Jaganath Bharath Makonahalli, Krishnegowda Sahadev Chickmagravalli, Rudranaik Sandeep, Beedubail Siri Parvathi
Department of Conservative Dentistry and Endodontics, Sri Hasanamba Dental College and Hospital, Hassan, Karnataka, India.
J Conserv Dent. 2023 Jan-Feb;26(1):52-55. doi: 10.4103/jcd.jcd_393_22. Epub 2022 Dec 8.
The aim of this study was to assess color changes in teeth and two different composite resins under the influence of chlorhexidine (CHX) with and without anti-discoloration system (ADS).
A total of 20 extracted human premolar teeth for periodontal and orthodontic purposes were selected for the study. Further, a total of 40 composite specimens comprising 20 each nanoceramic and nanohybrid composite disks of size 10-mm diameter and 0.5-mm thickness were prepared on a customized model for standardization using the composite filling instrument. The specimens were cured with light-curing unit for 20 s and polished with a composite polishing kit. Two mouthrinses comprising CHX and CHX with ADS were used. Baseline color values of natural tooth and two composite resins were recorded using an ultraviolet spectrophotometer. After baseline spectrophotometric measurements, all the samples were subjected to the mouthrinses. The postimmersion color values of the samples were then recorded, respectively, using the same spectrophotometer.
The statistical analysis was done using paired -test.
Reflectance values showed a statistically significant difference between CHX and CHX with ADS among nanoceramic and nanohybrid composite samples. There was no statistically significant difference in reflectance values among natural teeth samples with either CHX or CHX with ADS.
Within the limitations of the current study, CHX with ADS may aid in avoiding stains caused due to use of CHX mouthwash, thereby making it more acceptable for patients.
本研究旨在评估在有无抗变色系统(ADS)的情况下,洗必泰(CHX)对牙齿和两种不同复合树脂颜色变化的影响。
本研究共选取20颗因牙周病和正畸而拔除的人类前磨牙。此外,在定制模型上使用复合填充器械制备了40个复合标本,包括20个直径10毫米、厚度0.5毫米的纳米陶瓷和纳米混合复合盘,以实现标准化。标本用光固化机固化20秒,并用复合抛光套件进行抛光。使用了两种含漱液,一种含CHX,另一种含CHX与ADS。使用紫外分光光度计记录天然牙齿和两种复合树脂的基线颜色值。在基线分光光度测量后,所有样品都进行含漱处理。然后分别使用同一分光光度计记录样品浸泡后的颜色值。
采用配对t检验进行统计分析。
在纳米陶瓷和纳米混合复合样本中,含CHX与含CHX及ADS的样本之间的反射率值存在统计学显著差异。使用CHX或含CHX与ADS的天然牙齿样本之间的反射率值无统计学显著差异。
在本研究的局限性范围内,含ADS的CHX可能有助于避免因使用CHX漱口水而导致的染色,从而使其对患者更具可接受性。