Search Results (7)

The purpose of this study was to evaluate the effect of different framework materials and thermal aging on the shear bond strength (SBS) of gingiva-colored composites used in fixed dental restorations. A total of 270 samples (10 × 10 × 2 mm³) were prepared using titanium, zirconia, and modified polyetheretherketone (modified PEEK). Three gingiva-colored composites (Gradia Gum, Anaxgum, Nexco) were applied after surface polishing and sandblasting. All specimens were stored in water at 37 °C for 24 h, then half of each group was subjected to thermal aging consisting of 10,000 cycles at temperatures between 5 and 55 °C. SBS testing was performed using a universal testing machine with a crosshead speed of 1 mm/min. Bonding failures were analyzed under a stereomicroscope, and one sample from each group was examined using a scanning electron microscope. SBS data were analyzed using three-way ANOVA with composite type, framework material, and thermal aging as factors, followed by pairwise comparisons (SPSS 23.0; p < 0.05). The highest SBS was recorded for the zirconia framework combined with Gradia Gum, specifically in the group without thermal aging (p < 0.05), while the lowest was observed for zirconia combined with Nexco after thermal aging (p < 0.05). Adhesive failures were predominant in the modified PEEK groups, whereas mixed failures occurred more frequently in titanium and zirconia groups. Both composite type and framework material significantly influenced SBS values, with thermal aging having a detrimental effect across all groups. This study demonstrates that both framework material and composite type affect bond strength, with specimens not subjected to thermal aging maintaining better adhesion. Thermal cycling reduced SBS in all groups, although the extent varied by material combination. Full article

Light-curing gingiva-colored composite resins (GCCs) are widely used for their esthetics and versatility, although they remain susceptible to discoloration. This in vitro study evaluated the effect of GCC thickness on color stability under different staining solutions and immersion times. Four hundred specimens were fabricated with a 3D-printed resin (P Pro; Institut Straumann AG), incorporating circular intaglio areas of varying thicknesses (0.2, 0.4, 0.6, 0.8, and 1.0 mm), into which paste (Nexco; Ivoclar AG) or flowable (Gradia Gum; GC Corp) GCCs were applied. After artificial aging in water at 55 °C for 5 days, specimens were immersed in coffee, black tea, red wine, or distilled water (control). Color differences (ΔE₀₀) were assessed using digital photocolorimetry (eLAB protocol) and the CIEDE2000 formula at 2.5, 5, and 7 days. Data for each consistency were analyzed with 3-way repeated measures ANOVA and Tukey HSD (α = 0.05). Thicker GCCs (0.6–1.0 mm) showed significantly greater discoloration (p < 0.05). Flowable GCCs were more prone to color changes induced by coffee (p < 0.05), whereas paste GCCs exhibited more discoloration with black tea (p < 0.05). Extended immersion time increased color change, particularly in flowable GCCs. Overall, GCC thickness, immersion duration, and material consistency influenced long-term color stability. Full article

The durability and patient acceptability of prosthesis can be gauged by the capacity of visible light curing lab composite resins to maintain color stability through time and use. Consequently, this study’s goal was to assess the color stability of three layering materials, incisal, dentin, and gingiva of SR Nexco lab composite, with exposure to coffee, Coca-Cola, and turmeric solution using a spectrophotometer. A total of 60 specimens (10 × 2 mm) of SR Nexco paste were prepared and were divided into three groups based on the layering material used. Five specimens of each group were immersed in staining solutions, namely, coffee, cola, and turmeric solution. Each group’s last five specimens were submerged in distilled water (control). The incubator that housed the samples was set to 37 °C. The CIE L*a*b* method was used to quantify the color differences (E) of specimens using a spectrophotometer at baseline and after two weeks of immersion. Using ANOVA testing, the average color change for each specimen was examined. Tukey tests were used for post hoc comparisons. The calculated mean color difference (ΔE) for incisal ranges from 3.73 (distilled water) to 28.70 (turmeric). The mean color difference (ΔE) for dentin ranges from 2.66 (distilled water) to 41.19 (turmeric). The mean color difference (ΔE) for gingiva ranges from 1.72 (distilled water) to 23.88 (turmeric). The results are statistically significant. The maximum color difference is noted for dentin specimens, and turmeric stains all three layering materials to a maximum. The color stability of SR Nexco paste layering materials is significantly affected by the discoloring agents used. The comparison of color change between the three layering materials of SR Nexco paste (dentin, incisal, and gingiva) is statistically not significant. Turmeric solution exhibits more discoloration followed by cola and coffee solution. Full article

Dental materials are mainly tested in vitro, so laboratory conditions must reproduce the oral environment to ensure the validity of their results. This study aimed to evaluate the influence of backgrounds on the color of gingiva-colored resin-based composites (GCRBC). Three discs of each of 20 shades of GCRBCs and each thickness (1 and 2 mm) were prepared. Diffuse reflectance was measured on-air and over three natural teeth (0M3/B1, 3M3/B3, and 5M3/B4 shades of Vita 3D Master/Vita Classical guides, respectively) using a calibrated spectroradiometer, CIE D65 illuminant and the CIE 45°/0° geometry. CIEDE2000 color difference formula and its 50:50% perceptibility and acceptability thresholds have been used to calculate and interpret the results. It can be stated that the background influences the color of all GCRBCs tested, although the effect is more pronounced for 1 mm thick samples. L*, a* and b* coordinates values of GCRBCs on air were significantly different from those obtained on natural teeth backgrounds, and the total color differences were greater than the acceptability thresholds. Since GCRBCs are placed on a dental substrate in clinical conditions, it is not advisable to perform color measurements of GCRBCs on-air because of the high color differences found. This recommendation is especially relevant for thin specimens. Full article

Caries, the world’s most common chronic disease, remains a major cause of invasive restorative dental treatment. To take advantage of the diagnostic potential of optical coherence tomography (OCT) in contemporary dental prevention and treatment, an intraorally applicable spectral-domain OCT probe has been developed based on an OCT hand-held scanner equipped with a rigid 90°-optics endoscope. The probe was verified in vitro. In vivo, all tooth surfaces could be imaged with the OCT probe, except the vestibular surfaces of third molars and the proximal surface sections of molars within a "blind spot" at a distance greater than 2.5 mm from the tooth surface. Proximal surfaces of 64 posterior teeth of four volunteers were assessed by intraoral OCT, visual-tactile inspection, bitewing radiography and fiber-optic transillumination. The agreement in detecting healthy and carious surfaces varied greatly between OCT and established methods (18.2–94.7%), whereby the established methods could always be supplemented by OCT. Direct and indirect composite and ceramic restorations with inherent imperfections and failures of the tooth-restoration bond were imaged and qualitatively evaluated. The intraoral OCT probe proved to be a powerful technological approach for the non-invasive imaging of healthy and carious hard tooth tissues and gingiva as well as tooth-colored restorations. Full article

The purpose of this study was to investigate the surface characteristics and color stability of gingiva-colored composite restorative materials (Anaxgum—ANG, Ceramage—CMG and Gradia Gum—GRG). The microstructure, composition, degree of conversion (DC %) and 3D roughness (Sa, Sz, Sdr, Sc) were examined by LV-SEM/EDS, ATR-FTIR and optical profilometry, respectively. For the color stability (CIE L*, a*, b* system) and hardness (HV), measurements were performed at baseline and after 30 days storage in distilled water, coffee and red wine. The ANG and GRG contain prepolymerized particles in aromatic and aliphatic resin matrices, respectively, whereas CMG contains inorganic zirconia silicate/silica particles, in an aromatic resin matrix, with a smaller particle size and a higher surface area fraction. Urethane monomers were mainly identified in CMG and GRG. The DC% showed statistically insignificant differences between the materials. The same applied for the roughness parameters, except for the greatest Sdr in CMG. ANG showed a color difference (ΔE) of > 3.3 after immersion in all media, CMG in coffee and wine and GRG only in coffee. Sc was the only roughness parameter demonstrating correlations with the ΔL*, Δb* and ΔE*. The HV values showed insignificant differences between the storage conditions per material. There are important differences in the color stability of the materials tested, which were mostly affected by the roughness parameters due to variations in their microstructure. Full article

In this case of extensive gingival recession (Miller’s Class II) and mild physiologic pigmentation, an alternative method for the placement of Amaris Gingiva-Colored Composite was used to produce a non-invasive, aesthetic result acceptable to the patient. In restoring the defects in the entire maxilla of this patient, the opaquers were not mixed, but applied individually, directly to various areas of the teeth. Multiple opaquers were placed in a pattern mimicking the coloring of the patient’s gingiva. These were then covered with the base shade for a more aesthetic result to the patient’s satisfaction. The restorations resulting from the alternative method were highly aesthetic and at an eleven (11) month review showed no signs of failure giving rise to the conclusion that this method proposed for application of Amaris Gingiva-Colored Composite is viable for producing highly-aesthetic restorations in cases of gingival recession. Full article