ObjectivesThe objective of this study was to evaluate the discolouration effects of artificial saliva, granule lemon juice, coffee (without sugar), coca cola, sour cherry juice, fresh carrot juice and red wine on resin-based composite materials that are commonly used in restorative dentistry.MethodsColour of four brands of resin composites (Filtek Z 250 (3M Espe), Filtek Supreme (3M Espe), Quadrant (Cavex), Charisma (Heraeus-Kulzer)) of A2 shade was measured after one day of immersion in eight different solutions. Colour measurements were obtained by using a XL-20 Trismus Colourimeter and colour differences (ΔE) were estimated. For statistical evaluation, analysis of variance (ANOVA), Dunnett and Tukey tests were used at a significance level of 0.05.ResultsFor the four restorative materials tested, the lowest ΔE values were observed in the artificial saliva, while ΔE values were the highest in red wine group. When comparing the four different restorative materials, Filtek Supreme exhibited the least colour changes whereas Filtek Z250 was the least colour-stable.ConclusionsDental resin composites and drinking solutions were significant factors that may affect the colour stability. After immersion for one day, all materials showed visible colour changes. The red wine solution exhibited more staining than others in three groups. Filtek Supreme showed significantly the least colour change due to its nano particle sizes.

Objective The improvement of the optical properties of new generation dental ceramics enables more esthetic and durable restorations. This study aimed to investigate the color changes, caused by exposure to different beverages on composite, hybrid ceramic, and zirconia‐reinforced lithium silicate (ZLS) CAD/CAM blocks. Materials and methods CAD/CAM blocks 40 samples (1.5 × 7 × 12 mm) were obtained from each material under water cooling. Following the polishing process and the initial color measurement, the prepared samples were exposed to red wine, coffee, cola, energy drink, and distilled water. Color changes were measured by spectrophotometer at the end of the 1st, 7th, and 30th days. To analyze the color change results, one‐way analysis of variance (ANOVA) test was performed. Results In all restorative material groups, the most prominent color changes were observed on the red wine‐exposed samples, then the coffee‐exposed ones. No significant discoloration was observed on the samples exposed to cola and energy drink, compared to the control group (P > .05). Among the samples exposed to red wine and coffee, the highest discoloration values were observed in composite CAD/CAM material. Conclusions At the end of the 30th day, all materials exposed to wine and coffee showed color change above the clinically acceptable value (ΔE00:2.25). Clinical significance Hybrid ceramic and ZLS CAD/CAM blocks recently used more often by clinicians have shown similar color changes. The results of our study indicate the necessity of choosing esthetic materials according to the dietary habits of individuals.

Aim: Although it has been stated that composite resins should be used in the restoration of teeth after color shade selection, it has recently been stated that single-shade composite resins can be used for all tooth shades. The objective of our study is to evaluate the surface roughness and color change of single-shade composite resins compared with multi-shade system composite resins. Material and methods: In our study, samples (8 mm diameter and 2 mm depth) were obtained using single-shade (Omnichrorma) and multi-shade system (Filtek Universal Restorative, Clearfil Majesty ES-2 Premium, Harmonize) composite resins. Two steps finishing and polishing system (Clearfil Twist Dia) was used in the finishing polishing processes of the samples. The initial roughness values of the samples were measured with a profilometer and color values with a spectrophotometer. Then, color measurements of the samples kept in coffee were made on the 1 st , 7 th and 30 th days and after the last polishing process. The surface roughness (Ra) and color change (ΔE00) were statistically analyzed using two-way variance analysis (ANOVA) and Tukey post-hoc test (p<0.05). Results: There was no statistically significant difference between the initial surface roughness values of composite resins with single and multi-shade systems (p>0.05). Composite resin with single-shade system showed statistically significantly more color change than composite resin with multi-shade systems in all time periods (p<0.001). Although re-polishing these materials reduced the color changes, it could not decrease it below the acceptability threshold value (ΔE00:1.8). Conclusion: New generation single-shade composite resin with smart chromatic material technology can simplify color selection without sacrificing esthetic success. However, this composite resin shows more color changes than multi-shade systems composite resins.

The purpose of the current study was to determine the similarities of maxillary and mandibular third molars with the other molar teeth. A total of 2016 extracted maxillary and mandibular permanent teeth were evaluated. The teeth were divided into six groups. The teeth were stored in 5% nitric acid solution for 7 days, then placed in increasing concentrations of ethyl alcohol. The teeth were rendered transparent by immersion in xylene solution for 4 days until complete transparency was achieved. Three roots were present in 93.0% of the maxillary molars, and 91.3% of the second molars. Among the maxillary third molars, 35.5% were single-rooted and 24.9% of the mandibular third molars had single roots. Double roots were present in 69.2% of the mandibular third molars, and 5.4% had three roots. Four new root canal configurations were encountered in this study. The root canal configurations of the mandibular and maxillary teeth showed similarities with the results of other studies performed in different populations.

Objectives:The aim of this study was to evaluate the effects of time elapsed since bleaching and different bleaching regimens on the microtensile bond strength of resin composite to enamel.Methodology:Forty flattened buccal enamel surfaces were divided into four groups: An unbleached (control) group and three bleaching groups. Control group specimens were not subjected to a bleaching regimen (Group 1), while those in the bleaching groups were bleached as follows: opalescence 10% (Group 2), whiteness perfect 16% (Group 3), and whiteness hydrogen peroxide 35% (Group 4). Thereafter, the bleached specimens were divided into three subgroups (n = 4 teeth each) for restoration according to predetermined posttreatment time intervals (immediately, 1 week, and 2 weeks). Bonded specimens were then sectioned and subjected to μTBS testing. The data were analyzed using Kruskal–Wallis and Mann–Whitney U-tests at α = 0.05.Results:There was a significant difference in the μTBS of the resin composite to enamel in groups that were bonded immediately after bleaching and in the control group (P < 0.05). Compared to the control group, the μTBS in Groups 2, 3, and 4 decreased significantly 1-week postbleaching (P < 0.05). No significant difference in μTBS was observed between the bleached and unbleached groups 2 weeks after treatment (P > 0.05).Conclusions:Adhesive restorative procedures could not be performed immediately or after 1 week irrespective of the type or concentration of bleaching system used. Composite restorations on bleached enamel surfaces should be performed after an interval of at least 2 weeks.

Objective:To evaluate the effects of various endodontic regeneration agents on the push-out bond strength of Endosequence Root Repair Material (ERRM) to root-canal dentin.Methods:Fifty single-rooted human teeth were selected and instrumented to obtain a standard internal diameter of 1.5 mm. Specimens were randomly divided into four experimental groups and treated with an intracanal medicament [calcium hydroxide (CH), double antibiotic paste (DAP), triple antibiotic paste (TAP), TAP with amoxicillin (mTAP)] and a non-treated control group. Medicaments were removed after three weeks, and ERRM was applied to all specimens. The coronal portion of each root was then sliced into 2-mm-thick parallel transverse sections (2 slices per tooth, n=20 slices per group), and a push-out test was used to measure the bond strength of ERRM to dentin. Data were analyzed using Bonferroni-corrected Mann-Whitney tests, with the level of significance set at p<0.05.Results:The push-out bond strength of the CH group was significantly higher than that of the TAP, DAP and mTAP groups (p< 0.005). Furthermore, the bond strength of the control group was higher than the bond strength of both the DAP and mTAP groups.Conclusion:The use of CH in clinical practice may help improve the adhesion of ERRM to dentin.

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Introduction Some colorant foods and beverages cause undesired discoloration on dental restorations. The aim of this study was to investigate the effect of whitening kinds of toothpaste with different active ingredients on the color change of resin‐based CAD/CAM blocks. Material and methods In the study, resin‐based CAD/CAM block samples sized 1.5 × 7 × 12 mm, were prepared. Then, to simulate the time‐dependent color change, the samples were immersed in coffee (Nescafe Classic, Nestlé) for 14 days. After the color change values of the samples colored in coffee were measured by spectrophotometer, the samples were brushed with different types of whitening toothpastes for 4 minutes. Statistical analysis of the color change (ΔE00) was performed using the one‐way analysis of variance (ANOVA). Results Color differences occurring on all resin‐based CAD/CAM blocks immersed in coffee for 14 days exceeded the 50%:50% perceptibility threshold (PT) (ΔE00:0.8). There was no statistical significant difference between the whitening toothpastes containing activated charcoal, hydrogen peroxide (HP), blue covarine pigment, and microparticles in color improvement on resin‐based CAD/CAM blocks (P > .05). Conclusion It has been verified that the discoloration on resin‐based CAD/CAM blocks exhibiting color difference above the PT after coffee immersion can be reduced by utilizing toothpastes containing whiteners. Clinical significance Color changes that occur over time in resin‐based CAD/CAM blocks can be a clinical problem. These color changes in the materials can be reduced below the PT level using whitening toothpastes.