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The Influence of Filler Particles on the Mechanical Properties of Maxillofacial Prosthetic Silicone Elastomers: A Systematic Review and Meta-Analysis.

ABSTRACT: Although numerous studies have demonstrated the benefits of incorporating filler particles into maxillofacial silicone elastomer (MFPSE), a review of the types, concentrations and effectiveness of the particles themselves was lacking. The purpose of this systematic review and meta-analysis was to review the effect of different types of filler particles on the mechanical properties of MFPSE. The properties in question were (1) tensile strength, (2) tear strength, (3) hardness, and (4) elongation at break. The findings of this study can assist operators, technicians and clinicians in making relevant decisions regarding which type of fillers to incorporate based on their needs. The systematic review was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A total of 26 original articles from 1970 to 2019 were selected from the databases, based on predefined eligibility criteria by two reviewers. The meta-analyses of nine papers were carried out by extracting data from the systematic review based on scoring criteria and processed using Cochrane Review Manager 5.3. Overall, there were significant differences favoring filler particles when incorporated into MFPSE. Nano fillers (69.23% of all studies) demonstrated superior comparative outcomes for tensile strength (P < 0.0001), tear strength (P < 0.00001), hardness (P < 0.00001) and elongation at break (P < 0.00001) when compared to micro fillers (30.76% of all studies). Micro fillers demonstrated inconsistent outcomes in mechanical properties, and meta-analysis of elongation at break argued against (P < 0.01) their use. Current findings suggest that 1.5% ZrSiO4, 3% SiO2, 1.5% Y2O3, 2-6% TiO2, 2-2.5% ZnO, 2-2.5% CeO2, 0.5% TiSiO4 and 1% Ag-Zn Zeolite can be used to reinforce MFPSE, and help the materials better withstand mechanical degradation.

SUBMITTER: Barman A

PROVIDER: S-EPMC7408417 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature

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The Influence of Filler Particles on the Mechanical Properties of Maxillofacial Prosthetic Silicone Elastomers: A Systematic Review and Meta-Analysis.

Barman Aparna A Rashid Farah F Farook Taseef Hasan TH Jamayet Nafij Bin NB Dudley James J Yhaya Mohd Firdaus Bin MFB Alam Mohammad Khursheed MK

Polymers 20200712 7

Although numerous studies have demonstrated the benefits of incorporating filler particles into maxillofacial silicone elastomer (MFPSE), a review of the types, concentrations and effectiveness of the particles themselves was lacking. The purpose of this systematic review and meta-analysis was to review the effect of different types of filler particles on the mechanical properties of MFPSE. The properties in question were (1) tensile strength, (2) tear strength, (3) hardness, and (4) elongation ...[more]

PMID: 32664615

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Project description:ObjectivesMaxillofacial silicone is used to restore abnormalities due to congenital or acquired causes. However, the quality of silicone is far from ideal. This study was aimed at assessing the influence of the addition of cellulose nanofibers (CNFs; several nanometers in diameter and 2-5 μm long) on the physical and mechanical characteristics of maxillofacial silicone elastomers.MethodsTwo CNF weight percentages (0.5% and 1%) were tested, and 180 specimens were divided into one control and two experimental groups. Each group was subdivided into six subgroups. In each subgroup, ten specimens subjected to each of the following tests: tearing strength, Shore-A hardness, tensile strength, elongation percentage, surface roughness, and color stability. The samples were additionally analyzed with Fourier transform infrared spectroscopy (FTIR) and field emission scanning electronic microscopy (FESEM).ResultsThe 0.5% CNF group, compared with the control group, exhibited highly significantly greater tearing strength, elongation percentage, hardness Shore-A, and surface roughness, and substantially greater tensile strength. However, color stability did not significantly differ between groups.The 1% CNF group showed significantly greater Shore-A hardness, tear strength, color stability, and surface roughness, and insignificantly lower tensile strength and percentage elongating values, than the control group. FESEM imaging revealed good CNF dispersion. The FTIR spectra indicated that CNFs interacted with silicone through surface functional hydroxyl groups.ConclusionAddition of 0.5 wt. % CNF to silicone elastomers increased the material's mechanical tensile strength, tear strength, elongation percentage, and hardness as long as it stayed within the acceptable range for clinical use. Surface roughness increased in direct proportion to the amount of nanofibers added. Moreover, addition of 0.5 wt. % CNF to silicone polymers had insignificant effects on color stability.

Dataset Information

The Influence of Filler Particles on the Mechanical Properties of Maxillofacial Prosthetic Silicone Elastomers: A Systematic Review and Meta-Analysis.

Publications

The Influence of Filler Particles on the Mechanical Properties of Maxillofacial Prosthetic Silicone Elastomers: A Systematic Review and Meta-Analysis.

Similar Datasets

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