Esmaeili Behnaz, Afkhami Solaleh, Abolghasemzadeh Faezeh
Gen Dent. 2018 Mar-Apr;66(2):64-68.
One common cause for the replacement of a composite restoration is discoloration. This in vitro study evaluated the effect of tea solution on the discoloration of 3 types of composites at different timepoints after curing. For this study, 150 disc-shaped specimens of 3 types of composite resin-a nanohybrid (Filtek Z350), a microhybrid (Filtek Z250), and a microfilled material (Heliomolar)-were prepared. Specimens were randomly divided into 5 subgroups (n = 10) according to the type of composite and the time from curing to immersion in a tea solution (none [immersed immediately], 1 hour, 6 hours, 12 hours, or 24 hours postcuring). The color for all specimens was measured before and after immersion in tea. Color change (ΔE*) for all specimens was measured, and a ΔE* value of less than 3.3 was considered clinically acceptable. Analysis of variance and a post hoc Tukey test were used to analyze the data (α = 0.05). Immediately after curing, the levels of composite discoloration were deemed clinically acceptable (ΔE* < 3.3). In all composites, the greatest color change was found immediately after curing (P < 0.05). With each subsequent timepoint, the color stability increased. When the groups were immersed in tea 6 hours postcuring, the mean ΔE* value of the Filtek Z350 composite resin specimens was significantly greater than that of Heliomolar specimens (P < 0.05). The mean ΔE* value for specimens immersed 12 hours postcuring was also greater in the Filtek Z250 composite group than in the Heliomolar group (P < 0.05). The ΔE* values of Filtek Z350 and Filtek Z250 composites were not significantly different from each other (P > 0.05), except with 12-hour postcure immersion. The results suggest that patients should avoid the intake of staining foods or beverages for at least 12 hours after placement of a composite resin restoration, although this restriction may be reduced to 1 hour for microfilled composite resins.
复合树脂修复体需要更换的一个常见原因是变色。这项体外研究评估了茶溶液在固化后不同时间点对3种复合树脂变色的影响。在本研究中,制备了150个圆盘状标本,分别为3种复合树脂——一种纳米混合树脂(Filtek Z350)、一种微混合树脂(Filtek Z250)和一种微填料材料(Heliomolar)。根据复合树脂的类型以及从固化到浸泡在茶溶液中的时间,将标本随机分为5个亚组(n = 10)(无时间间隔[立即浸泡]、固化后1小时、6小时、12小时或24小时)。在浸泡茶溶液前后测量所有标本的颜色。测量所有标本的颜色变化(ΔE*),ΔE值小于3.3被认为在临床上是可接受的。采用方差分析和事后Tukey检验对数据进行分析(α = 0.05)。固化后立即进行测量,复合树脂的变色程度在临床上被认为是可接受的(ΔE < 3.3)。在所有复合树脂中,固化后立即发现颜色变化最大(P < 0.05)。随着每个后续时间点的推移,颜色稳定性增加。当在固化后6小时将各组浸泡在茶中时,Filtek Z350复合树脂标本的平均ΔE值显著高于Heliomolar标本(P < 0.05)。在Filtek Z250复合树脂组中,固化后12小时浸泡的标本的平均ΔE值也高于Heliomolar组(P < 0.05)。除了固化后12小时浸泡的情况外,Filtek Z350和Filtek Z250复合树脂的ΔE*值彼此之间没有显著差异(P > 0.05)。结果表明,患者在复合树脂修复体放置后至少12小时内应避免摄入易染色的食物或饮料,不过对于微填料复合树脂,这种限制可减少至1小时。