Effect of artificial sweat, pigmentation and adhesives for fixing facial prostheses on physical and optical properties of two facial silicones
DOI:
https://doi.org/10.2340/biid.v12.44660Keywords:
facial silicone, adhesives, pigmentationAbstract
The aim of this study was to evaluate the effect of sweat and adhesives on color stability, roughness (Ra) and Shore A hardness of two silicones for facial prostheses with different pigmentation. Samples of Silastic MDX4-4210 and A-2186 silicone were made for the proposed tests, distributed into 12 groups according to their pigmentation and adhesive used and were immersed in artificial sweat for 3 months, disinfected every 3 days with neutral soap. Measurements of color stability, roughness and hardness were performed according to ISO 21920 and CIEDE2000 using a spectrophotometer and ISO 868, respectively. There was a statistically significant color change in the two silicones used, with the groups that had the least change being those without adhesive applied to their surface (controls). There was also a reduction in roughness in all groups, with MDX4-4210 being the roughest silicone. In terms of Shore A hardness, all the groups became harder after the experimental period, with A-2186 achieving the highest results. Color change, Shore A hardness and roughness showed significant changes in the MDX4-4210 and A-2186 silicones for the proposed tests. Even so, all the results found were clinically acceptable, making both silicones excellent options for use in maxillofacial rehabilitation.
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Goiato MC, Pesqueira AA, Ramos da Silva C, Gennari Filho H, Micheline Dos Santos D. Patient satisfaction with maxillofacial prosthesis. Literature review. J Plast Reconstr Aesthet Surg. 2009;62(2):175–80. https://doi.org/10.1016/j.bjps.2008.06.084 DOI: https://doi.org/10.1016/j.bjps.2008.06.084
Goiato MC, Santos Yanamoto NC, Melo Neto CLM, Freitas da Silva EV, Caxias FP, dos Santos DM. Analysis of the mechanical propertier of bond strength in adhesive systems bonded to HCR silicone facial. Int J Artif Organs. 2025;48(4):275–9. https://doi.org/10.1177/journals.sagepub DOI: https://doi.org/10.1177/03913988251325680
Paulini MB, Micheline Dos Santos D, de Moraes Melo Neto CL, Bitencourt SB, da Silva EVF, de Caxias FP, et al. Analysis of physical prop-erties of facial silicones with different pigmentations submitted to nonthermal plasma treatment and accelerated aging. J Prosthet Dent. 2020;124(6):815.e1–7. https://doi.org/10.1016/j.prosdent.2020.05.034 DOI: https://doi.org/10.1016/j.prosdent.2020.05.034
Nóbrega AS, Neto CLMM, Dos Santos DM, Bertoz APM, MeloMoreno AL, Goiato MC. Effect of accelerated aging on the sorption and solu-bility percentages of silicone facial prostheses. Eur J Dent. 2022;16(1):223–6. https://doi.org/10.1055/s-0041-1731932 DOI: https://doi.org/10.1055/s-0041-1731932
Cevik P, Yildirim-Bicer AZ. Effect of different types of disinfection solution and aging on the hardness and colour stability of maxillofacial silicone elastomers. Int J Artif Organs. 2017;41(2) 108–14. https://doi.org/10.5301/ijao.5000659 DOI: https://doi.org/10.5301/ijao.5000659
Cevik P, Eraslan O. Effects of the addition of titanium dioxide and silaned silica nanoparticles on the mechanical properties of maxillofacial silicones. J Prosthodont. 2017;26(7):611–15. https://doi.org/10.1111/jopr.12438 DOI: https://doi.org/10.1111/jopr.12438
Seçilmiş A, Öztürk AN. Nasal prosthesis rehabilitation after partial rhinectomy: a clinical report. Eur J Dent. 2007;1(2):115–18. https://doi.org/10.1055/s-0039-1698324 DOI: https://doi.org/10.1055/s-0039-1698324
Rai SY, Guttal SS. Effect of intrinsic pigmentation on the tear strength and water sorption of two commercially available silicone elasto-mers. J Indian Prosthodont Soc. 2013;13(1):30–5. https://doi.org/10.1007/s13191-012-0174-1 DOI: https://doi.org/10.1007/s13191-012-0174-1
Goiato MC, Haddad MF, Santos DM, Pesqueira AA, Moreno A. Hardness evaluation of prosthetic silicones containing opacifiers following chemical disinfection and accelerated aging. Braz Oral Res. 2010;24(3):303–8. https://doi.org/10.1590/S1806-83242010000300008 DOI: https://doi.org/10.1590/S1806-83242010000300008
Saboya ACL, Carvalho JCM, André M, Mattos BSC, Rossa R. Avaliação da dureza ‘shore a’ e da resistência ao rasgamento de alguns sili-cones acéticos modificados para uso em prótese facial. Rev Odontol Univ São Paulo. 1997;11(2):93–7. https://doi.org/10.1590/S0103-06631997000200005 DOI: https://doi.org/10.1590/S0103-06631997000200005
Nguyen CT, Chambers MS, Powers JM, Kiat-Amnuay S. Effect of opacifiers and UV absorbers on pigmented maxillofacial silicone elastomer, part 2: mechanical properties after artificial aging. J Prosthet Dent. 2013;109(6):402–10. https://doi.org/10.1016/S0022-3913(13)60328-5 DOI: https://doi.org/10.1016/S0022-3913(13)60328-5
Polyzois GL, Tarantili PA, Frangou MJ, Andreopoulos AG. Physical properties of a silicone prosthetic elastomer stored in simulated skin secretions. J Prosthet Dent. 2000;83(5):572–7. https://doi.org/10.1016/S0022-3913(00)70017-5 DOI: https://doi.org/10.1016/S0022-3913(00)70017-5
Quadros LCS, Silva-Lovato CH, Dotto MER, Ribeiro JS, Soto AF, Duque TM, et al. In situ study of the effect of endogenous and exogenous agents on color stability, hardness, and surface roughness of an elastomer for facial prostheses. J Prosthodont. 2024:1–10 https://doi.org/10.1111/jopr.13876 DOI: https://doi.org/10.1111/jopr.13876
Eleni PN, Krokida MK, Polyzois GL. Effects of storage in simulated skin secretions on mechanical behavior and color of polydimethylsilox-anes elastomers. J Craniofac Surg. 2011;22(3):830–6. https://doi.org/10.1097/SCS.0b013e31820f36e0 DOI: https://doi.org/10.1097/SCS.0b013e31820f36e0
Al-Dharrab AA, Tayel SB, Abodaya MH. The effect of different storage conditions on the physical properties of pigmented medical grade I silicone maxillofacial material. ISRN Dent. 2013;2013:582051. https://doi.org/10.1155/2013/582051 DOI: https://doi.org/10.1155/2013/582051
Kiat-Amnuay S, Waters PJ, Roberts D, Gettleman L. Adhesive retention of silicone and chlorinated polyethylene for maxillofacial prosthe-ses. J Prosthet Dent. 2008;99(6):483–8. https://doi.org/10.1016/S0022-3913(08)60113-4 DOI: https://doi.org/10.1016/S0022-3913(08)60113-4
Liu L, Kuffel K, Scott D, Constantinescu G, Chung H-J, Rieger J. Silicone-based adhesives for long-term skin application: cleaning protocols and their effect on peel strength. Biomed Phys Eng Exp. 2018;4(1):1–11. https://doi.org/10.1088/2057-1976/aa91fb DOI: https://doi.org/10.1088/2057-1976/aa91fb
Polyzois GL. Bond strength of double-sided adhesive tapes used for facial prostheses. Spec Care Dentist. 1994;14(1):26–9. https://doi.org/10.1111/j.1754-4505.1994.tb01092.x DOI: https://doi.org/10.1111/j.1754-4505.1994.tb01092.x
Polyzois GL, Oilo G, Dahl JE. Tensile bond strength of maxillofacial adhesives. J Prosthet Dent. 1993;69(4):374–7. https://doi.org/10.1016/0022-3913(93)90183-O DOI: https://doi.org/10.1016/0022-3913(93)90183-O
Polyzois GL, Eleni PN, Krokida MK. Effect of time passage on some physical properties of silicone maxillofacial elastomers. J Craniofac Surg. 2011;22(5):1617–21. https://doi.org/10.1097/SCS.0b013e31822e5e62 DOI: https://doi.org/10.1097/SCS.0b013e31822e5e62
Goiato MC, Pesqueira AA, dos Santos DM, Dekon SFC. Evaluation of hardness and surface roughness of two maxillofacial silicones follow-ing disinfection. Braz Oral Res. 2009;23(1):49–53. https://doi.org/10.1590/S1806-83242009000100009 DOI: https://doi.org/10.1590/S1806-83242009000100009
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;20:205–8. https://doi.org/10.1111/j.1532-849X.2010.00657.x DOI: https://doi.org/10.1111/j.1532-849X.2010.00657.x
Haddad MF, Goiato MC, dos Santos DM, de Marchi Crepaldi N, Pesqueira AA, Bannwart LC. Bond strength between acrylic resin and maxillofacial silicone. J Appl Oral Sci. 2012;20(6):649–54. https://doi.org/10.1590/S1678-77572012000600010 DOI: https://doi.org/10.1590/S1678-77572012000600010
Nobrega AS, Malavazi EM, Melo Neto CLM, de Sousa Ervolino IC, Bannwart LC, de Magalhães Bertoz AP, et al. Influence of different pig-ment incorporation methods on color, dimensional stability, and detail reproduction of silicones. Eur J Dent. 2019;13(3):399–404. https://doi.org/10.1055/s-0039-1700768 DOI: https://doi.org/10.1055/s-0039-1700768
ISO 105-E04 [Internet]. 2008. Available from: https://standards.iteh.ai/catalog/standards/sist/bad3c3e2-4a94-4113-8be0-aa0ea33e8c0e/iso-105-e04-2008 [cited August 4th, 2025]
Kulthong K, Srisung S, Boonpavanitchakul K, Kangwansupamonkon W, Maniratanachote R. Determination of silver nanoparticle release from antibacterial fabrics into artificial sweat. Part Fibre Toxicol. 2010;7:8. https://doi.org/10.1186/1743-8977-7-8 DOI: https://doi.org/10.1186/1743-8977-7-8
Roberts AC. Facial reconstruction by prosthetic means. Br J Oral Surg. 1967;4:157‑82. https://doi.org/10.1016/S0007-117X(66)80032-X DOI: https://doi.org/10.1016/S0007-117X(66)80032-X
Gupta P, Deshpande S, Radke U, Ughade S, Sethuraman R. The color stability of maxillofacial silicones: a systematic review and meta-analysis. J Indian Prosthodon Soc. 2021;21:138. https://doi.org/10.4103/jips.jips_253_19 DOI: https://doi.org/10.4103/jips.jips_253_19
Lagouvardos P, Spyropoulou N, Polyzois G. Perceptibility and acceptability thresholds of simulated facial skin color differences. J Prostho-dont Res. 2018;62(4):503–8. https://doi.org/10.1016/j.jpor.2018.07.005 DOI: https://doi.org/10.1016/j.jpor.2018.07.005
Kurt M, Nemli SK, Güngör MB, Bal BT, Öztürk E. Perceptibility and acceptability thresholds for color differences of light and dark maxillofa-cial skin replications. Vis Res. 2024;223:108474. https://doi.org/10.1016/j.visres.2024.108474 DOI: https://doi.org/10.1016/j.visres.2024.108474
Dos Santos DM, Borgui Paulini M, Silva Faria TG, de Moraes Melo Neto CL, da Silva EVF, de Caxias FP, et al. Analysis of color and hardness of a medical silicone with extrinsic pigmentation after accelerated aging. Eur J Dent. 2020;14(4):634–8. https://doi.org/10.1055/s-0040-1715782 DOI: https://doi.org/10.1055/s-0040-1715782
Hatamleh MM, Polyzois GL, Silikas N, Watts DC. Effect of extraoral aging conditions on mechanical properties of maxillofacial silicone elas-tomer. J Prosthodont. 2011;20(6):439–46. https://doi.org/10.1111/j.1532-849x.2011.00736.x DOI: https://doi.org/10.1111/j.1532-849X.2011.00736.x
Mouzakis DE, Papadopoulos TD, Polyzois GL, Griniari PG. Dynamic mechanical properties of a maxillofacial silicone elastomer incorporating a ZnO additive: the effect of artificial aging. J Craniofac Surg. 2010;21:1867–71. https://doi.org/10.1097/SCS.0b013e3181f43f43 DOI: https://doi.org/10.1097/SCS.0b013e3181f43f43
Çevik P. Evaluation of Shore A hardness of maxillofacial silicones: the effect of dark storage and nanoparticles. Eur Oral Res. 2018;52(2):99–104. https://doi.org/10.26650/eor.2018.469 DOI: https://doi.org/10.26650/eor.2018.469
Nobrega AS, Andreotti AM, Moreno A, Sinhoreti MAC, Dos Santos DM, Goiato MC. Influence of adding nanoparticles on the hardness, tear strength, and permanent deformation of facial silicone subjected to accelerated aging. J Prosthet Dent. 2016;116(4):623–9. https://doi.org/10.1016/j.prosdent.2016.03.004 DOI: https://doi.org/10.1016/j.prosdent.2016.03.004
Lewis DH, Castleberry DJ. An assessment of recent advances in external maxillofacial materials. J Prosthet Dent. 1980;43(4):426–32. https://doi.org/10.1016/0022-3913(80)90215-2 DOI: https://doi.org/10.1016/0022-3913(80)90215-2
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Copyright (c) 2025 Gabriele Martins , Daniela Micheline dos Santos, Bárbara Luise Medeiros dos Santos , Fernanda Pereira de Caxias, Marcelo Coelho Goiato

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