Journal List > J Korean Acad Prosthodont > v.47(2) > 1034566

Kim, Moon, Shim, and Jung: Changes of the surface roughness depending on immersion time and powder/liquid ratio of various tissue conditioners

Abstract

Statement of problem

Volume stability, microstructure reproducibility and fluidity along with compatibility with dental stone must be in consideration in order to use tissue conditioner as a material for functional impression. There are few studies concerning the influence of time factor in oral condition on surface roughness of the stone and optimal retention period in the oral cavity considering such changes in surface roughness.

Purpose

The purpose of this study was to find out the influence of various kinds of tissue conditioner, its powder/liquid ratio and immersion time on surface roughness of the stone.

Material and methods

Materials used in this study were the three kinds of tissue conditioners (Coe-Comfort, Visco-Gel, Soft-Liner) and were grouped into three: group R - mixed with standard powder/liquid ratio that was recommended by the manufacturers, group M - mixed with 20% more powder, group L - mixed with 20% less powder. Specimens were made with the size of 20 mm diameter and 2 mm width. Each tissue conditioner specimens were subdivided into 5 groups according to the immersion time (0 hour, 1 day, 3 days, 5 days, 7 days), completely immersed into artificial saliva and were stored under 37° C. Specimens of which the given immersion time elapsed were taken out and were poured with improved stone, making the stone specimens. Surface roughness of the stone specimens was measured by a profilometer.

Results

Within the limitation of this study, the following results were drawn. 1. Major influencing factor on surface roughness of the stone model made from tissue conditioner was the retention period (contribution ratio (ρ) = 62.86%, P < .05) of the tissue conditioner in oral cavity to make functional impression. 2. In case of Coe-Comfort, higher mean surface roughness value of the stone model with statistical significance was observed compared to that of Soft-Liner and Visco-Gel as immersion time changes (P < .05). 3. In case of group L (less), higher mean surface roughness value of the stone model with statistical significance was observed compared to that of R (recommended) and M (more) group as immersion time changes (P < .05).

Conclusion

We may conclude that as the retention period of time in oral cavity influences surface roughness of the stone model the most and as the kind of tissue conditioner and its P/L ratio may influence also, clinician should well understand the optimal retention period in oral cavity and choose the right tissue conditioner for the functional impression, thus making the functional impression with tissue conditioner usefully.

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Fig. 1.
Profilometer (a. vertical movement handle, b. set meter, c. rolling leg, d. stylus, e. fixation jig)
jkap-47-108f1.tif
Fig. 2.
Comparison of mean surface roughness by tissue conditioner types at recommended P/L ratio.
jkap-47-108f2.tif
Fig. 3.
Comparison of mean surface roughness by tissue conditioner types at more P/L ratio
jkap-47-108f3.tif
Fig. 4.
Comparison of mean surface roughness by tissue conditioner types at less P/L ratio
jkap-47-108f4.tif
Fig. 5.
Comparison of mean surface roughness by P/L ratios in Coe-Comfort specimen.
jkap-47-108f5.tif
Fig. 6.
Comparison of mean surface roughness by P/L ratios in Soft-Liner specimen
jkap-47-108f6.tif
Fig. 7.
Comparison of mean surface roughness by P/L ratios in Visco-Gel specimen
jkap-47-108f7.tif
Table I.
Tissue conditioners in this study
Brand Composition of powder Composition of liquid Recommended P/L ratio (wt)
Plasticizer Solvent
COE-COMFORTTM PEMA BB (benzyl benzoate) Ethyl alcohol 0.9
(Polyethyl methacrylate) DBP (dibutyl phthalate)    
Visco-Gel PEMA BPBG (butyl phthalyl butyl glycolate) Ethyl alcohol 1.25
(Polyethyl methacrylate)      
PMMA DBP (dibutyl phthalate)    
(Polymethyl methacrylate)      
SOFT-LINER PEMA BPBG (butyl phthalyl butyl glycolate) Ethyl alcohol 1.22
(Polyethyl methacrylate) DBP (dibutyl phthalate)    
Table II.
Composition of artificial saliva
Distilled water 2000 ml
Gastric mucin 4.4 g
NaCl 0.762 g
CaCl2∙2H2O 0.426 g
KH2PO4 1.476 g
KCl 2.228 g
pH 6.8
Table III.
Powder/liquid ratio of the experiment group
Brand Group Powder Liquid P/L ratio (wt)
COE-COMFORTTM CM 7.20 g 5 cc (6.67 g) 1.08
CR 6.00 g 5 cc (6.67 g) 0.90
CL 4.80 g 5 cc (6.67 g) 0.72
Visco-gel VM 3.60 g 2.2 cc (2.4 g) 1.50
VR 3.00 g 2.2 cc (2.4 g) 1.25
VL 2.40 g 2.2 cc (2.4 g) 1.00
SOFT-LINER SM 2.64 g 1.8 g 1.47
SR 2.20 g 1.8 g 1.22
SL 1.76 g 1.8 g 0.98
Table VI.
Results of three-way ANOVA for surface roughness (Ra) of dental stone casts made from tissue conditioners
Source df Sum of square Mean Square F value Significance of F Contribution ratio ρ (%)
Tissue conditioner 2 13.438 6.719 1645.89 <.0001 18.2
P/L ratio 2 3.848 1.924 471.25 <.0001 5.21
Time 4 46.4 11.6 2841.61 <.0001 62.86
Tissue conditioner × Time 8 7.318 0.915 224.08 <.0001 9.91
P/L ratio × Time 8 1.677 0.21 51.34 <.0001 2.27
Tissue conditioner × P/L ratio× Time 20 0.401 0.02 4.91 <.0001 0.54
Residual 180 0.735 0.004     1
Total 224 73.816       100
Table VII.
Results of analysis through Bonferroni method at the α = 0.05 for mean surface roughness by tissue conditioner types at Recommended P/L ratio
  COE-COMFORTTM Visco-Gel SOFT-LINER
COE-COMFORTTM + +
Visco-Gel + -
SOFT-LINER + -

+ ; Significantly different

- ; Not significantly different

Table VIII.
Results of analysis through Bonferroni method at the α = 0.05 for mean surface roughness by tissue conditioner types at More P/L ratio
  COE-COMFORTTM Visco-Gel SOFT-LINER
COE-COMFORTTM + +
Visco-Gel + -
SOFT-LINER + -

+ ; Significantly different

- ; Not significantly different

Table IX.
Results of analysis through Bonferroni method at the α = 0.05 for mean surface roughness by tissue conditioner types at Less P/L ratio
  COE-COMFORTTM Visco-Gel SOFT-LINER
COE-COMFORTTM + +
Visco-Gel + -
SOFT-LINER + -

+ ; Significantly different

- ; Not significantly different

Table X.
Results of analysis through Bonferroni method at the α = 0.05 for mean surface roughness by P/L ratios at Coe-Comfort
  M R L
M - +
R - +
L + +

+ ; Significantly different

- ; Not significantly different

Table XI.
Results of analysis through Bonferroni method at the α = 0.05 for mean surface roughness by P/L ratios at Soft-Liner
  M R L
M - +
R - +
L + +

+ ; Significantly different

- ; Not significantly different

Table XII.
Results of analysis through Bonferroni method at the α = 0.05 for mean surface roughness by P/L ratios at Visco-Gel
  M R L
M - +
R - +
L + +

+ ; Significantly different

- ; Not significantly different

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