice for decades and their pouring time has been suggested to be as short as possible; however the latest generation of alginates exhibit better properties, which could influence the fidelity of the casts. Objective: To evaluate the linear dimensional stability of stone casts obtained using two irreversible hydrocolloid brands (Cavex ColorChange and Jeltrate) after disinfection. Material and methods: Samples were divided into 16 groups (n = 10) according to brand, storage time and disinfection. Impressions were taken of a metallic master model made of stainless steel with two abutments. Cast models were obtained using type IV gypsum, after disinfection with sodium hypochlorite at 1% or without any disinfection followed by storage for four different times (immediate pouring, and after 24, 72 or 120 hours storage after obtaining the impressions) and the models were measured with a digital caliper. Data were submitted to ANOVA 3-way followed by Tukey’s test (α < 0.05). Results: A statistically significant difference was detected with Jeltrate Plus after 72 and 120 hours in storage (with and without disinfection), as well as Cavex without disinfection. Differences were found for Cavex with disinfection/24 hours storage, when compared to immediate pouring (P < 0.05). The alginates presented similar behavior regarding disinfection for the same time (P > 0.05). Conclusion: Storage longer than 24 hours affects the fidelity of casts. Disinfection does not promote significant alteration at any of the experimental times with either material.

Linear dimensional stability of irreversible hydrocolloids with and without disinfection at different storage times

Irreversible hydrocolloids have been used in dental practice for decades and their pouring time has been suggested to be as short as possible; however the latest generation of alginates exhibit better properties, which could influence the fidelity of the casts. Objective: To evaluate the linear dimensional stability of stone casts obtained using two irreversible hydrocolloid brands (Cavex ColorChange and Jeltrate) after disinfection. Material and methods: Samples were divided into 16 groups (n = 10) according to brand, storage time and disinfection. Impressions were taken of a metallic master model made of stainless steel with two abutments. Cast models were obtained using type IV gypsum, after disinfection with sodium hypochlorite at 1% or without any disinfection followed by storage for four different times (immediate pouring, and after 24, 72 or 120 hours storage after obtaining the impressions) and the models were measured with a digital caliper. Data were submitted to ANOVA 3-way followed by Tukey’s test (α < 0.05). Results: A statistically significant difference was detected with Jeltrate Plus after 72 and 120 hours in storage (with and without disinfection), as well as Cavex without disinfection. Differences were found for Cavex with disinfection/24 hours storage, when compared to immediate pouring (P < 0.05). The alginates presented similar behavior regarding disinfection for the same time (P > 0.05). Conclusion: Storage longer than 24 hours affects the fidelity of casts. Disinfection does not promote significant alteration at any of the experimental times with either material.

Evaluation of dimensional stability and details reproduction of alginate molds storage in different times and temperature

Objective: The aim of this study was to evaluate dimensional stability and detail reproduction in alginate molds stored at different times and temperatures. Material and Methods: Three different commercially available alginates (Cavex Color Change, Jeltrate Plus and Hydrogum 5) were tested at four different times (0 - control, 1, 3 and 5 days) and two temperatures (25ºC and 37ºC) (n=5). The alginates were handled following the manufacturer's instructions. The impression procedures occurred in an environment with controlled room temperature (25ºC) and relative humidity (50±5%). A metallic model (ISO 1563:1990) was used to perform the impressions. The tray containing alginate remained on the metallic model under constant pressure (2 kgf) until the alginate gelation process. The molds were stored (different times and temperatures) and analyzed in stereomicroscope at 30x magnification and 0.5 ?m accuracy (Olympus Measuring Microscope STM). The molds and the metallic model measurements were compared, and the data were statistically analyzed by Kolmogorov-Smirnov and three-way ANOVA tests, and the means were compared by Tukey test (5%). Results: The results showed no double interactions (p>0.05) and the different alginates presented statistically similar values of dimensional stability (p=0.102). However, 25ºC (temperature) and control group (time) showed the highest values of dimensional stability (p<0.05). Jeltrate Plus was the only material that presented inaccuracy in details reproduction. Conclusion: It is recommended that, for tested alginates, the stone casts should be poured immediately, even though the molds are dimensionally stable up to 5 days when stored at 25ºC. KeywordsDental impression materials; Dimensional measurement accuracy; Shrinkage.

Three-dimensional evaluation of extended pour alginate impression materials following variable storage time intervals and conditions

The purpose of this study was to assess and compare the dimensional accuracy of the stone casts made of three extended pour alginate impressions materials (Cavex Colorchange, Kromopan, and Neocolloid) following storage under different storage conditions and pouring at different time intervals. A maxillary Frasaco (dentulous) model was selected as a standard model. Index holes of 1 mm depth and 1 mm diameter were made on the palatal cusp tips of right and left first premolars, mesiopalatal cusp tips of right and left third molars and in the midline of the palate, perpendicular to a line joining the index holes made on cusp tips of the first premolars as reference points for measurement. A single uniformly spaced custom tray was fabricated with heat-cure acrylic resin and used to make impressions for the entire study. A total of 210 impressions of the master model were made, seventy impressions were made from each of the alginate material brands and were subjected to three storage conditions (open air, uncontrolled humidity, and 100% controlled humidity) for three different storage time intervals (0, 1, 6 h). Since no storage was done in the immediate-pour group, it contained 10 specimens from each brand. Following the designated storage time interval, all impressions were poured in type IV gypsum. Measurements of stone casts were done in three dimensions, anteroposterior, lateral using Measuroscope and vertical by Dial Gauge. Data were organized in tables and statistical analyses were performed. Three-way ANOVAs were used to check if the material brands, storage time intervals, and conditions affect the measurements. Tukey HSD post hoc tests were used for the multiple comparisons if ANOVA is significant. One sample t-test was used to compare between the casts made of alginate brands and the master model. Significance level was set to α < 0.05 for all tests. Results showed that the material brands, storage time intervals, and conditions do affect the measurements in all three dimensions (all P < 0.05). In addition, all two-way and three-way interactions were significant for all measurements except the interaction of storage time intervals and conditions for B-C (lateral) measurements, and interaction of material brands and storage time intervals for C-D (anteroposteriorly) measurements. When stone casts were compared to the master model, immediate pour, and storage for 1 h in 100% controlled humidity resulted in statistically insignificant changes among all three alginate impression brands. In addition, the specimens made of Cavex Colorchange and Kromopan following storage in uncontrolled humidity condition for 1 h showed statistical insignificance when compared to the master model. Within the limitations of this study, it can be extrapolated that, although this class of alginate impression materials was manufactured for extended pour purposes, clinicians should avoid storage of the studied brands for 6 h. Whenever 1 h to pour is necessary, 100% controlled humidity is the ideal and standardized environment for all three alginate brands. Perhaps, Cavex Colorchange, and Kromopan can be safely stored in uncontrolled humidity condition while maintaining their optimal dimensional accuracy.

Accuracy of partially edentulous arch impressions obtained from different alginates and storage times

This study aimed to assess the dimensional accuracy of five commercial alginates verified in stone casts. Methods: Each alginate impression (Cavex ColorChange, Cavex Holland BV; Jeltrate Plus, Dentsply; Hydrogum, Zhermack; Kromopan 100, Lascod; Ezact Kromm, Vigodent) was performed on partially edentulous standard stainless steel mandibular arch cast with reference points on teeth 33, 43, 37 and 47. On the stainless steel cast, the anteroposterior (33-37 and 43-47) and transverse (33-43 and 37-47) distances were measured in a stereomicroscope at 30x magnification and 0.5 μm accuracy. The distances between these points were measured three times, obtaining an average, which was analyzed statistically and compared with the distances obtained from the stone casts. For each alginate the casts were poured gypsum (n = 5) immediately and after a period of 1, 2, 3 and 5 days of the impression procedure. Results: The dimensional accuracy values of stone and stainless steel casts were analyzed statistically by two-way ANOVA and Tukey's test (α=0.05). The results showed significant differences between the alginates; however, no differences in dimensional accuracy were found among the different storage times of alginate impression. Conclusions: It can be concluded that the alginate impressions can be stored for up to 5 days.

Analysis of the dimensional stability of extended-storage irreversible hydrocolloids

The dimensional stability of alginates is poor when comparing to others materials and they should be poured immediately. The manufactures have launched new alginates, called extend-storage alginates, that purpose to be poured up to 5 days. The aim of this study was to evaluate the dimensional stability of two alginates dimensional stable (Cavex ColorChange and Hydrogum 5) and to do a comparative analysis with a conventional alginate (Jeltrate Plus). Materials and methods. It was used a standard model of acrylic resin representing an upper dental arch. Eight impressions were made for each alginate and three different storage times were used: 30 minutes, 48 hours and 96 hours. The distance between two parallels and fixed points in the molds were measured to analyze the dimensional change. The data was analyzed using SPSS 20.0 for windows. The level of significance was set at α=0,05. Results. For Cavex ColorChange and Hydrogum 5 alginates there was no statistically significant difference between the different storage times (p>0.05). Jeltrate Plus alginate suffered significant dimensional changes in different storage times. Although this study showed the delay to pour the mold for Hydrogum 5 and Cavex ColorChange, one can not neglect the care they require including adequate proportion of dust and water and keep the mold under good conditions of moisture. Conclusao. The results suggest that alginates Cavex ColorChange and Hydrogum 5 can be poured on up 96 hours and Jeltrate Plus should be poured immediately.

EXTENDED-STORAGE IRREVERSIBLE HYDROCOLLOID IMPRESSION MATERIALS

INTRODUCTION: There are many contingencies, so many dentists do not pour their own impressions immediately which clears the need for extended-storage alginate impression materials.OBJECTIVES: Evaluating and comparing three extended-storage alginate impression materials concerning their dimensional stability.MATERIALS AND METHODS: One hundred and eighty (180) specimens were prepared in accordance with ADA specification No. 18 using three extended-storage alginates; Hydrogum5 (Zhermack), Cavex ColorChange (Cavex) and Blueprint X Creme (Dentsply). Following to ADA specification No. 19 dimensional stability was evaluated directly at six intervals; 0, 24, 48, 72, 96 and 120 hours using 10 specimens/interval /material. Specimens for delayed evaluation, were stored moistened within sealed plastic bags in a dark room at 23 ±1oc.RESULTS: All impression materials showed initial expansion and ended with a net shrinkage. Cavex ColorChange showed the least dimensional changes. Dimensional changes of Cavex ColorChange, Hydrogum5 and Blueprint Xcreme ranged (0.14 - 0.59, 0.37 - 2.07 and 0.35 - 1.40% respectively).CONCLUSION: While Cavex ColorChange can be stored up to 120 hours without clinically significant dimensional changes, Hydrogum5 and Blueprint Xcreme should be poured immediately for the best results.

Evaluation of digital dental models obtained from dental cone-beam computed tomography scan of alginate impressions

ObjectiveTo investigate the dimensional accuracy of digital dental models obtained from the dental cone-beam computed tomography (CBCT) scan of alginate impressions according to the time elapse when the impressions are stored under ambient conditions.MethodsAlginate impressions were obtained from 20 adults using 3 different alginate materials, 2 traditional alginate materials (Alginoplast and Cavex Impressional) and 1 extended-pour alginate material (Cavex ColorChange). The impressions were stored under ambient conditions, and scanned by CBCT immediately after the impressions were taken, and then at 1 hour intervals for 6 hours. After reconstructing three-dimensional digital dental models, the models were measured and the data were analyzed to determine dimensional changes according to the elapsed time. The changes within the measurement error were regarded as clinically acceptable in this study.ResultsAll measurements showed a decreasing tendency with an increase in the elapsed time after the impressions. Although the extended-pour alginate exhibited a less decreasing tendency than the other 2 materials, there were no statistically significant differences between the materials. Changes above the measurement error occurred between the time points of 3 and 4 hours after the impressions.ConclusionsThe results of this study indicate that digital dental models can be obtained simply from a CBCT scan of alginate impressions without sending them to a remote laboratory. However, when the impressions are not stored under special conditions, they should be scanned immediately, or at least within 2 to 3 hours after the impressions are taken.

Characterization of morphology and composition of inorganic fillers in dental alginates.

Energy dispersive X-ray spectroscopy microanalysis (EDX), scanning electron microscopy (SEM), and Archimedes' Principle were used to determine the characteristics of inorganic filler particles in five dental alginates, including Cavex ColorChange (C), Hydrogum 5 (H5), Hydrogum (H), Orthoprint (O), and Jeltrate Plus (JP). The different alginate powders (0.5 mg) were fixed on plastic stubs (n = 5) and sputter coated with carbon for EDX analysis, then coated with gold, and observed using SEM. Volume fractions were determined by weighing a sample of each material in water before and after calcining at 450°C for 3 h. The alginate materials were mainly composed of silicon (Si) by weight (C—81.59%, H—79.89%, O—78.87%, H5—77.95%, JP—66.88%, wt). The filler fractions in volume (vt) were as follows: H5—84.85%, JP—74.76%, H—70.03%, O—68.31%, and C—56.10%. The tested materials demonstrated important differences in the inorganic elemental composition, filler fraction, and particle morphology.

Dimensional stability of contemporary irreversible hydrocolloids: Humidor versus wet tissue storage

The storage time and conditions of irreversible hydrocolloid impressions affect their accuracy and in turn the precision of the definitive cast. Recommendations for proper storage are, however, based on theoretical assumptions rather than facts. The purpose of this study was to assess the influence of the 2 most common storage conditions on the dimensional stability of 7 contemporary irreversible hydrocolloids (IH) for a period of up to 7 days. Twelve specimens per material (Blueprint, Cavex CA37, Cavex ColorChange, Jeltrate, Orthoprint, Cavex Orthotrace, and Tetrachrom) were fabricated according to ISO/CD 21563. The specimens were either stored in a humidor (n=6) or wrapped in a wet tissue (n=6) inside a plastic bag (bag/tissue). The linear dimensional change of the specimens was calculated (Δ| [%]) at baseline and after a storage time of 1, 2, 4, 24, 48, 72, 120, and 168 hours. Data were subjected to a repeated measures ANOVA, followed by post hoc comparisons (Tukey HSD Test, Games-Howell Test) at α=.05. For specimens stored in the humidor, Δ| ranged from 0.33% to -2.35% and in the bag/tissue from 2.89% to -2.8%. Storage in the bag/tissue resulted in the most unpredictable results. The color-changing IH showed a pronounced expansion when stored in the bag/tissue. If humidor storage is used, IH impressions should be poured within 4 hours. If bag/tissue storage is used, noncolor-change IH impressions should, preferably, be poured within 2 hours. In general, the color-change IHs studied had higher dimensional change values. For optimum dimensional stability, IH impressions should be poured as soon as possible.

Surface detail reproduction and dimensional accuracy of stone models: influence of disinfectant solutions and alginate impression materials

This study compared the surface detail reproduction and dimensional accuracy of stone models obtained from molds disinfected with 2% sodium hypochlorite, 2% chlorhexidine digluconate or 0.2% peracetic acid to models produced using molds which were not disinfected, with 3 alginate materials (Cavex ColorChange, Hydrogum 5 and Jeltrate Plus). The molds were prepared over matrix containing 20-, 50-, and 75-µm lines, performed under pressure with perforated metal tray. The molds were removed following gelation and either disinfected (using one of the solutions by spraying followed by storage in closed jars for 15 min) or not disinfected. The samples were divided into 12 groups (n=5). Molds were filled with dental gypsum Durone IV and 1 h after the start of the stone mixing the models were separated from the tray. Surface detail reproduction and dimensional accuracy were evaluated using optical microscopy on the 50-µm line with 25 mm in length, in accordance with the ISO 1563 standard. The dimensional accuracy results (%) were subjected to ANOVA. The 50 µm-line was completely reproduced by all alginate impression materials regardless of the disinfection procedure. There was no statistically significant difference in the mean values of dimensional accuracy in combinations between disinfectant procedure and alginate impression material (p=0.2130) or for independent factors. The disinfectant solutions and alginate materials used in this study are no factors of choice regarding the surface detail reproduction and dimensional accuracy of stone models.

Avaliação da citotoxicidade de quatro alginatos utilizados na Odontologia

The objective of this study was to evaluate the cytotoxicity of four different dental alginate. The four alginate were divided into four groups: Jeltrate, Tropicalgin, Cavex Color change and Qualitygel. Bodies of evidence were immersed in Eagle medium for 2 min, and then it was removed the supernatant and placed in contact with L929 fibroblasts. After staining, viable cells were counted. The results showed differences between groups CC and C- and the others.All experimental groups showed cytotoxicit

Accuracy and dimensional stability of extended-pour and conventional alginate impression materials

The authors conducted a study to determine if two irreversible hydrocolloid impression materials (Cavex ColorChange, Cavex Holland BV, Haarlem, Netherlands; Jeltrate Plus Antimicrobial Dustless Alginate Impression Material, Dentsply Caulk, Milford, Del.) stored for five days were dimensionally accurate. The authors modified Ivorine teeth (Columbia Dentoform, Long Island City, N.Y.) on a Dentoform model (1560 series model, Columbia Dentoform) to allow measurements of tooth and arch width. They made impressions and generated casts immediately and at five additional times. They recorded tooth and arch widths on the casts and compared the measurements with those for the standard model. Compared with measurements for the model, the greatest measured difference in casts was 0.003 inches for Cavex ColorChange (extended-pour alginate) and 0.005 inches for Jeltrate Plus Antimicrobial Dustless Alginate Impression Material (conventional alginate). The percentage of dimensional change ranged from -0.496 to 0.161 percent for the extended-pour alginate and from -0.174 to 0.912 percent for the conventional alginate. Results of analysis of variance and paired t tests indicated that when generated immediately and at day 5, casts produced from both impression materials were not statistically different from the standard model (P < .05). When stored properly, both alginate materials can produce accurate impressions at day 5 for diagnostic casts and for fabrication of acrylic appliances.