Objectives: This systematic review examines changes in optical properties of sculptable bulk- fill resin composites in staining media, highlighting the potential impact on the long- term aesthetic performance. Materials and Methods: Electronic searches across MEDLINE, Embase, Web of Science, and SCOPUS were conducted in January 2025 and updated on 27/05/2025. The RoBDEMAT framework (Risk of Bias tool for Pre- Clinical Dental Material Research) was utilized for risk of bias assessment. Inclusion criteria were primary studies in English, in vitro studies with a control group, and spectroscopic measurement of optical properties. Studies with visual color determination, no control group, materials other than sculptable bulk- fills, and no full text available were excluded. Results: Twelve studies were selected for analysis. Coffee, tea, wine, and tomato- based products generally caused greater staining than lighter- colored or acidic beverages, while non- pigment control media caused minimal but measurable changes. Compared to other restorative materials, some bulk- fills (SonicFill, Fill- up) performed better, whereas fiber- reinforced everX exhibited greater susceptibility to color change and whitening index variation, particularly after bleaching. Conclusions: Sculptable bulk- fills showed variable color stability, with performance influenced by material type, polishing, staining medium, and duration of exposure. Wide methodological variability hindered meta- analytical comparisons, highlight- ing the need for standardized research protocols. Clinical Significance: This systematic review highlights that the color stability of bulk- fill composites is highly material-dependent, with certain products more resistant to staining and bleaching- induced changes than others. Clinically, this under- scores the importance of material selection in achieving long- term aesthetic outcomes, particularly for restorations in patients with high consumption of staining beverages or undergoing bleaching treatments.
Wong, J., Yeo, C., The, M., Taneski, F., Josic, U., Breschi, L., et al. (2025). Are Sculptable Bulk‐Fill Composites Susceptible to Color Change: A Systematic Review. JOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, 0:1–16, 1-16 [10.1111/jerd.70044].
Are Sculptable Bulk‐Fill Composites Susceptible to Color Change: A Systematic Review
Josic, Uros;Breschi, Lorenzo;
2025
Abstract
Objectives: This systematic review examines changes in optical properties of sculptable bulk- fill resin composites in staining media, highlighting the potential impact on the long- term aesthetic performance. Materials and Methods: Electronic searches across MEDLINE, Embase, Web of Science, and SCOPUS were conducted in January 2025 and updated on 27/05/2025. The RoBDEMAT framework (Risk of Bias tool for Pre- Clinical Dental Material Research) was utilized for risk of bias assessment. Inclusion criteria were primary studies in English, in vitro studies with a control group, and spectroscopic measurement of optical properties. Studies with visual color determination, no control group, materials other than sculptable bulk- fills, and no full text available were excluded. Results: Twelve studies were selected for analysis. Coffee, tea, wine, and tomato- based products generally caused greater staining than lighter- colored or acidic beverages, while non- pigment control media caused minimal but measurable changes. Compared to other restorative materials, some bulk- fills (SonicFill, Fill- up) performed better, whereas fiber- reinforced everX exhibited greater susceptibility to color change and whitening index variation, particularly after bleaching. Conclusions: Sculptable bulk- fills showed variable color stability, with performance influenced by material type, polishing, staining medium, and duration of exposure. Wide methodological variability hindered meta- analytical comparisons, highlight- ing the need for standardized research protocols. Clinical Significance: This systematic review highlights that the color stability of bulk- fill composites is highly material-dependent, with certain products more resistant to staining and bleaching- induced changes than others. Clinically, this under- scores the importance of material selection in achieving long- term aesthetic outcomes, particularly for restorations in patients with high consumption of staining beverages or undergoing bleaching treatments.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
