An Evaluation of the Influence of Natural Clay and Natural Clay/TiO2 Nanocomposites on the Color Stability of Heat-Polymerized Maxillofacial Silicone After Disinfection

This study aimed to investigate the effect of time and different disinfecting agents on nanocomposite filler composed of natural clay nanoparticles (modified and non-modified) added to maxillofacial silicone elastomers and readymade pigment additives. A total of 360 disk-shaped samples were divided into nine pigment-based groups, each with four subgroups (n = 10) exposed to different disinfectants: distilled water, 1% sodium hypochlorite (NaOCl), 2% chlorhexidine (CHX), and effervescent tablets. Color changes (ΔE) were measured before and after disinfection using a colorimeter. The ΔE values were assessed against perceptibility (ΔE = 1.1) and acceptability (ΔE = 3) thresholds. Nanoclay additives were also characterized using FTIR, XRD and EDX. Statistical analysis, including ANOVA and post hoc HSD tests, revealed that while all samples exhibited some color change, most remained below the acceptability threshold. Colorless silicone showed minimal, non-significant change according to perceptibility threshold (ΔE = 1.1). Blue pigments displayed significant change only with effervescent tablets. Red and mixed pigments showed perceptible changes with NaOCl, CHX, and effervescent tablets. However, nanoclay-containing specimens showed no significant perceptible alterations. Overall, despite minor perceptible changes in some pigments, all disinfecting agents tested resulted in color differences below the acceptability threshold, indicating their safe use for disinfecting maxillofacial silicone materials without compromising esthetics. Nevertheless, nanoclays are more reliable agents for the pigmentation of maxillofacial silicone as they show non-significant chromatic alteration.