JHSM
Journal of Health Sciences and Medicine

Journal of Health Sciences and Medicine (JHSM) is an unbiased, peer-reviewed, and open access international medical journal. The Journal publishes interesting clinical and experimental research conducted in all fields of medicine, interesting case reports, and clinical images, invited reviews, editorials, letters, comments, and related knowledge.

ISSN: Active
eISSN: 2636-8579
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Submit Manuscript

Index
Original Article
Evaluating the clinical significance of color stability in nanohybrid composite resins: a comparative study of local and international brands
Abstract
Aims: The objective of this study was to evaluate the color stability of five nanohybrid composite resins, including locally produced Turkish brands and an international brand, after exposure to staining and brushing simulations over time.
Methods: Five nanohybrid composite resins; Filtek Z550 (FLT), Dolgunn (DLG), RubyComp Nano (CMP), Nova Compo C (NVC), and Parion (PRN) were tested. Specimens underwent staining and brushing simulations designed to replicate clinical oral conditions. The staining process involved immersing the specimens in a coffee solution for 8 hours per day over a 10-day period to simulate short-term staining (t1), and for 12 days to simulate long-term staining equivalent to 1 year (t2). Brushing cycles were used to replicate the mechanical wear caused by daily oral hygiene practices. Color measurements were recorded at baseline (t0), after 10 days of staining (t1), and after 1 year of simulated staining and brushing (t2). Additional analyses were conducted using Energy-dispersive X-ray spectroscopy (EDX) and Scanning Electron Microscopy (SEM) to investigate structural and surface characteristics. Statistical analysis was performed using generalized linear models and two-way robust ANOVA to assess the significance of differences in color stability, with a significance level set at p<0.05.
Results: The main effect of the composite was not found to be statistically significant on the median ?E values (p=0.078). The main effect of time was found to be statistically significant on the median ?E values (p<0.001). Additionally, the interaction between composite and time was statistically significant on the median ?E values (p=0.001). The highest median value of 3.12 was observed in the NVC composite from ?E2, while the lowest median value of 1.285 was observed in the PRN composite from ?E1. EDX and SEM analyses provided insights into the material compositions and their influence on color stability.
Conclusion: The findings suggest that locally produced Turkish nanohybrid composites offer competitive color stability, making them viable alternatives to international brands for aesthetic dental restorations. This study highlights the need to consider both local and international materials for their clinical performance and cost-effectiveness in restorative dentistry. Future research should explore the long-term performance and clinical implications of these materials further.

Keywords : Nanohybrid composite resin, color stability, staining simulation, brushing simulation, spectrophotometer

Download Article


1. Alzraikat H, Burrow MF, Maghaireh GA, Taha NA. Nanofilled resin composite properties and clinical performance: a review. <em>Oper Dent</em>. 2018;43(4):E173-E190.
2. Paolone G, Formiga S, De Palma F, et al. Color stability of resin-based composites: Staining procedures with liquids-a narrative review. <em>J Esthet Restor Dent.</em> 2022;34(6):865-887.
3. Ipek İ, Bilge K. The effect of different liquids on the surface roughness and color stability of single shade and nanohybrid resin composites: an AFM and SEM analysis. <em>Microsc Res Tech</em>. 2024;87(9):2063-2071.
4. Ertaş E, G&uuml;ler AU, Y&uuml;cel AC, K&ouml;pr&uuml;l&uuml; H, G&uuml;ler E. Color stability of resin composites after immersion in different drinks. <em>Dent Mater J</em>. 2006;25(2):371-376.
5. Figuero E, N&oacute;brega DF, Garc&iacute;a-Gargallo M, Tenuta LM, Herrera D, Carvalho JC. Mechanical and chemical plaque control in the simultaneous management of gingivitis and caries: a systematic review. <em>J Clin Periodontol</em>. 2017;44 Suppl 18:S116-S134.
6. Wiegand A, Burkhard JP, Eggmann F, Attin T. Brushing force of manual and sonic toothbrushes affects dental hard tissue abrasion. <em>Clin Oral Investig</em>. 2013;17(3):815-822.
7. Kumar S, Kumar Singh S, Gupta A, Roy S, Sareen M, Khajuria S. A profilometric study to assess the role of toothbrush and toothpaste in abrasion process. <em>J Dent (Shiraz)</em>. 2015;16(3 Suppl): 267-273.
8. Garg SA, Chavda SM. Color masking white fluorotic spots by resin infiltration and its quantitation by computerized photographic analysis: a 12-month follow-up study.<em>Oper Dent</em>. 2020;45(1):1-9.
9. Abd Mutalib M, Rahman M, Othman M, et al. Scanning electron microscopy (SEM) and energy-dispersive X-ray (EDX) spectroscopy. Membrane characterization. Elsevier, 2017,pp.161-179.
10. Ucuncu MK, Celiksoz O, Sen E, et al. Investigation of the degree of monomer conversion in dental composites through various methods: an in vitro study. <em>Appl Sci.</em> 2024;14(11): 4406.
11. Tepe H, Can Yaman B, Aky&uuml;z İ, Ozer F. Effect of rotation frequency of polishing discs on the surface roughness of resin composite material. <em>Proc Inst Mech Eng H</em>. 2024;238(7):803-813.
12. Heintze SD, Forjanic M, Ohmiti K, Rousson V. Surface deterioration of dental materials after simulated toothbrushing in relation to brushing time and load. <em>Dent Mater</em>. 2010;26(4):306-319.
13. Hazar A, Akg&uuml;l S, Ko&ccedil;ak S, et al. Effect of brushing time with a whitening dentifrice on surface roughness of anterior composite resins. <em>J Dent Indones.</em> 2022;29:1.
14. Monteiro B, Spohr AM. Surface roughness of composite resins after simulated toothbrushing with different dentifrices.<em>J Int Oral Health</em>. 2015;7(7):1-5.
15. Lee YK. Comparison of CIELAB DeltaE(*) and CIEDE2000 color-differences after polymerization and thermocycling of resin composites. <em>Dent Mater</em>. 2005;21(7):678-682.
16. Poggio C, Vialba L, Berardengo A, et al. Color stability of new esthetic restorative materials: a spectrophotometric analysis. <em>J Funct Biomater</em>. 2017;8(3):26.
17. Alkhadim YK, Hulbah MJ, Nassar HM. Color shift, color stability, and post-polishing surface roughness of esthetic resin composites.<em>Materials (Basel)</em>. 2020;13(6):1376.
18. Leite MLAES, Silva FDSDCME, Meireles SS, Duarte RM, Andrade AKM. The effect of drinks on color stability and surface roughness of nanocomposites. <em>Eur J Dent</em>. 2014;8(3):330-336.
19. Dindar MB and Atay MT. The effect of brushing force on the surface properties and color stability of dental enamel. <em>NEU Dent J.</em> 2023;5(3):167-172.
20. Van der Weijden GA, Timmerman MF, Danser MM, Van der Velden U. Relationship between the plaque removal efficacy of a manual toothbrush and brushing force. <em>J Clin Periodontol</em>. 1998; 25(5):413-416.
21. Tanoue N, Matsumura H, Atsuta M. Wear and surface roughness of current prosthetic composites after toothbrush/dentifrice abrasion. <em>J Prosthet Dent</em>. 2000;84(1):93-97.
22. ISO TR. Dental materials guidance on testing of wear: Part 1: wear by tooth brushing. Technical Report. doi:ISOTR.2007;14569:1
23. Teixeira EC, Thompson JL, Piascik JR, Thompson JY. In vitro toothbrush-dentifrice abrasion of two restorative composites. <em>J Esthet Restor Dent</em>. 2005;17(3):172-182.
24. Cho LR, Yi YJ, Heo SJ. Effect of tooth brushing and thermal cycling on a surface change of ceromers finished with different methods. <em>J Oral Rehabil</em>. 2002;29(9):816-822.
25. Nasim I, Neelakantan P, Sujeer R, Subbarao CV. Color stability of microfilled, microhybrid and nanocomposite resins-an in vitro study. <em>J Dent</em>. 2010;38 Suppl 2:e137-e142.
26. Wang Y, Hua H, Liu H, Zhu M, Zhu XX. Surface modification of ZrO<sub>2</sub> nanoparticles and its effects on the properties of dental resin composites. <em>ACS Appl Bio Mater</em>. 2020;3(8):5300-5309.
27. &Uuml;&ccedil;&uuml;nc&uuml; MY and &Uuml;&ccedil;&uuml;nc&uuml; MK. Comparison of the mechanical properties of various microhybrid dental composites. <em>EDR.</em> 2023;22(2):58-64.
Article available in :
Volume 7, Issue 5, 2024
Page : 571-580
https://doi.org/10.32322/jhsm.1532620
Article Information
Received : 13 Ağu 2024
Accepted : 18 Eyl 2024
Published : 27 Eyl 2024
Corresponding Author :

Hatice Tepe: Department of Restorative Dentistry, Faculty of Dentistry, Eskişehir Osmangazi University, Eskişehir, Turkey

[email protected]
Citation : Tepe H, Çeliksöz Ö, Yaman BC. Evaluating the clinical significance of color stability in nanohybrid composite resins: a comparative study of local and international brands. J Health Sci Med. 2024;7(5):571-580.

Read: 7
Cited: 0
Download : 18
_Footer