FARKLI BİTİM/POLİSAJ SİSTEMLERİNİN REZİN KOMPOZİTLERİN RENKLENMESİ ÜZERİNE ETKİSİNİN DEĞERLENDİRİLMESİ

Abstract

Amaç: Çalışmanın amacı; farklı bitim/polisaj sistemlerinin kahve ile renklendirilen kompozit rezinlerin renk stabilitesi üzerine olan etkilerinin değerlendirilmesidir. Yöntemler: Nanohibrit ve supra-nanohibrit kompozit rezin materyallerinin her birinden 50 adet numune hazırlandı ve her materyale rastgele 5 gruba (n=10) ayrıldı: Grup 1: Kontrol grubu (mylar strip), Grup 2: One Gloss (tek aşama), Grup 3: One Gloss + Polisaj patı, Grup 4: Soflex disk (çok aşama), Grup 5: Soflex disk + Polisaj patı. Numuneler, cila sonrası altı aylık kahve tüketimini taklit etmek amacıyla 144 saat boyunca kahve çözeltisinde renklendirildi. Spektrofotometre cihazı ile renklendirme öncesi/ sonrası numunelerin rengi ölçülüp ∆E00 değerleri hesaplandı. Bulgular: Renk değişimi değerleri üzerine materyalin, polisaj türünün ve bu iki parametrenin etkileşimlerin istatistiksel olarak etkilediği görüldü (p<0,001). Supra-nanohibrit kompozit rezinin ∆E00 değerleri, nanohibrit kompozit rezinden yüksekti. Her iki materyalde klinik olarak algılanabilirlik (PT> 0,8) ve kabul edilebilirlik (AT>1,8) eşik değerlerinin üzerinde renk değişimi sergiledi. Polisaj türleri bakımından, en yüksek ∆E00 kontrol grubunda en düşük değer ise disk grubunda bulundu. İlave olarak uygulanan polisaj patı, tek aşamalı polisaj sistemin renk değişiminde anlamlı olmayan bir azalışa (p< 0,05), çok aşamalı polisaj sisteminde ise istatistiksel olarak anlamlı bir artışa neden oldu (p> 0,05). Sonuç: Çalışmanın limitasyonları göz önünde bulundurulduğunda, çok aşamalı disk kullanımının kompozit rezinlerde oluşan renklenmeyi önlemede daha avantajlı olduğu değerlendirilebilir.

Keywords

• Bitim ve cila
• Kompozit rezin
• Renk stabilitesi

Investigation of Various Finishing/Polishing Procedures on Color Stability of Composite Resins

Abstract

Objective: The objective of this study was to assess the impact of various finishing and polishing systems on the color stability of composite resins treated with coffee. Methods: Fifty samples of each of nanohybrid and supra-nanohybrid composite resin materials were prepared and each material was randomly divided into 5 groups (n=10): Group 1: Control group (mylar strip), Group 2: One Gloss (one step), Group 3: One Gloss + polishing paste, Group 4: Soflex disk (multistep), Group 5: Soflex disk + polishing paste. The samples were colored in coffee solution for 144 hours to simulate six months of coffee consumption after polishing. The color of the samples before-after staining was measured with a spectrophotometer and ∆E00 values were calculated. Results: Material, polishing type and the interaction of these two parameters had a statistical effect on the color change values (p< 0,001). The ∆E00 values of supra-nanohybrid composite resin were higher than nanohybrid. Both materials exhibited color change above the thresholds of clinical perceptibility (PT> 0,8) and acceptability (AT> 1,8). In terms of polishing types, the highest ∆E00 was found in the control group and the lowest in the disk group. The additionally applied polishing paste caused a non-significant decrease in the color change of the single-step polishing system (p< 0,05) and a statistically significant increase in the multi-steps polishing system (p> 0,05). Conclusion: Considering the limitations of the study, it can be concluded that the use of multi-steps discs is more advantageous in preventing discoloration of composite resins.

Keywords

• Finishing and polishing
• Composite resin
• Color stability

References

1. Referans 1 Scheibe KGBA, Almeida KGB, Medeiros IS, Costa JF, Alves CMC. Effect of different polishing systems on the surface roughness of microhybrid composites. J Appl Oral Sci. 2009;17:21-6.
2. Referans 2 Schmidlin PR, Gohring T. Finishing tooth-colored restorations in vitro: an index of surface alteration and finish-line destruction. Oper Dent. 2004;29(1):80-6.
3. Referans 3 St-Pierre L, Martel C, Crépeau H, Vargas M. Influence of polishing systems on surface roughness of composite resins: polishability of composite resins. Oper Dent. 2019;44(3):E122-E32. https://doi.org/10.2341/17-140-L.
4. Referans 4 Saraç D, Saraç Ş, Külünk Ş, Kural Ç, Külünk T. Farklı inorganik doldurucu içerikli kompozit rezinlerin renk sabitliği üzerinde polisaj yöntemlerinin ve yüzey verniği uygulamasının etkisi. GÜ Diş Hek Fak Derg. 2006;23(3):169-75.
5. Referans 5 Reis AF, Giannini M, Lovadino JR, dos Santos Dias CT. The effect of six polishing systems on the surface roughness of two packable resin-based composites. Am J Dent. 2002;15(3):193-7.
6. Referans 6 Khokhar Z, Razzoog M, Yaman P. Color stability of restorative resins. Quintessence Int. 1991;22(9).
7. Referans 7 Craig RG, Powers J, Wataha J. Direct esthetic restorative materials. In: Sakaguchi R, Powers J, editors. Restorative Dental Materials. 11th ed. St. Louis: Mosby; 2000:244-67.
8. Referans 8 Larato DC. Influence of a composite resin restoration on the gingiva. J Prosthet Dent. 1972;28(4):402-4. https://doi.org/10.1016/0022-3913(72)90241-7.

9. Referans 9 Shortall A, Palin W, Burtscher P. Refractive index mismatch and monomer reactivity influence composite curing depth. J Dent Res. 2008;87(1):84-8. https://doi.org/10.1177/154405910808700115.
10. Referans 10 Ertas E, Gueler AU, Yuecel AC, Köprülü H, Güler E. Color stability of resin composites after immersion in different drinks. Dent Mater J. 2006;25(2):371-6. https://doi.org/10.4012/dmj.25.371.
11. Referans 11 Mitra SB, Wu D, Holmes BN. An application of nanotechnology in advanced dental materials. J Am Dent Assoc. 2003;134(10):1382-90. https://doi.org/10.14219/jada.archive.2003.0054.
12. Referans 12 Aydın N, Karaoğlanoğlu S, Oktay EA, Kılıçarslan MA. Investigating the color changes on resin‐based CAD/CAM Blocks. J Esthet Restor Dent. 2020;32(2):251-6. https://doi.org/10.1111/jerd.12561
13. Referans13 Cangül ÖÜS, Adıgüzel Ö, Ünal ÖÜS, Tekin S, Sonkaya E, Erpaçal B. Investigation of the color stability of kept composite resins in different coffee types. Yeditepe J Dent. 2020;16(2):117-22.
14. Referans14 Fontes ST, Fernández MR, Moura CMd, Meireles SS. Color stability of a nanofill composite: effect of different immersion media. J Appl Oral Sci. 2009;17:388-91. https://doi.org/10.1590/S1678-77572009000500007.
15. Referans15 Güler E, Gönülol N, Yücel AÇ, YILMAZ F, Ersöz E. Farklı içeceklerde bekletilen kompozit rezinlerin renk stabilitelerinin karşılaştırılması. J Dent Fak Ataturk Univ. 2013;23(1):24-9.
16. Referans16 Korkut B. Cila Sistemlerinin Mikrohibrit ve Nanohibrit Rezin Kompozitlerin Renklenmesi Üzerine Etkisinin Değerlendirilmesi. Turkiye Klinikleri J Dental Scı. 2021;27(3):451-61.
17. Referans17 Um CM, Ruyter I. Staining of resin-based veneering materials with coffee and tea. Quintessence Int. 1991;22(5).
18. Referans18 Douglas RD, Steinhauer TJ, Wee AG. Intraoral determination of the tolerance of dentists for perceptibility and acceptability of shade mismatch. J Prosthet Dent. 2007;97(4):200-8. https://doi.org/10.1016/j.prosdent.2007.02.012.
19. Referans19 O'brien W, Groh CL, Boenke KM. A new, small-color-difference equation for dental shades. J Dent Res. 1990;69(11):1762-4. https://doi.org/10.1177/00220345900690111001.
20. Referans20 Nasim I, Neelakantan P, Sujeer R, Subbarao C. Color stability of microfilled, microhybrid and nanocomposite resins—an in vitro study. J Dent. 2010;38:e137-e42. https://doi.org/10.1016/j.jdent.2010.05.020.
21. Referans21 Choi M-S, Lee Y-K, Lim B-S, Rhee S-H, Yang H-C. Changes in surface characteristics of dental resin composites after polishing. J Mater Sci Mater Med. 2005;16:347-53.
22. Referans22 Tuncer S, Demirci M, Tiryaki M, Ünlü N, Uysal Ö. The effect of a modeling resin and thermocycling on the surface hardness, roughness, and color of different resin composites. J Esthet Restor Dent. 2013;25(6):404-19. https://doi.org/10.1111/jerd.12063.
23. Referans23 Reis AF, Giannini M, Lovadino JR, Ambrosano GM. Effects of various finishing systems on the surface roughness and staining susceptibility of packable composite resins. Dent Mater. 2003;19(1):12-8. https://doi.org/10.1016/S0109-5641(02)00014-3.
24. Referans24 Villalta P, Lu H, Okte Z, Garcia-Godoy F, Powers JM. Effects of staining and bleaching on color change of dental composite resins. J Prosthet Dent. 2006;95(2):137-42. https://doi.org/10.1016/j.prosdent.2005.11.019
25. Referans25 Barutcigil Ç, Yıldız M. Intrinsic and extrinsic discoloration of dimethacrylate and silorane based composites. J Dent. 2012;40:e57-e63. https://doi.org/10.1016/j.jdent.2011.12.017
26. Referans26 Guler AU, Yilmaz F, Kulunk T, et al. Effects of different drinks on stainability of resin composite provisional restorative materials. J Prosthet Dent. 2005;94(2):118-24. https://doi.org/10.1016/j.prosdent.2005.05.004
27. Referans27 Rajkumar K, Kumar S, Mahalaxmi S, et al. Colour stability of resin composites after emersing in coffee of different temperature-an in vitro study. SRM Univ J Dent Sci. 2011;2(2):91-5.
28. Referans28 Hui R, Choi IH, Hussein I, et al. The effect of drinks and temperature on the staining of resin composites coated with surface sealants. J Dent Biomater. 2014;1(1):16-22.
29. Referans29 Mundim FM, Garcia LdFR, Pires-de-Souza FdCP. Effect of staining solutions and repolishing on color stability of direct composites. J Appl Oral Sci. 2010;18:249-54.
30. Referans30 Hepdeniz OK, Temel UB, Ugurlu M, et al. The effect of surface sealants with different filler content on microleakage of Class V resin composite restorations. Eur J Dent. 2016;10(02):163-9. https://doi.org/10.4103/1305-7456.178315.
31. Referans31 Barakah HM, Taher NM. Effect of polishing systems on stain susceptibility and surface roughness of nanocomposite resin material. J Prosthet Dent. 2014;112(3):625-31. https://doi.org/10.1016/j.prosdent.2013.12.007.
32. Referans32 Turkun L, Turkun M. The effect of one-step polishing system on the surface roughness of three esthetic resin composite materials. Oper Dent. 2004;29(2):203-11.
33. Referans33 Deljoo Z, Sadeghi M, Azar MR, Bagheri R. The effect of different polishing methods and storage media on discoloration of resin composites. J Dent Biomater. 2016;3(2):226.
34. Referans34 Ergücü Z, Türkün LS, Aladag A. Color stability of nanocomposites polished with one-step systems. Oper Dent. 2008;33(4):413-20. https://doi.org/10.2341/07-107.
35. Referans35 Sadeghi M, Deljoo Z, Bagheri R. The influence of surface polish and beverages on the roughness of nanohybrid and microhybri resin composite. J Dent Biomater. 2016;3(1):177-85.
36. Referans36 Ereifej N, Oweis Y, Eliades G. The effect of polishing technique on 3-D surface roughness and gloss of dental restorative resin composites. Oper Dent. 2012;38(1):E9-E20. https://doi.org/10.2341/12-122-L.
37. Referans37 Gönülol N, Yılmaz F. The effects of finishing and polishing techniques on surface roughness and color stability of nanocomposites. J Dent. 2012;40:e64-e70. https://doi.org/10.1016/j.jdent.2012.07.005.
38. Referans38 Karakas SN, Kuden C. Farklı Polisaj Sistemlerinin Yeni Alkasit Restoratif Materyalin Renk Değişimine Etkisinin Değerlendirilmesi. Value Health. 2022;12(3):411-6.
39. Referans39 Marufu C, Kisumbi BK, Osiro OA, Otieno FO. Effect of finishing protocols and staining solutions on color stability of dental resin composites. Clin Exp Dent Res. 2022;8(2):561-70. https://doi.org/10.1002/cre2.555.
40. Referans40 Yilmaz MN, Gül P, Uygun LA. The Role of Polishing Systems on the Staining Susceptibility of Composite Resins. Turkiye Klinikleri J Dental Sci. 2020;26(1):86-93. https://doi.org/10.5336/dentalsci.2018-64331.
41. Referans41 Aydin N, Karaoglanoglu S, Oktay E, Ezros B. Effect of Additional Polishing Application on the Surface Roughness and Color Change of Composite Resins. J Dent Sci. 2021;27:462-9.
42. Referans42 Güler AU, Güler E, Yücel AÇ, Ertaş E. Effects of polishing procedures on color stability of composite resins. J Appl Oral Sci. 2009;17:108-12. https://doi.org/10.1590/S1678-77572009000200007.