ORIGINAL ARTICLE
a
Department of Restorative Dental Sciences, College of Dentistry, King Saud University, P.O. Box 5967,
Riyadh 11432, Saudi Arabia
b
Intern, College of Dentistry, King Saud University, Saudi Arabia
KEYWORDS Abstract Objective: This study assessed the influence of commonly used types of coffee, in Saudi
Color stability; Arabia, on surface microhardness and color stability of microhybrid resin-based composite (Filtek
Resin-based; Z250), nanofilled resin-based composite (Filtek Supreme) and organic modified ceramic composite
Composite; (Ormocer).
Restoration Materials and methods: A total of 75 disk-shaped specimens were fabricated (25 discs from each
type of material). After initial color and microhardness recording, samples were randomly divided
into five groups (n = 5). Four groups of specimens from each material were immersed in 1 of 4
types of coffee (American, Arabic, Turkish and Espresso coffee) and the fifth group was stored
in saline to serve as control. The specimens were immersed in the different types of coffee for
3 weeks. At the end of the test period, surface microhardness and color were measured again.
Results: It was observed that there is no significant difference in microhardness of the three tested
materials after immersion in the different types of coffee. However, all resin-based materials showed
significant color change when compared to control (saline). Filtek Z250 showed the least color
change among the three materials followed by Ormocer. On the other hand, Filtek Supreme was the
most common material prone to discoloration. Espresso coffee caused the most change in color fol-
lowed by Turkish then American coffee. Nevertheless, Arabic coffee caused the least color change
of the three materials.
Conclusions: Color stability of resin-based materials is affected by their different material compo-
sition.
ª 2010 King Saud University. All rights reserved.
1. Introduction top glass plate was removed in order to have the tip of the cur-
ing light closer to the samples. Each specimen was polymerized
The increasing demands for esthetics coupled with outstand- for another 30 s. Afterwards, all specimens were stored in sal-
ing development of adhesive dentistry has resulted in an ine for 24 h at 37 C to ensure complete polymerization. Spec-
increasingly wide spread of resin-based composites as restor- imens of each material were then divided randomly into five
ative materials. Despite the development in the composition groups of five specimens each. Baseline surface microhardness
and characteristics of these restorative materials, restorations and color of all groups were recorded before immersion in dif-
in the oral cavity are subjected to a number of conditions ferent types of coffee.
that may cause changes in the physical and mechanical
properties of these restorations, such as color and microh- 2.1. Specimen’s treatment
ardness per se. Thereby, undermining the quality of the res-
toration and eventually necessitating replacement (Tyas, Specimens from each material were divided into four groups
2005). according to the four different types of coffee as shown in
One of the factors that may affect the quality of the resto- Table 2. Each type of coffee was prepared according to manu-
rations is the consumption of certain beverages such as coffee, facturer’s instruction. Specimens were then immersed in con-
tea, soft drinks, alcoholic beverages and even fluoridated water tainers containing 10 ml of each type of coffee for 3 weeks.
(Vogal, 1975). The effect of these beverages on color and The different coffee types were prepared fresh daily before
microhardness of composite resin materials varies depending the staining procedure. The fifth group of specimen from each
on the intrinsic features of the composite, such as their chem- material was stored in10 ml of saline to serve as control. After
ical composition (Gaintantzopoulou et al., 2005). 3 weeks surface microhardness and color of all the specimens
Scotti et al. (1997) simulated the oral condition by immers- were recorded again.
ing resin-based specimens in synthetic saliva combined with
coffee, tea or chlorhexidine in a dark environment at 37 C. 2.2. Color testing
Their results showed that synthetic saliva and coffee produced
the greatest darkening and the type of the materials used was Color of the specimens was measured using Color Eye 7000
also a significant factor in stain-resistant. Ertasß et al. (2006) spectrophotometer (Gretag Macbetch, New Windsor, NY,
stated that discoloration by coffee was due to absorption of USA); against a white background using CIELAB color space
colorants by the tested materials. relative to CIE standard illuminant D65. Color of specimens
This study was conducted to assess the effect of commonly before and after immersion in the different types of the coffee
used types of coffee, in Saudi Arabia, on surface microhard- was measured according to the following formula:
ness and color stability of microhybrid resin-based composite, h i1=2
nanofilled resin-based composite and organic modified ceramic DE ¼ ðLo LI Þ2 þ ðao aI Þ2 þ ðbo bI Þ2
resin materials.
DE* = color change, L* = luminance reflectance, a* = red-
green color coordinate, b* = yellow-blue color coordinate,
2. Materials and methods o = baseline, I = after treatment.
The three resin-based composite materials used in this study 2.3. Microhardness testing
are shown in Table 1. Seventy-five specimens (shade A2) were
prepared from the three materials (25 from each). The resin Vickers microhardness measurements were done using a
materials were injected into round Teflon mold (11 mm in Micromet Buehler Microhardness tester (Buehler Company,
diameter and 2 mm deep), covered with Mylar strip and 41 Waukegan Road, Lack Bluff Illinois, USA). The specimens
pressed between glass plates. After 10 s curing with a wide were individually fixed in the apparatus and positioned in such
tipped Prismatic curing unit (LD Caulk/Dentsply Int.), the a way that the specimen surface was perpendicular to the
2.4. Statistical analysis based composite materials. Espresso coffee caused the most
significant color change in the three resin-based composites
Color change DE* data and microhardness values were ana- followed by Turkish and American coffee, with no significant
lyzed by one-way, two-way analysis of variance (ANOVA) difference between the latter two. Arabic coffee, on the other
and Post Hoc Tukey’s test at 0.05 significance level to compare hand, did not cause any change in color of the three resin-
between the different groups. based composite materials. Samples immersed in the Arabic
Three different intervals were used for distinguishing color coffee have no significant color change from those immersed
differences. Values of DE* < 1 were regarded as not apprecia- in Saline (control).
ble by the human eye. Value of DE* < 3.3 were considered
perceptible by skilled operators, but considered clinically 3.2. Microhardness
acceptable, while value DE* > 3.3 were considered perceptible
also by non-skilled persons and for that reason it is clinically The results of microhardness testing are shown in Table 4.
not acceptable (Ayad, 2007; Johnston, 2009). One-way ANOVA indicated no significant difference in
microhardness of the three resin-based materials used in this
3. Results study before and after the immersion in the different types of
coffee.
3.1. Color Two-way ANOVA indicated that only the type of compos-
ite resin material was significant (P = 0.000). The Type of the
The mean and standard deviation values of color change DE* coffee however was not a significant factor to change surface
of the specimens after immersion in the different types of cof- microhardness of the three resin-based materials (P = 0.602).
fee for each of the composite resin materials used in the study Also, no significant interaction was found between the restor-
are summarized in Table 3 and Fig. 1. ative materials and the types of coffee (P = 0.107).
Two-way ANOVA showed that both the restorative mate-
rials and types of coffee were significant factors to change col- 4. Discussion
or (P = 0.000 for both). Significant interaction was also found
between the restorative materials and the different types of cof- The present study addressed the problem of color stability of
fee (P = 0.000). modern resin-based composites by investigating their suscepti-
All the three resin-based composite materials showed signif- bility to stains caused by commonly consumed types of coffee.
icant color change after immersion in three types of coffee Discoloration can be evaluated visually and by using specified
(Espresso, Turkish and American) DE* > 3.3. Z250 resin-
based composite showed the least color change followed by
Ormocer. However, there was no significant difference be- Table 3 Mean color change of the three resin-based compos-
tween the two materials. Nevertheless, Filtek Supreme showed ite materials after immersion in the different type of coffee
significantly the least color stability among the three resin- (DE*).
Composite Coffee Mean (SD)
Filtek Z250 American coffee 5.13 (0.69)*
Turkish coffee 4.19 (1.81)*
Arabic coffee 1.90 (0.79)
Espresso 6.78 (1.85)*
Saline 2.07 (0.79)
Filtek Supreme American coffee 6.56 (1.58)*
Turkish coffee 9.62 (1.54)*
Arabic coffee 2.55 (0.84)
Espresso 11.87(2.21)*
Saline 3.09 (0.27)
Ormocer American coffee 4.86 (1.63)*
Turkish coffee 4.81 (1.34)*
Arabic coffee 1.60 (0.98)
Espresso 7.68 (2.15)*
Saline 2.57 (1.23)
Figure 1 DE color change of the three resin-based materials after *
Indicates that the color is clinically unacceptable.
immersion in the different types of coffee.
180 W.Y. Awliya et al.
potential of these commonly used drinks on restorative mate- Bagheri, R., Tyas, M.J., Burrow, M.F., 2007. Subsurface degradation
rials. For instance, Filtek Supreme with its high susceptibility of resin-based composites. Dent. Mater. 23, 944–951.
for staining with coffee may not be an appropriate restorative Canay, S., Cehreli, M.C., 2003. The effect of current bleaching agents
material with patients with high coffee consumption. on the color of light-polymerized composites in vitro. J. Prosthet.
Dent. 89, 474–478.
Immersion of the specimens in the different types of coffee
Choi, M.S., Lee, Y.K., Lim, B.S., Rhee, S.H., Yang, H.C., 2005.
and absence of cleaning or brushing are significant factors Changes in surface characteristics of dental resin composite after
affecting susceptibility to staining of the materials. However, ac- polishing. J. Mater. Sci. 16, 347–353.
tual staining in the oral cavity would very likely require a longer Ellakuria, J., Triana, R., Mı́nguez, N., Soler, I., Ibaseta, G., Maza, J.,
period of time, because of the intermittent nature of coffee expo- Garcı́a-Godoy, F., 2003. Effect of one-year water storage on the
sure. In addition, saliva and other fluids will dilute staining med- surface microhardness of resin-modified versus conventional glass-
ia and restorations will also be polished by tooth brushing. ionomer cements. Dent. Mater. 19, 286–290.
Ertasß, E., Güler, A.U., Yücel, A.C., Köprülü, H., Güler, E., 2006.
Color stability of resin composites after immersion in different
5. Conclusions
drinks. Dent. Mater. J. 25, 371–376.
Gaintantzopoulou, M., Kakaboura, A., Vougiouklakis, G., 2005.
All resin-based materials showed significant color change after Color stability of tooth-coloured restorative materials. Eur. J.
immersion in Espresso, Turkish and American coffee. Filtek Prosthodont. Restor. Dent. 13, 51–56.
Z250 showed the least color change among the three materials Johnston, W.M., 2009. Color measurement in dentistry. J. Dent. 37, 2–
followed by Ormocer. On the other hand, Filtek Supreme was 6.
the most material prone to discoloration. Khalachandra, S., Turner, D.T., 1987. Water sorption of polymeth-
acrylate networks: Bis-GMA/TEGDM copolymers. J. Biomed.
Espresso coffee caused the most change in color followed
Mater. Res. 21, 329–338.
by Turkish and American coffee. Nevertheless, Arabic coffee
Kugel, G., 2000. Direct and indirect adhesive restorative materials: a
did not change the color of the three materials and samples im- review. Am. J. Dent. 13, 35–40.
mersed in this type of coffee showed no significant color Moszner, N., Fischer, U.K., Angermann, J., Rheinberger, V., 2008. A
change from control. partially aromatic urethane dimethacrylate as a new substitute for
There was no significant difference on surface microhard- Bis-GMA in restorative composites. Dent. Mater. 24, 694–699.
ness of the three resin-based materials tested in this study be- O’Brien, W.J., 1997. Physical Properties in Dental Materials and Their
fore and after immersion in the different types of coffee. Selection, third ed. Illinois Quintessence Publishing Co., p. 18.
Okada, K., Tosaki, S., Hirota, K., Hume, W.R., 2001. Surface
hardness change of restorative filling materials stored in saliva.
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