Whitening Effect of Different Toothpastes on Bovine Dental Enamel: an in situ study

Abstract The aim of this in situ study was to evaluate color change, surface roughness, gloss, and microhardness in tooth enamel submitted to whitening and remineralizing toothpastes. Fifteen healthy adults (REBEC - RBR-7p87yr) (with unstimulated salivary flow ≥ 1.5 ml for 5 minutes, pH=7) wore two intraoral devices containing four bovine dental fragments (6 x 6 x 2 mm). Participants were randomly assigned and instructed to toothbrush the devices with the tested toothpastes (30 days): CT: conventional; WT: whitening; WTP: whitening with peroxide, and RT: remineralizing toothpaste. A washout period of 7 days was established. Readouts of color, gloss, surface roughness, and microhardness were performed before and after brushing. The results demonstrated no color, gloss, and microhardness differences (p>0.5). The samples brushed with WTP (0.2(0.7) showed higher surface roughness (p=0.0493) than those with WT (-0.5(1.0). The toothpastes did not alter the properties of the dental enamel, except for the roughness. Toothpaste with an abrasive system based on sodium bicarbonate and silica, and that contains sodium carbonate peroxide increased the surface roughness of the enamel.

Resumo O objetivo deste estudo in situ foi avaliar a alteração de cor, rugosidade superficial, brilho e microdureza em esmalte dentário submetido a dentifrícios clareadores e remineralizantes. Quinze adultos saudáveis (REBEC - RBR-7p87yr) (com fluxo salivar não estimulado ≥ 1.5 mL por 5 minutos, pH = 7) usaram dois dispositivos intrabucais contendo quatro fragmentos dentários bovinos (6 x 6 x 2 mm). Os participantes foram aleatoriamente designados e instruídos a escovar os aparelhos com os dentifrícios testados (30 dias): CO: convencional; CL: clareador; CLP: clareador com peróxido e RE: remineralizante. Foi estabelecido um período de washout de 7 dias. Leituras de cor, brilho, rugosidade superficial e microdureza foram realizadas antes e após a escovação. Os resultados não demonstraram diferenças na cor, brilho e microdureza. As amostras escovadas com CLP apresentaram maior rugosidade superficial (p=0,0493) do que aquelas com CL. Os dentifrícios não alteraram as propriedades do esmalte dental, exceto a rugosidade. O dentifrício com sistema abrasivo à base de bicarbonato de sódio e sílica, e que contém peróxido de carbonato de sódio aumentou a rugosidade de superfície do esmalte.

Comparison of the polishing effects of polyetheretherketone materials under different chairside polishing systems / 口腔疾病防治

Objective @# The polishing effects of different compositions of chairside polishing systems on polyetheretherketone (PEEK) were compared to provide a reference for the rational selection of polishing systems for this material in clinical settings. @*Methods @#A total of 108 specimens were made from ShushijieTMPEEK crown and bridge materials, Bio-PAEK® dental PEEK, and BioHPP® PEEK. Thirty-six specimens of each material were randomly divided into 6 groups on average based on their polishing technique: OptiDisc®, Super-Snap® Rainbow Technique Kit, VITA ENAMIC®Clinical Polishing Set, Sof-LexTM Diamond Polishing System, Visio.lign Finishing Kit for Composite Veneers, and CERAMAGE Polishing Kit, LavaTM Ultimate ceramic and VITA ENAMIC ceramics were set as the control groups, and 6 specimens were made in each material, polished by Sof-LexTM Diamond Polishing System and VITA ENAMIC® Polishing Set clinical, respectively, according to the manufacturers’ suggestions. The surface roughness (Ra value and Sa value) and gloss of each set were measured. The surface morphologies of the polished specimens were observed by scanning electron microscopy.@*Results @#Surface roughness (Ra value and Sa value) and gloss were mainly influenced by the type of polishing system, and they varied between PEEK material types. The Sof-LexTM Diamond Polishing System produced the highest surface roughness and the lowest gloss values for PEEK materials, while the Super-Snap® Rainbow Technique Kit, Visio.lign Finishing Kit for Composite Veneers and CERAMAGE Polishing Kit resulted in low surface roughness values. The Visio.lign Finishing Kit for Composite Veneers and CERAMAGE Polishing Kit exhibited high gloss values. Polishing paste particles were observed embedded on the surfaces of the PEEK materials polished by the Visio.lign Finishing Kit for Composite Veneers; the surfaces of specimens polished by the CERAMAGE Polishing Kit were smooth, without polishing paste particle residue. Using the same polishing system, the best polishing results were obtained with BioHPP® among the PEEK materials tested. The surface roughness values of the three tested PEEK materials polished by the CERAMAGE Polishing Kit were similar to those of the LavaTM Ultimate ceramic and VITA ENAMIC ceramic, but the gloss was higher than that of both. @*Conclusion @# CERAMAGE Polishing Kit was recommended for polishing all three tested PEEK materials, achieving a good polishing effect, with similar surface roughness and higher gloss characteristics comparable to those of polished computer-aided design and manufacturing (CAD/CAM) resin-matrix ceramics.

Surface roughness, gloss and sequential polishing times of various chairside computer aided design/manufacturing restorative materials / 北京大学学报(医学版)

OBJECTIVE@#To investigate the effect of polishing on surface roughness, gloss and optimum polishing time of various computer aided design/computer aided manufacturing (CAD/CAM) restorative materials and to provide a proper polishing procedure for dental clinicians.@*METHODS@#Five CAD/CAM restorative materials including vita mark Ⅱ (VM), vita enamic (VE), lava ultimate (LU), shofu block HC (SB) and brilliant crios (BC) were selected. Six specimens were prepared for each material. The specimen was fixed on a custom-made polishing apparatus and sequentially polished with Sof-Lex poli-shing disk system including medium disk (with abrasive particle sizes of 10-40 μm), fine disk (with abrasive particle sizes of 3-9 μm) and superfine disk (with abrasive particle sizes of 1-7 μm). Surface roughness (Ra value) and gloss value were measured every 10 seconds until the numerical values were no longer changed. Then the surface roughness, gloss value and polishing time were recorded and the specimen was moved to the next sequence of polishing. Finally, statistical analysis was performed using SPSS 24.0.@*RESULTS@#For all the restorative materials, the Ra values were significantly reduced (P < 0.05) and the gloss values were significantly increased (P < 0.05) after sequentially polishing with Sof-Lex disks. No significant difference was detected among Ra values of all the tested materials (P>0.05) after sequential polishing. The gloss values of LU [(68.1±4.5) GU] and BC [(68.2±5.8) GU] were significantly higher than those of VE [(48.1±8.1) GU] and BC [(53.2±5.8) GU], P < 0.05. To obtain optimal surface smoothness, VM cost the shortest polishing time [40 (30, 55) s] among all the restorative materials (P < 0.05). No significant differences in the total polishing time were observed among VE [140 (135, 145) s], LU [130 (120, 140) s], SB [140 (130, 150) s] and BC [130 (120, 140) s], P>0.05.@*CONCLUSION@#The surface roughness of all CAD/CAM restorative materials were decreased after sequentially polishing with Sof-Lex disk system. To obtain the smoothest surface, different types of restorative materials might need different polishing times using Sof-Lex polishing disk system. For ceramic restorative material VM, we recommend polishing only with medium disk for 40 s. For hybrid restorative material VE and composite restorative material LU, SB and BC, we recommend polishing with medium disk, fine disk and superfine disk in sequence for 130-140 s in total.

The effect of different finishing and polishing procedures on the surface gloss of Bulk-Fill resin composites

STATEMENT OF THE PROBLEM: The literature still lacks evidence regarding which polishing techniques have the ideal clinical outcomes for bulk-fill resin composites. PURPOSE: This study evaluated the surface gloss of two commercially available bulk-fill resin composites after different polishing procedures and characterized their micromorphology via scanning electron microscopy. MATERIAL AND METHODS: 80 bulk-fill compactable composite resin discs were created. The control group was left untreated, and remaining samples were subjected to different polishing techniques. Gloss units were measured and surface morphology of disc samples was assessed. The Tukey post-hoc test was used to identify any differences. RESULTS: Statistically significant differences were found between the different polishing systems applied to Filtek BulkFill Posterior and Tetric N Bulk-Fill. No differences were found when the same polishing system was applied for both resins. The highest gloss values were obtained in the control group and the ENA Shiny system; the lowest were obtained with SofLex XT and Soflex Spiral Wheels for the bulk-fill composite resins studied. CONCLUSIONS. Diamond pastes have the highest gloss behavior, followed by diamond rubber points. The systems with aluminum oxide discs present the lower gloss behavior. SEM images provided useful evidence, and future studies should include an evaluation over time.

Color stability and gloss of esthetic restorative materials after chemical challenges

Abstract This study evaluated gloss and color changes of esthetic restorative materials subjected to different acidic beverages. Specimens of resin composites (Z350XT (Z350), IPS Empress Direct (ED), Charisma Diamond (CD)) were prepared and the initial surface gloss and color (ΔE) were measured (n=10). Then, the specimens were immersed in 4 mL of each of the different beverages (cranberry juice; Coca-Cola; coffee or artificial saliva) during 15 min, 3x/day for 14 days and new gloss and color readings were obtained. Color change was evaluated with the ΔE formula and gloss change values were obtained by the formula: (final gloss - initial gloss). Data was submitted to two-way ANOVA followed by Tukey's post hoc test (a=0.05). CD showed the lowest color change among resin composites. The highest ΔE values were obtained after immersion in coffee and cranberry juice. Coffee promoted the highest gloss change (worst gloss retention), followed by cranberry juice, Coca-cola and artificial saliva (p<0.05). The type of beverage significantly influenced the gloss of resin composites. Coca-cola reduced gloss of the three resin composites in a similar manner. Coffee affected the ED gloss more than that of Z350 and CD, while cranberry juice affected Z350 more than ED and CD. Saliva had a more pronounced effect on the gloss retention of CD than ED. The beverages used in this study influenced the optical surface properties of the composites studied.

Resumo O objetivo foi avaliar as alterações de brilho e cor de materiais restauradores estéticos submetidos ao armazenamento em diferentes bebidas ácidas. Foram preparados espécimes de compósitos de resina (Z350XT (Z350), IPS Empress Direct (ED), Charisma Diamond (CD) e o brilho e a cor (ΔE) de superfície mensurados (n=10). Em seguida, os espécimes foram imersos em 4 mL de cada uma das diferentes bebidas (suco cranberry, Coca-Cola, café, ou saliva artificial) durante 15 min, 3x/dia durante 14 dias e o brilho e a cor novamente mensurados. A alteração de cor foi avaliada pela fórmula ΔE e os valores de alteração de brilho foram obtidos pela fórmula: (brilho final - brilho inicial). Os dados foram submetidos à ANOVA e Tukey (a = 0,05). CD apresentou menor alteração de cor quando comparado aos demais compósitos e maiores valores de ΔE foram obtidos após imersão em suco de café e cranberry. O café promoveu maior perda de brilho, seguido pelo suco cranberry, Coca-cola e saliva artificial (p <0,05). O tipo de bebida influenciou significativamente no brilho dos compósitos resinosos. Coca-cola reduziu o brilho dos três compósitos de maneira similar. O café promoveu maior alteração do brilho do ED, quando comparado ao Z350 e CD, enquanto o suco de cranberry afetou mais o Z350 do que o ED e o CD. A saliva teve efeito mais significativo na perda do brilho do CD do que o ED. As bebidas utilizadas neste estudo influenciaram as propriedades ópticas de superfície dos compósitos.

Comparison of polishing effects of three polishing systems on machinable composite resins / 口腔疾病防治

Objective@#To compare the polishing effects of three different polishing systems on machinable composite resins and to provide a basis for the rational selection of polishing systems in the clinic.@*Methods @#Block HC, Cerasmart, and Hyramic were fabricated into 90 test pieces. Then, 30 test pieces for each material were randomly divided into 3 groups with 10 pieces per group. The pieces were polished with the Vita Enamic ® Polishing Set (Vita group), EVE RA341 composite polishing set (Eve group), and Toboo M elastic ceramic polishing set (Tob group). The surface roughness and gloss of each test piece after polishing were measured, and the surface morphology was observed using a scanning electron microscope.@*Results @#The surface roughness values of the Vita and Eve groups for the same composite material were significantly lower than those in the Tob group (P < 0.05). No significant difference was found between the Vita and Eve groups (P > 0.05). Lower roughness values could be achieved. The gloss values of the three composite resins in the same material group were in the order of Vita group > Eve group > Tob group, and the differences between the groups were statistically significant (P < 0.05). No significant differences in the surface roughness and gloss values were found among the different composite resins (P > 0.05). Scanning electron microscopy showed that the Vita group had fewer and lighter scratches on the surface and a more uniform texture. @*Conclusion@#The Vita Enamic ®Polishing Set can be used to cut composite resin and yields the lowest roughness and highest gloss values with the best polishing effect. The same polishing system did not exhibit significant differences in the polishing effect for different machinable composite resins.

Effects of artificial accelerated aging on the optical properties of resin composites / Efeitos do envelhecimento acelerado artificial nas propriedades ópticas de resinas compostas

The aim of this study was to evaluate the effects of ultraviolet artificial aging on color, fluorescence, gloss, and translucency of different composite resins. Seventy-five cylindrical-shaped specimens (6 mm in diameter and 1 mm thick) of four different composites: Admira Fusion (VOCO), TPH3 (DENTSPLY), GrandioSO (VOCO) and Filtek™ Z350 XT (3M/ESPE), were built. Enamel samples obtained from bovine incisors were prepared with the same dimensions and used as a control group. Assessments of color, translucency, fluorescence, and gloss were performed at baseline and after artificial aging. Specimens were immersed in artificial saliva and submitted to artificial aging (UV light for 300h). Data were analyzed using one-way ANOVA and Tukey's post hoc test (=0.05). After aging, all resin composites presented significant alterations, mainly Filtek™ Z350 XT. Fluorescence decreased in all resin composites and enamel. Gloss was reduced in all groups, too, with major rates for TPH3 and GrandioSO, which was similar to the enamel reduction. Translucency did not present a significant difference for the resin composites, although there was a reduction in the enamel. After artificial aging resin composites became darker, less fluorescent, less glossy, and with no alteration in translucency.

O objetivo deste estudo foi avaliar os efeitos do envelhecimento artificial ultravioleta na cor, fluorescência, brilho e translucidez de diferentes resinas compostas. Foram confeccionados setenta e cinco espécimes de forma cilíndrica (6 mm de diâmetro e 1 mm de espessura) de quatro compósitos diferentes: Admira Fusion (VOCO), TPH3 (DENTSPLY), GrandioSO (VOCO) e Filtek ™ Z350 XT (3M / ESPE). As amostras de esmalte obtidas a partir de incisivos bovinos foram preparadas com as mesmas dimensões e utilizadas como grupo controle. As avaliações de cor, translucidez, fluorescência e brilho foram realizadas na primeira leitura e após o envelhecimento artificial. Os espécimes foram imersos em saliva artificial e submetidos ao envelhecimento artificial (luz UV por 300h). Os dados foram analisados usando ANOVA e teste post hoc de Tukey ( = 0,05). Após o envelhecimento, todos os espécimes apresentaram alterações significativas, principalmente para a resina Filtek ™ Z350 XT. A fluorescência diminuiu em todos os materiais e no esmalte. O brilho foi reduzido em todos os grupos, também, com taxas maiores para TPH3 e GrandioSO, que foi semelhante à redução do esmalte. A translucidez não apresentou diferença significativa em todos os materiais testados, embora tenha havido uma redução no esmalte. Após o envelhecimento artificial, os compósitos de resina ficaram mais escuros, menos fluorescentes, menos brilhosos e sem alteração na translucidez.

Influence of illuminants and different observers on the perception of surface gloss of resin composite / Influência de diferentes iluminantes e observadores na percepção do brilho superficial da resina composta

Objective: To evaluate the visual perception of surface gloss of resin composite under different illuminants by different observers. Material and methods: twelve cylindrical specimens (6mm x 1mm) were fabricated using a nanofilled resin composite (Z350, A2E shade) in order to compare different observers and to determine the limit of perceptibility of surface gloss. Bovine tooth specimen with similar dimensions was obtained for the comparison of different illuminants. Polishing of resin specimens was performed resulting in 6 groups, presenting surface gloss values at 10, 25, 40, 55, 70, and 85 GU (gloss units), measured by glossmeter (NOVOCURVE). Fifteen individuals were selected: 5 lay-person, 5 undergraduate students, and 5 dental professionals. Participants observed the specimens in a light booth (Gti lightbox) under three different illuminants, and rated the possible combinations between resin specimens or with the bovine enamel specimen (85GU). Data obtained were analyzed by PROBIT non-linear regression analysis (α=0.05). Results: Differences were observed among types of illuminants (p=0.042) and ΔGU (p=0.004), with no interaction between factors (p=0.139). The fluorescent light presented lower surface gloss perceptibility values in relation to incandescent light. There was no influence by type of observers (p=0.598). The surface gloss perception limit was 17.6 GU under the presented tested conditions. Conclusion: the illuminant type influenced perception of gloss, with lower percentage of perceptibility for fluorescent light, while such perceptibility was not influence by different observers. (AU)

Objetivo: Avaliar a percepção visual e táctil do brilho superficial da resina composta sob diferentes iluminantes e por diferentes observadores. Material e métodos: foram utilizados doze espécimes cilindricos (6mm x 1mm) fabricados em resina composta nanoparticulada (Z350, 3M ESPE- cor A2E) para comparar diferentes observadores e determinar o limite de perceptibilidade do brilho superficial. Um espécime em dente bovino com dimensões similares foi obtido para a comparação de diferentes iluminantes. O polimento do espécime de resina foi realizado, resultando em 6 grupos (n=2), apresentando valores de brilho superficial em 10, 25, 40, 55, 70 e 85 UB (unidades de brilho), medido por um medidor de brilho (NOVOCURVE ­ Rhopoiny TM, East Sussex, Inglaterra). Foram selecionados quinze indivíduos : 5 leigos, 5 alunos de graduação e 5 profissionais de odontologia. Os participantes observaram espécimes em uma cabine de luz (Gti lightbox, New Jersey, USA), sob três iluminantes diferentes, e avaliaram as possíveis combinações entre espécimes de resina ou com espécime de esmalte bovino (85 UB). Resultados: os dados obtidos foram analisados por análise de regressão não-linear PROBIT (5%). As diferenças foram observadas entre os tipos de iluminantes (p= 0,042) e Δ UB (p= 0,004), sem interação entre os fatores (p= 0,139). A luz fluorescente apresentou valores de percepção de brilho da superfície inferior em relação á luz incandescente. Não houve influência pelo tipo de observadores (p= 0,598). O limite de percepção do brilho superficial foi de 17,6 UB sob as condições testadas apresentadas. Conclusão: o tipo de iluminante influenciou na percepção do brilho, com menor porcentagem de perceptibilidade para luz fluorescente (p=0,042), enquanto que a perceptibilidade não foi influenciada pelos diferentes observadores. (AU)

Effectiveness of a baking soda dentifrice on gingivitis and tooth surface / 대한구강보건학회지

OBJECTIVES: To evaluate the effectiveness of sodium bicarbonate dentifrices in reducing gingivitis and tooth abrasiveness and improving tooth gloss, as compared to a conventional fluoride/silica-containing dentifrice. METHODS: In this double-blinded, randomized clinical study with a paralleled design, 73 healthy adult volunteers (age, 18-39 years), with more than 20 teeth were selected and randomly allocated to the following groups: a control group, a 35% baking soda group, and a 65% baking soda group. Professional plaque controls were provided to all subjects and the same control dentifrice was used for 14 days. At baseline, all subjects received an assigned dentifrice and were instructed to brush three times daily. The tooth gloss and gingival bleeding index were measured at baseline, 45, and 90 days. For measuring surface roughness, toothbrushes were replaced with electronic tooth-brushing machines, and the bovine specimen was brushed via 10,000 horizontal shuttle movements. The surface roughness was measured by a confocal laser scanning microscope (CLSM; Carl Zeiss, LSM-5 Pascal, Germany) Each variable was analyzed by the paired t-test, and change in each variable among groups was analyzed by analysis of variance (ANOVA). Reliability of the gloss was analyzed by an intra-class correlation coefficient. RESULTS: Compared to the controls, the 65% sodium bicarbonate dentifrice group showed significant improvement with regard to the tooth gloss for 90 days as well as a significant inhibitory effect on gingivitis; the 35% sodium bicarbonate dentifrice group, however, showed no inhibitory effect on gingivitis. The relative roughness of the tooth surface in the dentifrices of both the sodium bicarbonate dentifrice groups was significantly low. Further, there was no significant difference with the distilled water group. CONCLUSIONS: The sodium bicarbonate dentifrice has an inhibitory effect on gingivitis. Further, this dentifrice showed low abrasiveness and a glossing effect on teeth.

Effects of different polishing and glazing methods on the ceramic surface / 实用口腔医学杂志

0.05).Conclusion:Different polishing and glazing methods have significant effects on the surface roughness of ceramics,while the surface gloss of ceramics is not affected.