Effect of finishing protocols and staining solutions on color stability of dental resin composites.

OBJECTIVE

The objective of this study was to evaluate the effect of finishing protocol and exposure to staining solutions on color stability of dental resin composites.

MATERIALS AND METHODS

A nanofill and microhybrid composite, three finishing protocols (mylar, Soflex disc, and white polishing stone) and four staining solutions (tea, red wine, khat extract-two concentrations, control-distilled water) were evaluated. A digital spectrophotometer was used for color change (ΔE) measurements employing the CIE-Lab-color system. Paired/independent-sample t test and two-way analysis of variance (ANOVA) followed by Tukey's honestly significant difference posthoc test were used for inferential statistics at α = .05.

RESULTS

Soflex finish was associated with least staining and comparable color stability for the two materials in tea and red wine. In Khat 2, microhybrid composite had statistically significant better color stability than nanofill for Soflex finish (14 days t = 3.270, p = .011). For microhybrid composite, mylar resulted in highest mean ΔE, whereas Soflex recorded the least in all staining solutions. For nanofill composite, white stone resulted in highest mean ΔE, whereas Soflex demonstrated the least mean ΔE in all staining solutions, except red wine where mylar demonstrated the least mean ΔE. For mylar finish, nanofill demonstrated statistically significant better color stability than microhybrid in both red wine (14 days t = 4.902, p = .001) and Khat 1 (14 days t = 3.252, p = .012). For stone finish, microhybrid demonstrated statistically significant better color stability than nanofill in all staining solutions (14 days t ≥ 4.785, p ≤ .001). Two-way ANOVA showed a statistically significant difference in mean ΔE between and within specimens (F = 42.658, p < .001). All staining solutions caused clinically unacceptable discoloration for mylar and white stone finish. For Soflex finish, red wine produced clinically unacceptable color difference beyond 48 h.

CONCLUSION

There was a difference in color stability of resin composites depending on filler type, further influenced by finishing protocol. Soflex disc finish results in better color stability than mylar and white stone in both microhybrid and nanofill composites.

CLINICAL SIGNIFICANCE

Esthetic dental restorations such as resin composites are routine in contemporary restorative practice. Color stability of composites may be influenced by surface finish, dependent on the filler type, and consumption of chromogenic substances such as khat. To prolong their service, selection of suitable finishing protocols is an important consideration.