Effect of Ultraviolet Protective Agents and Plasma Applications on the Color Stability of Maxillofacial Silicones
Year 2025,
Volume: 15 Issue: 1, 69 - 75, 28.03.2025
Seçil Karakoca Nemli
,
Bilge Turhan Bal
,
Merve Bankoğlu Güngör
,
Nursel Dilsiz
,
Şükran Melda Eskitoros Toğay
,
Yeliz Kaşko Arıcı
Abstract
Objective: The purpose of the present study was to evaluate the color stability of maxillofacial silicones after applying plasma and ultraviolet protectives.
Methods: Six different color specimen groups (clear, white, yellow, red, blue, and mixed) from additional polymerized maxillofacial silicone elastomer were prepared. The surface of the polymerized silicone was modified with argon and oxygen plasma. Then, five UV protective agents (benzophenone-3, 2-ethylhexyl salicylate, titanium dioxide, Ethylhexyl methoxycinnamate, and TiO2-ZnO) were applied to the modified silicones. Specimens of each color and UV group were aged with an accelerated aging and thermocycling device. The color difference (ΔE) of maxillofacial silicones was statistically analyzed by 4-way ANOVA (α=0.05).
Results: The silicone specimens coated with 2-ethylhexyl salicylate (UV-ES) showed the lowest ΔE values in all color groups and aging regimes. The red color generally showed the highest ΔE values, and the white color showed the lowest ΔE values. When the silicone surfaces were modified with oxygen and argon plasma, oxygen plasma exhibited significantly higher ΔE values than the argon plasma in red color groups, whereas in yellow color groups, argon plasma exhibited higher ΔE values than the oxygen plasma.
Conclusions: Coating the silicone surface with UV-ES followed by oxygen or argon plasma revealed a positive impact on the color stability of silicone elastomer. Plasma treatment and UV-ES coating may be used to enhance the clinical lifetime of silicone facial prostheses.
Project Number
The Scientific and Technological Research Council of Türkiye (TÜBİTAK) for supporting the study (grant no: 03/2020-14.).
References
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- Han Y, Zhao Y, Xie C, Powers JM, Kiat-amnuay S. Color stability of pigmented maxillofacial silicone elastomer: effects of nano-oxides as opacifiers. J Dent. 2010;38(2):e100–105. https://doi.org/10.1016/j.jdent.2010.05.009.
- Karakoca S, Aydin C, Yilmaz H, Bal BT. Retrospective study of treatment outcomes with implant-retained extraoral prostheses: survival rates and prosthetic complications. J Prosthet Dent. 2010;103(2):118–126. https://doi.org/10.1016/S0022-3913(10)60015-7.
- Han Y, Powers JM, Kiat-Amnuay S. Effect of opacifiers and UV absorbers on pigmented maxillofacial silicone elastomer, part 1: Color stability after artificial aging. J Prosthet Dent. 2013;109(6):397–401. https://doi.org/10.1016/S0022-3913(13)60327-3.
- Akash R, Guttal SS. Effect of incorporation of nano‐oxides on color stability of maxillofacial silicone elastomer subjected to outdoor weathering. J Prosthodont. 2015;24(7):569–575. https://doi.org/10.1111/jopr.12252.
- Lemon JC, Chambers MS, Jacobsen ML, Powers JM. Color stability of facial prostheses. J Prosthet Dent. 1995;74(6):613–618. https://doi.org/10.1016/s0022-3913(05)80314-2.
- Hatamleh MM, Watts DC. Effect of extraoral aging conditions on color stability of maxillofacial silicone elastomer. J Prosthodont. 2010;19(7):536–543. https://doi.org/10.1111/j.1532-849X.2010.00627.x.
- Beatty MW, Mahanna GK, Jia W. Ultraviolet radiation-induced color shifts occurring in oil-pigmented maxillofacial elastomers. J Prosthet Dent. 1999;82(4):441–446. https://doi.org/10.1016/s0022-3913(99)70031-4.
- dos Santos DM, Goiato MC, Moreno A, Pesqueira AA, Haddad MF. Influence of pigments and opacifiers on color stability of an artificially aged facial silicone. J Prosthodont. 2011;20(3):205–208. https://doi.org/10.1111/j.1532-849X.2010.00657.x
- Kheur M, Sethi T, Coward T, Kakade D, Rajkumar M. 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(3):276. https://doi.org/10.4103/0972-4052.176535.
- Kiat-amnuay S, Beerbower M, Powers JM, Paravina RD. Influence of pigments and opacifiers on color stability of silicone maxillofacial elastomer. J Dent. 2009;37(1):e45–e50. https://doi.org/10.1016/j.jdent.2009.05.004
- Bishal AK, Wee AG, Barão VA, Yuan JC-C, Landers R, Skotja C, Takoudis CG. Color stability of maxillofacial prosthetic silicone functionalized with oxide nanocoating. J Prosthet Dent. 2019;121(3):538–543. https://doi.org/10.1016/j.prosdent.2018.06.007
- Griniari P, Polyzois G, Papadopoulos T. Color and structural changes of a maxillofacial elastomer: the effects of accelerated photoaging, disinfection and type of pigments. J Appl Biomater Funct Mat. 2015;13(2):87–91. https://doi.org/10.5301/jabfm.5000229.
- Kheur MG, Kakade D, Trevor CJ, Lakha TA, Sethi T. Effect of newly developed pigments and ultraviolet absorbers on the color change of pigmented silicone elastomer. J Indian Prosthodont Soc. 2017;17(4):395-400. https://doi.org/10.4103/jips.jips_148_17.
- Tran NH, Scarbecz M, Gary JJ. 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(5):483–490. https://doi.org/10.1016/S002239130400112X.
- Bangera BS, Guttal SS. 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(6):1567–1572. https://doi.org/10.1016/j.prosdent.2014.07.001
- Güngör MB, Nemli SK, Inal CB, Bağkur M, Dilsiz N. Effect of plasma treatment on the peel bond strength between maxillofacial silicones and resins. Dent Mater J. 2020 Mar. 31;39(2):242-250. https://doi.org/10.4012/dmj.2018-259.
- Masood SH, Mohamed SA. The effect of plasma treatment on the bonding of soft denture liners to heat-cured acrylic resin denture base material and some surface properties of acrylic resin polymer. J Bagh Coll Dentistry. 2012;24(3):29–35.
- Gray J, Norton P, Griffiths K. Surface modification of a biomedical poly (ether) urethane by a remote air plasma. Appl Surf Sci. 2003;217(1-4):210–22. doi:10.1016/S0169-4332(03)00552-X
- Hauser J, Zietlow J, Köller M, Esenwein SA, Halfmann H, Awakowichz P, Steinau HU. Enhanced cell adhesion to silicone implant material through plasma surface modification. J Mater Sci Mater Med. 2009;20(12):2541–2548. https://doi.org/10.1007/s10856-009-3826-x
- Nishigawa G, Maruo Y, Oka M, Oki K, Minagi S, Okamoto M. Plasma treatment increased shear bond strength between heat-cured acrylic resin and self‐curing acrylic resin. J Oral Rehabil. 2003;30(11):1081–1084. https://doi.org/10.1046/j.1365-2842.2003.01198.x.
- Bankoğlu Güngör M, Karakoca Nemli S, Turhan Bal B, Kaşko Arıcı Y. Effect of ultraviolet protective agents on maxillofacial silicone elastomer, part 2: Mechanical properties after artificial aging. J Prosthet Dent. 2023;129(4):658-668. https://doi.org/10.1016/j.prosdent.2021.06.032.
- Turhan Bal B, Bankoğlu Güngör M, Karakoca Nemli S, Aydın C, Kaşko Arıcı Y. Effect of ultraviolet protective agents on maxillofacial silicone elastomer, part 1: Color stability after artificial aging. J Prosthet Dent. 2023;129(3):513-519. https://doi.org/10.1016/j.prosdent.2021.06.033.
Year 2025,
Volume: 15 Issue: 1, 69 - 75, 28.03.2025
Seçil Karakoca Nemli
,
Bilge Turhan Bal
,
Merve Bankoğlu Güngör
,
Nursel Dilsiz
,
Şükran Melda Eskitoros Toğay
,
Yeliz Kaşko Arıcı
Project Number
The Scientific and Technological Research Council of Türkiye (TÜBİTAK) for supporting the study (grant no: 03/2020-14.).
References
- Chang T-L, Garrett N, Roumanas E, Beumer III J. Treatment satisfaction with facial prostheses. J Prosthet Dent. 2005;94(3):275–280. https://doi.org/10.1016/j.prosdent.2005.06.002.
- Han Y, Zhao Y, Xie C, Powers JM, Kiat-amnuay S. Color stability of pigmented maxillofacial silicone elastomer: effects of nano-oxides as opacifiers. J Dent. 2010;38(2):e100–105. https://doi.org/10.1016/j.jdent.2010.05.009.
- Karakoca S, Aydin C, Yilmaz H, Bal BT. Retrospective study of treatment outcomes with implant-retained extraoral prostheses: survival rates and prosthetic complications. J Prosthet Dent. 2010;103(2):118–126. https://doi.org/10.1016/S0022-3913(10)60015-7.
- Han Y, Powers JM, Kiat-Amnuay S. Effect of opacifiers and UV absorbers on pigmented maxillofacial silicone elastomer, part 1: Color stability after artificial aging. J Prosthet Dent. 2013;109(6):397–401. https://doi.org/10.1016/S0022-3913(13)60327-3.
- Akash R, Guttal SS. Effect of incorporation of nano‐oxides on color stability of maxillofacial silicone elastomer subjected to outdoor weathering. J Prosthodont. 2015;24(7):569–575. https://doi.org/10.1111/jopr.12252.
- Lemon JC, Chambers MS, Jacobsen ML, Powers JM. Color stability of facial prostheses. J Prosthet Dent. 1995;74(6):613–618. https://doi.org/10.1016/s0022-3913(05)80314-2.
- Hatamleh MM, Watts DC. Effect of extraoral aging conditions on color stability of maxillofacial silicone elastomer. J Prosthodont. 2010;19(7):536–543. https://doi.org/10.1111/j.1532-849X.2010.00627.x.
- Beatty MW, Mahanna GK, Jia W. Ultraviolet radiation-induced color shifts occurring in oil-pigmented maxillofacial elastomers. J Prosthet Dent. 1999;82(4):441–446. https://doi.org/10.1016/s0022-3913(99)70031-4.
- dos Santos DM, Goiato MC, Moreno A, Pesqueira AA, Haddad MF. Influence of pigments and opacifiers on color stability of an artificially aged facial silicone. J Prosthodont. 2011;20(3):205–208. https://doi.org/10.1111/j.1532-849X.2010.00657.x
- Kheur M, Sethi T, Coward T, Kakade D, Rajkumar M. 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(3):276. https://doi.org/10.4103/0972-4052.176535.
- Kiat-amnuay S, Beerbower M, Powers JM, Paravina RD. Influence of pigments and opacifiers on color stability of silicone maxillofacial elastomer. J Dent. 2009;37(1):e45–e50. https://doi.org/10.1016/j.jdent.2009.05.004
- Bishal AK, Wee AG, Barão VA, Yuan JC-C, Landers R, Skotja C, Takoudis CG. Color stability of maxillofacial prosthetic silicone functionalized with oxide nanocoating. J Prosthet Dent. 2019;121(3):538–543. https://doi.org/10.1016/j.prosdent.2018.06.007
- Griniari P, Polyzois G, Papadopoulos T. Color and structural changes of a maxillofacial elastomer: the effects of accelerated photoaging, disinfection and type of pigments. J Appl Biomater Funct Mat. 2015;13(2):87–91. https://doi.org/10.5301/jabfm.5000229.
- Kheur MG, Kakade D, Trevor CJ, Lakha TA, Sethi T. Effect of newly developed pigments and ultraviolet absorbers on the color change of pigmented silicone elastomer. J Indian Prosthodont Soc. 2017;17(4):395-400. https://doi.org/10.4103/jips.jips_148_17.
- Tran NH, Scarbecz M, Gary JJ. 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(5):483–490. https://doi.org/10.1016/S002239130400112X.
- Bangera BS, Guttal SS. 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(6):1567–1572. https://doi.org/10.1016/j.prosdent.2014.07.001
- Güngör MB, Nemli SK, Inal CB, Bağkur M, Dilsiz N. Effect of plasma treatment on the peel bond strength between maxillofacial silicones and resins. Dent Mater J. 2020 Mar. 31;39(2):242-250. https://doi.org/10.4012/dmj.2018-259.
- Masood SH, Mohamed SA. The effect of plasma treatment on the bonding of soft denture liners to heat-cured acrylic resin denture base material and some surface properties of acrylic resin polymer. J Bagh Coll Dentistry. 2012;24(3):29–35.
- Gray J, Norton P, Griffiths K. Surface modification of a biomedical poly (ether) urethane by a remote air plasma. Appl Surf Sci. 2003;217(1-4):210–22. doi:10.1016/S0169-4332(03)00552-X
- Hauser J, Zietlow J, Köller M, Esenwein SA, Halfmann H, Awakowichz P, Steinau HU. Enhanced cell adhesion to silicone implant material through plasma surface modification. J Mater Sci Mater Med. 2009;20(12):2541–2548. https://doi.org/10.1007/s10856-009-3826-x
- Nishigawa G, Maruo Y, Oka M, Oki K, Minagi S, Okamoto M. Plasma treatment increased shear bond strength between heat-cured acrylic resin and self‐curing acrylic resin. J Oral Rehabil. 2003;30(11):1081–1084. https://doi.org/10.1046/j.1365-2842.2003.01198.x.
- Bankoğlu Güngör M, Karakoca Nemli S, Turhan Bal B, Kaşko Arıcı Y. Effect of ultraviolet protective agents on maxillofacial silicone elastomer, part 2: Mechanical properties after artificial aging. J Prosthet Dent. 2023;129(4):658-668. https://doi.org/10.1016/j.prosdent.2021.06.032.
- Turhan Bal B, Bankoğlu Güngör M, Karakoca Nemli S, Aydın C, Kaşko Arıcı Y. Effect of ultraviolet protective agents on maxillofacial silicone elastomer, part 1: Color stability after artificial aging. J Prosthet Dent. 2023;129(3):513-519. https://doi.org/10.1016/j.prosdent.2021.06.033.