Ofis-Tipi Ağartma Ajanının Farklı Tek-Renk Rezin Kompozitlerin Mekanik Özellikleri Üzerindeki Etkisinin Değerlendirilmesi: Bir İn-Vitro Çalışma
Yıl 2025,
Cilt: 14 Sayı: 3, 197 - 205, 29.09.2025
Merve Nezir
,
Hanife Altınışık
,
Esra Özyurt
Öz
Amaç: Bu çalışmanın amacı, beyazlatma tedavi protokolünden sonra beş farklı tek-renk rezin kompozitinin yüzey pürüzlülüğünü ve mikro sertliğini in-vitro olarak değerlendirmekti.
Gereç ve Yöntem: Her tek-renk rezin kompozit materyalden, yüzey pürüzlülüğü ve mikro sertlik testi için onar örnek olmak üzere (Filtek Universal [FU], Vittra Unique [VU], Omnichroma [O], Essentia Universal [EU], Charisma Diamond One [CDO]) toplam elli rezin kompozit örneği hazırlandı (n=10). Başlangıç ölçümlerinden sonra, örnek yüzeylerine üç kez ofis-tipi ağartma jeli uygulandı ve her uygulama süresi 15 dakikaydı. Ağartma protokolünden sonra, ölçümler tekrarlandı ve değerler ANOVA ve post hoc Bonferroni testleri kullanılarak istatistiksel olarak analiz edildi (p<0.05).
Bulgular: EU grubunda (0.012±0.022 Ra) pürüzlülükteki artış miktarı diğer gruplardan anlamlı derecede daha yüksekti (p<0.05). VU grubunda (-15.84±9.53 MPa) mikro sertlikteki azalma miktarı diğer gruplardan anlamlı derecede daha yüksekti (p<0.05). Diğer gruplar arasında istatistiksel olarak anlamlı bir fark yoktu (p>0.05).
Sonuç: Ağartma sonrası pürüzlülükte en fazla artış gösteren materyal EU oldu. Ofis-tipi ağartma ajanının tüm materyallerde mikro sertlikte azalmaya neden olduğu gözlendi. Klinik uygulamalarda ofis-tipi ağartma ajanı kullanılması düşünülüyorsa, hastanın mevcut restorasyonlarında meydana gelebilecek olumsuz etkiler göz önünde bulundurularak planlama yapılması faydalı olabilir.
Kaynakça
-
1. Baldissera RA, Corrêa MB, Schuch HS, Collares K, Nascimento GG, Jardim PS, et al. Are there universal restorative composites for anterior and posterior teeth? J Dent 2013;41:1027-35.
-
2. de Abreu JLB, Sampaio CS, Benalcázar Jalkh EB, Hirata R. Analysis of the color matching of universal resin composites in anterior restorations. J Esthet Restor Dent 2021;33:269-76.
-
3. Mohamad Habibullah NFA, Ishak H, Mohammad N, Anuar MAF, Amir A, Ismail IH. Determining artificial ageing methods and evaluating properties of universal composite resin: a review and proposed protocol. Compendium of Oral Science (CORALS) 2023;10:101-18.
-
4. Aksoy Vaizoğlu G, Ulusoy N, Güleç Alagöz L. Effect of Coffee and Polishing Systems on the Color Change of a Conventional Resin Composite Repaired by Universal Resin Composites: An In Vitro Study. Materials (Basel) 2023;16.
-
5. Altınışık H, Özyurt E. Effect of different polishing systems on surface roughness and gloss values of single-shade resin composites. BMC Oral Health 2024;24:1391.
-
6. Yılmaz Atalı P, Doğu Kaya B, Manav Özen A, Tarçın B, Şenol AA, Tüter Bayraktar E, et al. Assessment of micro-hardness, degree of conversion, and flexural strength for single-shade universal resin composites. Polymers 2022;14:4987.
-
7. Riada MI, Gamal WM, Morsy AS. Color matching of a single shade structurally colored universal resin composite with the surrounding hard dental tissues. Egyptian Dent J 2020; 66: 2721- 2727.
-
8. Çelik Ç. Management of tooth discolorations. Türkiye Klinikleri J Restor Dent-Special Topics 2017;3:104-12.
-
9. Maran BM, Burey A, de Paris Matos T, Loguercio AD, Reis A. In-office dental bleaching with light vs. without light: A systematic review and meta-analysis. J Dent 2018;70:1-13.
-
10. Erturk-Avunduk AT, Delikan E, Cengiz-Yanardag E, Karakaya I. Effect of whitening concepts on surface roughness and optical characteristics of resin-based composites: An AFM study. Microsc
Res Tech 2023.
-
11. Atik E, Kalyoncuoğlu ÜT. The effect of whitening agents (whitening rinse and carbamide peroxide) on stained flowable and packable composite aligner attachments. Clin Oral Invest 2025;29:1-3.
-
12. Karataş Ö, Gül P, Akgül N, Çelik N, Gündoğdu M, Yeşil Duymuş Z, Seven N. Effect of staining and bleaching on the microhardness, surface roughness and color of different composite resins. Dent Med Probl 2021;58:369-76.
-
13. Molina GF, Cabral RJ, Mazzola I, Burrow M. Surface gloss, gloss retention, and color stability of 2 nano-filled universal resin composites. Restor Dent Endod 2022;47:e43.
-
14.https://www.gc.dental/europe/en/products/dlightpro (Accessed on 10 July 2025)
-
15. Altınışık H, Nezir M. Clinical evaluation of in-office bleaching with low, medium, and high concentrate hydrogen peroxide: a 6-month a double-blinded randomized controlled trial. Clin Oral Invest 2025;29:260.
-
16. ElSayad II. Color and translucency of finished and unfinished esthetic restorative materials after staining and bleaching. Saudi Dent J 2018;30:219-25.
-
17. 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.
-
18. Gunawan V, Choi JJE. Stability of optical and mechanical properties in multi-shade, group-shade, and single-shade resin composites. Int J Dent 2025;2025:3647128.
-
19. Vural Uzay K, Atalay C, Miletić I, Gurgan S. Effects of Different Whitening Agents on the Color and Translucency of Different Resin Composites. Acta Stomatol Croat 2023;57:316-28.
-
20. Sugimura R, Takamizawa T, Aoki R, Muto R, Hirokane E, Kurokawa H, et al. Influence of in-office whitening on the color matching and surface characteristics of single-shade resin composites. J Esthet Restor Dent 2024.
-
21. Khayat WF. In Vitro Comparison of Optical Properties Between Single-Shade and Conventional Composite Resin Restorations. Cureus. 2024 Apr 5;16(4):e57664. doi: 10.7759/cureus.57664. PMID: 38707099; PMCID: PMC11070174
-
22. Shinde SV, Patil Y, Madhu PP, Bhatnagar A, Khurana C, Bhargava A. An overview: insight of dental bleaching agents. J Med Pharmaceu Allied Sci 2021;10:3182-6
-
23. Alrefaie T, Abdou A, Almasabi W, Qi F, Nakamoto A, Nakajima M, et al. Effect of Water Storage and Bleaching on Light Transmission Properties and Translucency of Nanofilled Flowable Composite. Materials (Basel) 2022;16(1).
-
24. Kurtulmus-Yilmaz S, Cengiz E, Ulusoy N, Ozak ST, Yuksel E. The effect of home-bleaching application on the color and translucency of five resin composites. J Dent 2013;41 Suppl 5:e70-5.
-
25. Kedici Alp C, Arslandaş Dinçtürk B, Altınışık H. The effect of food-simulating liquids on surface features of single-shade universal composites: an ın vitro study. J Int Soc Prev Community Dent 2023;13:157-65.
-
26. Alharbi G, Al Nahedh HN, Al-Saud LM, Shono N, Maawadh A. Effect of different finishing and polishing systems on surface properties of universal single shade resin-based composites. BMC Oral Health 2024;24:197.
-
27. 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.
-
28. Yılmaz C, Uygun LA. The effect of different whitening mouthwashes and simulated tooth brushing on surface roughness and microhardness of nanohybrid resin composite: an in vitro study BMC Oral Health. 2025;25:631.
-
29. Gonder H, Fidan M. Effect of different polymerization times on color change, translucency parameter, and surface hardness of bulk-fill resin composites. Nigerian Journal of Clinical Practice 2022;25:1751-7.
-
30. Chen F, Sun L, Luo H, Yu P, Lin J. Influence of filler types on wear and surface hardness of composite resin restorations. Journal of Applied Biomaterials & Functional Materials 2023;21:22808000231193524.
31. Mohammadi N, Alavi FN, Rikhtehgaran S, Chaharom MEE, Salari A, Kimyai S, et al. Effect of bleaching method and curing time on the surface microhardness of microhybrid composite resin. Maedica 2020;15:359.
-
32. Szczesio-Wlodarczyk A, Domarecka M, Kopacz K, Sokolowski J, Bociong K. An evaluation of the properties of urethane dimethacrylate-based dental resins. Materials 2021;14:2727.
-
33. Mierzejewska ŻA, Łukaszuk K, Rusztyn B, Maliszewski K. The ınfluence of bleaching ıntensity and laser activation on the durability of selected aesthetic composites-an ın vitro study. J Funct Biomater 2025;16:193.
-
34. Hannig C, Duong S, Becker K, Brunner E, Kahler E, Attin T. Effect of bleaching on subsurface micro-hardness of composite and a polyacid modified composite. Dental materials 2007;23:198- 203.
-
35. Taher NM. The effect of bleaching agents on the surface hardness of tooth colored restorative materials. J Contemp Dent Pract 2005;6:18-26.
Evaluation of The Effect of In-Office Bleaching Agent on Mechanical Properties of Different Single-Shade Resin Composites: An In-Vitro Study
Yıl 2025,
Cilt: 14 Sayı: 3, 197 - 205, 29.09.2025
Merve Nezir
,
Hanife Altınışık
,
Esra Özyurt
Öz
Aim: This study aimed to evaluate the surface roughness and micro-hardness of five different single-shade resin composites in vitro after a bleaching treatment protocol.
Material and methods: A total of fifty resin composite specimens were prepared from each single-shade resin composite (Filtek Universal [FU], Vittra Unique [VU], Omnichroma [O], Essentia Universal [EU], Charisma Diamond One [CDO]). Ten specimens were prepared from each material, for surface roughness and micro-hardness testing (n=10). After the first measurements, in-office bleaching gel was applied to the specimen surfaces three times, and each application took 15 minutes. After the bleaching protocol, the measurements were repeated, and the values were statistically analyzed using ANOVA and post hoc Bonferroni tests. Significance was evaluated at a p<0.05 level.
Results: After bleaching, the increase in roughness in the EU group (0.012±0.022 Ra) was significantly higher than in the other groups (p<0.05). The decrease in micro-hardness in the VU group (-15.84±9.53 MPa) was significantly higher than in the other groups (p<0.05). There was no statistically significant difference between the other groups (p>0.05).
Conclusion: The material that showed the highest increase in roughness after bleaching was EU. It was observed that the office-type bleaching agent caused a decrease in micro-hardness in all materials. If the use of office-type bleaching agents is considered in clinical practice, it may be useful to plan by taking into account the possible negative effects on the patient's existing restorations.
Etik Beyan
Ethics committee approval is not required for this study.
Kaynakça
-
1. Baldissera RA, Corrêa MB, Schuch HS, Collares K, Nascimento GG, Jardim PS, et al. Are there universal restorative composites for anterior and posterior teeth? J Dent 2013;41:1027-35.
-
2. de Abreu JLB, Sampaio CS, Benalcázar Jalkh EB, Hirata R. Analysis of the color matching of universal resin composites in anterior restorations. J Esthet Restor Dent 2021;33:269-76.
-
3. Mohamad Habibullah NFA, Ishak H, Mohammad N, Anuar MAF, Amir A, Ismail IH. Determining artificial ageing methods and evaluating properties of universal composite resin: a review and proposed protocol. Compendium of Oral Science (CORALS) 2023;10:101-18.
-
4. Aksoy Vaizoğlu G, Ulusoy N, Güleç Alagöz L. Effect of Coffee and Polishing Systems on the Color Change of a Conventional Resin Composite Repaired by Universal Resin Composites: An In Vitro Study. Materials (Basel) 2023;16.
-
5. Altınışık H, Özyurt E. Effect of different polishing systems on surface roughness and gloss values of single-shade resin composites. BMC Oral Health 2024;24:1391.
-
6. Yılmaz Atalı P, Doğu Kaya B, Manav Özen A, Tarçın B, Şenol AA, Tüter Bayraktar E, et al. Assessment of micro-hardness, degree of conversion, and flexural strength for single-shade universal resin composites. Polymers 2022;14:4987.
-
7. Riada MI, Gamal WM, Morsy AS. Color matching of a single shade structurally colored universal resin composite with the surrounding hard dental tissues. Egyptian Dent J 2020; 66: 2721- 2727.
-
8. Çelik Ç. Management of tooth discolorations. Türkiye Klinikleri J Restor Dent-Special Topics 2017;3:104-12.
-
9. Maran BM, Burey A, de Paris Matos T, Loguercio AD, Reis A. In-office dental bleaching with light vs. without light: A systematic review and meta-analysis. J Dent 2018;70:1-13.
-
10. Erturk-Avunduk AT, Delikan E, Cengiz-Yanardag E, Karakaya I. Effect of whitening concepts on surface roughness and optical characteristics of resin-based composites: An AFM study. Microsc
Res Tech 2023.
-
11. Atik E, Kalyoncuoğlu ÜT. The effect of whitening agents (whitening rinse and carbamide peroxide) on stained flowable and packable composite aligner attachments. Clin Oral Invest 2025;29:1-3.
-
12. Karataş Ö, Gül P, Akgül N, Çelik N, Gündoğdu M, Yeşil Duymuş Z, Seven N. Effect of staining and bleaching on the microhardness, surface roughness and color of different composite resins. Dent Med Probl 2021;58:369-76.
-
13. Molina GF, Cabral RJ, Mazzola I, Burrow M. Surface gloss, gloss retention, and color stability of 2 nano-filled universal resin composites. Restor Dent Endod 2022;47:e43.
-
14.https://www.gc.dental/europe/en/products/dlightpro (Accessed on 10 July 2025)
-
15. Altınışık H, Nezir M. Clinical evaluation of in-office bleaching with low, medium, and high concentrate hydrogen peroxide: a 6-month a double-blinded randomized controlled trial. Clin Oral Invest 2025;29:260.
-
16. ElSayad II. Color and translucency of finished and unfinished esthetic restorative materials after staining and bleaching. Saudi Dent J 2018;30:219-25.
-
17. 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.
-
18. Gunawan V, Choi JJE. Stability of optical and mechanical properties in multi-shade, group-shade, and single-shade resin composites. Int J Dent 2025;2025:3647128.
-
19. Vural Uzay K, Atalay C, Miletić I, Gurgan S. Effects of Different Whitening Agents on the Color and Translucency of Different Resin Composites. Acta Stomatol Croat 2023;57:316-28.
-
20. Sugimura R, Takamizawa T, Aoki R, Muto R, Hirokane E, Kurokawa H, et al. Influence of in-office whitening on the color matching and surface characteristics of single-shade resin composites. J Esthet Restor Dent 2024.
-
21. Khayat WF. In Vitro Comparison of Optical Properties Between Single-Shade and Conventional Composite Resin Restorations. Cureus. 2024 Apr 5;16(4):e57664. doi: 10.7759/cureus.57664. PMID: 38707099; PMCID: PMC11070174
-
22. Shinde SV, Patil Y, Madhu PP, Bhatnagar A, Khurana C, Bhargava A. An overview: insight of dental bleaching agents. J Med Pharmaceu Allied Sci 2021;10:3182-6
-
23. Alrefaie T, Abdou A, Almasabi W, Qi F, Nakamoto A, Nakajima M, et al. Effect of Water Storage and Bleaching on Light Transmission Properties and Translucency of Nanofilled Flowable Composite. Materials (Basel) 2022;16(1).
-
24. Kurtulmus-Yilmaz S, Cengiz E, Ulusoy N, Ozak ST, Yuksel E. The effect of home-bleaching application on the color and translucency of five resin composites. J Dent 2013;41 Suppl 5:e70-5.
-
25. Kedici Alp C, Arslandaş Dinçtürk B, Altınışık H. The effect of food-simulating liquids on surface features of single-shade universal composites: an ın vitro study. J Int Soc Prev Community Dent 2023;13:157-65.
-
26. Alharbi G, Al Nahedh HN, Al-Saud LM, Shono N, Maawadh A. Effect of different finishing and polishing systems on surface properties of universal single shade resin-based composites. BMC Oral Health 2024;24:197.
-
27. 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.
-
28. Yılmaz C, Uygun LA. The effect of different whitening mouthwashes and simulated tooth brushing on surface roughness and microhardness of nanohybrid resin composite: an in vitro study BMC Oral Health. 2025;25:631.
-
29. Gonder H, Fidan M. Effect of different polymerization times on color change, translucency parameter, and surface hardness of bulk-fill resin composites. Nigerian Journal of Clinical Practice 2022;25:1751-7.
-
30. Chen F, Sun L, Luo H, Yu P, Lin J. Influence of filler types on wear and surface hardness of composite resin restorations. Journal of Applied Biomaterials & Functional Materials 2023;21:22808000231193524.
31. Mohammadi N, Alavi FN, Rikhtehgaran S, Chaharom MEE, Salari A, Kimyai S, et al. Effect of bleaching method and curing time on the surface microhardness of microhybrid composite resin. Maedica 2020;15:359.
-
32. Szczesio-Wlodarczyk A, Domarecka M, Kopacz K, Sokolowski J, Bociong K. An evaluation of the properties of urethane dimethacrylate-based dental resins. Materials 2021;14:2727.
-
33. Mierzejewska ŻA, Łukaszuk K, Rusztyn B, Maliszewski K. The ınfluence of bleaching ıntensity and laser activation on the durability of selected aesthetic composites-an ın vitro study. J Funct Biomater 2025;16:193.
-
34. Hannig C, Duong S, Becker K, Brunner E, Kahler E, Attin T. Effect of bleaching on subsurface micro-hardness of composite and a polyacid modified composite. Dental materials 2007;23:198- 203.
-
35. Taher NM. The effect of bleaching agents on the surface hardness of tooth colored restorative materials. J Contemp Dent Pract 2005;6:18-26.