The Effect of Different Immersion Media, Polymerization Modes, and Brushing on the Color Stability of Different Composite Resins.

This in vitro study investigated color stability of two photo-polymerized nano-filled and nano-hybrid composite resins in different polymerization modes immersed in different staining solutions before and after brushing. Disc-shaped specimens (n = 120) were prepared from two composite resins based on filler particle size: nano-filled (Filtek Z350, shade A1, 3M ESPE) and nano-hybrid (Spectra ST-HV, shade A1, Dentsply Sirona) composite resins (n = 60 per composite type). Specimens of each resin type were photopolymerized using the following polymerization modes: LED conventional, ramp, and pulse (n = 20 specimens per resin type and LED mode). After preparation, baseline color of the specimens was evaluated using a spectrophotometer (Easyshade V, VITA), and color change was evaluated using the CIE L*a*b* formula. Specimens were soaked in distilled water for 4 weeks in separate containers. The specimens from each polymerization-mode group were separated into two groups of 10 specimens; one group was stored in tea and the other group was stored in cola, each 1 hour daily for 4 weeks. After 4 weeks, the color was measured again. The specimens were brushed for 2 minutes under 200-g weight using an electronically powered toothbrush on the polymerized side of the specimen. The color was reevaluated immediately after brushing. Color-difference data (ΔE) between groups were analyzed by one-way analysis of variance for main comparison and by independent t test for color change after brushing. Nano-filled composite resin was more color-stable than nano-hybrid composite resin (P < .001), regardless of the staining media. For both composite resin types, the conventional polymerization method produced a more color-stable result (P < .0001). ΔE after brushing was reduced significantly (P < .0001). Both staining solutions have significant effects on color change, with tea staining more than cola (P < .0001). Nanofilled composite resin had greater color stability than nano-hybrid composite resin after immersion in staining solutions. Polymerization mode influences the color stability of both composite resin types. Int J Periodontics Restorative Dent 2023;43:247-255. doi: 10.11607/prd.6427.

Bromelain-based endodontic irrigant: preparation, properties, and biocompatibility: An in-vitro study.

The aim of the study was to determine the properties, efficacy and biocompatibility of combining bromelain enzyme, chlorohexidine and EDTA (BCE) to create a novel endodontic irrigant. Fourier transform infrared spectrometry was performed to confirm the stability of the BCE and direct contact inhibition test was performed to determine antibacterial action. Baseline pH and surface tension of irrigants was compared with determine stability. Subcutaneous injection to dorsal skin of rabbits was graded for presence of inflammation, oedema, granulation and fibrosis. BCE caused less overall irritation, less oedematous and was earlier to heal than 2.5% NaOCl. The pH stability of BCE was also superior to 2.5% NaOCl. A one-way ANOVA test was performed for the direct contact inhibition and microleakage test. A significant difference was determined (p ≤ 0.05) between BCE and 2.5% NaOCl for antibacterial action. BCE irrigant is effective in preparing dentinal surfaces for root canal without adverse effects and promising longevity.