Objective:Disinfection procedures often cause deterioration in a maxillofacial prosthesis.
Color and hardness alterations could lead to a replacement of the prosthesis. Material and Methods:An experimental chlorinated polyethylene (CPE) and a commercial polydimethyl
siloxane (PDMS) sample were treated with four different disinfection procedures
for a period which simulates 1 year of clinical service. The applied disinfection
procedures included microwave exposure and immersion in three solutions, sodium
hypochlorite, neutral soap and a commercial disinfecting soap. Shore A hardness
(ΔΗ) and color differences (ΔΕ) were determined before and after each procedure.
All data were analyzed by Two Way Analysis of Variance (ANOVA) and Tukey's
post hoc tests at a level of α=0.05. Results:The samples presented significant alterations in color and hardness after the
different disinfection treatments. The color differences (ΔΕ) were at least eye
detectable in all cases and clinically unacceptable in most of the cases, with
values ranging from 1.51 to 4.15 and from 1.54 to 5.92 for the PDMS and CPE
material, respectively. Hardness was decreased after all the disinfection
procedures in the PDMS, while for the CPE, a decrement was observed after
disinfection with sodium hypochlorite and neutral soap and an increment after
microwave exposure and the disinfection with a commercial antimicrobial agent. The
PDMS samples presented greater alterations in color and hardness after
disinfection with sodium hypochlorite solution, while the microwave exposure
caused negligible effects. The CPE samples were affected most after disinfection
when treated with neutral soap, and more slightly when disinfected with sodium
hypochlorite solution. Conclusions:The disinfection procedures caused alterations in color and hardness of the
examined materials. The most suitable disinfection procedure for the PDMS material
is microwave exposure, while disinfection with sodium hypochlorite solution is not
recommended. The CPE material is suggested to be disinfected with sodium
hypochlorite solution and the use of neutral soap is not recommended. Comparing
the two materials, the PDMS material is most color stable, while the CPE material
presented fewer changes in hardness.