The effects of whitening mouthrinses on the color stability of CAD/CAM resin matrix ceramics

Main Article Content

Murat Eskitaşçıoğlu


Objective: This study aimed to evaluate the color change of CAD/CAM resin matrix ceramic, which was exposed to three different whitening mouth rinses and artificial saliva for 12 and 180 hours.

Material and Methods: A total of 60 samples were produced from prefabricated CAD/CAM resin matrix ceramic blocks for experimental study. The samples were randomly divided into four subgroups according to the whitening mouthrinses: Listerine Advanced White, Colgate Optic White, Oral B 3D White Luxe, and artificial saliva. Spectrophotometric measurements were made from each sample at 3 different times, before (initial) exposure to mouthrinses, 12 hours and 180 hours after exposure (∆E001, ∆E002 and ∆E003). While using the generalized linear models method for the comparison of ∆E00, ∆L, ∆a, and ∆b color changes according to the mouthrinse and exposure time; multiple comparisons were made with the Tukey HSD Test. The significance level was taken as p<0.050.

Results: The results of the two-way analysis of variance showed that the used mouthrinse and the exposure time had a statistically significant effect on the ∆E00 values representing the color change (p<0.001), while the interaction between the mouthrinse and the time of use did not play an important role (p=0.165).

Conclusion: After exposure time of 180 hours, all whitening mouthrinses induce color change of resin matrix ceramics above clinically noticeable level.


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How to Cite
Eskitaşçıoğlu, M. (2022). The effects of whitening mouthrinses on the color stability of CAD/CAM resin matrix ceramics. Medical Science and Discovery, 9(9), 505–511.
Research Article
Received 2022-08-29
Accepted 2022-09-13
Published 2022-09-14


Kermanshah H, Ahmadi E, Rafeie N, Rafizadeh S, Ranjbar Omrani L. Vickers micro-hardness study of the effect of fluoride mouthwash on two types of CAD/CAM ceramic materials erosion. BMC Oral Health. 2022;22(1):101-.

Soygun K, Varol O, Ozer A, Bolayir G. Investigations on the effects of mouthrinses on the colour stability and surface roughness of different dental bioceramics. J Adv Prosthodont. 2017;9(3):200-7.

Lee JH, Kim SH, Yoon HI, Yeo IL, Han JS. Colour stability and surface properties of high-translucency restorative materials for digital dentistry after simulated oral rinsing. Eur J Oral Sci. 2020;128(2):170-80.

Bayazıt EÖ, Karabıyık M. Chairside Restorations of Maxillary Anterior Teeth with CAD/CAM Porcelain Laminate Veneers Produced by Digital Workflow: A Case Report with a Step to Facilitate Restoration Design. Case Reports in Dentistry. 2019;2019:6731905.

Alpkilic DS, Ongul D, Isler Deger S. Stainability of different ceramic materials against mouth rinses and effect of polishing after staining. The Journal of Prosthetic Dentistry. 2021;126(5):686.e1-.e7.

Jeong H-Y, Lee H-H, Choi Y-S. Mechanical properties of hybrid computer-aided design/computer-aided manufacturing (CAD/CAM) materials after aging treatments. Ceramics International. 2018;44(16):19217-26.

Koizumi H, Saiki O, Nogawa H, Hiraba H, Okazaki T, Matsumura H. Surface roughness and gloss of current CAD/CAM resin composites before and after toothbrush abrasion. Dent Mater J. 2015;34(6):881-7.

Lauvahutanon S, Takahashi H, Shiozawa M, Iwasaki N, Asakawa Y, Oki M, et al. Mechanical properties of composite resin blocks for CAD/CAM. Dent Mater J. 2014;33(5):705-10.

Stamenković DD, Tango RN, Todorović A, Karasan D, Sailer I, Paravina RD. Staining and aging-dependent changes in color of CAD-CAM materials. J Prosthet Dent. 2021;126(5):672-8.

Morais Sampaio GA, Rangel Peixoto L, Vasconcelos Neves G, Nascimento Barbosa DD. Effect of mouthwashes on color stability of composite resins: A systematic review. J Prosthet Dent. 2021;126(3):386-92.

Kulkarni A, Rothrock J, Thompson J. Impact of Gastric Acid Induced Surface Changes on Mechanical Behavior and Optical Characteristics of Dental Ceramics. J Prosthodont. 2020;29(3):207-18.

Alp G, Subaşı MG, Seghi RR, Johnston WM, Yilmaz B. Effect of shading technique and thickness on color stability and translucency of new generation translucent zirconia. J Dent. 2018;73:19-23.

Pelino JEP, Passero A, Martin AA, Charles CA. In vitro effects of alcohol-containing mouthwashes on human enamel and restorative materials. Braz Oral Res. 2018;32:e25.

Gasparri F, Schemehorn BR, Zanardi A. Efficacy of Teeth Whitening with a Mouthwash: In Vitro and In Vivo Approaches. J Clin Dent. 2018;29(1):13-7.

Ntovas P, Masouras K, Lagouvardos P. Efficacy of non-hydrogen peroxide mouthrinses on tooth whitening: An in vitro study. J Esthet Restor Dent. 2021;33(7):1059-65.

Gerlach RW, Tucker HL, Anastasia MK, Barker ML. Clinical trial comparing 2 hydrogen peroxide tooth whitening systems: strips vs pre-rinse. Compend Contin Educ Dent. 2005;26(12):874-8.

Karadas M. Efficacy of whitening oral rinses and dentifrices on color stability of bleached teeth. Acta Biomater Odontol Scand. 2015;1(1):29-34.

Jaime IMdL, França FMG, Basting RT, Turssi CP, Amaral FLB. Efficacy of hydrogen-peroxide-based mouthwash in altering enamel color. American journal of dentistry. 2014;27(1):47-50.

Phukaoluan A, Khantachawana A, Dechkunakorn S, Anuwongnukroh N, Tunthawiroon P, Srirussamee K. Influence of Mouthwash Rinsing on the Mechanical Properties of Polymeric Ligature Ties Used for Dental Applications. Polymers (Basel). 2021;13(14).

Gürgan S, Onen A, Köprülü H. In vitro effects of alcohol-containing and alcohol-free mouthrinses on microhardness of some restorative materials. J Oral Rehabil. 1997;24(3):244-6.

Akl MA, Sim CPC, Nunn ME, Zeng LL, Hamza TA, Wee AG. Validation of two clinical color measuring instruments for use in dental research. J Dent. 2022;125:104223.

Paravina RD, Ghinea R, Herrera LJ, Bona AD, Igiel C, Linninger M, et al. Color difference thresholds in dentistry. J Esthet Restor Dent. 2015;27 Suppl 1:S1-9.

Torres CR, Perote LC, Gutierrez NC, Pucci CR, Borges AB. Efficacy of mouth rinses and toothpaste on tooth whitening. Oper Dent. 2013;38(1):57-62.

Zhang Y. Making yttria-stabilized tetragonal zirconia translucent. Dent Mater. 2014;30(10):1195-203.

Swain MV. Impact of oral fluids on dental ceramics: what is the clinical relevance? Dent Mater. 2014;30(1):33-42.

Derafshi R, Khorshidi H, Kalantari M, Ghaffarlou I. Effect of mouthrinses on color stability of monolithic zirconia and feldspathic ceramic: an in vitro study. BMC Oral Health. 2017;17(1):129.

Vichi A, Louca C, Corciolani G, Ferrari M. Color related to ceramic and zirconia restorations: a review. Dent Mater. 2011;27(1):97-108.

Sasany R, Ergun-Kunt G, Yilmaz B. Effect of mouth rinses on optical properties of CAD-CAM materials used for laminate veneers and crowns. J Esthet Restor Dent. 2021;33(4):648-53.

Garoushi S, Lassila L, Hatem M, Shembesh M, Baady L, Salim Z, et al. Influence of staining solutions and whitening procedures on discoloration of hybrid composite resins. Acta Odontol Scand. 2013;71(1):144-50.

Celik C, Yuzugullu B, Erkut S, Yamanel K. Effects of mouth rinses on color stability of resin composites. Eur J Dent. 2008;2(4):247-53.

Alharbi A, Ardu S, Bortolotto T, Krejci I. Stain susceptibility of composite and ceramic CAD/CAM blocks versus direct resin composites with different resinous matrices. Odontology. 2017;105(2):162-9.

Canay S, Cehreli MC. The effect of current bleaching agents on the color of light-polymerized composites in vitro. J Prosthet Dent. 2003;89(5):474-8.

Leal JP, da Silva JD, Leal RFM, Oliveira-Júnior CdC, Prado VLG, Vale GC. Effect of Mouthwashes on Solubility and Sorption of Restorative Composites. International Journal of Dentistry. 2017;2017:5865691.

Anagnostou M, Chelioti G, Chioti S, Kakaboura A. Effect of tooth-bleaching methods on gloss and color of resin composites. J Dent. 2010;38 Suppl 2:e129-36.

Harorlı OT, Barutcigil Ç. Farklı beyazlatıcı ağız gargaralarına maruz bırakılan bir nano-hibrit kompozitin renk değişikliğinin incelenmesi. Annals of Health Sciences Research. 2013;2(1):15-8.