195 © 2017 Annals of Medical and Health Sciences Research
Original Article
How to Cite this Article: Kohli S, Bhatia S, Sexana K, Kalsi R, Rajeshwari
K, Arora M. Discolouration of Polymethyl Methacrylate versus bis‑acrylic
based Provisional Crown and Bridge Dental Resins: Effect of Storage Me‑
dia and Duration. Ann Med Health Sci Res. 2017; 7: 195‑199
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Abstract
Background: Provisional restorations are frequently needed for several days to weeks, demanding
them to be well made and stable with distinctive functions and purposes. In aesthetically critical
region, the provisional restoration must not only deliver an initial shade match, furthermore
must preserve its aesthetic appearance over the service period. Noticeable colour change may
compromise the suitability of provisional restorations. Aim: This study aimed to determine the
discolouration of poly (methyl methacrylate) (PMMA) and bis‑acrylic based provisional crown
and bridge auto‑polymerizing resins when exposed to cofee, tea, orange and cranberry juice.
Materials and Methods: Four auto‑polymerizing provisional crown and bridge resins, two
methyl methacrylate and two bis‑acrylic were used. Specimens were randomly divided into fve
groups (N=120, n=30) to be stored in artifcial saliva, artifcial saliva+tea, artifcial saliva+cofee,
artifcial saliva+orange juice and artifcial saliva+cranberry juice. Colour measurements were
taken before immersion, after 1 week and 1 month of immersion with the Spectrophotometer.
Data were analysed using analysis of variance (ANOVA), independent samples t‑test, Schefe’s
post‑hoc test, and paired t‑test. A signifcance level of a = 0.05 was used for all statistical analyses.
Results: After the immersion period of 1 week and 1 month period, the post hoc analysis indicated
that highest ∆E values were observed for Protemp II‑artifcial saliva + cofee as compared to
other materials. Conclusion: The degrees of discolouration increased with immersion time.
Methyl methacrylate resins were more resistant to discolouration than bis‑acrylic resins. After
immersion for 1 month, artifcial saliva + cofee solution resulted in unacceptable discolouration
for all the tested materials.
Keywords: Crown and bridge resins, Discolouration, Duration, Provisional, Storage media
Corresponding author:
Shivani Kohli,
Department of Prosthodontics,
MAHSA University, Kuala Lumpur,
Malaysia,
Tel: 60-010-5472186;
E-mail: shivani@mahsa.edu.my
Discolouraton of Polymethyl Methacrylate versus
Bis‑Acrylic based Provisional Crown and Bridge Dental
Resins: Efect of Storage Media and Duraton
Shivani Kohli
1
, Shekhar Bhatia
2
, Kirti Sexana
3
, Rupali Kalsi
4
, K. Rajeshwari
5
and Mansi Arora
6
1
Department of Prosthodontics, MAHSA University, Kuala Lumpur, Malaysia,
2
Division of Restorative Dentistry, School of Dentistry,
International Medical University, Kuala Lumpur, Malaysia,
3
Department of Orthodontics, MAHSA University, Kuala Lumpur,
Malaysia,
4
Department of Periodontics, Shree Bankey Bihari Dental College, Ghaziabad, U.P, India,
5
Department of Prosthodontics, Kle
institute of dental sciences, Bangalore,
6
Department of Prosthodontics, Private Practioner, New Delhi, India
Introduction
Aesthetic provisional restorations are frequently needed for
several days to weeks, demanding them to be well made and
stable with distinctive functions and purposes. They act as a vital
diagnostic and assessment tool for evaluating function, colour,
shape, contour, occlusion, periodontal response, implant healing
and largely aesthetics
[1,2].
Although provisional restorations
are usually intended for short-term use and then discarded,
irrespective of that they should always be made to provide
pleasing aesthetics, adequate support and good protection for
teeth while maintaining periodontal health
[3].
In aesthetically
critical region, the provisional restoration must not only deliver
an initial shade match, furthermore must preserve its aesthetic
appearance over the service period. Noticeable colour change
may compromise the suitability of provisional restorations.
Staining of provisional materials may perhaps result in patient
discontent and surplus expense for replacement. This is
predominantly challenging when provisional restorations are
exposed to pigments during lengthy treatment
[4].
Henceforth,
colour stability is a signifcant criterion in the selection of a
particular provisional material for usage in aesthetically critical
area. Amongst the materials used for constructing provisional
fxed partial dentures polymethyl methacrylate has been
extensive in practice. Poly(ethyl methacrylate), poly (vinylethyl
methacrylate), bis-acrylic composite resin, and visible light-
cured (VLC) urethane dimethacrylate and microflled have
originated in current years. Epimine resin which was used in the
past is no longer been used
[4-6].
Provisional restorations can be prepared chair side directly
in the mouth or indirectly outside on the patient’s cast
[7].
The
indirect technique is preferred over the direct technique for its
accuracy
[8,9].
Requisite of a crown and bridge interim material is to retain
lasting colour stability in order to avoid replacement of
restorations. Irrespective of their chemicophysical composition
and the use of stabilizers
[9,10].
dental resins incline to imbibe