Effects of artificial staining on bulk-filled resin composites

Abstract

Purpose: To evaluate the color stability of bulk-fill resin composites (RC) in comparison to conventional RC submitted to artificial staining. Methods: 15 specimens of each RC were prepared. Five bulk-fill RC [X-tra Base (XB), Filtek Bulk-Fill Flowable (FBF), Admira Fusion X-tra (AD), Tetric N-Ceram Bulk-Fill (TB), and Filtek Bulk-Fill (FB)], and two conventional RC [GrandioSO (GO) and Filtek Z350XT (FXT)] were used. After preparation of the samples, the specimens were immersed in a staining broth for 5 weeks and repolished. The color change was assessed using a spectrophotometer. Data were analyzed using one-way ANOVA, Tukey's tests, and paired t-test. Results: The bulk-fill flowable (XB and FBF) presented color change clinically acceptable (Delta E< 2.7) after staining. Among the bulk-fill regular resins, only AD presented clinically acceptable values (Delta E= 1.99). Regarding the conventional resins, GO presented a significantly lower color change than the other resins, but was not significantly different from AD. For all the resins, except AD, the repolishing procedures resulted in a significant decrease of color change. Tested resins did not present the same behavior under staining, despite their similarities. All the resins stained above the perceptibility threshold (Delta E> 1.2). After repolishing, the color change was reduced overall.