title: Indirect latex glove contamination and its inhibitory effect on vinyl polysiloxane polymerization.
abstract: BACKGROUND
  The inhibitory effect of indirect latex contamination on the polymerization of vinyl polysiloxane (VPS) impression material has been previously reported. However, the transfer of specific elements that cause inhibition has not been confirmed, nor has the removal of such contaminants been reported.
  
  
  OBJECTIVE
  This study examined the surfaces of materials commonly used in restorative procedures that were contaminated by indirect latex glove contact and then evaluated for inhibition of polymerization of VPS. The effect of selected cleansing procedures was then studied.
  
  
  METHODS
  Four experimental groups (n = 8) were prepared: (1) clean vinyl gloves (control), (2) clean gingival retraction cords (control), (3) contaminated vinyl gloves, and (4) contaminated gingival retraction cord. Microscopic evaluation of the appearance and the characterization of surface particulate contamination were performed for each. Three cleansing protocols were then evaluated for efficacy in cleaning vinyl glove surfaces contaminated by latex contact (n = 10): (1) brushing with water, (2) brushing with soap/rinsing with water, (3) cleansing with rubbing alcohol. The subsequent degree of VPS polymerization inhibition was evaluated subjectively. A chi-square test was used for data analysis (alpha=.05).
  
  
  RESULTS
  Particulate sulfur elements and sulfur-chloride compounds were present on the contaminated substrates. None of the 3 cleansing procedures eliminated polymerization inhibition (P =.33). Residual elemental sulfur remained on all tested surfaces.
  
  
  CONCLUSIONS
  Particulate sulfur and sulfur-chloride compounds were identified as the particulate contamination that resulted in polymerization inhibition of the tested VPS dental impression material. Removal of these contaminants from the tested vinyl gloves and gingival retraction cord was not possible with the 3 cleansing protocols tested in this study.
authors.affiliation: Department of Oral and Maxillofacial Rehabilitation, Kangawa Dental College, Yokosuka, Kangawa, Japan. kimotokt@kdcnet.ac.jp
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Kimoto
authors.forename: Kinya
authors.initials: K
authors.lastname: Tanaka
authors.forename: Minoru
authors.initials: M
authors.lastname: Toyoda
authors.forename: Kent T
authors.initials: KT
authors.lastname: Ochiai
mesh_terms: D019840:2-Propanol / Q000737:chemistry; D003760:Dental Impression Materials / Q000737:chemistry*; D003902:Detergents / Q000737:chemistry; D005932:Gloves, Surgical; D007840:Latex / Q000009:adverse effects / Q000737:chemistry*; D011145:Polyvinyls / Q000737:chemistry*; D012833:Siloxanes / Q000737:chemistry*; D012915:Soaps / Q000737:chemistry; D013455:Sulfur / Q000009:adverse effects / Q000032:analysis*
chemical_list: D003760:Dental Impression Materials; D003902:Detergents; D007840:Latex; D011145:Polyvinyls; D012833:Siloxanes; D012915:Soaps; C034183:vinyl polysiloxane; D013455:Sulfur; D019840:2-Propanol