İmplant Destekli Hibrit Protezlerde Kullanılan Yapay Dişeti Materyallerinin Renk Stabilitesi Üzerine Ağız Gargaralarının Etkisi

Abstract

Amaç: Bu in vitro çalışmanın amacı, farklı içerikteki ağız gargaralarının implant destekli hibrit protezlerde kullanılan dişeti materyallerinin renk değişimine etkisini araştırmaktır. Gereç ve Yöntemler: Renk stabilitesi açısından test edilen materyaller; dişeti renkli kompozit (Gradia Plus Gum, GC Europe,Belgium), ısı ile polimerize olan pembe akrilik resin (Meliodent, Heraeus Kulzer, Almanya) ve pembe feldspatik porselendir (EX-3 Super Porcelain,Noritake, Kuraray, Japonya). Her bir materyal için üretici talimatlarına uygun şekilde çapı 10 mm, kalınlığı 2 mm olacak şekilde kırk adet disk şeklinde örnek hazırlandı (N=120). Örnekler 3 farklı ağız gargarasında (Farhex Fort, Angelini İlaç, Türkiye; Listerine Cool Mint, Johnson& Johnson, Türkiye; Colgate Plax, Colgate Palmolive, Türkiye) ve distile suda (kontrol grubu) 14 gün boyunca 37° C de bekletme için 4 alt gruba ayrıldı. Renk ölçümleri solüsyonlarda bekletme öncesi ve sonrası kolorimetre (Konica Minolta CR-321, Tokyo, Japonya) ile yapıldı ve renk değişiklikleri CIEDE2000 (ΔE00) formülüne göre hesaplandı. Elde edilen veriler çift yönlü varyans analizi (two-way ANOVA) ve Benferroni testleri ile değerlendirildi (p<0.05). Bulgular: Farklı ağız gargaralarının, dişeti materyallerinin renk değişimindeki etkisi istatistiksel olarak önemlidir ve ΔE00 değerlerinde anlamlı bir artış gözlenmiştir (p<0.05). Tüm ağız gargaraları için en yüksek ortalama ΔE00 değerleri kompozit dişeti materyallerinde gözlemlenmiştir. Sonuç: İmplant destekli hibrit protezlerde kullanılan dişeti materyallerinin rengi farklı içeriğe sahip ağız gargaralarından farklı seviyelerde etkilenebilmektedir. Kullanılan materyale uygun gargara seçimi önem arz etmektedir.

Keywords

• Ağız gargaraları
• Dişeti Materyalleri
• Renk Stabilitesi

Effect of Mouthwashes on Color Stability of Artificial Gingival Materials Used in Implant Retained Hybrid Prostheses

Abstract

Background: The aim of this in vitro study was to investigate the effect of different mouthwashes on the color stability of artificial gingiva material that are used in implant retained hybrid prostheses. Material and Methods: The materials examined in terms of color stability are the gingival colored composite (Gradia Plus Gum, GC Europe,Belgium), pink heat polymerised acrylic resin (Meliodent, Heraeus Kulzer, Germany) and pink feldspathic porcelain (EX-3 Super Porcelain,Noritake,Kuraray, Japan). Forty disc-shaped (10×2 mm) samples were prepared according to the manufacturer's instructions (N=120). Samples of each material were divided into four subgroups (n=10) which immersed in three different mouthwash agents and distilled water (control group) for 14 days, at 37° C. Color parameters were measured with a colorimeter (Konica Minolta CR- 321, Tokyo, Japan) before and after immersion and color differences were calculated according to the CIEDE2000 (ΔE00) formula. The data were statistically analyzed with two-way analysis of variance (ANOVA) and Post Hoc Bonferroni tests (p<0.05). Results: The effect of different mouthwashes on the color change of gingival materials was statistically significant and an increase in ΔE00 values was observed (p<0.05). The highest mean ΔE00 values were examined in composite gingival material for all mouthwash agents Conclusion: The color of gingival materials used in hybrid prostheses may be affected different levels by mouthwashes with different contents. A proper mouthwash choice for the gingival material is important.

Keywords

• Color Stability
• Gingival Colored Materials
• Mouthwashes

References

1. 1-) Al-Samadani KH. The effect of preventive agents (mouthwashes/gels) on the color stability of dental resin-based composite materials. Dent J 2017;15:18.
2. 2-) Thoma DS, Mόhlemann S. Jung RE. Critical Soft-Tissue Dimensions with Dental Implants and Treatment Concepts. Periodontology 2000 2014;66:106–118.
3. 3-) Kubochi K, Komine F, Fushiki R, Yagawa S, Mori S, Matsumura H. Shear bond strength of a denture base acrylic resin and gingiva-colored indirect composite material to zirconia ceramics. J Prosthodont Res 2017;61:149-157.
4. 4-) Reshad M, Cascione D, Aalam AA. Fabrication of the mandibular implant-supported fixed restoration using CAD/CAM technology: a clinical report. J Prosthet Dent 2009;102:281-278.
5. 5-) Samra AP, Pereira SK, Delgado LC, Borges CP. Color stability evaluation of aesthetic restorative materials. Braz Oral Res 2008;22:205-10.
6. 6-) Belser UC, Grütter L, Vailati F, Bornstein MM, Weber HP, Buser D. Outcome evaluation of early placed maxillary anterior single-tooth implants using objective esthetic criteria: a cross-sectional, retrospective study in 45 patients with a 2- to 4-year follow-up using pink and white esthetic scores J Periodontol 2009;80:140-151.
7. 7- Akay C, Çevik P, Duman AN. Farklı içeceklerde bekletilen yumuşak astar materyallerinin renk stabilitesinin in vitro olarak değerlendirilmesi. Atatürk Üniv Diş Hek Fak Derg 2016;26:261-7.
8. 8-) Dos Santos DM, da Silva EVF, Watanabe D, Bitencourt SB, Guiotti AM, Goiato MC. Effect of different acidic solutions on the optical behavior of lithium disilicate ceramics. J Prosthet Dent 2017;118:430– 436.

9. 9-) Buyukkaplan SU, Ozarslan MM, Barutcigil C, Arslan M, Barutcigil K, Yoldan EE. Effects of staining liquids and finishing methods on translucency of a hybrid ceramic material having two different translucency levels. J Adv Prosthodont 2017; 9:387– 393.
10. 10- Coelho ASEC, Paula ABP, Carrilho TMP, da Silva MJRF, Botelho MFRR, Carrilho EVVF. Chlorhexidine mouthwash as an anticaries agent: a systematic review. Quintessence Int 2017;48:585-91.
11. 11. Parkinson CR, Hara AT, Nehme M, Lippert F, Zero DT. A randomised clinical evaluation of a fluoride mouthrinse and dentifrice in an in situ caries model. J Dent 2018;70:59-66.
12. 12- Cabrera C, Artacho R, Gimenez R. Beneficial effects of green tea – a review. J Am Coll Nutr 2006;25:79– 99.
13. 13. Pelino JEP, Passero A, Martin AA, Charles CA. In vitro effects of alcohol-containing mouthwashes on human enamel and restorative materials. Braz Oral Res 2018;32:25.
14. 14-) Vichi A, Louca C, Corciolani G, Ferrari M. Color related to ceramic and zirconia restorations: a review. Dent Mater 2011;27:97–108.
15. 15-) Hollis S, Eisenbeisz E, Versluis A. Color stability of denture resins after staining and exposure to cleansing agents J Prosthet Dent 2015;114:709-714.
16. 16-) Hong G, Murata H, Li Y, Sadamori S, Hamada T. Influence of denture cleansers on the color stability of three types of denture base acrylic resin J Prosthet Dent 2009;101:205-213.
17. 17-) Valentini F, Oliveira SG, Guimarães GZ, Barbosa RP, Moraes RR. Effect of surface sealant on the color stability of composite resin restorations Braz Dent 2011;22;365-368.
18. 18-) Colucci V, dos Santos CD, do Amaral FL, Corona SA, Catirse AB. Influence of NaHCO3 powder on translucency of microfilled composite resin immersed in different mouthrinses J Esthet Restor Dent 2009;21:242-50.
19. 19-)Commission Internationale de l’Eclairage (CIE), CIE Technical Report: Colorimetry. 2004; CIE Pub No.15.
20. 20-) Rosenstiel SF, Land MF, Fujimoto J. Color science, esthetic and shade selection. In: Contemporary fixed prosthodontics. 5th ed. St Louis: Mosby; 2016. p. 624-30
21. 21-) Topcu FT, Sahinkesen G, Yamanel K, Erdemir U, Oktay EA, Ersahan S. Influence of different drinks on the colour stability of dental resin composites. Eur J Dent 2009;3:50-6.
22. 22-) Marchan SM, Lynch T, Bascombe K, Carty XJ, Smith WA, Rafeek RN. Color stability of gingiva-colored restorative materials: an in vitro study. Gen Dent 2020; 68:61-65.
23. 23-) Derafshi R, Khorshidi H, Kalantari M, Ghaffarlou I. Effect of mouthrinses on color stability of monolithic zirconia and feldspathic ceramic: an in vitro study. BMC Oral Healt 2017;17:129.
24. 24-) Değirmenci A, Değirmenci BÜ. Gargaraların dişeti rengindeki kompozitlerin mikrosertliği ve renk değişimi üzerine etkileri. J Int Dent Sci 2018;2:100-107.
25. 25-). 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;71:144–150.
26. 26-) Vichi A, Louca C, Corciolani G, Ferrari M. Color related to ceramic and zirconia restorations: a review. Dent Mater 2011;27:97–108.
27. 27-) 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.
28. 28-) Skrtic D, Antonucci JM, McDonough WG, Liu DW. Effect of chemical structure and composition of the resin phase on mechanical strength and vinyl conversion of amorphous calcium phosphate-based composites. J Biomed Mater Res A 2004;68:763–72.
29. 29-) 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.
30. 30-) Um CM, Ruyter IE. Staining of resin-based veneering materials with coffee and tea. Quintessence Int 1991;22:377-86.
31. 31-) Khan Z, von Fraunhofer JA, Razavi R. The staining characteristics, transverse strength, and microhardness of a visible light-cured denture base material. J Prosthet Dent 1987;57:38.
32. 32-) Chen H, Huang J, Dong X, Qian J, He J, Qu X, Lu E. A systematic review of visual and instrumental measurements for tooth shade matching. Quintessence International 2012;43:649-59.
33. 33.) Yap AUJ, Chew CL, Ong LFKL, Teoh SH. Environmental damage and occlusal contact are awear of composite restoratives. J Oral Rehabil 2002;29:87–97.
34. 34-) Cal E, Güneri P, Köse T. Digital analysis of mouthrinses’ staining characteristics on provisional acrylic resins. J Oral Rehabil 2007;34:297–303.
35. 35-) Trauth KGS, de Godoi APT, Colucci V, Corona SAM , Catirse ABC. The influence of mouth rinses and simulated tooth brushing on the surface roughness of a nano-filled composite resin. Braz Oral Res 2012;26:209–14.
36. 36-) Celik C, Yuzugullu B, Erkut S, Yamanel K. Effects of mouth rinses on color stability of resin composites. Eur J Dent 2008;2:247–53
37. 37-) Bagis B, Baltacioglu E, Ozcan M, Ustaömer S. Evaluation of chlorhexidine gluconate mouthrinse-induced staining using a digital colorimeter:an invivo study. Quint Int 2011;42:213–23.
38. 38-) Lamba B, Lamba A, Ponnappa KC. Effect of mouth rinses on the color of three tooth-colored restorative materials. Int J Stomatol Occlusion Med 2012;5:104-9.
39. 39-) Vechiato-Filho AJ, Dos Santos DM, Goiato MC, Moreno A, De Medeiros RA, Kina S, et al. Surface degradation of lithium disilicate ceramic after immersion in acid and fluoride solutions. Am J Dent 2015;28:174–180.
40. 40-) Villalta P, Lu H, Okte Z, Garcia-Godoy F, Powers JM. Effects of staining and bleaching on color change of dental composite resins. J Prosthet Dent 2006;95:137–142.
41. 41-) Festuccia MS, Garcia Lda F, Cruvinel DR, Pires-De-Souza Fde C. Color stability, surface roughness and microhardness of composites submitted to mouthrinsing action. J Appl Oral Sci 2012;20:200–5.
42. 42-) Diab M, Zaazou MH, Mubarak EH, Olaa MI. Effect of five commercial mouthrinses on the microhardness and color stability of two resin composite restorative materials. Aust J Basic Appl Sci 2007;1:667–74.
43. 43-) ElEmbaby Ael-S. The effects of mouth rinses on the color stability of resin-based restorative materials. J Esthet Restor Dent 2014;26:264–71.
44. 44-) Baig AR, Shori DD, Shenoi PR, Ali SN, Shetti S, Godhane A. Mouthrinses affect color stability of composite. J Conserv Dent 2016;19:355.
45. 45-) Korkmaz YN, Bulut M. Effect of mouthwashes on the discoloration of bracket-bonded tooth surfaces: an in vitro study. Clinl Oral Investig 2020;24: 3855-3861.