Addition Silicone Impressions in Fixed Prosthodontics: Clinical Standpoints.

Addition silicones have revolutionized the field of fixed prosthodontics because of their dimensional stability, sufficient tear strength and excellent detail reproduction. This review study aims to provide a detailed description of the essential variables to be taken into account during the process of making addition silicone impressions in fixed prosthodontics. These variables include the selection of appropriate tray type, size, and fabrication; the use of tray adhesive; gingival displacement techniques; manipulation of the impression material; the choice of the impression material's viscosity; impression techniques; and the proper insertion, removal, disinfection, and pouring of the cast. Additionally, this review aims to help doctors produce high-quality impressions by empowering them to critically assess the impressions to spot mistakes and motivating them to redo impressions that have serious problems before submitting them to the laboratory.

Comparison of the elastic recovery and strain-in-compression of commercial and novel vinyl polysiloxane impression materials incorporating a novel crosslinking agent and a surfactant.

This study aims to formulate experimental vinylpolysiloxane (VPS) impression materials and compare their elastic recovery and strain-in-compressions with three commercial VPS materials (Aquasil, Elite, and Extrude). Five experimental materials (Exp), two hydrophobic (Exp-I and II) and three hydrophilic (Exp-III, IV and V) were developed. Exp 1 contained vinyl-terminated poly-dimethyl siloxane and a conventional cross-linking agent (poly methylhydrosiloxane), while Exp- II contained a novel cross-linking agent that is tetra-functional dimethyl-silyl-ortho-silicate (TFDMSOS). Exp III-V (hydrophilic materials) were formulated by incorporating different concentrations of non-ionic surfactant (Rhodasurf CET-2) into Exp II formulation. Measurement of elastic recovery and strain-in-compression for commercial and experimental materials were performed according to ISO4823 standard using the calibrated mechanical testing machine (Tinius Olsen). One-way analysis of variance (one-way ANOVA) and Tukey's post-hoc (HSD) test were used for statistical analysis and a p-value of ≤ 0.05 was considered significant. Exp-I has statistically similar values to commercial VPS. The Exp-II showed the highest elastic recovery, while % elastic recovery was reduced with the addition of the non-ionic surfactant (Rhodasurf CET-2). The % reduction was directly related to the concentration of Rhodasurf CET-2. In addition, Exp II had significantly higher strain-in-compression values compared to Exp-I and commercial materials. These values were further increased with the addition of a non-ionic surfactant (Rhodasurf CET-2) was added (Exp-III, IV and V).

Simultaneously Enhancing the Flame Retardancy, Water Resistance, and Mechanical Properties of Flame-Retardant Polypropylene via a Linear Vinyl Polysiloxane-Coated Ammonium Polyphosphate.

It is challenging to improve the water resistance, flame retardancy, mechanical performance, and balance of halogen-free flame-retardant polypropylene (PP) composites. For this purpose, a linear vinyl polysiloxane (PD) was synthesized and then self-crosslinked under benzoyl peroxide to prepare surface-coated ammonium polyphosphate (APP@PD). Apparently, this linear vinyl polysiloxane self-crosslinking coating strategy was completely different from the commonly used sol-gel-coated APP with silane monomers. After coating, the water contact angles (WCA) of APP and APP@PD were 26.8° and 111.7°, respectively, showing high hydrophobicity. More importantly, PP/APP@PD/dipentaerythritol (DPER) showed a higher limiting oxygen index (LOI) and better UL-94 V-0 rate in comparison with PP/APP/DPER composites. After water immersion at 70 °C for 168 h, only PP/APP@PD/DPER kept the UL-94 V-0 rate and lowered the deterioration of the LOI, reflecting the better water-resistance property of APP@PD. Consistently, the cone calorimeter test results displayed a 26.2% and 16.7% reduction in peak heat release rate (PHRR) and total smoke production (TSP), respectively. Meanwhile, the time to peak smoke production rate (TPSPR) increased by 90.2%. The interfacial free energy (IFE) between APP@PD and PP was calculated to evaluate the interfacial interaction between PP and APP@PD. A reduction of 84.2% in the IFE between APP@PD and PP is responsible for the improvement in compatibility and the increase in flame retardancy, water resistance, and mechanical properties of the composites.

Dimensional changes of commercial and novel polyvinyl siloxane impression materials following sodium hypochlorite disinfection.

BACKGROUND: Dental impressions are used to record anatomy of teeth and surrounding oral structures. Impression materials become contaminated with saliva and blood requiring disinfection, which may have negative impact on dimensional stability of materials. OBJECTIVE: Comparatively evaluate linear dimensional changes of synthesized Tetra-functional (dimethylsilyl) orthosilicate (TFDMOS) containing Polyvinylsiloxane (PVS) impressions following sodium hypochlorite disinfection. METHODS: Percentage dimensional changes of three commercial PVS (Elite HD Monophase, Extrude and Aquasil Ultra Monophase) and five experimental PVS impression materials were measured. Experimental material contained novel cross-linking agent (TFDMOS) and a non-ionic surfactant (Rhodasurf CET-2) that is Exp-A (without TFDMOS), Exp-B (with TFDMOS), Exp-C (TFDMOS+ 2% Rhodasurf CET-2), Exp-D (TFDMOS+ 2.5% Rhodasurf CET-2) Exp-E (TFDMOS+ 3% Rhodasurf CET-2). Samples were made using rectangular stainless-steel molds (40 × 10 × 3 mm3) and linear dimensional changes were measured using a calibrated travelling microscope at 10× magnification after immersion in distilled water (D.W) and 1% Sodium Hypochlorite solution at two different time intervals i.e., 30 min and 24 h. RESULTS: Samples immersed in 1% NaOCl showed significant (p < 0.05) dimensional changes after 30 min of immersion. Exp-E showed significantly greater dimensional changes than their control (Exp-A and Exp-B). In distilled water, there were no significant difference among the tested materials. Aquasil exhibited highest expansion (0.06%) in both solutions. At 24 h, among the commercial materials, Extrude had the greatest expansion followed by Aquasil and Elite in DW while Aquasil showed the greatest expansion followed by Extrude and Elite in NaOCl. CONCLUSION: Experimental PVS had linear dimensional changes within the ISO 4823; 2015 recommended range. However, extended immersion can negatively affect the linear dimensions.

Comparative evaluation of flow profile of commercially available vinyl polysiloxane impression materials - An in-vitro study.

Background: Flow characteristics of vinyl polysiloxane (VPS) impression materials are important determinants in the selection of impression materials for the fabrication of accurate indirect restorations. Aims: : The purpose of this study was to determine the flow of three commercially available VPS impression materials at different time intervals using a shark fin device (3M ESPE, Seefeld, Germany). Study Setting and Design: This in-vitro study was carried out at the prosthodontics department of a dental institution. Methods and Material: The height of the shark fin produced by each impression material determined the rate of flow. Statistical Analysis: The data were analysed using one-way analysis of variance (ANOVA) and post-hoc Tukey's test (p-0.05). Results: : Shark fin height of group A VPS impression material was significantly higher at 30 and 120 seconds compared to group B and group C VPS impression materials. Shark fin height produced by group B VPS impression materials at 60 and 90 seconds was significantly higher than the group C VPS impression material but non-significant compared to group A. At 120 seconds, there was no significant difference in the shark fin heights of all the tested materials. Conclusion: All the materials exhibited adequate flow characteristics within clinically acceptable limits.

Improved water absorption behaviour of experimental hydrophilic vinyl polysiloxane (VPS) impression materials incorporating a crosslinking agent and a novel surfactant.

OBJECTIVES: To study the effects of incorporating a further crosslinking agent and a novel surfactant on the water absorption behaviour of experimental VPS impression materials. METHODS: Part 1: The water uptake behaviour of Aquasil-Ultra-Monophase (AqM) was studied gravimetrically in three media (DW, 1%NaOCl and Perform ID), at 23 °C and 37 °C, over a period of one and four-months (n = 5) to gain information on long-term immersion. Part 2: Five experimental materials were formulated: Exp-I and II as hydrophobic and Exp-III-V as hydrophilic, containing an additional cross-linking agent (TFDMSOS) and Rhodasurf CET-2 surfactant. Their water uptake and desorption (both at 23 °C) properties (gravemetrically), solubility, pH and diffusion coefficient (DC) data were compared with three commercial, hydrophilic VPS impression materials, over seven days (n = 5). The results were analysed statistically. RESULTS: Part 1: Significant differences in water absorbed by AqM were observed in the three media at 23 °C. Aq M had a significantly higher uptake in 2% Perform ID, than in DW and NaOCl. At 37 °C, over four-months the uptake profiles were more enhanced and differed. Part 2: All Exp and commercial materials significantly increased in weight in both media (DW and 1% NaOCl at 23 °C), with differing uptake profiles and non-reached equilibrium. Exp-VPS absorbed significantly less water than commercial-VPS. Desorption of all VPS from both parts was faster than absorption, followed Fickian diffusion kinetics and reached equilibrium within 1-3 days. Desorption DCs for Exp-VPS were higher than commercial materials (10-10 versus 10-11 m2 s-1). The solubility was higher in 1% NaOCl compared to DW. The pH of DW after immersion of samples significantly increased compared to 1% NaOCl. SIGNIFICANCE: The incorporation of novel cross-linking agent, TFDMSOS and non-ionic surfactant, Rhodasurf CET-2, (ethoxylated-cetyl-oleyl alcohol) improved the dimensional stability of hydrophilic Exp-VPS in DW and 1% NaOCl. These materials merit further research in producing accurate casts of the patient's anatomy following disinfection.

Comparative surface detail reproduction for elastomeric impression materials: Study on reproducibility performance.

For dental impression of a prepared tooth, the goal is a void-free negative representation from which an accurate cast of a tooth and its surrounding tissue can be reproduced. This in-vitro study assessed and compared the reproduction accuracies of surface detail obtained with three different dental elastomeric impression materials: vinyl polysiloxane (VPS), vinyl polyether silicone (VPES), and polyether (PE). A stainless-steel model with two abutments was used, with impressions taken 10 times for each material, for 20 abutment impressions per group, using a two-phase, one-step technique (heavy body/light body). The impressions were removed and assessed for numbers of enclosed voids and open voids visible on the surface. The defect frequency was 95% for impressions with the VPS and VPES materials, and 30% for the PE material. No significant differences were seen for number of impressions with defects for VPS versus VPES. Significant differences were seen for VPS and VPES versus the PE material (P <.05). No significant differences were seen for the defect type distributions across these three impression materials. The PE impression material showed better accuracy for reproduction of surface detail of these dental impressions compared to the VPS and VPES impression materials.

Disposable plastic trays and their effect on polyether and vinyl polysiloxane impression accuracy-an in vitro study.

OBJECTIVES: To evaluate the dimensional accuracy of impressions taken by use of disposable stock plastic trays and to compare performance with that of metal trays. MATERIALS AND METHODS: From a metallic model incorporating three precision balls and three abutment teeth, one-step dual-phase polyether (PE) and vinyl polysiloxane (VPS) impressions were taken using either metal or disposable plastic trays (n = 10 for each of the resulting four test groups). Respective plaster cast scans were aligned with the reference dataset to evaluate global (distance and angle deviations) and local (trueness and precision) accuracy. Analyses of variance (ANOVA) were conducted to determine group differences. RESULTS: For all impression tray and material combinations, global accuracy was good (mean distance changes < 100 µm) with greatest deviations being observed for distances exceeding one quadrant of the dental arch. In general, distances measured in the plaster casts were too short. Only VPS impressions with plastic trays showed a different behavior with a large percentage of cross-arch distances exceeding the reference value. Mean local accuracy ranged between 6 and 14 µm (trueness), and 6 and 16 µm (precision). On abutment tooth level, metal trays were associated with a significantly better precision (p = 0.015). CONCLUSIONS: The observed distortions of the studied impression trays and materials are small and should enable satisfying clinical impression-taking. CLINICAL RELEVANCE: Cleaning and processing of metal trays before re-use are time-consuming. Especially for patients' management with single crowns and small fixed dental prostheses, disposable plastic trays can be a viable and cost-effective alternative.

Comparative Study of Dimensional Stability and Detail Reproduction of Reformulated and Nonreformulated Elastomeric Impression Materials.

PURPOSE: To evaluate the dimensional stability and the detail reproduction of five current elastomeric impression materials in vitro. MATERIALS AND METHODS: The materials examined were: 3 different polyether impression materials, a vinyl polysiloxane impression material, and a vinyl polyether silicone impression material. All impression materials were of a medium viscosity. One stainless steel die was fabricated according to the ANSI/ADA specification no.19 criteria. Twenty impressions of this die were made for each material. Dimensional accuracy and surface detail were evaluated 24 hours after making the impressions using a measuring microscope. The data were analyzed using Welch's analysis of variance, Games-Howell Post-Hoc, and the Pearson's chi-square tests (α = 0.05). RESULTS: Statistical differences were observed in the mean percent dimensional stability (F [4,47] = 39, p < 0.001) of the tested impression materials. The highest dimensional change was recorded for the vinyl polysiloxane impression material, with a mean percent value of -0.09 ± 0.02% (p < 0.001). The lowest dimensional change was recorded for the Monophase polyether material with a mean percent value of -0.03 ± 0.01% (p < 0.038). The best surface detail reproduction results were obtained using the Monophase polyether material (90% acceptable impressions), with no significant differences (χ² [4] = 3.86, p = 0.483) observed between the Monophase and the rest impression materials. CONCLUSIONS: All materials exhibited acceptable dimensional stability, well below the ANSI/ADA specification no.19 standard of ≤0.5% dimensional change. All impression materials demonstrated acceptable surface detail reproduction with no significant differences between them.

Influence of Vinyl Polysiloxane Impression Techniques on Marginal Fit of Metal Frameworks for Fixed Partial Dentures.

Impression technique is one of the factors affecting restoration fit accuracy, which is a major aspect influencing its survival. The purpose of this study is to compare, in vivo, the effect of two commonly used Vinyl Polysiloxane (VPS) impression techniques on the metal framework fitting of fixed partial dentures. Ninety-two consecutive patients, diagnosed as partially edentulous, treated by fixed partial denture restorations, participated in the study. Group 1-impressions (n = 44) were subjected to the 1-step technique, while group 2 impressions (n = 48) were subjected the 2-step technique. Three accuracy assessment common methods: probe, tactile sense and radiographic test, were used to validate the clinical fit of the metal framework. Misfit was defined as even one test failure. Twenty-one (22.8%) out of 92 metal frameworks exhibited metal frameworks misfit, whereas the other 71 (77.2%) were found to be accurate. Group 1 presented significantly (p = 0.04) more metal frameworks misfit, 14/44 (31.8%) vs. 7/48 (14.6%). Restoration location (maxilla vs. mandible) had no statistically significant impact on the results (p = 0.461). The use of the VPS putty/wash 2-step impression technique is recommended to improve the clinical fit of fixed partial denture restorations.

3D evaluation of the morphological and volumetric changes of the tongue and oral cavity before and after orthognathic surgery for mandibular prognathism: a preliminary study.

BACKGROUND: The volumetric ratio of the tongue to the oral cavity has been recognized to be one of the important factors for the maintenance of stable occlusion. Oral cavity capacity is changed after orthognathic surgery in patients with mandibular prognathism; however, the volumetric changes of the oral cavity including the tongue before and after surgery have not been analyzed. The purpose of this study was to evaluate the morphological and volumetric changes of the tongue and oral cavity following orthognathic surgery using a newly developed vinyl polysiloxane impression method. MATERIALS AND METHODS: The study was performed in fifteen subjects who underwent surgical orthognathic treatment. Impressions of the tongue together with the oral cavity were obtained before orthognathic surgery and 1, 3, and 6 months after orthognathic surgery. These impression patterns were scanned using cone-beam computed tomography (CT), and three-dimensional (3D) images of the oral cavity including the tongue, and the upper and lower dental arches were reconstructed. The morphological and volumetric changes in the oral cavity capacity and the tongue volume were examined. RESULTS: The volume of the tongue with the volume of the oral cavity decreased after orthognathic surgery. There was a correlation between the decrease in the oral cavity capacity and tongue volume. The volumetric ratio of the tongue to the oral cavity seems to be maintained before and after orthognathic surgery. CONCLUSION: VPS method, free from radiation exposure, may be useful for investigating the morphological and volumetric changes of the tongue and oral cavity, which may possibly influence the stability of the dental arch and occlusion during surgical orthodontic treatment.

Peel bond strength between 3D printing tray materials and elastomeric impression/adhesive systems: A laboratory study.

OBJECTIVES: The present study aimed to evaluate the bonding between three 3D printed custom tray materials and three elastomeric impression/adhesive systems using the peel test. METHODS: Test blocks were 3D printed by three different technologies using Dental LT, FREEPRINT tray, and polylactide (PLA) tray materials. The reference test blocks were conventionally fabricated with Zeta Tray LC, a light-curing resin. The surface topographies of the four tray materials were investigated by scanning electron microscopy (SEM) analyses and roughness measurements. The peel bond strength between the four tray materials and three impression/adhesive systems, vinylsiloxanether (VSXE), vinyl polysiloxane (VPS), and polyether (PE), was measured (n=12 per group). The peeling failure modes and rupture sites were identified microscopically. RESULTS: The four tray materials featured different surface topographies. The peel bond strength was not significantly different with VSXE and PE, but PLA and the reference showed higher peel bond strength with VPS than the Dental LT and FREEPRINT tray (p<0.05). The rupture site of adhesive failure in all groups was partly at the adhesive-impression material interface and partly within the adhesive but never at the adhesive-tray material interface. SIGNIFICANCE: The 3D printed tray materials can achieve satisfactory chemical compatibility with the adhesives of VSXE, VPS, and PE. Surface topographies generated by the 3D printing technologies may affect bonding. Generally, 3D printed tray materials can provide clinically adequate bond strength with the elastomeric impression/adhesive systems. PLA is recommended for bonding with VPS when severe impression removal resistance is detected.

Dimensional Stability of a Preliminary Vinyl Polysiloxane Impression Material.

Oral rehabilitation success depends upon the accuracy and dimensional stability of the impressions. The purpose of this study is to evaluate the dimensional changes of a first impression type VPS (Vinyl Polysiloxane) (Imprint™ 4 Preliminary Penta™ Super Quick, 3M ESPE™, St Paul, MN, USA). 10 samples were obtained from this silicone with an automatic mixing machine (Pentamix 2, 3M ESPE™, Seefeld, Germany) according to International Organization for Standardization (ISO) 4823:2000 and stored in the IPQ (Portuguese Institute for Quality) for one week. The measurements were performed by laser interferometry, according to the Michelson technique. The dimensional stability was calculated according to the formula specified in ISO (International Organization for Standardization) 4823:2000. A statistical analysis via a one-way repeated measures ANOVA was performed. The material shrinkage was 0.29 ± 0.15% after setting, 0.32 ± 0.21% at 24 h and 0.30 ± 0.23% after 1 week. No significant shrinkage of the silicone under investigation was found over time. This material can be stored for a week without the risk of clinically significant dimensional changes.

Effect of 0.5% glutaraldehyde disinfection on surface wettability of elastomeric impression materials.

PURPOSE: The purpose of this in-vitro study was to evaluate the effect of 0.5% glutaraldehyde spray disinfection on surface wettability of vinyl polysiloxane and polyether impression materials. METHODS AND MATERIALS: Thirty-six specimens were prepared of vinyl polysiloxane-light (VPL), vinyl polysiloxane-regular (VPR) viscosity and polyether-monophase (PE) impression materials according to manufacturer's recommendations. Specimens of each material were equally divided into control and experimental groups. All specimens were washed with water, dried and stored in closed containers. Specimens of experimental groups were sprayed with 0.5% glutaraldehyde disinfectant. The disinfectant was allowed to be in contact with the impression surface for 10 min. Contact angle was measured using a Contact Angle Goniometer at 0.5, 1 and 2 min after water drop contact with surfaces of impression materials. Five measurements at five different areas at each impression surface were recorded. A statistical analysis was done using Two-way repeated measures ANOVA and multiple comparison Tukey's Post-hoc tests. RESULTS: All 0.5% glutaraldehyde-disinfected impression materials showed lower contact angle measurements than non-disinfected ones. Contact angle measurements of PE were much lower than those of VPL and VPR impression materials. However, there was a statistically significant difference of contact angle measurements between the three impression materials (p = 0.000). Contact angle measurements of all groups significantly decreased as the time was increased (p = 0.000). CONCLUSION: Disinfection of the tested impression materials with 0.5% glutaraldehyde improved their wettability. Glutaraldehyde acted like a surface reducing agent (surfactant) that improved wetting potential of the impression materials.

The effects of cross-linking agent and surfactant on the tear strength of novel vinyl polysiloxane impression materials.

OBJECTIVES: To formulate experimental hydrophobic and hydrophilic vinyl polysiloxane (VPS) impression materials ab initio, comprising a novel cross-linking agent, tetra-functional (dimethylsilyl) orthosilicate (TFDMSOS), and a non-ionic surfactant, Rhodasurf CET-2 (ethoxylatedcetyl-oleyl alcohol), and to investigate their effects on tear strength (TS). METHODS: Five experimental formulations (Exp I-V) were prepared and compared with three medium bodied commercial VPS impression materials (Aq M, Elt M, Extr M). Tear test was performed on trouser test specimens (n=12 per material), at four time points (immediately, 24, 72 and 168 hours after setting). FTIR spectroscopy was used for identifying functional bonds and cross-linking. The results were analysed with one-way ANOVA, two-way ANOVA and post hoc Tukey's test using the SPSS PASW statistical 22 software. RESULTS: The material with novel cross-linking agent (Exp II) had significantly higher TSs at all-time points compared to Exp I (control; p˂0.05). Materials incorporating both TFDMSOS and surfactant (Exp III, IV and V), had further significantly increased TS at all-time points, which were concentration dependent. Extr M had a significantly lower TS (immediately after setting and at 24 hours) compared to all Exp and other commercial materials, with the exception of Elt M (difference not significant). The TSs of Exp II-V, after 72 and 168 hours, were significantly higher for than all commercial products and Exp I. FTIR spectra showed the consumption of Si-H groups indicating crosslinking had taken place with the addition of TFDMSOS and surfactant which contributed to an increase in the TS. SIGNIFICANCE: TFDMSOS cross-linking agent increased the TS of Exp II significantly at all-time points compared to the control. Novel surfactant further significantly increased TS, and it was also concentration dependent. Exp VPS with improved TS have been developed, addressing one of the drawbacks of commercial VPS materials.

Static and dynamic evaluations of the wettability of commercial vinyl polysiloxane impression materials for artificial saliva.

This study evaluated the wettability of commercial vinyl polysiloxane impression materials by measuring contact angles on horizontal and non-horizontal surfaces using artificial saliva. Three light bodies (Affinis [Affi], Silagum [Sila] and Variotime [Vario-LB]) and one extra light body (Viriotime [Vario-ELB]) were prepared with flat surfaces. Static and dynamic contact angles were measured using the sessile drop method as a function of time. Contact angle hysteresis was the value of advancing contact angle minus receding contact angle. The results indicated that all materials were classified as hydrophilic materials. Vario-ELB and Affi showed better initial wettability than the other two materials. Vario-ELB showed more hydrophilic properties and was more vulnerable to changes in the intraoral environment compared to Affi, Sila and Vario-LB. These results suggest that measuring the time-dependent dynamic contact angle on the inclined surface can provide effective information regarding the wettability of impression materials to evaluate their clinical performance.

The Influence of Nitrile Gloves on the Setting Behavior of Polyvinyl Siloxane Putty Impression Materials.

OBJECTIVE: The purpose of this study was to assess the gelation and polymerization time of three polyvinyl siloxane (PVS) putty materials and to determine if those times were affected by nitrile gloves under different conditions. MATERIALS AND METHODS: Ten specimens (n=10) were obtained for each PVS putty material (Express STD, 3M ESPE; Extrude Xtra, Kerr and Exafast, GC) and tested under different conditions (gloves washed, gloves unwashed and hands contaminated). The gelation and polymerization time were measured using an oscillating rheometer and recorded for 400 s at 37°C to simulate the oral environment. RESULTS: The mean gelation time of hand contaminated specimens was 157.50 minutes and was significantly slower than that by using nitrile washed gloves (mean=117.94, p=.004) and by using unwashed gloves (mean=99.46, p⟨0.001). Unwashed gloves had significantly quicker gelation times compared to washed gloves (p=.046). The gelation time was significantly delayed with Exafast compared to Extrude Xtra and Express STD across all the different types of glove conditions (p⟨0.043). No significant differences were observed between polymerization time with Exafast and Extrude Xtra Putty. CONCLUSIONS: Extrude Xtra putty material had significantly better performance than GC Exafast and Express. Hand contaminated specimens were affected by the gelation/polymerization time.

Effect of Polyvinyl Siloxane Viscosity on Accuracy of Dental Implant Impressions.

OBJECTIVES: The aim of this study was to compare the accuracy of dental implant impressions obtained by a combination of different impression techniques and viscosities of polyvinyl siloxane (PVS). MATERIALS AND METHODS: Four parallel fixtures were placed between mental foramina in a master model of lower dental arch. Three different viscosities (putty/light body, medium body/light body, and monophase: heavy body) and direct and indirect techniques (six groups) were used, and seven impressions were obtained from each group (n=42). To measure the accuracy of impressions, drift, horizontal, and vertical angles of the implants, as well as the hex rotation of the implants in casts were evaluated using a digitizer device (1µm accuracy), in comparison with master arch. Data were analyzed using five-factor two-way ANOVA and Tukey's post-hoc test. RESULTS: The accuracy of impressions was assessed and the results showed that direct technique was not significantly different from indirect technique (P>0.05). Also, there were no significant differences between the mentioned viscosities except for the horizontal angle (P=0.006). CONCLUSIONS: Viscosity of impression materials is of high significance for the accuracy of dental impressions.

Experimental hydrophilic vinyl polysiloxane (VPS) impression materials incorporating a novel surfactant compared with commercial VPS.

OBJECTIVES: To formulate experimental hydrophilic (Exp) VPS impression materials incorporating a novel surfactant (Rhodasurf CET-2), and to compare their contact angles (CAs) with commercial materials, before/after disinfection. METHODS: CAs were measured immediately after setting and after disinfection (1% NaOCl; 30min and 24h), together with their change whilst a droplet remained on the materials surface (over 10, 20, 30 60 and 120s), on three commercial (Aquasil Ultra-Monophase [Aq M], Elite HD-Monophase [Elt M], Extrude Medium-bodied [Extr M]) and four experimental (Exp I-IV) materials, using the Drop Shape Analysis 100 technique. The results were compared statistically. RESULTS: CAs of all experimental materials were within the range of those obtained for the commercial materials, with the exception of Exp-IV, which presented with the lowest CAs at the three time points. The control Exp-I was hydrophobic at all three time points (CAs ∼100+), as was Elite. Immediately after setting, Aq M had low CAs but these increased significantly after 30min of disinfection. After twenty four hours' disinfection CAs of all Exp/commercial VPS increased significantly compared to immediately after setting. The CAs of droplets left on the material (120s) decreased with time, even after disinfection, except for Exp-I. SIGNIFICANCE: The novel surfactant Rhodasurf CET-2 in Exp-III and IV, is an effective surfactant, retaining a low CA after disinfection, compared with Igepal CO-530 in Aq M. Disinfecting VPS impression materials for more than 30min increases their surface CAs, and therefore prolonged disinfection periods should be avoided.