Bulk Fill Kompozitlerde Son Kullanma Tarihinin Renk Stabilitesine Etkisinin Değerlendirilmesi

Yıl 2024, Cilt: 3 Sayı: 1, 9 - 17, 01.03.2024

Özlem Erçin , Dilan Kopuz , Bora Korkut , Dilek Tağtekin , Funda Yanıkoğlu

Öz

Diş hekimliğinde kullanılan birçok materyalin kimyasal yapısı bozulabilir ve optimum özelliklerini sürdürmek ve raf ömrünü maksimize etmek amacıyla uygun şekilde depolanması gerekmektedir. Çalışmanın amacı, farklı kalınlıklardaki tarihi geçmiş ve geçmemiş bulkfill kompozitlerin renk stabilitelerini karşılaştırmalı olarak değerlendirmektir.
Çalışmada iki farklı renkte mikrohibrit bulkfill kompozit kullanılmıştır: SDR-Plus bulkfill, A2 renk (n=150) ve SDR-Plus bulkfill, Universal renk (n=150). Tarihi geçmiş SDR Plus A2, SDR Plus Universal ve tarihi geçmemiş SDR Plus A2, SDR Plus Universal bulkfill kompozitlerden, 2, 3 mm kalınlığında olacak şekilde kompozit diskler hazırlanmıştır (n=25). Hazırlanan örnekler dört farklı renklendirici solüsyondan (kahve, siyah çay, kırmızı şarap ve moringa çayı) ve bir kontrol grubundan (distile su) oluşan 5 alt gruba ayrılmıştır (n=5). İlk ve son renk değerlendirmeleri çapraz polarize filtreyle çekilmiş makro fotoğraflar üzerinden CIEDE2000 formülü kullanılarak yapılmıştır. Veriler istatistiksel olarak 3 yönlü varyans analizi (ANOVA) ve Tukey HSD çoklu karşılaştırmalar testleri ile incelenmiştir.
Elde edilen sonuçlara göre, tarihi geçmiş kompozitler, tarihi geçmemişlere göre renk değişimi anlamlı derecede yüksek bulunmuştur (p<0,05). 3 mm kalınlığındaki örneklerde, 1 ve 2 mm kalınlığındaki örneklere göre anlamlı düzeyde daha yüksek ∆E00 skorları elde edilmiştir (p<0,05). 1 ve 2 mm kalınlığındaki örneklerin ∆E00 değerleri arasında anlamlı farklılık gözlemlenmemiştir (p≥0,05). A2 renkteki örnekler, universal renktekilerden anlamlı düzeyde daha yüksek ∆E00 değerleri göstermiştir (p<0,05). Renklendirici solüsyonlar açısından, istatistiksel olarak en yüksek ∆E00 değerleri kırmızı şarap için bulunmuş ve bunu sırasıyla kahve, siyah çay ve moringa çayı takip etmiştir. Siyah çay ve moringa çayı arasında 1,2 ve 3 mm’lik örneklerde istatistiksel olarak fark bulunmamıştır (p≥0,05).
Kırmızı şarap kompozit renklenmesi açısından en etkili solüsyon olarak tespit edilmiş ve bunu sırasıyla kahve ve çay takip etmiştir. Bulkfill uygulamalarda tabaka kalınlığı arttıkça, özellikle 3 mm’den az kalınlıkta, bu çalışmada uygulanan renklendiricilerle renklenme düzeyinde artış görülmüştür. İçeriğinde fazla miktarda renk pigmenti bulunan koyu renkli kompozitler, açık renklilere kıyasla daha düşük renk stabilitesi gösterebilirler.

Anahtar Kelimeler

Bulkfill, Kompozit, Renk stabilitesi, Son kullanma tarihi

EVALUATION OF THE EFFECT OF EXPIRATION DATE ON COLOR STABILITY IN BULKFILL COMPOSITES

Öz

The proper storage of many restorative materials is vital to maintain their optimal properties and maximize shelf life in dentistry. This study evaluated the color stability of expired- and nonexpired-bulkfill composites in different thicknesses.
Two microhybrid bulkfill composites in different shades were used in this study: SDR-Plus bulkfill (A2) and SDR-Plus bulkfill (Universal). Composite discs of 1, 2, 3 mm thicknesses were prepared from expired and nonexpired bulkfill composites. The prepared samples were divided into 5 subgroups (n = 5) consisting of four different coloring solutions (coffee, black tea, red wine and moringa tea) and a control group (distilled water). Initial and final color assessments were conducted using macro photographs with a cross-polarization filter. The data were statistically analyzed using three-way ANOVA and Tukey's HSD multiple comparisons tests.
According to the results, expired-composites presented significant color changes compared to nonexpired-composites (p<0.05). 3 mm samples presented significantly higher ∆E00 values than the samples in 1-and 2 mm thicknesses (p<0.05). No statistical differences were observed between samples in 1-and 2 mm thicknesses (p≥0.05). A2 shade group showed significantly higher ∆E00 values compared to universal shade group (p<0.05). In terms of coloring solutions, significantly the highest ∆E00 values were detected for red wine, and it was followed respectively by coffee, black tea, and moringa tea. No statistical difference was found between black tea and moringa tea for the samples in all thicknesses (p≥0.05).
The expiration date of the restorative material is an extremely important factor in terms of color stability of composites. Red wine was determined to be the most effective solution, followed by coffee and tea, respectively. In bulkfill applications, the coloration level increases as the layer thickness increases, such as 3 mm. Dark colored composites with large amounts of color pigments may have less color stability than light colored ones.

Anahtar Kelimeler

Bulkfill, Composite, Color stability, Expiration date

Kaynakça

• Albers, HF (2002). “Tooth-colored restoratives:principles and techniques”, PMPH-USA.
• Alshaafi, MM (2017). “Factors affecting polymerization of resin-based composites: A literature review”. The Saudi dental journal, 29/2,8-58.
• Anusavice, KJ, Shen, C & Rawls, HR (2012).“Phillips' science of dental materials”, Elsevier Health Sciences.
• Association, AD (2023). “CDT 2024: Current Dental Terminology”, American Dental Association.
• Bagheri, R, Burrow, M & Tyas, M (2005).“Influence of food-simulating solutions and surface finish on susceptibility to staining of aesthetic restorative materials”. Journal of dentistry, 33/5, 389-398.
• Blumer, L, Schmidli, F, Weiger, R & Fischer, J (2015). “A systematic approach to standardize artificial aging of resin composite cements”. Dental Materials, 31/7, 855-863.
• Chaves, FO, Farias, NCD, Medeiros, LMDM, Alonso, RCB, Di Hipolito, V & D'alpino, PHP (2014). “Mechanical properties of composites as functions of the syringe storage temperature and energy dose”. Journal of Applied Oral Science, 23, 120-128.
• Choi, MS, Lee, YK, Lim, BS, Rhee, SH, Yang, HC & Lim, YJ (2006). “Changes in color and translucency of porcelain‐repairing resin composites after thermocycling”. Journal of Biomedical Materials Research Part B: Applied Biomaterials: An Official Journal of The Society for Biomaterials, The Japanese Society for Biomaterials, and The Australian Society for Biomaterials and the Korean Society for Biomaterials, 78/1, 1-6.
• Cramer, N, Stansbury, J & Bowman, C (2011). “Recent advances and developments in composite dental restorative materials”. Journal of dental research, 90/4, 402-416.
• D’alpino, PHP, Da Rocha Svizero, N, Arrais, CaG, De Oliveira, M, Alonso, RCB & De Oliveira Graeff, CF (2015). “Polymerization kinetics and polymerization stress in resin composites after accelerated aging as a function of the expiration date”. Journal of the mechanical behavior of biomedical materials, 49, 300-309.
• Drummond, JL (2008). “Degradation, fatigue, an d failure of resin dental composite materials”. Journal of dental research, 87/8, 710-719.
• Duc, O, Di Bella, E, Krejci, I, Betrisey, E, Abdelaziz, M & Ardu, S (2019). “Staining susceptibility of resin composite materials”.American Journal of Dentistry, 32/1, 39-42.
• Ferracane, JL (2006). “Hygroscopic and hydrolytic effects in dental polymer networks”. Dental Materials, 22/3, 211-222.
• Flury, S, Peutzfeldt, A & Lussi, A (2014).“Influence of increment thickness on microhardness and dentin bond strength of bulk fill resin composites”. Dental Materials, 30/10, 1104-1112.
• Fontes, ST, Fernández, MR, Moura, CMD & Meireles, SS (2009). “Color stability of a nanofill composite: effect of different immersion media”.Journal of Applied Oral Science, 17, 388-391.
• Garcia, D, Yaman, P, Dennison, J & Neiva, G (2014). “Polymerization shrinkage and depth of cure of bulk fill flowable composite resins”. Operative dentistry, 39/4, 441-448.
• Garcia, LDF, Mundim, FM, Pires-De-Souza, F, Puppin Rontani, R & Consani, S (2013). “Effect of artificial accelerated aging on the optical properties and monomeric conversion of composites used after expiration date”. Gen Dent,
• Hussain, SK, Al-Abbasi, SW, Refaat, M-M & Hussain, AM (2021). “The effect of staining and bleaching on the color of two different types of composite restoration”. Journal of clinical and experimental dentistry, 13/12, e1233.
• Ilie, N, Bauer, H, Draenert, M & Hickel, R (2013). “Resin-based composite light-cured properties assessed by laboratory standards and simulated clinical conditions”. Operative dentistry, 38/2, 159-167.
• Janda, R, Roulet, JF, Kaminsky, M, Steffin, G & Latta, M (2004). “Color stability of resin matrix restorative materials as a function of the method of light activation”. European journal of oral sciences, 112/3, 280-285.
• Kim, JH, Lee, YK & Powers, JM (2006). “Influence of a series of organic and chemical substances on the translucency of resin composites”. Journal of Biomedical Materials Research Part B: Applied Biomaterials: An Official Journal of The Society for Biomaterials, The Japanese Society for Biomaterials, and The Australian Society for Biomaterials and the Korean Society for Biomaterials, 77/1, 21-27.
• Korkut, B, Dokumacigil, G, Murat, N, Atali, P, Tarcin, B & Gocmen, G (2022). “Effect of polymerization on the color of resin composites”. Operative Dentistry, 47/5, 514-526.
• Korkut, B & Haciali, C (2020). “Color stability of flowable composites in different viscosities”. Clinical and Experimental Health Sciences, 10/4,454-461.
• Korkut, B, Tarçın, B, Atalı, PY & Özcan, M (2023). “Introduction of a New Classification for Resin Composites with enhanced Color Adjustment Potential”. Current Oral Health Reports, 10/4, 223-232.
• Lyon, RC, Taylor, JS, Porter, DA, Prasanna, HR & Hussain, AS (2006). “Stability profiles of drug products extended beyond labeled expiration dates”. Journal of Pharmaceutical Sciences, 95/7, 1549-1560.
• Nagaoka, H, Bishop, S & Roberts, H (2020). “Flexural performance of direct resin composite restorative materials past expiration date”. European Journal of Dentistry, 14/02, 217-223.
• Özmen, S, Bengü, D, Şenol, AA, Korkut, B, Tarçin, B & Atali, PY (2023). “Tarihi geçmiş kompozit rezinleri kullanmak mümkün mü?: FTIR analizi”. Istanbul Kent University Journalof Health Sciences, 2/1, 5-11.
• Reddy, PS, Tejaswi, KS, Shetty, S, Annapoorna, B, Pujari, SC & Thippeswamy, H (2013). “Effects of commonly consumed beverages on surface roughness and color stability of the nano, microhybrid and hybrid composite resins: an in vitro study”. The journal of contemporary dental practice, 14/4, 718.
• Rohr, N & Fischer, J (2017). “Effect of aging and curing mode on the compressive and indirect tensile strength of resin composite cements”. Head & face medicine, 13, 1-9.
• Sabbagh, J, Nabbout, F, Jabbour, E & Leloup, G (2018). “The effect of expiration date on mechanical properties of resin composites”. Journal of International Society of Preventive & Community Dentistry, 8/2, 99.
• Shamszadeh, S, Sheikh-Al-Eslamian, SM, Hasani, E, Abrandabadi, AN & Panahandeh, N (2016). “Color stability of the bulk-fill composite resins with different thickness in response to coffee/water immersion”. International journal of dentistry,
• Yannikakis, SA, Zissis, AJ, Polyzois, GL & Caroni, C (1998). “Color stability of provisional resin restorative materials”. The Journal of prosthetic dentistry, 80/5, 533-539.
• Yap, A, Lee, H & Sabapathy, R (2000). “Release of methacrylic acid from dental composites”.Dental materials, 16/3, 172-179.
• Yılmaz Atalı, P, Doğu Kaya, B, Manav Özen, A, Tarçın, B, Şenol, AA, Tüter Bayraktar, E, Korkut, B, Bilgin Göçmen, G, Tağtekin, D & Türkmen, C (2022). “Assessment of micro-hardness, degree of conversion, and flexural strength for single-shade universal resin composites”. Polymers, 14/22, 4987.