Objective To evaluate, in situ, the color stability (CS) and surface roughness (SR) of composite resins after toothbrushing with whitening toothpaste. Materials and Methods Specimens (6 × 2 mm/) of composite resin (Tetric N‐Ceram, Z250 and Z350) were randomly fixed on thirty participants' upper molars (buccal surface). For an initial standardization (7 days), participants used a soft toothbrush and nonwhitening toothpaste (SDB ‐ Sorrisos Dentes Brancos). Initial CS (Easyshade) and SR (Surfcorder RS) measurements were performed. For SR, impressions of specimens were taken (Express, 3 M ESPE) to produce replicas in polyurethane resin (Axon F16, Abcol). Participants were randomly separated into three groups (n = 10) regarding used toothpaste (SDB; Close up White Now ‐ CWN; Colgate Luminous White ‐ CLW). After 90 days, CS and SR measurements were obtained, and data were analyzed (2‐way ANOVA, repeated measures, Bonferroni, P < .05). Results Z250 showed higher (P < .05) color change than Z350. Tetric N‐Ceram presented an intermediary value for ΔE, however, it also demonstrated higher SR (P < .05) after brushing with CLW, compared with SDB and CWN. Conclusions The SR change of composite resin after toothbrushing with a whitening toothpaste is material dependent, but the toothpaste abrasiveness does not change the CS. Clinical significance Whitening toothpaste do not change the color stability of composites; however, it can alter the restorative composite surface roughness.
Objective This study evaluated the influence of over‐the‐counter agents on the maintenance of color and microhardness of the enamel after home bleaching protocol. Materials and methods Specimens of bovine teeth (6 × 6 × 2 mm) were prepared, and color (Easyshade, VITA) and microhardness (HMV‐2, Shimadzu) readings were performed. All the specimens were bleached using 22% carbamide peroxide (22%CP), except for the control group, and then separated into seven groups (n = 10) according to the interaction of toothpaste (whitening, conventional, and whitening with peroxide) and mouth rinse (whitening and conventional). The study simulated 1 year of toothbrushing (Pepsodent, MAVTEC) and mouth rinse by immersion. After that, final color and microhardness measurements were performed. Data were analyzed by one‐way ANOVA, Tukey's test (P < .05). Results The group submitted to 22%CP + whitening toothpaste + whitening mouth rinse showed higher color maintenance (P < .05) than the control group. The perception of whitening of teeth (ΔWID) was higher than the color change (ΔE00). There was a decrease in microhardness after treatment with 22%CP + conventional toothpaste + whitening mouth rinse. Conclusions Over‐the‐counter products can help with the maintenance of tooth whitening after bleaching with carbamide peroxide; however, special attention should be given since the association of products can also reduce the microhardness of the dental enamel. Clinical significance The association between whitening toothpastes and mouth rinses might be beneficial for maintaining color during 1 year after bleaching treatment.
Objective To evaluate the effect of 0.2% chlorhexidine digluconate (CHX) as a pretreatment of two types of adhesive systems on color stability of composite resin restorations. Methods Forty bovine teeth were prepared (6x6x2mm) and randomly divided into 4 groups (n=10): SB - total etch adhesive (Single Bond 2, 3M ESPE); SB + CHX - dentin pretreatment with CHX (30 seconds) followed by SB application; Adh - self-etch adhesive (AdheSE, Ivoclar Vivadent); Adh + CHX - pretreatment with CHX (30 seconds) + followed by Adh application. The teeth were restored with Filtek Z350XT (3M ESPE) and photoactivated for 40 seconds. Color measurements (EasyShade, VITA) were performed following the CIE Lab scale at baseline, 1 and 3 months (distilled water/37°C). The mean color change values (?E) and coordinates (L*, a* and b*) were statistically analyzed (2-way ANOVA, repeated measures, Bonferroni, p <.05). Results Results showed that there was a reddening and yellowing of the restorative material after 3 months, differing (p <.05) from 1 month. There was no difference (p >.05) regarding the treatment with CHX. Conclusions The 0.2% CHX adhesive pretreatment did not produce greater color changes in composite resin restorations irrespective of the type of adhesive system used. However, time had significant effect on the change, regardless of the substrate treatment.
Objective: This study evaluated the color stability and translucence of resin cements in the fixation of ceramic veneers submitted to aging protocols. Material and Methods: Buccal faces of bovine incisors were planed up to dentin. Eighty ceramic veneers (1 mm) were prepared using two pressed ceramics (IPS e-maxPress and IPS e-maxZirpress, IvoclarVivadent). Before the initial color and translucence readouts (Vita EasyShade, VITA), the veneers were fixed with light (Variolink II, Ivoclar/Vivadent) or dual cured (Relyx U200, 3M ESPE) cements. The samples were submitted (n=10) to thermal mechanical cycling (1.200.000 cycles, 1,3Hz, 5°C/37°C/55°C); and no aging protocol (control). New color and translucence readouts were performed. The cement thickness was quantified by a double coordinate stereomicroscope (Nikon Measurescope) as a control of the study. Results: Data (3-way ANOVA, Tukey, p0,05) showed difference (p0.05) in the color change for both ceramics cemented with U200 with no aging protocol. In the other groups, there was no significant difference (p0.05). There was no difference for translucence regardless ceramics, cements, or aging protocol. Thermal mechanical cycling was not significant for optical changes of the ceramics tested. Conclusions: It was concluded that the color stability and translucence of ceramics with thickness of 1mm were not influenced by the cement when submitted to thermal mechanical cycling.
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