Mechanical characterization and structural analysis of elastodontic appliances under intraoral and artificial aging conditions.

BACKGROUND: This study focused on the aging mechanism and degradation of mechanical and structural features of elastodontic appliances (EA) under artificial and intraoral aging to achieve oral myofunctional therapy with particular removable silicone elastomer devices. MATERIALS AND METHODS: EAs artificially aged in saliva with different pH values were investigated through cyclic compression testing along with characterization techniques (Scanning electron microscopy, X-ray diffraction, and Fourier transform infrared spectroscopy), and characterization analysis was also performed on clinically retrieved EAs. RESULTS: Artificial aging was found to have minimal effect on the structural properties of EAs, and intraorally aged samples showed perceptible micro-morphology. The Mullins index and peak stress decreased (P<0.01), while the compression set increased with prolonged aging time. Samples in alkaline saliva showed the largest Mullins effect (P<0.05). CONCLUSIONS: The aging mechanism of the elastomer was found to be the crosslinking of main chains and scission of side chains. The presence of OH- enhanced the rupture degree of side bonds. The decline in viscoelastic properties was shown to be more severe with longer service durations. CLINICAL RELEVANCE: Research on how the salivary environment and pH affect the aging characteristics of EAs is vital for guiding clinical applications and future modifications to extend their clinical lifetime.