Effect of Two Whitening Toothpastes on Composite Resin Restorations Discolored by 0.2% Chlorhexidine Mouthwash
Abstract
Objectives: This study compared the effect of two whitening toothpastes on composite specimens discolored with 0.2% chlorhexidine (CHX).
Materials and Methods: Twenty-four composite specimens were fabricated from Charisma Diamond composite resin. The initial color of specimens was measured according to the CIE L*a*b* color system using a spectrophotometer. The specimens were immersed in 0.2% CHX twice a day for 1 minute each time, for 2 weeks. The color of specimens was measured again, and the specimens were assigned to three groups (n=8). The control group specimens were immersed in distilled water. The two test group specimens were brushed twice daily for 21 days with Oral B toothbrush and Signal White Now and Crest 3D White whitening toothpastes each time for 30 seconds. The color of specimens was measured again. Data were analyzed by one-way ANOVA and t-test.
Results: CHX increased the a, b, and L color parameters in all groups. There were no significant differences in ΔL (P=0.10), Δa (P=0.24), and Δb (P=0.07) among the study groups. The a, b, and L parameters decreased after brushing the specimens discolored with 0.2% CHX with the whitening toothpastes. There were significant differences in ΔL (P=0.03), Δa (P=0.02), and Δb (P=0.01) among the three study groups after using the whitening toothpastes. The highest ΔL, Δa, Δb, and ΔE values were recorded in Crest 3D White group, followed by Signal White Now group.
Conclusion: Crest 3D White whitening toothpaste had higher efficacy to resume the original color of composite specimens discolored with 0.2% CHX.
2. Menon A, Ganapathy DM, Mallikarjuna AV. Factors that influence the color stability of composite resins. Drug Invent Today. 2019 Mar;11(3):744-9.
3. Demarco FF, Corrêa MB, Cenci MS, Moraes RR, Opdam NJ. Longevity of posterior composite restorations: not only a matter of materials. Dent Mater. 2012 Jan;28(1):87-101.
4. Poggio C, Ceci M, Beltrami R, Mirando M, Wassim J, Colombo M. Color stability of esthetic restorative materials: a spectrophotometric analysis. Acta Biomater Odontol Scand. 2016 Aug;2(1):95-101.
5. Özdaş DÖ, Kazak M, Çilingir A, Subaşı MG, Tiryaki M, Günal Ş. Color Stability of Composites After Short-term Oral Simulation: An in vitro Study. Open Dent J. 2016 Aug;10:431-437.
6. Zhou X, Huang X, Li M, Peng X, Wang S, Zhou X, et al. Development and status of resin composite as dental restorative materials. J Appl Polym Sci. 2019 Nov;136(44):48180.
7. Khatri A, Nandlal B. Staining of a Conventional and a Nanofilled Composite Resin Exposed in vitro to Liquid Ingested by Children. Int J Clin Pediatr Dent. 2010 Sep-Dec;3(3):183-8.
8. Duc O, Di Bella E, Krejci I, Betrisey E, Abdelaziz M, Ardu S. Staining susceptibility of resin composite materials. Am J Dent. 2019 Feb;32(1):39-42.
9. Ardu S, Duc O, Di Bella E, Krejci I, Daher R. Color stability of different composite resins after polishing. Odontology. 2018 Jul;106(3):328-333.
10. Khosravi M, Esmaeili B, Nikzad F, Khafri S. Color Stability of Nanofilled and Microhybrid Resin-Based Composites Following Exposure to Chlorhexidine Mouthrinses: An In Vitro Study. J Dent (Tehran). 2016 Mar;13(2):116-125.
11. Zajkani E. Effects of 0.2% Chlorhexidine and Re-polishing on the Color Stability of Nanofilled Composite Resins. J Dent Mater Tec. 2019 Jun;8(2):73-8.
12. Lee JH, Kim SH, Yoon HI, Yeo IL, Han JS. Colour stability and surface properties of high-translucency restorative materials for digital dentistry after simulated oral rinsing. Eur J Oral Sci. 2020 Apr;128(2):170-180.
13. Zhao X, Zanetti F, Wang L, Pan J, Majeed S, Malmstrom H, et al. Effects of different discoloration challenges and whitening treatments on dental hard tissues and composite resin restorations. J Dent. 2019 Oct;89:103182.
14. Manis RB, Da Silva TM, Franco TT, Dantas DC, Franco LT, Huhtala MF. Influence of whitening toothpaste on color, roughness, and microhardness of composite resins. Eur J Gen Dent. 2017 May;6(2):92-8.
15. Kumar CD, Sumeeth P, Chandra PB. Comparative study on various tooth pastes regarding various parameters like appearance PH, spreadability, homogeneity, moisture content, heavy metals, anti-microbial activity. Int J Sci Res (Ahmedabad). 2019 Sep;8(9):24-7.
16. Reinhardt JW, Balbierz MM, Schultz CM, Simetich B, Beatty MW. Effect of tooth-whitening procedures on stained composite resins. Oper Dent. 2019 Jan/Feb;44(1):65-75.
17. Bahbishi N, Mzain W, Badeeb B, Nassar HM. Color Stability and Micro-Hardness of Bulk-Fill Composite Materials after Exposure to Common Beverages. Materials (Basel). 2020 Feb 9;13(3):787.
18. Aydın N, Karaoglanoglu S, Oktay EA. Investigation the effects of whitening toothpastes on color change of resin-based CAD/CAM blocks. J Esthet Restor Dent. 2021 Sep;33(6):884-890.
19. Braden M, Clarke RL. Water absorption characteristics of dental microfine composite filling materials. I. Proprietary materials. Biomaterials. 1984 Nov;5(6):369-72.
20. Sideridou I, Achilias DS, Spyroudi C, Karabela M. Water sorption characteristics of light-cured dental resins and composites based on Bis-EMA/PCDMA. Biomaterials. 2004 Jan;25(2):367-76.
21. Karabela MM, Sideridou ID. Synthesis and study of properties of dental resin composites with different nanosilica particles size. Dent Mater. 2011 Aug;27(8):825-35.
22. da Silva EM, Almeida GS, Poskus LT, Guimarães JG. Relationship between the degree of conversion, solubility and salivary sorption of a hybrid and a nanofilled resin composite. J Appl Oral Sci. 2008 Mar-Apr;16(2):161-6.
23. Chang JY, Chen WC, Huang TK, Wang JC, Fu PS, Chen JH, et al. Evaluation of the accuracy and limitations of three tooth-color measuring machines. J Dent Sci. 2015 Mar;10(1):16-20.
24. Chang JY, Chen WC, Huang TK, Wang JC, Fu PS, Chen JH, Hung CC. Evaluating the accuracy of tooth color measurement by combining the Munsell color system and dental colorimeter. Kaohsiung J Med Sci. 2012 Sep;28(9):490-4.
25. Lepri CP, Palma-Dibb RG. Surface roughness and color change of a composite: influence of beverages and brushing. Dent Mater J. 2012;31(4):689-96.
26. Karadas M. Efficacy of whitening oral rinses and dentifrices on color stability of bleached teeth. Acta Biomater Odontol Scand. 2015 Apr 27;1(1):29-34.
27. Soares CN, Amaral FL, Mesquita MF, Franca FM, Basting RT, Turssi CP. Toothpastes containing abrasive and chemical whitening agents: efficacy in reducing extrinsic dental staining. Gen Dent. 2015 Nov-Dec;63(6):e24-8.
28. Movahhed T, Bagheri H, Dehghani M, Pourtaghi M, Shirkhanikelagari Z. Evaluation of the total and soluble fluoride concentration of toothpastes available in the Iranian market. J Res Dent Sci. 2019 Summer;16(2):117-126.
29. MoghareAbed A, Izadi M, Kave M, Tavakoli M, Yaghini J. Comparative study investigating abrasive effects of 12 commercially available toothpastes on enamel, in Iran. J Mashhad Dent Sch. 2012 Oct;36(3):239-48.
30. Abed AM, Zia P, Yaghini J, Pourmoradi B. Toothpastes: A review of types, ingredients and possible side effects. J Isfahan Dent Sch. 2012 May; 9:183-204.
| Issue | Vol 19 (Continuously Published Article-Based) | |
| Section | Original Article | |
| DOI | https://doi.org/10.18502/fid.v19i38.11748 | |
| Keywords | ||
| Chlorhexidine Composite Resins Toothpastes | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
