AĞIZ GARGARALARI VE ANTİSEPTİKLERİNİN FARKLI KOMPOZİT REZİNLERİN RENK STABİLİTESİNE ETKİSİ

Yıl 2021, Cilt: 31 Sayı: 1, 71 - 76, 15.01.2021

Turan Emre Kuzu Özcan Karataş

https://doi.org/10.17567/ataunidfd.806587

Cited By: 1

Öz

Amaç: Çalışmanın amacı farklı ağız gargara ve antiseptiklerinin farklı kompozit rezinlerin renk stabilitesine etkisini incelemektir.
Gereç ve yöntem: Çalışmada bir mikrohibrit (Filtek Z250, 3M ESPE, St. Paul, MN, ABD) ve bir nanohibrit kompozitten (Filtek Z550, 3M ESPE, St. Paul, MN, ABD) 50’şer adet disk şekilli örnek hazırlandı. Kompozit rezinler teflon kalıplara yerleştirilerek LED ışık cihazı (1000mW/cm2, Valo LED, Ultradent Products, South Jordan, ABD) yardımıyla polimerize edildi. Polimerizasyonu tamamlanan örnekler 37oC de 24 saat süre ile distile suda bekletildi. Ardından her kompozit için örnekler beş gruba ayrılarak başlangıç renk ölçümleri dijital bir spektrofotometre ile yapıldı. Renk ölçümlerinden sonra örnekler 4 farklı ağız gargara ve antiseptiklerinde (Andorex, Tantum Verde, Batikadin, Listerine) ve distile suda (kontrol) 24 saat bekletildi. Basınçlı suyla temizlenen ve kurutulan örneklerin renk ölçümleri tekrarlanarak renk değişimi miktarları (ΔE) hesaplandı. Veriler tek yönlü varyans analizi ve Tukey çoklu karşılaştırma testi ile analiz edildi.
Bulgular: Varyans analizi soncunda farklı kompozit rezin örneklerinin farklı gargara ve antiseptiklerde bekletilmesi ile renk değişimi değerleri arasında istatistiksel olarak anlamlı farklılıklar tespit edildi (p<0.05). Mikrohibrit kompozit rezin örneklerinin ortalama ΔE değerleri nanhibrit kompozit örneklerinden yüksek bulunurken, en yüksek ortalama ΔE değerleri povidon iyot solüsyonunda bekletilen örneklerde görüldü. Her iki kompozitin kontrol grubu örneklerinin ΔE değerleri klinik olarak kabul edilir derecede bulundu.
Sonuçlar: Ağız gargaraları ve antiseptikler kompozit rezin restorasyonlarda, rezinin ve solüsyonun yapısal özelliklerine bağlı olarak renklenmeye neden olabilir. Klinisyen periodontal tedaviler ve kontroller esnasında bu durumu göz önünde bulundurmalıdır.
Anahtar Kelimeler: Ağız Gargaraları, Kompozit Rezinler, Renk Değişimi

THE EFFECTS OF MOUTHWASHES AND ANTISEPTICS ON COLOR STABILITY OF DIFFERENT COMPOSITE RESIN
Abstract
Aim: The aim of the study is to investigate the effect of different mouthwashes and antiseptics on the color stability of different composite resins.
Material and methods: In the study, 50 disc-shaped samples were prepared from a microhybrid (Filtek Z250, 3M ESPE, St. Paul, MN, USA) and a nanohybrid (Filtek Z550, 3M ESPE, St. Paul, MN, USA) composite. Composite resins were placed in Teflon molds and polymerized with the help of LED light device (1000mW/cm2, Valo LED, Ultradent Products, South Jordan, USA). The specimens, whose polymerization was completed, were stored in distilled water for 24 hours at 37oC. Then, for each composite, specimens were divided into five groups and initial color measurements were made with a digital spectrophotometer. After color measurements, the specimens were stored in 4 different mouthwashes (Andorex, Tantum Verde, Batikadin, Listerine) and antiseptics and distilled water (control) for 24 hours. Color measurement amounts of specimens were repeated after cleaning and drying with pressurized water. The data were analyzed by one-way analysis of variance and Tukey multiple comparison test.
Results: As a result of variance analysis, statistically significant differences were found between different composite resin specimens in different mouthwashes and antiseptics and color change values (p <0.05). The average ΔE values of microhybrid composite resin specimens were found higher than nanohybrid composite resin specimens, while the highest average ΔE values were seen in specimens stored in povidone-iodine solution. The ΔE values of the control group specimens of both composites were found to be clinically acceptable.
Conclusion: Mouthwashes and antiseptics may cause coloration in composite resin restorations depending on the structural properties of the resin and solution. The clinician should consider this during periodontal treatments and controls.
Keywords: Mouthwashes, Composite Resins, Color Change

Anahtar Kelimeler

Ağız Gargaraları, Kompozit Rezinler,, Renk Değişimi

Kaynakça

• 1. Nascimento GG, Leite FR, Correa MB, Peres MA, Demarco FF. Does periodontal treatment have an effect on clinical and immunological parameters of periodontal disease in obese subjects? A systematic review and meta-analysis. Clin Oral Investig 2016; 20: 639-47.
• 2. Ho SN, Acharya A, Sidharthan S, Li KY, Leung WK, McGrath C, Pelekos G. A systematic review and meta-analysis of clinical, immunological, and microbiological shift in periodontitis after nonsurgical periodontal therapy with adjunctive use of Probiotics. J Evid Based Dent Pract 2020; 20: 101397
• 3. Gunsolley JC. Clinical efficacy of antimicrobial mouthrinses. J Dent 2010; 38: 6-10.
• 4. van Steenberghe D, Avontroodt P, Peeters W, Pauwels M, Coucke W, Lijnen A, Quirynen M. Effect of different mouthrinses on morning breath. J Periodontol 2001; 72: 1183-91.
• 5. da Veiga AM, Cunha AC, Ferreira DM, da Silva Fidalgo TK, Chianca TK, Reis KR, Maia LC. Longevity of direct and indirect resin composite restorations in permanent posterior teeth: A systematic review and meta-analysis. J Dent 2016; 54: 1-12.
• 6. Yapar MI, Celik N , Sagsoz O , B K, Seven N, YZ. B. Farklı polimerizasyon tekniklerinin kompozit rezinlerin mekanik ve fiziksel özelliklerine etkisi The J Dent Fac Atatürk Uni 2020; 30: 26-32.
• 7. Mahajan RP, Shenoy VU, Sumanthini MV, Mahajan HP, Walzade PS, Mangrolia R. Comparative evaluation of the discoloration of microhybrid and nanohybrid composite resins by different beverages: a spectrophotometric analysis. J Contemp Dent Pract 2019; 20: 226-30.
• 8. Ghavami-Lahiji M, Firouzmanesh M, Bagheri H, Jafarzadeh Kashi TS, Razazpour F, Behroozibakhsh M. The effect of thermocycling on the degree of conversion and mechanical properties of a microhybrid dental resin composite. Restor Dent Endod 2018; 43: 26-38.
• 9. Muhittin U, Burak TU, Kam HO. Color stability of microhybrid and nanofilled composite resins: effect of surface sealant agents containing different filler content. J Contemp Dent Pract 2019; 20: 1045-50.
• 10. Moda MD, Godas AGL, Fernandes JC, Suzuki TYU, Guedes APA, Briso ALF, Bedran-Russo AK, Dos Santos PH. Comparison of different polishing methods on the surface roughness of microhybrid, microfill, and nanofill composite resins. J Investig Clin Dent 2018, 9: 1-9.
• 11. Kodzaeva ZS, Turkina AY, Doroshina VY. [The long-term results of teeth restoration with composite resin materials: a systematic literature review]. Stomatologiia (Mosk) 2019; 98: 117-122.
• 12. Malekipour MR, Sharafi A, Kazemi S, Khazaei S, Shirani F. Comparison of color stability of a composite resin in different color media. Dent Res J 2012; 9: 441-6.
• 13. Wang LK, Liu YN, Hui H, Li PP. [Color stability of computer aided design and computer aided manufacture composite ceramic/resin cements after accelerated ageing]. Zhonghua Kou Qiang Yi Xue Za Zhi 2019; 54: 765-69.
• 14. Gunsolley JC. A meta-analysis of six-month studies of antiplaque and antigingivitis agents. J Am Dent Assoc 2006; 137: 1649-1657.
• 15. Ruyter IE, Nilner K, Moller B. Color stability of dental composite resin materials for crown and bridge veneers. Dent Mater 1987; 3: 246-51.
• 16. Gurgan S, Onen A, Koprulu H. In vitro effects of alcohol-containing and alcohol-free mouthrinses on microhardness of some restorative materials. J Oral Rehabil 1997; 24: 244-6.
• 17. Marigo L, Rizzi M, La Torre G, Rumi G. 3-D surface profile analysis: different finishing methods for resin composites. Oper Dent 2001; 26: 562-568.
• 18. Lee YK, Yu B, Lee SH, Cho MS, Lee CY, Lim HN. Shade compatibility of esthetic restorative materials--A review. Dent Mater 2010; 26: 1119-26.
• 19. Alsaleh S, Labban M, AlHariri M, Tashkandi E. Evaluation of self shade matching ability of dental students using visual and instrumental means. J Dent 2012; 40: 82-7.
• 20. Macedo M, Volpato CAM, Henriques B, Vaz PCS, Silva FS, Silva C. Color stability of a bis-acryl composite resin subjected to polishing, thermocycling, intercalated baths, and immersion in different beverages. J Esthet Restor Dent 2018; 30: 449-56.
• 21. Gonulol N, Ozer S, Sen Tunc E. Water sorption, solubility, and color stability of giomer restoratives. J Esthet Restor Dent 2015; 27: 300-6.
• 22. Mansouri SA, Zidan AZ. Effect of water sorption and solubility on color stability of bulk-fill resin composite. J Contemp Dent Pract 2018; 19: 1129-34.
• 23. Khashayar G, Bain PA, Salari S, Dozic A, Kleverlaan CJ, Feilzer AJ. Perceptibility and acceptability thresholds for colour differences in dentistry. J Dent 2014; 42: 637-44.
• 24. Gurgan S, Yalcin Cakir F. The effect of three different mouthrinses on the surface hardness, gloss and colour change of bleached nano composite resins. Eur J Prosthodont Restor Dent 2008; 16: 104-8.
• 25. Ajami AA, Bahari M, Oskoee SS, Kimyai S, Kahnamoui MA, Rikhtegaran S, Ghaffarian R. Effect of three different mouthrinses on microleakage of composite resin restorations with two adhesive systems after bleaching with 10% carbamide peroxide. J Contemp Dent Pract 2012; 13: 16-22.
• 26. Pan PC, Harper S, Ricci-Nittel D, Lux R, Shi W. In-vitro evidence for efficacy of antimicrobial mouthrinses. J Dent 2010; 38: 16-20.
• 27. Lee YK, El Zawahry M, Noaman KM, Powers JM. Effect of mouthwash and accelerated aging on the color stability of esthetic restorative materials. Am J Dent 2000; 13: 159-61.