Color stability of resin‐based composites: staining procedures with liquids—A narrative review

Gaetano Paolone, Sara Formiga, Francesca De Palma, Luca Abbruzzese, Luca Chirico, Salvatore Scolavino, Cecilia Goracci, Giuseppe Cantatore, Alessandro Vichi

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Objective: The objective of this study was to review the experimental staining procedures performed in in-vitro studies for evaluating color stability of resin-based composites used for direct restorations.

    Overview: A review was performed with the purpose to identify in vitro procedures carried out to establish staining and color stability of resin-based composites used for direct restorations. A literature search was performed on four online databases (PubMed, Scopus, Embase and Web of Science) for articles published from January 1st 2001 till March 20th 2021, using a combination of free words and Medical Subject Headings (MESH) terms: “Composite Resins” AND “Color Stability” OR “Staining.” Two reviewers screened titles and/or abstracts of 1728 unique studies. In total, 208 studies were selected for full-text reading, from which 178 were included in the review. The assessed variables were specimen dimensions, shape, and surface finishing; time before immersion; staining media type, dwell time, temperature and renewal interval; type of composite; color and translucency assessment parameters and measuring system.

    One hundred and seventy-eight articles analyzed color stability with staining liquids. Coffee was the most used staining medium (n = 102), followed by tea (n = 61), and red wine (n = 55). A disc-shaped specimen was used in most studies (n = 170) with a 2 mm thickness (n = 116). Spectrophotometers were the most used color assessment devices (n = 154), followed by colorimeters (n = 17). Color differences were quantified with ΔE (n = 154), ΔE00 (n = 23). Acceptability and or perceptibility thresholds were also taken into consideration (n = 126).

    Conclusions: The large variety of staining procedure suggests the need for standardization.

    Clinical Significance
    Aesthetic failure due to discoloration is a relevant clinical problem. Evaluating benefits and drawbacks of resin based composites artificial staining procedures will improve to predict materials clinical performances.
    Original languageEnglish
    JournalJournal of Esthetic and Restorative Dentistry
    Early online date9 Apr 2022
    DOIs
    Publication statusEarly online - 9 Apr 2022

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