AGAR-ALGINATE COMBINED IMPRESSION TECHNIQUE AND DIMENSIONAL CHANGE RESULTING FROM IDOPHOR DISINFECTION

아기-알지네이트 연합 인상체의 보관방법 및 idophor 침적소독에 의한 체적 변화에 관한 연구

  • Oh Nam-Sik (Department of Dentistry, College of Medicine, Inha University) ;
  • Seo Joung-Min (Department of Dentistry, College of Medicine, Inha University) ;
  • Kim Sun-Hee (Department of Dentistry, College of Medicine, Inha University) ;
  • Youn Young-Ah (Department of Dentistry, College of Medicine, Inha University) ;
  • Shim Joon-Sung (Department of Prosthodontics, College of Dentistry, Yeonsei University)
  • 오남식 (인하대학교 의과대학 치과학교실) ;
  • 서정민 (인하대학교 의과대학 치과학교실) ;
  • 김선희 (인하대학교 의과대학 치과학교실) ;
  • 윤영아 (인하대학교 의과대학 치과학교실) ;
  • 심준성 (연세대학교 치과대학 보철학교실)
  • Published : 2004.02.01

Abstract

Statement of problem : Because dental impression can be a cross-infection source, disinfection, such as immersion disinfection is nessecary. However, the disinfection process may change the volume of the impression cast. Purpose : The purpose of this study is to find out the effects on dimensional change of different storage times and methods, of agar-alginate impression when immersed in a 5% idophor disinfectant. Material and Methods : An agar-alginate impression was made from a mandible model and then was disinfected and stored according the experimental conditions and a stone model was produced. Measurements were taken between reference points on the original mandible model and they were compared to measurements taken between reference points on the stone model. The study was divided into 4 groups. In group 1, the impression was stored in a 100% humidor for 30 minutes, 1 hour, 2 hours, 3 hours, 4 hours, 6 hours, 12 hours and 24 hours and stone models were made at each time. In group 2, the impression was immersed in 5% idophor disinfectant and then stored in a 100% humidor for the same length of times as group 1, and stone models were made at each time. In group 3, the impression was stored in extend-A-pourR, a special storage solution for 30 minutes, 1 hour, 2 hours, 3 hours, 4 hours, 6 hours, 12 hours, 24 hours 3 days, and 7 days and stone models were made at each time. In group 4, the impression was immersed in 5% idophor disinfectant and then stored in stored in extend-A-pourR, a special storage solution for the same length of times as group 3, and stone models were made at each time. 5 impressions and stone models were made at each time to make a total of 180. The Student-t test (P < .05) was used to do a statistical analysis of the measurements of the mandible model and stone models. The repeated-measure 2-way analysis of variance (P < .05) was used to do a statistical analysis of the difference in the 4 groups. Results : The percent liner dimensional change was from $0.25{\pm}0.03%$ (group 1, 30 minutes) to $0.34{\pm}0.06%$ (group 4, 7 days). No significant change was noticed between the 4 groups. Conclusion : According to the above study, in both methods, least dimensional change was recorded when the storage times were short and in both methods, immersion in 5% idophor disinfectant did not effect dimensional change in the agar-alginate impression.

Keywords

References

  1. Skinner EW, Hoblit NE. Study of accuracy of hydrocolloid impression. J Prosthet Dent 1956:6:230
  2. Rudd KD, Morrow RM, Banger AA. Accurate casts. J Prosthet Dent 1969: 21:545
  3. Sawyer HF, Sandrick JL, Neiman R. Accuracy of casts produced from alginate and hydrocolloid impression materials. J Am Dent Assoc 1976:93:806
  4. Johnson GH, Craig RG. Accuracy and bond strength of combination agar/alginate hydrocolloid impression materials. J Prosthodont 1993: 2: 156-8
  5. Marcinak CF. Young FA, Dranghn RA, Flemming WR. Linear dimensional changes in elastic impression materials. J Dent Res 1980:59: 1152-5
  6. Sofou A, Larsen T, Fiehn NE, Owall B. Contamination level of alginate impressions arriving at a dental laboratory Clin Oral Investing 2002:6:161-5
  7. McNeill NR, Coulter WA, Hussey DL. Disinfection od irresible hydrocolloid imperssion: a comparative study. Int J Prosthodont 1992: 5: 563-7
  8. Schutt RW. Bactericidal effect of a disinfectant dental stone on irreversible hydrocolloid impressions and stone casts. J Prosthodont 1989: 62: 605-7
  9. Autio KL. Rosen S, Reynolds NJ, Bright JS. Studies on cross-contamination in the dental clinic. J Am Dent Assoc 1980: 100:358-61
  10. Molinari JA. Gleason MJ, Cottone JA, Barrett ED. Cleaning and disinfectant operties of dental surface disinfectants. J Am Dent Assoc 1988: 117: 179-82
  11. Eames WB, Wallace SW, Suway NB. Accuracy and dimensional stability of elastomeric impression materials. J Prosthet Dent 1979;42:159-62 https://doi.org/10.1016/0022-3913(79)90166-5
  12. Kim KN. Alginate Impression Materials. J.K.D.M. 1986:13:27-32
  13. Kim KN. Dental Materials. Gun-Ja Pub. Co. 1995: 113
  14. 대한치과기재규격집. 제8집 치과용 알지내이트 인상재. 대한치과의사협회. 1984
  15. Council adopts American Dental Association Specification. No. 18 for Alginate Impression Material. J. Am. Dent. Assoc. 1986:77:1354
  16. Cohen BI. Pagnillo M. Deutsch AS. Musikant BL. Dimensional accuracy of three different alginate impression material. J Prosthet Dent 1995:4:195-9
  17. Appleby DC. Pameijer CH. Boffa J. The combined reversible hydrocolloid/ irreversible hydrocolloid impression system. J Prosthet Dent 1980:44:27-35
  18. Morrant GA, Elphicke GB. An investigation into methods for maintaining the dimensional stability of alginate impression materials. Br Dent J 1956:100 :42
  19. Council on Dental Materials. Instruments and Equipment. Council on Dental Practice. Council on Dental Therapeutics. Infectioncontrol recommendations for the dental office and the dental laboratory. J Am Dent Assoc 1988:116: 241-8
  20. Council on Dental Materials. Instruments. and Equipment : Disinfection of impressions. : Disinfection of impressions. J. Am. Dent. Assoc .. 1991:110.122
  21. Giblin J. Podesta R. White J. Dimensional stability of impression materials immersed in an iodophor disinfectant. Int J Prosthet 1990:3:72-7
  22. Tan HK. Wolfaardt JF. Hooper PM. Busby B. Effect of disinfecting irreversible hydrocolloid impressions on the resultant gypsum casts : Part Ill-Dimensional changes. J Prosthet Dent 1993:70:532-7
  23. Merchant VA, McNeight MK. Ciborowsky CJ. Molinary JA. Preliminary investigation of a method for disinfection of irreversible hydrocolloid impressions. J Prosthet Dent 1990:63:701-7
  24. Minagi S. Yano N. Yoshida K. Tsuru H. Prevention of acquired immunodeficiency syndrome and hepatitis B. Disinfection method for hydrophilic impression materials. J Prosthet Dent 1987:58:462-5
  25. Al-Omari WM. Jones JC. Wood DJ. The Effect of Disinfecting Alginate and Addition Cured Silicone Rubber Implression Materials on the Phsical Properties of Impressions and Resultant Casts. Eur J Prosthodont Rest Dent 1998:6:103-9