title: The effect of denture cleansing solutions on the retention of pink Locator attachments: an in vitro study.
abstract: OBJECTIVE
  To evaluate the changes in retention of pink Locator attachments after exposure to various denture cleansers.
  
  
  METHODS
  Six groups (20 pairs each) of pink Locator attachments (3.0 lb. Light Retention replacement patrix attachments) were soaked for the equivalent of 6 months of clinical use in the following solutions: Water (control), Polident Regular, Efferdent, 6.15% sodium hypochlorite (NaOCL, 1:10 dilution), Polident Overnight, and Cool Mint Listerine mouthwash. A universal testing machine set at a crosshead speed of 2 in/min was used to perform one pull. The peak load-to-dislodgement was recorded to reflect changes in the retention of the Locator attachments after soaking. Data were analyzed by one-way ANOVA followed by Tukey's Honestly Significant Difference test. A p< or = 0.05 was considered significant.
  
  
  RESULTS
  Denture cleansing solutions significantly affected the retentive values of pink Locator attachments (F = 344.3, p< or = 0.0001). Cool Mint Listerine mouthwash increased the retentive values of the attachments (51.10 +/- 5.31 N) when compared to the control group (45.25 +/- 3.49 N). There was no significant difference in the retentive values of attachments soaked in Polident Regular or Polident Overnight when compared to the control group. Efferdent caused a small reduction in the retentive values (40.81 +/- 2.56 N) and most importantly, diluted NaOCl caused a large reduction in the retentive values (7.83 +/- 2.50 N) of pink Locator attachments. In addition, Cool Mint Listerine mouthwash caused blue discoloration of the Locator attachments, and NaOCl caused whitening and softening of the pink Locator attachments.
  
  
  CONCLUSIONS
  Cool Mint Listerine and Efferdent's small effect on the retentive values of the Locators might be clinically unimportant; however, NaOCl caused a large reduction in the retentive values of the attachments. Because of their effect on retentive values and on the color of the Locator attachments, NaOCl and Cool Mint Listerine are not recommended. These results should be interpreted clinically with caution, realizing that different results may be obtained when fatigue stress during function and multiple pulls (in vivo) are combined with the chemical action of denture cleansers.
authors.affiliation: ASE Prosthodontics, University of Maryland Dental School, Baltimore, MD. tramcaro@yahoo.ca
authors.forename: Caroline Tram
authors.initials: CT
authors.lastname: Nguyen
authors.forename: Radi
authors.initials: R
authors.lastname: Masri
authors.forename: Carl F
authors.initials: CF
authors.lastname: Driscoll
authors.forename: Elaine
authors.initials: E
authors.lastname: Romberg
mesh_terms: D000891:Anti-Infective Agents, Local / Q000737:chemistry; D001881:Borates / Q000737:chemistry; D003116:Color; D019551:Dental Disinfectants / Q000737:chemistry; D003799:Dental Stress Analysis / Q000295:instrumentation; D003820:Denture Cleansers / Q000737:chemistry*; D003781:Denture Retention / Q000295:instrumentation*; D003828:Denture, Overlay; D004338:Drug Combinations; D006801:Humans; D008422:Materials Testing; D012459:Salicylates / Q000737:chemistry; D012973:Sodium Hypochlorite / Q000737:chemistry; D013314:Stress, Mechanical; D013431:Sulfates / Q000737:chemistry; D013499:Surface Properties; D013718:Tensile Strength; D013729:Terpenes / Q000737:chemistry; D013997:Time Factors; D014867:Water / Q000737:chemistry
chemical_list: D000891:Anti-Infective Agents, Local; D001881:Borates; D019551:Dental Disinfectants; D003820:Denture Cleansers; D004338:Drug Combinations; D012459:Salicylates; D013431:Sulfates; D013729:Terpenes; D014867:Water; C057473:Listerine; C102654:Polident; D012973:Sodium Hypochlorite