Effect of hydrogen peroxide on color and whiteness of resin‐based composites

• Published in: Journal of esthetic and restorative dentistry 2019-03, Vol.31 (2), p.132-139
• Main Authors: Pecho, Oscar E., Martos, Josué, Pinto, Karoline V. A., Pinto, Karine V. A., Baldissera, Rudimar A.
• Format: Article
• Language: English
• Subjects: Bleaching; Color; Composite Resins; Dental Enamel; Dental Materials; Dental restorative materials; Dentistry; Humans; Hydrogen Peroxide; Materials Testing; Teeth; Tooth Bleaching; Variance analysis; whiteness index
• ISSN: 1496-4155; 1708-8240
• DOI: 10.1111/jerd.12443

Objective To evaluate the influence of a 35% hydrogen peroxide gel on color and whiteness changes of resin‐based composites (RBC). Materials and Methods Discs (n = 10; shade A3.5 enamel; and 8 mm diameter and 2 mm thick) were fabricated from three RBC (DF‐ Durafill, Heraeus Kulzer; ED‐ IPS Empress Direct, Ivoclar Vivadent; and AP‐ Amelogen Plus, Ultradent Products). Three subgroups were obtained for each RBC: before bleaching (T0) and after first (T1) and second (T2) bleaching applications. A dental spectrophotometer (VITA Easyshade, Vita Zahnfabrik) was used to obtain CIELAB color coordinates and whiteness index for dentistry (WID) in all periods. CIELAB (ΔEab*) and CIEDE2000 (ΔE00) color differences were also obtained. Perceptibility (PT) and acceptability (AT) thresholds were used to analyze values of ΔEab*, ΔE00, and ΔWID. Two‐way analysis of variance (ANOVA; for L*, a*, b*, and WID) and one‐way ANOVA and Tukey tests (for ΔEab* and ΔE00) were used to analyzed the results (α = 0.05). Results L* and WID values from all RBC did not change after bleaching applications (T1 and T2) (P > .05). There were no significant differences in color differences (ΔEab* and ΔE00) among all RBC evaluated after bleaching applications (T1‐T0 and T2‐T0; P > .05). Regardless of the RBC, mean values of ΔE00 between all different periods were always below 50%:50% PT value. Conclusions The 35% hydrogen peroxide bleaching gel influences on color and whiteness of resin‐based composites. However, color changes were not clinically perceived and whiteness variations were clinically acceptable. Clinical Significance Patients should be advised that existing composite restorations might not match the natural tooth color after bleaching, and their replacement may be required.