Öz
Amaç:
Dental kompozit restorasyonların renk stabilitesi klinik başarı için önemli bir kriterdir. Bu çalışmanın amacı çeşitli gargaraların direkt kompozitlerin renk stabilitesi üzerindeki uzun dönem etkilerini araştırmaktır.
Yöntemler:
Disk şeklidenki örnekler 4 farklı hibrit kompozit (Clearfil Majesty, Kuraray; Charisma Smart, Heraeus Kulzer; Quadrant Universal, Cavex; Brilliant EverGlow, Coltene) ile hazırlanarak, gargaralara göre rastgele beş gruba ayrıldı: Sensodyne, Oral B 3D White Luxe Glamorous Shine, Listerine, Colgate Plax, Meridol. Numunelerin başlangıç renkleri bir spektrofotometre (Vita Easyshade V, Almanya) kullanılarak ölçüldü. Numuneler 37 °C’ye ayarlanmış bir inkübatörde 1, 5 ve 10 yıl boyunca günlük gargara kullanımına eşdeğer olan 12, 60 ve 120 saat süreyle gargaralar içerisinde saklandı. Ardından farklı materyallerin renk değişim değeri ΔE*ab olarak hesaplandı. Veriler ANOVA ve eşleştirilmiş örnek t-testleri ile analiz edildi.
Bulgular:
Gargara çeşidi ve uygulama süresi renk değişim değerlerini etkilemiştir (p=0,00). En fazla renk değişimi (ΔE*) değerleri Colgate Plax’ta gözlendi ve bunu Meridol izledi. Bir yıllık uygulama sonrası en düşük ΔE* değerleri Sensodyne grubunda, 5 ve 10 yıllık uygulama sonrasında ise Oral B grubunda gözlendi. Bir yıllık gargara uygulamasından sonra en düşük ve en yüksek ΔE* değerleri gösteren materyaller sırasıyla Brilliant ve Quadrant’tır. Beş ve 10 yıllık uygulama sonrası en düşük ve en yüksek ΔE* değerleri ise sırasıyla Brilliant ve Charisma gruplarında gözlendi.
Sonuç:
Kompozit restorasyonlarda ağız gargaralarının neden olduğu renklenme, rezin kompozitin yapısal özelliklerine, gargaraların pH değerine ve gargaraya maruz kalma süresine bağlı olarak değişmektedir.
Anahtar Kelimeler: Renklenme, renk ölçümü, kompozit rezin, ağız gargaraları, spektrofotometri
Kaynakça
Celik C, Yuzugullu B, Erkut S, Yamanel K. Effects of mouth rinses on color stability of resin composites. Eur J Dent 2008;2:247-53.
Armas-Vega A, Casanova-Obando P, Taboada-Alvear MF, Aldas-Ramírez JE, Montero-Oleas N, Viteri-García A. Effect of mouthwashes on the integrity of composite resin and resin modified glass ionomer: In vitro study. J Clin Exp Dent 2019;11:e179-e84.
Sbordone L, Bortolaia C. Oral microbial biofilms and plaque-related diseases: microbial communities and their role in the shift from oral health to disease. Clin Oral Investig 2003;7:181-8.
Pelino JEP, Passero A, Martin AA, Charles CA. In vitro effects of alcohol-containing mouthwashes on human enamel and restorative materials. Braz Oral Res 2018;32:e25.
ElEmbaby Ael-S. The effects of mouth rinses on the color stability of resin-based restorative materials. J Esthet Restor Dent 2014;26:264-71.
Osso D, Kanani N. Antiseptic mouth rinses: an update on comparative effectiveness, risks and recommendations. J Dent Hyg 2013;87:10-8.
Lee YK, Yu B, Lim HN, Lim JI. Difference in the color stability of direct and indirect resin composites. J Appl Oral Sci 2011;19:154-60.
Ulusoy NB, Arikan V, Akbay Oba A. Effect of mouthwashes on the discolouration of restorative materials commonly used in paediatric dentistry. Eur Arch Paediatr Dent 2018;19:147-53.
Baig AR, Shori DD, Shenoi PR, Ali SN, Shetti S, Godhane A. Mouthrinses affect color stability of composite. J Conserv Dent 2016;19:355-9.
Festuccia MS, Garcia Lda F, Cruvinel DR, Pires-De-Souza Fde C. Color stability, surface roughness and microhardness of composites submitted to mouthrinsing action. J Appl Oral Sci 2012;20:200-5.
Al-Samadani KH. The Effect of Preventive Agents (Mouthwashes/Gels) on the Color Stability of Dental Resin-Based Composite Materials. Dent J (Basel) 2017;5:18.
Gürdal P, Akdeniz BG, Hakan Sen B. The effects of mouthrinses on microhardness and colour stability of aesthetic restorative materials. J Oral Rehabil 2002;29:895-901.
Al-Samadani KH. Color stability of restorative materials in response to Arabic coffee, Turkish coffee and Nescafe. J Contemp Dent Pract 2013;14:681-90.
Ardu S, Duc O, Di Bella E, Krejci I. Color stability of recent composite resins. Odontology 2017;105:29-35.
Manabe A, Kato Y, Finger WJ, Kanehira M, Komatsu M. Discoloration of coating resins exposed to staining solutions in vitro. Dent Mater J 2009;28:338-43.
Bagheri R, Burrow MF, Tyas M. Influence of food-simulating solutions and surface finish on susceptibility to staining of aesthetic restorative materials. J Dent 2005;33:389-98.
Lepri CP, Ribeiro MV, Dibb A, Palma-Dibb RG. Influence of mounthrinse solutions on the color stability and microhardness of a composite resin. Int J Esthet Dent 2014;9:238-46.
Sabatini C, Campillo M, Aref J. Color stability of ten resin-based restorative materials. J Esthet Restor Dent 2012;24:185-99.
Vichi A, Ferrari M, Davidson CL. Color and opacity variations in three different resin-based composite products after water aging. Dent Mater 2004;20:530-4.
Lepri CP, Palma-Dibb RG. Influence of surface sealant on the color-stability of a composite resin immersed in different beverages. Oral Health Dent Manag 2014;13:600-4.
Lee YK, Powers JM. Combined effects of staining substances on resin composites before and after surface sealant application. J Mater Sci Mater Med 2007;18:685-91.
Rocha AC, Lima CS, Santos MD, Montes MA. Evaluation of surface roughness of a nanofill resin composite after simulated brushing and immersion in mouthrinses, alcohol and water. J Mater Res 2010;13:77-80.
Barbosa SH, Zanata RL, Navarro MF, Nunes OB. Effect of different finishing and polishing techniques on the surface roughness of microfilled, hybrid and packable composite resins. Braz Dent J 2005;16:39-44.
Sarac D, Sarac YS, Kulunk S, Ural C, Kulunk T. The effect of polishing techniques on the surface roughness and color change of composite resins. J Prosthet Dent 2006;96:33-40.
Yap AU, Tan BW, Tay LC, Chang KM, Loy TK, Mok BY. Effect of mouthrinses on microhardness and wear of composite and compomer restoratives. Oper Dent 2003;28:740-6.
Khan AA, Siddiqui AZ, Mohsin SF, Al-Kheraif AA. Influence of mouth rinses on the surface hardness of dental resin nano-composite. Pak J Med Sci 2015;31:1485-9.
Villalta P, Lu H, Okte Z, Garcia-Godoy F, Powers JM. Effects of staining and bleaching on color change of dental composite resins. J Prosthet Dent 2006;95:137-42.
von Fraunhofer JA, Kelley JI, DePaola LG, Meiller TF. The effect of a mouthrinse containing essential oils on dental restorative materials. Gen Dent 2006;54:403-7.
Chittem J, Sajjan GS, Varma Kanumuri M. Spectrophotometric Evaluation of Colour Stability of Nano Hybrid Composite Resin in Commonly Used Food Colourants in Asian Countries. J Clin Diagn Res 2017;11:ZC61-65.
Kubo S, Kawasaki A, Hayashi Y. Factors associated with the longevity of resin composite restorations. Dent Mater J 2011;30:374-83.
van Dijken JW. Durability of resin composite restorations in high C-factor cavities: a 12-year follow-up. J Dent 2010;38:469-74.
Soygun K, Varol O, Ozer A, Bolayir G. Investigations on the effects of mouthrinses on the colour stability and surface roughness of different dental bioceramics. J Adv Prosthodont 2017;9:200-7.
McCullough MJ, Farah CS. The role of alcohol in oral carcinogenesis with particular reference to alcohol-containing mouthwashes. Aust Dent J 2008;53:302-5.
Ustrell-Borràs M, Traboulsi-Garet B, Gay-Escoda C. Alcohol-based mouthwash as a risk factor of oral cancer: A systematic review. Med Oral Patol Oral Cir Bucal 2020;25:e1-12.
