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      Effect of chemical, microwave irradiation, steam autoclave, ultraviolet light radiation, ozone and electrolyzed oxidizing water disinfection on properties of impression materials: A systematic review and meta-analysis study

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          Abstract

          Objectives

          The objective of this systematic review and meta-analysis study was to identify the different disinfection methods and materials and the existing evidence on their effect on properties of the different impression materials.

          Material and methods

          An electronic search of MEDLINE (PubMed), Science Direct, and Google Scholar databases was performed to retrieve related English-language articles published between January 2000 and July 2019. Available studies with search terms such as: Impression disinfection, disinfection method, impression dimensional stability and impression wettability were used. The selected articles were reviewed by screening their titles and abstracts and full text. Finally, a total of 70 articles were considered relevant and were included in this study.

          Results

          Extensive studies were conducted to determine the effect of the different disinfection methods and materials on the properties of the different impression materials such as dimensional stability, wettability and surface roughness. While some studies reported significant changes in the properties of the impression materials, others reported either no changes or minor insignificant effects.

          Conclusions

          Some studies reported significant changes in the properties of the impression materials as a result of using different disinfection methods, whereas others reported either minor insignificant or no changes. Although the findings of the studies were controversial, care should be taken to avoid distortion of impressions and loss of their surface details that can adversely affect the fitting accuracy of the restorations. Therefore, better designed and standardized studies are needed to evaluate the effect of different commonly used disinfectants on properties of impression materials. Moreover, manufacturers should be encouraged to recommend specific disinfection methods and materials for disinfecting the impression materials to ensure their optimal accuracy.

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          Most cited references69

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          The application of ozone in dentistry: a systematic review of literature.

          (1) To systematically review the clinical application and remineralization potentials of ozone in dentistry; (2) To summarize the available in vitro applications of ozone in dentistry. Ovid MEDLINE, CINAHL, etc. (up to April 2007). In vitro or in vivo English language publications, original studies, and reviews were included. Conference papers, abstracts, and posters were excluded. In vitro: Good evidence of ozone biocompatibility with human oral epithelial cells, gingival fibroblast, and periodontal cells; Conflicting evidence of antimicrobial efficacy of ozone but some evidence that ozone is effective in removing the microorganisms from dental unit water lines, the oral cavity, and dentures; Conflicting evidence for the application of ozone in endodontics; Insufficient evidence for the application of ozone in oral surgery and implantology; Good evidence of the prophylactic application of ozone in restorative dentistry prior to etching and the placement of dental sealants and restorations. In vivo: Despite the promising in vitro evidence, the clinical application of ozone in dentistry (so far in management of dental and root caries) has not achieved a strong level of efficacy and cost-effectiveness. While laboratory studies suggest a promising potential of ozone in dentistry, this has not been fully realised in clinical studies to date. More well designed and conducted double-blind randomised clinical trials with adequate sample size, limited or no loss to follow up, and carefully standardised methods of measurement and analyses are needed to evaluate the possible use of ozone as a treatment modality in dentistry.
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            Disinfection procedures: their effect on the dimensional accuracy and surface quality of irreversible hydrocolloid impression materials and gypsum casts.

            This study primarily investigated the effect of disinfection procedures (Perform and sodium hypochlorite) on the dimensional accuracy and surface quality of four irreversible hydrocolloid impression materials and the resultant gypsum casts. The antibacterial efficacy of the procedures was also studied. Dimensional accuracy was determined from the mean percentage deviation of six measurements taken from casts made from disinfected impressions compared with corresponding measurements from the master model and controls. Statistical analysis of data was determined by analysis of variance. Surface quality was determined using a stainless steel test block in accordance with ISO 1563. The dimensional accuracy of the impression materials tested were of a comparable standard following disinfection. The surface quality of casts taken from Blueprint Cremix impressions were unaffected by the disinfection procedures. The remaining impression materials studied showed greater surface deterioration on casts following disinfection with sodium hypochlorite than immersion in Perform. All disinfection procedures selected proved appropriate for antibacterial purposes. Individual analysis of impression materials is required to determine their suitability to a given disinfection protocol.
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              • Article: not found

              Effectiveness of Disinfectants on Antimicrobial and Physical Properties of Dental Impression Materials.

              The aim of this study was to assess the antimicrobial activity of chemical disinfectants on alginate and silicone impression materials. The effect of chemical disinfectants on the dimensional stability of the impression materials was also assessed.
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                Author and article information

                Contributors
                Journal
                Saudi Dent J
                Saudi Dent J
                The Saudi Dental Journal
                Elsevier
                1013-9052
                1658-3558
                23 December 2019
                May 2020
                23 December 2019
                : 32
                : 4
                : 161-170
                Affiliations
                Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
                Author notes
                [* ]Address: P.O. Box 102247, Riyadh 11675, Saudi Arabia. szain@ 123456ksu.edu.sa
                Article
                S1013-9052(19)31039-9
                10.1016/j.sdentj.2019.12.003
                7211894
                32405219
                30495260-89e7-443b-a4fb-e52e628c5258
                © 2019 The Author

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 21 October 2019
                : 5 December 2019
                : 15 December 2019
                Categories
                Review Article

                chemical disinfection,microwave irradiation,steam autoclave,ultraviolet light radiation,ozone disinfection,electrolyzed oxidizing water disinfection

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