World Journal of Dentistry

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VOLUME 13 , ISSUE 4 ( July-August, 2022 ) > List of Articles


Impact of Pediatric Drugs on Color Stability of Different Aesthetic Restorative Materials Used in Pediatric Dentistry: An In Vitro Study

AlWaleed Abushanan, Abdulfatah Alazmah, Uthman S Uthman, Mazin Algahtani, Abdulhamid Al Ghwainem, Narendra V Penumatsa

Keywords : Aesthetic restorative materials, Analgesics, Antibiotics, Spectrophotometer

Citation Information : Abushanan A, Alazmah A, Uthman US, Algahtani M, Al Ghwainem A, Penumatsa NV. Impact of Pediatric Drugs on Color Stability of Different Aesthetic Restorative Materials Used in Pediatric Dentistry: An In Vitro Study. World J Dent 2022; 13 (4):316-319.

DOI: 10.5005/jp-journals-10015-2052

License: CC BY-NC 4.0

Published Online: 18-06-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Aim: The current in vitro research aims to assess the effect of pediatric drug formulations on color steadiness of different aesthetic restorative materials employed in pedodontics. Materials and methods: This research studied three different aesthetic restorative agents based on which allocation was performed to three different investigational groups as under group 1: Composite resin, group 2: Giomer, group 3: Zirconia-reinforced GIC. Forty disk-like specimens were prepared for each of these materials, employing molds to attain a uniform size of 10 mm diameter by 2 mm thickness. For every specimen, the material was manipulated in accordance with the manufacturer's recommendations followed by adaptation to the mold. The specimen's from every material, that is, 20 for each medicinal liquid formulation, were subjected to immersion in two drugs in liquid form—Antibiotics (Amoxicillin and Clavulanic acid) and Analgesics (Ibuprofen and Paracetamol) thrice daily for 2 minutes at 37°C during the investigational tenure of 1 week. The shade/specimen color was evaluated employing a spectrophotometer in agreement with the CIELAB. Results: Following immersion in the antibiotic liquid, maximum resisting power toward color alteration was delineated by Giomer (2.62 ± 0.16–4.24 ± 0.06), pursued by Zirconia-strengthened GIC (2.40 ± 0.11–7.18 ± 0.10), then Composite resin (2.36 ± 0.03–9.02 ± 0.08) in that order. Following immersion in the analgesic liquid, maximum resisting power toward color alteration was delineated by Giomer (2.63 ± 0.14–4.88 ± 0.02), pursued by Zirconia-strengthened GIC (2.38 ± 0.10–8.48 ± 0.14), then Composite resin (2.42 ± 0.02–10.39 ± 0.12) in that order. Conclusion: According to the results of the current research, a conclusion may be derived that, although each of the aesthetic restorative materials depicted staining following exposure to two different medicinal liquid formulations, Giomer exhibited maximum resistance to color alteration than zirconia-strengthened GIC and composite resin. Clinical significance: The unceasing advice of pediatric medicines can display staining of both natural dentition as well as restorations. The esthetic appearance being a key apprehension for parents as well as their children these days, the enduring color steadiness of restorative materials is of the highest significance.

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  1. Yoonis E, Kukletová M. Tooth colored dental restorative materials in primary dentition. Scr Med 2009;82(2):108–114.
  2. Shamszadeh S, Sheikh-Al-Eslamian SM, Hasani E, et al. Color stability of the bulk-fill composite resins with different thickness in response to coffee/water immersion. Int J Dent 2016;2016:7186140. DOI: 10.1155/2016/7186140
  3. Llena C, Fernandez S, Forner L. Color stability of nanohybrid resin-based composites, ormocers and compomers. Clin Oral Investig 2017;21(4):1071–1077. DOI: 10.1007/s00784-016-1850-z
  4. Tuzuner T, Turgut S, Baygin O, et al. Effects of different pediatric drugs on the color stability of various restorative materials applicable in pediatric dentistry. Biomed Res Int 2017;2017:9684193. DOI: 10.1155/2017/9684193
  5. Babu KL, Rai K, Hedge AM. Pediatric liquid medicaments-do they erode the teeth surface? An in vitro study: Part I. J Clin Pediatr Dent 2008;32(3):189–194. DOI: 10.17796/jcpd.32.3.j22m7t8163739820
  6. Kale YJ, Nalwade AV, Dahake PT, et al. Effect of different pediatric drug formulations on color stability of composite, zirconia-reinforced glass ionomer cement, and glass ionomer cement. J Indian Soc Pedod Prev Dent 2019;37(2):151–156. DOI: 10.4103/JISPPD.JISPPD_280_18
  7. Tupalli AR, Satish B, Shetty BR, et al. Evaluation of the erosive potential of various pediatric liquid medicaments: an in-vitro study. J Int Oral Health 2014;6(1):59–65.
  8. Erdemir U, Yildiz E, Eren MM. Effects of sports drinks on color stability of nanofilled and microhybrid composites after long-term immersion. J Dent 2012;40Suppl 2:e55–e63. DOI: 10.1016/j.jdent.2012.06.002
  9. Bagheri R, Burrow MF, Tyas M. Influence of food-simulating solutions and surface finish on susceptibility to staining of aesthetic restorative materials. J Dent 2005;33(5):389–398. DOI: 10.1016/j.jdent.2004.10.018
  10. Brook AH, Smith RN, Lath DJ. The clinical measurement of tooth colour and stain. Int Dent J 2007;57(5):324–330. DOI: 10.1111/j.1875–595x.2007.tb00141.x
  11. Poggio C, Beltrami R, Scribante A, et al. Surface discoloration of composite resins: effects of staining and bleaching. Dent Res J (Isfahan) 2012;9(5):567–573. DOI: 10.4103/1735-3327.104875
  12. Kathiria HP, Panda AK, Virda M, et al. Effect of pediatric drugs on color stability of various esthetic restorations in pediatric dentistry. Int J Prev Clin Dent Res 2021;8(2):35–37. DOI: 10.4103/ijpcdr.ijpcdr_11_21
  13. Rueggeberg FA, Craig RG. Correlation of parameters used to estimate monomer conversion in a light cured composite. J Dent Res 1988;67(6):932–937. DOI: 10.1177/00220345880670060801
  14. Hotwani K, Thosar N, Baliga S. Comparative in vitro assessment of color stability of hybrid esthetic restorative materials against various children's beverages. J Conserv Dent 2014;17(1):70–74. DOI: 10.4103/0972-0707.124154
  15. Chalissery VP, Marwah N, Almuhaiza M, et al. Study of the mechanical properties of the novel zirconia-reinforced glass lonomer cement. J Contemp Dent Pract 2016;17(5):394–398. DOI: 10.5005/jp-journals-10024-1861
  16. Prabhakar AR, Kalimireddy PL, Yavagal C, et al. Assessment of the clinical performance of zirconia infused glass ionomer cement: An in vivo study. Int J Oral Health Sci 2015;5(2):74–79. DOI: 10.4103/2231-6027.178501
  17. Kahaliw W, Ashenef A. Comparative quality evaluation of some metronidazole tablets and metronidazole benzoate oral suspensions available in retail outlets of Addis Ababa, Ethiopia. Int J Pharm Sci Res 2013;4(4):1384–1391.
  18. Mittal S, Singh BP, Sharma AK, et al. Surface changes of primary tooth enamel by commonly used pediatric liquid medicaments: A scanning electron microscope study. J Pediatr Dent 2017;5(1):14–20. DOI: 10.4103/jpd.jpd_15_17
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