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Background: Impression materials can harbour microorganisms from saliva and blood, posing cross-contamination risks. However, post-setting disinfection might compromise the dimensional accuracy and mechanical properties of alginates. Hence, it was the aim of this research to assess the detail reproduction, tear strength, elastic recovery, and surface quality of the gypsum model of newly developed dental alginates with inherent antimicrobial properties. Methods: Three dental alginate groups with antimicrobial alterations were formulated. One group replaced water with 0.2% chlorhexidine solution (CHX group), while the other two utilized water-based extracts of Syzygium aromaticum (SA, clove) or Zingiber officinale (ZO, ginger) to reduce silver nitrate, resulting in two silver nanoparticles (AgNPs)/extract (clove or ginger) mixture solutions. These mixture solutions were employed for the preparation of dental alginate yielding the SA + AgNP and ZO + AgNPs groups. All modified groups were compared to an unmodified control group that used water for mixing. Elastic recovery, detail reproduction, and tear strength were assessed following the ISO 21563:2021 standard. The surface roughness of plaster models was analysed using the optical profilometer. Elastic recovery was assessed by applying and then releasing load on alginate specimens to measure their ability to recover from deformation. Detail reproduction was evaluated by observing the reproducibility of a 50 μm line in a metallic mold using a light microscope, while tear strength was determined by stretching the specimens until failure at a constant speed of 500 mm/min. Results: All tested groups exhibited elastic recovery values meeting ISO standards for hydrocolloid impression materials. Regarding detail reproduction, both the control and modified alginates successfully reproduced the 50-µm line without interruption in all specimens. Tear strength values for all tested groups remained within the acceptable documented ranges, surpassing the minimum requirement of 0.38 N/mm as mandated by ISO 21563:2021. The ZO + AgNPs (0.94 ± 0.17 N/mm) demonstrated significantly higher tear strength values and surface roughness values compared to the other tested groups. Conclusions: Chlorhexidine, Syzygium aromaticum, and Zingiber officinale green-synthesized silver nanoparticles are promising, cost-effective alternatives for disinfecting alginate impressions without compromising performance. Green nanoparticle synthesis is a safe, efficient, and non-toxic method, potentially synergizing metal ions with plant extract. [ABSTRACT FROM AUTHOR]

Objectives: Impression materials could be a source of cross-contamination due to the presence of microorganisms from blood and saliva inside the oral cavity. Nevertheless, routinely performed post-setting disinfection could compromise the dimensional accuracy and other mechanical properties of alginates. Thus, this study aimed to evaluate detail reproduction, dimensional accuracy, tear strength, and elastic recovery of new experimentally prepared self-disinfecting dental alginates. Methods: Two antimicrobial-modified dental alginate groups were prepared by mixing alginate powder with 0.2% silver nitrate (AgNO3 group) and a 0.2% chlorohexidine solution (CHX group) instead of pure water. Moreover, a third modified group was examined by the extraction of Boswellia sacra (BS) oleoresin using water. The extract was used to reduce silver nitrate to form silver nanoparticles (AgNPs), and the mixture was used as well in dental alginate preparation (BS + AgNP group). Dimensional accuracy and detail reproduction were examined as per the ISO 1563 standard guidelines. Specimens were prepared using a metallic mold engraved with three parallel vertical lines 20, 50, and 75 µm wide. Detail reproduction was evaluated by checking the reproducibility of the 50 µm line using a light microscope. Dimensional accuracy was assessed by measuring the change in length between defined reference points. Elastic recovery was measured according to ISO 1563:1990, in which specimens were gradually loaded and then the load was released to allow for recovery from the deformation. Tear strength was evaluated using a material testing machine until failure at a crosshead speed of 500 mm/min. Results: The recorded dimensional changes between all tested groups were insignificantly different and within the reported acceptable values (between 0.037–0.067 mm). For tear strength, there were statistically significant differences between all tested groups. Groups modified with CHX (1.17 ± 0.26 N/mm) and BS + AgNPs (1.11 ± 0.24 N/mm) showed higher tear strength values compared to the control (0.86 ± 0.23 N/mm) but were insignificant from AgNO3 (0.94 ± 0.17 N/mm). All tested groups showed elastic recovery values that met both the ISO standard and ADA specifications for elastic impression materials and tear strength values within the acceptable documented ranges. Discussion: The CHX, silver nitrate, and green-synthesized silver nanoparticles could be promising, inexpensive alternatives for the preparation of a self-disinfecting alginate impression material without affecting its performance. Green synthesis of metal nanoparticles could be a very safe, efficient, and nontoxic method, with the advantage of having a synergistic effect between metal ions and active chemical constituents of plant extracts. [ABSTRACT FROM AUTHOR]

Objectives: Impression materials could be a source of cross-contamination due to the presence of microorganisms from blood and saliva inside the oral cavity. Nevertheless, routinely performed post-setting disinfection could compromise the dimensional accuracy and other mechanical properties of alginates. Thus, this study aimed to evaluate detail reproduction, dimensional accuracy, tear strength, and elastic recovery of new experimentally prepared self-disinfecting dental alginates. Methods: Two antimicrobial-modified dental alginate groups were prepared by mixing alginate powder with 0.2% silver nitrate (AgNO3 group) and a 0.2% chlorohexidine solution (CHX group) instead of pure water. Moreover, a third modified group was examined by the extraction of Boswellia sacra (BS) oleoresin using water. The extract was used to reduce silver nitrate to form silver nanoparticles (AgNPs), and the mixture was used as well in dental alginate preparation (BS + AgNP group). Dimensional accuracy and detail reproduction were examined as per the ISO 1563 standard guidelines. Specimens were prepared using a metallic mold engraved with three parallel vertical lines 20, 50, and 75 µm wide. Detail reproduction was evaluated by checking the reproducibility of the 50 µm line using a light microscope. Dimensional accuracy was assessed by measuring the change in length between defined reference points. Elastic recovery was measured according to ISO 1563:1990, in which specimens were gradually loaded and then the load was released to allow for recovery from the deformation. Tear strength was evaluated using a material testing machine until failure at a crosshead speed of 500 mm/min. Results: The recorded dimensional changes between all tested groups were insignificantly different and within the reported acceptable values (between 0.037–0.067 mm). For tear strength, there were statistically significant differences between all tested groups. Groups modified with CHX (1.17 ± 0.26 N/mm) and BS + AgNPs (1.11 ± 0.24 N/mm) showed higher tear strength values compared to the control (0.86 ± 0.23 N/mm) but were insignificant from AgNO3 (0.94 ± 0.17 N/mm). All tested groups showed elastic recovery values that met both the ISO standard and ADA specifications for elastic impression materials and tear strength values within the acceptable documented ranges. Discussion: The CHX, silver nitrate, and green-synthesized silver nanoparticles could be promising, inexpensive alternatives for the preparation of a self-disinfecting alginate impression material without affecting its performance. Green synthesis of metal nanoparticles could be a very safe, efficient, and nontoxic method, with the advantage of having a synergistic effect between metal ions and active chemical constituents of plant extracts.