Emami Arjomand Mansoureh, Hoorizad Ganjkar Maryam, Ghamari Roshanak
Department of Operative Dentistry, Islamic Azad University, Dental Branch, Tehran, Iran.
Department of Operative Dentistry, Member of Dental Material Research Center, Islamic Azad University, Dental Branch, Tehran, Iran.
Front Dent. 2021 Jan 26;18:4. doi: 10.18502/fid.v18i4.5434. eCollection 2021.
This study aimed to assess the effect of tea on color stability of enamel lesions treated with resin infiltrant (RI). This in vitro, experimental study evaluated 30 extracted human third molars with no caries, cracks, or enamel defects. Enamel-dentin samples measuring 5 x 5 x 3 mm were prepared from the buccal surfaces of the teeth by a microtome. The samples were divided into three groups of 10 namely sound enamel, demineralized enamel, and demineralized enamel plus RI. White spot lesions (WSLs) were artificially created by immersing the samples in hydroxyethyl cellulose demineralizing gel with a pH of 4.5 for 4 days. Next, Icon RI was applied on the samples in group 3. The baseline color of the samples was measured using a spectrophotometer. They were immersed in tea solution 3 times a day, each time for 15 min, for a period of 2 weeks and then underwent colorimetry again. Data were analyzed using one-way ANOVA. The maximum color change (∆E) was noted in demineralized enamel plus RI group (38.59±6.13) with significant differences with sound enamel (20.00±2.94) and demineralized enamel (25.27±7.47) groups (P<0.05). The difference between the latter two groups was not significant (P>0.05). Within the limitations of this in vitro study, the results showed that tea solution caused clinically unacceptable color change in all groups. However, the color stability of WSLs treated with RI was significantly lower than other groups following immersion in tea solution.
本研究旨在评估茶对经树脂浸润剂(RI)治疗的釉质病变颜色稳定性的影响。这项体外实验研究评估了30颗无龋、无裂纹或釉质缺陷的拔除人类第三磨牙。用切片机从牙齿的颊面制备尺寸为5×5×3mm的釉质-牙本质样本。样本分为三组,每组10个,分别为正常釉质、脱矿釉质和脱矿釉质加RI。通过将样本浸入pH值为4.5的羟乙基纤维素脱矿凝胶中4天,人工制造白斑病变(WSLs)。接下来,在第3组的样本上应用Icon RI。使用分光光度计测量样本的基线颜色。它们每天浸入茶溶液3次,每次15分钟,持续2周,然后再次进行比色法测定。数据采用单因素方差分析。脱矿釉质加RI组的最大颜色变化(∆E)为(38.59±6.13),与正常釉质组(20.00±2.94)和脱矿釉质组(25.27±7.47)有显著差异(P<0.05)。后两组之间的差异不显著(P>0.05)。在这项体外研究的局限性内,结果表明茶溶液在所有组中都引起了临床上不可接受的颜色变化。然而,经RI治疗的WSLs在浸入茶溶液后,其颜色稳定性明显低于其他组。