Comparative Evaluation of Wear Resistance and Colour Stability of Three Different Oral Mucosal Protectors - An In Vitro Study Original Research
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Abstract
Background: With increase in demand of patient acceptability and comfort, light cured temporary oral mucosal protectors such as Muco Soft LC (Anabond) and Soft Flow (Dentos) have been recently developed to prevent mucosal injury during orthodontic treatment. This study aimed to evaluate the wear loss due to friction over a period of time and colour stability of three oral mucosal protectors: Muco Soft LC (MS), Soft Flow (SF) and Flowable composite (FC).
Methodology: Three groups having 10 samples each were subjected to a toothbrushing simulator and pre and post weights were measured to evaluate wear. Five samples from each group were immersed in either artificial saliva or mouthwash for 24 hours. Colour change was evaluated using a spectrophotometer.
Results: A significant difference in material loss seen in MS (P = 0.000) and SF (P = 0.005). FC showed the least material loss followed by MS and SF. MS was dislodged from the wire post toothbrushing simulation. The calculated mean colour change values (ΔE) revealed that FC had the least colour change followed by SF and MS.
Conclusion: Least wear loss was observed with flowable composite. Artificial saliva showed greater colour change in Muco Soft LC and flowable composite whereas mouthwash produced a greater colour change in Soft Flow.
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References
Çoban Büyükbayraktar Z, Doruk C. Dental anxiety and fear levels, patient satisfaction, and quality of life in patients undergoing orthodontic treatment: Is there a relationship? Turk J Orthod. 2021;34(4):234–41.
Baricevic M, Mravak-Stipetic M, Majstorovic M, Baranovic M, Baricevic D, Loncar B. Oral mucosal lesions during orthodontic treatment. Int J Pediatr Dent. 2011;21(2):96–102.
Pires LP, de Oliveira AH, da Silva HF, de Oliveira PT, dos Santos PB, Pinheiro FH. Can shielded brackets reduce mucosa alteration and increase comfort perception in orthodontic patients in the first 3 days of treatment? A single-blind randomized controlled trial. Am J Orthod Dentofacial Orthop. 2015;148(6):956–66.
Kluemper GT, Hiser DG, Rayens MK, Jay MJ. Efficacy of a wax containing benzocaine in the relief of oral mucosal pain caused by orthodontic appliances. Am J Orthod Dentofacial Orthop. 2002;122(4):359–65.
Bozkurt AP, Ünlü Ö, Demirci M. Comparison of microbial adhesion and biofilm formation on orthodontic wax materials: An in vitro study. J Dent Sci. 2020;15(4):493–9.
Justus R. Iatrogenic effects of orthodontic treatment: Decision-making in prevention, diagnosis, and treatment. Springer; 2015. 140 p.
Albeshir EG, Alsahafi R, Albluwi R, Balhaddad AA, Mitwalli H, Oates TW, Hack GD, Sun J, Weir MD, Xu HH. Low-shrinkage resin matrices in restorative dentistry-narrative review. Materials. 2022 Apr 18;15(8):2951.
Cao L, Zhao X, Gong X, Zhao S. An in vitro investigation of wear resistance and hardness of composite resins. Int J Clin Exp Medicine. 2013;6(6):423.
Nayyer M, Zahid S, Hassan SH, Mian SA, Mehmood S, Khan HA, Kaleem M, Zafar MS, Khan AS. Comparative abrasive wear resistance and surface analysis of dental resin-based materials. Eur J Dent. 2018 Jan;12(01):057-66.
Ceci M, Viola M, Rattalino D, Beltrami R, Colombo M, Poggio C. Discoloration of different esthetic restorative materials: A spectrophotometric evaluation. Eur J Dent. 2017;11(2):149–56.
Papadopoulos T, Sarafianou A, Hatzikyriakos A. Colour stability of veneering composites after accelerated aging. Eur J Dent. 2010;4(2):137–42.
Sakiroff LM, Chennell P, Yessaad M, Pereira B, Bouattour Y, Sautou V. Evaluation of colour changes during stability studies using spectrophotometric chromaticity measurements versus visual examination. Sci Rep. 2022;12(1):8959.
Nahidh M, Sofar MK, Venugopal A. Flowable Composites in Daily Orthodontic Practice-A Review. J Hunan University Natural Sci. 2022;49(2).
Aminian A, Musa SS, Abdi F. Flowable Composite Resins in Orthodontics. J Biochem Tech. 2018;9(2-2018):168-73.
Topcu FT, Sahinkesen G, Yamanel K, Erdemir U, Oktay EA, Ersahan S. Influence of different drinks on the colour stability of dental resin composites. Eur J Dent. 2009 Jan;3(01):50-6.
Ruyter IE, Nilner K, Moller B. Colour stability of dental composite resin materials for crown and bridge veneers. Dent Mater. 1987;3(5):246–51.
Johnston WM, Kao EC. Assessment of appearance match by visual observation and clinical colorimetry. J Dent Res. 1989;68(5):513–8.
de Gee AJ, ten Harkel-Hagenaar HC, Davidson CL. Structural and physical factors affecting the brush wear of dental composites. J Dent. 1985;13(1):60–70.
Adel SM, El-Harouni N, Vaid NR. White spot lesions: Biomaterials, workflows, and protocols. Semin Orthod. 2023;29(1):68–78.
Alansari R, Vaid N. Why do patients transition between orthodontic appliances? A qualitative analysis of patient decision-making. Orthod Craniofac Res. 2023;27(3):439–46.
Condon JR, Ferracane JL. Evaluation of composite wear with a new multi-mode oral wear simulator. Dent Mater. 1996;12(4):218–26.
Nainan MT, Balan AK, Sharma R, Thomas SS, Deveerappa S. The comparison of the effects of different whitening toothpastes on the micro hardness of a nano hybrid composite resin. J Conserv Dent. 2014;17(6):550–4.
Xu HC, Tong W, Song SQ. Wear patterns of composite restorative resins in vivo: Observations by scanning electron microscopy. J Oral Rehabil. 1985;12(5):389–400.
Katyal V, Vaid N. Virtual-first: A virtual workflow for new patient consultation, engagement and education in orthodontics. Semin Orthod. 2023;29(1):109–15.
Turssi CP, de Magalhães CS, Serra MC, Rodrigues Júnior AL. Surface roughness assessment of resin-based materials during brushing preceded by pH-cycling simulations. Oper Dent. 2001;26(6):576–84.
Rios D, Honôrio HM, de Araújo PA, Machado MA. Wear and superficial roughness of glass ionomer cements used as sealants, after simulated toothbrushing. Pesqui Odontol Bras. 2002;16(4):343–8.
Whitehead SA, Shearer AC, Watts DC, Wilson NH. Surface texture changes of a composite brushed with “tooth whitening” dentifrices. Dent Mater. 1996;12(5):315–8.
Aker JR. New composite resins: Comparison of their resistance to toothbrush abrasion and characteristics of abraded surfaces. J Am Dent Assoc. 1982;105(4):633–5.
Hariprasath TK, Balaji Ganesh S, Gayatri Devi R. Colour stability of composite resins - A review. Indian J Forensic Med Toxicol. 2020;14(4):4673–8.
Devi RS, Jayalakshmi S, Balaji Ganesh S, Sasidharan S. Effect of Indian spices on colour stability of two commercially available glass ionomer cements—An in vitro study. Int J Dent Oral Sci. 2021;8(9):4648–52.
Abirami S, Navaneethan R, Kumar VR. Effectiveness of chlorhexidine oral rinse in preventing plaque accumulation and gingivitis in patients undergoing orthodontic treatment—A systematic review and meta-analysis. J Oral Res. 2022;11(4):11.
Nowakowska-Toporowska A, Raszewski Z, Wieckiewicz W. Color change of soft silicone relining materials after storage in artificial saliva. J Prosthet Dent. 2016;115(3):377–80.
Malekipour MR, Sharafi A, Kazemi S, Khazaei S, Shirani F. Comparison of color stability of a composite resin in different color media. Dent Res J. 2012;9(4):441–6.
Duraisamy R, Ganapathy D, Shanmugam R. Nanocomposites used in prosthodontics and implantology—A review. Int J Dent Oral Sci. 2021;8(9):4380–7.
Adel SM, Alwafi AA, Pandian SM, Bichu YM, Abuljadayel LW, Alansari R, et al. What are orthodontic residents perusing on social media? A cross-sectional survey. Semin Orthod. 2023.
Fontes ST, Fernández MR, de Moura CM, Meireles SS. Color stability of a nanofill composite: Effect of different immersion media. J Appl Oral Sci. 2009;17(5):388–91.
Al-Moghrabi D, Cobourne MT, Fleming PS, Kravitz ND, Krishnan V. Orthodontics in the era of social media: An Interview with Orthodontic Journal Editors. Semin Orthod. 2023.
Pandian SM, Subramanian AK, Ravikumar PA, Adel SM. Biomaterial testing in contemporary orthodontics: Scope, protocol, and testing apparatus. Semin Orthod. 2023;29(1):101–8.