Effect of whitening dentifrices and mouthwashes on color and surface roughness of resin-infiltrated enamel
DOI:
https://doi.org/10.34117/bjdv9n2-097Keywords:
dental caries, composite resins, dentifrices, mouthwashes, bleaching agentsAbstract
The aim of this study was to evaluate the influence of whitening dentifrices and mouthwashes on color change (ΔE) and surface roughness (Ra) of resin-infiltrated enamel. The specimens were demineralized, infiltrated with Icon®️ and grouped according to the dentifrices to be used, after they were subjected to 30,000 brushing cycles. The groups were further subdivided according to the mouthwash type and were then submitted to immersion cycles for 45 days. Ra was evaluated in a rugosimeter, surface morphology analysis was performed using a scanning electron microscope (SEM) and ΔE was evaluated using a spectrophotometer 3 times (at: T0 - initial, T1 - after brushing, T2 - after mouthwash). Analyses were performed using the SPSS 2.0 software, with a significance level of 5%, except for SEM analyses, which were evaluated only aualitatively. For Ra tests, Kruskal Wallis and Dunn's analyses as well as Mann-Whitney and Wilcoxon’s test were applied. For color tests, one-way (Brushing) and two-way (mouthwashes/toothpaste) factor ANOVA were used. Ra decreased after the brushing cycles and the use of mouthwashes did not produce significant changes on the surface. SEM images also demonstrated a decrease in Ra. ΔE for all groups was above the levels of acceptability and perceptibility while there was no difference in ΔE among the tested groups. In conclusion, the dentifrices used caused a reduction in surface roughness, suggesting a degradation of the material, unlike the mouthwashes, which did not produce significant differences. Regarding color, all samples were above the level of clinical acceptability.
References
Fioretti F, Haïkel Y. Carie et sucres. Medecine des Maladies Metaboliques. (2010) 4 (5): 543–9.
Mandava J, Reddy YS, Kantheti S, Chalasani U, Ravi RC, Borugadda R, Konagala RK. Microhardness and Penetration of Artificial White Spot Lesions Treated with Resin or Colloidal Silica Infiltration, J Clin Diagn Res. (2017) 11(4): ZC142–ZC146.
Lima ECP, Lima ERC, Holiigan MEP, Dantas RP, Duarte JF, Silva TRA, Cota ALS. Infiltrant resins in odontopediatric patients: an integrative review. RSD. (2020) 9(8) e76985336.
Belli R, Rahiotis C, Schubert EW, Baratieri LN, Petschelt A, Lohbauer U. Wear and morphology of infiltrated white spot lesions. J Dent. (2011) 39 (5) 376-85.
Skucha-Nowak M, Machorowska-Pieniążek2 A, Tanasiewicz M. Assessing the Penetrating Abilities of Experimental Preparation with Dental Infiltrant Features Using Optical Microscope: Preliminary Study. Adv Clin Exp Med. (2016) 25(5) 961-9.
Prajapati D, Nayak R, Pai D, Upadhya NK, Bhaskar V, Kamath P. Effect of Resin Infiltration on Artificial Caries: An in vitro Evaluation of Resin Penetration and Microhardness. Int J Clin Pediatr Dent. (2017) 10(3) 250–6.
Peixoto RS, Lima KER, Macedo PVA, Silva RLC, Girão SGB, Viana MRA, Santos AL, Queiroz EC, Dinelly EMP, Mendes TAD. Resin infiltrant as enamel caries treatment: a review of integrative literature. Braz. J. of Develop. (2020) 6 (5) 32174-32183.
Paris S, Schwendicke F, Keltsch J, Dörfer C, Lueckel HM. Masking of white spot lesions by resin infiltration in vitro. J Dent. (2013) 41(5) e28-e34.
Gugnani N, Pandit IK, Gupta M, Josan R. Caries infiltration of noncavitated white spot lesions: A novel approach for immediate esthetic improvement. Contemp Clin Dent. . (2012) 3(2) S199–S202.
Muñoz MA, Arana-Gordillo LA, Gomes GM, Gomes OM, Bombarda NH, Reis A, Loguercio AD. Alternative esthetic management of fluorosis and hypoplasia stains: blending effect obtained with resin infiltration techniques. J Esthet Restor Dent. (2013) 25(1) 32–9.
Miranda DA, Bertoldo CES, Aguiar FHB, Lima DANL, Lovadino JR. Effects of mouthwashes on Knoop hardness and surface roughness of dental composites after different immersion times. Braz Oral Res. (2011) 25(2) 168-173.
Hammad SM, El-Wassefy NA, Alsayed MA. Evaluation of color changes of white spot lesions treated with three different treatment approaches: an in-vitro study. Dental Press J Orthod. (2020) 25(1) 27.E1-E7.
Souza JCM, Bentes AC, Reis K, Gavinha S, Buciumeanu M, Henriques B, Silva FS, Gomes JR. Abrasive and sliding wear of resin composites for dental restorations. Trib Int. (2016). 102 154-60.
Costa J, Belusko AA, Riley K, Ferracane JL. The effect of various dentifrices on surface roughness and gloss of resin composites. J Dent. (2010) 38(2) 123-8.
Barakah HM, Taher NM. Effect of polishing systems on stain susceptibility and surface roughness of nanocomposite resin material. J Prosthet Dent. (2014) 112 (3) 625-63.
Alshara S, Lippert F, Eckert GJ, Hara AT. Effectiveness and mode of action of whitening dentifrices on enamel extrinsic stains. Clin Oral Investig. (2014) 18(2) 563–9
Fernandes F, Turssi C, França F, Basting R, Botelho FA. Whitening mouthwash containing hydrogen peroxide decreases enamel microhardness in vitro. Braz J Oral Sci. (2017) 16 e17069.
Neiva GF. Effect of Whitening Dentifrices on the Surface Roughness of Commercial Composites. J Esthet Restor Dent. (2011) 23(5) 346–346.
Lima FG, Rotta TA, Penso S, Meireles SS, Demarco FFIn vitro evaluation of the whitening effect of mouth rinses containing hydrogen peroxide. Braz Oral Res. (2012) 26(3) 269-274.
Ten Cate JM, Duijsters PPE. Alternating Demineralization and Remineralization of Artificial Enamel Lesions. Caries Res . (1982) 16 201-10.
Paris S, Meyer-Lueckel H, Kielbassa AM. Resin Infiltration of Natural Caries Lesions. J Dent Res. (2007) 86(7) 662-6.
Sharma G, Wu W, Dalal, EN. The CIEDE2000 color‐difference formula: Implementation notes, supplementary test data, and mathematical observations. Color Res. Appl. (2005) 30 21-30.
Vieira-Junior WF, Ferraz LN, Pini NIP, Ambrosano GMB, Aguiar FHB, Tabchoury CPM, Lima DANL. Effect of Toothpaste Use Against Mineral Loss Promoted by Dental Bleaching. Oper Dent. (2018) 43(2) 190–200.
Roselino LMR, Chinelatti MA, Román CCA, Souza FCPP. Effect of Brushing Time and Dentifrice Abrasiveness on Color Change and Surface Roughness of Resin Composites. Braz Dent J. (2015) 26(5) 507-13.
Monteiro B, Spohr AM. Surface Roughness of Composite Resins after Simulated Toothbrushing with Different Dentifrices. J Int Oral Health. (2015) 7(7) 1–5.
Wang L, Garcia FCP, De Araújo PA, Franco EB, Mondelli RFL. Wear Resistance of Packable Resin Composites after Simulated Toothbrushing Test. J Esthet Restor Dent. (2004) 16 303-14.
Braem M, Finger W, Van Doren VE, Lambrechts P, Vanherle G. Mechanical properties and filler fraction of dental composites. Dent Mater J. (1989) 5(5) 346-8.
Sfalcin RA, Correr AB, Morbidelli LR, Araújo TGF, Feitosa VP, Correr-Sobrinho L, Watson TF, Sauro S. Influence of bioactive particles on the chemical-mechanical properties of experimental enamel resin infiltrants. Clin Oral Invest. (2017) 21(6) 2143-51.
Flor-ribeiro MD, Graziano TS, Aguiar FHB, Stipp RN, Marchi GM. Effect of iodonium salt and chitosan on the physical and antibacterial properties of experimental infiltrants. Braz Oral Res. (2019) 33 e075.
Silva EM, Maia JNSMD, Miltraud CG, Russo JES, Poskus LT, Guimarães JGA Can whitening toothpastes maintain the optical stability of enalmel over time?. J Appl Oral Sci. (2018) 26.
Antonini B, Santos CB, Veloso KPM, Marchi GM, Rodrigues JA, Amaral CM. Effect of toothbrush with whitening dentifrices on surface roughness of enamel and dentin. Rev Odontol UNESP . (2007) 36(2) 121-6.
Paravina RD, Ghinea R, Herrera LJ, Bona AD, Igiel C, Linninger M, Sakai M, Takahashi H, Takahashi E, Mar Perez M. Color difference thresholds in dentistry. J Esthet Restor Dent. (2015) 27(1) 1-9.
Garg SA, Chavda SM. Color masking white fluorotic spots by resin infiltration and its quantitation by computerized photographic analysis: a 12-month follow-up study. Oper Dent. (2019) 45 (1) 1-9.
Roselino LMR, Cruvinel DR, Chinelatti MA, Souza FCPP. Effect of brushing and accelerated ageing on color stability and surface roughness of composites. J Dent. (2013) 41(5) e54-e61.
Gaglianone LA, Pfeifer CS, Mathias C, Puppin-Rontani RM, Marchi GM. Can composition and preheating improve infiltrant characteristics and penetrability in demineralized enamel?. Braz Oral Res.(2020) 4 e099.
Morais Sampaio GA, Rangel Peixoto L, Vasconcelos Neves G, Nascimento Barbosa DD. Effect of mouthwashes on color stability of composite resins: A systematic review. J Prosthet Dent. 2020 2: S0022-3913(20)30404-2.
Hasturk H, Nunn M, Warbington M, Van Dyke TE Efficacy of a fluoridated hydrogen peroxide-based mouthrinse for the treatment of gingivitis: a randomized clinical trial. J Periodontol. (2004) 75(1) 57-65.
Torres CR, Perote LC, Gutierrez NC, Pucci CR, Borges AB. Efficacy of mouth rinses and toothpaste on tooth whitening. Oper Dent. 2013 38(1) 57.

