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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Mater.</journal-id>
<journal-title>Frontiers in Materials</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Mater.</abbrev-journal-title>
<issn pub-type="epub">2296-8016</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">722131</article-id>
<article-id pub-id-type="doi">10.3389/fmats.2021.722131</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Materials</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>The Impact of Artificial Aging on the Color Stability and Hardness of Nanocomposite Resin</article-title>
<alt-title alt-title-type="left-running-head">Wang and Zheng</alt-title>
<alt-title alt-title-type="right-running-head">Color Stability Nanocomposite Resin</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Wang</surname>
<given-names>Likai</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1226485/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zheng</surname>
<given-names>Yan</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>
<sup>1</sup>
</label>Department of Stomatology, Beijing Bo&#x2019;ai Hospital, China Rehabilitation Research Center, School of Rehabilitation, Capital Medical University, <addr-line>Beijing</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<label>
<sup>2</sup>
</label>Department of Stomatology, Beijngshi Xicheng Guangwai Hospital, <addr-line>Beijing</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/423725/overview">David K. Mills</ext-link>, Louisiana Tech University, United&#x20;States</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/848656/overview">Mojgan Heydari</ext-link>, Materials and Energy Research Center,&#x20;Iran</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/734868/overview">Payam Zarrintaj</ext-link>, University of Montana, United&#x20;States</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Likai Wang, <email>wamglikai@21cn.com</email>
</corresp>
<fn fn-type="equal" id="fn1">
<label>
<sup>&#x2020;</sup>
</label>
<p>These authors have contributed equally to this&#x20;work</p>
</fn>
<fn fn-type="other">
<p>This article was submitted to Biomaterials, a section of the journal Frontiers in Materials</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>12</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>8</volume>
<elocation-id>722131</elocation-id>
<history>
<date date-type="received">
<day>08</day>
<month>06</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>19</day>
<month>07</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2021 Wang and Zheng.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Wang and Zheng</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these&#x20;terms.</p>
</license>
</permissions>
<abstract>
<p>
<bold>Objective:</bold> This study aimed to investigate the impact of artificial aging on the color stability and hardness of nanocomposite&#x20;resin.</p>
<p>
<bold>Methods:</bold> Four nanocomposite resin materials were used: Filtek Z350 XT (FZ), Synergy D6 (SD), Grandio (GD), and Clearfil Majesty Esthetic (CM). Thirty specimens were created from each material, which were divided into three (A,B,C) groups of 10 specimens each. For each material, the values of visual lightness (L&#x2a;), degree of redness and greenness (a&#x2a;), and degree of yellowness and blueness (b&#x2a;) of the specimens in group A before and after aging, as well as the hardness of the specimens in group B before aging and in group C after aging, were measured. The American Society for Testing and Materials (ASTM) G155 Cycle 1 standard was adopted to test the aging of the specimens. The color difference (&#x394;E00) value and hardness difference (&#x394;H) value of the specimens before and after aging were calculated.</p>
<p>
<bold>Results:</bold> Aging was found to have an impact on the &#x394;E00 values of the resin materials in each group (<italic>H</italic>&#x20;&#x3d; 17.6, <italic>p</italic>&#x20;&#x3d; 0.001), and the hardness of the specimens in each group after artificial aging was significantly higher than before aging (<italic>p</italic>&#x20;&#x3c; 0.05). The difference in &#x394;E00 between the FZ group and the SD, GD, and CM groups was statistically significant (<italic>p</italic>&#x20;&#x3c; 0.05). The FZ group had the highest &#x394;E00 values. There was no correlation between &#x394;E00 and the hardness change percentage after aging (<italic>r</italic>&#x20;&#x3d; 0.114).</p>
<p>
<bold>Conclusion:</bold> Among the four nanocomposite resins tested in this study, except for Filtek Z350 XT&#x2019;s &#x394;E00 values (&#x3e;1.8) in the clinically unacceptable range, the remaining three kinds of resin &#x394;E00 values (&#x3c;1.8) were all in the clinically acceptable range. The hardness of the four nanocomposite resins increased after aging. The results of the present study revealed that there was no correlation between &#x394;E00 and hardness change percentage in the four nanocomposite resin materials after&#x20;aging.</p>
</abstract>
<kwd-group>
<kwd>aging</kwd>
<kwd>nanocomposite resin</kwd>
<kwd>color difference</kwd>
<kwd>color stability</kwd>
<kwd>hardness</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Composites are popular restorative materials in dental practice (<xref ref-type="bibr" rid="B21">Vidal et&#x20;al., 2020</xref>). The application of nanotechnology to composite resin has been an important recent advancement in the field as it has improved the biological properties of composite resin (<xref ref-type="bibr" rid="B12">Paravina et&#x20;al., 2015</xref>), but researchers have also been concerned about nanocomposite resin&#x2019;s resistance to aging. The application of composite resins in dental restoration requires consideration of the resin&#x2019;s mechanical, aesthetic, and clinical properties, which depend on its structure. Dental composite resins are composed of three materials with different chemical properties: an organic matrix, an inorganic filler or dispersed phase, and an organic silane or coupling agent to combine the filler and the organic matrix (<xref ref-type="bibr" rid="B11">Nasim et&#x20;al., 2010</xref>).</p>
<p>Nanocomposite resins emerged in the late 20th century. They are composed of two or more kinds of materials, composited in at least one dimension, with nanometer sizes of 1&#x2013;100&#xa0;nm. Nanotechnology can intricately plan and control the structure and properties of materials on the nanometric level, at which the nanoparticles in composite material are uniformly dispersed. Through filling or combining inorganic rigid particles in the organic network, functional improvement can be achieved. With nanotechnology, the diameter of the filler can be reduced and its content and gradient distribution range increased, thereby reducing polymerization shrinkage and improving the mechanical and optical properties of the composite resin (<xref ref-type="bibr" rid="B10">Moszner and Klapdohr, 2004</xref>).</p>
<p>Color stability is an important issue in aesthetic restoration, and it plays a vital role in the clinical success of repair treatment (<xref ref-type="bibr" rid="B6">Glaskova-Kuzmina et&#x20;al., 2020</xref>). The color stability of composite resin is related to the size and polymerization depth of the matrix, filler particles, and colorant (<xref ref-type="bibr" rid="B11">Nasim et&#x20;al., 2010</xref>). A previous study (<xref ref-type="bibr" rid="B16">Schulze et&#x20;al., 2003</xref>) found that the color stability of composite resin is related to the chemical differences between its matrix components, such as the purity of its oligomers and monomers, its concentration/type of activator, initiator, and inhibitor, and the oxidation of its unreacted carbon&#x2013;carbon double bond and filler. Another study demonstrated that (<xref ref-type="bibr" rid="B9">Lee et&#x20;al., 2011</xref>) low water absorption, a high filler/matrix ratio, reducing the filler particle size and hardness, and using the most effective filler-matrix coupling system can improve the color stability of a composite resin. Artificial aging has been widely used to test the color stability of dental composite resins since 1978. This method estimates the physical changes of dental materials in the oral environment by reproducing the atmospheric effects of materials exposed to sunlight and humidity (<xref ref-type="bibr" rid="B15">Roselino et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B5">Ganjkar et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B22">Wang et&#x20;al., 2019</xref>).</p>
<p>In the present study, we aimed to investigate the impact of artificial aging on the color stability and hardness of nanocomposite resin. We hypothesized that there is no significant difference in color stability between the nano-hybrid group and the nano-filled group, and after aging, the hardness of all materials decreases.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>Materials and Methods</title>
<sec id="s2-1">
<title>Materials and Equipment</title>
<sec id="s2-1-1">
<title>Nanocomposite Resin Materials</title>
<p>Four kinds of nanocomposite resin materials were used: Filtek Z350 XT (A2 color, 3M ESPE, United&#x20;States), denoted as FZ; Synergy D6 (A2 color, Coltene/Whaledent, Switzerland), denoted as SD; Grandio (A2 color, Voco, Germany), denoted as GD; and Clearfil Majesty Esthetic (A2 color, Kuraray, Japan), denoted as CM. The components of each resin are shown in <xref ref-type="table" rid="T1">Table&#x20;1</xref>.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Specific composition of four resin materials.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Resin Composite</th>
<th align="center">Abbreviation</th>
<th align="center">Type</th>
<th align="center">Matrix</th>
<th align="center">Filler</th>
<th align="center">Filler loading (vol%,wt%)</th>
<th align="center">Manufacturer</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Filted Z350 XT</td>
<td align="center">FZ</td>
<td align="left">Nano-filled</td>
<td align="left">Bis-GMA, Bis-EMA UDMA TEGDMA</td>
<td align="left">Non-agglomerated/non-aggregated silica filler (20&#xa0;nm), non-agglomerated/non-aggregated zirconia filler (4&#x2013;11&#xa0;nm), aggregated zirconia/silica filler cluster filler (comprised of 20&#xa0;nm silica and 4&#x2013;11&#xa0;nm zirconia particles)</td>
<td align="center">(63.3 vol%, 78.5&#xa0;wt%)</td>
<td align="left">3&#xa0;M ESPE,United&#x20;States</td>
</tr>
<tr>
<td align="left">Synergy D6</td>
<td align="center">SD</td>
<td align="left">Nano-hybird</td>
<td align="left">Bis-GMA,TEGDMA UDMA</td>
<td align="left">Prepolymerized Fillers (average 20&#xa0;&#x3bc;m) Barium glass filler (&#x3c;2.5&#xa0;&#x3bc; m, average 0.6&#xa0;&#x3bc;m) SiO<sub>2</sub> aggregated ( average 150&#xa0;nm) SiO<sub>2</sub>(20&#x2013;80&#xa0;nm)</td>
<td align="center">65.0vol%,80.0&#xa0;wt%</td>
<td align="left">Coltene/whaledent, Switzerland</td>
</tr>
<tr>
<td align="left">Grandio</td>
<td align="center">GD</td>
<td align="left">Nano-hybird</td>
<td align="left">Bis-GMA UDMA TEGDMA</td>
<td align="left">Ba-Al-borosilicate glass (average 1&#xa0;&#x3bc;m) SiO<sub>2</sub>(20&#x2013;60&#xa0;nm)</td>
<td align="center">71.4vol%, 87.0&#xa0;wt%</td>
<td align="left">Voco, Germany</td>
</tr>
<tr>
<td align="left">Clearfil Majesty Esthetic</td>
<td align="center">CM</td>
<td align="left">Nano-hybird</td>
<td align="left">Bis-GMA, Hydrophobic aliphatic dimethacrylate, hydrophobic aromatic dimethacrylate</td>
<td align="left">Silanated barium glass filler (average 0.7&#xa0;&#xb5;m), pre-polymerized Organic filler (0.2&#x2013;100&#xa0;&#xb5;m)</td>
<td align="center">66.0vol%, 78.0&#xa0;wt%)</td>
<td align="left">Kuraray, Japan</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Bis-GMA, Bisphenol A glycol dimethacrylate.</p>
</fn>
<fn>
<p>Bis-EMA, Ethoxylated bisphenol A glycol dimethacrylate.</p>
</fn>
<fn>
<p>UDMA, Urethane dimethacrylate.</p>
</fn>
<fn>
<p>TEGDMA, Triethylene glycol dimethacrylate.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s2-1-2">
<title>Other Equipment</title>
<p>Ti Max NL400 electric mechanic motor and slow handpiece (NSK, Japan); HVS-1000 digital microhardness tester (Shanghai Lianer Testing Equipment Co. Ltd. China); KQ-100DE numerical control ultrasonic cleaner (Jiangsu Kunshan Ultrasonic Instrument Co. Ltd. China); SF2000 electronic digital caliper (accuracy 0.01 mm, Guilin Guanglu Digital Measurement and Control Co. Ltd. China); Eagle silicon carbide water sandpaper (NKC, Korea); polyethylene film (Jiangsu Changzhou Guangzhao Plastic Co. Ltd. China); Soft-Lex polishing disc (3M ESPE, United&#x20;States); zirconia ceramic block (Lava, A2 color, 3M ESPE, United&#x20;States); Crystaleye spectrophotometer&#xae; (Olympus, Japan); Xe-3-HS xenon lamp aging instrument (Q-SUN, United&#x20;States); CL-628 LED curing machine (light output intensity 900&#x2013;1,100 mw/cm<sup>&#x2212;2</sup>, Beyond, United&#x20;States).</p>
</sec>
</sec>
<sec id="s2-2">
<title>Experimental Methods</title>
<sec id="s2-2-1">
<title>Creating the Test Specimens</title>
<p>Ring-shaped stainless steel molds with an inner diameter of 10&#xa0;mm, a thickness of 1&#xa0;mm, and a notch were custom made for this study. To create a resin specimen, a mold was laid flat on a slide covered with polyethylene film, after which the resin material was poured into the ring. More polyethylene film and another slide were placed on top of the ring and pressed so that any excess resin overflowed from the notch and was removed. The cover slide was removed, and an LED light curing lamp (wavelength 400&#x2013;480&#xa0;nm) was used to irradiate the resin for 40&#xa0;s at a distance of 1&#xa0;mm from the surface of the resin adhesive. This created a resin specimen with a diameter of 10&#xa0;mm and a thickness of 1&#xa0;mm (<xref ref-type="fig" rid="F1">Figure&#x20;1</xref>). A total of 30 specimens were made for each resin material and divided into three groups of 10 specimens each (group A, group B, and group C; a total of 120 specimens).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>A partially made sample.</p>
</caption>
<graphic xlink:href="fmats-08-722131-g001.tif"/>
</fig>
<p>One surface of each specimen was sanded with 400-, 600-, 800-, 1,000, and 1,200-mesh water sandpapers. In groups B and C, the sanded surface was polished using a low-speed electric handpiece with medium, fine, and ultra-fine alumina polishing discs (5,000&#xa0;rpm for 20&#xa0;s); the thickness error was controlled within &#xb1;0.01&#xa0;mm by a digital caliper. Finally, the specimens were cleaned using supersonic waves for 5&#xa0;minutes. All specimens were stored in a 37&#xb0;C water bath for 24&#xa0;h after preparation.</p>
</sec>
<sec id="s2-2-2">
<title>Preparation of the Background Porcelain Block</title>
<p>Round zirconia ceramic tiles (A2 color) with a diameter of 10&#xa0;mm and a thickness of 3&#xa0;mm were made as the background for the specimen color measurement. Any one side of each tile was selected as the measured surface and polished with 400- and 600-mesh water sandpapers successively.</p>
</sec>
<sec id="s2-2-3">
<title>Color System</title>
<p>The CIE L&#x2a;a&#x2a;b&#x2a; standard color system was used in this study. The value of L&#x2a; represents visual lightness, which ranges from 0 (complete black) to 100 (complete white), with increasing value indicating whiteness shift and decreasing value indicating blackening. The value of a&#x2a; represents the degree of redness and greenness, with a positive change indicating redness shift and a negative change indicating greenness shift. The value of b&#x2a; represents the degree of yellowness and blueness, with a positive change indicating yellowness shift and a negative change indicating blueness shift. The &#x394;E00 value represents the color difference between objects (<xref ref-type="bibr" rid="B1">Ardu et&#x20;al., 2017</xref>).</p>
</sec>
<sec id="s2-2-4">
<title>Hardness Measurement</title>
<p>The Vickers hardness of each specimen was measured using a digital microhardness tester (load 200&#xa0;g; time 15&#xa0;s; 20&#x20;&#xd7; magnifying lens). Three measurement points were selected for the polished surface of each specimen, and the average value of the three points was adopted as the specimen&#x2019;s hardness value (<xref ref-type="bibr" rid="B7">Kaminedi et&#x20;al., 2014</xref>).</p>
</sec>
<sec id="s2-2-5">
<title>Aging Test Standard</title>
<p>The American Society for Testing and Materials (ASTM) G155 Cycle 1 standard was adopted to test the aging of the specimens. A xenon arc light filtered by borosilicate glass [intensity 35&#xa0;W m<sup>&#x2212;2</sup>&#xb7;nm<sup>&#x2212;1</sup>, wavelength 340&#xa0;nm; blackboard temperature (63&#x20;&#xb1; 2)&#xb0;C] was used. The cycle was set to 102&#xa0;min of illumination at 50% humidity and 18&#xa0;min of illumination with water spray. The total aging time was 120&#xa0;h, and the total energy was 150&#xa0;kJ (<xref ref-type="bibr" rid="B6">Glaskova-Kuzmina et&#x20;al., 2020</xref>).</p>
</sec>
<sec id="s2-2-6">
<title>Experimental Procedure</title>
<p>The specimens in group A were dried with an air gun, polished surface upwards, before being placed onto the polished surface of a zirconia ceramic block. A spectrophotometer was then used to measure the L&#x2a;, a&#x2a;, and b&#x2a; values of each specimen, with L0, a0, and b0 being used as the initial baseline data for chromaticity. The hardness values of the specimens in group B were measured using a digital microhardness tester, with H0 being used as the initial baseline data for hardness. The specimens of groups A and C were then placed into the aging instrument (the aging light only irradiated the polished surface of the specimens). After aging, the L&#x2a;, a&#x2a;, and b&#x2a; values of the specimens in group A (denoted as L1, a1, and b1) and the hardness of the specimens in group C (denoted as H1) were measured again under the same conditions. Through <xref ref-type="disp-formula" rid="e1">Eq. 1</xref>, the lightness change value &#x394;L, red and green product change value &#x0394;a, yellow and blue product change value &#x0394;b before and after aging of group A were calculated. Through CIEDE2000&#x20;<xref ref-type="disp-formula" rid="e2">Eq. 2</xref> (<xref ref-type="bibr" rid="B17">Sharma et&#x20;al., 2005</xref>), the color difference value &#x394;E00 of group A samples before and after aging was calculated. Through <xref ref-type="disp-formula" rid="e3">Eq. 3</xref>, the hardness change value &#x394;H and the percentage of hardness change of samples before aging (group B) and after aging (group C) were calculated.<disp-formula id="e1">
<mml:math id="m1">
<mml:mrow>
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<mml:mo>-</mml:mo>
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</mml:mrow>
</mml:math>
<label>(1)</label>
</disp-formula>
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<mml:mi>S</mml:mi>
<mml:mi>H</mml:mi>
</mml:msub>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mn>2</mml:mn>
</mml:msup>
<mml:mo>&#x2b;</mml:mo>
<mml:msub>
<mml:mi>R</mml:mi>
<mml:mi>T</mml:mi>
</mml:msub>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mfrac>
<mml:mrow>
<mml:mo>&#x394;</mml:mo>
<mml:mi>C</mml:mi>
<mml:mo>&#x2032;</mml:mo>
</mml:mrow>
<mml:mrow>
<mml:msub>
<mml:mi>K</mml:mi>
<mml:mi>C</mml:mi>
</mml:msub>
<mml:msub>
<mml:mi>S</mml:mi>
<mml:mi>C</mml:mi>
</mml:msub>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
<mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mfrac>
<mml:mrow>
<mml:mo>&#x394;</mml:mo>
<mml:mi>H</mml:mi>
<mml:mo>&#x2032;</mml:mo>
</mml:mrow>
<mml:mrow>
<mml:msub>
<mml:mi>K</mml:mi>
<mml:mi>H</mml:mi>
</mml:msub>
<mml:msub>
<mml:mi>S</mml:mi>
<mml:mi>H</mml:mi>
</mml:msub>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:mrow>
<mml:mo>]</mml:mo>
</mml:mrow>
<mml:mrow>
<mml:mfrac>
<mml:mn>1</mml:mn>
<mml:mn>2</mml:mn>
</mml:mfrac>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:math>
<label>(2)</label>
</disp-formula>
<disp-formula id="e3">
<mml:math id="m3">
<mml:mrow>
<mml:mtext>Percntage&#xa0;change&#xa0;in&#xa0;hardness&#xa0;</mml:mtext>
<mml:mo>&#x3d;</mml:mo>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>&#x394;</mml:mi>
<mml:mtext>H/H0</mml:mtext>
<mml:mo>&#x22c5;</mml:mo>
<mml:mn>100</mml:mn>
<mml:mtext>%,</mml:mtext>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mtext>where&#xa0;</mml:mtext>
<mml:mi>&#x394;</mml:mi>
<mml:mtext>H</mml:mtext>
<mml:mo>&#x3d;</mml:mo>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mtext>H1</mml:mtext>
<mml:mo>-</mml:mo>
<mml:mtext>H0</mml:mtext>
<mml:mo>)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:math>
<label>(3)</label>
</disp-formula>
</p>
</sec>
</sec>
<sec id="s2-3">
<title>Statistical Analysis</title>
<p>SPSS 22.0 statistical software was used for statistical analysis. Kruskal-Wallis Test was used to compare the values of &#x394;L, &#x394;a, &#x394;b and &#x394;E00 among groups. One-way analysis of variance and Tukey Test were used to compare the H0 values among groups. Independent sample <italic>t</italic>&#x20;test was used to compare the hardness changes of each group before and after aging. Spearman correlation Test was used to analyze the correlation between the color difference &#x394;E00 and the percentage of hardness change of four kinds of nano-composite resins after aging. The test level was <italic>&#x3b1;</italic> &#x3d; 0.05 on both&#x20;sides.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec id="s3-1">
<title>Changes of Chromaticity Values Before and After Aging in Each Group</title>
<p>The changes of chromaticity values of each group before and after aging are shown in <xref ref-type="table" rid="T2">Table&#x20;2</xref>. The results showed that the L&#x2a; values of all the materials groups decreased after aging, and there was significant difference in the L&#x2a; values among all groups (<italic>p</italic>&#x20;&#x3c; 0.05). a&#x2a; value was increased in FZ, SD and GD groups, but decreased in CM group. There was no significant difference between GD and SD groups (<italic>p</italic>&#x20;&#x3e; 0.05), but there was significant difference among other groups (<italic>p</italic>&#x20;&#x3c; 0.05). b&#x2a; value was increased in FZ and GD groups, but decreased in SD and CM groups. Except for no significant difference between FZ and SD groups (<italic>p</italic>&#x20;&#x3e; 0.05), there were significant differences among other groups (<italic>p</italic>&#x20;&#x3c;&#x20;0.05).</p>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Change of colorimetric value before and after aging in each&#x20;group.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th colspan="1" align="left">Gropy</th>
<th align="center">&#x25b3;L</th>
<th align="center">&#x25b3;a</th>
<th align="center">&#x25b3;b</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">
<bold>FZ</bold>
</td>
<td colspan="1" align="center">&#x2212;2.35 (&#x2212;2.48,&#x2212;2.18)<sup>a</sup>
</td>
<td align="center">1.18 (1.16,1.41)<sup>a</sup>
</td>
<td colspan="1" align="center">2.73 (2.46,2.99)<sup>a</sup>
</td>
</tr>
<tr>
<td align="left">
<bold>SD</bold>
</td>
<td colspan="1" align="center">&#x2212;1.6 (&#x2212;1.74,&#x2212;1.34)<sup>b</sup>
</td>
<td align="center">0.38 (0.23,0.57)<sup>b</sup>
</td>
<td colspan="1" align="center">&#x2212;1.47 (&#x2212;2.14,&#x2212;1.06)<sup>a</sup>
</td>
</tr>
<tr>
<td align="left">
<bold>GD</bold>
</td>
<td colspan="1" align="center">&#x2212;0.85 (&#x2212;1.36,&#x2212;0.54)<sup>c</sup>
</td>
<td align="center">0.35 (0.31,0.69)<sup>b</sup>
</td>
<td colspan="1" align="center">1.43 (0.99,2.27)<sup>b</sup>
</td>
</tr>
<tr>
<td align="left">
<bold>CM</bold>
</td>
<td colspan="1" align="center">&#x2212;0.4 (&#x2212;0.55,&#x2212;0.2)<sup>d</sup>
</td>
<td align="center">&#x2212;0.25 (&#x2212;0.33,&#x2212;0.17)<sup>c</sup>
</td>
<td align="center">&#x2212;2.31 (&#x2212;2.45,&#x2212;1.68)<sup>c</sup>
</td>
</tr>
<tr>
<td align="left">
<bold>H</bold>
</td>
<td colspan="1" align="center">27.2</td>
<td align="center">20.8</td>
<td align="center">40</td>
</tr>
<tr>
<td align="left">
<bold>p</bold>
</td>
<td colspan="1" align="center">&#x3c;0.0001</td>
<td align="center">&#x3c;0.0001</td>
<td align="center">&#x3c;0.0001</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Column with different lowercase superscript letters are significantly different (<italic>p</italic>&#x20;&#x3c; 0.05).</p>
</fn>
<fn>
<p>Column with same lowercase superscript letters are significantly different (<italic>p</italic>&#x20;&#x3e; 0.05).</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s3-2">
<title>Changes in Specimen Hardness After Aging</title>
<p>Hardness values of each group before and after aging are shown in <xref ref-type="table" rid="T3">Table&#x20;3</xref>. Kruskal-Wallis Test showed that the data of each group were normally distributed with homogeneous variance. One-way analysis of variance and Tukey Test were used to compare the hardness value H0 before aging among each group. The independent sample <italic>t</italic>&#x20;test was used to analyze the changes of hardness values after and before aging in each group. The results showed that there was a statistical difference in hardness values H0 before aging among all groups (<italic>p</italic>&#x20;&#x3c; 0.05). Hardness values of all groups after aging were significantly higher than before aging (<italic>p</italic>&#x20;&#x3c;&#x20;0.05).</p>
<table-wrap id="T3" position="float">
<label>TABLE 3</label>
<caption>
<p>Change of hardness of specimens before and after aging in each&#x20;group.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Group</th>
<th align="center">H0</th>
<th align="center">H1</th>
<th align="center">&#x25b3;H</th>
<th align="center">t</th>
<th align="center">P</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">
<bold>FZ</bold>
</td>
<td align="center">76.43&#x20;&#xb1; 4.29<sup>a</sup>
</td>
<td align="center">85.05&#x20;&#xb1; 3.60</td>
<td align="center">8.62&#x20;&#xb1; 4.31</td>
<td align="char" char=".">&#x2212;4.869</td>
<td align="char" char=".">&#x3c;0.0001</td>
</tr>
<tr>
<td align="left">
<bold>SD</bold>
</td>
<td align="center">53.94&#x20;&#xb1; 2.39<sup>b</sup>
</td>
<td align="center">63.82&#x20;&#xb1; 3.32</td>
<td align="center">9.88&#x20;&#xb1; 4.82</td>
<td align="char" char=".">&#x2212;5.794</td>
<td align="char" char=".">&#x3c;0.0001</td>
</tr>
<tr>
<td align="left">
<bold>GD</bold>
</td>
<td align="center">106.76&#x20;&#xb1; 3.56<sup>c</sup>
</td>
<td align="center">111.73&#x20;&#xb1; 4.31</td>
<td align="center">4.97&#x20;&#xb1; 2.60</td>
<td align="char" char=".">&#x2212;2.814</td>
<td align="char" char=".">0.011</td>
</tr>
<tr>
<td align="left">
<bold>CM</bold>
</td>
<td align="center">39.57&#x20;&#xb1; 3.74<sup>d</sup>
</td>
<td align="center">47.12&#x20;&#xb1; 1.72</td>
<td align="center">7.55&#x20;&#xb1; 2.87</td>
<td align="char" char=".">&#x2212;7.631</td>
<td align="char" char=".">&#x3c;0.0001</td>
</tr>
<tr>
<td align="left">
<bold>F</bold>
</td>
<td align="center">675.767</td>
<td align="center">&#x2014;</td>
<td align="center">&#x2014;</td>
<td align="center">&#x2014;</td>
<td align="center">&#x2014;</td>
</tr>
<tr>
<td align="left">
<bold>p</bold>
</td>
<td align="center">&#x3c;0.0001</td>
<td align="center">&#x2014;</td>
<td align="center">&#x2014;</td>
<td align="center">&#x2014;</td>
<td align="center">&#x2014;</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Column with different lowercase superscript letters are significantly different (<italic>p</italic>&#x20;&#x3c; 0.05).</p>
</fn>
<fn>
<p>Column with same lowercase superscript letters are significantly different (<italic>p</italic>&#x20;&#x3e; 0.05).</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s3-3">
<title>Comparison of Color Difference &#x394;E00 in Each Group After Aging</title>
<p>The color difference of each group after aging &#x394;E00 is shown in <xref ref-type="table" rid="T4">Table&#x20;4</xref>. </p>
<table-wrap id="T4" position="float">
<label>TABLE 4</label>
<caption>
<p>Color difference &#x394;E and hardness change percentage after aging in each&#x20;group.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Group</th>
<th align="center">&#x25b3;E00</th>
<th align="center">Hardness change %</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">
<bold>FZ</bold>
</td>
<td align="center">2.19 (2.18,2.56)<sup>a</sup>
</td>
<td align="center">11.49&#x20;&#xb1; 0.06</td>
</tr>
<tr>
<td align="left">
<bold>SD</bold>
</td>
<td align="center">1.39 (1.18,1.54)<sup>b</sup>
</td>
<td align="center">18.65&#x20;&#xb1; 0.10</td>
</tr>
<tr>
<td align="left">
<bold>GD</bold>
</td>
<td align="center">1.22 (0.98,1.32)<sup>b</sup>
</td>
<td align="center">4.66&#x20;&#xb1; 0.02</td>
</tr>
<tr>
<td align="left">
<bold>CM</bold>
</td>
<td align="center">1.12 (0.9,1.21)<sup>b</sup>
</td>
<td align="center">19.78&#x20;&#xb1; 0.09</td>
</tr>
<tr>
<td align="left">
<bold>H</bold>
</td>
<td align="center">17.6</td>
<td align="center">&#x2014;</td>
</tr>
<tr>
<td align="left">
<bold>P</bold>
</td>
<td align="center">0.001</td>
<td align="center">&#x2014;</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Column with different lowercase superscript letters are significantly different (<italic>p</italic>&#x20;&#x3c; 0.05).</p>
</fn>
<fn>
<p>Column with same lowercase superscript letters are significantly different (<italic>p</italic>&#x20;&#x3e; 0.05).</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>Kruskal-Wallis Test was used to compare the &#x394;E00 values between each group. The results showed that the &#x0394;E00 value of each resin material was affected by aging (<italic>H</italic>&#x20;&#x3d; 17.6, <italic>p</italic>&#x20;&#x3d; 0.001). There was statistical difference in &#x394;E00 value between FZ group and SD, GD and CM groups (<italic>p</italic>&#x20;&#x3c; 0.05), but no statistical difference was found between SD, GD and MC groups (<italic>p</italic>&#x20;&#x3e; 0.05). The FZ group &#x394;E00 value was greater than 1.8, while the SD, GD and CM groups were all less than 1.8 and greater than&#x20;0.8.</p>
</sec>
<sec id="s3-4">
<title>Correlation Between Color Difference &#x394;E00 and Percentage Change of Hardness After Aging in Each Group</title>
<p>The percentage of hardness change after aging in each group is shown in <xref ref-type="table" rid="T4">Table&#x20;4</xref>. Spearman correlation Test was used to analyze the correlation between the color difference &#x394;E00 and the percentage of hardness change in each group after aging. The results showed that there was no correlation between the color difference &#x394;E0000 and the percentage change of hardness after aging (<italic>r</italic>&#x20;&#x3d; 0.49, <italic>p</italic>&#x20;&#x3d; 0.763&#x3e;0.05).</p>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>DISCUSSION</title>
<p>The aging method adopted in this experiment includes light, heat, water and other factors, and is more close to the oral environment than single photoaging, water aging and thermal cycling aging. The results of the present study revealed that the Filted Z350 XT resin with the lowest filler content had the highest &#x394;E00 after aging. This is consistent with the findings of other studies (<xref ref-type="bibr" rid="B3">Eldiwany et&#x20;al., 1995</xref>; <xref ref-type="bibr" rid="B16">Schulze et&#x20;al., 2003</xref>), which concluded that composite resins with a low filler content have a higher &#x394;E. Further, the present study found that the Filted Z350 XT resin had the largest filler particles and particle clusters, with diameters of 0.6&#x2013;1.0&#xa0;microns. One study (<xref ref-type="bibr" rid="B8">Kawaguchi et&#x20;al., 1994</xref>) found that composite resins with larger particles are more easily absorbed by water and undergo greater color change. The reason for this is that a weak matrix&#x2013;filler interface causes it to be broken by water adsorption, resulting in the propagation path of light in the material being changed by the particles (<xref ref-type="bibr" rid="B20">Vichi et&#x20;al., 2004</xref>). Some studies (<xref ref-type="bibr" rid="B11">Nasim et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B4">Erdemir et&#x20;al., 2012</xref>) have also suggested that the porous clusters of glass particles in Filted Z350 XT resin absorb water more readily, so the material is easily dyed but can also change color with&#x20;ease.</p>
<p>The results of this study show that the &#x394;E00 value of the Filted Z350 XT group is the highest and greater than 1.8, while the &#x394;E00 value of the other three groups is all less than 1.8 but greater than 0.8. &#x394;E00 value greater than 1.8 is considered as a clinically unacceptable color change (<xref ref-type="bibr" rid="B12">Paravina et&#x20;al., 2015</xref>), while a value of &#x0394;E00 value less than 1.8 and greater than 0.8 is considered as a clinically acceptable color change that can be perceived by human eyes (<xref ref-type="bibr" rid="B12">Paravina et&#x20;al., 2015</xref>). The results of this study showed that after aging, Filtek Z350 XT resin had the highest &#x0394;E00 value and was in the clinically unacceptable range (&#x394;E00 &#x3e;1.8), which was consistent with the results of Roselino et&#x20;al. (<xref ref-type="bibr" rid="B15">Roselino et&#x20;al., 2013</xref>). In this study, Z350 was found to have the highest &#x394;E value in the clinically unacceptable range (&#x0394;E &#x3e; 3.3) by artificial accelerated aging of two kinds of nano-resins including UV-B, heat and water. However, the results of some studies were different from that of this study. For example Nasim et&#x20;al. (<xref ref-type="bibr" rid="B11">Nasim et&#x20;al., 2010</xref>) studied the immersion aging of three types of composite resin, and found that the &#x0394;E value of nanocomposite Filtek Z350 was the lowest after immersion aging in water and Pepsi. The &#x394;E value was the highest in tea, but all of them were lower than 3.3, which was within the clinically acceptable range. In this study, the aging procedure did not include the factor of heat and light, which may be the reason why the results were different from those in this&#x20;study.</p>
<p>In the clinical selection of suitable restore materials, physical properties are essential as they significantly affect the clinical durability of the prosthesis. Hardness is one of the most important physical properties of restore materials, being closely related to compressive strength, resistance to wear, and degree of polymerization. Evaluation of the mechanical properties of a composite resin surface by measurement of microhardness is widely used in the research of composite resin materials (<xref ref-type="bibr" rid="B14">Pieniak et&#x20;al., 2020</xref>). The present study found that hardness increased in all resin groups after aging, which is consistent with the findings of a previous study (<xref ref-type="bibr" rid="B16">Schulze et&#x20;al., 2003</xref>). In this previous study, the aging process included elements of light, heat, and water. However, in the previous study using thermocycling, the change of the hardness of composite resin showed different results. In the study of Ayatollahi et&#x20;al. (<xref ref-type="bibr" rid="B2">Ayatollahi et&#x20;al., 2015</xref>), the hardness of conventional composite and nanohybrid composite increased after thermocycling aging. The hardness of nanocomposite (Filtek Z350 XT) increased after thermocycled and immersed in tea, and decreased after thermocycled and immersed in soft drink. Souza et&#x20;al. (<xref ref-type="bibr" rid="B18">Souza et&#x20;al., 2010</xref>) found in their study that an increase in the hardness of a material called Sinfony was recorded under the influence of hydrothermal loads. In other studies (<xref ref-type="bibr" rid="B13">Pieniak et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B19">Tuncer et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B14">Pieniak et&#x20;al., 2020</xref>), the hardness of composite resin decreased after thermocycling aging. The hardness of the composite may have been affected by three factors during aging: light, heat, and water. Light and heat can improve the polymerization degree of the resin (<xref ref-type="bibr" rid="B18">Souza et&#x20;al., 2010</xref>), while water can destroy the matrix&#x2013;filler interface bonding, causing the material surface to soften and become plasticized (<xref ref-type="bibr" rid="B12">Paravina et&#x20;al., 2015</xref>). Water diffusion also leads to swelling of the polymer matrix in resin (<xref ref-type="bibr" rid="B18">Souza et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B12">Paravina et&#x20;al., 2015</xref>). While the effect of light and heat can improve a resin&#x2019;s properties, water can reduce its hardness. However, because light and heat can improve the strength of the bond between the components of a composite resin and reduce the gap between polymer chains, their presence means the diffusion of water molecules in the polymer network is smaller than if there were no light and heat. In the present study, the effect of light and heat on improving the hardness of the resin may have been greater than the effect of water on weakening the hardness of the resin, so the hardness increased as a&#x20;whole.</p>
<p>The results of this study showed that there was a statistical difference in the hardness value H0 before aging among all groups. The pre-aging hardness of nano-hybird type resins is similar to that of Grandio &#x3e; Synergy D6&#x3e; Clearfil Majesty Esthetic, which is 87.0%&#x3e;80.0%&#x3e;78.0%. It is suggested that the hardness of Nano-Hybird type resin may be related to the mass percentage of the filler. The hardness value of nano-filled nano-resin Filted Z350 XT does not conform to this rule, suggesting that the hardness of nano-resin materials may be related to the packing particle size distribution&#x20;range.</p>
<p>Grandio group has the smallest hardness change after aging, which may be related to the highest filler content, but other groups do not show a similar rule, suggesting that the hardness change value of nano-resin materials after aging is not only related to the filler content (<xref ref-type="bibr" rid="B16">Schulze et&#x20;al., 2003</xref>).</p>
<p>There have been many previous studies on the color stability and hardness of composite resins, but few have explored the relationship between them. The results of the present study revealed that there was no correlation between &#x394;E00 and hardness change percentage in the four nanocomposite resin materials after aging. This is consistent with the results of previous studies (<xref ref-type="bibr" rid="B16">Schulze et&#x20;al., 2003</xref>).</p>
</sec>
<sec sec-type="conclusion" id="s5">
<title>CONCLUSION</title>
<p>Among the four nanocomposite resins tested in this study, except for Filtek Z350 XT&#x2019;s &#x394;E00 values (&#x3e; 1.8) in the clinically unacceptable range, the remaining three kinds of red E00 values (&#x3c;1.8) were all in the clinically acceptable range. The hardness of the four nanocomposite resins increased after aging. The results of the present study revealed that there was no correlation between &#x394;E00 and hardness change percentage in the four nanocomposite resin materials after&#x20;aging.</p>
</sec>
</body>
<back>
<sec id="s6">
<title>Data Availability Statement</title>
<p>The original contributions presented in the study are included in the article/Supplementary Material, further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s7">
<title>Author Contributions</title>
<p>LW: Conceptualization, Methodology,Writing&#x202f;&#x2013;Original Draft Preparation YZ: Formal Analysis, Investigation,Writing&#x202f;&#x2013;Review and Editing.</p>
</sec>
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<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ardu</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Duc</surname>
<given-names>O.</given-names>
</name>
<name>
<surname>Di Bella</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Krejci</surname>
<given-names>I.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Color Stability of Recent Composite Resins</article-title>. <source>Odontology</source> <volume>105</volume> (<issue>1</issue>), <fpage>29</fpage>&#x2013;<lpage>35</lpage>. <pub-id pub-id-type="doi">10.1007/s10266-016-0234-9</pub-id> </citation>
</ref>
<ref id="B2">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ayatollahi</surname>
<given-names>M. R.</given-names>
</name>
<name>
<surname>Yahya</surname>
<given-names>M. Y.</given-names>
</name>
<name>
<surname>Karimzadeh</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Nikkhooyifar</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Ayob</surname>
<given-names>A.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>Effects of Temperature Change and Beverage on Mechanical and Tribological Properties of Dental Restorative Composites</article-title>. <source>Mater. Sci. Eng. C</source> <volume>54</volume>, <fpage>69</fpage>&#x2013;<lpage>75</lpage>. <pub-id pub-id-type="doi">10.1016/j.msec.2015.05.004</pub-id> </citation>
</ref>
<ref id="B3">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Eldiwany</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Friedl</surname>
<given-names>K. H.</given-names>
</name>
<name>
<surname>Powers</surname>
<given-names>J.&#x20;M.</given-names>
</name>
</person-group> (<year>1995</year>). <article-title>Color Stability of Light-Cured and post-cured Composites</article-title>. <source>Am. J.&#x20;Dent</source> <volume>8</volume>, <fpage>179</fpage>&#x2013;<lpage>181</lpage>. </citation>
</ref>
<ref id="B4">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Erdemir</surname>
<given-names>U.</given-names>
</name>
<name>
<surname>Yildiz</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Eren</surname>
<given-names>M. M.</given-names>
</name>
</person-group> (<year>2012</year>). <article-title>Effects of Sports Drinks on Color Stability of Nanofilled and Microhybrid Composites after Long-Term Immersion</article-title>. <source>J.&#x20;Dent.</source> <volume>40</volume>, <fpage>55</fpage>&#x2013;<lpage>63</lpage>. <pub-id pub-id-type="doi">10.1016/j.jdent.2012.06.002</pub-id> </citation>
</ref>
<ref id="B5">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ganjkar</surname>
<given-names>M. H.</given-names>
</name>
<name>
<surname>Heshmat</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Gholamisinaki</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Arjomand</surname>
<given-names>M. E.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Effect of Accelerated Aging on the Color Stability of Light-Cured Resin Cement and Flowable Composite through Porcelain Laminate Veneer [J]</article-title>. <source>J.&#x20;Islamic Dental Assoc. IRAN</source> <volume>29</volume> (<issue>3</issue>), <fpage>103</fpage>&#x2013;<lpage>109</lpage>. <pub-id pub-id-type="doi">10.30699/jidai.29.3.103</pub-id> </citation>
</ref>
<ref id="B6">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Glaskova-Kuzmina</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Aniskevich</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Papanicolaou</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Portan</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Zotti</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Borriello</surname>
<given-names>A.</given-names>
</name>
<etal/>
</person-group> (<year>2020</year>). <article-title>Hydrothermal Aging of an Epoxy Resin Filled with Carbon Nanofillers</article-title>. <source>Polymers</source> <volume>12</volume> (<issue>5</issue>), <fpage>1153</fpage>. <pub-id pub-id-type="doi">10.3390/polym12051153</pub-id> </citation>
</ref>
<ref id="B7">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kaminedi</surname>
<given-names>R. R.</given-names>
</name>
<name>
<surname>Penumatsa</surname>
<given-names>N. V.</given-names>
</name>
<name>
<surname>Priya</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Baroudi</surname>
<given-names>K.</given-names>
</name>
</person-group> (<year>2014</year>). <article-title>The Influence of Finishing/polishing Time and Cooling System on Surface Roughness and Microhardness of Two Different Types of Composite Resin Restorations</article-title>. <source>J.&#x20;Int. Soc. Prev. Community Dent</source> <volume>4</volume> (<issue>Suppl. 2</issue>), <fpage>S99</fpage>&#x2013;<lpage>S104</lpage>. <pub-id pub-id-type="doi">10.4103/2231-0762.146211</pub-id> </citation>
</ref>
<ref id="B8">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kawaguchi</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Fukushima</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Miyazaki</surname>
<given-names>K.</given-names>
</name>
</person-group> (<year>1994</year>). <article-title>The Relationship between Cure Depth and Transmission Coefficient of Visible-Light-Activated Resin Composites</article-title>. <source>J.&#x20;Dent Res.</source> <volume>73</volume> (<issue>2</issue>), <fpage>516</fpage>&#x2013;<lpage>521</lpage>. <pub-id pub-id-type="doi">10.1177/00220345940730020601</pub-id> </citation>
</ref>
<ref id="B9">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lee</surname>
<given-names>Y.-K.</given-names>
</name>
<name>
<surname>Yu</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Lim</surname>
<given-names>H.-N.</given-names>
</name>
<name>
<surname>Lim</surname>
<given-names>J.&#x20;I.</given-names>
</name>
</person-group> (<year>2011</year>). <article-title>Difference in the Color Stability of Direct and Indirect Resin Composites</article-title>. <source>J.&#x20;Appl. Oral Sci.</source> <volume>19</volume> (<issue>2</issue>), <fpage>154</fpage>&#x2013;<lpage>160</lpage>. <pub-id pub-id-type="doi">10.1590/s1678-77572011000200012</pub-id> </citation>
</ref>
<ref id="B10">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Moszner</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Klapdohr</surname>
<given-names>S.</given-names>
</name>
</person-group> (<year>2004</year>). <article-title>Nanotechnology for Dental Composites</article-title>. <source>Ijnt</source> <volume>1</volume> (<issue>1</issue>), <fpage>130</fpage>&#x2013;<lpage>156</lpage>. <pub-id pub-id-type="doi">10.1504/ijnt.2004.003723</pub-id> </citation>
</ref>
<ref id="B11">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nasim</surname>
<given-names>I.</given-names>
</name>
<name>
<surname>Neelakantan</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Sujeer</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Subbarao</surname>
<given-names>C. V.</given-names>
</name>
</person-group> (<year>2010</year>). <article-title>Color Stability of Microfilled, Microhybrid and Nanocomposite Resins-An <italic>In Vitro</italic> Study</article-title>. <source>J.&#x20;Dent.</source> <volume>38</volume> (<issue>Suppl. 2</issue>), <fpage>e137</fpage>&#x2013;<lpage>e142</lpage>. <pub-id pub-id-type="doi">10.1016/j.jdent.2010.05.020</pub-id> </citation>
</ref>
<ref id="B12">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Paravina</surname>
<given-names>R. D.</given-names>
</name>
<name>
<surname>Ghinea</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Herrera</surname>
<given-names>L. J.</given-names>
</name>
<name>
<surname>Bona</surname>
<given-names>A. D.</given-names>
</name>
<name>
<surname>Igiel</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Linninger</surname>
<given-names>M.</given-names>
</name>
<etal/>
</person-group> (<year>2015</year>). <article-title>Color Difference Thresholds in Dentistry</article-title>. <source>J.&#x20;Esthet. Restor. Dent.</source> <volume>27</volume> (<issue>Suppl. 1</issue>), <fpage>S1</fpage>&#x2013;<lpage>S9</lpage>. <pub-id pub-id-type="doi">10.1111/jerd.12149</pub-id> </citation>
</ref>
<ref id="B13">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pieniak</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Niewczas</surname>
<given-names>A. M.</given-names>
</name>
<name>
<surname>Kordos</surname>
<given-names>P.</given-names>
</name>
</person-group> (<year>2012</year>). <article-title>Influence of thermal Fatigue and Ageing on the Microhardness of Polymer-Ceramic Composites for Biomedical Applications</article-title>. <source>Eksploat. Niezawodn.</source> <volume>14</volume>, <fpage>181</fpage>&#x2013;<lpage>188</lpage>. </citation>
</ref>
<ref id="B14">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pieniak</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Walczak</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Walczak</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Przystupa</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Niewczas</surname>
<given-names>A. M.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Hardness and Wear Resistance of Dental Biomedical Nanomaterials in a Humid Environment with Non-Stationary Temperatures</article-title>. <source>Materials</source> <volume>13</volume> (<issue>5</issue>), <fpage>1255</fpage>. <pub-id pub-id-type="doi">10.3390/ma13051255</pub-id> </citation>
</ref>
<ref id="B15">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Roselino</surname>
<given-names>L. d. M. R.</given-names>
</name>
<name>
<surname>Cruvinel</surname>
<given-names>D. R.</given-names>
</name>
<name>
<surname>Chinelatti</surname>
<given-names>M. A.</given-names>
</name>
<name>
<surname>Pires-de-Souza</surname>
<given-names>F. d. C. P.</given-names>
</name>
</person-group> (<year>2013</year>). <article-title>Effect of Brushing and Accelerated Ageing on Color Stability and Surface Roughness of Composites</article-title>. <source>J.&#x20;Dent.</source> <volume>41</volume> (<issue>Suppl. 5</issue>), <fpage>e54</fpage>&#x2013;<lpage>e61</lpage>. <pub-id pub-id-type="doi">10.1016/j.jdent.2013.07.005</pub-id> </citation>
</ref>
<ref id="B16">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Schulze</surname>
<given-names>K. A.</given-names>
</name>
<name>
<surname>Marshall</surname>
<given-names>S. J.</given-names>
</name>
<name>
<surname>Gansky</surname>
<given-names>S. A.</given-names>
</name>
<name>
<surname>Marshall</surname>
<given-names>G. W.</given-names>
</name>
</person-group> (<year>2003</year>). <article-title>Color Stability and Hardness in Dental Composites after Accelerated Aging</article-title>. <source>Dent. Mater.</source> <volume>19</volume> (<issue>7</issue>), <fpage>612</fpage>&#x2013;<lpage>619</lpage>. <pub-id pub-id-type="doi">10.1016/s0109-5641(03)00003-4</pub-id> </citation>
</ref>
<ref id="B17">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sharma</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Dalal</surname>
<given-names>E. N.</given-names>
</name>
</person-group> (<year>2005</year>). <article-title>The CIEDE2000&#x20;Color-Difference Formula: Implementation Notes, Supplementary Test Data, and Mathematical Observations</article-title>. <source>Color Res. Appl.</source> <volume>30</volume>, <fpage>21</fpage>&#x2013;<lpage>30</lpage>. <pub-id pub-id-type="doi">10.1002/col.20070</pub-id> </citation>
</ref>
<ref id="B18">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Souza</surname>
<given-names>R. O. A.</given-names>
</name>
<name>
<surname>&#xd6;zcan</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Michida</surname>
<given-names>S. M. A.</given-names>
</name>
<name>
<surname>de Melo</surname>
<given-names>R. M.</given-names>
</name>
<name>
<surname>Pavanelli</surname>
<given-names>C. A.</given-names>
</name>
<name>
<surname>Bottino</surname>
<given-names>M. A.</given-names>
</name>
<etal/>
</person-group> (<year>2010</year>). <article-title>Conversion Degree of Indirect Resin Composites and Effect of Thermocycling on Their Physical Properties</article-title>. <source>J.&#x20;Prosthodont.</source> <volume>19</volume> (<issue>3</issue>), <fpage>218</fpage>&#x2013;<lpage>225</lpage>. <pub-id pub-id-type="doi">10.1111/j.1532-849x.2009.00551.x</pub-id> </citation>
</ref>
<ref id="B19">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tuncer</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Demirci</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Tiryaki</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>&#xdc;nl&#xfc;</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Uysal</surname>
<given-names>&#xd6;.</given-names>
</name>
</person-group> (<year>2013</year>). <article-title>The Effect of a Modeling Resin and Thermocycling on the Surface Hardness, Roughness, and Color of Different Resin Composites</article-title>. <source>J.&#x20;Esthet. Restor. Dent.</source> <volume>25</volume>, <fpage>404</fpage>&#x2013;<lpage>419</lpage>. <pub-id pub-id-type="doi">10.1111/jerd.12063</pub-id> </citation>
</ref>
<ref id="B20">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Vichi</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Ferrari</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Davidson</surname>
<given-names>C. L.</given-names>
</name>
</person-group> (<year>2004</year>). <article-title>Color and Opacity Variations in Three Different Resin-Based Composite Products after Water Aging</article-title>. <source>Dent. Mater.</source> <volume>20</volume> (<issue>6</issue>), <fpage>530</fpage>&#x2013;<lpage>534</lpage>. <pub-id pub-id-type="doi">10.1016/j.dental.2002.11.001</pub-id> </citation>
</ref>
<ref id="B21">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Vidal</surname>
<given-names>M. L.</given-names>
</name>
<name>
<surname>Pecho</surname>
<given-names>O. E.</given-names>
</name>
<name>
<surname>Xavier</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Della Bona</surname>
<given-names>A.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Influence of the Photoactivation Distance on the Color and Whiteness Stability of Resin-Based Composite after Bleaching and Aging</article-title>. <source>J.&#x20;Dent.</source> <volume>99</volume>, <fpage>103408</fpage>. <pub-id pub-id-type="doi">10.1016/j.jdent.2020.103408</pub-id> </citation>
</ref>
<ref id="B22">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname>
<given-names>L. K.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>Y. N.</given-names>
</name>
<name>
<surname>Hui</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>P. P.</given-names>
</name>
<etal/>
</person-group> (<year>2019</year>). <article-title>Color Stability of Computer Aided Design and Computer Aided Manufacture Composite Ceramic/Resin Cements After Accelerated Ageing</article-title>. <source>Chin. J.&#x20;Stomatol.</source> <volume>54</volume> (<issue>11</issue>), <fpage>765</fpage>&#x2013;<lpage>769</lpage> (Chinese). <pub-id pub-id-type="doi">10.3760/cma.j.issn.1002-0098.2019.11.008</pub-id> </citation>
</ref>
</ref-list>
</back>
</article>