Statement Of Problem: The use of polyurethane liners beneath silicone facial prostheses is recommended to improve the effectiveness of water-based adhesives, reduce bacterial colonization, and allow very thin margins. Patients using silicone prostheses with a polyurethane lining often observe different degrees of debonding which may lead to failure of the prosthesis. Aggressive cleaning may be associated with debonding of the silicone to polyurethane.
Purpose: The purpose of this investigation was to determine the effect on bond strength of soaking specimens of silicone to polyurethane in hot or room-temperature soapy water.
Material And Methods: Specimens of silicone to primed polyurethane were divided into 3 groups of 16 specimens for testing: control (no soak), room-temperature soapy water soak, and hot soapy water soak. The soaked specimens were placed in soapy water at different temperatures for 1825 minutes to simulate 1 year of a 5 min/day cleaning cycle. One examiner performed the assessment of T-peel strength (N/mm) for all specimens. Each specimen was attached to an adhesive testing machine and separated in tension at the crosshead speed of 25.4 mm/min. Data were analyzed with a 1-way ANOVA followed by post hoc pairwise testing using the Tukey test (alpha=.05).
Results: A significant difference in bonding strength between the 3 groups was found (P<.001), with post hoc tests indicating that the control group bonding strength (6.06 +/- 1.84 N/mm) was significantly higher than both room-temperature water soapy soak (3.93 +/- 1.84 N/mm; P=.005) and the hot soapy water soak group values (2.49 +/- 1.75 N/mm; P<.001). However, there was no significant difference found between the hot and room-temperature soapy soak values.
Conclusion: Within the limitations of this study, soaking in hot or room-temperature soapy water produced a significant reduction of bond strength of silicone to polyurethane.
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