Effect of pediatric multivitamin syrups and effervescent tablets on the surface microhardness and roughness of restorative materials: An in vitro study

Abstract

Background/purpose Multivitamin syrups and effervescent tablets are commonly used for dietary support in children; however, these preparations may have detrimental effects on the surface of restorative materials. The aim of this study was to evaluate the effect of two multivitamin syrups and two effervescent tablets taken daily on the surface microhardness and roughness of two different restorative materials. Materials and methods The study groups were comprised of a conventional glass ionomer cement, Ketac Molar, and a giomer, Beautifil II. A total of 140 disc-shaped specimens were prepared and randomly assigned to 5 subgroups. The samples were immersed in 4 multivitamins (Supradyne syrup, Supradyne effervescent, Sambucol syrup, Sambucol effervescent) and deionized water (control group) for 2 min once a day for 28 days. Surface microhardness and roughness measurements were recorded at baseline and on the 7th, 14th, 21st and 28th days. Surface microhardness was measured using a Vickers hardness tester and surface roughness was determined using a profilometer. Results For all subgroups; the surface microhardness values of the Ketac Molar and Beautifil II demonstrated a statistically significant decrease from the baseline to the 28th day measurements (p < 0.05), while the surface roughness displayed increased values that were found to be statistically significant (p < 0.05). The Ketac Molar surface roughness values were significantly higher than Beautifil II in all subgroups for all measurement days (p = 0.0001). Conclusion The prolonged use of multivitamin syrups and effervescent tablets may have negative effects on the physical properties of restorative materials.

The Effect of a Green Smoothie on Microhardness, Profile Roughness and Color Change of Dental Restorative Materials

“…In contrast, the erosive potential of the green smoothie drink led to a significant Ra increase for all materials, with ΔRa values 7–26 times higher compared to the control group. This wide range of values is indicative of a highly material-dependent behavior and is above the range of results reported in the literature, namely ΔRa for glass ionomers and composites immersed in energy drinks and Coca-Cola was 2–13 times higher than in the distilled water [ 16 ], while for multivitamin syrups and effervescent tablets, 2–4 times higher ΔRa values were reported [ 15 ]. Although the results of these studies cannot be directly compared to our data due to different experimental conditions, the considerable erosive potential of a green smoothie indicated by the present study should be further investigated.…”

“…Another study showed that Coca-Cola immersion for 15 days decreased MH of resin composites and compomers by 13–22% [ 14 ]. Additionally, 1-month immersion in multivitamin syrups and effervescent tablets was shown to diminish MH values by 21–28% for a resin composite, and 13–35% for a glass hybrid [ 15 ].…”

“…These conditions cause a gradual degradation of mechanical and chemical properties, consequently affecting the service life of dental restorations [ 10 ]. A number of previous studies have shown that acidic dietary foods and beverages can cause surface degradation for various types of dental restorative materials [ 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 ]. Concurrently with the increasing consumption of soft and fruit drinks, their potential for damaging dental hard tissues and restorative materials is becoming an important factor affecting the lifespan of contemporary dental restorations [ 21 ].…”

A Laboratory Study of the Effect of pH on Solubility of Bulk-Fill and Conventional Composites

“…17 It has been reported that the erosive potential of a solution not only depends on pH but also on titratable acidity, exposure time and temperature, type of acid and mineral content. 35 Therefore, previous studies have suggested that after composite restoration, dentist ask the patient to maintain oral hygiene and have a low-sugar diet. Otherwise, long and frequent periods of low pH may result in the solubility of resin composite.…”

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“…On the other hand, another study showed that giomers have less color change and the most significant color change was obtained at 4 weeks caused by cola [21] , there is no significant color change when using mouthwash [22] , as a restorative material, compared to a resin, they react similarly to coffee pigmentation and both have acceptable color change, but when bleaching is performed it affects the translucency of both materials [23] and compared to glass ionomer it has a better finish and less color change [24] . Prolonged use of multivitamin syrups and effervescent tablets negatively affects hardness and roughness in both giomer and glass ionomer [25] . The intensity of the lamp influences the dimensional changes that the giomer undergoes; greater dimensional changes have been reported if the high mode (0.23%) is used when light curing compared to the low mode (0.17%).…”