Effect of an Optical Whitening Toothpaste on Color Stability of Tooth-Colored Restorative Materials

Abstract

Objectives This study aimed to assess the effect of an optical whitening toothpaste on color stability of microhybrid, nanofilled, and microfilled composite resins and resin-modified glass ionomer (RMGI) cement in comparison of two other toothpastes. Materials and Methods In this experimental study, disc-shaped composite samples were fabricated. The samples were then polished using silicon carbide papers. Twenty-seven samples of each material were fabricated and subjected to colorimetry using a spectrophotometer. Each group of material was then divided into three subgroups for the application of conventional whitening and whitening containing blue covarine toothpastes. One operator brushed the samples with an electric soft toothbrush with circular motion twice a day, each time for 30 seconds. Colorimetry was performed at 0, 1, 7, 30, and 90 days. Statistical Analysis Two-way analysis of variance (ANOVA), one-way ANOVA, and Tukey's honestly significant difference (HSD) test were used for statistical analysis. Results The interaction effect of type of restorative material and time on ΔE was not significant at baseline or 1 day (p > 0.05). The effect of type of toothpaste on ΔE was not significant at baseline or 1 day (p = 0.78) but the effect of type of material was significant (p < 0.05). The toothpastes had significantly different effects on ΔE of Z250 at all time points (p < 0.05) except for ΔE0-30 (p = 0.106). The toothpastes had significantly different effects on ΔE of Z350 and Gradia at all time points (p < 0.05). The same was true for RMGI except for ΔE0-7 (p = 0.43) and ΔE0-90 (p = 0.52). The majority of color changes caused by toothpastes were not clinically perceivable (ΔE < 3.3), except for ΔE0-90 by the whitening toothpaste (ΔE = 9), ΔE0-90 by the conventional toothpaste for Z350 (ΔE = 3.9), and ΔE0-1 by the whitening toothpaste for RMGI (ΔE = 3.7). Conclusion The color change of all composite samples was not clinically perceivable (<3.3) at all time points, which shows that the tested toothpastes do not cause a significant change in color of composite materials.