Repair or Observation of Resin Margin Defects: Clinical Trial After Five Years.

OBJECTIVE: To assess the effectiveness of repair/resealing of stained composite margins as an alternative to controlled observation without treatment in a randomized clinical trial after five years. METHODS AND MATERIALS: Each patient recruited had from one to three composite restorations with visible margin discoloration. Initially, the characteristics of each defect were recorded with direct vision through a surgical microscope at 20× magnification. Clinical evaluation was done by two independent examiners using modified USPHS criteria for color, margin discoloration, and margin adaptation. Each restoration was then randomly assigned to a control or treatment group. Control restorations were observed yearly for the presence of recurrent caries; treatment restorations were resealed by exposing the margin with a » round bur, removing all interfacial stain, acid etching, placing an adhesive bonding agent, and a flowable composite to restore margin integrity. There were 152 patients recruited, with 360 restorations (180 control and 180 treatment). RESULTS: At five years, 104 patients were recalled (68%) with 271 restorations (76%): 136 untreated control and 135 resealed restorations. At that time, 61 restorations had been lost or replaced for nonrelated reasons. Clinical evaluation of the remaining 210 restorations determined penetrating discoloration (control = 81%, resealed = 46%) and margin crevice formation (control = 21%, resealed = 11%). Recurrent caries was diagnosed cumulatively in only six control and five treatment restorations (<5%). Microscopically, 49 control restorations (49%) and 36 resealed restorations (33%) had crevice formation. Discoloration was distributed as follows: 9% vs 47% with no discoloration, 30% vs 33% in the composite, 49% vs 18% in the interface, and 12% vs 2% in tooth structure. CONCLUSIONS: Resealing of restorations with margin discoloration reduced the occurrence of penetrating stain from 81% in controls to 46% in resealed margins and crevicing from 21% to 11% after five years. Both controlled observation and resealing of margins resulted in a similar very low incidence (<6%) of recurrent caries.

Gingival Health of Porcelain Laminate Veneered Teeth: A Retrospective Assessment.

STATEMENT OF PROBLEM: The long-term effect of the presence of porcelain laminate veneers (PLVs) on the health of the surrounding gingival issues is not available in the restorative literature. PURPOSE: To assess the long-term effect of PLVs on the health of the surrounding gingival tissues. A secondary aim was to correlate gingival crevicular fluid (GCF) scores with clinical parameters used for gingival health assessment in teeth treated with PLVs. METHODS AND MATERIALS: Patients who received PLVs placed at the Graduate Restorative Clinic within a seven- to 14-year period were recalled for clinical evaluations. Periodontal measurements including gingival index (GI), periodontal pocket depth (PPD), gingival recession (GR), and clinical attachment level (CAL) were measured using a standard probe and indices. Gingival Crevicular Fluid (GCF) was measured with a Periotron machine (Periotron 8000, Oraflow Inc), using Periopaper (Periopaper Gingival Fluid Collection Strip, Oraflow Inc.) for fluid collection. Photographs of any observed clinical defect were taken. Data were tabulated using Excel 2010 (Microsoft Corp). Statistical analysis for all descriptive statistics was performed using SPSS 21 (SPSS Software, IBM Corp.) and Stata SE 13 (Stata Software, StataCorp). Repeated-measures analysis of variance (ANOVA) was done to test for statistical significance of the mean pocket depths between the restored and unrestored surfaces of the veneered teeth. The significance level for all tests was p<0.05. Pearson's correlation coefficient was performed for testing statistical significance between GCF and GI and between GCF and PPD. RESULTS: The frequency distribution of the GI included 47 PLVs (43%) with normal gingiva, 16 (15%) with mild inflammation, and 46 (42%) with moderate inflammation and bleeding on probing. The average PPD on the facial surface of the maxillary and mandibular PLVs was 2.17 mm and 2.16 mm, respectively. On the lingual surface, the average PPD was 2.10 mm for maxillary and 2.22 mm for mandibular PLVs. Gingival recession was seen in 27% of the evaluated PLVs. The repeated-measures ANOVA revealed p≥0.136, showing no statistical difference in the mean pocket depths between restored facial and unrestored lingual surfaces of the veneered teeth. A moderate correlation (r=0.407) was found between GCF and GI, which was significant at p<0.001. No correlation (r=0.124) was found between GCF and PPD, which was not significant at p=0.197. CONCLUSIONS: Gingival response to the evaluated PLVs was in the satisfactory range, with overall GI scores ranging between normal and moderate inflammation, pocket depths ranging from 1 to 2 mm, and recession present in 27% of the evaluated PLVs. No statistically significant difference was found between the mean pocket depths of the restored and unrestored surfaces of veneered teeth (p≥0.136). A moderate correlation was found between GCF and GI.

Effect of Light-Curing Exposure Time, Shade, and Thickness on the Depth of Cure of Bulk Fill Composites.

PURPOSE: To investigate the effect of different light exposure times, shades, and thicknesses on the depth of cure (DOC) of bulk fill composites. METHODS AND MATERIALS: Two bulk fill composites, Tetric EvoCeram Bulk Fill (TBF) and Sonic Fill (SF), and a conventional composite, Filtek Supreme Ultra (FSU), were evaluated. Samples (n=10) were made using two different shades (light and dark), thicknesses (2 and 4 mm) and exposure times (20 and 40 seconds). A Tukon 2100B-testing machine was used to obtain three Knoop hardness numbers (KHNs) measured at the top and bottom of each sample, and DOC was calculated as the bottom/top ratio. Statistical analysis was done using a Student t-test for comparisons between groups with a Bonferroni correction of p < 0.004. RESULTS: Top hardness values ranged from 79.79 to 85.07 for FSU, 69.49 to 91.65 for SF, and 51.01 to 57.82 for TBF. Bottom KHNs ranged from 23.54 to 73.25 for FSU, 45.74 to 77.12 for SF, and 36.95 to 52.51 for TBF. TBF had the lowest overall KHNs. Light-curing exposure time, shade, and material thickness influenced the DOC in most groups, especially at 4-mm depths. A higher bottom/top ratio was achieved when a 40-second cure was compared to a 20-second cure, when light shades were compared to dark shades, and when 2-mm increments were compared to 4-mm increments.

Polymerization shrinkage and depth of cure of bulk fill flowable composite resins.

OBJECTIVE: To evaluate polymerization shrinkage and depth of cure of two bulk fill flowable composites, one nanohybrid composite modified to a flowable consistency, and one standard flowable composite, comparing the scraping method to the Knoop hardness test. METHODS: Two bulk fill flowable composites, SureFil SDR flow (SSF) (Dentsply) and Venus Bulk Fill (VBF) (Heraeus Kulzer), one standard flowable, Filtek Supreme Ultra Flowable (FSUF) (3M/ESPE) (control), and one regular bulk composite that can be made flowable, SonicFill (SF) (Kerr), were used in this study. For polymerization shrinkage (PS), ten 2-mm samples were made for each composite and cured for 20 seconds and shrinkage was measured with a Kaman linometer. For hardness, ten specimens of each composite were made in a 10 × 10-mm mold and cured for 20 seconds; the bottom surface was scraped according to ISO 4049 specification, and the remaining thickness was measured with a micrometer. Hardness samples were prepared at 2-, 3-, 4-, and 5-mm thick ×14-mm diameter, cured for 20 seconds, and polished. After 24 hours of dry storage, a Knoop indenter was applied at 100 g load for 11 seconds. Three readings were made on the top and bottom of each specimen and averaged for each surface to calculate a Knoop hardness value and a bottom/top hardness ratio. One-way analysis of variance and Tukey tests were used to determine significant differences between thicknesses and between test methods for each material. RESULTS: PS values were 3.43 ± 0.51%, 3.57 ± 0.63%, 4.4 ± 0.79%, and 1.76 ± 0.53% for FSUF, SSF, VBF, and SF, respectively. VBF showed significantly greater shrinkage (4.4 ± 0.79%), followed by FSUF (3.43 ± 0.51%) and SSF (3.57 ± 0.63%), which were similar, and SF (1.76 ± 0.53%), which had significantly less shrinkage (p<0.05). Values for the scraping method for depth of cure were significantly greater for SSF and VBF (>5.0 mm), followed by SF (3.46 ± 0.16 mm) and FSU (2.98 ± 0.22 mm). Knoop top hardness values (KHN) were: VBF 21.55 ± 2.39, FSUF 44.62 ± 1.93, SSF 29.17 ± 0.76, and SF 72.56 ± 2.4 at 2 mm and were not significantly different at 3-, 4-, and 5-mm thick within each material. Ratios for bottom/top values (depth of cure) for 2, 3, 4, and 5 mm were: VBF 0.80 ± 0.1, 0.78 ± 0.03, 0.67 ± 0.10, and 0.59 ± 0.07, respectively; SSF 0.74 ± 0.08, 0.72 ± 0.08, 0.69 ± 0.18, and 0.62 ± 0.08, respectively; SF 0.82 ± 0.05, 0.68 ± 0.05, 0.47 ± 0.04, and 0.21 ± 0.02, respectively; and FSUF 0.56 ± 0.08 at 2 mm and 0.40 ± 0.08 at 3 mm. The bottom/top ratio was .80 or less at all depths and decreased below 0.70 at 4-mm depth for VBF and SSF, at 3 mm for SF and at 2 mm for FSUF.

Inorganic and prepolymerized filler analysis of four resin composites.

This study determined the filler content by weight percentage of four resin composites and examined the morphology, size, and elemental distribution of the filler particles. Four commercially available light-cured resin composites were evaluated for filler content by weight using ashing in air and acetone dissolution techniques. Ten specimens were analyzed for each material and technique. Specimens for ashing were heated to 650°C for 30 minutes. For the acetone dilution, the uncured specimens were dissolved, centrifuged, and decanted. In addition, scanning electron microscopy evaluation and energy dispersive x-ray spectroscopy analysis were performed to determine morphologic characteristics and elemental distribution, respectively. Filler percentages by weight for Aelite LS, Filtek LS, IPS Empress Direct, and Kalore from ashed in air were 86.44%, 77.86%, 72.17%, and 70.62%, and from acetone dissolution percentages were 85.05%, 75.56%, 78.88%, and 77.73%, respectively. Aelite LS had significantly higher filler content for both techniques. Kalore had significantly lower filler content for the ashing technique (70.62%), and Filtek LS had significantly lower filler content for the acetone dissolution technique (75.55%). Manufacturer reported filler content for Aelite LS (88%) and Filtek LS (76%) approximated the study results for both techniques, while Kalore (82%) and IPS Empress Direct (79%) were only similar for acetone dissolution, indicating higher content of prepolymerized particles. Morphologic examination showed spherical shaped particles for Aelite LS and splintered and irregular shaped particles for all other materials. Aelite LS had the highest filler content for both techniques. Values for filler content by weight using the acetone dissolution were closer to manufacturer reported values.

Physical property evaluation of four composite materials.

PURPOSE: The purpose of this study was to evaluate the physical properties of current formulations of composite resins for polymerization shrinkage, surface hardness, and flexural strength. In addition, a comparison of Knoop and Vickers hardness tests was made to determine if there was a correlation in the precision between the two tests. MATERIALS AND METHODS: Four composite resin materials were used: Filtek LS (3M-ESPE), Aelite LS (Bisco), Kalore (GC America), and Empress Direct (Ivoclar). Ten samples of each composite (shade Vita A2) were used. Polymerization shrinkage was measured with the Kaman linometer using 2-mm-thick samples, cured for 40 seconds and measured with digital calipers for sample thickness. Surface microhardness samples were prepared (2-mm thick × 12-mm diameter) and sequentially polished using 600-grit silicone carbide paper, 9 µm and 1 µm diamond polishing solutions. After 24 hours of dry storage, Knoop (200 g load, 15 seconds dwell time) and Vickers (500 g load, 15 seconds dwell time) hardness tests were conducted. Flexural strength test samples (25 × 2 × 2 mm) were stored in 100% relative humidity and analyzed using a three-point bending test with an Instron Universal Testing Machine (Instron 5565, Instron Corp) applied at a crosshead speed of 0.75 ± 0.25 mm/min. Maximum load at fracture was recorded. One-way analysis of variance and Tukey multiple comparison tests were used to determine significant differences in physical properties among materials. RESULTS: Filtek LS had significantly lower shrinkage (0.45 [0.39] vol%). Aelite LS demonstrated the greatest Knoop surface hardness (114.55 [8.67] KHN), followed by Filtek LS, Kalore, and Empress Direct (36.59 [1.75] KHN). Vickers surface hardness was significantly greater for Aelite LS (126.88 [6.58] VH), followed by Filtek LS, Kalore, and Empress Direct (44.14 [1.02] VH). Flexural strength (MPa) was significantly higher for Aelite LS and Filtek LS (135.75 [17.35]; 129.42 [9.48]) than for Kalore and Empress Direct (86.84 [9.04]; 92.96 [9.27]). There is a strong correlation between results obtained using Knoop and Vickers hardness tests (r=0.99), although Vickers values were significantly greater for each material. CONCLUSION: Results suggest that Aelite LS possesses superior hardness and flexural strength, while Filtek LS has significantly less shrinkage compared with the other composites tested.

Adhesive resin induces apoptosis and cell-cycle arrest of pulp cells.

The application of an adhesive resin near or directly over the pulp was shown to induce pulp inflammation and lack of dentin regeneration. We hypothesize that the absence of dentin bridging is due to adhesive-resin-induced apoptosis of cells responsible for pulp healing and dentin regeneration. Mouse odontoblast-like cells (MDPC-23), undifferentiated pulp cells (OD-21), or macrophages (RAW 264.7) were exposed to SingleBond polymerized for 0-40 seconds. Annexin V and propidium iodide assays demonstrated that SingleBond induced apoptosis of MDPC-23, OD-21, and macrophages. The proportion of apoptotic cells was dependent on the degree of adhesive resin polymerization. Adhesive-resin-induced death of pulp cells was associated with activation of the pro-apoptotic cysteine protease Caspase-3. Interestingly, most cells exposed to adhesive resin that did not undergo apoptosis showed cell-cycle arrest. We conclude that an adhesive resin induces apoptosis and cell-cycle arrest of cells involved in the regeneration of the dentin-pulp complex in vitro.

Effect of variable light intensity on composite shrinkage.

STATEMENT OF PROBLEM: Polymerization shrinkage is a critical limitation of dental composites and may contribute to postoperative pain, tooth fracture, microleakage, and secondary caries. Polymerization with high-intensity light sources has been related to increased depth of cure and improved mechanical properties. However, high-intensity light initiation has also been associated with greater polymerization shrinkage. PURPOSE: The purpose of this study was to investigate the effect of sequentially increasing light intensity on the polymerization shrinkage of 2 composites, a hybrid and a microfil. A Knoop hardness test was used to evaluate effectiveness of the cure with each intensity increase. MATERIAL AND METHODS: Four groups of 12 samples were measured for polymerization shrinkage by using a linometer. Light intensity curing sequences were as follows: full-intensity control (100% intensity for 40 seconds), low-intensity control (25% intensity for 40 seconds), test group 1 (25% intensity for 20 seconds, 50% for 10 seconds, 100% for 10 seconds), and test group 2 (25% intensity for 10 seconds, 50% for 10 seconds, 100% for 20 seconds). Statistical comparisons were made using a 1-factor ANOVA and a Tukey multiple comparisons test within each material. RESULTS: Results showed a significant difference (P<. 05) in mean linear shrinkage between the full-intensity control group and the other 3 sequences for both composites. No difference existed within the other 3 groups for either composite. Knoop hardness was similar for the full-intensity control and test group 2. The low-intensity control group and test group 1 were also similar but significantly lower. CONCLUSION: Curing composites for 10 seconds at 25% intensity, 10 seconds at 50%, and 20 seconds at 100% significantly reduced polymerization shrinkage while not compromising depth of cure.

Resistance to fracture of three all-ceramic systems.

All-ceramic restorations have become an attractive alternative to porcelain-fused-to-metal crowns, but their strength is still an important issue. The purpose of this study was to compare the in vitro fracture resistance of three all-ceramic systems: IPS Empress, In-Ceram, and Procera AllCeram. Thirty dies were replicated from a master die using high filler resin with a modulus of elasticity similar to dentin. Ten cores each of In-Ceram and Procera were fabricated to a thickness of 0.5 mm. The remaining porcelain was applied using a sculpting device to produce a crown with a final thickness of 1.0 mm axially and 2.5 mm occlusally. Ten IPS Empress crowns were mixed to the same dimensions and were pressed by the manufacturer. The internal surfaces of all the crowns were etched and silanated prior to cementation with a resin cement (Panavia 21). The cemented samples were loaded in an Instron machine until fracture. The mean fracture loads were: IPS Empress, 222.45 (+/- 49) kg; In-Ceram, 218.8 (+/- 36) kg; Procera AllCeram, 194.20 (+/- 37) kg. Tukey's test showed no statistically significant differences among the three all-ceramic systems at p < .05.

Shear bond strength of a resin cement to densely sintered high-purity alumina with various surface conditions.

Procera Sandvik AB is now manufacturing a densely sintered high-purity alumina core for an all-ceramic crown designed for anterior and posterior restorations. Whereas the material holds promise on the basis of in vitro strength tests, the ability to alter the surface and use conventional bonded resin cements has not been reported previously in the literature. Samples of the core were treated by means of one of four methods routinely used for all ceramic restorations, and then a commercially available resin cement was bonded to the surface. A shear bond test of the adhesion showed that the highest shear bond strengths of 11.99 +/- 3.12 MPa were obtained with air abrasion at 80 psi and 50-microm alumina particles.

Effect of adding opaque porcelain on the final color of porcelain laminates.

STATEMENT OF PROBLEM: Increasing the opacity of porcelain laminates is one of the techniques most commonly used to mask the color of darkly stained teeth. PURPOSE OF STUDY: Two different brands of porcelain (Fortune and Optec) disks that contained various amounts of modifying porcelains to alter opacity were cemented with untinted resin cement to a dark colored substrate. MATERIAL AND METHODS: The color of the substrate was measured before and after cementation and the change in color was calculated. RESULTS: Fortune porcelain showed a progressive increase in the amount of change produced as the modifying porcelain was increased, whereas Optec porcelain showed a decrease in the amount of change as modifying porcelain was increased. CONCLUSION: A progressive increase of yellow was exhibited in the samples as the amount of opacity is increased.

Effect of firing on the color stability of a light-cured ceramic stain.

PURPOSE: This study evaluated the color stability of four stains of a light-cured porcelain stain system between the light-cured and fired stages. MATERIALS AND METHODS: Thirty-six ceramometal discs 20 mm in diameter and 2 mm in thickness were cast to provide the substrate on which Ceramco II porcelain was applied. The porcelain was polished to a uniform thickness of 2 mm, and the samples were divided into four groups and assigned a color (yellow, orange, green, or blue). Orbit LC stain was applied in a thin layer and light-cured for 40 seconds. After light-curing, three color readings were made with a Minolta Chroma Meter II. The porcelain discs were then fired in a porcelain oven and three color measurements were again made. The pre- and postfired Commission Internationale de I'Eclairage L*a*b* values were recorded and the color difference (delta E) was calculated for each specimen. The clinical significance for the computed delta E ratings was completed according to previously modified criteria. RESULTS: The results show that the mean delta E between the light-cured and fired stages of Orbit LC are clinically acceptable. No statistically significant differences (p < .05) were observed between any of the four groups. CONCLUSIONS: A light-cured porcelain stain system was evaluated for color stability between light-cured and fired stages. Within the conditions of this study, the following conclusions can be made: (1) There was no clinically significant color difference between light-cured and fired stages for the stain colors evaluated; and (2) the final color of the restorations altered with light-cured stains can be predicted before firing.

Photoelastic stress analysis of self-threading pins.

In this laboratory study six self-threading retention pins were evaluated using the two-dimensional photoelastic technique. The experimental samples consisted of 60 blocks of PSM-1 photoelastic material measuring 1" by 1" by 1/4". The samples were divided into six groups of 10 blocks each, with each group representing one of the pins used in the study. Pins were inserted and cores of amalgam and composite were fabricated over the pins. The samples were observed in the polariscope and photographed after pin insertion and after loading the cores with a constant, compressive force of 20 pounds. Using magnification, fringe orders were counted and rounded to the highest 0.5 fringe order. Each sample was evaluated for apical and shoulder stress. All statistical analyses were done using ANOVA at the P = 0.05 significance level. It was concluded from this study that the insertion of self-threading retention pins results in stress at the apical and shoulder areas of the pin. Pin design features, such as shoulder stops, significantly affect the magnitude and location of stress. There were no significant differences in either the apical or shoulder stresses induced when cores were made of either amalgam or composite resin.

Effect of core materials on stress distribution of posts.

Severely damaged endodontically treated teeth require the use of a post and core for the retention of the restoration. The choice of material for a post and core and their stress-producing characteristics must be considered by the clinician. Two-dimensional photoelastic analysis of birefringent models was used to investigate the influence of different core materials on the stress distribution of nonthreaded cylindrical posts. Cast posts and cores and prefabricated posts with amalgam and composite resin cores were compared with posts without cores at installation and under two loading conditions. The findings indicate a significant difference between posts with and without cores. It appears that the stiffer core materials can shift the load from the apex to the coronal region.

Stress analyses of four prefabricated posts.

A two-dimensional photoelastic stress analysis method was applied to study the relative magnitude of stress and concentration induced by four commercially available posts for endodontically treated teeth. Three types of threaded posts; VLock, Radix Anchor, and Flexi-Post, and one nonthreaded prefabricated post, the Para-Post Plus post were tested. Stress was recorded at installation, at vertical and inclined load, and the threaded posts were compared with the nonthreaded post. At installation and on loading, stress was induced where posts were in contact with the model. Higher apical stresses were demonstrated for the Para-Post Plus post whereas the threaded posts concentrated stress where they engaged the model through threads or flanges.

Color stability of restorative resins.

The purpose of the present study was to evaluate the color stability of selected indirect composite resins. Twenty-six specimens each of Dentacolor, VisioGem, Brilliant D. I., and Concept were fabricated and immersed in chlorhexidine, coffee, and tea. The modifying effect of saliva on staining was also studied. Coffee and tea both stained the tested materials, but tea stained more than coffee. The addition of chlorhexidine and saliva increased staining when used with tea. Most staining was superficial and could be removed with regular oral hygiene; however, residual staining, which might become cumulative, was recorded. Brilliant D. I. samples exhibited the most discoloration and Concept samples the least.

[A comparison of stress distribution at tapered vs. threaded cylindrical posts using photoelastic stress analysis]. / Samanburdur á álagsdreifingu steyptrar stiftisuppbyggingar og skrúfads stiftis med krónukjarna.

The need for complex restoration of pulpless teeth has resulted from successful endodontic therapy. When a post and core is necessary thought must be given to the stress producing characteristics of the post. A two-dimensional photoelastic analysis was used to investigate the stress distribution of a tapered post and core and two different core materials on the stress distribution of a threaded cylindrical post. A cast gold tapered post with core, and a prefabricated VLock post with amalgam or composite cores were compared with the VLock post without core at installation, at vertical, and at inclined loading. The findings confirm that tapered posts are benign on installation and that threaded posts create stress where they engage the model, the stresses being intensified upon loading where the posts are in contact with the models. The findings further indicate that cores can facilitate a more favorable distribution, especially at inclined loading.

The accuracy of implant master casts constructed from transfer impressions.

The accuracy of master casts fabricated from three impression techniques commonly used with the Brånemark System was measured. Points placed in a metal surrogate model and onto master abutments were compared after abutments were transferred to stone casts using splinted and unsplinted impression coping techniques. The mean values and standard deviations of each of the reference points on 12 total casts were compared with the values for each point from the surrogate model. Values from techniques using splinted and unsplinted squared polymer copings as well as unsplinted tapered hydrocolloid copings were not significantly different from values recorded from the master surrogate model. Tapered hydrocolloid copings yielded a higher correlation to coordinate values on the master than unsplinted squared polymer copings or splinted squared copings.

In vitro color stability of provisional restorations.

A provisional restoration must protect the prepared tooth, provide comfort and function and be esthetically acceptable and color stable. This study measured the degree of color change of provisional restorations. Five commercially available resins were evaluated: Trim, Tab, Kind, Snap and Duralay. Five cylindrical samples of each resin were fabricated by mixing the powder and the liquid to a predetermined ratio and pouring the mix into a mold. The Minolta Chroma Meter II Reflectance was used to establish the baseline color L* a* b*. The resins were then subjected to accelerated in vitro aging in a Weather-O-Meter and color readings were recorded. The color differentials on delta E* were computed for each sample (delta E*ab = [(delta L*)2+(delta b*)2]1/2). The difference is a quantitative measurement of color change. The National Bureau of Standards describes delta E* as units (NBS Unit = delta E*ab x 0.92). With this parameter only the allowable delta E*ab need be specified rather than the range of allowable L*, a*, b* values. This is important for color comparison and quality control functions. The results showed that Kind had a slight color change delta E* = -1.72, Trim demonstrated the most color change delta E* = -13.84, while the remaining resins demonstrated a noticeable change in color due to in vitro aging.