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Journal of Dental School 2013; 31(3):162-169 Original Article

Comparison of Setting Time, Setting Expansion and Compressive Strength of


Gypsum Casts Produced by Mixing of Gypsum Powder with Distilled Water
or 0.05% Sodium Hypochlorite
1
Hooman Zarakani 2Nafiseh Karimi 1Seyfollah Sadriya *4Amir Fayaz
1
Member of Staff, Dept. of Prosthodontics, School of Dentistry, Shahid Beheshti University of
Medical Sciences, Tehran, Iran.
2
General Practitioner.
*3Assistant Professor, Dept. of Prosthodontics, School of Dentistry, Shahid Beheshti University of
Medical Sciences, Tehran- Iran. E-mail: fayaz_am@sbmu.ac.ir 

Abstract
Objective: Previous studies have demonstrated that dental stone casts can be disinfected by replacing
10v% of required water with 5.25% sodium hypochlorite solution. This comparative study evaluated
physical properties of dental stone models produced by replacing distilled water with sodium
hypochlorite.
Methods: In this in-vitro experimental study, a total of 45 dental stone models were produced in the
following 3 groups. Group A included stone models fabricated by mixing 300g gypsum powder and
94 mm3 distilled water. Group B comprised of stone models produced by mixing 300 g gypsum
powder and 94 mm3 diluted 0.5% sodium hypochlorite solution. The third group (C) included
specimens produced by mixing 300 g gypsum powder and 90 mm3 distilled water. Setting time,
setting expansion and compressive strength of specimens were measured and compared. All tests
were carried out according to ADA Specification No.25. Obtained results were entered SPSS
software. ANOVA was applied for the comparison of 3 groups and Tukey’s test was used for pair
wise comparison.
Results: Replacing distilled water with sodium hypochlorite caused a statistically significant
reduction in setting time (mean reduction of 515 s) and increased the compressive strength of
samples (mean increase of 4.06 MPa). Setting time in group 2 specimens was shorter than that in
group 3 samples but no statistically significant difference was noted in setting expansion of samples
in the 3 groups.
Conclusion: Replacement of distilled water with sodium hypochlorite had no adverse effect on
setting time, setting expansion or compressive strength of dental stone casts and thus can be used as
a suitable method for disinfection of casts in dental laboratories.
Key words: Compressive strength, Dental stone, Disinfection, Setting expansion, Setting time,
Sodium hypochlorite.
Please cite this article as follows:
Zarakani H, Karimi N, Sadriya S, Fayaz A. Comparison of Setting Time, Setting Expansion and
Compressive Strength of Gypsum Casts Produced by Mixing of Gypsum Powder with Distilled Water or
0.05% Sodium Hypochlorite. J Dent Sch 2013; 31(3):162-169.
Received: 15.08.2012 Final Revision: 05.05.2013 Accepted: 12.05.2013

Introduction: Thus, these materials are in direct contact with


the oral mucosa, saliva and blood and can act as
Among different materials, gypsum is the most a carrier for potential transmission of
commonly used substance to make a duplicateof microorganisms to dental personnel.
theteeth. Dental stone casts are the connection Contaminated impression materials and
between the clinical and the laboratory phases of prostheses are the most important route of
treatment and reconstruct the desired structures infection transmission from patients to the lab
(1). In prosthodontic treatments, impressions are environment (2). Impressions are usually
made of teeth using dental impression materials. contaminated with blood and saliva and simple
Zaraakani, et al. 163
 
rinsing is not sufficient for their decontamination ofmicroorganisms and improvement of
(3). These contaminants can also be transferred mechanical properties of the casts (22).
to dental casts and the cycle of infection Adequate compressive strength is among the
transmission and cross contamination continues most important characteristics of dental stone
as such (4). To confront this phenomenon, more casts enabling them to adequately resist against
emphasis has been placed on irrigation and applied forces during prosthetic laboratory
disinfection of impressions before sending them procedures. Setting time and setting expansion
to the lab (5-7). Some researchers have are also important. It should be noted that when
investigated the effect of disinfection on gypsum is mixed with water, only 18.61g of
dimensional stability of impressions (8-10). water chemically reacts with 100g of gypsum
Some others have evaluated the efficacy of and the remaining water is left unreacted. In fact,
disinfection in reducing the level of microbial the excess water is for better wetting of gypsum
contamination (11, 12). Spraying the powder and formation of a thinner mixture for
impressionswith disinfectants has also been easier impression pouring. However,it weakens
reported as an effective technique for reducing the final quality of the set stone (23). This study
contamination without adversely affecting the sought to assess the compressive strength of
dimensional stability of stone model (13, 14). dental stone casts produced by mixing gypsum
Immersion of impressions into the disinfection powder and 0.5% sodium hypochlorite and
solution has also been suggested as a suitable compare it with compressive strength of casts
method to decrease microorganisms (15). made of mixing gypsum powder and distilled
Rinsing the impression with water may reduce water. Setting time and setting expansion were
the contamination to a great extent but some evaluated as well. The third group was also
levels of contamination may still exist. included to assess the effect of reducing the
Obviously, while doing dental procedures, amount of water on the mentioned properties
dentists are at risk of contracting a wide range of and to make a comparison with specimens made
diseases from a common cold to TB, hepatitis by incorporation of less water and hypochlorite.
and AIDS (11, 12). On the other hand, it has Thus, this study aimed to compare the effect of
been demonstrated that immersion of dental addition of hypochlorite on physical properties
casts into the sodium hypochlorite solution has of the conventional casts (with distilled water)
no significant adverse effect on stone cast and those produced with less volume of water.
quality (16-19).
Ivanovski et al. (1995) evaluated the effect of Methods:
incorporating disinfecting solutions into gypsum
on level of contamination and physical In this in-vitro experimental study, a total of 45
properties of the casts and supported the concept dental stone (Type III dental stone, Pars Dandan,
of incorporation of disinfecting agents into stone Tehran) casts were produced in 3 groups of 15.
models as a standard operating procedure (20). By considering the significance level of
Furthermore, 0.525% sodium hypochlorite and alpha<0.05, study power of over 80%, equal
0.1% povidone iodine have been proposed as number of specimens in the 3 groups, standard
disinfectants with no adverse effect on deviation of 30s for the setting time in the pilot
dimensional stability of dental stone casts (21). study, specification of 60s setting time, 15 to
In a study conducted in 2003, gypsum was 20% loss to follow up and 5-7 samples in each
mixed with water containing 0.5% calcium group, sample size was calculated as 21.
hypochlorite resulting in a reduction in number However, 45 specimens were evaluated in our
Journal of Dental School 2013 164
 
study. In group A, 300 g gypsum powder was mm internal diameter was completely filled with
mixed with 94 mm3distilled water (Zolal, the mixture and the surface was smoothed with a
Tehran). In group B, 300 g gypsum powder was spatula. One to 2 min prior to the expected time
mixed with 94 mm3 of 0.5% sodium of setting, the valve screw was loosened to allow
hypochlorite solution (Shimin Inc., Tehran, Iran) the needle tip of the apparatus (with 3mm
(diluted with distilled water to 0.5%). In group diameter and 300g weight)penetrate into the
C, 300 g gypsum powder was mixed with 90 stone paste. This was repeated every 30s and
mm3distilled water. Room temperature was kept each time the mould was slightly repositioned to
at 25°C at all times and the environment allow the needle penetrate into a new point. The
humidity was 40% measured by the moisture needle was cleaned each time, its tip was placed
meter (Moisture Meter, Delmhorst Instrument in contact with the paste, the valve screw was
Co., Victoria, Australia). Setting time, setting tightened and the degree indicated by the stylus
expansion and compressive strength tests were was read. The valve screw was then loosened
separately carried out for all specimens. The rapidly in order for the needle to penetrate into
ratio of water to gypsum powder was suggested the gypsum. The degree was then read again.
to be 28-30cc water per 100g gypsum powder This was repeated until the needle could not
(24). This amount was tripled in our study penetrate all the way to the bottom of the
considering the capacity of testing devices for specimen. This position was considered as the
physical characteristics. Dental stone mixing and termination of setting (23). Setting time of
tests were all done according to ADA gypsum was calculated from the initiation of
specification No. 25 (25). mixing to this point.

Gypsum mixture preparation:


Setting expansion test:
Before mixing the gypsum powder with the
First, a V-shaped stainless steel mould
respective liquid, the box containing gypsum
measuring 140x30x30 mm and thickness of
powder was shaken well to homogenize the
4mm was designed and fabricated. A brass cubic
constituents. The powder was then mixed with
mold with 30mm dimensions and 200g weight
the respective liquid at 25°C and a paste with
was also used. This piece was mobile and could
desirable consistency was prepared. For this
move in the V-shaped mould due to stone
purpose, first specific amount of liquid was
expansion.
poured into the rubber bowl (with approximate
Micrometer with 0.01 mm readability (Dial
diameter of 130mm at the opening, clean and
caliper, Mitutoyo, USA) was placed over the
scratch-free). The desired amount of powder was
expansion-meter in a way that the V-shaped
then gradually added during 10s; 20s time was
mould had 100 mm distance from the mobile
allowed for wetting of powder particles. The
piece (measured by caliper). The bottom of the
mixture was then mixed with a spatula(21 mm
V-shaped mould was covered with a rubber dam
width and 130 mm length) using circular motion
(SDI, Victoria, Australia). Then 150g of gypsum
with approximate speed of 120 rpm for one
powder was mixed with the respective liquid as
minute to obtain a paste with favorable
described earlier and poured into the V-shaped
consistency.
mould over the rubber dam using a spatula. The
Setting time test: surface of paste was smoothed and covered with
Metal mould of Vicat apparatus (Vicat the rest of the rubber dam. The entire complex
apparatus, Humblot manufacturing company, was placed into a plastic bag to prevent
Chicago, IL, USA) with 50mm height and 35 vaporization of liquid. One minute prior to
Zaraakani, et al. 165
 
gypsum setting, the amount of expansion was 23°C temperature and 95% humidity). After an
read. Length of specimens was once again hour, the samples were transferred to
measured at 120 min. the test was repeated twice compressive strength testing machine
and the mean of obtained values was reported in (Walter+Baiag Testing Machine, Switzerland) to
hundredth of mm. determine their wet strength. The machine had
0.01 kN readability with a crosshead speed of
Compressive strength testing: 8.5 kN/min. The obtained values at failure of
A two-piece mould was fabricated of a brass each specimen were recorded.
wire that included 5 adjacent cylinders with Data were entered SPSS version 13 software.
20±0.2 mm diameter and 40±0.4 mm height Considering the normal distribution of data
according to the ADA standard dimensions. A (Kolmogorov-Smirnov and histogram with
total of 150g of gypsum was mixed with the normal distribution curve), ANOVA was used to
desired amount of liquid as described earlier. compare mean differences among the 3 groups
The moulds were placed over a glass slab, filled (p<0.05). For pairwise comparison of groups,
with the gypsum paste and gently vibrated for Tukey’s test was applied. p<0.05 was considered
30s on a vibrator (Pars Dental, Tehran, Iran) to statistically significant.
eliminate any possible void. Before the
elimination of gypsum surface shine, another Results:
glass slab was placed on top of the moulds.
Forty-five minutes after mixing, specimens were Setting time (s), setting expansion (%) and
removed from the mould and placed into the compressive strength (MPa) of samples are
plastic containers designed for alginate storage demonstrated in Tables 1, 2 and 3, respectively.
for 15min to prevent vaporization of moisture (at

Table 1- Setting time of specimens in the 3 groups (5 repetitions)


Group Setting time (s) Mean SD
Group A 955 932 898 910 925 924 21.78
Group B 390 419 410 405 423 409.4 12.97
Group C 733 709 745 700 799 737.2 38

Table 2- Setting expansion of samples in the 3 groups (5 repetitions)


Group Setting expansion (%) Mean SD
Group A 0.32 0.31 0.31 0.32 0.32 0.316 0.005
Group B 0.33 0.33 0.32 0.32 0.32 0.324 0.005
Group C 0.30 0.28 0.29 0.30 0.29 0.292 0.008

Table 3- Compressive strength of specimens in the 3 groups (5 repetitions)


Group Compressive strength (MPa) Mean SD
Group A 12.72 16.36 14.54 14.54 15.15 14.662 1.31
Group B 18.78 20.97 16.97 18.78 18.48 18.792 1.43
Group C 18.18 16.36 15.75 13.94 18.45 16.536 1.85

The mean values of the abovementioned respectively.


variables are shown in Diagrams 1, 2 and 3,
Journal of Dental School 2013 166
 

1000

800

600
924
Mean setting 400
737.2
time (s)
200 409.4

Group A Group B Group C

Diagram 1- The mean setting time of specimens in the 3 groups

0.33
0.32
0.31
0.3
0.324
Mean setting 0.29 0.316
expansion (%) 0.28
0.292
0.27

Group A Group B Group C

Diagram 2- The mean setting expansion of samplesin the 3 groups

٢٠

١۵

Mean ١٠ 18.727
16.536
compressive 14.662
strength (MPa) ۵

٠
Group A Group B Group C
Diagram 3- The mean compressive strength of specimens in the 3 groups

Setting time test: significantly longer than in groups B and C


The mean setting time was 924s in group A, (p<0.05). Also, setting time of group C was
409.4s in group B and 737.2s in group C. longer than that of group B.
ANOVA found significant differences in this Setting expansion test:
respect among the 3 groups (p<0.05). Tukey’s The mean setting expansion was 0.316% in
test was used for pairwise comparison of groups group A, 0.324% in group B and 0.292% in
and showed that setting time in group A was group C. According to ANOVA, the difference
Zaraakani, et al. 167
 
in this respect among the 3 groups was Small number of studies have evaluated the
statistically significant (p<0.05). Pairwise effect of addition of disinfectants to the water
comparison of groups with Tukey’s test revealed mixed with gypsum powder. Donovan and Chee
no significant difference in this regard between in 1989 (26) studied type 4 modified dental
groups A and B (p>0.05). But the setting stone called Steri-Die that contained Chloramine
expansions in groups A and B were greater than T solution incorporated into the gypsum powder.
that of group C (p<0.05). They reported that the setting time of stone
Compressive strength test: models made of this composition significantly
The mean compressive strength was 14.662 MPa decreased compared to conventional dental
in group A, 18.727 MPa in group B and 16.536 stones. This finding is in accord with our
MPa in group C. The difference in this respect obtained results. Their study also showed that
among the 3 groups was statistically significant setting expansion of models produced by mixing
(ANOVA) (p<0.05). Pair wise comparison of sterile die and water was twice the rate in
groups with Tukey’s test showed that the mean models produced by mixing type 4 dental stone
compressive strength in group B was greater and water. This finding is in contrast to our
than in groups A and C (p<0.05). obtained results. In 1998, Breault et al. (27) in a
similar study stated that addition of 0.5%
Discussion: sodium hypochlorite to gypsum powder
decreased the setting time and similar to our
Based on the obtained results, addition of study, they found no significant difference in
sodium hypochlorite to type 3 dental stone had setting expansion between the 2 groups. Stern et
no adverse effect on the understudy physical al. in 1991 (17) evaluated the effect of
properties of dental stone casts. Results showed disinfectants such as sodium hypochlorite,
that addition of sodium hypochlorite to distilled iodophor, phenol and glutaraldehyde on physical
water increased the compressive strength of the properties of stone casts and reported an increase
produced stone models; which is a positive in compressive strength of these casts compared
effect. This finding may be explained by the fact to conventional casts. Surface properties of stone
that by addition of sodium hypochlorite less casts produced by mixing type 3 and 4 dental
amount of water is available to react with stone, gum Arabic and calcium hydroxide were
calcium sulfate hemihydrate in gypsum powder evaluated by Abdelaziz et al. (28) in 2002 and it
in order to convert it to calcium sulfate was revealed that the compressive strength of
dihydrate. Thus, as reported in the literature, these casts was higher than that of conventional
reducing the water/powder ratio in gypsum paste casts made of type 3 and 4 dental stone; which is
increases the compressive strength of the in agreement with our findings. Twomey et al.
produced stone model (23, 24). Reduction in the (23) in 2003 suggested 0.5% calcium
amount of water also facilitates the conversion hypochlorite as a suitable disinfectant for
of calcium sulfate hemihydrate to calcium incorporation into gypsum powder and reported
sulfate dihydrate. Thus, the setting time is that higher percentages of this material will
decreased. Another explanation for the higher decrease the strength of dental stone models.
compressive strength and shorter setting time The difference between the mentioned study and
would be that sodium hypochlorite serves as the ours may be attributed to the type and different
catalyst of the reaction and may exert its effect percentages of the materials used. Considering
by increasing the solubility of calcium sulfate the obtained results, use of sodium hypochlorite
hemihydrate. significantly reduced the setting time to anextent
Journal of Dental School 2013 168
 
greater than did the lower volume of water; Conclusion:
which is especially important in dental
laboratories where time is an issue. By Addition of 0.5% sodium hypochlorite to
decreasing the amount of water, the setting distilled water for disinfection of dental stone
expansion is decreased and in our study the casts decreased the setting time, increased the
setting expansion was higher in groups A and B. compressive strength and had no significant
it should be noted that the preparation steps, type effect on setting expansion of stone models.
of dental stone and particularly method of Higher amount of distilled water increased the
mixing (mechanical versus manual) can affect setting time and setting expansion but had no
and control the setting expansion. Although the impact on compressive strength of samples.
difference between groups A and B was not
significant, expansion in group B was greater Acknowledgement
than in group A. considering the shrinkage of
cast alloys, this expansion is overall favorable This article was part of doctoral thesis of Mrs.
for compensation of metal shrinkage. As NafisehKarimi (#2586). The thesis supervisor
mentioned earlier, the mean compressive was Dr. HoomanZarkani and the consulting
strength was higher in cases where sodium professor was Dr. SeyfollahSadria from Shahid
hypochlorite was used and this is a positive Beheshti University, School of Dentistry.
point for laboratory procedures particularly in
Flasking and Processing of acrylic resin denture Conflict of Interest: “None Declared”
base materials.

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