Research Article
The Effect of Desensitizing Toothpastes and Coffee Staining
on the Optical Properties of Natural Teeth and Microhybrid
Resin Composites: An In-Vitro Study
Sedanur Turgut ,
1
Hamiyet KJlJnç,
2
KJvanç Utku Ulusoy ,
3
and Bora Bagis
4
1
Ph.D., DDS, Assoc. Professor Dr., Department of Prosthodontics, Faculty of Dentistry, Karadeniz Technical University,
Trabzon, Turkey
2
Ph.D., DDS, Assist. Professor Dr., Department of Prosthodontics, Faculty of Dentistry, Bolu Abant Izzet Baysal University,
Bolu, Turkey
3
Ph.D., DDS, Department of Restorative Dentistry, Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey
4
Ph.D., DDS, Professor Dr., Department of Prosthodontics, Faculty of Dentistry, Izmir Katip Celebi University, Izmir, Turkey
Correspondence should be addressed to Bora Bagis; bbagis@yahoo.com
Received 26 July 2018; Revised 7 November 2018; Accepted 6 December 2018; Published 23 December 2018
Academic Editor: Andrea Scribante
Copyright © 2018 Sedanur Turgut et al. Tis is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objective. To evaluate the efect of diferent desensitizing toothpastes and cofee staining on the discoloration rate of natural human
tooth and composite materials. Materials and Methods. A total of 56 human teeth and 56 composite specimens were used. Afer
initial color measurements were taken, specimens and teeth were exposed to simulated toothbrushing with six desensitizing
toothpastes containing diferent active ingredients: stannous fuoride, strontium acetate, potassium citrate and hydroxyapatite,
cetylpyridinium chloride, arginine, and novamin. Specimens were then exposed to cofee staining. Troughout the staining
procedure, the storing solution was refreshed every day and the specimens were brushed with the tested toothpastes. Color
measurements and changes were recorded at each stage and analyzed with one-way ANOVA, Dunnett tests, and paired sample
t-test (p<0.05). Results. Te largest color change was obtained with the stannous fuoride toothpaste afer cofee staining for natural
teeth (2.6 Δ
00
∗
) and composite specimens (3.1 Δ
00
∗
). Cofee staining resulted in signifcant changes for Δ
00
∗
values of all
groups, except for natural teeth brushed with a novamin-based (p= 0.06) toothpaste. For composite specimens, only the stannous
fuoride and cetylpyridinium chloride-based toothpastes resulted in signifcant color changes relative to the control group. ΔL
∗
and
Δb
∗
values were also increased afer staining for all groups (p<0.05). Conclusions. Desensitizing toothpastes alone did not cause
perceptible color changes; however, in combination with cofee staining, it tended to increased discoloration for both composites
and natural teeth.
1. Introduction
Tooth hypersensitivity is a multifactorial condition typically
characterized by sharp and brief arising in response to
evaporative, thermal, osmotic, tactile, or chemical stimuli
that cannot be ascribed to any other form of dental defect
or disease [1]. Tis clinically frequent oral health problem
can cause pain while breathing, eating, or toothbrushing
and its prevalence has been measured as ranging from 3%
to 73% [2]. Te most commonly supported explanation
of hypersensitivity is the hydrodynamic theory suggested
by Brannstrom, which assumes that painful stimulation
increases fuid fow within the dentinal tubules, stimulat-
ing baroreceptors and thus causing a neural signal and a
painful sensation [3]. Terefore, ideal treatment for hyper-
sensitivity should block the exposed dentinal tubules or
reduce fuid fow within the dentinal tubules [4]. Gener-
ally accepted treatments are the application of a dentin
sealer such as composite resin, glass ionomer, or the use
of potassium salts, calcium phosphate, fuorides, strontium,
Hindawi
BioMed Research International
Volume 2018, Article ID 9673562, 7 pages
https://doi.org/10.1155/2018/9673562