Abstract
Statement of problem
Silicone elastomers have been widely used for rehabilitation of facial defects for
more than 50 years. However, color change is the most common problem limiting the
service life of facial prostheses. Whether the addition of ultraviolet protectives
may enhance color stability of these materials is unclear.
Purpose
The purpose of this in vitro study was to investigate the effect of ultraviolet protectives
on the color stability of maxillofacial silicones after artificial aging.
Material and methods
Six color groups (unpigmented, white, yellow, red, blue, and mixed) of addition-type
maxillofacial silicone were prepared. Four ultraviolet protectives benzophenone-3,
ethylhexyl methoxycinnamate, titanium dioxide, and ethylhexyl salicylate at 0.5% and
1% concentrations by weight were incorporated into the silicone before polymerization.
The specimens were artificially aged in an accelerated weathering chamber for 300
and 600 hours and in a thermocycling device. The color change values (E) of the maxillofacial
silicones were evaluated. Data were statistically analyzed by using 4-way ANOVA. The
differences were compared by the Tukey honestly significant difference test (α=.05).
Results
Benzophenone-3 and ethylhexyl methoxycinnamate protectives did not reduce the ΔE values,
and the 1% titanium dioxide groups exhibited lower ΔE values than the 0.5% titanium
dioxide groups. Ethylhexyl salicylate protective generally reduced the ΔE values significantly
in all color and aging groups when compared with the control groups (P<.05). In all control and ultraviolet protective groups, the highest ΔE values were
seen with the red color in 300 and 600 hours of aging. Generally, no significant difference
(P>.05) was seen in the ΔE values, which were clinically acceptable among the thermocycled
color groups. After 600 hours of accelerated aging, the ΔE values were found to be
higher than the values of 300-hour aging.
Conclusions
Ethylhexyl salicylate protective incorporated into maxillofacial silicones may improve
color stability.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Prosthetic DentistryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Accelerated color change in a maxillofacial elastomer with and without pigmentation.J Prosthet Dent. 2001; 85: 614-620
- Color stability of pigmented maxillofacial silicone elastomer: effects of nano-oxides as opacifiers.J Dent. 2010; 38: e100-e105
- Treatment satisfaction with facial prostheses.J Prosthet Dent. 2005; 94: 275-280
- The Toronto outcome measure for craniofacial prosthetics: a condition-specific quality-of-life instrument.Int J Oral Maxillofac Implants. 2003; 18: 531-538
- Retrospective study of treatment outcomes with implant-retained extraoral prostheses: survival rates and prosthetic complications.J Prosthet Dent. 2010; 103: 118-126
- Effect of opacifiers and UV absorbers on pigmented maxillofacial silicone elastomer, part 1: color stability after artificial aging.J Prosthet Dent. 2013; 109: 397-401
- Effect of opacifiers on color stability of pigmented maxillofacial silicone A-2186 subjected to artificial aging.J Prosthodont. 2002; 11: 109-116
- Color stability and colorant effect on maxillofacial elastomers. Part III: weathering effect on color.J Prosthet Dent. 1999; 81: 431-438
- Ultraviolet radiation-induced color shifts occurring in oil-pigmented maxillofacial elastomers.J Prosthet Dent. 1999; 82: 441-446
- Influence of pigments and opacifiers on color stability of an artificially aged facial silicone.J Prosthodont. 2011; 20: 205-208
- Effect of incorporation of nano-oxides on color stability of maxillofacial silicone elastomer subjected to outdoor weathering.J Prosthodont. 2015; 24: 569-575
- Evaluation of varying concentrations of nano-oxides as ultraviolet protective agents when incorporated in maxillofacial silicones: an in vitro study.J Prosthet Dent. 2014; 112: 1567-1572
- In vitro evaluation of color change in maxillofacial elastomer through the use of an ultraviolet light absorber and a hindered amine light stabilizer.J Prosthet Dent. 2004; 91: 483-490
- Evaluation of the effect of ultraviolet stabilizers on the change in color of pigmented silicone elastomer: an in vitro study.J Indian Prosthodont Soc. 2016; 16: 276-281
- Influence of pigments and opacifiers on color stability of silicone maxillofacial elastomer.J Dent. 2009; 37: e45-e50
- Evaluation of sunlight stability of polyurethane elastomers for maxillofacial use. I.J Biomed Mater Res. 1978; 12: 347-359
- Color stability of facial prostheses.J Prosthet Dent. 1995; 74: 613-618
- Color difference thresholds of maxillofacial skin replications.J Prosthodont. 2009; 18: 618-625
- Assessment of colour differences in silicone hand and digit prostheses: perceptible and acceptable thresholds for fair and dark skin shades.Prosthet Orthot Int. 2006; 30: 5-16
- Effect of extraoral aging conditions on color stability of maxillofacial silicone elastomer.J Prosthodont. 2010; 19: 536-543
- In vitro evaluation of color and translucency reproduction of maxillofacial prostheses using a computerized system.J Adv Prosthodont. 2018; 10: 422-429
- Color changes in dry-pigmented maxillofacial elastomer resulting from ultraviolet light exposure.J Prosthet Dent. 1995; 74: 493-498
- The CIEDE2000 color-difference formula: implementation notes, supplementary test data, and mathematical observations.Col Res Appl. 2005; 30: 21-30
Article info
Publication history
Published online: July 28, 2021
Publication stage
In Press Corrected ProofFootnotes
Support provided by The Scientific and Technological Research Council of Turkey (TÜBİTAK), grant no.215M738.
Presented at the 24th Turkish Dental Association (TDA) International Dental Congress as a poster presentation, Ankara, Turkey, September 2018.
Identification
Copyright
© 2021 by the Editorial Council for the Journal of Prosthetic Dentistry.