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

Abstract

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.