Jamieson Wong, Constance Yeo, Michelle The, Filip Taneski, Uros Josic, Lorenzo Breschi, Vesna Miletic
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引用次数: 0
Abstract
Objectives: This systematic review examines changes in optical properties of sculptable bulk-fill resin composites in staining media, highlighting the potential impact on the long-term aesthetic performance.
Materials and methods: Electronic searches across MEDLINE, Embase, Web of Science, and SCOPUS were conducted in January 2025 and updated on 27/05/2025. The RoBDEMAT framework (Risk of Bias tool for Pre-Clinical Dental Material Research) was utilized for risk of bias assessment. Inclusion criteria were primary studies in English, in vitro studies with a control group, and spectroscopic measurement of optical properties. Studies with visual color determination, no control group, materials other than sculptable bulk-fills, and no full text available were excluded.
Results: Twelve studies were selected for analysis. Coffee, tea, wine, and tomato-based products generally caused greater staining than lighter-colored or acidic beverages, while non-pigment control media caused minimal but measurable changes. Compared to other restorative materials, some bulk-fills (SonicFill, Fill-up) performed better, whereas fiber-reinforced everX exhibited greater susceptibility to color change and whitening index variation, particularly after bleaching.
Conclusions: Sculptable bulk-fills showed variable color stability, with performance influenced by material type, polishing, staining medium, and duration of exposure. Wide methodological variability hindered meta-analytical comparisons, highlighting the need for standardized research protocols.
Clinical significance: This systematic review highlights that the color stability of bulk-fill composites is highly material-dependent, with certain products more resistant to staining and bleaching-induced changes than others. Clinically, this underscores the importance of material selection in achieving long-term aesthetic outcomes, particularly for restorations in patients with high consumption of staining beverages or undergoing bleaching treatments.
目的：本系统综述研究了可雕刻的大块填充树脂复合材料在染色介质中光学特性的变化，强调了其对长期美学性能的潜在影响。材料和方法：通过MEDLINE， Embase， Web of Science和SCOPUS进行的电子检索于2025年1月进行，并于2025年5月27日更新。使用RoBDEMAT框架（临床前牙科材料研究的偏倚风险工具）进行偏倚风险评估。纳入标准为英文的初步研究、对照组的体外研究和光学性质的光谱测量。排除了视觉颜色测定、无对照组、非可雕刻填充材料和无全文的研究。结果：选取12项研究进行分析。咖啡、茶、酒和番茄制品通常比浅色或酸性饮料引起更大的染色，而非色素控制介质引起的变化很小，但可测量。与其他修复材料相比，一些填充材料（SonicFill, Fill-up）表现更好，而纤维增强的everX对颜色变化和美白指数变化更敏感，特别是在漂白后。结论：可雕刻的填充体具有不同的颜色稳定性，其性能受材料类型、抛光、染色介质和曝光时间的影响。广泛的方法可变性阻碍了元分析比较，强调了标准化研究方案的必要性。临床意义：本系统综述强调了大块填充复合材料的颜色稳定性高度依赖于材料，某些产品比其他产品更能抵抗染色和漂白引起的变化。在临床上，这强调了材料选择在实现长期美学结果中的重要性，特别是对于染色饮料消耗高或正在进行漂白治疗的患者的修复。注册号：PROSPERO CRD42024603712。
期刊介绍：
The Journal of Esthetic and Restorative Dentistry (JERD) is the longest standing peer-reviewed journal devoted solely to advancing the knowledge and practice of esthetic dentistry. Its goal is to provide the very latest evidence-based information in the realm of contemporary interdisciplinary esthetic dentistry through high quality clinical papers, sound research reports and educational features.
The range of topics covered in the journal includes:
- Interdisciplinary esthetic concepts
- Implants
- Conservative adhesive restorations
- Tooth Whitening
- Prosthodontic materials and techniques
- Dental materials
- Orthodontic, periodontal and endodontic esthetics
- Esthetics related research
- Innovations in esthetics
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