Indiana University-Purdue University Indianapolis (IUPUI) / Background: VST-50 (a room temperature-vulcanizing silicone (RTV) by Factor II Inc.) has long been proposed as a potential alternative material for MDX4-4210, another RTV by Dow Corning Corp. and the current material of choice for maxillofacial prosthesis. Though VST-50 has similar chemistry and flexibility as MDX4-4210, its mechanical properties is still too low for it to be used in the clinic. An improvement in the mechanical property of VST-50 is a critical step to bring the material to clinical application. Objective: To investigate the effect of AEROSIL® R 812S (colloid silica) addition on the mechanical properties of VST-50 and compared to that of MDX4-4210. Methods: The VST-50 was mixed with AEROSIL® R 812S at 2 or 4 parts per hundred parts of rubber. That material was mixed with the catalyst under vacuum. The mixture was poured onto a machined plastic mold to produce a silicone sheet 3.0 ± 0.2 mm thick. All samples were prepared by manufacturer recommended method. Testing samples were prepared and tested following ISO 37 for tensile strength, ASTM D624 for tear strength and ASTM D2240 for shore A hardness test. One way ANOVA was used to compare the groups (Alpha=0.05). Result: Significant differences (P<0.001) were found between MDX4-4210 and modified VST-50 groups. The mean value of tensile strength, tear strength and hardness of VST-50 (4phr colloid silica) were 7.43(MPa), 34.82(N/mm) and 40.4 respectively, compared to MDX4-4210 were 3.67(MPa), 5.48(N/mm) and 31.5, respectively. Conclusion: Modified VST-50 with 4phr silica revealed improved mechanical properties to use as a maxillofacial prosthetic silicone elastomer.

Indiana University-Purdue University Indianapolis (IUPUI) / The purpose of this study was to investigate the effect of nano ceramic fiber fillers on the physical properties of VST-50HD silicone maxillofacial prosthesis. Nano alumina fibers at 2 percent, 4-percent, and 6-percent wt were mixed into the VST-50HD silicone elastomer (Factor II Inc., Lakeside, AZ), a commercially-available poly(dimethylsiloxanes). Ten dumb-bell-shaped specimens were used to determine the tensile strength according to ISO 37:2005 and elongation at fracture. Ten trouser-shaped test pieces were used to determine the tear resistance according to ISO 34-1:2004. Shore A test method was used to measure the hardness of the material. The data collected from all quantitative studies of the modified silicones were analyzed using one-way ANOVA with concentration of nano ceramic fiber as the main variable. Specimens from VST- 50HD were also made and tested as control. Results: The mean values for tensile strength (MPa) of control group, 2-percent, 4-percent, and 6-percent reinforced nano ceramic fiber fillers were from 3.43 ± 0.12 to 5.48 ± 0.71. Tear strength (MPa) were from 2.34 ± 0.37 to 5.01 ± 0.39. Elongations at fracture were from 699.66 ± 43.69 to 793.51 ± 57.27. Shore A hardness were from 25.76 ± 2.18 to 38.76 ± 1.83. Conclusion: There was a significant difference (p < 0.001) in the mean tensile, tear and Shore A hardness strengths between the control group and 2-percent, 4-percent, and 6-percent percent reinforced nano ceramic fiber fillers; however, there was not a significant difference (p > 0.05) between 2-percent, 4-percent, and 6-percent reinforced nano ceramic fiber fillers. There was a significant difference (p < 0.001) in the mean elongation at fracture between the 2-percent and control group, 4-percent, and 6-percent reinforced nano ceramic fiber fillers; however, there was not a significant difference (p > 0.05) between control group, 4-percent, and 6-percent reinforced nano ceramic fiber fillers. The properties of the experiment were all lower than the control. Further research is needed to determine the appropriate material and amount of dispersing agent, coupling agent, and determination of the hydprophilicity of the nano ceramic fiber fillers with great emphasis on the dispersing agent.