Color stability of bleached tooth enamel brushed with different stain-removing toothpastes.

OBJECTIVE: The effects of four toothpastes on the color stability of in-office bleached tooth specimens were determined. MATERIALS AND METHODS: We evaluated an experimental toothpaste (EXP) and three commercially available toothpastes: Colgate Optic White (OPW), Aquafresh White & Protect (AWP), and Crest 3D White (CDW). OPW, AWP, and CDW contained inorganic abrasives, whereas EXP and AWP contained sodium polyphosphate. Forty-eight randomly selected human-extracted maxillary central incisors were bleached and brushed twice daily over 30 days. We analyzed the final color difference (ΔE*ab, ΔE00 , ΔWID ), arithmetic average surface roughness (Ra) of the enamel measured on days 0 and 30, and scanning electron microscopy images of enamel surfaces and toothpastes. ΔE*ab, ΔE00 , ΔWID , and Ra were analyzed using one-way analysis of variance and Tukey's test (α = 0.05). RESULTS: ΔE*ab and ΔE00 values were significantly lower after toothbrushing with EXP, OPW, and CDW than with AWP. OPW induced the greatest positive ΔWID . Ra was significantly increased by OPW and CDW, but slightly increased by AWP, with cube-like particles, and EXP, with no particle-like structures. CONCLUSIONS: Only EXP stabilized the color of bleached teeth without increasing the enamel surface roughness. Sodium polyphosphate with approximately 10 phosphate groups was effective at removing stains. CLINICAL SIGNIFICANCE: The effect of toothpaste on the color stability of bleached teeth depends on the constituting abrasives and chemical components. Polyphosphoric acid has different stain-removal effects depending on its degree of polymerization. Additionally, although certain types of abrasives may be effective for color stability, they also increase the surface roughness of the enamel.

Influence of in-office whitening on the color matching and surface characteristics of single-shade resin composites.

OBJECTIVE: The color matching of single-shade resin composites after in-office whitening was investigated. MATERIALS AND METHODS: Four single-shade resin composites were used. A total of 35% hydrogen peroxide was used as the whitening agent. The resin composite was placed in a cavity of an artificially discolored bovine tooth. The color differences between the restoration and surrounding enamel before and after whitening were determined based on ΔE*ab, ΔE00, and ΔWID. The color stability, surface roughness (Sa), and surface gloss (GU) of the resin composite alone were also evaluated. Statistical analyses were performed using repeated-measures analysis of variance with the Tukey-Kramer test. RESULTS: Based on the 50:50% of perceptibility and acceptability thresholds of ΔE*ab and ΔE00, none of the resin composite restorations were clinically acceptable before or after whitening. Regarding ΔWID, although all resin composites showed "acceptable match" in the baseline, they showed "mismatch" after the third session of whitening. Most of the resin composites alone were stable in color against whitening. CONCLUSIONS: Although the single-shade resin composites failed to achieve the expected color matching on discolored teeth either before or after the whitening, the impact of the whitening on the color of the resin composite alone may be negligible.

Bonding ability of resin cements to different types of CAD/CAM composite blocks.

This study investigated the bonding performance of two different types of resin cements to computer-aided design/computer-aided manufacturing (CAD/CAM) composite blocks based on the shear bond strength (SBS) test. A silane-containing self-adhesive resin cement (Panavia SA Cement Universal) and resin luting cement (Block HC Cem) with a primer, were used. Specimens were fabricated from three different types of CAD/CAM composite blocks, and their surfaces were blasted with alumina. Resin cements were bonded to the specimens, and their SBSs were measured after 15 min, 24 h, and after being subjected to thermal cycling for 10,000 and 30,000 cycles. Three-way ANOVA for bond strength revealed that CAD/CAM composite block, resin cement and storage time significantly influenced the SBS values, and the three-way interactions between the evaluated factors, and all the interactions were significant. It was concluded that the bonding performance of resin cements to CAD/CAM composite blocks were material and storage period dependent.

Flexural properties and wear behavior of computer-aided design/computer-aided manufacturing resin blocks.

This study investigates the flexural properties, Knoop hardness number (KHN), and wear behavior of computer-aided design and computer-aided manufacturing (CAD/CAM) resin blocks and compares these values with those of conventional resin composites for direct restoration (RCDs). Four CAD/CAM resin blocks and two RCDs are compared. Ten specimens per material are used to obtain the flexural properties according to ISO 6872 specifications, and five specimens per material are used for KHN measurement. For sliding impact wear testing, twelve specimens are prepared. Confocal laser scanning microscopy (LSM) is used to determine maximum facet depth and volume loss. Polished material surfaces and worn surfaces after wear testing are observed using scanning electron microscopy and LSM. While measured flexural properties and KHN are found to be material-dependent, CAD/CAM resin blocks exhibit higher wear resistance than RCDs. CAD/CAM resin blocks polymerized at high-pressure and high-temperature are found to exhibit wear behaviors far superior to those of RCDs.

Handling properties and surface characteristics of universal resin composites.

OBJECTIVE: This study investigated the handling and surface characteristics of universal resin composites and determined the interrelations among the composites' handling, mechanical, and physical properties. METHODS: Five recently introduced universal resin composites were tested. Twelve specimens per material were used to measure the stiffness and stickiness (handling properties) of the resin composite pastes. Additionally, surface properties (Knoop hardness number [KHN], surface roughness [Sa], surface gloss [SG], water contact angle [CA], and surface free energy [SFE]) of cured resin composites were determined in 12 specimens per material immediately after preparation (baseline) and after subjection to thermal cycles (TCs). RESULTS: Handling and surface properties of the resin composites were material dependent. All the resin composites showed significantly lower KHN in the post-TC subgroups than that in the baseline subgroups. However, the influence of TC on the other surface properties was dependent on the material used. Some resin composites did not indicate any significant differences in Sa, SG, or CA between the baseline and post-TC groups. SIGNIFICANCE: Although the resin composites in the baseline groups presented with different handling and surface properties, the surface properties of most of the composites were significantly affected by TC. Extremely strong positive or negative correlations were observed between stiffness and stickiness, KHN and Sa, KHN and SG, Sa and SG, and CA and SFE. Most correlations between the handling and surface properties were weak. Therefore, the selection of resin composites in clinical situations should be based on comprehensive consideration of their properties.

One-bottle silane coupling agent containing 4-META.

The effectiveness of commercial and experimental silane coupling agents was evaluated by measuring their shear bond strengths to a ceramic disk. Experimental one-bottle silane coupling agents were prepared using 3-MPTS, 4-META, and resin monomers. The surfaces of two ceramic disks (IPS e-max, Ivoclar Vivadent AG, Schaan, Lichtenstein) were treated by a silane coupling agent to bond them to each other; this bonding was mediated by a commercial flowable resin composite (Clearfil Majesty LV, Kuraray, Tokyo, Japan). A commercial silane coupling agent (Clearfil Porcelain Bond Activator, Kuraray, Tokyo, Japan) modified by adding 4-META exhibited a significantly higher bond strength than the unmodified commercial one-bottle silane coupling agent. Among the tested materials, two experimental one-bottle silane coupling agents composed of 5% 4-META, 45% 3-MPTS, and 50% resin monomers exhibited statistically highest bond strengths.