Comparison of the Bioactive and Bacteriostatic Performance of Different Alginate-Based Dental Prosthetic Impression Materials with and without Zirconium Phosphate-Based Ion Exchange Resin Containing Silver: An In Vitro Study

Abstract

Disinfection of alginate impressions used in dental prosthetics is a very problematic procedure, during which the dimensions of the obtained model can change, and it can be easily mechanically damaged. Therefore, it would be beneficial to create a material with bacteriostatic properties for this application. In this work, we investigated alginate materials with the addition of 0.25–1.0 wt% of zirconium phosphate-based ion exchange resin containing silver and compared them with commercial alginate impression products. The obtained materials passed the normative requirements of ISO 21563:2021 (setting time, elastic recovery, strain in compression, compatibility with gypsum, detail reproduction, tearing strength, and linear dimensional change) as well as bacteriostatic properties in relation to Streptococcus mutans. The newly developed alginate materials met all the properties required by the standards. Their setting time was comparable to the commercial materials, and their 24 h contraction did not exceed 1.3%. Furthermore, the tearing strength was 0.42–0.48 MPa, less than that of the comparative commercial materials (0.52–0.56 MPa). From the point of view of clinical practice, it will be possible to create an alginate material with bacteriostatic properties that will prevent the transmission of cross-infections.