The effect of staining and bleaching on the color of two different types of composite restoration

J Clin Exp Dent. 2021 Dec 1;13(12):e1233-e1238. doi: 10.4317/jced.58837. eCollection 2021 Dec.

Abstract

Background: Long term success of composite restorations depends greatly on their color stability and esthetic appearance. This study aimed to assess the effects of commonly consumed beverage and bleaching on the color of composite restoration.

Material and methods: Two resin composite were used Filtek™ Z350 XT (3M/ESPE) and Briliant EverGlow (Coltene). Fifteen discs were made from each resin composite then baseline color measurements were made. The specimens divided into 3 groups (n=5) according to the storage solution. The storage solutions that used in this study are distilled water, tea and coffee. The specimens were stored in the solutions for 3h/day for 40 days and then second color measurements were done. Specimens were bleached by using of 40% H2O2 Opalescence boost. Then the specimens color were measured for the third time. For measuring color change CIE L* a* b* system was used. The results were statistically analyzed using Two-way analysis of variance (ANOVA) and Bonferroni tests. Level of significance was set at p < 0.05.

Results: In all groups there were a significant color change (∆E>3.3). The discs that were made from Filtek™ Z350 XT (3M/ESPE) and immersed in coffee show the highest color change whereas the discs that were made from Briliant EverGlow and stored in distilled water show the least color change. Significant improvements in the color of specimens were demonstrated after bleaching, however bleaching couldn't restore the composite color to clinically acceptable level (∆E<3.3).

Conclusions: Both tested materials were susceptible to staining in the three-staining solution; Filtek™ Z350 XT showed more staining susceptibility than Briliant EverGlow. In office bleaching reverse some of the effect of staining from the surface of the composite but it couldn't restore the composite color to its original color before staining. Key words:Staining, color change, resin composite, bleaching.