Effect of protein supplements on the surface roughness of three nanohybrid composite resins: in vitro study
Keywords:
resina dental, rugosidad, suplemento nutricional, in vitroAbstract
Introduction: protein supplements are viscous and acidic in nature, posing a potential risk for increasing the surface roughness of composite resins.
Objective: to compare the effect of immersion in protein supplements on the surface roughness of three nanohybrid composite resins in an in-vitro study.
Methods: one hundred eighty discs (6 mm x 2 mm) were fabricated from Filtek Z250XT, Tetric N-Ceram, and Forma Zirconia resins. Each resin was divided into three groups (n = 20) according to the immersion medium: artificial saliva (control), whey-based supplement (pH 6,4), and plant-based supplement (pH 5,9). Specimens were immersed for one hour daily over 21 days. Surface roughness (Ra, µm) was measured with a profilometer at baseline and after 7, 14, and 21 days. Repeated-measures ANOVA and post-hoc tests were applied (p < 0,05).
Results: surface roughness increased significantly over time in all three resins (p < 0,001). At 21 days, the whey-based supplement produced the highest roughness values in Filtek Z250XT (0,57 µm), Tetric N-Ceram (0,58 µm), and Forma Zirconia (0,67 µm). The greatest overall roughness (0,69 µm) was observed in Forma Zirconia immersed in the plant-based supplement. Minimal changes were recorded in the artificial saliva control.
Conclusions: daily exposure to protein supplements increases the surface roughness of nanohybrid composite resins. The whey-based supplement was the most aggressive medium, and Forma Zirconia was the most affected resin. The acidic pH and high viscosity of the supplements appear to contribute to surface degradation, suggesting that prolonged contact with composite restorations should be avoided.
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1. Babaier R, Watts DC, Silikas N. Effects of three food-simulating liquids on the roughness and hardness of CAD/CAM polymer composites. Dent Mater. 2022 May;38(5):874-885. doi: 10.1016/j.dental.2022.04.001. Epub 2022 Apr 15.
2. Chowdhury D, Mazumdar P, Desai P, Datta P. Comparative evaluation of surface roughness and color stability of nanohybrid composite resin after periodic exposure to tea, coffee, and Coca-cola - An in vitro profilometric and image analysis study. J Conserv Dent. 2020 Jul-Aug;23(4):395-401. doi: 10.4103/JCD.JCD_401_20. Epub 2021 Jan 16.
3. Camilotti V, Mendonça MJ, Dobrovolski M, Detogni AC, Ambrosano GMB, De Goes MF. Impact of dietary acids on the surface roughness and morphology of composite resins. J Oral Sci. 2020 Dec 23;63(1):18-21. doi: 10.2334/josnusd.19-0518. Epub 2020 Nov 17.
4. Tărăboanță I, Stoleriu S, Gurlui S, Nica I, Tărăboanță-Gamen AC, Iovan A, Andrian S. The Influence of Abrasive and Acidic Aggressions on the Surface Condition of Flowable Composite Resin. Materials (Basel). 2022 Jan 27;15(3):1000. doi: 10.3390/ma15031000.
5. Özduman ZC, Kazak M, Fildisi MA, Özlen RH, Dalkilic E, Donmez N. Effect of Polymerization Time and Home Bleaching Agent on the Microhardness and Surface Roughness of Bulk-Fill Composites: A Scanning Electron Microscopy Study. Scanning. 2019 Jun 2;2019:2307305. doi: 10.1155/2019/2307305.
6. Lin GSS, Ghani NRNA, Ismail NH, Singbal K, Noorani TY, Mamat N. New Experimental Zirconia-Reinforced Rice Husk Nanohybrid Composite and the Outcome of Its Surface Roughness and Microhardness in Comparison with Commercialized Nanofilled and Microhybrid Composite Resins. Contemp Clin Dent. 2021 Jan-Mar;12(1):21-27. doi: 10.4103/ccd.ccd_298_20. Epub 2021 Mar 20.
7. Kumari CM, Bhat KM, Bansal R, Singh N, Anupama A, Lavanya T. Evaluation of Surface Roughness and Hardness of Newer Nanoposterior Composite Resins after Immersion in Food-Simulating Liquids. Contemp Clin Dent. 2019 Apr-Jun;10(2):289-293. doi: 10.4103/ccd.ccd_535_18.
8. Aydın N, Topçu FT, Karaoğlanoğlu S, Oktay EA, Erdemir U. Effect of finishing and polishing systems on the surface roughness and color change of composite resins. J Clin Exp Dent. 2021 May 1;13(5):e446-e454. doi: 10.4317/jced.58011.
9. Savic-Stankovic T, Karadzic B, Komlenic V, Stasic J, Petrovic V, Ilic J, Miletic V. Effects of whitening gels on color and surface properties of a microhybrid and nanohybrid composite. Dent Mater J. 2021 Dec 1;40(6):1380-1387. doi: 10.4012/dmj.2021-030. Epub 2021 Jul 22.
10. Navimipour EJ, Ajami AA, Oskoee SS, Kahnamou MA, Bahari M, Ebrahimi Chaharom ME, Shojaei SM. Surface Roughness of Different Composite Resins after Application of 15% Carbamide Peroxide and Brushing with Toothpaste: An In-Vitro Study. Front Dent. 2019 Jan-Feb;16(1):55-61. doi: 10.18502/fid.v16i1.1109. Epub 2019 Jan 20.
11. Naser-Alavi F, Salari A, Moein N, Talebzadeh A. Effect of oral irrigation device and its solution type on the surface roughness and topography of Bulk-fill composite resins. J Clin Exp Dent. 2022 Feb 1;14(2):e123-e130. doi: 10.4317/jced.59004.
12. Tărăboanță I, Buhățel D, Brînză Concită CA, Andrian S, Nica I, Tărăboanță-Gamen AC, Brânzan R, Stoleriu S. Evaluation of the Surface Roughness of Bulk-Fill Composite Resins after Submission to Acidic and Abrasive Aggressions. Biomedicines. 2022 Apr 27;10(5):1008. doi: 10.3390/biomedicines10051008.
13. Alharbi M, Farah R. Effect of water-jet flossing on surface roughness and color stability of dental resin-based composites. J Clin Exp Dent. 2020 Feb 1;12(2):e169-e177. doi: 10.4317/jced.56153.
14. Abdelmegid FY, Salama FS, Al-Jameel MM, Al-Rasheed TT, El-Sharawy MA. Effects of fruit drinks on surface roughness of two esthetic restorative materials. Stomatologija. 2019;21(2):47-52.
15. Silva JP, Coelho A, Paula A, Amaro I, Saraiva J, Ferreira MM, Marto CM, Carrilho E. The Influence of Irrigation during the Finishing and Polishing of Composite Resin Restorations-A Systematic Review of In Vitro Studies. Materials (Basel). 2021 Mar 29;14(7):1675. doi: 10.3390/ma14071675.
16. Wheeler J, Deb S, Millar BJ. Evaluation of the effects of polishing systems on surface roughness and morphology of dental composite resin. Br Dent J. 2020 Apr;228(7):527-532. doi: 10.1038/s41415-020-1370-8.
17. Jaramillo-Cartagena R, López-Galeano EJ, Latorre-Correa F, Agudelo-Suárez AA. Effect of Polishing Systems on the Surface Roughness of Nano-Hybrid and Nano-Filling Composite Resins: A Systematic Review. Dent J (Basel). 2021 Aug 12;9(8):95. doi: 10.3390/dj9080095.
18. Valian A, Ansari ZJ, Rezaie MM, Askian R. Composite surface roughness and color change following airflow usage. BMC Oral Health. 2021 Aug 14;21(1):398. doi: 10.1186/s12903-021-01745-3.
19. Kaur N, Nikhil V. Do whey protein beverages affect the microhardness of composites? A laboratory study. J Conserv Dent. 2022 Jan-Feb;25(1):72-77. doi: 10.4103/Jcd.Jcd_140_21. Epub 2022 May 2.
20. Kårlund A, Gómez-Gallego C, Turpeinen AM, Palo-Oja OM, El-Nezami H, Kolehmainen M. Protein Supplements and Their Relation with Nutrition, Microbiota Composition and Health: Is More Protein Always Better for Sportspeople? Nutrients. 2019 Apr 12;11(4):829. doi: 10.3390/nu11040829.
21. Baltazar-Martins G, Brito de Souza D, Aguilar-Navarro M, Muñoz-Guerra J, Plata MDM, Del Coso J. Prevalence and patterns of dietary supplement use in elite Spanish athletes. J Int Soc Sports Nutr. 2019 Jul 18;16(1):30. doi: 10.1186/s12970-019-0296-5.
22. Zare R, Devrim-Lanpir A, Guazzotti S, Ali Redha A, Prokopidis K, Spadaccini D, Cannataro R, Cione E, Henselmans M, Aragon AA. Effect of Soy Protein Supplementation on Muscle Adaptations, Metabolic and Antioxidant Status, Hormonal Response, and Exercise Performance of Active Individuals and Athletes: A Systematic Review of Randomised Controlled Trials. Sports Med. 2023 Dec;53(12):2417-2446. doi: 10.1007/s40279-023-01899-w. Epub 2023 Aug 21.
23. Zhubi-Bakija F, Bajraktari G, Bytyçi I, Mikhailidis DP, Henein MY, Latkovskis G, Rexhaj Z, Zhubi E, Banach M; International Lipid Expert Panel (ILEP). The impact of type of dietary protein, animal versus vegetable, in modifying cardiometabolic risk factors: A position paper from the International Lipid Expert Panel (ILEP). Clin Nutr. 2021 Jan;40(1):255-276. doi: 10.1016/j.clnu.2020.05.017. Epub 2020 May 26.
24. González-Weller D, Paz-Montelongo S, Bethencourt-Barbuzano E, Niebla-Canelo D, Alejandro-Vega S, Gutiérrez ÁJ, Hardisson A, Carrascosa C, Rubio C. Proteins and Minerals in Whey Protein Supplements. Foods. 2023 Jun 1;12(11):2238. doi: 10.3390/foods12112238.
25. Santin, DC; Naufel, FS; Mondelli, Rafael FL; Piccolotto, A; Schmitt, VL. Effect of sports drinks on the surface properties of composite resins after prolonged exposure - in vitro study. Braz. j. oral sci ; 18: e191651, jan.-dez. 2019. ilus.
26. Yap AU, Low JS, Ong LF. Effect of food‐simulating liquids on surface characteristics of composite and polyacid‐modified composite restoratives. Oper Dent 2000;25:170‐6.
27. Wu W, Toth EE, Moffa JF, Ellison JA. Subsurface damage layer of in vivo worn dental composite restorations. J Dent Res 1984;63:675‐80.
28. Peutzfeldt A. Resin composites in dentistry: The monomer systems. Eur J Oral Sci 1997;105:97‐116.
29. Munksgaard EC, Freund M. Enzymatic hydrolysis of (di) methacrylates and their polymers. Scand J Dent Res 1990;98:261‐7.
30. Erdemir U, Yildiz E, Saygi G, Altay NI, Eren MM, Yucel T. Effects of energy and sports drinks on tooth structures and restorative materials. World J Stomatol. 2016 Feb;5(1):1-7.
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