Tooth Decay Clinical Trial
Official title:
Measurements of Color Matching and Blending Effect of Translucent and Shaded Bulk-fill Resin Composites [Ex-vivo and In-vivo Study]
There is a deficiency in literature which compares the blending effect and color matching of translucent shade bulk-fill resin composite with shaded bulk-fill resin composite. So in this research color matching and blending effect will be instrumentally measured the by a spectrophotometer. A visual assessment also will be done in-vivo and ex-vivo.
Color matching may be the only parameter of treatment with which the patient is concerned.
Failure to match the proper color of the teeth may lead to failure of mechanically and
biologically successful restoration. Up to 80% of the patients expressed their
dissatisfaction with the perceived color of their dental restorations. Thus, proper color
reproduction is considered to be one of the most complex and frustrating problems in
restorative dentistry.
Polymerisation shrinkage is another serious problem that causes entrapment of stresses that
may shorten the clinical life of the restoration. In an effort to reduce this, resin
composite is placed in increments as each increment compensate for the previous one. These
increments are usually 2 mm each to allow the penetration of curing light. As the resin
shade is darker and the filler size is larger, the curing depth will be more limited. So no
doubt that the more translucent is the shade of the resin, the higher is the depth of cure.
It is noted that, incremental placement is a tedious, time consuming and a very sensitive
technique. Improper placement may result in air bubble entrapment or porosity that may
result in a weak restoration.
The bulk-fill resin composites specifically designed for large posterior restorations. They
represent a new era in direct filling technology and a paradigm shift away from the
traditional 2 mm increment system. Bulk-fill resin composite are possible to be cured in a
depth of 3.5 to 5.5 mm. This reduces effort and time of the procedure and guarantees a
solution for the polymerization shrinkage problem. It is important to note that bulk-fill
materials do not constitute a uniform class of materials, they have different consistencies
sculptable and flowable. Also some companies produce a translucent shade that should match
almost all teeth color as they claim. This is called blending effect where the material can
take the shade of the surrounding tooth structure and thus guarantee a solution for color
matching problem.
Also there is a deficiency in literature that compares the blending effect and color
matching of translucent shade bulk-fill resin composite with shaded bulk-fill resin
composite. So in this research we will assess the effect of shaded bulk-fill resin
composites against the translucent shade bulk-fill resin composite in-vivo and ex-vivo by
spectrophotometer and visual inspection.
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