Objective: This in vitro study was aimed to evaluate the color stability of resin-based composite materials in different viscosities immersed in various colorant solutions.Methods: 250 composite samples of A2 shades were prepared using two high-viscosity flowable composites (G-aenial Injectable, GC, Tokyo, Japan; Estelite Super Low Flow, Tokuyama Dental, Japan A2 shade), a bulk-fill flowable composite (Filtek Bulk-Fill, 3M, USA), a lowviscosity flowable composite (Filtek Ultimate Flowable, 3M, USA), and a packable composite (Filtek Ultimate, 3M, USA). Samples were polymerized and polished from both sides with a LED curing unit (Valo Grand, Ultradent, Switzerland) and polishing discs (Sof Lex, 3M, USA). Then divided by test groups (n=10 for each) regarding colorant solutions; coke (CocaCola Company, USA), tea (Yellow Label, Lipton, Rize, Turkey), coffee (Nescafe Classic; Nestle, Switzerland), red wine (Doluca, Öküzgözü, Doluca, İstanbul, Turkey), and physiologic saline as the control solution. Samples were discolored for 144 hours with solutions in an incubator at 37°C, and repolished after discoloration. Color measurements were performed using a clinical spectrophotometer (EasyShade IV, Vita, Germany) and a colorimeter (ShadeSt ar, Dentsply Sirona, USA). Two-way Anova test and Tukey HSD test were used for statistical analyses.Results: Composite material and colorant solution were considered effective factors for influencing the color change, regarding after discoloration scores (p<0.001, p<0.001, respectively). In addition, colorant solution was found more effective than the type of composite. Filtek Ultimate Flowable presented significantly the highest level of color change among others (p<0.001), for both 'after discoloration (5,3 4 ± 3,78b)' and 'after repolishing (3,93 ± 2,23b)' periods. No significant difference in color change was found between Gaenial Injectable, Estelite Super Low Flow, Filtek Bulk Fill Flowable, and Filtek Ultimate, and all showed imperceptible color changes (∆E*<3.7). Red wine solution showed signi ficantly the highest level of color change (8,00 ± 2,08d) among other colorant solutions (p<0.001), and followed by coffee (4,59 ± 1,52c), tea (3,38 ± 1,21b), and coke (1,58 ± 0,99a), respectively. A strong relation was found between the spectrophotometer and colorimeter measurements. Conclusion:Viscosity was considered an effective factor for discoloration of RBCs. Color stability of high viscosity flowable composite materials were found to be good and similar to packable composite. Samples immersed in red wine showed the greatest level of discoloration and followed by coffee, tea, and coke. The repolishing procedure was considered effective for reversing back th e surface discoloration of composite materials.
Objective To evaluate the color adjustment potentials of monoshade universal composites in different shades of class I cavities. Methodology About 132 restorations were performed using monoshade universal composites (Omnichroma, OMNI; Essentia Universal; EU; Charisma Diamond One, CDO), and one simplyshade composite (NeoSpectra-ST, NEO) as control. A transparent silicone mold was used to provide standardized restorations on prefabricated class I cavities of acrylic dentures in B1, A2, and C4 shades. The assessment of color adjustment was performed immediately after, at 24 h, and at 2 weeks, through the cross-polarized dental photographs. The quantitative assessments were performed using a software (Digital Color Meter, Macintosh AC). The collected L*, a*, and b* coordinates from the restorations and the adjacent denture surfaces were used to provide Δ E 00 ⁎ \text{Δ}{E}_{00}^{\ast } values. Shapiro–Wilk, three-way Anova and Tukey HSD Test were used for the statistical analyses (p < 0.05). Results Among all composites and shades, the Δ E 00 ⁎ \text{Δ}{E}_{00}^{\ast } values were significantly the highest (1.27 ± 0.49a) for the immediately after assessments compared to the assessments at 1 day (1.01 ± 0.41b) and 2 weeks (0.97 ± 0.4c)(p < 0.05). At 24 h and 2 weeks of evaluations, the Δ E 00 ⁎ \text{Δ}{E}_{00}^{\ast } values for the control (0.42 ± 0.16H) were significantly the lowest (p < 0.05). Only the control presented imperceptible color changes for all the cavity shades (PT ≤ 0.8). After 2 weeks, EU (1.06 ± 0.32F) and OMNI (1.12 ± 0.18EF) presented significantly lower Δ E 00 ⁎ \text{Δ}{E}_{00}^{\ast } values compared to the CDO (1.29 ± 0.2CD) (p < 0.05). Restorations in lighter cavities presented significantly lower Δ E 00 ⁎ \text{Δ}{E}_{00}^{\ast } values. Conclusion Monoshade universal composites presented acceptable but perceptible color adjustment potentials in class I cavities without the shade selection procedure. Simplyshade composites following the shade selection might still be the best options regarding the level of color adjustment. Monoshade universal composites might provide better color adjustments in cavities with lighter shades.
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