Polyvinyl Siloxane Impression Research Articles

Accuracy of intraoral versus desktop scanners used in digitizing polyvinyl siloxane impression for fabricating a CAD-CAM customized post and core.

This in vitro study aimed to compare the 3-dimensional (3D) accuracy of intraoral and desktop scanners when digitizing the post and core polyvinyl siloxane impressions. Ten extracted human teeth were prepared to build a post space in the root canal. Each tooth was scanned using a micro-computed tomography device (MCT), and the slice data were reconstructed as controls. A conventional quadrant polyvinyl siloxane impression was made and scanned thrice using an intraoral scanner (IOS) and a desktop blue-light scanner (IMS), with one of the scans randomly selected as the definitive cast. Precision was assessed by comparing the deviations among repeated scans. Trueness was evaluated by analyzing the deviations between the MCT and each definitive cast (MCT-IOS and MCT-IMS). The clinically acceptable root mean square (RMS) value was set to 50 µm. The mean RMS values of the repeated scans of IOS and IMS were 18.3 ± 3.9 µm and 13.9 ± 6.2 µm (P < 0.05), and the difference between them was 4.4 ± 5.9 µm. The mean RMS values of MCT-IOS and MCT-IMS were 28.3 ±3.0 µm and 31.3 ± 4.2 µm (P < 0.05), with a difference of 3.0 ± 2.9 µm. The RMS values were significantly lower than 50 µm (P < 0.05). The IOS showed slightly better trueness than the IMS but slightly lower precision. The precision and trueness of the two scanners for digitizing post and core impressions were acceptable for clinical application.

Effect of Implant Analog Design and Additively Manufactured Casts' Printing Layer Thickness on the Linear and Angular Accuracy of Analogs for Direct Digital Workflow: An In Vitro Study.

To evaluate how implant analog design and printing layer thickness affect the linear and angular accuracy of implant analogs in additively manufactured casts, comparing with conventional implant analogs in stone casts. A reference cobalt chromium mandibular model with a single implant was digitized with an industrial optical scanner and scan bodies compatible with a pressure/friction fit (S) or a screw-retained (N) implant analog for direct digital workflow. These scans were used to fabricate casts with 50 μm (S-50 and N-50) and 100 μm (S-100 and N-100) layer thickness (n&#61;10). Ten stone casts were made after single-step closed-tray polyvinylsiloxane impressions of the model (CNV). All casts were digitized with the same metal scan body and scanner used to digitize the master model, and these scans were superimposed over the scan of the master model to measure the linear (x, y, and z-axes) and angular (XY and YZ planes) deviations (Geomagic Control X). The precision of measured deviations was defined with the average deviation values. Generalized linear model analysis was used to compare the deviations within implant analogs for direct digital workflow, while 1-way analysis of variance and Dunnett's test were used to compare these analogs and conventional analogs (α &#61; .05) Results. The analog design affected the linear deviations (y-axis), while the interaction between the analog design and the layer thickness, and the analog design affected the angular deviations (XY plane, P ≤ .030). S analogs had lower linear and angular deviations than N analogs, and S-50 led to lower angular deviations than N-50 (P ≤ .030). CNV led to higher linear accuracy (y-axis) than N-50, N-100, and S-100 and led to lower angular deviations than all test groups (XY plane) (P ≤ .025). The analogs in S-50 casts had positional trueness similar to or higher than those in other test groups and their accuracy was mostly similar to those in CNV casts. Implant analogs for direct digital workflow deviated more towards lingual and gingival, and conventional analogs deviated more towards buccal, occlusal, and distal. All analogs had a tendency to tilt towards lingual and distal.

Characterization of spent nuclear fuel canister surface roughness using surface replicating molds

In this study we present a replication method to determine surface roughness and to identify surface features when a sample cannot be directly analyzed by conventional techniques. As a demonstration, this method was applied to an unused spent nuclear fuel dry storage canister to determine variation across different surface features. In this study, an initial material down-selection was performed to determine the best molding agent and determined that non-modified Polytek PlatSil23-75 provided the most accurate representation of the surface while providing good usability. Other materials that were considered include Polygel Brush-On 35 polyurethane rubber (with and without Pol-ease 2300 release agent), Polytek PlatSil73-25 silicone rubber (with and without PlatThix thickening agent and Pol-ease 2300 release agent), and Express STD vinylpolysiloxane impression putty. The ability of PlatSil73-25 to create an accurate surface replica was evaluated by creating surface molds of several locations on surface roughness standards representing ISO grade surfaces N3, N5, N7, and N8. Overall, the molds were able to accurately reproduce the expected roughness average (Ra) values, but systematically over-estimated the peak-valley maximum roughness (Rz) values. Using a 3D printed sample cell, several locations across the stainless steel spent nuclear fuel canister were sampled to determine the surface roughness. These measurements provided information regarding variability in normal surface roughness across the canister as well as a detailed evaluation on specific surface features (e.g., welds, grind marks, etc.). The results of these measurements can support development of dry storage canister ageing management programs, as surface roughness is an important factor for surface dust deposition and accumulation. This method can be applied more broadly to different surfaces beyond stainless steel to provide rapid, accurate surface replications for analytical evaluation by profilometry.

Accuracy of polyether and vinylpolysiloxane impressions when using different types of 3D-printed impression trays - an in vitro study.

To investigate dimensional accuracy of polyether (PE) and vinylpolysiloxane (VPS) impressions taken with manually fabricated and 3D-printed trays. To evaluate impression accuracy, highly precise digital data of a metallic lower jaw model with prepared teeth (regions 34 and 36), an implant (region 47) and three precision balls placed occlusally along the dental arch served as reference. PE (Impregum, 3M Oral Care) and VPS (Aquasil, Dentsply Sirona) impressions (n = 10/group) were taken with trays fabricated using different materials and manufacturing techniques (FDM: filament deposition modeling, material: Arfona Tray, Arfona; printer: Pro2, Raise3D; DLP: digital light processing, material: V-Print Tray, VOCO, printer: Max, Asiga; MPR: manual processing with light-curing plates, material:LC Tray,Müller-Omicron) including an open implant impression. Scans of resulting stone models were compared with the reference situation. Global distance and angular deviations as well as local trueness and precision for abutment teeth and scan abutment were computed. Possible statistical effects were analyzed using ANOVA. Clinically acceptable global accuracy was found (all mean absolute distance changes < 100μm) and local accuracy for single abutments was excellent. All factors (abutment type, impression material, tray material) affected global accuracy (p < 0.05). In particular with PE impressions, MPR trays led to the best accuracies, both in horizontal and vertical direction. Within the limitations of this in vitro study, impression accuracy was high in use of both polyether and vinylpolysiloxane combined with different 3D-printed and customized trays making them recommendable for at least impressions for smaller fixed dental prostheses. Manually fabricated trays were overall still the best choice if utmost precision is required. Based on the results of this study, use of innovative CAD-CAM fabrication of individual impression trays fulfills the perquisites to be a viable option for impression making. In the sense of translational research, performance should be proved in a clinical setting.

In vitro Evaluation of Implant Impression Techniques and Elastomeric Materials: A Comparative Dimensional Accuracy Study

Abstract Context: Dimensional precision in implant impression. Aims: The purpose of this study was to comparatively evaluate the dimensional accuracy of two implant impression techniques with two different variants of vinyl polysiloxane impression material. Material and Methods: The edentulous mandible reference model was fabricated in clear resin. In the anterior region of the mandibular ridge, three dummy implants were placed in a spread-out configuration. Impressions were made using two elastomeric impression materials and two impression techniques using customised impression trays. Finished casts were then divided into four groups having four samples each. The mean centre-to-centre distances between adjacent analogues (in sample casts) and between adjacent implants (in the control cast) were measured with the help of a profile projector. Statistical Analysis Used: Data were analysed using Student’s t-test. Results: The open-tray technique showed more accurate results with a combination of medium body and light body, whereas in the closed tray technique, mono-phase vinyl polysiloxane appeared to be a better option. Amongst all, mono-phase with closed tray provided statistically significant results. P &lt; 0.05 in Group C and other group’s P ≥ 0.05. Conclusions: Within the limitations of this study, both implant impression techniques appeared to be equally accurate depending on clinical conditions, temperature and time of the procedure. However, mono-phase impression material with closed tray provided statistically significant results.

A method of impressing flabby ridge

Flabby ridge remained a challenge in dental clinical practice to obtain an accurate impression for edentulous patients. During the traditional impression making process, the excessive and displaceable soft tissue are usually compressed. In this article, we presented an impression method by using a modified special stock tray, impression compound and polyvinyl siloxane impression materials.•the suitable stock tray was modified with holes about 5 mm diameter in the corresponding area to the crest of the flabby ridge.•the primary impression was made by position the modified tray with the softened compound impression on the edentulous ridge, avoiding the area of the flabby ridge.•the final accurate impression was obtained by using the light body polyvinyl siloxane impression material.

In vitro evaluation of the impact of intraoral scanner, scanning aids, and the scanned arch on the scan accuracy of edentulous arches.

To assess the accuracy of complete maxillary and mandibular edentulous arch scans obtained using two different intraoral scanners (IOSs), with and without scanning aids, and to compare these results to those obtained using conventional impression methods. Two IOSs were used (TRIOS 4 [TRI] and Emerald S [EMR]) to scan maxillary and mandibular typodonts. The typodonts were scanned without scanning aids [TRI_WSA and EMR_WSA groups] (n = 10). The typodonts were then scanned under four scanning aid conditions (n = 10): composite markers [TRI_MRK and EMR_MRK groups], scanning spray [TRI_SPR and EMR_SPR groups], pressure indicating paste [TRI_PIP and EMR_PIP groups], and liquid-type scanning aid [TRI_LQD and EMR_LQD groups]. Conventional impressions of both arches were also made using irreversible hydrocolloids in stock trays [IHC] and using polyvinyl siloxane (PVS) impression material in custom trays (n = 10) which were digitized using a laboratory scanner. Using a metrology software program, all scans were compared to a reference scan in order to assess trueness and to each other to assess precision. Trueness and precision were expressed as the root mean square (RMS) of the absolute deviation values and the statistical analysis was modeled on a logarithmic scale using fixed-effects models to meet model assumptions (α = 0.05). The main effect of arch (p = 0.004), scanner (p < 0.001), scanning aid (p = 0.041), and the interaction between scanner and scanning aid (p = 0.027) had a significant effect on mean RMS values of trueness. The arch (p = 0.015) and scanner (p < 0.001) had a significant effect on the mean RMS values of precision. The maxillary arch had better accuracy compared to the mandible. The TRIOS 4 scanner had better accuracy than both the Emerald S scanner and conventional impressions. The Emerald S had better precision than conventional impressions. The scanning spray and liquid-type scanning aids produced the best trueness with the TRIOS 4 scanner, while the liquid-type scanning aid and composite markers produced the best trueness for the Emerald S scanner. The scanned arch and the type of scanner had a significant effect on the accuracy of digital scans of completely edentulous arches. The scanning aid had a significant effect on the trueness of digital scans of completely edentulous arches which varied depending on the scanner used.

Fracture resistance of endodontically treated root obturated with different root canal sealers( A comparative in vitro study)

Aim: The aim of this study is to evaluate and compare the fracture resistance of endodontically treated root obturated with four different root canal sealers.. Methods: Sixty extracted palatal root of upper molars were collected and sectioned to get a 11mm root length. All root canals were instrumented using edge endo X7 system rotary files and 35# size was the final size used to finish all the canals. After instrumentation the samples were divided into four groups of 15 samples in each according to the type of sealer used, a single cone obturation technique was used: Group 1: obturated with AH Plus sealer and gutta-percha. Group 2: obturated with Neosealer BC sealer and gutta-percha. Group 3: Obturated with MTA-Fillapex sealer and gutta-percha. Group 4: Obturated with OneFill BC sealer and gutta-percha. After incubation period of 7 days at 37°C and 100% humidity the samples covered with thin layer polyvinylsiloxane impression material to simulate a periodontal membrane and then molded in acrylic blocks so as to set the samples ready for fracture resistance test using universal testing machine at a cross head speed of 0.5mm/min., One-way ANOVA and Posthoc tests assessed the data statistically. Results: The results showed that fracture resistance was significantly higher in those canals that were filled with Neosealer BC sealer (69.90N) in comparison to the other different sealers used in the study (p≤0.05). Conclusion: Under the condition of this study, the following conclusions can be derived: The application of any root canal sealers resulted in an enhancement of the resistance to fractures in teeth that have undergone endodontic treatment. Neosealer Bioceramic sealer group showed the highest fracture resistance than other groups. Followed by Onefill bioceramic, MTA Fillapex and Ah plus.

Fracture Resistance of Posterior Milled Nanoceramic Crowns after Thermomechanical Aging.

Fracture resistance is an important parameter used to predict the performance of indirect dental restorations. The purpose of this in vitro study was to assess the fracture load of posterior milled nanoceramic crowns, in comparison with the lithium disilicate crowns, after fatigue loading, for two different restoration occlusal thicknesses. Forty test metal dies were fabricated by duplicating a master metal model consisting of an anatomic abutment preparation of the maxillary first premolar for a single crown. The dies were divided into two groups of 20 each for the fabrication of nanoceramic (Lava Ultimate) and lithium disilicate (IPS e.max CAD) single crowns. Each material group was further divided into two sub-groups of 10 dies each, based on crown occlusal thickness, of 0.5-mm and 0.75-mm (n = 10). Dental Type V stone dies poured from polyvinyl siloxane impressions of the test metal dies were laboratory scanned in order to design and mill 40 ceramic crowns. The crowns were cemented on to the test metal dies with a self-adhesive resin luting cement. All crowns were thermocycled (2500 cycles) and mechanically loaded (250,000 cycles) in a chewing simulator followed by static loading until failure, and the values noted. The data were statistically analyzed by 2-way ANOVA and Tukey HSD post-hoc multiple comparison tests (α = 0.05). The mean fracture loads ranged from 1022 to 1322 N for nanoceramic crowns and from 1145 to 1441 N for the lithium disilicate crowns. Two-way ANOVA revealed insignificant differences between the nanoceramic and lithium disilicate crowns (p > 0.05) in terms of fracture load. Significant differences were noted in the fracture resistance of crowns based on occlusal thickness (303 N; p = 0.013) regardless of the material used. Multiple comparisons by Tukey HSD post-hoc test showed insignificant differences between the four material-occlusal thickness groups (p > 0.05). The nanoceramic crowns were found to be comparable with lithium disilicate crowns in terms of fracture load. The mean fracture loads of all of the tested crowns were within the normal physiological masticatory load limits. Based on the fracture-resistance results, nanoceramic crowns seem to be suitable for clinical use for the tested occlusal thicknesses.

Digital Evaluation of Trueness and Precision of Modern Impression Materials in Implant- Retained Mandibular Overdentures.

The purpose of this in vitro study was to evaluate the dimensional accuracy, trueness, and precision of vinyl siloxane ether (VSXE) and polyvinylsiloxane (PVS) impression materials using different impression techniques. A three-dimensional (3D) printed mandibular model with implants and metal rods served as the reference model. Impressions were taken in custom trays, resulting in four groups: PVS-closed-tray, VSXE-closed-tray, PVS-open-tray, and VSXE-open-tray. The reference model and impressions were scanned and analyzed using 3D analysis software to assess the trueness and precision within each group. There was significant difference in trueness between the groups, with PVS closed tray showing a higher deviation than VSXE-closed-tray and PVS-open-tray. VSXE-open-tray had the lowest deviation, which was statistically significant. In terms of precision, PVS-closed-tray showed the highest deviation, while no significant differences were found among the other groups. VSXE impression material with an open tray technique consistently demonstrated the highest levels of accuracy and precision. Conversely, PVS impression material with a closed tray technique yielded less favorable results. Better understanding of trueness and precision of new impression materials with new impression techniques will increase their clinical effectiveness.

Food impaction on three-dimensional printed models with periodontal ligament simulation.

This study aims to evaluate food impaction on three-dimensional (3D) printed models with periodontal ligament simulation. Based on a commercial typodont pair, 3D maxillary and mandibular models were created with no teeth and with tooth sockets that were 1 mm wider than the original ones from 24 to 27 or 34 to 37 for periodontal ligament simulation with vinyl polysiloxane impression material. In total, 35 pairs of 7 combinations, including maxillary/mandibular typodonts in occlusion with maxillary/mandibular 3D models with/without a distal gap of canines on 3D models (tooth 23 or 33) were mounted on hinge articulators and divided into seven groups (n = 5). Each sample experienced the same manual chewing simulation on a customized device. The proximal surfaces were photographed to measure the percentage of food impaction area using ImageJ software. Group with fixed maxillary and mandibular teeth showed more food impaction than other groups with significant differences in the average of maxilla and the average of all proximal areas. The flexibility of the periodontal ligament and the degree of freedom of the teeth in their sockets may contribute to the extent of food impaction in proximal spaces.

A Newly Formulated Vinyl Polysiloxane Impression Material with Improved Mechanical Properties.

To evaluate the mechanical properties of a newly formulated vinyl polysiloxane (VPS) impression material. Experimental, Capture (S&C Polymer), Express, Imprint 3 and Imprint 4 (3M ESPE), Start VPS (Danville), Honigum (DMG), Virtual (Ivoclar Vivadent), Elite HD+ (Zhermack) were evaluated for tear strength, tensile strength, and elongation at break. Un-nicked specimens with a 90° angle on one side (type C) for tear strength were prepared and tested according to ASTM-D624. Dumbbell-shaped specimens (type 1) for tensile strength and elongation at break were prepared and tested according to ISO 37. All tests were carried out at 500 mm/min on a Shimadzu (AGS-X-10 KN-table top) tester. A one-way analysis of variance (ANOVA) was used to analyze the data. Experimental material showed significantly higher or higher tear strength and elongation at break compared to other impression materials for both light body (LB) and heavy body (HB). For tensile strength, Experimental is similar to most impression materials; however, significantly lower than Imprint 3 and Start VPS for LB. This parameter for HB is higher or significantly higher than other impression materials except Start VPS. Tear strength and tensile strength were not correlated for LB but have a weak or moderate correlation for HB. Elongation at break is inversely proportional to tensile strength moderately for LB; however, there is no or very weak relation for HB. Experimental VPS impression material demonstrated a significantly higher tear strength and adequate tensile strength with higher elongation compared to other commercially available VPS impression materials. Adequate mechanical properties can provide accurate impressions for successful clinical fabrication of restorations. Experimental VPS impression material is suitable for use in dental impressions for fabrication of restorations.

Trueness of maxillomandibular relationship in 3D-printed and conventional casts

ObjectivesTo compare the trueness of maxillomandibular relationship between articulated 3D-printed and conventional diagnostic casts in maximum intercuspation (MIP). MethodsReference casts were articulated in MIP, and scanned using a Coordinate Measurement Machine (CMM, n = 1). Digital scans were made from the reference casts by using an intraoral scanner (IOS, n = 10) (Trios 4; 3Shape A/S). IOS scans were processed to create 3D-printed casts by using MAX UV385 (Asiga) and NextDent 5100 (3DSystems) 3D-printers. The conventional workflow implemented vinylpolysiloxane (VPS) impressions and Type IV stone. Stone and 3D-printed casts were articulated and digitized with a laboratory scanner (E4; 3Shape A/S). The 3D-printed casts were scanned on two occasions: with and without positioning pins. Inter-arch distances and 3D-contact area were measured and compared. Statistical tests used were Shapiro-Wilk, Levene's, Welch's t-test, and 2-way ANOVA (α=0.05). ResultsIOS group showed similar or better maxillomandibular relationship trueness than stone casts and 3D-printed casts (p < 0.05). 3D-contact area analysis showed similar deviations between 3D-printed and stone casts (p > 0.05). The choice of 3D-printer and presence of positioning pins on the casts significantly influenced maxillomandibular relationship trueness (p < 0.05). ConclusionsArticulated 3D-printed and stone casts exhibited similar maxillomandibular relationship trueness. Clinical SignificanceAlthough 3D-printing methods can introduce a considerable amount of deviations, the maxillomandibular relationship trueness of articulated 3D-printed and stone casts in MIP can be considered similar.

Dimensional Stability of Additively Manufactured Dentate Maxillary Diagnostic Casts in Biobased Model Resin.

This study aimed to evaluate the dimensional stability of maxillary diagnostic casts fabricated from a biobased model resin, which consists of 50% renewable raw materials for sustainable production, a model resin, and stone, over one month. A master maxillary stone cast was digitized with a laboratory scanner to generate a reference file. This master cast was also scanned with an intraoral scanner to additively manufacture casts with a biobased model resin (BAM) and a model resin (AM). Polyvinylsiloxane impressions of the master cast were also made and poured in type III stone (CV) (n = 8). The same laboratory scanner was used to digitize each model one day (T0), 1 week (T1), 2 weeks (T2), 3 weeks (T3), and 4 weeks (T4) after fabrication. Deviations from the reference file were calculated with an analysis software and analyzed with generalized linear model analysis (α = 0.05). The interaction between the material and the time point affected measured deviations (p < 0.001). Regardless of the time point, CV had the lowest and AM had the highest deviations (p < 0.001). BAM mostly had lower deviations at T0 and mostly had higher deviations at T4 (p ≤ 0.011). AM had the highest deviations at T4 and then at T3, whereas it had the lowest deviations at T0 (p ≤ 0.002). The measured deviations of CV increased after each time point (p < 0.001). BAM casts had deviations within the previously reported clinically acceptable thresholds over one month and had acceptable dimensional stability. Therefore, tested biobased resin may be a viable alternative for the sustainable manufacturing of maxillary diagnostic casts that are to be used clinically.

A Clinical Comparison of Dental impression accuracy between One-step and Two-step Dual phase impression technique by using Polyvinyl Siloxane Impression Material.

Objective:: The objective was to assess the number of visible defects within impression made by two different techniques. Methodology: This was comparative cross-sectional study was conducted between June 2019 to December 2019 at out patient department of Institue of dentistry, LUMHS Jamshoro. Two impressions were made from 53 crown preparation by using one step and two step dual phase impression techniques. Totaling to 106 impressions. Polyvinyl Siloxane impression material was used with each technique. Evaluation of impressions were made for tears, voids and bubbles and impression were compute as acceptable (A or B) and unacceptable (C or D). Result: There was no significant difference seen in proportion of overall evaluation of two impression technique, as compared by using “Chi-square test”. Conclusion: Insignificant difference was seen b/w one step and two step dual phase impression techniques. Keywords: One step impression technique, two step dual phase impression technique, dimensional accuracy.

The Accuracy of Casts Obtained Using Different Impression Techniques and Impression Materials in Combined Parallel and Angulated Implants: An In Vitro Study.

Aim The aim of this in vitro study was to evaluate and compare the accuracy of casts made from two elastomeric impression materials (polyvinyl siloxane (PVS) and vinylsiloxanether (VSE)) using different impression techniques on parallel and angulated implants. Materials and methods The reference model was fabricated using auto-polymerizing acrylic resin on which three implant analogs were placed of which two were parallel to each other and the third at 20-degree mesial angulation. A total of 60 impressions were madeof which 30 were by using PVS and 30 by VSE. For each material, 10 impressions were made by closed tray technique, 10 by open tray techniqueand 10 by open tray with sandblasting and adhesive coating of the impression copings technique. The inter-analog distances of the casts obtained were evaluated and compared with the reference model by a vision measuring machine. Data were analyzed using analysis of variance (ANOVA), Tukey's Honest Significant Difference (HSD) post hocand independent samples t-test. Results When the inter-analog distances of the duplicate casts were compared with the reference model, the mean error rates for parallel implants decreased in the order of closed tray technique, open tray technique and open tray with sandblasting and adhesive coating of the impression copings technique for both PVS and VSE impression materials. Similarly, the same order was observed for angulated implants for both impression materials. Using the closed tray technique, there was no statistically significant difference in the accuracy of the cast between the two materials for parallel implants (P = 0.525) and also no significant difference between the two materials for angulated implants (P = 0.307). Similarly, there was no statistically significant difference in the accuracy of the cast between the two materials for parallel implants (P = 0.455) and also no significant difference between the two materials for angulated implants (P = 0.519) using the open tray technique. Whereas for the open tray with sandblasting and adhesive coating of the impression copings technique, VSE produced a more accurate cast than PVS for parallel implants and was statistically significant (P = 0.033); however, there was no significant difference between the two materials for angulated implants (P = 0.375). Conclusion For parallel implants, VSE by an open tray with sandblasting and adhesive coating of the impression copings technique produced a more accurate cast than PVS. For angulated implants, there was no significant difference between the two materials and it was only the technique that significantly affected the accuracy of the cast.

A comparative in vitro analysis of various temporization materials with respect to pulp chamber temperature changes during polymerization.

(1) To compare the temperature rise in the pulp chamber with different resin materials used for making provisional fixed partial dentures in anterior and posterior region while using Polyvinylsiloxane impression materials as matrix. (2) To identify a superior provisionalization material based on the amount of heat dissipated suitable for anterior and posterior provisional fixed partial denture fabrication. Temporary crowns and bridges are integral to Fixed Prosthodontics. It has been observed that conventional fixed prosthesis temporisation materials release heat due to the exothermic polymerisation reaction. When such a provisional material is directly let to set on a vital tooth, the heat transfer causes irreversible changes in the pulp tissue depending of the degree of change. Hence, this study observes amount of heat generation in various materials during temporisation procedure, by simulating similar conditions. Two Models were fabricated, one simulating missing lateral incisor (Model A) and another simulating missing first molar (Model B). Intact maxillary central incisors and canine for Model A and intact mandibular Second Premolar and Second Molar were selected to act as abutments. These abutment teeth were fitted with the tip of a K-type Thermocouple inside their pulp chambers and these were connected to a digital thermometer. Five temporisation materials were chosen for fabrication of temporary crowns through Direct technique. (1) polymethy methacrylate (Self Cure acrylic), (2) bisacryl composite (Protemp 4), (3) visible light cure urethane dimethacrylate (Revotec LC), (4) barium glass and fumed silica infused methacrylate (Dentsply Integrity) and (5)nano-hybrid composite (VOCO Structur 3). Ten observations were made for each provisional material on each model. During each observation, temperature rise was recorded at 30s interval from the time of application, through the peak and till a decrease in temperature is observed. Polyvinyl siloxane was used as matrix for all except light cure resin, where polypropylene sheet was used. Anova test used for statistical. ANOVA test revealed that there was a significant difference in the temperature changes associated with the provisional restorative materials used. Among the five, polymethy methacrylate (self cure resin) showed the maximum rise in temperature, followed by bisacryl composite (Protemp 4), visible light cure urethane dimethacrylate (Revotec LC), barium glass and fumed silica infused methacrylate (Dentsply Integrity) and nano-hybrid composite (VOCO Structur 3). There was no comparable difference between Model A and B but an overall reduction of temperature rise was observed in model B. VOCO Structur 3 showed the least temperature rise in the pulp chamber, and overall temperature rise was less for model B which can be attributed to the residual dentin thickness.

Effectiveness of Microwave Sterilization on Surface Roughness of Polyvinyl Siloxane Impression Material

Effectiveness of Microwave Sterilization on Surface Roughness of Polyvinyl Siloxane Impression Material

Alignment Efficiency of Two Archwires in Adolescents with Moderate to Severe Crowding

There is no consensus in clinical orthodontics on which aligning arch wire should be used at the initial stage of treatment. This randomized clinical trial evaluated the efficiency of multistranded Nitinol (Supercable) aligning arch-wire versus a standard arch-wire (Nitinol) in the first stage of orthodontic treatment in adolescents with severe crowding. Forty patients ages 12 to 17 with an Irregularity Index as proposed by Little between 5 to 17 mm were selected. Vinyl polysiloxane impressions (VPS) were taken before treatment (T1) at 6 weeks (T2) and 12 weeks (T3). Roth prescription .022 x .028 Edgewise brackets were bonded using light cure adhesive to the six anterior teeth of each dental arch and bands were placed on all first molars. Subjects were paired by gender and Irregularity Index into two groups of 20 each and assigned either to the control group (Nitinol) or the experimental archwire (Supercable). The predictor variables in this study were the type of archwire, type of dental arch and the time intervals. The outcome variable was the Irregularity Index score. The Irregularity Index was measured using 3D digital study models (e-models) and GeoDigm software from the VPS impressions taken at T1, T2 and T3. The data was analyzed with both a Two and Three-way Analysis of Variance (p≤0.05) to identify differences in the alignment of the maxillary and mandibular teeth and to determine differences between the two archwires. The Two and Three way ANOVA showed that there was a statistically significant difference (p≤0.05) in the alignment capabilities between the maxilla and the mandible. However, there was no evidence of a statistically significant difference (p=0.301) between NiTi and Supercable archwires at any time interval.

Comparative analysis of dimensional changes in autoclavable polyvinyl siloxane (PVS) impressions under various Sterilization/Disinfection Protocols: A randomized controlled trial

BackgroundImpressions that maintain their dimensional stability after autoclaving effectively control cross-infection and contamination resulting from a patient's oral secretions. PurposeThe study aimed to assess the dimensional stability of autoclavable polyvinyl siloxanes after disinfection and sterilization. MethodsA stainless steel metal model containing three full veneer crown preparations was fabricated according to ANSI/ADA specification No. 19. Reference grooves were established on the occlusal and axial surfaces of the abutments for accurate measurements. Forty impressions were created from the master model using single-step impression technique monophase polyvinyl siloxane material (AFFINIS, Coltene/Whaledent, Altstatten, Switzerland). The impressions were categorized into four groups: Group A (control, ten untreated impressions), Group B (ten disinfected impressions with 5.25 % sodium hypochlorite [NaOCl]), Group C (ten disinfected impressions with 2 % glutaraldehyde), and Group D (ten autoclaved impressions at 134 °C for 18 min). Subsequently, stone casts were produced using type IV gypsum products (Gelstone R, BK Giulini Chemie, Ludwigshafen/Rh., Germany). The dimensional accuracy of the obtained casts was assessed by measuring the inter-abutment measurements (between the abutments) and the intra-abutment measurements (diameter and height of the abutments). These measurements were performed using a universal measuring microscope (Olympus stereomicroscope B061 Imaging Corp. Tokyo, Japan) with a precision of 0.001 mm. The dimensions of the stone casts from the study groups were then compared to those of the control group. Data analysis was performed using a one-way ANOVA with a significance level of α = 0.05. ResultsAFFINIS impressions subjected to chemical disinfection in 5.25 % NaOCl and 2 % glutaraldehyde with different immersion times showed slight expansion in the intra- and inter-abutment measurements. The impressions autoclaved at 134 °C for 18 min showed slight shrinkage in the intra- and inter-abutment measurements. The dimensional change was statistically non-significant, and the percent of dimensional changes within the experimental groups was within the clinically accepted limit (α < 0.5). ConclusionAFFINIS polyvinyl siloxanes retain dimensional stability suitable for clinical use when subjected to chemical disinfection and steam autoclaving.