Do Sugary Drinks Color Bulk-Fill Composİte More?

Abstract

Objectives This in vitro study evaluated the color stability of a bulk-fill resin composite (Filtek One Bulk Fill) after immersion in five media: distilled water, tea, coffee, tea with added sugar, and coffee with added sugar. Material and Methods Fifty disc-shaped specimens were prepared and randomly assigned to 5 groups (n = 10). All specimens were kept in distilled water at 37 °C for 24 h to ensure hydration. Baseline color measurements were recorded using a spectrophotometer. The groups were immersed for 14 days in solutions, refreshed daily: distilled water (con trol); tea (T), made by Yellow Label Tea (Lipton, Rize, Türkiye), filtered; coffee (C), Nescafé Classic (Nestlé, Switzerland); tea with sugar (TS), as100 mL tea with 5 gr sugar dissolved; coffee with sugar (CS), as 100 mL coffee with 5 gr sugar dissolved. Color changes (ΔE00) were measured using a spectrophotometer. Data normality was tested with the Shapiro-Wilk test, followed by One-Way ANOVA and Tukey’s Post-Hoc test (P < 0.05). Results All test groups showed significantly greater discoloration than the control group (P < 0.05). The TS group exhibited the highest color change (ΔE00 = 12.35 ± 2.03), sig nificantly different from other groups (P < 0.05). The T group (ΔE00 = 9.28 ± 2.34) displayed more staining than the C group (ΔE00 = 6.93 ± 2.04), while C and CS groups (ΔE00 = 8.82 ± 3.26) showed statistically similar staining levels (P > 0.05). Conclusion The addition of sugar to tea significantly increased discoloration of Filtek One Bulk Fill resin composite, with the tea with sugar group showing the highest color change. In contrast, sugar addition to coffee had no significant effect on staining. These findings indicate that sweetened tea consumption may notably compromise the esthetic longevity of bulk-fill composite restorations, suggesting the need for dietary considerations in patients with such restorations to maintain their color stability.

Keywords

• Bulk-fill composite resin
• color stability
• CIEDE2000.

Şekerli İçecekler Bulk-fill Kompoziti Daha Fazla Renklendirir Mi?

Öz

Amaç Bu in vitro çalışmada, bir bulk-fill rezin kompozitin (Filtek One Bulk Fill) distile su, çay, kahve, şeker ilaveli çay ve şeker ilaveli kahve olmak üzere beş solustona daldırıldıktan sonraki renk stabilitesi değerlendirilmiştir. Gereç ve Yöntemler Disk şeklinde elli örnek hazırlandı ve rastgele beş gruba ayrıldı (n = 10). Tüm örnekler hidrasyonun sağlanması için 24 saat boyunca 37 °C'de distile su içinde bekletil di. Başlangıç renk ölçümleri bir spektrofotometre kullanılarak kaydedildi. Gruplar 14 gün boyunca her gün yenilenen solüsyonlara daldırıldı: distile su (kontrol); çay (T), Yellow Label Çay (Lipton, Rize, Türkiye) , filtre kahve (C), (Nescafé Classic Nestlé, İsviçre); şekerli çay (TS), içerisinde 5 mg şeker çözülmüş 100 mL çay ; şekerli kahve (CS), içerisinde 5 mg şeker çözülmüş 100 mL kahve. Renk değişiklikleri (ΔE00) bir spektrofotometre kullanılarak ölçüldü. Verilerin normalliği Shapiro-Wilk testi ile test edildi, ardından One-Way ANOVA ve Tukey's Post-Hoc testi uygulandı (P < 0.05). Bulgular Tüm test grupları kontrol grubuna göre önemli ölçüde daha fazla renk değişikliği göstermiştir (P < 0.05). TS grubu diğer gruplardan önemli ölçüde farklı ve en yüksek renk değişimini sergiledi (ΔE00 = 12.35 ± 2.03) ve (P < 0.05). T grubu (ΔE00 = 9.28 ± 2.34) C grubundan (ΔE00 = 6.93 ± 2.04) daha fazla renklenme gösterirken, C ve CS grupları (ΔE00 = 8.82 ± 3.26) istatistiksel olarak benzer renklenme seviyeleri gösterdi (P > 0.05). Sonuç Çaya şeker eklenmesi Filtek One Bulk Fill rezin kompozitin renklenmesini önemli ölçüde artırmış ve şekerli çay grubu en yüksek renk değişimini göstermiştir. Buna karşın, kahveye şeker ilavesinin lekelenme üzerinde anlamlı bir etkisi olmamıştır. Bu bulgular, şekerli çay tüketiminin bulk-fill kompozit restorasyonların estetik uzun ömürlülüğünü önemli ölçüde tehlikeye atabileceğini göstermekte ve bu tür restorasyonlara sahip hastalarda renk stabilitesini korumak için diyete dikkat edilmesi gerektiğini düşündürmektedir.

Anahtar Kelimeler

• bulk_fill kompozit rezin
• renk stabilitesi
• CIEDE2000

References

1. 1. Ilie, N. & Hickel, R. Investigations on a methacrylate-based flowable composite based on the SDRTM technology. Dent Mater 27, 348–355 (2011).
2. 2. Pilo, R., Oelgiesser, D. & Cardash, H. S. A survey of output intensity and potential for depth of cure among light-curing units in clinical use. J Dent 27, 235–241 (1999).
3. 3. Tarle, Z. et al. Influence of irradiation time on subsurface degree of conversion and microhardness of high-viscosity bulk-fill resin composites. Clin Oral Investig 19, 831–840 (2015).
4. 4. Ilie, N., Bucuta, S. & Draenert, M. Bulk-fill resin-based composites: an in vitro assessment of their mechanical performance. Oper Dent 38, 618–625 (2013).
5. 5. Dinç Ata, G., Gokay, O., Müjdeci, A., Kivrak, T. C. & Mokhtari Tavana, A. Effect of various teas on color stability of resin composites. Am J Dent 30, 323–328 (2017).
6. 6. Kumar, M. S. et al. Color Stability Assessment of Two Different Composite Resins with Variable Immersion Time Using Various Beverages: An In vitro Study. J Pharm Bioallied Sci 9, S161–S165 (2017).
7. 7. Esmaeili, B., Afkhami, S. & Abolghasemzadeh, F. The effect of time between curing and tea immersion on composite resin discoloration. Gen Dent 66, 64–68 (2018).
8. 8. Erdemir, U., Yildiz, E. & Eren, M. M. Effects of sports drinks on color stability of nanofilled and microhybrid composites after long-term immersion. J Dent 40 Suppl 2, e55-63 (2012).

9. 9. Mundim, F. M. et al. Color stability, opacity and degree of conversion of pre-heated composites. J Dent 39 Suppl 1, e25-29 (2011).
10. 10. Ertaş, E., Güler, A. U., Yücel, A. C., Köprülü, H. & Güler, E. Color stability of resin composites after immersion in different drinks. Dent Mater J 25, 371–376 (2006).
11. 11. Patel, S. B., Gordan, V. V., Barrett, A. A. & Shen, C. The effect of surface finishing and storage solutions on the color stability of resin-based composites. J Am Dent Assoc 135, 587–594; quiz 654 (2004).
12. 12. Paolone, G. et al. Color stability of resin-based composites: Staining procedures with liquids-A narrative review. J Esthet Restor Dent 34, 865–887 (2022).
13. 13. Paravina, R. D., Pérez, M. M. & Ghinea, R. Acceptability and perceptibility thresholds in dentistry: A comprehensive review of clinical and research applications. J Esthet Restor Dent 31, 103–112 (2019).
14. 14. Alkhadim, Y. K., Hulbah, M. J. & Nassar, H. M. Color Shift, Color Stability, and Post-Polishing Surface Roughness of Esthetic Resin Composites. Materials (Basel) 13, 1376 (2020).
15. 15. Roberson, T., Heymann, H. O. & Swift Jr, E. J. Sturdevant’s Art and Science of Operative Dentistry. (Elsevier Health Sciences, 2006).
16. 16. Furuse, A. Y. et al. Delayed Light Activation Improves Color Stability of Dual-Cured Resin Cements. J Prosthodont 27, 449–455 (2018).
17. 17. Spina, D. R. F. et al. Evaluation of Discoloration Removal by Polishing Resin Composites Submitted to Staining in Different Drink Solutions. Int Sch Res Notices 2015, 853975 (2015).
18. 18. Z, D., M, S., Mr, A. & R, B. The Effect of Different Polishing Methods and Storage Media on Discoloration of Resin Composites. J Dent Biomater 3, 226–232 (2016).
19. 19. Hotta, M. et al. Color changes in bulk-fill resin composites as a result of visible light-curing. Dent Mater J 41, 11–16 (2022).
20. 20. Shamszadeh, S., Sheikh-Al-Eslamian, S. M., Hasani, E., Abrandabadi, A. N. & Panahandeh, N. Color Stability of the Bulk-Fill Composite Resins with Different Thickness in Response to Coffee/Water Immersion. Int J Dent 2016, 7186140 (2016).
21. 21. Janisch, F. A. D. S. et al. Surface Roughness and Color Stability of Conventional and Bulk-Fill Resin Composite with S-PRG Fillers After Coffee Exposure: An in-vitro Study. Clin Cosmet Investig Dent 17, 21–29 (2025).
22. 22. Gonder, H. Y. & Fidan, M. Effect of different polymerization times on color change, translucency parameter, and surface hardness of bulk-fill resin composites. Niger J Clin Pract 25, 1751–1757 (2022).
23. 23. Janda, R., Roulet, J.-F., Kaminsky, M., Steffin, G. & Latta, M. Color stability of resin matrix restorative materials as a function of the method of light activation. Eur J Oral Sci 112, 280–285 (2004).
24. 24. Flury, S., Hayoz, S., Peutzfeldt, A., Hüsler, J. & Lussi, A. Depth of cure of resin composites: is the ISO 4049 method suitable for bulk fill materials? Dental materials 28, 521–528 (2012).
25. 25. Barutcigil, Ç., Barutcigil, K., Özarslan, M. M., Dündar, A. & Yilmaz, B. Color of bulk‐fill composite resin restorative materials. J Esthet Restor Dent 30, (2018).
26. 26. Barutçugil, Ç. et al. Discoloration and translucency changes of CAD-CAM materials after exposure to beverages. J Prosthet Dent 122, 325–331 (2019).
27. 27. Odabas, T., Hajiyev, R., Gultekin, A., Atakoglu, O. O. & Harorli, O. T. Can We Prevent Coffee Stains on Teeth? J Med Food 24, 1331–1339 (2021).
28. 28. Soares-Geraldo, D., Scaramucci, T., Steagall, W., Braga, S. R. M. & Sobral, M. A. P. Interaction between staining and degradation of a composite resin in contact with colored foods. Braz Oral Res 25, 369–375 (2011).
29. 29. ElSayad, I. I. Color and translucency of finished and unfinished esthetic restorative materials after staining and bleaching. Saudi Dent J 30, 219–225 (2018).
30. 30. Reinhardt, J. W., Balbierz, M. M., Schultz, C. M., Simetich, B. & Beatty, M. W. Effect of Tooth-Whitening Procedures on Stained Composite Resins. Oper Dent 44, 65–75 (2019).
31. 31. Manojlovic, D. et al. Evaluation of Staining-Dependent Colour Changes in Resin Composites Using Principal Component Analysis. Sci Rep 5, 14638 (2015).
32. 32. Korać, S. et al. The Effect of Bleaching on the Basic Colour and Discoloration Susceptibility of Dental Composites. Acta Med Acad 50, 397–405 (2021).
33. 33. Lago, M. et al. Influence of Bleaching Agents on Color and Translucency of Aged Resin Composites. J Esthet Restor Dent 29, 368–377 (2017).
34. 34. Zhao, X. et al. Effects of different discoloration challenges and whitening treatments on dental hard tissues and composite resin restorations. J Dent 89, 103182 (2019).
35. 35. Al-Samadani, K. H. Color stability of restorative materials in response to Arabic coffee, Turkish coffee and Nescafe. J Contemp Dent Pract 14, 681–690 (2013).
36. 36. Darabi, F., Seyed-Monir, A., Mihandoust, S. & Maleki, D. The effect of preheating of composite resin on its color stability after immersion in tea and coffee solutions: An in-vitro study. J Clin Exp Dent 11, e1151–e1156 (2019).
37. 37. Khalaj, K., Soudi, A., Tayefi-Nasrabadi, M. & Keshvad, M.-A. The evaluation of surface sealants’ effect on the color stability of Nano-hybrid composite after polishing with One-Step system (in-vitro). J Clin Exp Dent 10, e927–e932 (2018).
38. 38. Pecho, O. E., Martos, J., Pinto, K. V. A., Pinto, K. V. A. & Baldissera, R. A. Effect of hydrogen peroxide on color and whiteness of resin-based composites. J Esthet Restor Dent 31, 132–139 (2019).
39. 39. Pecho, O. E., Pérez, M. M., Ghinea, R. & Della Bona, A. Lightness, chroma and hue differences on visual shade matching. Dent Mater 32, 1362–1373 (2016).
40. 40. Perez, M. D. M. et al. Dental ceramics: a CIEDE2000 acceptability thresholds for lightness, chroma and hue differences. J Dent 39 Suppl 3, e37-44 (2011).
41. 41. Pecho, O. E., Ghinea, R., Perez, M. M. & Della Bona, A. Influence of Gender on Visual Shade Matching in Dentistry. J Esthet Restor Dent 29, E15–E23 (2017).
42. 42. Pecho, O. E., Ghinea, R., Alessandretti, R., Pérez, M. M. & Della Bona, A. Visual and instrumental shade matching using CIELAB and CIEDE2000 color difference formulas. Dent Mater 32, 82–92 (2016).