Effects of different remineralizing agents on color stability and surface characteristics of the teeth following vital bleaching

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.

The Effect of In-Office Bleaching with Different Concentrations of Hydrogen Peroxide on Enamel Color, Roughness, and Color Stability

The aim of this study is to evaluate the effectiveness of in-office bleaching in esthetic dentistry on the roughness and color stability of the enamel surface, using different concentrations of hydrogen peroxide (HP). Fifty human incisors were randomly divided into 5 groups (n = 10). No bleaching was performed in the control group. For these groups, concentrations of 40% HP with fluoride (F), 35% HP with calcium (Ca), 25% HP with nano-hydroxyapatite (nHA) and 18% HP with nHA were used for bleaching in the test groups. Surface roughness was assessed at baseline after bleaching occurred. Color measurements were first obtained at baseline, then after the first and second sessions of bleaching, and, finally, after the staining protocol. Scanning electron microscopy and atomic force microscopy were performed. Statistical analysis was conducted with a one-way ANOVA, followed by a post hoc Tukey's test and a paired-samples t-test (p < 0.05). All the bleaching gels used exhibited a similar color change (p > 0.05). Bleaching gels containing 18% HP with nHA and that containing 35% HP with Ca caused less surface roughness of the enamel. Of these concentrations, 25% HP with nHA caused the most surface roughness and no significant difference was observed, compared with 40% HP with F. The highest coloration after bleaching was observed in 40% HP with F and 25% HP with nHA. The lowest coloration was obtained in 35% HP with Ca and 18% HP with nHA but no significant difference was observed between them and the control group. A concentration above 18% HP does not increase the bleaching effectiveness. The results show that 18% HP with nHA and 35% HP with Ca resulted in the least increase in enamel surface roughness when compared to high-concentrate HP; however, it also prevented recoloration after bleaching.

Novel Experimental In-Office Bleaching Gels Containing Co-Doped Titanium Dioxide Nanoparticles

The present study reports on the development and testing of novel bleaching agents containing co-doped metaloxide nanoparticles (NP; 0%, 5%, 10% v/w) and hydrogen peroxide (HP, 0%, 6%, 15%, and 35%). Bovine blocks (n = 200, A = 36 mm2) were obtained and randomly distributed into experimental groups (n = 10/group). NPs were incorporated into gels before bleaching (3 sessions, 7 days apart, 30 min/session, irradiated with violet light-LT). Color changes (ΔE00, ΔWID), mineral content (CO32−, PO43−), and topography were assessed (spectrophotometer, ATR-FTIR, and AFM) before and after bleaching procedures (14 days). Metabolic status and three-dimensional components of non-disrupted Streptococcus mutans biofilms were investigated using a multimode reader and confocal microscopy. The results indicate that ΔE00 and ΔWID significantly increased with NPs’ concentrations and LT. The enamel’s mineral ratio was adversely impacted by HP, but alterations were less pronounced when using NP-containing gels. The enamel’s topography was not damaged by the bleaching protocols tested. The bioluminescence results show that bleaching protocols do not render latent antibacterial properties to enamel, and the confocal microscopy results demonstrate that the 3-dimensional distribution of the components was affected by the protocols. The proposed nanotechnology improved the bleaching efficacy of experimental materials independent of hydrogen peroxide or irradiation and did not adversely impact the enamel’s surface properties or its chemical content.