Influence of Polishing Systems on Surface Roughness of Composite Resins: Polishability of Composite Resins

Effect of polishing systems on the roughness, color, and staining of conventional and bulk-fill resin composites with and without S-PRG filler

OBJECTIVE

To evaluate the effect of polishing systems on the color and roughness of conventional and bulk-fill nanofilled resins, compared to conventional and bulk-fill nano-hybrid resins with S-PRG fillers.

MATERIALS AND METHODS

Discs (n = 12) were fabricated from the following resin composites: conventional nanofilled resin (Filtek Z350 XT, 3 M), bulk-fill nanofilled resin (Filtek One Bulk-Fill, 3 M), conventional nano-hybrid resin with S-PRG fillers (Beautifil II LS, Shofu), and bulk-fill nano-hybrid resin with S-PRG filler (Beautifil Bulk Restorative, Shofu). Polishing was conducted using multi-grit aluminum oxide abrasive discs (Sof-Lex Pop On, 3 M) or a single-grit aluminum oxide tip (OneGloss, Shofu). Roughness (Ra) and color (CIEL*a*b*, ΔEab and ΔE00) were assessed at baseline, post-polishing, and post-coffee staining. Surface micromorphology was analyzed using scanning electron microscopy (SEM).

RESULTS

Roughness increased after polishing with the aluminum oxide tip for all materials (p < 0.0001; Mann-Whitney). Bulk-fill nanofilled resin showed increased roughness, while conventional nano-hybrid resin with S-PRG filler showed decreased roughness after multi-grit disc polishing (p < 0.0001; Mann-Whitney). Coffee staining significantly increased the roughness in resin composites with S-PRG filler (p < 0.0001; Mann-Whitney). All resin composites exhibited reduced L* and b* (p < 0.05; generalized linear mixed models for repeated measures) and increased a* (p < 0.05; Friedman and Nemenyi) values after coffee staining. ΔEab and ΔE00 were significantly higher for bulk-fill nano-hybrid containing S-PRG filler, irrespective of polishing type (p < 0.0001; Friedman and Nemenyi). SEM analysis revealed surface degradation and/or particle loss in resin composites with S-PRG filler (conventional and bulk-fill) post-polishing. Single-grit polishing resulted in greater surface irregularities across all resins.

CONCLUSION

Polishing systems significantly influence resin composite roughness based on their composition, with single-grit polishing causing the highest roughness. Bulk-fill nano-hybrid resin composite with S-PRG filler exhibited the greatest color and roughness changes post-staining.

CLINICAL RELEVANCE

Bulk-fill resin composite with S-PRG filler demonstrated lower color and surface stability. Importantly, these changes were significantly mitigated when polished using a multi-stage polishing system.

Surface roughness of composite resins subjected to brushing with whitening toothpastes: an in vitro study

The emergence of toothpastes containing different abrasive and whitening substances has been a constant concern among dental professionals. The aim of the present study was to perform an in vitro assessment of the surface topography of nanoparticle composite resins subjected to simulated brushing with dentifrices. Test samples were prepared with Filtek Universal (3M ESPE), Filtek Bulkfill (3M ESPE) and Z350 (3M ESPE), with 24 samples per resin. A testing machine was used to simulate brushing with the dentifrices Colgate Total 12, Oral B 100% and Oral B Gengiva Detox Gentle Whitening (8 samples per group). The constant speed of the machine was 250 cycles per minute, and 20.000 cycles were carried out, which corresponds to 24 months (1 hour and 20 minutes). Roughness features and qualitative surface topography were investigated. Statistical analysis involved the Kruskal-Wallis, Wilcoxon and Mann-Whitney tests. A significant increase in surface roughness was found for all the resins (p < 0.05). However, no significant difference was found among the resins in terms of final roughness values (p = 0.690). In contrast, a significant difference among dentifrices was found with respect to roughness measurements (p < 0.001). The qualitative analysis revealed an increase in surface roughness in all the samples and differences in the abrasive potential of the dentifrices. In conclusion, brushing with dentifrices increases the surface roughness parameters of composite resin restorations. Moreover, the differences in the abrasive effects of the dentifrices indicate a need for further studies to establish efficacy and safety criteria.

Experimental study of polishing systems on surface roughness and color stability of novel bulk-fill composite resins

OBJECTIVE

This in vitro study aimed to investigate the effect of five polishing systems on the surface roughness (SR) and color change (CC) of novel bulk-fill composite resins.

METHODS

Fifty composite resin samples were prepared for each of the five groups: Stark Bulk Fill, SDR Plus, SonicFill 3, Charisma Bulk Flow One, and Filtek Z250. Each group of composite resins was further subdivided into five subgroups based on the polishing method applied: OptraGloss (OG), OptraGloss combined with Diapolisher paste (OGD), OptiDisc (OD), OptiDisc combined with Diapolisher paste (ODD), and Occlubrush (OCC) (n = 10). Surface roughness was measured using a profilometer following the polishing procedures, while surface morphology was assessed through atomic force microscopy and scanning electron microscopy. Subsequently, the samples were divided into two further subgroups for aging in distilled water and coffee (n = 5). The initial color parameters and those measured after 7 days were recorded to evaluate color change. Statistical analysis was performed using two-way ANOVA, followed by Tukey's post-hoc tests (α = 0.05).

RESULTS

SR significantly varied based on the composite resin and polishing system (p < 0.001). OCC polishing yielded the smoothest surface for STARK and SDR composites, while Charisma exhibited the lowest roughness in the ODD group (p < 0.05). OGD group consistently produced lower SR across multiple composites compared to the OG group (p < 0.001). Significant color changes (ΔE00) were found, with SonicFill and Filtek showing the greatest color stability when polished with OGD and OCC. For all polishing systems, except ODD, the SDR composite showed the greatest CC in coffee storage (p < 0.003).

CONCLUSION

This study demonstrated that both the polishing technique and composite resin type significantly influenced SR. SR was notably affected by the interaction between the polishing method and resin type, with the OCC system consistently producing the lowest SR values. Additionally, Charisma exhibited surface properties similar to Filtek. Variations in color change were also observed based on both the polishing method and resin type, highlighting the critical role these factors play in determining the color stability of restorative materials.

Effects of different beverages on the color stability and fluorescence of resin composites: in situ study

OBJECTIVE

To evaluate the color change (ΔE) and fluorescence (FL) of resin composites after the consumption of beverages.

MATERIALS AND METHODS

One hundred and sixty disc-shaped specimens (6 × 2 mm) of Filtek Z350 XT (FZX) and Forma (FOR) resin composites were randomized for use in devices by five volunteers who ingested 100 ml daily of red wine (RW), beer (BE), energy drink (ED) and water (WT) over 15 days. The data were collected from digital photographs and analyzed using the CIE-Lab and RGB scales to obtain ΔE and FL and statistics via two-way ANOVA (for ΔE) and ANOVA for repeated measures (for FL), α = 0.05.

RESULTS

The highest ΔE values were obtained for FZX and FOR in the RW (ΔE = 10.5 for FZX and ΔE = 9.90 for FOR) and BE (ΔE = 6.3 for FZX and ΔE = 6.1 for FOR) drinks. For FL, there were different levels of change between the composites, with a much more significant reduction in FL intensity with RW.

CONCLUSION

Beverages have the potential to stain the composites evaluated, especially alcoholic beverages.

CLINICAL SIGNIFICANCE

Before carrying out an esthetic treatment with resin composites, it is ideal to investigate the types of drinks consumed by patients, for greater predictability of treatment.

Impact of varnishing, coating, and polishing on the chemical and mechanical properties of a 3D printed resin and two veneering composite resins

STATEMENT OF PROBLEM

Three-dimensional (3D) printing enables the fast fabrication of definitive fixed dental prostheses (FDPs). However, data on the effects of surface treatments on their chemical and mechanical properties are lacking.

PURPOSE

The purpose of this in vitro study was to examine the influence of different surface treatments on a 3D printed resin in comparison with 2 veneering composite resins.

MATERIAL AND METHODS

A total of 288 specimens were manufactured from a 3D printed resin (VarseoSmile Crownplus) or veneering composite resins (GRADIA PLUS; VITA VM LC flow). Surfaces underwent varnishing, coating, polishing or remain untreated. Conversion rate (DC), surface roughness (SR), Martens parameter, flexural strength (FS), and 3-body wear (3BW) were determined (n=12). Statistical analysis was performed using Mann-Whitney-U, Kruskal-Wallis, and Spearman correlation tests (α=.05).

RESULTS

After polishing, the 3D printed resin showed higher DC, SR, and 3BW but lower Martens parameters compared with veneering composite resins (P<.007). After goat hair brushing, the 3D printed resin showed lower FS than VITA-VCR (P=.043). For the 3D printed resin, goat hair brushing or GC-Varnish reduced SR, while VITA-Varnish showed the lowest 3BW (P<.045). For both veneering composite resins, goat hair brushing led to low SR and 3BW and high EIT and FS (P<.043). Silicone polishing led to low EIT of the 3D printed resin and low EIT and FS of GC-VCR (P<.009). Coating resulted in a lower EIT than the untreated surface and higher 3BW than GC-Varnish (P<.030).

CONCLUSIONS

The 3D printed resin showed higher DC, SR, 3BW and lower HM, EIT, and FS values than the veneering composite resins. Polishing with a goat hair brush can be recommended for all tested materials. For the 3D printed resin, varnishing presents a promising alternative with regard to SR and 3BW. Silicone polishing and coating cannot be recommended.

Effect of surface sealant on the color stability and whiteness index of single-shade resin composites after staining and bleaching

Objectives

The aim of the current study was to evaluate the effect of polishing systems and surface sealant on the color stability and whiteness index of single-shade resin composites after staining and bleaching.

Materials and Methods

Three single-shade (Omnichroma, Charisma Diamond One, Zenchroma) and one multi-shade (Filtek Z250) materials were tested. From each resin composite, 40 specimens were prepared. The specimens were divided into 4 subgroups (n = 10) according to the surface treatments: 1-step polishing, 1-step + Biscover LV, 2-step polishing, and 2-step polishing + Biscover LV. Color differences (ΔE00) were calculated after being immersed in the coffee solution for 12 days. After the staining, the specimens were immersed in a whitening mouthrinse (Crest-3D White) for 12 hours. Whiteness index differences (∆WID = WID after staining - WID after bleaching) values were recorded. The generalized linear model was used for analysis (p < 0.05).

Results

The lowest and highest ΔE00 values were found for Zenchroma and Charisma Diamond One respectively. Sealed groups indicated higher ΔE00 values than nonsealed groups with significant differences (p = 0.008). The lowest and highest ΔWID values were found for Zenchroma and Charisma Diamond One respectively. Sealed groups indicated lower ΔWID values than nonsealed groups with significant differences (p = 0.022).

Conclusions

The use of surface sealant increased the discoloration and showed less whiteness change in resin materials. When the 1-step was compared with the 2-step polishing, the effects on the color stability and whiteness index values of the resin materials were similar.

Enhancing Esthetics in Direct Dental Resin Composite: Investigating Surface Roughness and Color Stability

Dental restorations must replicate the natural appearance of teeth while ensuring biocompatibility and durability. This study evaluated the surface characteristics and color stability of three dental composites-Herculite Ultra XRV, G-ænial A'CHORD, and Omnichroma-exposed to acidic beverages (red wine, black coffee, and Coca-Cola). Sixty disk-shaped specimens were prepared, polished, and immersed in these beverages. Surface roughness was assessed using profilometry and SEM analysis, hydrophobicity via contact angle analysis, and surface charge through streaming potential measurements. Color stability was evaluated using a spectrophotometer, and the pH levels of the solutions were recorded. Results showed that Herculite Ultra XRV had the highest mean contact angle (79.46° ± 6.52), indicating superior hydrophobicity, while Omnichroma had the lowest (64.94° ± 3.08), indicating more hydrophilicity. Significant color changes were observed, especially in black coffee, with ∆E values indicating notable discoloration. The acidic pH of the solutions increased surface roughness and color changes. Statistical analyses confirmed significant increases in surface roughness and color change for all composites, with the nanohybrid resin composite showing the greatest variability. These findings highlight the need for dental restorative materials with enhanced resistance to acidic environments to improve the longevity and esthetics of dental treatments.

Effect of rotation frequency of polishing discs on the surface roughness of resin composite material

The aim of this study was to evaluate the effect of rotation frequency (rpm) of different polishing discs on the surface roughness of a nanohybrid resin composite material. 126 specimens were prepared in metal molds of 10 mm diameter and 2 mm depth using a nanohybrid resin composite material. The prepared specimens were kept in distilled water for 24 hours. Polishing treatments at 5k, 10k, 15k, and 20k rpm were applied to the nanohybrid resin composite material by grouping different brand polishing discs: Sof-Lex Contouring and Polishing Discs (3M Espe, USA) (3M Group), Optidisc (Kerr Corporation, USA) (Kerr Group), Super-Snap Rainbow Technique Kit (Shofu Dental, Japan) (Shofu Group), Finishing Disc (Bisco Dental, USA) (Bisco Group). The surface roughness was evaluated at three different points by atomic force microscopy for all specimens and scanning electron microscopy was used for visual assessment. Data were evaluated by Two Way ANOVA and Tukey's HSD Test. The mean surface roughness (Ra, μm) of all prepared samples showed significant differences (α = 0.05). According to Two-Way ANOVA, there is a statistically significant relationship between the rpm values and the discs. The 3M group showed the highest roughness value at all rpm speeds. Shofu group at 15k, 20k rpm, Bisco group at 10k, 15k, 20k rpm, the Kerr group at 15k, 20k rpm showed the lowest roughness value and had roughness close to the surfaces finished with a mylar strip. The smoothest surfaces were obtained at 15k rpm, even though polishing discs from different brands were used. It was also observed that 5k and 20k rpm polishing speeds can increase the surface roughness of the nanohybrid resin composite material.

In vitro study on the impact of various polishing systems and coffee staining on the color stability of bleach-shaded resin composite

OBJECTIVE

To evaluate the effects of different polishing techniques and coffee staining on the color stability of four commercially available bleach-shade composite resins, namely microhybrid, nanohybrid, nanofilled, and injectable nanohybrids.

MATERIAL AND METHODS

A total of 224 discs (8 mm diameter and 2 mm thickness) were fabricated from four different bleach-shade composite resins, namely microhybrid (Gradia Direct Anterior), nanohybrid (Palfique LX5), nanofilled (Filtek Universal), and injectable nanohybrid (flowable G-aenial universal injectable). The composite resin groups were polished via four techniques: no polishing, 4-step polishing using aluminum oxide discs, 3-step polishing using silicon rubber diamond discs, and one-step polishing. Half of each group was immersed in water, while the other half was immersed in coffee for 12 days (n = 7). Colors were measured using a clinical spectrophotometer, and color differences were calculated (ΔE). The results were analyzed statistically.

RESULTS

The alterations in color were significantly influenced by the techniques employed for finishing and polishing techniques, composite resin type, and degree of coffee staining. Regardless of the polishing technique and storage medium, different material types showed a significant color change (ΔE) at P < 0.001. Filtek exhibited the most significant color change, followed by Gradia and Palfique, with no significant differences between them. In addition, Different polishing techniques resulted in significant color changes (P < 0.001). The highest degree of color change was seen in the no-polishing group, followed by the 4-step and 1-step polishing groups, with negligible differences between each other. Also, Storage media had a significant effect on ΔE values.

CONCLUSION

Appropriate finishing and polishing procedures can improve the color stability of bleach-shaded composite resins. Coffee has a deleterious effect on color; however, injectable flowable nanohybrid composites are more resistant to staining.

In vitro comparison of one-step, two-step, and three-step polishing systems on the surface roughness and gloss of different resin composites

OBJECTIVES

This laboratory study evaluated the effect of three polishing systems on the surface roughness and gloss of resin composites.

MATERIALS AND METHODS

Thirty specimens (6 mm Ø × 8 mm) were fabricated from each of three resin composites: Z 350 XT (nanofill), Harmonize (nanohybrid), and Estelite Omega (supranonofill). All specimens were photopolymerized using a multi-peak LED curing unit (VALO-Standard mode), having a exitance irradiance of approximately 1000 mW/cm2 against a polyester strip (PS). 2 mm was then removed from the irradiated end (finished) using #320 abrasive paper (F). Specimens were then randomly polished (P) using a one-step (1S) (OneGloss), two-step (2S) (EVE Diacomp Twist Basic CA), or 3-step (3S) (Astropol P) system (n = 10). For PS, F, and P groups, surface roughness (Ra) was measured using a surface roughness tester, and surface gloss was measured with a glossmeter. For each specimen, the percent recovery to the PS value (%R) of surface roughness and surface gloss were calculated. Data were analyzed using two-way ANOVA, followed by Tukey's test. Surface roughness and gloss values were submitted to Pearson's correlation test (α = 0.05). All statistical testing was performed using a pre-set alpha of 0.05.

RESULTS

The interaction term [resin composite × polishing system] was significant for both surface roughness (p = 0.001) and gloss (p = 0.0001). For all resin composites, the 2S and 3S systems provided a higher %R of surface roughness and gloss compared to those of the 1S system. There was a negative correlation between surface roughness and gloss, but only a few combinations showed strong correlations.

CONCLUSIONS

The 2S and 3S polishing systems provided surfaces having greater smoothness and gloss compared to the 1S system. The ability to recover surface roughness and gloss was dependent on type of resin composite filler classification.

CLINICAL SIGNIFICANCE

The 3S and 2S polishing systems were more effective in achieving PS values than was the 1S system for all tested resin composites. However, individual polishing systems performed differently depending on type of resin composite.

Effect of Reduced-Step Polishing Systems on Color Stability of Nanocomposites Submitted to Thermocycling Staining with Common Beverages - An In Vitro Study

CONTEXT

Long-term color stability of composite resins is one of the most important factors influencing the clinical longevity of aesthetic restorations.

AIMS

This study evaluated the effect of novel reduced steps and gold standard multiple steps polishing systems of two composite resins; a nano-filled (Filtek Z350XT) versus a supra-nanofill (Palfique LX5) on their color stability after submitting to thermocycling with common beverages.

MATERIALS AND METHODS

Sixty disc-shaped specimens were fabricated from both composite resins ( n = 30). From each material, ten specimens acted as the control group (Mylar strip), ten specimens were polished with Sof-Lex Diamond spirals, and ten were polished with Super-Snap X-Treme discs. All the specimens were thermocycled with staining solutions. Color was measured by a spectrophotometer before and after thermocycling and color difference (ΔE*) was calculated.

STATISTICAL ANALYSIS USED

One-way analysis of variance followed by Tukey's post-hoc test and independent t -test ( α = 0.05) were used.

RESULTS

A significantly highest color change was recorded for both control subgroups ( P < 0.05), and the Sof-Lex Diamond spiral showed significantly the lowest color change ( P < 0.05). Both the control and Sof-Lex Diamond spiral subgroups of Palfique LX5 produced significantly lower color change compared with subgroups of Filtek Z350 ( P < 0.05).

CONCLUSIONS

Sof-Lex Diamond spiral polishing system provided the least color difference for both composites, while there was no significant difference between the materials when the Super-Snap X-Treme polishing system was used.

In Vitro Effect of Mouthrinses on the Microhardness of Three Different Nanohybrid Composite Resins

Introduction

Daily use of different mouthrinses at home or in the dental office can alter the properties of resin hardness. The present study aimed to compare Vickers microhardness (VHN) in vitro of nanohybrid composite resins (NCRs) immersed in mouthrinses.

Materials and Methods

In total, 120 discs (10 ⨯ 2 mm) were prepared from three NCR shade A2 (n = 40/group) with FiltekTM Z350 XT (Z350XT), Tetric EvoCeram (TEC), and Polofil NHT (PNHT). The specimens were incubated in artificial saliva (37°C ⨯ 24 hr). Specimens were distributed into four mouthrinses (n = 10/group) of artificial saliva (control), chlorhexidine (CHX 0.12%, pH 5.6), cetylpyridine chloride (CPC 0.075%, pH 5.84), and CHX 0.12% + CPC 0.05% (pH 6.2) (2 times/day, 2' ⨯ 12 hr). The VHN (300 gf/10") was measured after 24 hr, 14, and 21 days. Data were analyzed by three-way analysis of variance, followed by post hoc Tukey analysis at 0.05 level of significance.

Results

The results revealed a global effect of the interaction of the mouthrinses ⨯ time between NRC evaluated (P=0.001). Baseline VHN in PNHT and Z350XT was higher than TEC. Within each group of NCR, VHN of CHX + CPC > other mouthrinses (PNHT/14 days; Z350XT/21 days), and >CPC (Z350XT/14 days). In mouthrinses-intragroups, VHN of PNHT and Z350XT decreased at 14 days (CHX, CPC) and was maintained over time in NCR (CHX + CPC). VHN-TEC was similar among groups.

Conclusion

Microhardness showed differences due to the interaction of the type of NCR, the composition of the mouthrinses, and time. VHN decreased after 14 days and was more affected in composite resins with lower filler content and in mouthrinses with a lower pH.

Influence of surface treatments on the bond strength of metal brackets to CAD/CAM materials and discoloration after various refinishing procedures : Scanning electron microscopy and atomic force microscopy study

PURPOSE

This study evaluated the shear bond strength (SBS) of a metal bracket bonded to three different computer-aided design/computer-aided manufacturing (CAD/CAM) restoration materials pretreated with different surface treatments. In addition, the surface topography and color change of the restorations after debonding with two different tungsten carbide burs were examined.

METHODS

A total of 216 plates were cut from three different CAD/CAM blocks, each of which was divided into three subgroups with different pretreatment methods: (1) acid etching, (2) sandblasting, and (3) laser irradiation. Incisor metal brackets were bonded. The SBS test was performed, and the failure types were classified. Then, samples were randomly divided into two subgroups according to the adhesive removal procedure to be used: a tungsten carbide bur with 12 blades or 24 blades (n = 12). Color change was calculated based on the ∆E00, and surface morphology was evaluated via SEM and AFM analysis.

RESULTS

The SBS data revealed that the type of CAD/CAM material and the applied surface treatment significantly affected bond strength. The highest SBS values were detected for the Grandio Blocs (VOCO GmbH, Cuxhaven, Germany; 14.3 ± 4.4 MPa), and the lowest was observed for Cerasmart (GC Europe, Leuven, Belgium; 12.0 ± 4.0 MPa). The ∆E00 results demonstrated significant differences only as a result of the applied surface treatment. The ∆E00 value in all groups was above the 1.77 threshold.

CONCLUSION

CAD/CAM material types and surface treatments affected the bond strength, but the interactions of these factors did not. The chosen surface treatment also significantly affected the ∆E00 after the polishing was done.

Effect of Coffee and Polishing Systems on the Color Change of a Conventional Resin Composite Repaired by Universal Resin Composites: An In Vitro Study

The purpose of this study was to evaluate the color stability of repaired aesthetic restorative resin matrix materials after immersion in coffee and the effect of polishing systems after staining. One hundred and eighty cylindrical discs (8 mm × 2 mm) were prepared using a conventional nano-fill resin composite (Clearfil Majesty Esthetic A2 shade) with round cavities (3 × 1 mm). Cavities were repaired by three resin composite materials: Clearfil Majesty Esthetic A2 shade, one-shaded nano-fill resin composite (Omnichroma) and group-shaded nano-hybrid resin composite (Optishade, medium shade). Each group was polished with three polishing systems (n = 20); aluminum oxide (Soflex Spiral Wheels, 3M ESPE), silicon carbide (Occlubrush, Kerr, CA, USA) and diamond particulate (Twist Dia Spiral Wheels, Kuraray, Okayama, Japan). Color change (ΔE00) measurements were performed with a spectrophotometer at the baseline. Half of the polished samples were either kept in distilled water or immersed in coffee for 15 days, and color measurements were repeated before and after polishing. Statistical analysis was performed using the Kruskal-Wallis test. Repaired samples showed different color correspondence values in all groups. All three restorative materials showed significant color changes (ΔE00) after immersion in coffee (p ≤ 0.05). Repolishing of stained samples showed color improvement values in all groups. The content of the polishing system played an important role in removing the stains.

Is surface roughness of direct resin composite restorations material and polisher-dependent? A systematic review

STATEMENT OF PROBLEM

Direct resin composite bonding offers a highly esthetic, minimally invasive option for the treatment of anterior teeth however the challenge to improve their longevity remains. Direct resin composite restorations are limited by the risk of staining which may be influenced by the final surface roughness (Ra) of composite achieved.

PURPOSE

The purpose of this review is to investigate, using a systematic approach, whether the final surface roughness of anterior composite restorations is affected by the interaction between resin composite and polishing systems.

MATERIALS AND METHODS

The review was conducted by 3 independent reviewers and included articles published up to January 21, 2021. Three electronic databases were searched: Medline, Embase, and Web of Science. Studies assessing a quantitative effect of polishing methods on the Ra of direct composite resin materials published after the year 2000 and restricted to the English language were included.

RESULTS

The database search for the effect of polishing systems on composite materials retrieved 125 eligible studies. Twelve duplicate records were removed. The resulting records were screened using title and abstract leading to 38 reports which were sought for retrieval. Application of eligibility criteria led to 11 studies included in the review. Hand searching of these studies yielded no additional papers.

CONCLUSIONS

There is insufficient evidence to determine whether combination of composite and polisher influences final Ra. More research is required to determine if there is an optimum combination of polisher and composite.

CLINICAL IMPLICATIONS

Polishing should be completed following planned finishing procedures. The approximation to the final surface and which finishing burs to use, if any, should be considered when planning a restoration. Durafill VS predictably achieves an acceptable Ra by different polishers.

Comparison of the Surface Properties of 3D-printed Permanent Restorative Resins and Resin-based CAD/CAM Blocks

OBJECTIVE

This study aimed to investigate the surface roughness, microhardness, and color changes of resin-based computer-aided design/computer-aided manufacturing (CAD/CAM) blocks and 3D-printed permanent resins in different beverages.

METHODS AND MATERIALS

Resin-based CAD/CAM blocks (Cerasmart 270 and Grandio Blocs) and 3D-printed permanent restorative resins (Crowntec and Permanent Crown) were used in this study. A total of 96 specimens were prepared from CAD/CAM blocks and 3D-printed permanent resins. The initial surface roughness, microhardness, and shade value of the specimens were measured. Then, the specimens prepared from each material were divided into three subgroups (n=8) and immersed in tea, coffee, and distilled water for 30 days. After the specimens were immersed in the beverages, the surface roughness, microhardness, and tone values were measured again. The data were statistically analyzed using a two-way analysis of variance test (p<0.05).

RESULTS

No statistically significant difference was found in the surface roughness values of the resin-based CAD/CAM blocks and 3D-printed resins (p<0.05). Resin-based CAD/CAM blocks showed statistically significantly higher microhardness than 3D-printed permanent resins (p<0.05). Although the color changes in 3D-printed resins in tea and coffee were similar to those in resin-based CAD/CAM blocks on the first and seventh days, more color changes appeared in the 3D-printed resins after 30 days. The surface roughness and microhardness values of the specimens submerged in tea, coffee, and distilled water showed no statistically significant changes (p<0.05).

CONCLUSIONS

Although the surface roughness of 3D-printed permanent resins was similar to that of resin-based CAD/CAM blocks, they had a lower microhardness value. Moreover, 3D-printed permanent resins showed more color changes in tea and coffee.

The Effect of Different Finishing and Polishing Systems on Surface Properties of New Flowable Bulk-fill Resin Composite

AIM

The purpose of this research was to explore how various finishing and polishing techniques affect the surface roughness (Ra) and gloss of flowable bulk-fill injectable resin composite utilized for posterior teeth restoration, following exposure to a range of food-simulating liquids (FSLs) over three months.

MATERIALS AND METHODS

This study comprised fifty-six disk specimens of G-aenial™ Bulk Injectable flowable resin composite which were created using a Teflon mold (10 × 4 mm). Two techniques of finishing and polishing (F/P) were employed: The two-step 3M™ Sof-Lex™ F/P spiral wheels system and the multiple-step 3M™ Sof-Lex™ XT finishing disks supplemented by the Ultradent Jiffy HiShine polisher cup system. The Ra and gloss of the prepared specimens were measured using an interference microscope system and Horiba gloss checker respectively, immediately post-finishing and polishing and then reassessed after three months in artificial saliva and Coca-Cola.

RESULTS

The two-step system showed a statistically significant difference, exhibiting greater "surface roughness (Ra)" and lower "surface gloss (GU)" mean values compared to the multiple-step system under different storage conditions, particularly after 3 months of storage (p = 0.001).

CONCLUSION

The multiple-step polishing system improved the "Ra" and "GU" of resin composite, suggesting their suitability for posterior resin composite restorations. Acidic media had a deleterious impact on the "Ra" and "GU" of resin composite restoration.

CLINICAL SIGNIFICANCE

The quality of resin composite restorations can be significantly improved with the correct use of finishing and polishing systems, particularly in complex areas of posterior teeth restorations, leading to successful dental procedures.

Effects of in-office bleaching agents on polished and unpolished nanofilled resin composite

BACKGROUND

This study investigates the effects of in-office bleaching agents on the color change and surface roughness of nanofilled resin composite finished by various polishing procedures.

METHODS

The authors made 108 specimens from nanofilled resin composite, and the finishing and polishing procedures were performed with either Sof-Lex (3M ESPE) or OneGloss (Shofu). The specimens were then immersed in tea or coffee solution for 1 week, after which in-office bleaching agents were applied (n = 9). After polishing and bleaching, the surface roughness was measured with a surface profilometer. The specimen color parameters were measured with the Commission Internationale de l'Eclairage L∗a∗b∗ system in 3 stages, namely after polishing, after staining, and at the end of the bleaching procedure. The total color changes (ΔE_ab∗) were calculated, and ΔE_ab∗ not exceeding 2.7 was considered a clinically acceptable threshold.

RESULTS

The highest initial roughness value was observed on surfaces polished with OneGloss. In all groups, the surface roughness increased significantly after bleaching. For the Sof-Lex group specimens stained in both tea and coffee solutions, bleaching agent Opalescence Boost (Ultradent) reduced the color change value to 2.7 or less after bleaching.

CONCLUSIONS

In-office bleaching agents increased surface roughness in all groups, especially on unpolished surfaces. However, surface roughness was at an acceptable threshold for the multistep polished group, Sof-Lex, after bleaching. Nanofilled resin composite staining can be partially reduced by in-office bleaching agents but not completely removed.

PRACTICAL IMPLICATIONS

To reduce the increase in surface roughness of composite restorations due to bleaching, polishing should be applied before and after bleaching.

Surface smoothness of resin composites after polishing-A systematic review and network meta-analysis of in vitro studies

A systematic review and network meta-analysis was performed to provide evidence for the best polishing protocol for different types of resin composites to minimize surface roughness. A search was performed in PubMed, Scopus, Web of Science, LILACS, BBO, EMBASE, and Cochrane Library on July 2, 2019 (updated in December, 2020). In vitro studies that included at least two systems for polishing resin composites and analyzed surface roughness were included. The risk of bias was evaluated. A random-effects Bayesian-mixed treatment comparison model was used to compare surface roughness in resin composites with the different types of polishers. Surface under the cumulative ranking curve (SUCRA) analysis was performed to rank the probability for the best polishing system. After removal of duplicates, title and abstract screening yielded 34 studies. Network meta-analysis was not possible for hybrid and microhybrid composites. SUCRA analysis showed that abrasive paper discs allowed greater surface smoothness for nanohybrid and nanofill composites to a probability of between 83% and 91.6%. Silicon carbide brush had a 78.2% probability of being the best system for microfill composites. The use of abrasive paper disc polishers showed a favorable result in nanofill and nanohybrid resin composites. Silicon carbide brush has a greater chance of promoting a smoother surface for microfill resin composites.

Exploiting optical coherence tomography to evaluate wear in spiral dental polishing systems

This study aimed to evaluate the behavior of spiral polishing systems in restorative materials through optical coherence tomography (OCT). Performance of spiral polishers specific to resin and ceramics were evaluated. The surface roughness of restorative materials was measured, and images of the polishers were acquired by OCT and stereomicroscope. Surface roughness was reduced in ceramic and glass-ceramic composite polished with a system specific to resin (p<0.01). Surface area variation was observed on all polishers, except for the medium-grit polisher tested in ceramic (p<0.05). Similarity between images obtained through OCT and stereomicroscopy presented a Kappa inter- and intra-observer of 0.94 and 0.96, respectively. Then, OCT was able to evaluate wear areas in spiral polishers.

Effects of polishing procedures on optical parameters and surface roughness of composite resins with different viscosities

The aims of this study were to evaluate the optical properties of flowable and injectable composites after polishing, such as translucency (translucency parameter [TP], TP₀₀), opalescence (OP-BW), chroma (C*ab), refractive index (RI), and change in surface roughness (Ra, Rz). Ninety disc-shaped samples were prepared from micro-hybrid, flowable, and injectable composites and divided into 3 groups according to the polishing systems (n=10). The RI was measured with an Abbe refractometer, and optical measurements were performed with a spectrophotometer. The surface roughness was measured with a two-dimensional profilometer. Data were analyzed with the generalized linear model method and two-way analysis of variance. The results showed that the polishing procedure did not significantly impact the RI (p=0.987). Injectable composite had the highest translucency (TP=28.67; TP₀₀=13.49) and opalescence (OP-BW=13.11); showed the lowest C*ab value (17.95). Also, the effects of the composite type and polishing procedure on surface roughness were statistically significant (p=0.047 and p<0.001).

In Vitro Evaluation of Gastric Acid and Toothbrushing Effect on the Surface State of Different Types of Composite Resins

Background and Objectives: The aim of this in vitro study was to evaluate the effect of gastric acid associated with the effect of toothbrushing on the surface roughness of different types of composite resin used for direct restorations. Materials and Methods: The materials used in this study were two microhybrid (Filtek Z250, Herculite XRV) and two nanohybrid (Filtek Z550, Herculite XRV Ultra) composite resins. Two hundred and forty cylindrical samples with a height of 2 mm and a diameter of 6 mm were divided into four groups (groups A, B, C and D) corresponding to each tested material (n = 60). Each group was divided in two subgroups: subgroup I—the samples were submersed in hydrochloric acid and immediately submitted to toothbrushing; subgroup II—the samples were submitted only to toothbrushing. The simulation of the acid attack was performed by immersing the samples in a 0.01 M hydrochloric acid solution for 90 min. This procedure was followed immediately by toothbrushing simulation with 10,000 cycles. The acid attack and toothbrushing simulation were performed for two times. The surface roughness evaluation was performed with a Proscan 2100 profilometer. Repeated Measures ANOVA and Bonferroni post-hoc tests were used to perform the statistical analysis. Results: Simulation of one year of toothbrushing associated or not to hydrochloric acid exposure increases the surface roughness of microhybrid and nanohybrid composite resins. Six months of toothbrushing associated to six months of hydrochloric acid exposure increase the surface roughness of nanohybrid composite resins. Conclusions: Microhybrid composite resins surface becomes rougher after toothbrush and acid submersion when comparing to nanohybrid composite resins.

The Microhardness and Surface Roughness Assessment of Bulk-Fill Resin Composites Treated with and without the Application of an Oxygen-Inhibited Layer and a Polishing System: An In Vitro Study

The aim of this study was to assess the microhardness and surface roughness of bulk-fill resin composites treated with and without the application of an oxygen-inhibited layer (OIL) and a polishing system. This in vitro experimental study consisted of 72 resin composite blocks divided into three groups: Tetric N-Ceram Bulk Fill, Opus Bulk Fill APS, and Filtek Bulk Fill. Each resin composite group was further divided into two subgroups: with and without OIL control. Subsequently, surface roughness and microhardness were measured before and after polishing. A t-test was used to compare independent and related measures. For the intergroup comparison of variation before and after polishing, the Kruskal−Wallis test with Bonferroni post hoc was used considering a significance level of p < 0.05. When comparing surface roughness, significant differences were observed between Opus Bulk Fill resin composite with and without OIL control (p = 0.003) before polishing. The same occurred when comparing Tetric N-Ceram resin composite with and without OIL control (p = 0.039) after polishing. In addition, the surface roughness of Filtek Bulk Fill, Opus Bulk Fill, and Tetric N-Ceram Bulk Fill resin composites, with and without OIL control, decreased significantly after polishing (p < 0.001), while surface microhardness significantly increased (p < 0.05), with the exception of Opus Bulk Fill resin with OIL control (p = 0.413). In conclusion, OIL control and polishing significantly improved the surface roughness and surface microhardness of Filtek Bulk Fill and Tetric N-Ceram Bulk Fill resin composites. However, in the case of Opus Bulk Fill resin composite, only its surface roughness was significantly improved.

Quantitative and qualitative surface analysis of three resin composites after polishing - An in vitro study

Aim

The study aims to measure the surface roughness (Ra) of three resin composites subsequent to polishing with diamond-impregnated polishing paste.

Materials and Methods

Sixty specimens (10 mm × 2 mm) were prepared in metal molds using three nanocomposites: GC Sculpt, Filtek Z350 XT, and Tetric N Ceram. Specimens were then subjected to baseline roughening with #600 grit sandpaper and were polished with DirectDia paste according to the manufacturer's instructions. After polishing, the Ra of resin composites of all the specimens was measured using profilometer and the surfaces were seen under scanning electron microscope.

Results

Tetric N Ceram specimens were significantly smoother and had the least Ra value compared to other groups.

Conclusion

Among the three resin composites tested, Tetric N Ceram exhibited the least Ra value owing to the small size of inorganic filler particles.

Surface roughness and oxygen inhibited layer control in bulk-fill and conventional nanohybrid resin composites with and without polishing: in vitro study

Background

It has been demonstrated that dental restorations with rough surfaces can have several disadvantages such as pigment retention or plaque accumulation, which can facilitate caries formation, color variation, loss of brightness, degradation of restoration, among others. The present study aimed to assess surface roughness in bulk fill and conventional nanohybrid resins with and without polishing, controlling the oxygen inhibited layer.

Methods

This in vitro and longitudinal experimental study consisted of 120 resin blocks of 6 mm diameter and 4 mm depth, divided into two groups: Bulk Fill (Tetric^® N-Ceram Bulk-fill, Opus Bulk Fill APS, Filtek™ Bulk Fill) and conventional nanohybrid (Tetric^® N-Ceram, Opallis EA2, Filtek™ Z250 XT). Each resin group was divided into two equal parts, placing glycerin only on one of them, in order to control the oxygen inhibited layer. Subsequently, the surface roughness was measured before and after the polishing procedure with Sof-Lex discs. The data were analyzed with the T-test for related measures, and for comparison between groups before and after polishing, the non-parametric Kruskal Wallis test with the Bonferroni post hoc was used, considering a significance level of p < 0.05.

Results

Before polishing, the resin composites with the lowest surface roughness were Opus Bulk Fill APS (0.383 ± 0.186 µm) and Opallis EA2 (0.430 ± 0. 177 µm) with and without oxygen inhibited layer control, respectively; while after polishing, those with the lowest surface roughness were Opus Bulk Fill APS (0.213 ± 0.214 µm) and Tetric N-Ceram (0.097 ± 0.099 µm), with and without oxygen inhibited layer control, respectively. Furthermore, before and after polishing, all resins significantly decreased their surface roughness (p < 0.05) except Opus Bulk Fill APS resin with oxygen inhibited layer control (p = 0.125). However, when comparing this decrease among all groups, no significant differences were observed (p < 0.05).

Conclusion

The Opus Bulk Fill APS resin with oxygen inhibited layer control presented lower surface roughness both before and after polishing, being these values similar at both times. However, after polishing the other bulk fill and conventional nanohybrid resins with and without oxygen inhibited layer control, the surface roughness decreased significantly in all groups, being this decrease similar in all of them.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12903-022-02297-w.

Evaluation of different composite resin finishing and polishing protocols by confocal laser scan microscopy

Aim: This study aimed to analyze the influence of finishing and polishing (F/P) protocols on resin surface through roughness (Ra) values and laser scan microscopy observations. Methods: Forty-eight (n=48) resin specimens were sorted into four groups (n=12), according to the type of resin used: Filtek Z250 (Z250), Filtek Z350 (Z350), Filtek One Bulk Fill (BF), Filtek P60 (P60). The specimens were sorted into six groups according to the type of F/P system used (n=2/group): Control group, Diamond bur (KG Sorensen), Soflex Pop-On Discs (3M ESPE), Soflex Spiral (3M ESPE), Dura Gloss (American Burs), and Praxis (TDV). Results: The highest roughness values (Ra) were attributed to BF group for all F/P systems, except for the Soft-Lex PopOn discs. The Soft-Lex PopOn, Spiral, and Praxis discs presented a better performance for the surface treatment of the tested composite resins. Regardless of the restorative material, the use of diamond bur or single-step abrasive rubber (Dura Gloss) were associated with the highest Ra values. Conclusion: The effect of F/P systems on Ra is material-dependent and instrument or system-dependent.

Effect of Wet and Dry Polishing Conditions by Two Finishing and Polishing Systems on the Surface Roughness and Color Changes of Two Composite Resin Restoratives: An In Vitro Comparative Study

Purpose:

The study aimed at evaluating the effect of wet and dry polishing systems on the resin composites’ surface roughness and color change.

Materials and Methods:

In the study, samples were prepared using nanoceramic (Ceram.x one) and nanohybrid (GrandioSO) resin composites. Two different finishing and polishing systems were used in the polishing of resin composites. Resin composite surfaces were finished and polished under wet and dry conditions. The initial surface roughness values (Ra) of the samples were measured using a profilometer, whereas the color changes were measured using a spectrophotometer. Then, the colors of the samples kept in coffee were measured on the 7th and 30th days. Surface roughness and color change values (ΔE00) were measured and statistically analyzed using the one-way analysis of variance (ANOVA) test ( P < .05).

Results:

Wet or dry use of polishing systems did not show a statistically significant difference between the surface roughness values of the resin composite ( P < .05). Wet and dry use of polishing systems showed similar color changes on the composite resins ( P < .05). Diamond-containing spirals on composite resins showed statistically less color change than aluminum-oxide-containing discs ( P < .05). Wet or dry use of polishing systems did not reduce the color change of the composite resins below the acceptability threshold (AT).

Conclusion:

Wet or dry use of polishing systems on composite resins did not affect surface roughness and color change. The use of diamond-containing polishing spirals that cause less color change can increase clinical success.

Effect of Polishing Systems on the Color and Surface Properties of Resin Composites in the Process of Accelerated Artificial Aging

Objective: This study aimed to investigate the effects of polishing system on the color stability, surface roughness, and hardness of resin composites in the presence and absence of accelerated artificial aging (AAA). Methods: Six resin composites (Universal Restorative 200, G-Aenial Anterior, Ceram-X Duo, Admira, IPS Empress Direct, Clearfil Majesty Esthetic) were evaluated. Thirty disc-shaped samples were prepared for each composite group. Resin composite groups were divided into three subgroups: control (Mylar strip), disc (Optidisc), and rubber (Dimanto) (n=10). Color change (ΔE00) was calculated using the CIEDE 2000 formula. Before and after AAA, the surface roughness (Ra, μm) and hardness (VHN) values were measured. Data were analysed using ANOVA, the Bonferroni test, and Pearson correlation (p

The effect of erosive beverages and polishing systems on the surface properties of nanohybrid composite resin

Aims and Background

The aim of this study is to evaluate the surface microhardness and roughness of composites treated with three different polishing systems exposed to two different corrosive beverages.

Material and Methods

Ninety-six composite resin disks were randomly divided into four groups, one of which was the control group. The surface roughness and microhardness values were measured after 24 h in the polishing process. The samples were divided into three subgroups and kept in distilled water, cola, and ice tea for 20 min a day for 14 days. Then, the roughness and microhardness measurements of the samples were taken again. Two samples randomly selected from each group were examined using a scanning electron microscope (SEM) and analyzed statistically using the two way anova (ANOVA) and Duncan tests.

Results

A statistically significant difference was found between the roughness and hardness values at the end of 24 h and 14 days. Onegloss (OG), Dentoflex (DF), and Super-snap (SNP) polish systems showed the highest roughness in the cola group, respectively. Microhardness values: The unpolished group had the lowest significant microhardness in the coke group (P < 0.05).

Conclusion

In this study, it was seen that the lowest success rate was the OG polishing system.

Surface roughness and gloss of polished nanofilled and nanohybrid resin composites

Background/purpose

There is limited literature on the polishability of new launched nanofilled and nanohybrid. The aim of this study is to evaluate the polishability of nanofilled and nanohybrid composites by measuring surface roughness and gloss values and explore the surface qualities of composite before and after polishing in vitro.

Materials and methods

One nanofilled resin composite, two nanohybrid resin composites and one microhybrid resin composite were selected. All specimens were light cured against celluloid matrix strips. Then surface roughness(Ra) and gloss(GU) values were tested as negative control. Specimens were roughened with a 600-grit silicon carbide paper for 30 s to serve as positive control and then polished with Sof-Lex polishing disk system. Mean Ra and GU values of each step were measured with a profilometer and a small-area glossmeter. The surface qualities were observed by scanning electron microscope.

Results

Ra values of polished surfaces were significantly higher than negative control and lower than positive control(P < 0.05). All materials showed no significant difference on Ra values after polishing(P > 0.05). GU values of polished surfaces were significantly lower than negative control and higher than positive control(P < 0.05). After polishing the microhybrid resin composite showed lower GU values than nanofilled and nanohybrid resin composite groups. The SEM images showed surface textures and irregularities were corresponded to the results of surface roughness and gloss.

Conclusion

No significant differences were noted on surface roughness among nanofilled, nanohybrid, and microhybrid composites after polishing with Sof-Lex disc system. Microhybrid composite presented lower gloss values than nanofilled and nanohybrid resin composites.

The Effect of Different Polishing Systems on the Surface Roughness of Nanocomposites: Contact Profilometry and SEM Analyses

The aim of this study was to evaluate the effects of different polishing systems on the surface roughness of different nanocomposite resins using various analysis methods. Three types of nanocomposite resins were investigated in this study: supra-nanohybrid (Estelite Asteria), nanohybrid (GrandioSo), and nanoceramic composite resins (Ceram-X Spheretec One). Forty-eight disc-shaped specimens (4 mm in diameter, 2 mm in thickness) were fabricated using a Teflon mold and divided into four groups according to the different polishing systems (n=12). All specimens were processed with one of the following methods: Mylar strip (control), one-step polishers (Opti1step), two-step polishers (Clearfil TwistDia), or multistep polishers (Sof-Lex XT Pop-on). The surface roughness (Ra, μm) was measured by contact profilometry (Mahr, Marsurf PS1) (n=10) and scanning electron microscopy (SEM) (Thermo Fisher Scientific, Phenom XL) at 400× magnification (n=2). The data were statistically analyzed using Kruskal-Wallis and Bonferroni correction tests (p<0.05). In addition, the surface morphology and elemental content were examined by SEM and energy dispersive x-ray spectroscopy (EDS) analyses. Under SEM evaluation, in terms of the polishing systems, there were no significant differences in the surface roughness for supra-nanohybrid composite resin (p>0.05). The multistep polishers created lower surface roughness than the one-step polishers for nanohybrid and nanoceramic composites. In terms of the composite resins, supra-nanohybrid composite exhibited lower surface roughness than nanohybrid composite for all polishing systems (p<0.05). The SEM observations confirmed the surface roughness measurements related to the surface morphology. One-step and two-step polishers created porosity on the surface of nanohybrid and nanoceramic composites. EDS analysis indicated the elemental composition of the particles in the porous zones was quite close to diamond abrasives and glass fillers.

Visually acceptable gloss threshold for resin composite and polishing systems

BACKGROUND

The objective of this study was to compare dentists' perceptions of gloss values of composite specimens with increased levels and to identify the gloss value considered to be clinically acceptable.

METHODS

Disk-shaped composite specimens were finished and polished 3 ways: metallurgically using silicon carbide papers and alumina paste, manually using Enhance finisher and PoGo polisher (EP) (Dentsply Sirona), and manually using Sof-Lex (SLex) disks (3M). Specimens were produced with surface gloss ranging from 0 through 100 gloss units (GU) in increments of approximately 10 GU as measured with a glossmeter. A GU of 0 was nonglossy, and a GU of 100 was perfectly glossy. Ten dentists evaluated the specimens, ranking them in order from low to high gloss and in 4 groups: low (dull or rough), medium (moderate gloss, clinically unacceptable), high (glossy, clinically acceptable), and superior gloss. The authors performed Spearman correlation analysis (α = 0.05).

RESULTS

For each finish and polish method, there was an excellent correlation between the machine-measured (actual) gloss ranks and the clinician-evaluated gloss ranks (r2 ≥ 0.95). There was no difference in perception of surface gloss of the composite when metallurgically polished (with silicon carbide papers and alumina paste) or polished with EP to the same GU. There was a slight difference in gloss perception when comparing the 2 different commercial polishing systems.

CONCLUSIONS

Ten dentists consistently perceived gloss of 40 through 50 GU as clinically acceptable. However, the composite was considered clinically acceptable at a lower gloss (40 GU) when polished with SLex disks than when polished with EP or metallurgically (50 GU).

PRACTICAL IMPLICATIONS

Gloss values of 40 through 50 GU are considered to be clinically acceptable for resin composites.

Effect of finishing and polishing systems on the surface roughness and color change of composite resins

Background

This study is to examine the surface roughness and color changes occurring on composite resins following the application of different finishing and polishing systems.

Material and Methods

In our study, a total of 200 samples were prepared from composites resin (6×2 mm) containing supra-nano, submicron hybrid, nanohybrid, nano-ceramic and microhybrid filler. They were polished with diamond, aluminum oxide, silicon carbide finishing and polishing systems. The initial color values of composite samples were measured with a spectrophotometer and surface roughness values with a profilometer. After that, samples were immersed of coffee solution and color measurements were repeated on the 1st and 7th day. The differences between surface roughness (Ra) and color change values (∆Eab) were evaluated using two-way analysis of variance (ANOVA) test (p<0.05).

Results

Finishing and polishing systems produced a statistically significant difference between the surface roughness values of nano-ceramic, submicron hybrid and microhybrid composite resin samples (p<0.05). Supra nano composite, which showed the lowest surface roughness after all finishing and polishing systems, showed the least color change after 7 days compared to other composite groups (p<0.05). The microhybrid composite with the highest surface roughness was the most color changing composite group (p<0.5).

Conclusions

The spiral finishing and polishing system containing diamond particles was the system to provide the least color difference on all composite groups. However, color differences of all composite resin groups were found to exceed the perceptibility threshold (PT) and acceptability threshold (AT).

Key words:Composite resin, color stability, surface roughness.

Effect of different polishing systems on the surface roughness of various bulk-fill and nano-filled resin-based composites: An atomic force microscopy and scanning electron microscopy study

The aim of the study was to evaluate the effects of different polishing systems on the surface roughness of various bulk-fill and nano-filled resin-based composites using different methods. For the study, a total of 192 disc-shaped samples (10-mm wide and 2-mm thick) were prepared from four different bulk-fill composites (Filtek Bulk Fill, X-tra fil, Beautifil-Bulk Restorative and Fill Up) and two nano-filled resin-based composites (Ceram.x SphereTEC and Filtek Z550). The samples in each composite group were divided into four subgroups according to the polishing system to be used (n = 8). Four different polishing systems (Sof-Lex Diamond, Clearfil Twist Dia, HiLuster Plus, OptiDisc) were applied. Then, surface roughness measurements were carried out using a contact-type profilometer. One sample from each group was subjected to atomic force microscopy (AFM) and scanning electron microscope (SEM) examinations. Surface roughness (Ra) values were statistically analyzed in terms of composites and polishing systems using the two-way analysis of variance (ANOVA) and comparisons among groups were performed using the Tukey test (α = .05). Surface roughness values differed significantly in relation to the composite and polishing system used (p < .05). Among all composites, the lowest surface roughness values were obtained in the groups treated with the OptiDisc polishing system (except Beautifil-Bulk Restorative), whereas the highest roughness values were observed in the group polished with Clearfil Twist Dia (except Filtek Z550). X-tra fil showed the highest roughness value with all polishing systems tested. The findings of AFM analyses were consistent with profilometric measurements. The nano-filled resin-based composites showed smoother surface than bulk-fill composites and the type of the polishing systems was found to affect surface roughness.

Varying the Polishing Protocol Influences the Color Stability and Surface Roughness of Bulk-Fill Resin-Based Composites

Surface properties of composites such as roughness and color impact periodontal health and aesthetic outcomes. Novel bulk-fill composites with improved functionality are being introduced and, in light of the existing variety of finishing/polishing procedures, research of their surface properties is warranted. Sixty discs were prepared from bulk-fill composites (Filtek™ Bulk Fill Posterior Restorative and Fill-Up™) and incremental-fill Filtek™ Z250. They were further divided according to different polishing procedures (n = 5): three multi-step polishing procedures or finishing with a bur (control). Surface roughness (Ra) was measured using an atomic force microscope (The AFM Workshop TT-AFM). A spectrophotometer (Spectroshade Micro Optic) was used to determine color stability, after exposure to a coffee solution. Data were analyzed using two-way MANOVA (significance level of 5%). Resin composite type, polishing procedure, and their interaction had a statistically significant effect on surface roughness (p < 0.001) and color change (p < 0.001). Fill-Up™ exhibited the highest surface roughness and greatest color change. Differences in color change were statistically significant (p < 0.001). Filtek™ Bulk Fill registered the lowest surface roughness and color change, after the three-step polishing procedure. Both parameters were significantly correlated (ρ = 0.754, p < 0.001) and found to be material dependent and polishing-procedure dependent. Higher surface roughness relates to greater color changes.

Effect of Fluoride Gels on the Surface Roughness of Different Composite Resins

Background:

The pH of fluoride gels influences the roughness of composite resins, which affects their clinical durability.

Objective:

To evaluate the effect of fluoride gels (1.23% acidified phosphate fluoride and neutral fluoride) on the morphology of different composite resins after finishing and polishing.

Methods:

We prepared sixty specimens with a diameter of 5 mm and a height of 2 mm. The specimens were then divided into six groups (n = 10), according to the type of composite resin (Z250 micro-hybrid (Z), Filtek Z350 XT nanoparticles (XT), and Tetric N-Ceram nano-hybrid (TC)) and fluoride gel treatment (1.23% acidified phosphate (APF) or neutral fluoride (NF)) to measure surface roughness (Ra). The material was light-cured using an LED-curing unit (Elipar Freelight Deep Cure-3M/ESPE) for 20 s with a light intensity of 1.200 mW/cm2. Ra measurements were performed before and after treatment with different fluoride gels using a rugosimeter (Mitutoyo SJ210). After Ra, we selected two samples from each group for evaluation using scanning electron microscopy. Data were analyzed using the Shapiro-Wilk, ANOVA, and Tukey tests, with a significance of 5%.

Results:

The average Ra before and after NF did not differ statistically. The average Ra values of the groups treated with APF showed statistically significant differences. The photomicrographs of the groups treated with NF were similar to those of the groups without fluoride treatment. The APF-treated groups showed significant morphological changes.

Conclusion:

NF did not promote changes in the morphology of the evaluated composite resins, in contrast to APF, which caused significant changes.

Surface Geometry of Four Conventional Nanohybrid Resin-Based Composites and Four Regular Viscosity Bulk Fill Resin-Based Composites after Two-Step Polishing Procedure

Objectives. The aim of the study was to determine the quantitative and qualitative surface structure of contemporary RBCs in posterior teeth reconstructions: regular viscosity bulk fill and conventional composites, obtained after two-stage polishing procedure. Materials and Methods. Four conventional nanohybrid composites (Tetric EvoCeram, GrandioSO, Filtek Z550, and Ceram·X Mono) and four regular viscosity bulk fill composites (Tetric EvoCeram Bulk Fill, X-tra fil, Filtek Bulk Fill Posterior, and QuixFil) were tested. Samples of each RBC were prepared using PMMA cylindrical mold. After two-step polishing procedure, a surface geometry was evaluated under profilometry (Turbowave v. 7.36, Hommel-Etamic) and SEM (VEGA 3, Tescan Analytics). To evaluate differences between values, the following nonparametric tests were used: Friedman’s ANOVA, Wilcoxon’s matched-pair test, ANOVA Kruskal-Wallis, and Mann-Whitney U. Results. All conventional RBCs showed Ra values in the range of 0.20-0.26 μm. Bulk fill showed higher values in range of 0.49-1.36 μm except for Filtek Bulk Fill Posterior, which achieved 0.23 μm Ra value. SEM images of conventional RBCs were described as smooth surfaces with slight damage except for TEC, which presented smooth surface with no damage. Bulk fill composites showed rough surface, except for TBF, which presented smooth surface with slight damage. Conclusions. Regular viscosity bulk fill composites do not constitute a homogeneous group regarding surface roughness after polishing. They obtain, for the most part, poorer smoothness values after polishing than conventional RBCs.

The Effect of Finishing and Polishing Sequences on The Surface Roughness of Three Different Nanocomposites and Composite/Enamel and Composite/Cementum Interfaces

The purpose of this study was to investigate the effect of final surface treatment and dental composite type on the roughness of the composite surface, composite/enamel interface, and composite/cementum interface, as well as on the polishing time. Class V cavities prepared in extracted teeth (n = 126) were restored using one of the three nanohybrid composites with different filler sizes. The specimens were randomly assigned to three different finishing and polishing sequences. The roughness (Ra) of the investigated surfaces was measured using the contact profilometer. The time required to achieve visible gloss was documented. The data were analyzed using ANOVA with Tukey's post hoc test (p < 0.05). There was no significant influence of the composite type on the restoration surface roughness (p = 0.088), while the polishing method had a significant impact (p < 0.001). The Ra of the composites ranged between 0.08 µm and 0.29 µm, with the lowest values (0.09 µm ± 0.05 µm) found in the aluminum oxide disc group (p < 0.001). The time to achieve a visible composite gloss was influenced by the polishing method, composite type, and interactions between these factors (p < 0.001). The interface roughness was significantly greater than that of the composite surface (p < 0.001), and depended on the composite type and polishing system employed.

Evaluation of Surface Roughness of Composite, Compomer and Carbomer After Curing Through Mylar Strip and Glycerin: A Comparative Study

Aim:

To compare the effect of mylar strip and glycerin topical application on the surface roughness of composite, compomer, and carbomer during polymerization.

Materials and Method:

Each of 45 disc-shaped specimens of Z250, Dyract, Carbomer, were prepared according to manufacturer’s instructions and molded in silicone rubber molds by one operator (5 mm diameter × 2 mm thickness; n = 135). Each restorative group was divided into 3 groups as oxygen group (control), mylar strip, and glycerin group (n = 15). In the control group, specimens were light cured in the open air for 40 s, whereas in the test groups they were covered either with a mylar strip or a drop of glycerin solution and cured for 40 s. Glycerin was rinsed off before polishing. Sof-Lex discs were used for polishing before the surface roughness measurements by a profilometer. The obtained data were statistically analyzed using two-way analysis of variance at a confidence level of 95% ( P < .05).

Results:

The mean surface roughness values of composite, compomer, and carbomer polymerized in air, through mylar strip and glycerin showed no statistically significant difference ( P > .05).

Conclusion:

Mylar strip and glycerin application did not affect the surface roughness of the composite, compomer, and carbomer. Polishing may mask the effect of different curing conditions.