Effect of Staining and External Bleaching on the color stability and Surface Roughness of Universal-Shade Resin- Based Composite

Abstract Aim: This study evaluated the color stability and surface roughness of four universal-shade resin-based composites after staining and external bleaching with 40% hydrogen peroxide. Methods: Two universal shade resin-based composites and two nanohybrid composites were tested. Twenty disc-shaped specimens from each material were fabricated and divided into two subgroups: one group was stained and bleached (staining group) and the other received bleaching treatment only (control group). The staining group was stained with coffee solution for 24 h. Subsequently, each sample of all four materials was bleached using an in-office bleaching gel using 40% hydrogen peroxide. Color measurements were performed using a spectrophotometer to obtain the International Commission on Illumination parameters, L*; a*; and b*, for each of the following periods: baseline, after bleaching, and two weeks after bleaching for the control group. The staining group was examined at baseline, after staining, after bleaching, and two weeks after bleaching. Surface roughness (Ra) of all the materials after each treatment step were also recorded. Results: Descriptive statistics (means and standard deviations) were used to describe color measurements and surface-roughness values. Two-analysis of variance and one-way analysis of variance were used to compare the mean values of surface roughness, L*, a*, b*, and ΔE values. Statistically significant differences and clinically acceptable ΔE were observed between all materials during the different stages in color measurements, whereas the surface roughness were significantly different for each study material and treatment mode. Conclusion: Staining with coffee solution and in-office bleaching produced acceptable color changes. Increased surface roughness values were observed after staining and bleaching the tested resin-based composites.