VITA Easyshade Research Articles

No-Ozone Cold Atmospheric Plasma Makes Distilled Water an Effective Tooth Bleaching Gel

Background: Tooth whitening with peroxide is linked to a number of negative consequences. This study aimed to evaluate the effect of tooth bleaching and color safety using no-ozone cold atmospheric-pressure plasma (NCP) with distilled water (DW) and to assess the microhardness and mineral composition of the treated teeth. Methods: The enamel of 90 extracted human teeth were randomly assigned to three groups (n = 30): Group 1 (no treatment), Group 2 (NCP + DW), and Group 3 (only DW). The overall color change (ΔE) was observed at 10 min, 20 min, 30 min, 1 day, 7 days, 1 month, 3 months, and 6 months after treatment and quantified. Six cadavers treated with NCP and DW for 30 min were evaluated for color change using ShadeEye NCC and the VITA Easyshade. Furthermore, the microhardness and mineral composition of the teeth were evaluated using a Vickers hardness tester and an electro micro analyzer, respectively. All statistical data were analyzed at a significance level of 5%. Results: Group 1 showed no color change. The ΔE values of Group 2 were 17.67 and 5.62 times higher than those of Group 3 after 30 min and 6 months, respectively. Methylene blue solution revealed that the concentration of hydroxyl radicals was higher in Group 2. The average ΔE value using ShadeEye NCC for cadaveric teeth was 4.0. Evaluation via VITA Easyshade showed that the brightness was increased by 5 levels. No significant differences were observed among the groups in terms of the microhardness of the enamel and dentin or the Ca, P, Na, Cl, Zn, and Mg values in the enamel and dentin. Conclusions: Tooth bleaching using NCP with DW exhibited high efficacy without inducing damage or demineralization in the dental hard tissue.

Effect of conventional cigarette smoking and recent heated tobacco products on CAD/CAM restorative materials

ObjectiveTo determine the effects of conventional cigarette smoking (CS) and recent heated tobacco products (HTPs) on the surface roughness and color stability of different indirect restorative materials.Materials and methodsOne hundred disc-shaped samples were constructed of three different restorative CAD/CAM materials: lithium disilicate glass–ceramic (IPS e.max CAD; Ivoclar Vivadent, Liechtenstein), zirconia (BruxZir® Zirconia, Glidewell, USA) and polyetheretherketone (BioHPP® bredent GmbH, Germany). Of the IPS e.max CAD and the Bruxzir samples, 20 samples were glazed, and 20 samples were polished, while the BioHPP samples were all polished according to the manufacturer’s instructions.Fifty samples were subjected to conventional cigarette smoking (LM, Philip Morris International Inc., Egypt) (Groups: IPS e.max CAD_Glazed exposed to CS (LD_G_Cig), IPS e.max CAD_Polished exposed to CS (LD_P_Cig), Bruxzir_Glazed exposed to CS (Zr_G_Cig), Bruxzir _Polished exposed to CS (Zr_P_Cig) and BioHPP exposed to CS (PEEK_Cig) and fifty samples were exposed to heated tobacco product smoking (Heets, Russet selection, Philip Morris International Inc., Italy) (Groups: IPS e.max CAD_Glazed exposed to HTP (LD_G_HTP), IPS e.max CAD_Polished exposed to HTP (LD_P_HTP), Bruxzir_Glazed exposed to HTP (Zr_G_HTP), Bruxzir CAD_Polished exposed to HTP (Zr_P_HTP) and BioHPP exposed to HTP (PEEK_HTP).. Six hundred cigarettes/heets representing 30 days of medium smoking behavior (20 cigarettes/day) were used. Before and after exposure to smoke, the surface roughness of all the samples was measured using JITAI8101 surface roughness tester (Beijing Jitai Tech Detection Device Co., Ltd, China, and the color parameters were assessed using VITA Easyshade Advance 4.01 (VITA shade, VITA made, VITA). The data were analyzed using One-way ANOVA, paired sample t-test and independent sample t-test. The significance level was set at α < 0.05.The surface topography was evaluated by scanning electron microscopy (SEM) and analyzed using energy-dispersive X-ray (EDX) spectroscopy to determine changes in the surface chemical composition.ResultsBoth types of smoking caused significant increases in the surface roughness of all the samples. There was a significant difference in color change between CS and HTP for all materials with different surface finish (P < 0.01) and zirconia had the greatest effect on color change (P < 0.001). In contrast, polyetheretherketone (PEEK) “BioHPP” had the least effect (P < 0.001).ConclusionExposure to different types of smoking induce changes in the surface topography and color of different esthetic restorative materials. Compared with HTP, conventional cigarette smoke has a greater effect on the surface roughness and color stability of esthetic restorative materials. The glazed surfaces showed less change in surface topography than did the polished surfaces. Zirconia showed better color stability when compared to polyetheretherketone (PEEK).

Instrumental and Visual Evaluation of the Chameleon Effect of Single-shaded Composite Resins.

To evaluate the shade-matching ability of single-shade resin-based composite restorations in different thicknesses using both instrumental and visual techniques. Cavities with 4 mm diameter and 2 mm (n=96) or 3 mm (n=96) depth were prepared in acrylic incisor teeth of shades A2, A3, B3, and C2 and restored with three single-shade resin composites, Omnichroma (Tokuyama Dental America, Encinitas, CA, USA [OM]), Vittra APS Unique (FGM Dental Group, Joinville, SC, Brazil [VU]), Zenchroma (President Dental, Allershausen, Germany [ZC]), and a microhybrid resin composite (Filtek 3M Z250 3M ESPE, St Paul, MN, USA [FZ]) of A2, A3, B3, and C2 shades. Readings were obtained using VITA Easyshade V spectrophotometer for the teeth and restorations. The CIEDE2000 (ΔE00) color difference formula was used, and the values were assessed using three-way analysis of variance (ANOVA). Forty-eight evaluators graded the shade match of 32 different specimens visually as (A) best shade match, (B) intermediate shade match, and (C) poor shade match. FZ material achieved satisfactory matches for both thicknesses, across all shades, and OM material demonstrated statistically significant lower shade matches than the ZC and the FZ materials (p<0.05). VU exhibited poor shade match with the highest ΔE00 value on C2 shade. According to the visual examination, the best shade matches were observed for FZ on A3-shade and ZC on C2-shade teeth. Shade matching for 2 mm and 3 mm-thick composite resin restorations is material- and tooth-shade dependent.

Effect of different instrumental techniques and clinical experience on shade matching.

Many factors can affect the aesthetics of dental restorations, including the instrumental techniques used in shade matching, and can lead to clinical failure. The aim of this study was to investigate the effectiveness of using the cross-polarization digital photograph technique and intraoral scanners for shade matching, and also evaluate the effect of the level of clinical experience on shade matching success. Color analysis was performed on the maxillary right central incisors of 10 subject models with Vita Easyshade. Intraoral scanning was performed 10 times on each model using TRIOS 3 and color analysis was performed from the same spot. Then cross-polarized and non-polarized photographs of the models were taken with standard settings using a gray reference card. Each shade tab of the Vita System 3D-Master scale was also photographed with two different polarization techniques. Four groups (n = 12), including prosthodontics faculty staff, postgraduate students in prosthodontics, undergraduate students, and dental technicians matched the shade tabs and the model photographs obtained with both techniques on a standardized computer screen. Finally, the color differences between the shade tabs and maxillary central incisors matched by observers from four different groups were recorded using a colorimeter, Classic Color Meter, in accordance with the CIELAB system and CIEDE2000 (ΔE00) values were calculated. The data were compared with the acceptability threshold of 1.80 for ΔE00. The data obtained from the observers were analyzed with IBM SPSS Statistics 26.0 Release Notes program. Independent Samples t-test was used to compare normally distributed data according to binary groups. The level of significance was 0.05. A statistically significant difference was found in the shade matching on photographs taken with different techniques in postgraduate students (p = 0.02). Also, there was a statistically significant difference in success between the groups that made shade matching based on photographs obtained with the non-polarization technique (p = 0.00). The undergraduate students achieved statistically significantly lower results than all other groups (ΔE00 = 5.57±1.07). The kappa value between the intraoral scanner and spectrophotometer results was 0.10, and this value was not statistically significant (p = 0.32). The cross-polarization technique used especially for shade matching is not superior to the non-polarization technique. Academic and clinical experience might be correlated with shade-matching success with the non-polarization technique. The clinical acceptability threshold could not be achieved in the shade matchings made on digital photographs taken with both techniques. Shade matching performed with an intraoral scanner did not yield reliable results.

The Effect Of Mouthwashes On Color Change In Universal Composite Resin

Background: The use of mouthwash has increased and become a habit since the Covid-19 pandemic. The use of mouthwash is recommended for prevention. The mouthwashes that American Dental Association (ADA) and Center for Disease Control and Prevention (CDC) recommended are chlorhexidine gluconate (CHX), hydrogen peroxide (H2O2), cetilpyridinium chloride (CPC), povidone iodine (PVP-I), dan chlorine dioxide (ClO₂). Universal composite resin is used for every tooth color requirement and has a chameleon effect that can disguise, eliminate, minimize, and neutralize mismatched colors. This study aims to determine various mouthwashes’ effects on the discoloration of universal composite resin. Method: This research is an experimental laboratory by comparing the color changes before and after treatment. Thirty samples of universal composite resin with a width of 10 mm and a height of 2 mm were divided into 5 mouthwash test groups and 1 control group. Color test using a Vita Easy Shade V spectrophotometer and the data were shown in DE assessment. Result: Data were analyzed with One Way ANOVA on DE assessment with the significance level p0.05 on 5 test groups. Conclusion: The 5 groups of mouthwashes showed there was a color change in the DE assessment of universal composite resin

Effectiveness of low-viscosity resin infiltration (Icon) on color change of enamel white spot lesions: 1-year follow-up clinical study

BackgroundTo evaluate the effect of the low-viscosity Icon resin infiltrate application on the color change of white spot enamel lesions (WSLs) over 3-, 6-, and 12-m follow-up periods.MethodsNinety-six teeth diagnosis with WSLs using the ICDAS scoring system in 49 participants were assessed for their color change using the Icon resin infiltration technique. The Icon kit was applied to WSLs as instructed by the manufacturer. Icon-Etch (15% hydrofluoric acid) was applied to the lesions for 2 min, and then, it was rinsed off with copious amount of water for 30 s. Then, Icon-Dry (99% ethanol) was applied to the etched lesions for 30-s followed by the application of the Icon resin infiltrate that was light cured for 40 s. Color change assessment was performed using Vita Easyshade V spectrophotometer at baseline and immediately after Icon resin infiltration, then at 3-, 6-, and 12-m follow-up periods. Analysis of the data was performed using the test of repeated measure ANOVA and the paired sample t test.ResultsThere was a statistically significant difference in ∆E between the different follow-up periods at immediate, 3-m, 6-m, and 12-m. The highest mean value was found in the immediate follow-up period, while the lowest mean value was found in 12-m follow-up period.ConclusionsLow-viscosity Icon resin infiltration has the ability for immediate diffusion into the WSLs giving an immediate improvement in the esthetic outcome of the WSLs. However, its long-term outcomes might not be consistent for the color change of the WSLs.

Assessment of Tooth Shade Measurement Precision and Consistency with Digital Photography Calibration System.

To ascertain the degree of precision and repeatability inherent in the "capture to edit" digital imaging system, namely the ColorChecker Passport Photo (X-Rite, MI, USA), and to juxtapose its performance against spectrophotometric assessments utilizing the Vita Easyshade® (Vita Zahnfabrik, H Rauter GmbH & Co. KG., Bad Sackingen, Germany) for the same set of teeth. Eighty participants aged 19-25 were included in the study; all of them were Croatian students at the School of Dental Medicine, University of Zagreb. Color measurements of the maxillary right central incisors were performed in controlled, standardized laboratory conditions. The measurements were performed on calibrated digital photographs by an experienced clinician three times in a row, and L, a, and b of CIELAB color space values were recorded. The same procedure was performed using the Vita Easyshade 5.0 spectrophotometer (Vita Zahnfabrik, Bad Säckingen, Germany) in "Tooth single" mode. The Cronbach's alpha was used as a repeatability measurement, thus revealing high consistency for both methods (α=0.94-1). Correlations were moderate (Pearson r=0.44-0.66 p<0.05). Testing confirmed that digital photography is inaccurate as spectrophotometry (p<0.05). An analysis of errors of means and their standard deviations revealed consistent discrepancies with minor deviations. The "capture to edit" method showed high consistency (Cronbach's α=0.94-0.96), and it exhibits comparability in terms of variability, reliability, and repeatability when compared to spectrophotometric measurement (VitaShade 5, VitaZahnfabrik). Disparities between the methods are evident and anticipated, yet they do not follow a consistently linear pattern. The combination of repeatability and consistency renders the "capture to edit" method a valuable tool for enhanced color mapping, thus facilitating comparisons between digital images.

CLINICAL AND MORPHOLOGICAL ASSESSMENT OF THE EFFECTIVENESS OF THE APPLICATION INNOVATIVE THERAPEUTIC AND PROPHYLACTIC TOOTHPASTE IN THE COMPLEX TREATMENT OF PATIENTS WITH MAJOR DENTAL DISEASES

The social and economic development of a society is largely determined by the level of health of its young population. The objective of this study was to increase the effectiveness of preventive and comprehensive treatment of young patients with major dental diseases using an innovative therapeutic and preventive toothpaste based on organic gel. A group of 32 volunteers participated in the study. All patients underwent a complex dental examination that included basic and additional methods (determination of indices of caries intensity, indicators of oral hygiene (simple hygiene index OHI-S, Silnes-Low index), evaluation of periodontal tissue status (papillary-limbal alveolar abscess index PMA, gingival bleeding in inflammatory periodontal disease index BI Müllmann), evaluation of pain (hypersensitivity) to stimuli using a visual analog scale (VAS), measurement of the electrical conductivity of tooth enamel using the Dentest electrodiagnostic device (ZAO Geosoftident), clinical evaluation of enamel remineralization rate, spectrophotometer "VITA (Easy Shade) (VITA) to evaluate tooth discoloration, oral fluid immunoassay, and cytomorphometric studies of the buccal epithelium. The results of the clinical trials showed that the therapeutic and prophylactic toothpaste has excellent consumer characteristics, has no allergic or local irritant effects on the oral mucosa, improves the natural protection of the oral cavity, effectively cleans up to 100% of the oral cavity, provides anti-inflammatory effects, eliminates gum swelling and bleeding from the first use, reduces tooth sensitivity, reduces tooth enamel structure, and was shown to have no toxic effect on the cells of the buccal epithelium. The results of the clinical trial suggest that the innovative therapeutic and prophylactic dentifrice can be recommended for daily use in a wide range of individuals, as well as in patients with low tooth enamel resistance, various periodontal diseases, and oral mucosa.

Color variation between composite and vita classical shade guide

The correct replication of color and translucency of the tooth structure is one of the biggest challenges in esthetic and restorative dentistry and mistakes in tooth shade selection may lead to failures in treatment. Objective: This study aim to evaluate, through CIEL * C * h * and CIEL * a * b * color systems, the difference between color of composite and Vita Classical shade guide, using the Vita EasyShade spectrophotometer. Material and methods: Four composite (Forma, Opallis, Oppus and Vittra) shade A2 were used. The specimens (n=6) were obtained using a steel matrix (4x2mm), then hydrated for 7 days and submitted to the finishing and polishing procedures; for subsequent color measurement with spectrophotometer. The color variation was calculated by measuring both color systems values of each material and comparing them with the Vita A2 shade guide results. The statistical analysis used was one-way ANOVA / Tukey test, considering a significance level of 5% (p≤0.05). Results: All materials showed color variation when compared to the shade guide. By the analysis of L*C* h*, all materials demonstrated a color variation greater than what is considered clinically unacceptable, whereas in the analysis of L*a*b* only Vittra APS resin composite showed a clinically acceptable color variation. Conclusion: The analyzed materials showed a great variation of color and the Vita Classical shade guide might not be in accordance to composite shade.

Effect of Acidic Media on Surface Topography and Color Stability of Two Different Glass Ceramics.

The aim of this study was to determine the effect of two acidic beverages (orange juice and H3PO4-containing fizzy drink) on the surface topography and color stability of two commonly used computer-aided design/computer-aided manufacturing (CAD/CAM) ceramic materials. Sixty samples of two CAD/CAM ceramic materials, lithium disilicate (IPS e-max CAD) and zirconia reinforced lithium silicate (Vita Suprinity), were prepared according to the manufacturer's instructions. The samples were immersed in one of three media (artificial saliva, orange juice and H3PO4-containing fizzy drink) and then stored in an incubator at 37 °C for 24 hours). Before and after immersion in different media, the surface roughness (Ra) of the samples was assessed using profilometer (JITAI8101 Surface Roughness Tester-Beijing Jitai Tech Detection Device Co. Ltd, China) and the color parameters were measured using VITA Easyshade Advance 4.01 (VITA shade, VITA made, VITA). Surface topography was observed using scanning electron microscope (SEM) and surface mineral content was compared before and after immersion. Paired sample t-test was used to determine the change in Ra before and after immersion. Two-way analysis of variance was used to determine the effect of different CAD/CAM materials and immersion media on the mean ∆Ra and mean ∆E of the studied groups. Tukey's honest significant difference posthoc test was used for multiple comparisons at a level of significance (α = 0.05). A significant increase in Ra and a decrease in the color stability of the two investigated ceramic materials were detected after immersion in the acidic media than in artificial saliva. SEM and energy-dispersive X-ray results revealed the dissolution of the glassy matrix and the exposure of silicate crystals. The surface topography and color stability of glass ceramics are affected by the pH of different acidic media.

Effects of sterilization on the color of ceramic shade guides used in fixed prosthetics

Aesthetic demands are very high in dentistry, and the color of prosthetic teeth is an important factor in success. Today, despite technological advances, the shade guide is still the most widely used instrument for determining tooth color. During the color selection process, the shade guide meets mucous membranes and saliva, making it a semi-critical material. To avoid any risk of cross-contamination, the shade guide can be sterilized. The aim of this study was to assess the impact of sterilization on the color of ceramic shade guides used in fixed prosthetics.: This was a quasi-experimental study. The study population was the sample teeth of the VITA 3D MASTER® shade guide and the VITA CLASSICAL® shade guide, except for the bleaching samples. Brightness, chroma, hue and delta E (∆E) were studied. Before and after each cycle of 120 sterilizations, measurements were taken using the VITA EASYSHADE V® Spectrophotometer. 2 to 2 comparisons of the mean brightness values show statistically significant differences between the two shades. For the same comparison, statistically significant differences were found for the shade and ∆E of the VITA 3D MASTER® shade guide. Sterilization leads to variations in shade guide color. Progressive wear could lead to color changes that are not clinically acceptable and could hinder the esthetic results of prostheses. It would be important to determine the number of sterilization cycles that should not be exceeded when using shade guides.

Color Differences of Polimerized Resin-Based Composites and Corresponding Shade Guides

Objective: The purpose of this study is to analyze and compare the colors (A2, A3 and A3.5) of polymerized resin-based composites (RBCs) with respect to the shade numbers within each product line and the VITAPAN Classical® shade guide they purported to represent. Methods: Three A-shades (A2, A3 and A3.5) from four RBC products (Harmonize®, Empress® Direct®, Grandio® and Filtek® 500) were compared within the VITAPAN Classical® shade guide and within their own commercial shade guide. Nine disk-shaped specimens, 6 mm in diameter and 2 mm thick, were prepared for each RBC color (three of each color). The color measurements were made according to the CIE L*a*b* color scale (quantifying L*c*h*a*b* values) using a Vita Easyshade Compact IV® digital spectrophotometer. We calculated the CIEDE2000 color differences between polymerized composites and shade guides, as well as between composites. The values obtained from composites and samples of the color guides in the CIE L*a*b* space were represented by ICC3D software (Version 1.2.9) Results: The ANOVA test verified the existence of statistically significant differences between composites for the same shades (p &lt; 0.05) except for shade A2. CIEDE2000 color differences between composites and the VITAPAN Classical® shade guide ranged from 3.5 to 13.1 depending on the composite and the shade. Conclusions: There were color differences among the polymerized resin-based composites, between these and their own shade guides/manufacturer’s commercial guides, and between the former and the corresponding samples of the VITAPAN Classical® shade guide. Clinical significance: Color selection when performing an aesthetic dental restoration is essential for the clinician and the patient to obtain an optimal result. Taking into account the color difference (∆E00) for each composite with the VITAPAN Classical® shade guide or with the manufacturers’ commercial guide allows for more precision with shade selection in aesthetic dentistry.

Bleaching efficacy of in-office dental bleaching with different application protocols: a single-blind randomized controlled trial.

This randomized controlled trial aimed to evaluate the equivalence in the color change, adverse effects, self-perception (AS) and the impact on oral condition (IO) of participants submitted to different application protocols of in-office dental bleaching. 165 participants were bleached with a 35% hydrogen peroxide gel (Total Blanc Office One-Step, DFL), according to the following protocols: (1) 2 applications of 20-min each (2 × 20min); (2) 1 × 40-min and; (3) 1 × 30-min. The color change was evaluated with the Vita Easyshade spectrophotometer, Vita Classical and Vita Bleachedguide scales. The intensity and risk of tooth sensitivity (TS) and gingival irritation (GI) were recorded using a 0-10 visual analogue scale (VAS). AS and IO was assessed before and after the bleaching procedure using the Orofacial Aesthetic Scale and Oral Health Impact Profile-14, respectively. Equivalent color change were observed (p < 0.001), with no significant difference between groups. The group 2 × 20min presented the highest risk of TS (76%, 95% CI 63 to 85), compared to the 1 × 30min (p < 0.04). The intensity of TS and GI and the risk of GI was similar between groups (p > 0.31). Irrespectively of the group (p = 0.32), significant improvements were observed for all items of AS and IO after bleaching (p < 0.02). The 1 × 30min protocol produced equivalent color change to the other bleaching protocols with reduced risk of TS and shorter application time. A more simplified application regimen of a single application of 30min yields effective bleaching and patient satisfaction while minimizing undesirable side effects and improving patient satisfaction.

Evaluation of Long-term colour resistance of composite materials used in aligner treatments: A comparative study.

The aim of this study is to evaluate the discolouration resistance of attachments made of composites having different physical properties, filler ratios and viscosity through the simulated environment and conditions. Seventy-two extracted human teeth were aligned to simulate upper and lower dental arches. The attachments were prepared according to the guides determined by ClearCorrect. Three different composite groups were used for attachments preparation: Aligner Connect, G-Aenial Universal Injectable, and Tetric Prime and Tetric Evoflow combination. Dental models and aligners were kept in artificial saliva throughout the experiment of 96 weeks. The aligners were also subjected to 2308 thermal cycles and insertion and removing procedures 840 times for each period of 12 weeks. Afterwards, the models were kept in coffee and red wine solutions. Colour measurements were made with Vita Easy Shade 4.0 at 12th, 24th, 48th and 96th simulated weeks. No significant difference in discolouration was observed during thermal cycle application of 12th and 24th week experimental periods. In the later periods, discolouration was observed in the composite materials, and G-Aenial Universal Injectable was less coloured than the other samples. The composite samples were more coloured in proportion to their residence time. The G-Aenial Universal Injectable was more affected by wine solution, and Tetric Prime and Tetric Evoflow combination were more affected by coffee solution. Viscosity, resin matrix content and nature of inorganic filler particles of the composite materials significantly affect the colour changing properties of them due to the long-term ageing and exposure to colouring agents.

The impact of various irrigation solutions on the color stabilities of five calcium silicate cement: an in-vitro study

Background: This in-vitro examine aimed to determine the color changes of five calcium silicate cement [wMTA Angelus(wMTA), Biodentine (BD), Neo MTA Plus, Retro MTA, Ortho MTA] in various irrigation solutions. Methods: A total of 100 samples (n=20) were homogenously mixed and placed in cylindrical specimens (diameter of 10 mm and height of 2 mm). After setting time, the color of the samples was analyzed by using a spectrophotometer (VITA Easyshade V, Vita Zahnfabrik, Bad Sackingen, Germany). Later, each specimen was immersed in 5.25% Sodium hypochlorite (NaOCl), 2% Chlorhexidine gluconate (CHX), 17% Etilendiamin tetraacetic asit (EDTA), and Saline for 24 hours, and 20 samples were left dry. Color changes were calculated. Compliance with normal distribution was assessed using the Shapiro-Wilk test. The comparison of color values, which were not normally distributed, according to material and solution, was analyzed using a two-way robust ANOVA, and multiple comparisons were examined with the Bonferroni test. Statistical significance was p &lt; 0.05. Results: The color change of wMTA Angelus was higher than that of the other materials when immersed with NaOCl. Neo MTA Plus revealed the highest color change when immersed in EDTA. The maximum discoloration of BD was observed when immersed in CHX. Conclusion: RetroMTA may be a better choice because of less discoloration in the clinic routine.

Color Stability of Bioactive Restorative Material vs Nanohybrid Resin Composite: An In Vitro Study.

This study aimed to assess the color stability of bioactive restorative materials vs nanohybrid resin composites after 3 months of immersion in three frequently consumed beverages. Thirty disk-shaped specimens of Giomer dental restorative material (Shofu, Japan) and nanohybrid resin composite (Tokuyama, Japan) were performed using a Teflon mold. Super-Snap system (Shofu, Japan) was utilized to finish and polish the specimens to be preserved for 24 hours in distilled water at 37°C. The samples had been divided into three subgroups (Coffee, tea, Pepsi) (n = 5). The initially displayed color measurements of the samples were performed using a spectrophotometer (VITA Easyshade® V). After 7 days, 30 days, and 90 days, color measurements were repeated, and the E of each sample was estimated. E of each sample was calculated. The Giomer group showed statistically significant higher E values than the nanohybrid resin composite where the p-value was ≤0.0001. Tea subgroup showed the highest statistically significant E values in both groups where the p-value was ≤ 0.0001. The highest statistically significant color change was recorded at 3 months. The color of bioactive restorative material is less stable if compared with nanohybrid resin composite. As tea and coffee are popular beverages, particularly in Middle Eastern nations, dentists must advise patients about the color change of resin restorations. Patients are advised to brush their teeth immediately after consuming these beverages. How to cite this article: Saber EH, Abielhassan MH, Abed YA, et al. Color Stability of Bioactive Restorative Material vs Nanohybrid Resin Composite: An In Vitro Study. J Contemp Dent Pract 2024;25(3):221-225.

Color and Chemical Stability of 3D-Printed and Thermoformed Polyurethane-Based Aligners.

The significant rise in the use of clear aligners for orthodontic treatment is attributed to their aesthetic appeal, enhancing patient appearance and self-confidence. The aim of this study is to evaluate the aligners' response to common staining agents (coffee, black tea, Coca-Cola, and Red Bull) in color and chemical stability. Polyurethane-based thermoformed and 3D-printed aligners from four brands were exposed to common beverages to assess color change using a VITA Easyshade compact colorimeter after 24 h, 48 h, 72 h, and 7 days, as well as chemical stability using ATR-FTIR spectroscopy. The brand, beverage, and manufacturing method significantly influence color stability. ATR-FTIR analysis revealed compositional differences, with variations in response to beverage exposure affecting the integrity of polymer bonds. Color change analysis showed coffee as the most potent staining agent, particularly affecting Tera Harz TC85 aligners, while ClearCorrect aligners exhibited the least susceptibility. 3D-printed aligners showed a greater color change compared to thermoformed ones. Aligners with a PETG outer layer are more resistant to stains and chemical alterations than those made of polyurethane. Additionally, 3D-printed polyurethane aligners stain more than thermoformed ones. Therefore, PETG-layered aligners are a more reliable choice for maintaining the aesthetic integrity of aligners.

Clinical Comparative Study of Shade Measurement Using Two Methods: Dental Guides and Spectrophotometry.

Tooth color is a determining factor in the fabrication of dental prostheses. The aim of the present study is to compare two measurement methods used in the field of dentistry: dental guides and spectrophotometry. A total of 2768 natural teeth were measured using the Vita Classical and Vita 3D-Master dental guides (Vita-Zahnfabrik, Bad Säckingen, Germany), as well as a Vita Easyshade Compact spectrophotometer (Vita-Zahnfabrik). The measurements were carried out by one operator under suitable illumination conditions at 5500 degrees Kelvin. The obtained results show that the measurements obtained with the Vita Classical dental guide classifies teeth into the A-B categories, while the spectrophotometer preferentially classifies teeth into the B-C categories. The correlation coefficients obtained with the dental guides ranged from -0.32 to -0.39 (p < 0.01), while those for the spectrophotometer ranged from -0.35 to -0.55 (p < 0.01). Therefore, we can conclude that the spectrophotometer is more reliable and reproducible in its measurements than the dental guides.

In vitro evaluation of the bleaching effect on the change of color match of omnichroma composite resin

Aim To in vitro evaluate the bleaching effect on the color match of Omnichroma composite resin restorations to the teeth color. Materials and methods Thirty freshly extracted intact human premolars were collected and mounted in acrylic resin blocks (only roots were embedded). The shade of the selected teeth was measured by (VITA Easyshade V). Class V cavities (4 mm width, 2 mm length, and 2 mm depth) were prepared 2 mm coronal to cement-enamel junction on the cervical third of the facial surface of each tooth. Specimens were randomly divided into two equal groups (n = 15): group I: was restored with nano hybrid Tetric N- ceram while group II: was restored with Omnichroma supra-nano filled composite resin using their respective adhesives. All the specimens were thermocycled for 500 cycles from 5 to 55°C with 15 s dwell time, and 20 s transfer time. The initial data of color measurements for tooth and restoration surfaces were recorded after thermocycling using VITA Easy Shade V. Specimens were then bleached using 40% HP by White smile power whitening YF according to the manufacturer instructions and kept in artificial saliva for 1 week before color re-measuring. All data were collected, tabulated, and statistically analyzed at 95% significance level using a software statistical package for social sciences (SPSS version 26). Results Before bleaching, higher mean ΔΕ values were recorded for the teeth (3.38 and 2.74) compared to (2.24 and 1.82) of the restorations in group I (Tetric N) and group II (Omnichroma) respectively with no statistically significant difference (P = 0.26 and 0.43) in either of the groups denoting the color match between the restorations and the teeth in both groups. After bleaching there was a highly statistically significant difference (P = 0.039) between the mean ΔΕ values of teeth (5.56) and restorations (3.23) in group I, denoting the color mismatch. While in group II there was no significant difference (P = 0.249) between the values of teeth (5.25) and restorations (4.49) denoting the persistence of the color match after bleaching. No significant difference was found between the ΔΕ values of teeth used in both groups neither before (P = 0.62) nor after bleaching (P = 0.802). While there was a significant difference between the recorded values of the restorations after bleaching (P = 0.026) although the difference was not significant before bleaching (P = 0.619). Bleaching significantly affected the teeth color (P = 0.013 and 0.038), and the restoration color (P = 0.049 and 0.012) in groups I and II, respectively. Conclusions Omnichroma class V composite restorations matched the shades of teeth before and after bleaching where it was changed to a lighter shade with the teeth enamel that was within the acceptable clinical range. The color matching of the Tetric N restorations after bleaching was lost where the teeth were lighter in a clinically detectable manner, which necessitates restoration replacement.

A comparative evaluation of the variations on the shades of pressable ceramic system with the layering technique after different number of firing cycles: An in vitro study.

The main aim of the present study was to compare and evaluate the effect of repetitive firings on different shades of a pressable all ceramic system layered with veneering porcelain. In-vitro comparative study. An in vitro comparative study was conducted, and a total of 60 disc shaped specimens (15 mm in diameter and 0.8 mm in thickness) were made of heat pressed ceramic of shades A2, A3, and B2 (20 discs of each shade) grouped as Group I, II, and III, respectively, using the lost wax technique. The discs were subsequently layered with veneering porcelain followed by glazing and overglazing and underwent a firing cycle at each step until six times combined. CIE L*a*b* measurements were noted on each sample after the third, fourth, fifth, and sixth firing using VITA Easyshade Advance 4.0 spectrophotometer. Statistical Analysis was done by SPSS 17.0 software. One way analysis of variance, multiple comparisons using the Tukey test, and descriptive statistical analysis were done for all the groups in the study. P <0.05 was statistically significant. The mean color differences for the repeated firings were imperceptible (ΔE <1.67) to the human eye for all ceramic samples tested except between the fourth and fifth firing of Group II (shade A3). The analysis revealed that although repeated firings lead to changes in L*, a*, and b* values, the mean color difference was below the clinically acceptable color change (ΔE <3.7).