Research Article
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Year 2025, Volume: 15 Issue: 4, 891 - 896, 26.12.2025
https://doi.org/10.33808/clinexphealthsci.1661099

Abstract

References

  • Zarone F, Di Mauro MI, Ausiello P, Ruggiero G, Sorrentino R. Current status on lithium disilicate and zirconia: a narrative review. BMC Oral Health. 2019;19(1):134-147. https://doi.org/10.1186/s12903-019-0838-x
  • Gracis S, Thompson VP, Ferencz JL, Silva NR, Bonfante EA. A new classification system for all-ceramic and ceramic-like restorative materials. Int J Prosthodont. 2015;28(3):227-235. https://doi.org/10.11607/ijp.4244
  • Alamoush RA, Yang J, Alhotan A, Haider J, Matinlinna JP, Elraggal A. The effect of in-office bleaching agents on the Vickers hardness and surface topography of polished and unpolished CAD/CAM composite materials. Sci Rep. 2023;13:15341. https://doi.org/10.1038/s41598-023-42415-4
  • Yikilgan I, Kamak H, Akgul S, Ozcan S, Bala O. Effects of three different bleaching agents on microhardness and roughness of composite sample surfaces finished with different polishing techniques. J Clin Exp Dent. 2017;9(3):e460-e465. https://doi.org/10.4317/jced.53136
  • Hanning C, Duong S, Becker K, Brunner E, Kahler E, Attin T. Effect of bleaching on subsurface microhardness of composite and a polyacid modified composite. Dent Mater. 2007;23(2):198-203. https://doi.org/10.1016/j.dental.2006.01.008
  • Price RB, Sedarous M, Hiltz GS. The pH of tooth-whitening products. J Can Dent Assoc. 2000;66(8):421-426.
  • Joiner A. The bleaching of teeth: a review of the literature. J Dent. 2006;34(7):412-419. https://doi.org/10.1016/j.jdent.2006.02.002
  • Dahl JE. Tooth bleaching - A critical review of the biological aspects. Crit Rev Oral Biol Med. 2003;14(4):292-304. https://doi.org/10.1177/154411130301400406
  • Tinastepe N, Malkondu Ö, İscan İ , Kazazoglu E. Effect of home and over the contour bleaching on stainability of CAD/CAM esthetic restorative materials. J Esthet Restor Dent. 2021;33(2):303-313. https://doi.org/10.1111/jerd.12604
  • Yu H, Zhang CY, Cheng SL, Cheng H. Effects of bleaching agents on dental restorative materials: a review of the literature and recommendation to dental practitioners and researchers. J Dent Sci. 2015;10(4):345-351. https://doi.org/10.1016/j.jds.2014.08.005
  • El-Murr J, Ruel D, St-Georges AJ. Effects of external bleaching on restorative materials: a review. J Can Dent Assoc. 2011;77: b59.
  • Yu H, Li Q, Wang YN, Cheng H. Effects of temperature and inoffice bleaching agents on surface and subsurface properties of aesthetic restorative materials. J Dent 2013;41(12):1290-1296. https://doi.org/10.1016/j.jdent.2013.07.015
  • Abu-Eittah MR, Mandour MH. In vitro study of the effect of three hydrogen peroxide concentrations on the corrosion behavior and surface topography of alumina-reinforced dental ceramic. J Prosthodont. 2011;20(7):541-552. https://doi.org/10.1111/j.1532-849X.2011.00762.x
  • Ertaş E, Güler AU, Yücel AC, Köprülü H, Güler E. Color stability of resin composites after immersion in different drinks. Dent Mater J. 2006;25(2):371-376. https://doi.org/10.4012/dmj.25.371
  • Paravina RD, Pérez MM, Ghinea R. Acceptability and perceptibility thresholds in dentistry: A comprehensive review of clinical and research applications. J Esthet Restor Dent. 2019;31(2):103-112. https://doi.org/10.1111/jerd.12465
  • Paravina RD, Ghinea R, Herrera LJ, D Bona A, Igiel C, Linninger M, Sakai M, Takahashi H, Tashkandi E, Perez MM. Color difference thresholds in dentistry. J Esthet Restor Dent. 2015;27 Suppl 1:1-9. https://doi.org/10.1111/jerd.12149
  • Acar O, Yilmaz B, Altintas SH, Chandrasekaran I, Johnston WM. Color stainability of CAD/CAM and nanocomposite resin materials. J Prosthet Dent. 2016;115(1):71–75. https://doi.org/10.1016/j.prosdent.2015.06.014
  • Gawriolek M, Sikorska E, Ferreira LF, Costa AI, Khmelinskii I, Krawczyk A, Sikorski M, Koczorowski PR. Color and luminescence stability of selected dental materials in vitro. J Prosthodont. 2012;21(2):112-122. https://doi.org/10.1111/j.1532-849X.2011.00808.x
  • Gonulol N, Yilmaz F. The effects of finishing and polishing techniques on surface roughness and color stability of nanocomposites. J Dent. 2012;40 Suppl 2:e64-70. https://doi.org/10.1016/j.jdent.2012.07.005
  • Gajewski VE, Pfeifer CS, Fróes-Salgado NR, Boaro LC, Braga RR. Monomers used in resin composites: degree of conversion, mechanical properties and water sorption/solubility. Braz Dent J. 2012;23(5):508-514. https://doi.org/10.1590/s0103-64402012000500007
  • Belli R, Geinzer E, Muschweck A, Petschelt A, Lohbauer U. Mechanical fatigue degradation of ceramics versus resin composites for dental restorations. Dent Mater. 2014;30(4):424-432. https://doi.org/10.1016/j.dental.2014.01.003
  • Stawarczyk B, Sener B, Trottmann A, Roos M, Ozcan M, Hammerle CH. Discoloration of manually fabricated resins and industrially fabricated CAD/ CAM blocks versus glass-ceramic: effect of storage media, duration, and subsequent polishing. Dent Mater J. 2012;31(3):377-383. https://doi.org/ 10.4012/dmj.2011-238
  • Moraes R, Marimon J, Schneider L, Sobrinho LC, Camacho G, Bueno M. Carbamide peroxide bleaching agents: effects on surface roughness of enamel, composite and porcelain. Clin Oral Investig. 2006;10(1):23-28. https://doi.org/10.1007/s00784-005-0016-1
  • Duschner H, Götz H, White DJ, Kozak KM, Zoladz JR. Effects of hydrogen peroxide bleaching strip gels on dental restorative materials in vitro: surface microhardness and surface morphology. Clin Dent. 2004;15(4):105-111.
  • de A Silva MF, Davies RM, Stewart B, DeVizio W, Tonholo J, da Silva Junior JG, Pretty A. Effect of whitening gels on the surface roughness of restorative materials in situ. Dent Mater. 2006;22(10):919-924. https://doi.org/10.1016/j.dental.2005.11.029
  • Zaki AA, Fahmy NZ. The effect of a bleaching system on properties related to different ceramic surface textures. J Prosthodont. 2009;18(3): 223-229. https://doi.org/10.1111/j.1532-849X.2008.00419.x
  • Malkondu Ö, Yurdagüven H, Say EC, Kazazoglu E, Soyman M. Effect of bleaching on microhardness of esthetic restorative materials. Oper Dent. 2011;36(2):177-186. https://doi.org/10.2341/10-078-L

Color Stability of Bleached Resin Based Hybrid CAD/CAM Restorative Materials: An in vitro Study

Year 2025, Volume: 15 Issue: 4, 891 - 896, 26.12.2025
https://doi.org/10.33808/clinexphealthsci.1661099

Abstract

Objective: The color stability of restorative materials is a major factor for the long-term success of a restoration. The aim of this study is to evaluate the color stability of bleached resin matrix ceramic block materials in coffee immersion.
Methods: Five different A2 shaded CAD/CAM resin matrix ceramic block materials (Lava Ultimate-LU, Shofu Blok HC- SHC, GC Cerasmart- GCER, Vita Enamic-VE, Brilliant Crios-BE) were used in this study (n:10). The color stability of the samples after different bleaching procedures (Opalescence BOOST and Opalescence PF) and coffee immersion were calculated using ∆E00 formula. The L*, a*, b* values were measured by using a spectrophotometer and data were analyzed by using Repeated-Measures ANOVA and ΔE00 values were evaluated Two-way ANOVA test at the significance level of p<0.05.
Results: After coffee immersion, the lowest L* value was seen in LU, GCER and SHC and, the highest values were observed in VE and BC. There was no significant change was observed in L value after bleaching (p>0.05), but after coffee immersion L* values significantly decreased (p<0.05). The color change after bleaching procedures was only within clinically acceptable limits in the home bleached LU and SHC samples, and the color change was below the perceptible thresholds in other groups.
Conclusion: The highest color change occurred in groups with high organic content. The ΔE00 values of SHC and LU were above clinically acceptable values, the values obtained from the other groups were within clinically acceptable limits after coffee immersion.

Ethical Statement

Ethics committee approval is not required since this research does not directly affect humans or animals.

Supporting Institution

None

Thanks

We would like to thank Marmara University for providing access to academic databases.

References

  • Zarone F, Di Mauro MI, Ausiello P, Ruggiero G, Sorrentino R. Current status on lithium disilicate and zirconia: a narrative review. BMC Oral Health. 2019;19(1):134-147. https://doi.org/10.1186/s12903-019-0838-x
  • Gracis S, Thompson VP, Ferencz JL, Silva NR, Bonfante EA. A new classification system for all-ceramic and ceramic-like restorative materials. Int J Prosthodont. 2015;28(3):227-235. https://doi.org/10.11607/ijp.4244
  • Alamoush RA, Yang J, Alhotan A, Haider J, Matinlinna JP, Elraggal A. The effect of in-office bleaching agents on the Vickers hardness and surface topography of polished and unpolished CAD/CAM composite materials. Sci Rep. 2023;13:15341. https://doi.org/10.1038/s41598-023-42415-4
  • Yikilgan I, Kamak H, Akgul S, Ozcan S, Bala O. Effects of three different bleaching agents on microhardness and roughness of composite sample surfaces finished with different polishing techniques. J Clin Exp Dent. 2017;9(3):e460-e465. https://doi.org/10.4317/jced.53136
  • Hanning C, Duong S, Becker K, Brunner E, Kahler E, Attin T. Effect of bleaching on subsurface microhardness of composite and a polyacid modified composite. Dent Mater. 2007;23(2):198-203. https://doi.org/10.1016/j.dental.2006.01.008
  • Price RB, Sedarous M, Hiltz GS. The pH of tooth-whitening products. J Can Dent Assoc. 2000;66(8):421-426.
  • Joiner A. The bleaching of teeth: a review of the literature. J Dent. 2006;34(7):412-419. https://doi.org/10.1016/j.jdent.2006.02.002
  • Dahl JE. Tooth bleaching - A critical review of the biological aspects. Crit Rev Oral Biol Med. 2003;14(4):292-304. https://doi.org/10.1177/154411130301400406
  • Tinastepe N, Malkondu Ö, İscan İ , Kazazoglu E. Effect of home and over the contour bleaching on stainability of CAD/CAM esthetic restorative materials. J Esthet Restor Dent. 2021;33(2):303-313. https://doi.org/10.1111/jerd.12604
  • Yu H, Zhang CY, Cheng SL, Cheng H. Effects of bleaching agents on dental restorative materials: a review of the literature and recommendation to dental practitioners and researchers. J Dent Sci. 2015;10(4):345-351. https://doi.org/10.1016/j.jds.2014.08.005
  • El-Murr J, Ruel D, St-Georges AJ. Effects of external bleaching on restorative materials: a review. J Can Dent Assoc. 2011;77: b59.
  • Yu H, Li Q, Wang YN, Cheng H. Effects of temperature and inoffice bleaching agents on surface and subsurface properties of aesthetic restorative materials. J Dent 2013;41(12):1290-1296. https://doi.org/10.1016/j.jdent.2013.07.015
  • Abu-Eittah MR, Mandour MH. In vitro study of the effect of three hydrogen peroxide concentrations on the corrosion behavior and surface topography of alumina-reinforced dental ceramic. J Prosthodont. 2011;20(7):541-552. https://doi.org/10.1111/j.1532-849X.2011.00762.x
  • Ertaş E, Güler AU, Yücel AC, Köprülü H, Güler E. Color stability of resin composites after immersion in different drinks. Dent Mater J. 2006;25(2):371-376. https://doi.org/10.4012/dmj.25.371
  • Paravina RD, Pérez MM, Ghinea R. Acceptability and perceptibility thresholds in dentistry: A comprehensive review of clinical and research applications. J Esthet Restor Dent. 2019;31(2):103-112. https://doi.org/10.1111/jerd.12465
  • Paravina RD, Ghinea R, Herrera LJ, D Bona A, Igiel C, Linninger M, Sakai M, Takahashi H, Tashkandi E, Perez MM. Color difference thresholds in dentistry. J Esthet Restor Dent. 2015;27 Suppl 1:1-9. https://doi.org/10.1111/jerd.12149
  • Acar O, Yilmaz B, Altintas SH, Chandrasekaran I, Johnston WM. Color stainability of CAD/CAM and nanocomposite resin materials. J Prosthet Dent. 2016;115(1):71–75. https://doi.org/10.1016/j.prosdent.2015.06.014
  • Gawriolek M, Sikorska E, Ferreira LF, Costa AI, Khmelinskii I, Krawczyk A, Sikorski M, Koczorowski PR. Color and luminescence stability of selected dental materials in vitro. J Prosthodont. 2012;21(2):112-122. https://doi.org/10.1111/j.1532-849X.2011.00808.x
  • Gonulol N, Yilmaz F. The effects of finishing and polishing techniques on surface roughness and color stability of nanocomposites. J Dent. 2012;40 Suppl 2:e64-70. https://doi.org/10.1016/j.jdent.2012.07.005
  • Gajewski VE, Pfeifer CS, Fróes-Salgado NR, Boaro LC, Braga RR. Monomers used in resin composites: degree of conversion, mechanical properties and water sorption/solubility. Braz Dent J. 2012;23(5):508-514. https://doi.org/10.1590/s0103-64402012000500007
  • Belli R, Geinzer E, Muschweck A, Petschelt A, Lohbauer U. Mechanical fatigue degradation of ceramics versus resin composites for dental restorations. Dent Mater. 2014;30(4):424-432. https://doi.org/10.1016/j.dental.2014.01.003
  • Stawarczyk B, Sener B, Trottmann A, Roos M, Ozcan M, Hammerle CH. Discoloration of manually fabricated resins and industrially fabricated CAD/ CAM blocks versus glass-ceramic: effect of storage media, duration, and subsequent polishing. Dent Mater J. 2012;31(3):377-383. https://doi.org/ 10.4012/dmj.2011-238
  • Moraes R, Marimon J, Schneider L, Sobrinho LC, Camacho G, Bueno M. Carbamide peroxide bleaching agents: effects on surface roughness of enamel, composite and porcelain. Clin Oral Investig. 2006;10(1):23-28. https://doi.org/10.1007/s00784-005-0016-1
  • Duschner H, Götz H, White DJ, Kozak KM, Zoladz JR. Effects of hydrogen peroxide bleaching strip gels on dental restorative materials in vitro: surface microhardness and surface morphology. Clin Dent. 2004;15(4):105-111.
  • de A Silva MF, Davies RM, Stewart B, DeVizio W, Tonholo J, da Silva Junior JG, Pretty A. Effect of whitening gels on the surface roughness of restorative materials in situ. Dent Mater. 2006;22(10):919-924. https://doi.org/10.1016/j.dental.2005.11.029
  • Zaki AA, Fahmy NZ. The effect of a bleaching system on properties related to different ceramic surface textures. J Prosthodont. 2009;18(3): 223-229. https://doi.org/10.1111/j.1532-849X.2008.00419.x
  • Malkondu Ö, Yurdagüven H, Say EC, Kazazoglu E, Soyman M. Effect of bleaching on microhardness of esthetic restorative materials. Oper Dent. 2011;36(2):177-186. https://doi.org/10.2341/10-078-L
There are 27 citations in total.

Details

Primary Language English
Subjects Prosthodontics
Journal Section Research Article
Authors

Ersan Çelik 0000-0002-3797-770X

Caner Öztürk 0000-0001-9549-2770

Submission Date March 20, 2025
Acceptance Date November 20, 2025
Publication Date December 26, 2025
Published in Issue Year 2025 Volume: 15 Issue: 4

Cite

APA Çelik, E., & Öztürk, C. (2025). Color Stability of Bleached Resin Based Hybrid CAD/CAM Restorative Materials: An in vitro Study. Clinical and Experimental Health Sciences, 15(4), 891-896. https://doi.org/10.33808/clinexphealthsci.1661099
AMA Çelik E, Öztürk C. Color Stability of Bleached Resin Based Hybrid CAD/CAM Restorative Materials: An in vitro Study. Clinical and Experimental Health Sciences. December 2025;15(4):891-896. doi:10.33808/clinexphealthsci.1661099
Chicago Çelik, Ersan, and Caner Öztürk. “Color Stability of Bleached Resin Based Hybrid CAD CAM Restorative Materials: An in Vitro Study”. Clinical and Experimental Health Sciences 15, no. 4 (December 2025): 891-96. https://doi.org/10.33808/clinexphealthsci.1661099.
EndNote Çelik E, Öztürk C (December 1, 2025) Color Stability of Bleached Resin Based Hybrid CAD/CAM Restorative Materials: An in vitro Study. Clinical and Experimental Health Sciences 15 4 891–896.
IEEE E. Çelik and C. Öztürk, “Color Stability of Bleached Resin Based Hybrid CAD/CAM Restorative Materials: An in vitro Study”, Clinical and Experimental Health Sciences, vol. 15, no. 4, pp. 891–896, 2025, doi: 10.33808/clinexphealthsci.1661099.
ISNAD Çelik, Ersan - Öztürk, Caner. “Color Stability of Bleached Resin Based Hybrid CAD CAM Restorative Materials: An in Vitro Study”. Clinical and Experimental Health Sciences 15/4 (December2025), 891-896. https://doi.org/10.33808/clinexphealthsci.1661099.
JAMA Çelik E, Öztürk C. Color Stability of Bleached Resin Based Hybrid CAD/CAM Restorative Materials: An in vitro Study. Clinical and Experimental Health Sciences. 2025;15:891–896.
MLA Çelik, Ersan and Caner Öztürk. “Color Stability of Bleached Resin Based Hybrid CAD CAM Restorative Materials: An in Vitro Study”. Clinical and Experimental Health Sciences, vol. 15, no. 4, 2025, pp. 891-6, doi:10.33808/clinexphealthsci.1661099.
Vancouver Çelik E, Öztürk C. Color Stability of Bleached Resin Based Hybrid CAD/CAM Restorative Materials: An in vitro Study. Clinical and Experimental Health Sciences. 2025;15(4):891-6.

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