Single Shade Research Articles

Comparative Analysis of Shade Matching in Class IV and V Restorations Using Single Shade and Multishade Composites -An in Vitro Study

Comparative Analysis of Shade Matching in Class IV and V Restorations Using Single Shade and Multishade Composites -An in Vitro Study

Flexural strength and degree of conversion of universal single shade resin-based composites

Background/purposeRecently, a group of universal single-shade resin-based composites (RBCs) has been developed to simplify the process of shade selection. Excellent mechanical and physical properties are crucial for the ultimate success and clinical longevity of restorations. Therefore, evaluating the properties of the single-shaded RBCs is imperative. This study aimed to determine the flexural strength (FS) and degree of conversion (DC) of universal single-shade RBCs. Materials and methodsIn this study, four commercial RBCs were used; three universal single-shade RBCs; Omnichroma (OC), Charisma® Diamond ONE (CD), and Vittra APS Unique (VU), and a conventional nanohybrid composite Filtek™ Z250 XT (FT) which was used as a control. Sixty composite beams and 40 composite discs were used for FS and DC, respectively. A universal test machine with a three-point bending test was used to measure the FS, whereas the DC was measured using a Fourier-transform infrared spectrometer (FTIR). Three fractured specimens from each resin composite group were qualitatively analyzed using scanning electron microscopy. ResultsANOVA was used to compare the mean values of FS and DC among the four RBCs (OC, CD, VU, and FT). Highly significant differences were observed in the mean FS and DC values (F = 673.043, p < 0.001 and F (=782.4, p < 0.0001), respectively. The highest FS was observed in the CD group, followed by FT and VU groups; the lowest value was observed in the OC group. In addition, a statistically significant difference was identified in DC values. The highest DC value was observed in VU, followed by OC and CD, and the lowest DC value was observed in FT. ConclusionUniversal single-shade RBCs demonstrated a good FS, except for OC, which exhibited a significantly low FS. The DC of the universal single-shade RBCs was higher than that of the conventional nanohybrid composite restorative material.

The Effect of Home Bleaching on Color Match with Anterior Single Shade Composite Restoration

Background: Aim of this study is to assess the color matching in class III restorations made with single-shade resin composite after bleaching with different carbamide peroxide concentrations. Methods: In this study, 20 human incisors that were free of caries or enamel abnormalities and freshly extracted for periodontal or orthodontic reasons were cleaned of blood, debris, and calculus. Mesial and distal surfaces were restored with single-shade composite (Omnichroma, Tokuyama, Japan). All samples were randomly divided into two groups, all of the mesial surfaces were isolated, and distal surfaces were coated with %10 and %15 carbamide peroxide (Opalescence PF; Ultradent Products, Inc, USA). Polishing discs (Zenit Flex, President Dental, Germany) were used the composite restoration. Color matching was evaluated on photographs with a digital colorimeter. SPSS software program was used to perform statistical analysis (IBM Corp., Armonk, NY, USA). Results: Statistically significant difference was found between the color matching of the restorations after the 5th treatment with 15% carbamide peroxide (p = 0.004), and at the end of 10th treatment with 10% carbamide peroxide (p = 0.028). Depending on the carbamide peroxide concentration, after the 5th treatment a statistically significant difference was found between 15% and 10% carbamide peroxide (p = 0.000), but no statistically significant difference after the 10th treatment (p &amp;gt; 0.05). Conclusions: After carbamide peroxide bleaching, hard tissue color became lighter. Since there is no color pigment in single-shade composites, color might be lighter after bleaching. Therefore, these composites may be considered safer in bleaching. Keywords: Bleaching, Color Match, Composite

The effect of different liquids on the surface roughness and color stability of single shade and nanohybrid resin composites: An AFM and SEM analysis.

The aim of this study is to evaluate the surface roughness (SR) and color changes of single-shade and nanohybrid resin-based restorative materials (RBC) after immersion in liquids at different pH values. For RBCs, a total of 120 specimens, 30 for each material, were prepared using 10 mm diameter and 2 mm thick molds. For flowable bulk fill RBC, a total of 40 specimens, 10 for each material, were prepared using 10 mm diameter and 4 mm thick molds (n = 10). After initial color and SR measurements, samples were stored in the liquids for 14 days and all of the measurements were repeated on 14th days. Scanning electron microscopy and atomic force microscopy analyzes were performed in all groups. When SR results are examined; among all liquids, the highest SR value was observed in the Carisma Diamond One (CDO) group, while the lowest SR value was observed in the Omnichroma Flow Bulk (OMF) group (p < .05). When the color changes (ΔE) results are examined; it was observed that CDO group had highest color change and OMF group had the lowest values. It has been observed that among the liquids, the liquids that affect the ΔE values of the materials the most are coffee and cola. When the ΔE values of the subgroups of the materials were examined, there was a statistically significant difference in all subgroups of RBCs (p < .05). While acidic liquids increased the SR of RBCs, coffee more affected the color change of RBCs. RESEARCH HIGHLIGHTS: Clinicians should keep in mind that the RBCs tested may change their surface properties and colors when exposed to various liquids. People who have RBCs should pay attention to the consumption of acidic and highly pigmented liquids.

On color adjustment potential and color blending threshold of dental composite resins.

Color Adjustment Potential evaluates the color blending of dental Composite Resins. While Color Adjustment Potential is simple, its clinical relevance is unclear. This research aims to understand it better and to create an index for Composite Resins with meaningful clinical interpretation. Single and double shade composite disks of various diameters and opacities were created to test the indices. Color measurements used a dental colorimeter, avoiding subjective assessments. Color Adjustment Potential analysis of each material revealed insights, leading to the creation of a new Color Blending Threshold, providing a clinically relevant numerical value for Composite Resins. Color Adjustment Potential's numerical significance was clarified and introduced a new index for clinical applications. Color adaptation of each test shade to all Vita shades was also calculated, useful for single-shade restorations in open and closed cavity types. The proposed Color Blending Threshold defines the open/closed cavity dimension that can be adequately restored with a single shade of resin composite. Understanding how dental materials adapt to surrounding tooth colors enhances esthetic restorations, simplifies shade matching, and optimizes resin composite production. The proposed Color Blending Threshold is a parameter that directly relates to the clinical significance of a material's true color blending ability. It defines the cavity dimension that can be adequately restored with a single shade of resin composite while ensuring that the resulting color difference falls below a predetermined threshold, meeting the clinical requirements for an esthetic restoration.

Color adjustment potential of two single shade resin-based composites before and after staining

Color adjustment potential of two single shade resin-based composites before and after staining

Optical behavior and marginal discoloration of a single shade resin composite with a chameleon effect: a randomized controlled clinical trial

Objective/aimEvaluating the optical behavior and marginal discoloration of a Single-shade universal resin composite over 12 months. To achieve this, a split-mouth with a double-blinded randomized strategy was employed.Materials and methodsTwenty adult patients, each presenting with at least two caries lesions in their posterior teeth, were selected and randomly subdivided into two identical groups: Group I received Single-shade universal resin composite (Omnichroma), and Group II received multi-shade nanohybrid resin composite (Tetric®N-Ceram). Color measurements and marginal discoloration were assessed visually by three blinded operators at baseline followed after 1,3,6,9, and 12‑month periods utilizing the Modified United States Public Health Services (USPHS) criteria. Statistical analysis was adopted utilizing the Wilcoxon test with a 0.05 significance level.ResultsThe two groups revealed non-statistically significant differences up to 6 months regarding color match and color stability. After 9 and 12 months, the multi-shade group demonstrated a statistically significant higher prevalence of color match (Alpha) scores than the single-shade universal group. Regarding marginal discoloration, all restorations in the two groups had no discoloration (Alpha scores).Discussion/conclusionSince the percentage of Alpha and Bravo scores was considered clinical success, both the single-shade universal and the multi-shade nanohybrid resin composites demonstrated satisfactory optical performance and marginal discoloration as posterior restorations after a 12-month follow-up period.

Effect of different finishing and polishing systems on surface properties of universal single shade resin-based composites

BackgroundRecently, universal single-shade resin composites have become increasingly available in the dental market. The modification of their composition can have an inadvertent effect on their physical and surface properties, and subsequently determinantal effect on their clinical function and longevity. Therefore, this study aimed to evaluate the effect of different finishing and polishing (F/P) systems on surface roughness (Ra), surface gloss (GU), and Vickers microhardness (VMH) of universal single-shade RBCs.Materials and methodsFour commercial RBCs were used; the universal single-shade RBCs were Omnichroma, Charisma® Diamond ONE, and Vittra APS Unique, and a conventional nanocomposite Filtek™ Z250 XT was used as a control. The 3 F/P systems were Sof-Lex™ XT, Enhance®/PoGo®, and Diacomp® Plus Twist. A total of 160 discs were used for the 3 F/P system groups for all RBCs (n = 10). After F/P, the Ra, GU, and VMH were assessed. The data were analyzed using 2-way ANOVA at p-value < 0.05.ResultsSignificant differences were found among the four RBCs and the 3 F/P systems (p < .000). Omnichroma showed the lowest Ra and acceptable GU, but the lowest VMH. Charisma showed the highest Ra, acceptable GU, and VMH. Vittra showed acceptable Ra, GU, and VMH and Filtek showed the highest GU, VMH, and acceptable Ra.ConclusionAlthough conventional nanohybrid RBC (Filtek Z250 XT) showed better GU and VMH values, the universal single-shade RBCs demonstrated comparable surface properties. The highest GU & VMH and lowest Ra were achieved by Diacomp followed by Enhance and Soflex.

Effect of Restoration Depth and Thermocycling on Color Matching of a Smart Single Shade Universal Resin Composite with the Surrounding Hard Dental Tissues

Effect of Restoration Depth and Thermocycling on Color Matching of a Smart Single Shade Universal Resin Composite with the Surrounding Hard Dental Tissues

Esthetical Properties of Single-Shade and Multishade Composites in Posterior Teeth.

This study aimed to compare the aesthetic properties of posterior composite restorations made with a multishade (MS) or single-shade (SS) material. For that, 23 extracted human molars were used. The shade determination was performed, and the occlusal anatomy was registered by a custom-made stamp. Then, class I preparations were made, and each tooth was restored twice, using two different composites of MS/opacity layering material (Admira Fusion-Voco) and an SS/opacity bulk-fill composite (Admira Fusion X-tra-Voco). After finishing the first restoration with the MS material, a standardized picture was taken, and the restoration was removed. Then, the preparation was restored again with the other composite, obtaining a new picture. The pictures were randomly analyzed by 10 calibrated evaluators regarding color match using the FDI criteria. The evaluators were blinded to the restorative material used. Data were analyzed using an unpaired t-test and Wilcoxon test. The significance level adopted in the study was 5%. As a result, there were nonsignificant differences between the composites evaluated for color match, as well nonsignificant differences were obtained related to which restorative technique produced the best aesthetic results. Only for darker shades (A4, B4, and C4), most of the evaluators considered the restorations made with the MS material more aesthetic than with the SS, while for the other shades, nonsignificant differences were observed. Therefore, the choice of the SS and the MS/opacity composites does not influence the aesthetic outcome of posterior restorations for the lighter shades. However, the use of bulk fill material for dark shades is less favorable than the MS layering ones.

Visual and Instrumental Color Match Evaluation of Single Shade Composites before and after Bleaching Procedures: A Pilot Study

Background: One of the major challenges in restorative dentistry is to obtain an adequate color match between composite restorations and the surrounding tooth. This match depends on several chromatic variables related to the composite itself but also to the teeth. Bleaching procedures are not to be able to modify the shade of composite restorations to a lighter color as it does on natural teeth. Objective: The objective of this study is to evaluate the visual and instrumental color match of two single-shade resin-based composites in human-extracted teeth before and after bleaching treatment. Methods: Six extracted human posterior sound teeth were used. Round-shaped V-class cavities (2x2x4mm) were prepared buccally 2mm away from the CEJ. Two single-shade resin composites (OM-Omnichroma and VE-Venus Diamond One) were used for the restorations. Tooth color was measured using an intraoral spectrophotometer. Visual analysis was carried out by 16 calibrated observers, and the differences were graded from 0 (excellent match) to 4 (huge mismatch). Teeth were then bleached using 40% H 2O2 (Opalescence Boost PF, Ultradent), and visual and instrumental evaluations were performed after 24 hours. Results: Before bleaching, visual analysis showed a mean value of 0.16 for OM and 0.24 for VE. After bleaching, the color match showed a mean value of 0.14 for OM and 0.22 for VE. Regarding the instrumental analysis, each restoration matched the tooth VITA scale grade before bleaching and followed the natural tooth VITA scale grade after bleaching procedures. Conclusion: Within the limits of this pilot study, both composites seem to have excellent color-match properties with the surrounding tooth structure.

Effect of coffee on color stability and surface roughness of newly introduced single shade resin composite materials

BackgroundDentists started to follow the era of using single-shade resin composite restorations to avoid color shade selection. Our study was done to evaluate and compare the color stability of two single-shade resin composite materials.MethodsSixty samples were randomly allocated into two main groups (n = 30) according to the composite resin used: Group O: (Omnichroma) samples and Group V: (Venus Peral) samples. Each group was then divided into two subgroups (n = 15): group O1 and V1: samples immersed in coffee. Group O2 and V2: samples immersed in distilled water. Color changes (ΔE) and roughness values (Ra) were evaluated at baseline, first, and 14th days of immersion. The color change was assessed using Vita Easyshade V, while surface roughness was assessed using a profilometer and Atomic Force Microscope (AFM). Data were collected and statistically analyzed using two-way variance analysis (ANOVA) and Tukey's post-hoc test (p < 0.05).ResultsGroup O1 and V1 recorded the highest ΔE00 (P = 0.002, 0.0001, respectively) and Ra values (P < 0.001) with no significant difference between both materials at 14 days.ConclusionSingle shade resin composite with innovative chromatic material technology has dramatic color change and surface roughness that sacrifice esthetic success.

Effect of bleaching on the color match of single-shade resin composites.

To evaluate the color match of single-shade resin composites before and after bleaching procedures, through instrumental and visual analyses. Class V cavities were created on the buccal surfaces of 80 extracted human molars, restored with 4 single-shade composites (Omnichroma; Clearfil Majesty ES-2 Universal; Essentia Universal; Venus Diamond One). A spectrophotometer (VITA Easyshade V) was used to evaluate the tooth/resin color match before (T0), and 24 h (T1) and one week (T2) after dental bleaching (Opalescence Boost PF 40%). Color variations (ΔE00) were calculated and statistically analyzed (P < 0.05). Visual analysis was performed before and after tooth bleaching. Spectrophotometric evaluations revealed statistically significant differences between materials at T0, T1, and T2 (P < 0.05). Visual analysis reported excellent and very good grades (0 and 1, respectively), irrespective of the materials and timepoints. Data seem to indicate that single shade composites are able to shift their color when the surrounding tooth undergoes bleaching effects. Single-shade composites seem to achieve a good color match with the surrounding tooth structure, before and after professional bleaching.

Effect of External Bleaching on Color Change of Single Shade Resin Composite Versus Nano-Filled Resin Composite in Class V: In Vitro Study

Aim: This study investigated the effect of bleaching on color change of the single shade universal composite (Omnichroma) versus nano-filled resin composite (Z350 XT). Materials and Methods: Twenty premolars of shade A3 were used for the study. Standardized class V cavities were prepared on the cervical third of the buccal surface of all teeth. After that, teeth were randomly divided into two groups of 10 teeth each according to the type of resin composite used. After composite application, all teeth were stored individually in distilled water for 24 hours. Evaluation of the restoration color was done using VITA Easyshade. The teeth were bleached and stored again for another 24 hours. Re-evaluation of the restoration color was done at 24 hours, one week and one month after bleaching. Results: There was no statistically significant difference between the two restorative materials at 24 hours and after one week. While there was a statistically significant difference between the two restorative materials after one month. Conclusion: Omnichroma single shade universal restorative material demonstrates structural color change post-bleaching procedure

Cierre de diastemas múltiples mediante el uso de resina universal Omnichroma. Reporte de caso clínico

The presence of diastemas is one of the most common aesthetic complaints among patients. The use of composite resins is a good aesthetic and functional option to perform restorations and implement restorative techniques in a minimally invasive way. The resin layering technique was introduced in 1980, giving very good results in color selection, but being the most complex procedure and requiring great technical skills in addition to an increase in clinical time. Composite materials and restorative techniques that aid in the simplified use of clinical protocols are highly sought after by dentists to reduce chair time and minimize post-operative sensitivity. It is for these reasons, in addition to simplifying shade taking, that Tokuyama Dental developed Omnichroma resin which claims to have the ability to copy the color of the remaining tooth substrate shortly after light curing known as the “Chameleon Effect” using a single shade. The objective of this article is to describe in detail, through a clinical case report, the closure of diastemas with Tokuyama Dental's Omnichroma universal resin.

Color stability and surface roughness of ormocer- versus methacrylate-based single shade composite in anterior restoration

BackgroundThe blending ability of universal shade composites and their stability in the oral environment are of great concern in restoring anterior teeth. This study aims to evaluate and compare the color stability and surface roughness of two single-shade composite restorations, ormocer-based composite (OBC) and methacrylate resin-based composite (RBC), after storing them in different staining media.Materials and methodsIn this study, two universal shade composite restorative materials were tested: a nanohybrid OBC (Admira fusion X-tra, Voco) and a supra-nanofilled RBC (Omnichroma, Toukyama). In total, 60 cylindrical centralized cavities (diameter: 5 mm, depth: 2 mm) were prepared in sound extracted-human central incisors and divided into two equal groups according to the restorative material used (n = 30). According to the storage media, the teeth of each group were divided into three subgroups (n = 10): artificial saliva, black tea, and cola. The restoration color was evaluated for all teeth at baseline and after four weeks of storage. The color stability (∆E) was measured using a reflective spectrophotometer (X-Rite, model RM200QC, Neu-Isenburg, Germany). The surface roughness (Ra) was evaluated using three-dimensional optical profilometry (Wyko, Model NT 1100, Veeco, Tucson, USA). Additionally, the extracted data were analyzed using two-way analysis of variance (ANOVA), one-way ANOVA and Student’s t-test.ResultsIn the baseline evaluation, there were no statistically significant differences with respect to color matching or surface roughness results between the two studied restorative materials. However, the differences were statistically significant after storing them in different media.ConclusionUniversal composites showed satisfactory color matching with different teeth colors and accepted surface smoothness, whereas the aging procedure exerted a negative effect on their color stability and surface characteristics.

Restoration of posterior tooth with single shade composite: A case series

Composite restoration is a popular material to restore tooth structure due to dental caries as there is an increasing demand for aesthetic restoration. With the advancing technologies, it has excellent physical characteristics which increases its longevity. However, the appropriate case selection also influences the outcome as composite is technique sensitive. This material can be offered to patient seeking less time-consuming procedure, better preservation of tooth structure, affordable but acceptable aesthetic outcome. These three cases presented shows the possibility of creating a good aesthetic result in posterior tooth restoration with the use of single shade composite.

A Comparative Study of Cooling Performance and Thermal Comfort under Street Market Shades and Tree Canopies in Tropical Savanna Climate

Walking through street markets is the most popular outdoor activity in Thailand, promoting local economies and tourism. In the year-round hot and humid conditions, living outdoors with long heat exposure throughout the midday can result in heat-related illness. Artificial shade structures and tree shade canopies are typical cooling strategies to protect market sellers and pedestrians from direct sun exposure and improve outdoor human thermal comfort in the street market. This study investigates microclimate conditions and cooling benefits of typical street market shade structures with different settings—three roofing materials, two roof shapes, and surrounding trees with dense and sparse canopies. The dimension of the single artificial shade was 2 m × 2 m with heights varying 2–2.5 m. The vertical air temperature and sky view factor profiles were measured on winter and summer days. The calculated physiological equivalent temperatures (PET) and thermal comfortable hours beneath different shade structures were assessed using RayMan 1.2 software. A cluster of trees with a dense canopy provided more effective cooling (with a satisfied thermal condition of 9 h) than artificial shade structures. Thermal conditions under the galvanized steel roofing and HDPE tarpaulin plastic roofing shades were cooler than those of polycarbonate roofing shade. Meanwhile, the space beneath the sparse tree canopy had the warmest condition. The temperature reductions beneath the artificial shade structure varied throughout the day, with the maximum reduction occurring during midday and the lowest reduction found in the late morning and late afternoon. Our study demonstrates that the tree canopies and artificial shade structures had limited application for providing comfortable conditions throughout midday. To reduce such extreme heat, a combination of shade structures with other cooling techniques is suggested, which should be the focus for further studies.

Effect of Coloring Beverages on Color Stability of Single Shade Restorative Material: An In Vitro Study

BACKGROUND: Color mismatch between tooth structure and restoration is a common reason for restoration replacement. This is due, in part, to the diverse chemical structure of both substrates, which display a different staining potential resulting in a significant color mismatch. AIM: The aim of the study was to evaluates the color change of single shade resin composite and compare it to fibrous-filled resin composite (FRc) after storage in coloring beverages. METHODS: Trapezoidal Class V cavities were prepared on the buccal and lingual surfaces of 30 premolars. Cavities on the buccal surface were restored with Omnichroma (ON) and palatal surface with FRc. Specimens were stored on water, tea, and coffee solutions for 24 h and 72 h. The color change was measured after each immersion time and statistically analyzed using three-way analysis of variance (ANOVA) (α = 0.05). RESULTS: Three-way ANOVA showed that different materials had a significant effect on both ΔL and Δa (p &lt; 0.001). For both materials, ON in coffee showed the highest Δb values when compared to FRc for the same period. No difference between ON and FRc when stored in tea for 24 h and 72 h. CONCLUSION: Structural color property of ON can enhance the color perception of restoration to compensate for any color change after consuming coloring food and beverages.

Effect of Ageing, Staining and Polishing on the Colour Stability of a Single, a Group Shade and Nano Fill Dental Composite: An In-vitro Study

Introduction: With the increase in aesthetic requirements, more people are requesting tooth coloured fillings. An anterior restoration is deemed unacceptable if its color changes significantly. Aim: To assess the colour stability of a single shade, a group shade and a nano fill dental resin composite which comes in multiple shades. Materials and Methods: This in-vitro study was conducted in the month of August 2021 at the Advanced Technology Dental Research Laboratory at the King Abdul Aziz University, Jeddah,Western region, Saudi Arabia. Three composites were tested; a single shade (Omnichroma), a group shade (Optishade light (OL) and Optishade Medium (OM)) and a conventional nano fill (Z350) 40 cylindrical discs (10 mm in diameter and 2 mm in depth) were fabricated in total. Each material and shade to be tested had 10 samples per group (n=10). The materials were aged in a thermocycler for 5000 cycles then stained with either green tea or coffee for six days. Upon completion of the staining protocol, they were then polished with soflex diamond polishing system. Colour measurements were taken at each stage, calculated and compared. Mixed model repeated Analysis Of Variance (ANOVA) was performed to determine significance of the color change (ΔE00) between materials and treatments and Bonferroni test was used for multiple comparison between groups. Results: The effect of ageing varied according to individual material; Z350 had lower ΔE00 when compared to other materials. After staining with tea, it was found that Z350 and Omnichroma exhibited a significant change (p&lt;0.05) in ΔE00 when compared to OL. Polishing improved the ΔE00 in all the materials. All green tea-stained materials with the exception of omnichroma returned to a clinically acceptable E00 after polishing. After polishing coffee stained samples, OL and OM remained above the clinically acceptable threshold while Z350 and omnichroma were returned to a clinically acceptable level. Conclusion: All the materials showed a change in ΔE00 after ageing, with OM and Z350 being the only materials to exhibit a clinically acceptable change. While polishing decreased ΔE00 in all the materials, it did not return them all to a clinically acceptable level. Thus, polishing helps improve the appearance of stained restorations but may not be enough to completely remove stains, even in newly introduced direct aesthetic dental materials.