Discoloration of Bulk-Fill Versus Conventional Composites: A Spectrophotometric Evaluation

Authors

  • Tugba Serin-Kalay Department of Restorative Dentistry, Faculty of Dentistry, Karadeniz Teknik University, Trabzon, Turkey. Author

DOI:

https://doi.org/10.15517/ijds.2021.43963

Keywords:

Color stability, bulk-fill composites, dual-cure composites, discoloration, staining, intrinsic discoloration.

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.

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References

Ferracane J.L. Resin composite-State of the art. Dent Mater. 2011; 27: 29-38. DOI: https://doi.org/10.1016/j.dental.2010.10.020

Pfeifer C.S. Polymer-Based Direct Filling Materials. Dent Clin N Am. 2017; 61 (4): 733-750. DOI: https://doi.org/10.1016/j.cden.2017.06.002

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. DOI: https://doi.org/10.1111/jerd.12047

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. DOI: https://doi.org/10.1007/s00784-012-0702-8

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. DOI: https://doi.org/10.1007/s00784-013-1177-y

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. DOI: https://doi.org/10.1016/j.dental.2019.05.001

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. DOI: https://doi.org/10.1016/j.dental.2019.07.007

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. DOI: https://doi.org/10.1007/s00784-018-2429-7

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. DOI: https://doi.org/10.1016/j.dental.2015.11.027

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. DOI: https://doi.org/10.4012/dmj.28.454

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. DOI: https://doi.org/10.1016/j.dental.2017.01.010

Trifkovic B., Powers J.M., Paravina R.D. Color adjustment potential of resin composites. Clin Oral Investig. 2018; 22 (3): 1601-1607. DOI: https://doi.org/10.1007/s00784-017-2260-6

Turgut S., Bagis B. Colour stability of laminate veneers: an in vitro study. J Dent 2011; 39 (Suppl 3): e57-64. DOI: https://doi.org/10.1016/j.jdent.2011.11.006

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. DOI: https://doi.org/10.1016/j.jdent.2012.10.008

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. DOI: https://doi.org/10.1016/j.actbio.2009.11.006

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. DOI: https://doi.org/10.1016/S0109-5641(03)00003-4

Ferracane J.L. Hygroscopic and hydrolytic effects in dental polymer networks. Dent Mater. 2006; 22 (3): 211-222. DOI: https://doi.org/10.1016/j.dental.2005.05.005

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. DOI: https://doi.org/10.1177/154405910208100409

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. DOI: https://doi.org/10.1016/j.dental.2009.03.004

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. DOI: https://doi.org/10.1016/j.dental.2013.01.005

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. DOI: https://doi.org/10.1007/s00784-016-1920-2

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. DOI: https://doi.org/10.1111/jerd.12340

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. DOI: https://doi.org/10.1007/s00784-014-1272-8

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. DOI: https://doi.org/10.1155/2016/7186140

Bagheri R., Tyas M. J., Burrow M. F. Subsurface degradation of resin-based composites. Dent Mater. 2006; 23 (8): 944-951. DOI: https://doi.org/10.1016/j.dental.2006.06.035

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. DOI: https://doi.org/10.1177/154405910808700115

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. DOI: https://doi.org/10.2341/17-390-L

Published

2026-06-15