Abstract
Aim: Sufficient polymerization remains as crucial for composites to prevent discoloration. Both LEDs and halogen units are used for polymerization and different curing modes are improved to overcome inadequate polymerization. This in vitro study investigated staining susceptibility of a nano-hybrid resin composite light-cured in different modes and immersed in different staining media. Methods: Disc-shaped specimens were prepared from nano-hybrid resin composite (Filtek Z550) and light-cured according to following modes: Halojen (GI), LED standard (GII), LED pulse (GIII) or LED ramp (GIV). Half of the specimens of each group (n=7) were stored in one of the staining media (red wine or coffee) for 10 min/day during experimental period. Measurements were performed using spectrophotometer according to CIEL*a*b system at baseline and on 7, 28 and 56 days. Colour differences (∆E) between groups were submitted to statistical analysis. Results: Regarding 7-day evaluation, colour change values of specimens immersed in coffee revealed no remarkable difference among curing modes (p>0.05); whereas specimens in GIV were significantly less stained compared to specimens in GII and GIII when immersed in red wine. Regarding 56-days of evaluation, specimens of GIV showed statistically significant colour change in red wine compared to other groups. However specimens in GI revealed the least staining after 56-days of coffee immersion, and this result was statistically different from LED groups. Conclusion: This study suggest that light-curing mode influences the staining susceptibility of the tested composite. Composites polymerized with halogen unit showed lower staining than all LED modes. Despite novel light sources, halogen units may still used reliably at clinics.
References
Kang A., Son S. A., Hur B., Kwon Y. H., Ro J. H., Park J. K. The color stability of silorane- and methacrylate-based resin composites. Dent Mater J. 2012; 31 (5): 879-84.
Malekipour M. R., Sharafi A., Kazemi S., Khazaei S., Shirani F. Comparison of color stability of a composite resin in different color media. Dent Res J (Isfahan). 2012; 9 (4): 441-6.
Lepri C. P., Palma-Dibb R. G. Surface roughness and color change of a composite: influence of beverages and brushing. Dent Mater J. 2012; 31 (4): 689-96.
Erdemir U., Yildiz E., Eren M. M. Effects of sports drinks on color stability of nanofilled and microhybrid composites after long-term immersion. J Dent. 2012;40 (Suppl 2): e55-63.
Aguilar F. G., Roberti Garcia Lda F., Cruvinel D. R., Sousa A. B., de CarvalhoPanzeriPires-de-Souza F. Color and opacity of composites protected with surface sealants and submitted to artificial accelerated aging. Eur J Dent. 2012; 6 (1): 24-33.
Topcu F. T., Sahinkesen G., Yamanel K., Erdemir U., Oktay E. A., Ersahan S. Influence of different drinks on the colour stability of dental resin composites. Eur J Dent. 2009; 3 (1): 50-56.
Park J. K., Kim T. H., Ko C. C., García-Godoy F., Kim H. I., Kwon Y. H. Effect of staining solutions on discoloration of resin nanocomposites. Am J Dent. 2010; 23 (1): 39-42.
Zimmerli B., Koch T., Flury S., Lussi A. The influence of toothbrushing and coffee staining on different composite surface coatings. Clin Oral Investig. 2012; 16 (2): 469-479.
Lu H., Powers J. M. Color stability of resin cements after accelerated aging. Am J Dent. 2004; 17 (5): 354-358.
Ertaş E., Güler A. U., Yücel A. C., Köprülü H., Güler E. Color stability of resin composites after immersion in different drinks. Dent Mater J. 2006; 25 (2): 371-376.
Catelan A., Briso A. L., Sundfeld R. H., Dos Santos P. H. Effect of artificial aging on the roughness and microhardness of sealed composites. J Esthet Restor Dent. 2010; 22 (5): 324-330.
Lisante T. A., McGuire J. A., Williams K. P. The staining potential of various currently marketed mouthrinses. J Clin Dent. 2013; 24 (1): 5-11.
Raptis C. N., Powers J. M., Fan P. L., Yu R. Staining of composite resins by cigarette smoke. J Oral Rehabil. 1982; 9 (4): 367-371.
Domingos PADS, Garcia PPNS, Oliveira ALBMD, Palma-Dibb RG. Composite resin color stability: influence of light sources and immersion media. J Appl Oral Sci. 2011;19 (3): 204-211.
Alaghemand H., Ramazani M., Abedi H., Zarenejad N. Vickers hardness of composite resins cured with LED and QTH units. J Dent Biomater. 2016; 3 (1): 192-198.
Carvalho A. A., Moreira F. D. C. L., Fonseca R. B., Soares C. J., Franco E. B., Souza J. B. D., Lopes L. G. Effect of light sources and curing mode techniques on sorption, solubility and biaxial flexural strength of a composite resin. J Appl Oral Sci. 2012; 20 (2): 246-252.
Bayindir F., Ilday N. O., Bayindir Y. Z., Karataş O., Gurpinar A. Color changes in resin cement polymerized with different curing lights under indirect restorations. J Conserv Dent. 2016; 19 (1): 46.
Dunn W. J., Bush A. C. A comparison of polymerization by light-emitting diode and halogen based light curing units. J Am Dent Assoc. 2002; 133: 335-341.
Hammesfahr P. D., O’Connor M. T., Wang X. Light curing technology: Past, present and future. Compend Contin Educ Dent. 2002; 23: 18-24.
Aguiar F. H., Braceiro A., Lima D. A., Ambrosano G. M., Lovadino J. R. Effect of light curing modes and light curing time on the microhardness of a hybrid composite resin. J Contemp Dent Pract. 2007; 8 (6): 1-8.
Rüttermann S., Suyoun K., Raab W. H. M., Janda R. Effect of exposure time on the color stability of resin-based restorative materials when polymerized with quartz–tungsten halogen and LED light. Clin Oral Invest. 2010; 14 (5): 599-605.
Sabatini C. Comparative study of surface microhardness of methacrylate-based composite resins polymerized with light-emitting diodes and halogen. Euro J Dent. 2013; 7 (3): 327.
Hardan L. S., Amm E. W., Ghayad A., Ghosn C., Khraisat A. Effect of different modes of light curing and resin composites on microleakage of Class II restorations - Part II. Odontostomatol Trop. 2009; 32: 29-37.
Öztürk-Bozkurt F., Toz T., Kara-Tuncer A., Gözükara-Bağ H., Özcan M. Clinical Evaluation of Silorane and Nano-hybrid Resin Composite Restorations in Class II Cavities up to 3 Years. Oper Dent. 2016; 41 (6): 599-606.
Barutcigil Ç., Barutcigil K., Özarslan M. M., Dündar A, Yilmaz B. Color of bulk fill composite resin restorative materials. J of Esthet Restor Dent. 2017; 30 (2): e3-e8.
Barutcigil C., Harorli O. T., Yildiz M. The color differences of direct esthetic restorative materials after setting and compared with a shade guide. J Am Dent Assoc. 2011; 142: 658-665.
Paravina R. D., Kimura M., Powers J. M. Evaluation of polymerization dependent changes in color and translucency of resin composites using two formulae. Odontol. 2005; 93: 46-51.
Lee Y. K., Lim B. S., Kim C.W. Difference in polymerization color changes of dental resin composites by the measuring aperture size. J Biomed Mater Res B Appl Biomater. 2003; 66: 373-378.
Rode K. M., Kawano Y., Turbino M. L. Evaluation of curing light distance on resin composite microhardness and polymerization. Oper Dent. 2007; 32 (6): 571-578.
Price R. B., Rueggeberg F. A., Labrie D., Felix C. M. Irradiance uniformity and distribution from dental light curing units. J Esthet Restor Dent. 2010; 22 (2): 86-101.
Yazici A. R., Celik C., Dayangaç B., Özgünaltay G. The effect of curing units and staining solutions on the color stability of resin composites. Oper Dent. 2007; 32 (6): 616-622.
Aguiar F. H. B., Georgetto M. H., Soares G. P., Catelan A., Dos Santos P. H., Ambrosano G., Lovadino J. R. Effect of Different Light-Curing Modes on Degree of Conversion, Staining Susceptibility and Stain's Retention Using Different Beverages in a Nanofilled Composite Resin. J Esthet Restor Dent. 2011; 23 (2): 106-114.
Janda R., Roulet J. F., Latta M., Kaminsky M. Effect of exponential polymerization on color stability of resin-based filling materials. Dent Mater. 2007; 23 (6): 696-704.
Benetti A. R., de Jesus V. C. B. R., Martinelli N. L., Pascotto R. C., Poli-Frederico R. C. Colour stability, staining and roughness of silorane after prolonged chemical challenges. J Dent, 2013; 41 (12): 1229-1235.
Karaman E., Tuncer D., Firat E., Ozdemir O. S., Karahan S. Influence of different staining beverages on color stability, surface roughness and microhardness of silorane and methacrylate-based composite resins. J Contemp Dent Pract. 2013; 15 (3): 319-325.
Bansal K., Acharya S. R., Saraswathi V. Effect of alcoholic and non-alcoholic beverages on color stability and surface roughness of resin composites: An in vitro study. J Conserv Dent. 2012; 15 (3): 283-8.
Sarret D. C., Coletti, Peluso A. R. The effect of alcoholic beverages on composite wear. Dent Mater. 2000; 16: 62-7.
Ardu S., Duc O., Di Bella E., Krejci I. Color stability of recent composite resins. Odontol. 2017; 105 (1): 29-35.
Ardu S., Duc O., Di Bella E., Krejci I. Color stability of different composite resins after polishing. Odontol. 2018; 106 (3): 328-333.
Gonulol N., Ozer S., Sen Tunc E. Water Sorption, Solubility, and Color Stability of Giomer Restoratives. J Esthet Restor Dent. 2015; 27 (5): 300-306.