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Assessment of Color Change of Artificial White Spot Lesions after Sandblasting with Bioactive Glass, Resin Infiltration, or Microabrasion Followed by Color Stability Test by pH Cycling: An in Vitro Study
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Introduction: This study aimed to assess the color change of human teeth with artificial enamel white spot lesions (WSLs) after sandblasting with bioactive glass, resin infiltration, and microabrasion and to test color stability after pH cycling. Methods: Fifty extracted human mandibular first molars were randomly assigned into five groups: Sound, WSLs (untreated), and WSLs sandblasted with bioactive glass (Sylc), WSLs treated by resin infiltration (ICON), and WSLs treated by microabrasion (Opalustre), respectively. All specimens underwent a pH cycling procedure. The color parameters for each specimen were assessed using an Easyshade dental spectrophotometer at different time stages then the color changes (ΔE) were calculated. Results: The demineralization step recorded a significant color change (P < 0.01). All treatments significantly reduced the lesion color change (P < 0.01), amongst which ICON recorded the greatest color reduction (ΔE = 2.94). The pH cycling resulted in a negative color impact for the Sylc group. Conclusion: Resin infiltration was able to enhance the WSLs’ color and reestablish the natural color of the teeth efficiently as compared to bioactive glass and microabrasion.

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