Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
İlave Polisaj Uygulamasının Kompozit Rezinlerin Yüzey Pürüzlülüğü ve Renk Değişimine Etkisinin İncelenmesi
Effect of Additional Polishing Application on the Surface Roughness and Color Change of Composite Resins
Numan AYDINa, Serpil KARAOĞLANOĞLUa, Elif Aybala OKTAYa, Bilge ERSÖZa
aSağlık Bilimleri Üniversitesi Gülhane Diş Hekimliği Fakültesi, Restoratif Diş Tedavisi ABD, Ankara, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2021;27(3):462-9
doi: 10.5336/dentalsci.2020-79006
Article Language: TR
Full Text
ÖZET
 Amaç: Son zamanlarda nanodoldurucu içeren kompozit rezinler, dişlerin restorasyonunda yaygın bir şekilde kullanılmaktadır. Çalışmamızın amacı, bitirme ve polisaj sistemlerinden sonra ilave polisaj uygulamasının, kompozit rezinlerin yüzey pürüzlülüğü ve renk değişimine etkisini incelemektir. Gereç ve Yöntemler: Çalışmada nanofill ve nanohibrit kompozit rezinler kullanılarak (8×2 mm boyutlarında) örnekler elde edildi. Hazırlanan örneklere tek, 2 ve çoklu adım ve polisaj patı ile bitirme ve cila işlemi yapıldı. Daha sonra örneklerin başlangıç pürüzlülük değerleri profilometre, renk değerleri spektrofotometre ile ölçüldü. Örnekler, kahve içerisinde bekletilerek 1. ve 7. gün sonunda renk ölçümleri yapıldı. Yüzey pürüzlülük ve renk değişim değerleri (ΔE00), 2 yönlü varyans analizi (ANOVA) testi kullanılarak istatistiksel olarak değerlendirildi. Bulgular: Çalışmamızda kullandığımız tek ve 2 adımda kullanılan bitirme ve cila sistemleri, kompozit rezinler üzerinde en az yüzey pürüzlülük ve renk değişimi oluşturdu. Kompozit rezinler arasında ise en az yüzey pürüzlülüğü ve renk değişimi nanofill kompozit gurubunda görüldü (p<0,05). Bitirme ve cila işlemlerinden sonra elmas pat ile ilave polisaj uygulaması, kompozit rezinlerin yüzey pürüzlülük ve renk değişimini azaltmasına rağmen bu fark istatistiksel olarak anlamlı değildi (p>0,05). Sonuç: Kompozit rezinler üzerinde elmas partikül içeren tek ve 2 adımda kullanılan bitirme ve polisaj sistemleri, yüzey pürüzlülüğü ve renk değişimi açısından daha etkili olmaktadır. Bitirme ve cila işlemlerinden sonra ilave polisaj uygulamasına rağmen kompozit rezinlerin renk değişimi klinik olarak kabul edilebilir seviyenin üzerinde olmuştur.

Anahtar Kelimeler: Kompozit rezin; renk stabilitesi; yüzey pürüzlülüğü
ABSTRACT
 Objective: Recently, composite resins containing nanofillers have been widely used in the restoration of teeth. The objective of our study is to examine the effect of additional polishing application on the surface roughness and color change of composite resins after finishing and polishing systems. Material and Methods: In the study, samples were obtained using nanofilll and nanohybrid composite resins (8×2 mm dimensions). One, two and multi-step finishing and polishing process and additional polishing paste were applied to the prepared samples. Afterwards, the initial roughness values of the samples were measured with a profilometer and color values with a spectrophotometer. Samples were kept in coffee and their colors were measured at the end of the 1st and 7th day. The surface roughness and color change values (ΔE00) were statistically analyzed using two-way variance analysis (ANOVA) test. Results: The one and two steps finishing and polishing systems we used in our study produced the minimum surface roughness and color change on composite resins (p<0.05). Although the additional polishing application reduced the surface roughness and color change of composite resins, this difference was not statistically significant (p>0.05). Among the composites, the least surface roughness and color change were observed on the nanofilll composite (p<0.05). Conclusion: The finishing and polishing system used in one and two steps containing diamond particles on composite resins is more effective in terms of surface roughness and color change. Despite the additional polishing application after finishing and polishing systems, the color change of all composite resins was above the clinically acceptable level.

Keywords: Composite resin; color stability; surface roughness
REFERENCES:
  1. Fugolin APP, Pfeifer CS. New resins for dental composites. J Dent Res. 2017;96(10):1085-91. [Crossref]  [PubMed]  [PMC] 
  2. Kumari RV, Nagaraj H, Siddaraju K, Poluri RK. Evaluation of the effect of surface polishing, oral beverages and food colorants on color stability and surface roughness of nanocomposite resins. J Int Oral Health. 2015;7(7):63-70. [PubMed]  [PMC] 
  3. Trifkovic B, Powers JM, Paravina RD. Color adjustment potential of resin composites. Clin Oral Investig. 2018;22(3):1601-7. [Crossref]  [PubMed] 
  4. Lainović T, Blažić L, Kukuruzović D, Vilotić M, Ivani?ević A, Kaka? D. Effect of diamond paste finishing on surface topography and roughness of dental nanohybrid composites - AFM analysis. Procedia Engineering. 2014;69:945-51. [Crossref] 
  5. Bollen CM, Lambrechts P, Quirynen M. Comparison of surface roughness of oral hard materials to the threshold surface roughness for bacterial plaque retention: a review of the literature. Dent Mater. 1997;13(4):258-69. [Crossref]  [PubMed] 
  6. Park JW, An JS, Lim WH, Lim BS, Ahn SJ. Microbial changes in biofilms on composite resins with different surface roughness: an in vitro study with a multispecies biofilm model. J Prosthet Dent. 2019;122:493.e1-8. [Crossref]  [PubMed] 
  7. St-Pierre L, Martel C, Crépeau H, Vargas MA. Influence of polishing systems on surface roughness of composite resins: polishability of composite resins. Oper Dent. 2019;44(3):E122-E32. [Crossref]  [PubMed] 
  8. Patel SB, Gordan VV, Barrett AA, Shen C. The effect of surface finishing and storage solutions on the color stability of resin-based composites. J Am Dent Assoc. 2004;135(5):587-94; quiz 654. [Crossref]  [PubMed] 
  9. Sham AS, Chu FC, Chai J, Chow TW. Color stability of provisional prosthodontic materials. J Prosthet Dent. 2004;91(5):447-52. [Crossref]  [PubMed] 
  10. Bagheri R, Burrow MF, Tyas M. Influence of food-simulating solutions and surface finish on susceptibility to staining of aesthetic restorative materials. J Dent. 2005;33(5):389-98. [Crossref]  [PubMed] 
  11. Fontes ST, Fernández MR, de Moura CM, Meireles SS. Color stability of a nanofill composite: effect of different immersion media. J Appl Oral Sci. 2009;17(5):388-91. [Crossref]  [PubMed]  [PMC] 
  12. Aydın N, Karaoğlanoğlu S, Oktay EA, Kılıçarslan MA. Investigating the color changes on resin-based CAD/CAM Blocks. J Esthet Restor Dent. 2020;32(2):251-6. [Crossref]  [PubMed] 
  13. Chang JY, Chen WC, Huang TK, Wang JC, Fu PS, Chen JH, et al. Evaluating the accuracy of tooth color measurement by combining the Munsell color system and dental colorimeter. Kaohsiung J Med Sci. 2012;28(9):490-4. [Crossref]  [PubMed] 
  14. Wang F, Takahashi H, Iwasaki N. Translucency of dental ceramics with different thicknesses. J Prosthet Dent. 2013;110(1):14-20. [Crossref]  [PubMed] 
  15. Paravina RD, Pérez MM, Ghinea R. Acceptability and perceptibility thresholds in dentistry: a comprehensive review of clinical and research applications. J Esthet Restor Dent. 2019;31(2):103-12. [Crossref]  [PubMed] 
  16. De Carvalho Justo Fernandes ACB, Assunção IV de Borges BCD, Costa G de FA da. Impacto do polimento adicional na rugosidade e morfologia da superfície de resinascompostas. [Impact of additional polishing on the roughness and surface morphology of dental composite resins]. Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial. 2016;57(2):74-81. [Crossref] 
  17. Lopes GC, Vieira LC, Araujo E. Direct composite resin restorations: a review of some clinical procedures to achieve predictable results in posterior teeth. J Esthet Restor Dent. 2004;16(1):19-31; discussion 32. [Crossref]  [PubMed] 
  18. Jung M, Eichelberger K, Klimek J. Surface geometry of four nanofiller and one hybrid composite after one-step and multiple-step polishing. Oper Dent. 2007;32(4):347-55. [Crossref]  [PubMed] 
  19. Rodrigues-Junior SA, Chemin P, Piaia PP, Ferracane JL. Surface roughness and gloss of actual composites as polished with different polishing systems. Oper Dent. 2015;40(4):418-29. [Crossref]  [PubMed] 
  20. Flury S, Diebold E, Peutzfeldt A, Lussi A. Effect of artificial toothbrushing and water storage on the surface roughness and micromechanical properties of tooth-colored CAD-CAM materials. J Prosthet Dent. 2017;117(6):767-74. [Crossref]  [PubMed] 
  21. Bayraktar Y, Doğan D, Ercan E. Farklı polisaj sistem ve tekniklerinin üç farklı kompozit rezinin yüzey pürüzlülüğüne etkisi. [Effect of the different polishing systems and techniques on surface roughness of three different composite resin]. J Dent Fac Atatürk Uni. 2013;21(2):192-98. [Link] 
  22. Kemaloglu H, Karacolak G, Turkun LS. Can reduced-step polishers be as effective as multiple-step polishers in enhancing surface smoothness? J Esthet Restor Dent. 2017;29(1):31-40. [Crossref]  [PubMed] 
  23. Wheeler J, Deb S, Millar BJ. Evaluation of the effects of polishing systems on surface roughness and morphology of dental composite resin. Br Dent J. 2020;228(7):527-32. [Crossref]  [PubMed] 
  24. Costa GFA, Fernandes ACBCJ, Carvalhho LAO, Andrade AC, Assunção IV, Borges BCD. Effect of additional polishing methods on the physical surface properties of different nanocomposites: SEM and AFM study. Microsc Res Tech. 2018;81(12):1467-73. [Crossref] 
  25. Nasim I, Neelakantan P, Sujeer R, Subbarao CV. Color stability of microfilled, microhybrid and nanocomposite resins--an in vitro study. J Dent. 2010;38 Suppl 2:e137-42. [Crossref]  [PubMed] 
  26. Zenthöfer A, Cabrera T, Corcodel N, Rammelsberg P, Hassel AJ. Comparison of the easyshade compact and advance in vitro and in vivo. Clin Oral Investig. 2014;18(5):1473-9. [Crossref]  [PubMed] 
  27. Paul S, Peter A, Pietrobon N, Hämmerle CH. Visual and spectrophotometric shade analysis of human teeth. J Dent Res. 2002;81(8):578-82. [Crossref]  [PubMed] 
  28. Sharma G, Wu W, Dalal E. The CIEDE2000 color-difference formula: implementation notes, supplementary test data, and mathematical observations. Color Res Appl. 2005;30(1):21-30. [Crossref] 
  29. Gómez-Polo C, Portillo Mu-oz M, Lorenzo Luengo MC, Vicente P, Galindo P, Martín Casado AM. Comparison of the CIELab and CIEDE2000 color difference formulas. J Prosthet Dent. 2016;115(1):65-70. [Crossref]  [PubMed] 
  30. Türkün LS, Türkün M. Effect of bleaching and repolishing procedures on coffee and tea stain removal from three anterior composite veneering materials. J Esthet Restor Dent. 2004;16(5):290-301; discussion 301-2. [Crossref]  [PubMed] 
  31. Beltrami R, Ceci M, De Pani G, Vialba L, Federico R, Poggio C, et al. Effect of different surface finishing/polishing procedures on color stability of esthetic restorative materials: a spectrophotometric evaluation. Eur J Dent. 2018;12(1):49-56. [Crossref]  [PubMed]  [PMC] 
  32. Liebermann A, Wimmer T, Schmidlin PR, Scherer H, Löffler P, Roos M, et al. Physicomechanical characterization of polyetheretherketone and current esthetic dental CAD/CAM polymers after aging in different storage media. J Prosthet Dent. 2016;115(3):321-8.e2. [Crossref]  [PubMed] 
  33. Söderholm KJ, Zigan M, Ragan M, Fischlschweiger W, Bergman M. Hydrolytic degradation of dental composites. J Dent Res. 1984;63(10):1248-54. [Crossref]  [PubMed] 
  34. Sideridou I, Tserki V, Papanastasiou G. Study of water sorption, solubility and modulus of elasticity of light-cured dimethacrylate-based dental resins. Biomaterials. 2003;24(4):655-65. [Crossref]  [PubMed] 
  35. Ertaş E, Güler AU, Yücel AC, Köprülü H, Güler E. Color stability of resin composites after immersion in different drinks. Dent Mater J. 2006;25(2):371-6. [Crossref]  [PubMed] 

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