Abstract
Purpose: The purpose of this study was to evaluate the discoloration of a dual-cure bulk-fill (DCBF) and light-cure bulk-fill (LCBF) composites relative to conventional composites (CC) after water and coffee immersion. Methods: One-hundred disc-shaped specimens (8mm in diameter × 4mm thickness) were prepared using five commercially available composites (n=10); two LCBF (XB-X-trafil Voco, FB-FiltekTM Bulk Fill), one DCBF (FU-Fill-upTM Coltene), and two CC (CE-Clearfil Majesty ES2, EQ-Estelite ΣQuick). Initial and final color readouts were measured with a spectrophotometer (Easyshade,Vita) according to the CIELAB color system. Statistical analyses were performed using 2-way ANOVA with Bonferroni adjustment to evaluate ∆E, ∆L, ∆a, and ∆b parameters (p<0.05). Results: Significant interactions were noted among the material types and immersion solutions for all evaluated parameters (p=0.00). ∆E values were observed in the order of FU>FB≥XB>EQ≥CE in water immersion groups and XB>FB>EQ≥FU≥CE in coffee immersion groups. Conclusion: Within the limitations of this study, DCBF composite is more susceptible to intrinsic discoloration compared to LCBF and CC. However, DCBF exhibited lower extrinsic discoloration than LCBF and comparable with CC after coffee immersion. Depending on their chemical and structural compositions, composites will exhibit color change, which compromises the esthetic performance of composite restorations.
References
Ferracane J.L. Resin composite-State of the art. Dent Mater. 2011; 27: 29-38.
Pfeifer C.S. Polymer-Based Direct Filling Materials. Dent Clin N Am. 2017; 61 (4): 733-750.
Mantrı Shıv P., Mantrı Sneha S. Management of Shrinkage Stresses in Direct Restorative Light-Cured Composites: A Review. J Esthet Restor Dent. 2013; 25: 305-316.
Czasch P., Ilie N. In vitro comparison of mechanical properties and degree of cure of bulk fill composites. Clinoral Invest. 2013; 17 (1): 227-335.
Bucuta S., Ilie N. Light transmittance and micro-mechanical properties of bulk fill vs. conventional resin based composites. Clin Oral Invest. 2014; 18: 1991-2000.
Vandewalker J.P., Casey J.A., Lincoln T.A., Vandewalle K.S. Properties of dual-cure, bulk-fill composite resin restorative materials. Gen Dent. 2016; 64: 68-73.
Wang R., Liu H., Wang Y. Different depth-related polymerization kinetics of dual-cure, bulk-fill composites. Dent Mater. 2019; 35 (8): 1095-1103.
Cidreira Boaro L. C., Pereira Lopes D., de Souza A. S. C., Lie Nakano E, Ayala Perez M. D., Pfeifer C. S., Gonçalves F. Clinical performance and chemical-physicalproperties of bulk fill composites resin- a systematic review and meta-analysis. Dent Mater. 2019; 35 (10): e249-264.
Veloso S.R.M., Lemos C.A.A., de Moraes S.L.D., do Egito Vasconcelos B.C., Pellizzer E.P., de Melo Monteiro G.Q. Clinical performance of bulk-fill and conventional resin composite restorations in posterior teeth: a systematic review and meta-analysis. Clin Oral Investig. 2019; 23 (1): 221-233.
Manojlovic D., Dramićanin M.D., Lezaja M., Pongprueksa P., Van Meerbeek B., Miletic V. Effect of resin and photoinitiator on color, translucency and color stability of conventional and low-shrinkage model composites. Dent Mater. 2016; 32 (2): 183-191.
Arikawa H., Takahashi H., Kanie T., Ban S. Effect of various visible light photoinitiators on the polymerization and color of light-activated resins. Dent Mater J. 2009; 28 (4): 454-460.
Fonseca A.S., Labruna Moreira A.D., de Albuquerque P.P., de Menezes L.R., Pfeifer C.S., Schneider L.F. Effect of monomer type on the CC degree of conversion, water sorption and solubility, and color stability of model dental composites. Dent Mater. 2017; 33 (4): 394-401.
Trifkovic B., Powers J.M., Paravina R.D. Color adjustment potential of resin composites. Clin Oral Investig. 2018; 22 (3): 1601-1607.
Turgut S., Bagis B. Colour stability of laminate veneers: an in vitro study. J Dent 2011; 39 (Suppl 3): e57-64.
Alawjali S.S., Lui J.L. Effect of one-step polishing system on the color stability of nanocomposites. J Dent. 2013; 41 (Suppl 3): e53-61.
Howard B., Wilson N.D., Newman S.M., Pfeifer C.S., Stansbury J.W. Relationships between conversion, temperature and optical properties during composite photopolymerization. Acta Biomater. 2010; 6 (6): 2053-2059.
Schulze K.A., Marshall S.J., Gansky S.A., Marshall G.W. Color stability and hardness in dental composites after accelerated aging. Dent Mater. 2003; 19 (7): 612-619.
Ferracane J.L. Hygroscopic and hydrolytic effects in dental polymer networks. Dent Mater. 2006; 22 (3): 211-222.
Yoshida Y., Shirai K., Nakayama Y., Itoh M., Okazaki M.,Shintani H., et al. Improved filler-matrix coupling in resin composites. J Dent Res. 2002; 81: 270-273.
Shin D.H., & Rawls H.R. Degree of conversion and color stability of the light curing resin with new photoinitiator systems. Dent Mater. 2009; 25 (8): 1030-1038.
Oei J.D., Mishriky M., Barghi N., Rawls H.R., Cardenas H.L., Aguirre R., Whang K. Development of a low-color, color stable, dual cure dental resin. Dent Mater. 2013; 29 (4): 405-412.
Son S.A., Park J.K., Seo D.G., Ko C.C., Kwon Y.H. How light attenuation and filler content affect the microhardness and polymerization shrinkage and translucency of bulk-fill composites? Clin Oral Investig. 2017; 21 (2): 559-565.
Barutcigil Ç., Barutcigil K., Özarslan M.M., Dündar A., Yilmaz B. Color of bulk-fill composite resin restorative materials. J Esthet Restor Dent. 2018; 30 (2): e3-8.
Shiozawa M., Takahashi H., Asakawa Y., Iwasaki N. Color stability of adhesive resin cements after immersion in coffee. Clin Oral Investig. 2015; 19 (2): 309-317.
Shamszadeh S., Sheikh-Al-Eslamian S. M., Hasani E., Abrandabadi A. N., Panahandeh N. Color Stability of the Bulk-Fill Composite Resins with Different Thickness in Response to Coffee/Water Immersion. Int J Dent. 2016; 2016: 7186140.
Bagheri R., Tyas M. J., Burrow M. F. Subsurface degradation of resin-based composites. Dent Mater. 2006; 23 (8): 944-951.
Shortall A.C., Palin W.M., Burtscher P. Refractive index mismatch and monomer reactivity influence composite curing depth. J Dent Res. 2008; 87 (1): 84-88.
de Brito O., de Oliveira I., Monteiro G. Hydrolytic and Biological Degradation of Bulk-fill and Self-adhering Resin Composites. Oper Dent. 2019; 44 (5): e223-233.