Research Article
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Evaluation of Color Stability and Surface Roughness of Nanohybrid Resin Composites with Different Photoinitiator Systems After Staining and Home/Office Bleaching: An In Vitro Study

Year 2025, Volume: 26 Issue: 3, 240 - 247, 22.09.2025
https://doi.org/10.69601/meandrosmdj.1646560

Abstract

Aim: This in vitro study aimed to evaluate the color stability and surface roughness of different photoinitiator systems-based nanohybrid resin composites after staining and home or office bleaching.
Materials and Methods: A total of 80 resin-based composite (RBC) discs with lucirin-TPO (Tetric EvoCeram, Ivoclar Vivadent) or champhoroquinon (CQ) (Grandio, Voco) were preperad (8x2mm). At baseline, post-coffee staining (12 days/37°C), and bleaching, color values (ΔE*Lab) using spectrophotometre and surface roughness (Ra) by profilometer were measured. Hydrogen peroxide gel 35% (Whiteness HP, FGM) for office bleaching and carbamide peroxide gel 16% (Whiteness Perfect, FGM) for home bleaching were used. One sample of each groups was evaluated under scanning electron microscopy. Statistical analyses were performed by one-way ANOVA with Tukey HSD, dependent t-test and non-parametric tests (p<0.05).
Results: CQ-based RBC/home group moved closer to return to baseline color (p=0.016). Home bleaching provided more effective bleaching than office bleaching on tested composites (p<0.05). surface roughness of CQ-based RBC/home significantly increased compared to baseline (p=0.038). Ra values of tested composites exceeded the threshold value (0.2 μm) after both home and office bleaching.
Conclusion: The home bleaching effectively bleached CQ-based RBC, while simultaneously leading to an increase in surface roughness. It is believed that the lucirin-TPO photoinitiator system due to its enhancing effect on polymerization, may increase the resistance to surface roughness caused by bleaching.

Ethical Statement

Since this in vitro study was conducted using commercially purchased resin composite materials and bleaching agents, and no extracted teeth were used, ethics committee approval is not required.

Supporting Institution

None.

Thanks

The authors thank Tugba Baygar for her contributions to the SEM analysis.

References

  • 1. Leprince JG, Palin WM, Hadis MA, Devaux J, Leloup G. Progress in dimethacrylate-based dental composite technology and curing efficiency. Dent Mater 2013; 29: 139-56.
  • 2. Lara L, Rocha MG, Menezes LRd, Correr AB, Sinhoreti MAC, Oliveira D. Effect of combining photoinitiators on cure efficiency of dental resin-based composites. J Appl Oral Sci 2021; 29: e20200467.
  • 3. Arikawa H, Takahashi H, Kanie T, Ban S. Effect of various visible light photoinitiators on the polymerization and color of light-activated resins. Dent Mater J 2009; 28: 454-60.
  • 4. Santini A, Miletic V, Swift MD, Bradley M. Degree of conversion and microhardness of TPO-containing resin-based composites cured by polywave and monowave LED units. J Dent 2012; 40: 577-84.
  • 5. Albuquerque PPA, Moreira AD, Moraes RR, Cavalcante LM, Schneider LFJ. Color stability, conversion, water sorption and solubility of dental composites formulated with different photoinitiator systems. J Dent 2013; 41: e67-72.
  • 6. Canay S, Cehreli MC. The effect of current bleaching agents on the color of light-polymerized composites in vitro. J Prosthet Dent 2003; 89: 474-8.
  • 7. Garoushi S, Lassila L, Hatem M, Shembesh M, Baady L, Salim Z, et al. Influence of staining solutions and whitening procedures on discoloration of hybrid composite resins. Acta Odontol Scand 2013; 71: 144-50.
  • 8. Gaintantzopoulou M, Kakaboura A, Vougiouklakis G. Colour stability of tooth-coloured restorative materials. Eur J Prosthodont Restor Dent 2005; 13: 51-6.
  • 9. Falkensammer F, Arnetzl GV, Wildburger A, Freudenthaler J. Color stability of different composite resin materials. J Prosthodont Dent 2013; 109: 378-83.
  • 10. Matis BA, Cochran MA, Eckert G. Review of the effectiveness of various tooth whitening systems. Oper Dent 2009; 34: 230-5.
  • 11. Hussain SK, Al-Abbasi SW, Refaat M-M, Hussain AM. The effect of staining and bleaching on the color of two different types of composite restoration. J Clin Exp Dent 2021; 13: e1233.
  • 12. Vidal M, Pecho O, Collares K, Brandeburski S, Bona AD. Color change of resin-based composites after in vitro bleaching protocols: A systematic review and meta-analysis. Oper Dent 2022; 47: 149-62.
  • 13. Wattanapayungkul P, Yap AU, Chooi KW, Lee M, Selamat RS, Zhou RD. The effect of home bleaching agents on the surface roughness of tooth-colored restoratives with time. Oper Dent-University of Washington 2004; 29: 398-403.
  • 14. Chen S, Zhu J, Yu M, Jin C, Huang C. Effect of aging and bleaching on the color stability and surface roughness of a recently introduced single-shade composite resin. J Dent 2024; 143: 104917.
  • 15. Fernandes RA, Strazzi-Sahyon HB, Suzuki TYU, Briso ALF, Dos Santos PH. Effect of dental bleaching on the microhardness and surface roughness of sealed composite resins. Restor Dent Endod 2020; 45: e12.
  • 16. Johnston W, Kao E. Assessment of appearance match by visual observation and clinical colorimetry. J Dent Res 1989; 68: 819-22.
  • 17. Gul P, Harorlı O, Ocal I, Ergin Z, Barutcigil C. Color recovery effect of different bleaching systems on a discolored composite resin. Niger J Clin Pract 2017; 20: 1226-32.
  • 18. Demir N, Karci M, Ozcan M. Effects of 16% carbamide peroxide bleaching on the surface properties of glazed glassy matrix ceramics. Biomed Res Int 2020; 2020: 1864298.
  • 19. Manojlovic D, Dramićanin MD, Lezaja M, Pongprueksa P, Van Meerbeek B, Miletic V. Effect of resin and photoinitiator on color, translucency and color stability of conventional and low-shrinkage model composites. Dent Mater 2016; 32: 183-91.
  • 20. Bollenl CM, Lambrechts P, Quirynen M. Comparison of surface roughness of oral hard materials to the threshold surface roughness for bacterial plaque retention: a review of the literature. Dent Mater 1997; 13:258-69.
  • 21. Redwan HS, Hussein MA, Abdul-Monem MM. Effect of Bleaching on Surface Roughness and Color Parameters of Coffee-Stained Nanohybrid Dental Composites with Different Viscosities. European J Gen Dent 2025; 14: 27-35.
  • 22. Ozturk C, Celik E, Ozden AN. Influence of bleaching agents on the color change and translucency of resin matrix ceramics. J Esthet Restor Dent 2020; 32: 530-5.
  • 23. Karakaya I, Cengiz‐Yanardag E. Changes in optical characteristics and surface topography of CAD/CAM materials after bleaching applications: An AFM evaluation. J Prosthodont 2020; 29: 226-36.
  • 24. Cooley RL, Burger KM. Effect of carbamide peroxide on composite resins. Quintessence Int 1991; 22: 817-21.
  • 25. Bailey SJ, Swift Jr EJ. Effects of home bleaching products on composite resins. Quintessence Int 1992; 23: 489-494

Farklı fotobaşlatıcılı nanohibrit kompozit rezinlerin renklenme ve ev/ofis tipi ağartma sonrası renk stabilitesi ve yüzey pürüzlülüğünün değerlendirilmesi: Bir in vitro çalışma

Year 2025, Volume: 26 Issue: 3, 240 - 247, 22.09.2025
https://doi.org/10.69601/meandrosmdj.1646560

Abstract

Amaç: Bu in vitro çalışma, renklenme ve ev/ofis tipi ağartma sonrası farklı fotobaşlatıcılı nanohibrit kompozit rezinlerin renk stabilitesi ve yüzey pürüzlülüğünü değerlendirmeyi amaçlamıştır.
Materyal ve Yöntem: Lucirin-TPO (Tetric EvoCeram, Ivoclar Vivadent) veya kamforokinon (CQ) (Grandio, Voco) içeren toplamda 80 adet kompozit rezin disk hazırlandı (8x2mm). Başlangıçta, kahve ile renklendirme (12 gün/37°C) ve ağartma sonrasında, renk değerleri (ΔE*Lab) spektrofotometre ile; yüzey pürüzlülüğü (Ra) profilometre ile ölçüldü. Ofis tipi beyazlatma için %35 hidrojen peroksit jeli (Whiteness HP, FGM) ve ev tipi beyazlatma için %16 karbamid peroksit jeli (Whiteness Perfect, FGM) kullanıldı. Her gruba ait birer örnek taramalı elektron mikroskobu altında değerlendirildi. İstatistiksel analizler, tek yönlü ANOVA ile Tukey HSD testi, bağımlı t-testi ve non-parametrik testler kullanılarak yapıldı (p<0,05).
Bulgular: CQ bazlı kompozit/ev tipi ağartma grubu, başlangıç renk seviyesine daha çok yaklaştı (p=0,016). Test edilen kompozitler üzerinde ev tipi ağartma ajanı, ofis tipi ajandan daha etkili beyazlatma sağladı (p<0,05). CQ bazlı kompozit/ev tipi beyazlatma grubunun yüzey pürüzlülüğünde başlangıca göre anlamlı bir artış gözlendi (p=0,038). Her iki beyazlatma sonrasında test edilen kompozitlerin Ra değerleri eşik değeri (0,2 μm) aştı.
Sonuç: Ev tipi ağartma, CQ bazlı kompoziti daha etkili bir şekilde ağartırken, aynı zamanda yüzey pürüzlülüğünde artışa neden olmuştur. Lucirin-TPO fotobaşlatıcı sisteminin polimerizasyonu arttırıcı etkisi nedeniyle, ağartmanın neden olduğu yüzey pürüzlülüğüne karşı direnci arttırabileceği düşünülmektedir.

Ethical Statement

Bu in vitro çalışma, ticari olarak satın alınan kompozit rezin malzemeleri ve beyazlatma ajanları kullanılarak yapılmış olup, herhangi bir çekilmiş diş kullanılmamıştır, bu nedenle etik kurul onayı gerekmemektedir.

Supporting Institution

Yok.

Thanks

Yazarlar, SEM analizindeki katkılarından dolayı Tuğba Baygar'a teşekkür eder.

References

  • 1. Leprince JG, Palin WM, Hadis MA, Devaux J, Leloup G. Progress in dimethacrylate-based dental composite technology and curing efficiency. Dent Mater 2013; 29: 139-56.
  • 2. Lara L, Rocha MG, Menezes LRd, Correr AB, Sinhoreti MAC, Oliveira D. Effect of combining photoinitiators on cure efficiency of dental resin-based composites. J Appl Oral Sci 2021; 29: e20200467.
  • 3. Arikawa H, Takahashi H, Kanie T, Ban S. Effect of various visible light photoinitiators on the polymerization and color of light-activated resins. Dent Mater J 2009; 28: 454-60.
  • 4. Santini A, Miletic V, Swift MD, Bradley M. Degree of conversion and microhardness of TPO-containing resin-based composites cured by polywave and monowave LED units. J Dent 2012; 40: 577-84.
  • 5. Albuquerque PPA, Moreira AD, Moraes RR, Cavalcante LM, Schneider LFJ. Color stability, conversion, water sorption and solubility of dental composites formulated with different photoinitiator systems. J Dent 2013; 41: e67-72.
  • 6. Canay S, Cehreli MC. The effect of current bleaching agents on the color of light-polymerized composites in vitro. J Prosthet Dent 2003; 89: 474-8.
  • 7. Garoushi S, Lassila L, Hatem M, Shembesh M, Baady L, Salim Z, et al. Influence of staining solutions and whitening procedures on discoloration of hybrid composite resins. Acta Odontol Scand 2013; 71: 144-50.
  • 8. Gaintantzopoulou M, Kakaboura A, Vougiouklakis G. Colour stability of tooth-coloured restorative materials. Eur J Prosthodont Restor Dent 2005; 13: 51-6.
  • 9. Falkensammer F, Arnetzl GV, Wildburger A, Freudenthaler J. Color stability of different composite resin materials. J Prosthodont Dent 2013; 109: 378-83.
  • 10. Matis BA, Cochran MA, Eckert G. Review of the effectiveness of various tooth whitening systems. Oper Dent 2009; 34: 230-5.
  • 11. Hussain SK, Al-Abbasi SW, Refaat M-M, Hussain AM. The effect of staining and bleaching on the color of two different types of composite restoration. J Clin Exp Dent 2021; 13: e1233.
  • 12. Vidal M, Pecho O, Collares K, Brandeburski S, Bona AD. Color change of resin-based composites after in vitro bleaching protocols: A systematic review and meta-analysis. Oper Dent 2022; 47: 149-62.
  • 13. Wattanapayungkul P, Yap AU, Chooi KW, Lee M, Selamat RS, Zhou RD. The effect of home bleaching agents on the surface roughness of tooth-colored restoratives with time. Oper Dent-University of Washington 2004; 29: 398-403.
  • 14. Chen S, Zhu J, Yu M, Jin C, Huang C. Effect of aging and bleaching on the color stability and surface roughness of a recently introduced single-shade composite resin. J Dent 2024; 143: 104917.
  • 15. Fernandes RA, Strazzi-Sahyon HB, Suzuki TYU, Briso ALF, Dos Santos PH. Effect of dental bleaching on the microhardness and surface roughness of sealed composite resins. Restor Dent Endod 2020; 45: e12.
  • 16. Johnston W, Kao E. Assessment of appearance match by visual observation and clinical colorimetry. J Dent Res 1989; 68: 819-22.
  • 17. Gul P, Harorlı O, Ocal I, Ergin Z, Barutcigil C. Color recovery effect of different bleaching systems on a discolored composite resin. Niger J Clin Pract 2017; 20: 1226-32.
  • 18. Demir N, Karci M, Ozcan M. Effects of 16% carbamide peroxide bleaching on the surface properties of glazed glassy matrix ceramics. Biomed Res Int 2020; 2020: 1864298.
  • 19. Manojlovic D, Dramićanin MD, Lezaja M, Pongprueksa P, Van Meerbeek B, Miletic V. Effect of resin and photoinitiator on color, translucency and color stability of conventional and low-shrinkage model composites. Dent Mater 2016; 32: 183-91.
  • 20. Bollenl CM, Lambrechts P, Quirynen M. Comparison of surface roughness of oral hard materials to the threshold surface roughness for bacterial plaque retention: a review of the literature. Dent Mater 1997; 13:258-69.
  • 21. Redwan HS, Hussein MA, Abdul-Monem MM. Effect of Bleaching on Surface Roughness and Color Parameters of Coffee-Stained Nanohybrid Dental Composites with Different Viscosities. European J Gen Dent 2025; 14: 27-35.
  • 22. Ozturk C, Celik E, Ozden AN. Influence of bleaching agents on the color change and translucency of resin matrix ceramics. J Esthet Restor Dent 2020; 32: 530-5.
  • 23. Karakaya I, Cengiz‐Yanardag E. Changes in optical characteristics and surface topography of CAD/CAM materials after bleaching applications: An AFM evaluation. J Prosthodont 2020; 29: 226-36.
  • 24. Cooley RL, Burger KM. Effect of carbamide peroxide on composite resins. Quintessence Int 1991; 22: 817-21.
  • 25. Bailey SJ, Swift Jr EJ. Effects of home bleaching products on composite resins. Quintessence Int 1992; 23: 489-494
There are 25 citations in total.

Details

Primary Language English
Subjects Dentistry (Other)
Journal Section Research Article
Authors

Fatma Yılmaz 0000-0003-1954-6444

Buse Kesgin 0000-0001-9152-4472

Publication Date September 22, 2025
Submission Date February 25, 2025
Acceptance Date March 27, 2025
Published in Issue Year 2025 Volume: 26 Issue: 3

Cite

EndNote Yılmaz F, Kesgin B (September 1, 2025) Evaluation of Color Stability and Surface Roughness of Nanohybrid Resin Composites with Different Photoinitiator Systems After Staining and Home/Office Bleaching: An In Vitro Study. Meandros Medical And Dental Journal 26 3 240–247.