Tooth shade assessment after lingual retainer application: A prospective clinical trial

Amaç: Bu çalışmanın amacı, alt anterior dişlere uygulanan lingual retainer (LR) uygulaması ve 6 aylık takibi süresinde oluşan renk değişiklikleri ve Uluslararası de l’Eclairage Komisyonunca (CIE) belirlenen L*, a* ve b* renk parametreleri (açıklık, kırmızı/yeşil ve mavi/sarı) üzerine etkisini değerlendirmektir. Gereç ve Yöntem: Sabit ortodontik tedavi görmüş onbeş hasta tedavi sonrasında tüm braketleri çıkartılmış ve temizlik işlemleri yapılmıştır. Ağız içi spektrofotometre (VITA Easyshade® Compact) alt anterior dişlerdeki renk değişikliklerini değerlendirmek için lingual retainer uygulamasından önce (T1) ve sonra (T2) kullanıldı. Üçüncü kayıtlar LR uygulanmasından 6 ay sonra alındı (T3). Renk miktarlarının değerlendirilmesinde CIE’in L*, a* ve b* renk sistemi kullanılmış ve renk değişimleri (ΔE) hesaplanmıştır. İstatistiksel değerlendirmede eşleştirilmiş t testi p

Lingual retainer uygulamasının diş rengi üzerine etkisi: Prospektif klinik çalışma

Background: The aim of this study was to evaluate the colour changes and shade parameters L*, a* and b* (lightness, red/green, and blue/yellow) of the Commission Internationale de l’Eclairage (CIE) for lower anterior teeth after lingual retainer (LR) application and 6-month follow up period. Methods: Fifteen patients were treated with fixed appliances. At the end of active treatment all brackets were debonded and cleaning procedures were performed. The intraoral spectrophotometer (VITA Easyshade® Compact) was used to objectively assess the shade alterations of lower anterior teeth before (T1) and after (T2) lingual retainer application. Third records for shade assessment were taken at 6-month follow up period (T3). Shade quantification was based on the CIE’s L*, a* and b* shade system and the corresponding shade differences (&#916;E) were calculated. Paired t-test was used for statistical evaluation of these parameters at p<0.05 level. Results: Lingual retainer application was not associated with changes in shade parameters. Although the L*, a* and b* values were not different significantly in all measured types of teeth, only the b* value was statistically different in lower right lateral tooth after LR application. L*, a* and b* were not changed to baseline values (T2-T3) after the six months observation period. &#916;E values were not changed clinically acceptable in lower anterior teeth. Conclusions: The shade of lower anterior teeth is not changed in after lingual retainer application. After 6-month follow-up period, the shade of lower anterior teeth with lingual retainer was not changed to baseline values.

___

  • 1. Artun J, Spadafora AT, Shapiro PA, McNeill RW, Chapko MK. Hygiene status associated with different types of bonded, orthodontic canine-to-canine retainers. A clinical trial. J Clin Periodontol 1987;14:89-94.
  • 2. Ulker M, Uysal T, Ramoglu SI, Ucar FI. Bond strengths of an antibacterial monomer-containing adhesive system applied with and without acid etching for lingual retainer bonding. Eur J Orthod 2009;31:658-63.
  • 3. Dima R. Visual versus Colorimetric Data Analysis for Color Determination in Resin Veneers. Applied Medical Informatics 2012;30:49-54.
  • 4. Goodkind RJ, Schwabacher WB. Use of a fiber-optic colorimeter for in vivo color measurements of 2830 anterior teeth. J Prosthet Dent 1987;58:535-42.
  • 5. Hungund GD, Mishra R. Assessment of smile architecture and pink aesthetics: A successful methodology in cosmetic dentistry. Eur J Gen Dent 2012;1:85-89.
  • 6. Dawes C. Rhythms in salivary flow rate and composition. Int J Chronobiol 1974;2:253-79.
  • 7. Billmeyer FW. Principles of color technology. 2. nd ed: New York: John Wiley and Sons; 1981.
  • 8. van der Burgt TP, ten Bosch JJ, Borsboom PC, Kortsmit WJ. A comparison of new and conventional methods for quantification of tooth color. J Prosthet Dent 1990;63:155-62.
  • 9. Joiner A. Tooth colour: a review of the literature. J Dent 2004;32:3-12.
  • 10. Karamouzos A, Athanasiou AE, Papadopoulos MA, Kolokithas G. Tooth-color assessment after orthodontic treatment: a prospective clinical trial. Am J Orthod Dentofacial Orthop 2010;138 1-8.
  • 11. Ergun G, Nagas IC. Color stability of silicone or acrylic denture liners: an in vitro investigation. Eur J Dent 2007;1:144-51.
  • 12. Celik C, Yuzugullu B, Erkut S, Yamanel K. Effects of mouth rinses on color stability of resin composites. Eur J Dent 2008;2:247-53.
  • 13. Johnston WM, Kao EC. Assessment of appearance match by visual observation and clinical colorimetry. J Dent Res 1989;68:819-22.
  • 14. Trakyali G, Ozdemir FI, Arun T. Enamel colour changes at debonding and after finishing procedures using five different adhesives. Eur J Orthod 2009;31:397-401.
  • 15. Diedrich P. Enamel alterations from bracket bonding and debonding: a study with the scanning electron microscope. Am J Orthod 1981;79:500-22.
  • 16. Eliades T, Kakaboura A, Eliades G, Bradley TG. Comparison of enamel colour changes associated with orthodontic bonding using two different adhesives. Eur J Orthod 2001;23:85-90.
  • 17. Chu SJ. Use of a reflectance spectrophotometer in evaluating shade change resulting from tooth-whitening products. J Esthet Restor Dent 2003;15:42-8.
  • 18. Baltzer A, Kaufmann-Jinoian V. Shading of ceramic crowns using digital tooth shade matching devices. Int J Comput Dent 2005;8:129-52.
  • 19. Kinch AP, Taylor H, Warltier R, Oliver RG, Newcombe RG. A clinical study of amount of adhesive remaining on enamel after debonding, comparing etch times of 15 and 60 seconds. Am J Orthod Dentofacial Orthop 1989;95:415-21.
  • 20. Silverstone LM, Saxton CA, Dogon IL, Fejerskov O. Variation in the pattern of acid etching of human dental enamel examined by scanning electron microscopy. Caries Res 1975;9:373-87.
  • 21. Eliades T, Gioka C, Heim M, Eliades G, Makou M. Color stability of orthodontic adhesive resins. Angle Orthod 2004;74:391-3.
  • 22. Zarrinnia K, Eid NM, Kehoe MJ. The effect of different debonding techniques on the enamel surface: an in vitro qualitative study. Am J Orthod Dentofacial Orthop 1995;108:284-93.
  • 23. Piacentini C, Sfondrini G. A scanning electron microscopy comparison of enamel polishing methods after air-rotor stripping. Am J Orthod Dentofacial Orthop 1996;109:57- 63.
  • 24. Hosein I, Sherriff M, Ireland AJ. Enamel loss during bonding, debonding, and cleanup with use of a self-etching primer. Am J Orthod Dentofacial Orthop 2004;126:717- 24.
  • 25. Ogaard B, Rolla G, Arends J. Orthodontic appliances and enamel demineralization. Part 1. Lesion development. Am J Orthod Dentofacial Orthop 1988;94:68-73.
Selçuk Üniversitesi Diş Hekimliği Fakültesi Dergisi-Cover
  • ISSN: 1300-5170
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 1991
  • Yayıncı: İsmail Marakoğlu