Effect of different pigmentations, hygieneprotocols, and time on maxillofacial silicone properties

To evaluate the effects of 1versus 2 glaze firings on the color and mechanical properties of an extrinsically characterized lithium disilicate ceramic after thermal cycling, brushing, or both. Eighty specimens were divided into 2 groups: 1 glaze firing (GL1) and 2 glaze firings (GL2). Each group was subdivided into 4 groups (n = 10), according to the experimental conditions: thermal-cycling, brushing, thermal-cycling + brushing, and immersion in distilled water (control). Color variation, surface roughness, and Vickers microhardness were analyzed before each designated experiment and after the simulated periods of 2.5, 5, and 10 years. Three-way mixed ANOVA was used for all outcomes, followed by 1-way ANOVA, repeated measures 1-way ANOVA, Bonferroni post hoc test, and t-test to check for statistical differences (α = 0.05). Thermal cycling generated greater color changes in the GL1 group at 2.5 and 5 years (p < 0.001; p = 0.013). Brushing generated color changes in GL1 at 5 years (p = 0.003) and in GL2 at 10 years (p = 0.017). Regarding surface roughness, the GL1 group suffered alterations in thermal cycling + brushing at 5 years. In the control group, the GL1 group exhibited higher roughness values than GL2 (p < 0.05). Most of the groups experienced an increase in microhardness at 2.5 years (p < 0.05). In the GL1 group, thermal-cycling increased the microhardness at 5 years (p = 0.006); at 5 and 10 years, the GL1 group had a higher microhardness than the GL2 in thermal-cycling + brushing (p < 0.05). Ceramics with 1 glaze firing showed greater color, roughness, and microhardness changes compared to those submitted to 2 firings.

The aim of this study was to eliminate the problems of hardness, gloss, and color change of some wood materials exposed to weathering conditions using a bleaching procedure to attempt to return the wood material to its natural state. For this, wood samples of Scots pine (Pinus sylvestris L.), Eastern beech (Fagus orientalis L.), sessile oak (Quercus petraea L.), and chestnut (Castanea sativa Mill.) were exposed to weathering conditions based on 12 months ASTM D-1641, followed by a bleaching procedure using 18% solutions of S1 (NaOH + H2O2), S2 (NaOH + Ca(OH)2), S3 (KMnO4 + NaHSO3 + H2O2), S4 (NaSiO3 + H2O2), and the commercial product S5 (Cuprinol Decking Restorer- (H2C2O4 + C2H4(OH)2). The color, gloss, and hardness changes of samples were determined according to ASTM D 2244-2, EN ISO 2813, and ASTM D 2240 standards. As a result, hardness and gloss values of all woods decreased due to weathering conditions and the wood color turned grey due to degradation. When comparing the weathered samples to the bleached samples, the hardness value was found to be highest in pine wood bleached with the S2 solution, and the gloss value was highest in oak wood bleached with the S1 solution. The greatest color change was found in pine, beech, and chestnut samples bleached with the S4 solution and in oak samples bleached with the S1 solution.

This study compared the levels of biofilm in maxillary and mandibular complete dentures and evaluated the number of colony-forming units (cfu) of yeasts, after using auxiliary brushing agents and artificial saliva. Twenty-three denture wearers with hyposalivation and xerostomia were instructed to brush the dentures 3 times a day during 3 weeks with the following products: Corega Brite denture dentifrice, neutral liquid soap, Corega Brite combined with Oral Balance (artificial saliva) or tap water. For biofilm quantification, the internal surfaces of the dentures were disclosed, photographed and measured using a software. For microbiological analysis, the biofilm was scrapped off, and the harvested material was diluted, sown in CHROMagar™ Candida and incubated at 37°C for 48 h. Data were analyzed statistically by two-way ANOVA and Tukey's test (α=0.05). Mandibular dentures presented a mean biofilm percentage (µ=26.90 ± 21.10) significantly greater than the maxillary ones (µ=18.0 ± 15.0) (p<0.05). Brushing using Corega Brite combined with Oral Balance (µ=15.87 ± 18.47) was more effective (p<0.05) than using the denture dentifrice (µ=19.47 ± 17.24), neutral soap (µ=23.90 ± 18.63) or tap water (control; µ=32.50 ± 20.68). For the microbiological analysis, the chi-square test did not indicate significant difference between the hygiene products for either type of denture. The more frequently isolated species of yeasts were C. albicans, C. tropicalis and C. glabrata. In conclusion, mandibular dentures had more biofilm formation than maxillary ones. Denture brushing with Corega Brite dentifrice combined with the use of Oral Balance was the most effective method for reduction of biofilm levels, but the use of products did not show difference in yeast cfu counts.

Objective:Disinfection procedures often cause deterioration in a maxillofacial prosthesis.Color and hardness alterations could lead to a replacement of the prosthesis. Material and Methods:An experimental chlorinated polyethylene (CPE) and a commercial polydimethylsiloxane (PDMS) sample were treated with four different disinfection proceduresfor a period which simulates 1 year of clinical service. The applied disinfectionprocedures included microwave exposure and immersion in three solutions, sodiumhypochlorite, neutral soap and a commercial disinfecting soap. Shore A hardness(ΔΗ) and color differences (ΔΕ) were determined before and after each procedure.All data were analyzed by Two Way Analysis of Variance (ANOVA) and Tukey'spost hoc tests at a level of α=0.05. Results:The samples presented significant alterations in color and hardness after thedifferent disinfection treatments. The color differences (ΔΕ) were at least eyedetectable in all cases and clinically unacceptable in most of the cases, withvalues ranging from 1.51 to 4.15 and from 1.54 to 5.92 for the PDMS and CPEmaterial, respectively. Hardness was decreased after all the disinfectionprocedures in the PDMS, while for the CPE, a decrement was observed afterdisinfection with sodium hypochlorite and neutral soap and an increment aftermicrowave exposure and the disinfection with a commercial antimicrobial agent. ThePDMS samples presented greater alterations in color and hardness afterdisinfection with sodium hypochlorite solution, while the microwave exposurecaused negligible effects. The CPE samples were affected most after disinfectionwhen treated with neutral soap, and more slightly when disinfected with sodiumhypochlorite solution. Conclusions:The disinfection procedures caused alterations in color and hardness of theexamined materials. The most suitable disinfection procedure for the PDMS materialis microwave exposure, while disinfection with sodium hypochlorite solution is notrecommended. The CPE material is suggested to be disinfected with sodiumhypochlorite solution and the use of neutral soap is not recommended. Comparingthe two materials, the PDMS material is most color stable, while the CPE materialpresented fewer changes in hardness.

To evaluate the effect of whitening toothpastes with different hydrogen peroxide (HP) concentrations on HP permeability, color change, and physicochemical properties, compared to at-home bleaching treatment. Forty-nine premolars were randomized into seven groups (n = 7): untreated (control); at-home bleaching with 10% carbamide peroxide gel (AH; 10% CP) with 14 and 28 applications of 180min each (AH [14 × 180min] and AH [28 × 180min]); three whitening toothpastes (3% HP; 4% HP and 5% HP) and 10% CP brushed 28 times for 90s each (TB [28 × 90s]). HP permeability was measured using a UV-VIS spectrophotometer and color change by a digital spectrophotometer (ΔEab, ΔE00, and ΔWID). Initial concentration, pH, and viscosity were measured through titration, digital pH meter, and rheometer, respectively. Statistical analysis included one-way ANOVA, Tukey's test, and Dunnett's test (α = 0.05). 4% HP group showed acidic pH, the lowest viscosity and the highest HP concentration into the pulp chamber (p < 0.05). The 10% CP groups had lower HP in the pulp chamber and greater color change than other groups (p < 0.05), except the 5% HP group in ΔEab and ΔE00. For ΔWID, the 10% CP AH groups showed greater whitening than other groups (p < 0.05). Whitening toothpaste with up to 5% HP resulted in higher HP permeability and less color change compared to 10% CP. Higher HP commercial concentrations in toothpaste increased whitening effect; however, acidic pH toothpastes exhibited greater HP permeability. Whitening toothpastes with high hydrogen peroxide concentrations were less effective than at-home bleaching, resulting in less color change and greater permeability of hydrogen peroxide, potentially increasing the risk of tooth sensitivity.

Biofilm control in printed dentures: Effectiveness of hygiene protocols in base and tooth resins.

Background and objective Silicone has emerged as the most widely accepted material for facial prosthesis fabrication.However, silicone materials have certain limitations. Several techniques have been investigated to lessen the degradation of the polymer, such as the use of nanoparticles and nano-oxides, etc.In this study, we aimed to evaluate the effect of various chemical disinfectants on color stability, hardness, and surface roughness of maxillofacial silicone, after the addition of silver nanoparticles. Materials and methods This was an in vitro study carried out in the Department of Prosthodontics, Sharad Pawar Dental College and Hospital; 80 samples of maxillofacial silicone incorporated with silver nanoparticles (in a concentration of 20 ppm) were fabricated in a mold of 3 x 10 mm dimension disc. The samples were then tested for surface roughness (using a digital roughness tester), Shore A hardness (using a durometer), and color stability (using a spectrophotometer). The samples were then classified into four groups according to various disinfectants used: sodium hypochlorite (1% w/w), chlorhexidine gluconate (0.2%), and neutral soap, and distal water was deemed the control group. After 48 hours, the samples underwent retesting to assess for changes in readings under the same parameters (i.e., surface roughness, Shore A hardness, and color stability)to obtain results, i.e., the samples were testedafter fabrication, before immersion, and 48 hours after immersion in disinfectants. Results When taking into account the surface roughness, the maximum roughness value was observed in the sodium hypochlorite group and the least roughness value in distilled water (mean % change of 38.359 to negligible change in the distilled water group). As for the Shore A hardness, the maximum hardness value was seen in the sodium hypochlorite group and the least hardness value in distilled water (mean % change of 15.780 to 2.125 in distilled water). Regarding color stability, the maximum increase in color values was seen in the sodium hypochlorite group (mean: 2.4) followed by the neutral soap group (mean: 1.653); the chlorhexidine gluconate group (mean: -0.287)showed the maximum decrease in color value from the initial to the final phase. Conclusions Based on our findings, surface roughness altered the most when samples were immersed in 1% sodium hypochlorite disinfectant and the leastwhen samples were immersed in neutral soap disinfectant. Shore A hardness altered the most when samples were immersed in 1% sodium hypochlorite disinfectant, but altered the least when samples were immersed in neutral soap disinfectant. Color stability altered the most when samples were immersed in neutral soap disinfectant, but altered the least when samples were immersed in 0.2% chlorhexidine gluconate. Disinfection with neutral soap seems to lead to fewer changes in physical properties (i.e., surface roughness and Shore A hardness) and hence is recommended as a disinfectant for silicone prosthesis. However, our study also showed that 0.2% chlorhexidine gluconate had the least effect on the parameter of color stability, and hence it could be the disinfectant of choice for prostheses with high esthetic requirements.

Purpose: The purpose of this study is to evaluate the change in color stability of maxillofacial silicon after exposing it to natural weathering and disinfection using neutral soap (shampoo). Material and Methods: 60 specimens were prepared from addition linking vinyl polydimethyl siloxane and divided into 3 groups (n=20). The specimens were then conditioned differently as follows, Group I: Dark room storage (control group); Group II: Neutral soap disinfection; Group III: Outdoor natural weathering for 2 months. The color changes of the specimens were measured using a Reflective spectrophotometer (X-Rite, model RM200QC, Neu-Isenburg, Germany) using the Commission Internationale de I’Eclairage (CIE).5 The measurements were taken after 1 month then after two months (follow up period). Results: There was insignificance increase in color change in neutral soap (shampoo) group. There was significance increase in color change in natural weathering group. Also there was significance difference between groups after 1 month and two months. Conclusions: Exposure to outdoor natural weathering and the disinfection with neutral soap (shampoo) causes color alteration of the maxillofacial silicone.

Surface properties of composites such as roughness and color impact periodontal health and aesthetic outcomes. Novel bulk-fill composites with improved functionality are being introduced and, in light of the existing variety of finishing/polishing procedures, research of their surface properties is warranted. Sixty discs were prepared from bulk-fill composites (Filtek™ Bulk Fill Posterior Restorative and Fill-Up™) and incremental-fill Filtek™ Z250. They were further divided according to different polishing procedures (n = 5): three multi-step polishing procedures or finishing with a bur (control). Surface roughness (Ra) was measured using an atomic force microscope (The AFM Workshop TT-AFM). A spectrophotometer (Spectroshade Micro Optic) was used to determine color stability, after exposure to a coffee solution. Data were analyzed using two-way MANOVA (significance level of 5%). Resin composite type, polishing procedure, and their interaction had a statistically significant effect on surface roughness (p < 0.001) and color change (p < 0.001). Fill-Up™ exhibited the highest surface roughness and greatest color change. Differences in color change were statistically significant (p < 0.001). Filtek™ Bulk Fill registered the lowest surface roughness and color change, after the three-step polishing procedure. Both parameters were significantly correlated (ρ = 0.754, p < 0.001) and found to be material dependent and polishing-procedure dependent. Higher surface roughness relates to greater color changes.

This study evaluated the in vitro and in situ effects of phytosphingosine (PHS) associated with tooth brushing on color stability, surface roughness, and microhardness of dental enamel. Sixty-four specimens of bovine teeth (6 × 6 × 2mm) were separated into 8 groups (n = 8): S + TB: PHS (spray) + tooth brushing; TB + S: tooth brushing + PHS (spray); I + TB: PHS (immersion) + tooth brushing; TB + I: tooth brushing + PHS (immersion); TB: tooth brushing; S: PHS spray; I: immersion in PHS solution, and Saliva: immersion in saliva. Tooth brushing simulation (Mavtec, Brazil) was performed (356rpm on 3.8cm area by the toothbrush - Soft Tek) for 1, 7, 15, and 30days. PHS remained in contact with specimens for 15min. The specimens were evaluated before and after tooth brushing for color alteration (Easy Shade, VITA), and surface roughness (Model SJ-201P Mitutoyo), and Knoop microhardness (HMV-2, Shimadzu Corporation). For the in situ analyses, 8 participants were recruited and received an intraoral device with 6 fragments of bovine enamel (6 × 6 × 2mm). The properties evaluated were the same as those of the in vitro study. Participants were randomized following best results of in vitro tested protocols, for 15days: TB, TB + S, I + TB. Data obtained by in vitro (two-way ANOVA, Tukey, p < .05) and in situ (one-way ANOVA, Tukey, p < .05) studies were analyzed. The in vitro study showed that greater color change was found after 30days. The greatest differences in surface roughness occurred between the initial value and after 1day. Regarding microhardness, the highest values occurred after 15 and 30days, which showed similar results. The in situ study showed greater color changes for the TB and I + TB, and greater surface roughness changes for TB as well as a similar increase in microhardness for the PHS protocols, which were higher than TB. Phytosphingosine leads to an increase in performance regarding color stability, surface roughness, and microhardness when applied. In general, the application of PHS after brushing showed a positive impact on its performance. Phytosphingosine proved to be interesting for compound prevention formulations in the dentistry field.

BackgroundThe aim of this study was to evaluate the effects of traditional and whitening toothpastes on the color and surface roughness of different composite resin materials.MethodsEighty disc-shaped samples were prepared for each of the following composite resins: nano-hybrid (Filtek Ultimate Universal; 3 M/ESPE, Saint Paul, USA), micro-hybrid (Charisma Smart; Kulzer, Hanau, Germany) and supra-nano-filled (Omnichroma; Tokuyama, Tokyo, Japan). Each composite-resin sample was randomly divided into the following four subgroups (n = 20 per group): Group 1, control; Group 2, traditional toothpaste (Colgate Total 12; Colgate Palmolive, New York, USA); Group 3, peroxide-based toothpaste (Colgate Optic White; Colgate-Palmolive, New York, USA); and Group 4, blue covarine-based toothpaste (Meridol Gentle White; CP-GABA, Hamburg, Germany). The samples for the toothpaste subgroups were immersed in a coffee solution for 10 min and washed twice a day before each brushing cycle. The specimens were brushed for 30 days. Color analyses were performed using a spectrophotometer (SpectroShade Micro, MHT, Italy). Surface roughness analyses were conducted using a profilometer (Surftest SJ-210 Mitutoyo, Tokyo, Japon). The color and surface roughness analyses were performed at baseline and 1, 7 and 30 days after each treatment. Furthermore, surface topography analysis was performed using Scanning Electron Microscopy (FEG 250-FeiQuanta, the Netherlands). The data were analysed with a three-way robust ANOVA and Bonferroni post-hoc correction (p < 0.05).ResultsThe smallest color change was observed for the micro-hybrid composite resin, and the greatest color change was observed for the nano-hybrid composite resin. Based on the tested composite resin samples, the greatest color change was obtained after using blue covarine–based toothpaste, while the smallest color change was observed after using peroxide-based toothpaste. Moreover, the supra-nano-filled composite resin samples exhibited the lowest roughness values (robust ANOVA test, p < 0.001). There was no statistically significant difference between the mean values of roughness for the composite, group and time interaction (p = 0.937).ConclusionCharisma Smart composite resin exhibited significantly lower staining than all the other composite resins tested after using all toothpastes included in the study. Further laboratory and clinical studies are needed to fully understand the long-term effectiveness of whitening toothpaste on composite resin materials.

Carbon, nitrogen and oxygen implantation into TiN coatings

ObjectiveThe aim of our study was to measure the color changes in one-shade composite resins when exposed to common drinks, such as tea, cola and coffee.Materials/MethodsIn our study, Omnichroma, Vitrra APS Unique, GC A’chord and Charisma Diamond One composite resins were used. Composite resins were placed in stainless steel molds with depths of 2 mm and diameters of 5 mm. Ten specimens were immersed in tea, 10 specimens were immersed in coffee, 10 specimens were immersed in cola and 10 specimens were immersed in distilled water in an incubator at 37 °C for 14 days. Color measurements were performed at the beginning of the study and after 24 h and 14 days. Color values ​​were measured using a CIE L*a*b* system with a spectrophotometer device. Color and translucency changes were calculated and data analyzed using one-way ANOVA, two-way ANOVA, and post-hoc Tukey test (p < 0.05).ResultsThe greatest color changes occurred in the tea and coffee groups; the smallest color change occurred in the control group. After 14 days, the greatest color change was observed in the Charisma + Coffee group; the smallest color change was observed in the Omnichroma + Water group. The transparency and contrast ratios changed in all groups, and the smallest change occurred in the Omnichroma control group.ConclusionSignificant differences were found in the composite color changes after immersion in beverages. The color variations significantly differed depending on the beverage in which the specimens were immersed. The initial contrast ratio was markedly different from the examined materials.Clinical significanceThe study emphasizes the significance of common beverages on the color stability of one-shade composite resins, underlining the need of appropriate material selection for long-term aesthetic effects in one-shade composite resin restorations.

Minimally invasive approach for improving aesthetic in a patient with tetracycline-stained teeth by bleaching: A clinical evaluation

The aim of this in vitro study was to evaluate the effects of different sodium fuoride (NaF) concentrations and pH values on the Knoop hardness (KHN), surface roughness (SR), and morphology of bovine incisors bleached with 35% hydrogen peroxide (HP). Sixty-five bovine incisors were fragmented (5 mm(2) × 2 mm) and distributed in 5 groups: Control (unbleached), Low NaF/Acidic (35% HP + 1.3% NaF, pH 5.5), Low NaF/Neutral (35% HP + 1.3% NaF, pH 7.0), High NaF/ Acidic (35% HP + 2% NaF, pH 5.5), and High NaF/Neutral (35% HP + 2% NaF, pH 7.0). KHN analysis was performed with a microhardness tester under a load of 25 gf for 5 seconds. The average SR was obtained with a rugosimeter. KHN and SR were analyzed before and after treatments. For morphological analysis, specimens were dehydrated and gold-sputtered, and scanning electron micrographs were obtained and analyzed by 3 examiners with a double-blinded technique. KHN and SR results were analyzed by one-way ANOVA and Tukey's test (p < 0.05). Only the Low NaF/Acidic and Low NaF/Neutral groups showed significant differences between the initial and final KHN values. All bleached groups presented significant differences between the initial and final SR values. Among the bleached groups, the least and most morphological changes were shown by the High NaF/Neutral and the Low NaF/Acidic group, respectively. Treatment with 35% HP and 2% NaF at pH 7.0 promoted the least changes in morphology, hardness and roughness among the bleached groups. In-office bleaching with high-concentration HP and 2% NaF at neutral pH promoted the least changes in enamel hardness, SR, and morphology compared to other treatments.