THE EFFICACY OF SEVERAL DISINFECTANTS ON ALGINATEMATERIAL: THE EXPERIMENTAL STUDY
Main Article Content
Keywords
Alginate, Dental Impression, Chlorhexidine.
Abstract
Introduction: Dental impressions, particularly alginate (irreversible hydrocolloid), are easily contaminated with saliva and blood, making them potential vectors for cross-infection. Although disinfection is recommended, inconsistent protocols and concerns about dimensional stability limit routine practice. This study compared the efficacy of 1% chlorhexidine, 0.5% sodium hypochlorite and tap water on microbial reduction in alginate impressions.
Methods: Maxillary arch impressions were taken using standard alginate technique. Each impression’s palatal surface was divided into four sections:
Group 1: Control (no disinfection)
Group 2: Tap water rinse
Group 3: 0.5% sodium hypochlorite
Group 4: 1% chlorhexidine
Each section received its assigned treatment for 10 minutes in sterile bags. Microbial swabs were inoculated on blood agar and incubated at 37 °C for 24 hours. Colony-forming units (CFUs) were counted and analyzed using one-way ANOVA with post-hoc comparisons.
Results: Mean CFU counts (×10⁶) were 63.6 ± 5.4 (control), 19.9 ± 3.1 (tap water), 2.2 ± 0.7 (sodium hypochlorite) and 1.2 ± 0.4 (chlorhexidine). ANOVA revealed significant differences among groups (p < 0.001). Both disinfectants produced >96% reduction in microbial load compared with control (p < 0.001), whereas tap water produced only a modest but significant reduction (≈69%, p = 0.032). No significant difference was observed between chlorhexidine and sodium hypochlorite.
Conclusion: 1% chlorhexidine was the most effective disinfectant for alginate impressions, closely followed by 0.5% sodium hypochlorite. Incorporating chlorhexidine into routine disinfection can improve infection control without compromising impression material.
References
2. Altaf J, Malik MH, Chaudry S, Mushtaq MA, Munir MU, Shah AA. The effect of sodium hypochlorite disinfectant on the linear dimensional stability of alginate impression material. TheProfessional Medical Journal. 2022 Sep 1;29(09):1310-4.
3. Zhao D, Shen Z, Shen X. Dual-functional calcium alginate hydrogel beads for disinfection control and removal of dyes in water. International Journal of Biological Macromolecules. 2021Oct 1;188:253-62.
4. Fu Y, Bhunia AK, Yao Y. Alginate-based antimicrobial coating reduces pathogens on alfalfa seeds and sprouts. Food Microbiology. 2022 May 1;103:103954.
5.Oukil M. Évaluation de l’efficacité antibactérienne d’un procédé de décontamination d’empreintes à l’alginate par immersion dans du glutaraldéhyde à 2%. La revue médicale del'HMRUO. 2022 May 15;9(1):26-33.
6.Wezgowiec J, Paradowska-Stolarz A, Malysa A, Orzeszek S, Seweryn P, Wieckiewicz M. Effects of various disinfection methods on the material properties of silicone dental impressionsof different types and viscosities. International journal of molecular sciences. 2022 Sep17;23(18):10859.
7.Din SU, Sajid M, Saeed A, Chaudhary FA, Alam MK, Sarfraz J, Ahmed B, Patel M. Dimensional changes of commercial and novel polyvinyl siloxane impression materialsfollowing sodium hypochlorite disinfection. PeerJ. 2022 Jan 28;10:e12812.
8.Ravindran L, Jesitha K, Megha PU, Anilkumar S, Sreekala MS, Harikumar PS. Nanosilica entrapped alginate beads for the purification of groundwater contaminated with bacteria. Silicon.2022 Sep;14(14):8707-20.
9. Bendary IM, Omar AA, Goda RM, Ali AA, Lotfy KA, Shohayeb MM. Evaluation of two different self-disinfection alginate impression material. BDJ open. 2024 Nov 5;10(1):84.
10. Parajuli PK, Pathak B. Setting Time of Alginate in Disinfectant Solutions: An In Vitro Study. Journal of BP Koirala Institute of Health Sciences. 2024 Dec 31;7(2):10-5.
11. Fransiska A, Nurliyani RP, Nofika R. Effect of spraying time of sodium hypochlorite solution on the dimensional stability of alginate. Journal of International Dental and Medical Research.2024;17(1):156-60.
12. Ahmad N, Zawawi ND, Muhammad NF, Nasir SH, Arzmi MH. The effect of disinfection protocols on dimensional accuracy of irreversible hydrocolloids and Candida albicanscolonisation. IIUM Journal of Orofacial and Health Sciences. 2024 Jul 31;5(2):142-53.
13. Singer L, Beuter L, Karacic S, Bierbaum G, Karacic J, Bourauel C. Enhancing dental alginate with Syzygium aromaticum, Zingiber officinale and green silver nanoparticles: A nature-enhanced approach for superior infection control. Gels. 2024 Sep 20;10(9):600.
14. Raza S, Chen C, Yu W, Raza M, Ahmad MT, Singh N, Shen L, Lin H. Hydrothermal growth of MnCO3 and covalent organic framework on the surface of MXene with sodium alginatehydrogel for effective photocatalytic eradication of disinfected byproducts. Journal ofEnvironmental Chemical Engineering. 2025 Jun 21:117682.