International Journal of Dental Sciences and Research
ISSN (Print): 2333-1135 ISSN (Online): 2333-1259 Website: https://www.sciepub.com/journal/ijdsr Editor-in-chief: Marcos Roberto Tovani Palone
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International Journal of Dental Sciences and Research. 2025, 13(1), 15-21
DOI: 10.12691/ijdsr-13-1-3
Open AccessArticle

Color Stability of PEEK, Zircon, and Acrylic Teeth upon Waterpipe Smoking Exposure

Fahad K Alwthinani1, , Abdulmajeed O Alotaibi1 and Abdulaziz Abdullah Alharbi2

1Department of Prosthodontics , Faculty of Dentistry, Taif University, Taif, KSA

2Department of Oral and Maxillofacial surgery and diagnostic Sciences, Faculty of Dentistry, Taif University, Taif, KSA

Pub. Date: March 05, 2025

Cite this paper:
Fahad K Alwthinani, Abdulmajeed O Alotaibi and Abdulaziz Abdullah Alharbi. Color Stability of PEEK, Zircon, and Acrylic Teeth upon Waterpipe Smoking Exposure. International Journal of Dental Sciences and Research. 2025; 13(1):15-21. doi: 10.12691/ijdsr-13-1-3

Abstract

Aim: This study aims to provide valuable insights into the effect of waterpipe exposure on the color change of CAD/CAM plastic dental materials. Method: Three types of crowns were used in this study for color change after they were exposed to waterpipe whole-body exposure machine for 6-months. The materials are PEEK, Zircon, and Acrylic denture teeth. PEEK and Zircon were prepared using Computer Aided Design/Computer Aided Manufacturing (CAD/CAM) while Acrylic teeth were taken from a kit. Results: The findings of this study are important for clinicians. Color changes were measured using a colorimeter. The lightness values generally decreased after exposure across all materials, PEEK, Zircon, and Acrylic denture teeth. The differences in lightness values (L*) among the materials were statistically significant at all exposure durations (p < 0.001). Redness values (a*) and yellowness values (b*) have been investigated with significant differences in redness between PEEK, Zircon, and Acrylic denture teeth (p < 0.001). While yellowness values (b) fluctuate, with no significant 4difference in yellowness among materials. The AE values were reported for each material, and the results show a specific extent of color change after exposure to waterpipe smoke over different periods. The results showed that despite having the highest baseline AE values, Acrylic exhibited relatively minor color changes after exposure. Chroma values for all materials tend to fluctuate with exposure time with no clear increasing or decreasing trend. Conclusion: The exposure to waterpipe smoke showed that PEEK, Zircon, and Acrylic denture teeth are susceptible to staining to different extents depending on the duration of exposure.

Keywords:
PEEK Zircon Acrylic denture teeth Waterpipe Tobacco Exposure Color Stability

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  AYAZ, E. A., ALTINTAS, S. H. & TURGUT, S. 2014. Effects of cigarette smoke and denture cleaners on the surface roughness and color stability of different denture teeth. The Journal of prosthetic dentistry, 112, 241-248.
 
[2]  BRADING, M., JOINER, A. & KINANE, D. 2009. Changes in oral health and condition with age. International dental journal, 59, 309-320. CHU, S. J., TRUSHKOWSKY, R. D. & PARAVINA, R. D. 2010. Dental color matching instruments and systems. Review of clinical and research aspects. Journal of dentistry, 38, e2-el6.
 
[3]  Baharvand, Maryam. (2014). Colors in tooth discoloration: A new classification and literature review. International Journal of Clinical Dentistry. 7. 17-27.
 
[4]  Makkeyah, F., El Sergany, O., Shamel, M. et al. Effect of conventional cigarette smoking and recent heated tobacco products on CAD/CAM restorative materials. BMC Oral Health 24, 765 (2024).
 
[5]  O'CONNOR, R. J. 2012. Non-cigarette tobacco products: what have we learnt and where are we headed? Tobacco control, 21, 181-190.
 
[6]  LEE, Y.O., HEBERT, C. J., NONNEMAKER, J. M. & KIM, A. E. 2014. Multiple tobacco product use among adults in the United States: cigarettes, cigars, electronic cigarettes, hookah, smokeless tobacco, and snus. Preventive medicine, 62, 14-19.
 
[7]  ZHANG, Q. & WEN, C. 2024. The risk profile of electronic nicotine delivery systems, compared to traditional cigarettes, on oral disease. Substance Use Disorder: Above and Beyond Addiction, 128.
 
[8]  MAZIAK, W,, TALEB, Z, B., BAHELAH, R., ISLAM, Fv JABER, R., AUF, R, & SALLOUM, R. G, 2015. The global epidemiology of waterpipe smoking. Tobacco control, 24, i3-il2.
 
[9]  Ma C, Yang H, Zhao M, Magnussen CG, Xi B. Prevalence of waterpipe smoking and its associated factors among adolescents aged 12-16 years in 73 countries/territories. Front Public Health. 2022 Nov 17; 10: 1052519.
 
[10]  Adetona O, Mok S, Rajczyk J, Brinkman MC, Ferketich AK. The adverse health effects of waterpipe smoking in adolescents and young adults: A narrative review. Tob Induc Dis. 2021 Oct 22; 19: 81.
 
[11]  A., Shalaw & Abdulla, Jangy & Farhan, Ahmed & Hamedon, Titi Rahmawati. (2020). Prevalence of smoking hookah (shisha) among students of Salahaddin University. Eurasian Journal of Biosciences. 2061-2068.
 
[12]  Al-Naggar RA, Bobryshev YV, Anil S. Pattern of shisha and cigarette smoking in the general population in Malaysia. Asian Pac J Cancer Prev. 2014; 15(24): 10841-6.
 
[13]  Soule EK, Barnett TE, Curbow BA, Moorhouse MD, Weiler RM. Hookah and Alcohol Use among Young Adult Hookah Smokers: A Mixed Methods Study. Am J Health Behav. 2015 Sep; 39(5): 665-73.
 
[14]  Barnett TE, Lorenzo FE, Soule EK. Hookah Smoking Outcome Expectations Among Young Adults. Subst Use Misuse. 2017 Jan 2; 52(1): 63-70.
 
[15]  Mortazavi SM, Neghab M, Anoosheh SM, Bahaeddini N, Mortazavi G, Neghab P, Rajaeifard A. High-field MRI and mercury release from dental amalgam fillings. Int J Occup Environ Med. 2014 Apr; 5(2):101-5. PMID: 24748001; PMCID: PMC7767616.
 
[16]  Menon, A. & Ganapathy, D.M. & Mallikarjuna, A.V.. (2019). Factors that influence the colour stability of composite resins. Drug Invention Today. 11. 744-749.
 
[17]  Lee YK, Powers JM. Influence of salivary organic substances on the discoloration of esthetic dental materials-a review. J Biomed Mater Res B Appl Biomater. 2006 Feb; 76(2): 397-402.
 
[18]  Koçak EF, Ekren O, Johnston WM, Uçar Y. Analysis of color differences in stained contemporary esthetic dental materials. J Prosthet Dent. 2021 Sep; 126(3): 438-445.
 
[19]  Kanniyapan, Gunavathy & Nesan, L. & Mohammad, Izran & Tan, Say & Ponniah, Vignes. (2019). Selection criteria of building material for optimising maintainability. Construction and Building Materials. 221. 651-660. 10.1016/j.conbuildmat.2019.06.108.
 
[20]  Raigrodski AJ, Chiche GJ, Potiket N, Hochstedler JL, Mohamed SE, Billiot S, Mercante DE. The efficacy of posterior three-unit zirconium-oxide-based ceramic fixed partial dental prostheses: a prospective clinical pilot study. J Prosthet Dent. 2006 Oct; 96(4): 237-44.
 
[21]  Beuer F, Schweiger J, Eichberger M, Kappert HF, Gernet W, Edelhoff D. High-strength CAD/CAM-fabricated veneering material sintered to zirconia copings--a new fabrication mode for all-ceramic restorations. Dent Mater. 2009 Jan; 25(1): 121-8.
 
[22]  Baldissara P, Llukacej A, Ciocca L, Valandro FL, Scotti R. Translucency of zirconia copings made with different CAD/CAM systems. J Prosthet Dent. 2010 Jul; 104(1): 6-12.
 
[23]  Hanisha, Adusumilli & Sai Sankar, A J & Pranitha, Kakarla & Bandi, Sujatha & Mallela, GeorgeManoj & Vallabhaneni, Krishna. (2016). Color stability of esthetic restorative materials used in pediatric dentistry: An in vitro study. Journal of Indian Society of Pedodontics and Preventive Dentistry. 34. 233. 10.4103/0970-4388.186740.
 
[24]  Khabour OF, Alzoubi KH, Bani-Ahmad M, Dodin A, Eissenberg T, Shihadeh A. Acute exposure to waterpipe tobacco smoke induces changes in the oxidative and inflammatory markers in mouse lung. Inhal Toxicol. 2012 Aug; 24(10): 667-75.
 
[25]  Joiner A. Tooth colour: a review of the literature. J Dent. 2004; 32 Suppl 1: 3-12.
 
[26]  Kim-Pusateri S, Brewer JD, Davis EL, Wee AG. Reliability and accuracy of four dental shade-matching devices. J Prosthet Dent. 2009 Mar; 101(3): 193-9.
 
[27]  Karaagaclioglu L, Terzioglu H, Yilmaz B, Yurdukoru B. In vivo and in vitro assessment of an intraoral dental colorimeter. J Prosthodont. 2010 Jun; 19(4): 279-85.
 
[28]  Douglas RD. Precision of in vivo colorimetric assessments of teeth. J Prosthet Dent. 1997 May; 77(5): 464-70.
 
[29]  Ashcroft AT, Cox TF, Joiner A, Laucello M, Philpotts CJ, Spradbery PS, Sygrove NJ. Evaluation of a new silica whitening toothpaste containing blue covarine on the colour of anterior restoration materials in vitro. J Dent. 2008; 36 Suppl 1: S26-31.
 
[30]  Barizon KT, Bergeron C, Vargas MA, Qian F, Cobb DS, Gratton DG, Geraldeli S. Ceramic materials for porcelain veneers. Part I: Correlation between translucency parameters and contrast ratio. J Prosthet Dent. 2013 Nov; 110(5): 397-401.
 
[31]  Stephen J. Chu, Richard D. Trushkowsky, Rade D. Paravina,Dental color matching instruments and systems. Review of clinical and research aspects, Journal of Dentistry, Volume 38, Supplement 2, 2010, Pages e2-e16.
 
[32]  Cosgarea R, Gasparik C, Dudea D, Culic B, Dannewitz B, Sculean A. Peri-implant soft tissue colour around titanium and zirconia abutments: a prospective randomized controlled clinical study. Clin Oral Implants Res. 2015 May; 26(5): 537-44.
 
[33]  Andrew Joiner, Wen Luo, Tooth colour and whiteness: A review, Journal of Dentistry, Volume 67, Supplement, 2017, Pages S3-S10.
 
[34]  Westland, S., Luo, W., Ell Wood, R., Brunton, P. & Pretty, I. 2007. Colour Assessment in Dentistry. Annals of The Bmva, 4, 1.
 
[35]  Joiner A, Thakker G, Cooper Y. Evaluation of a 6% hydrogen peroxide tooth whitening gel on enamel and dentine microhardness in vitro. J Dent. 2004; 32 Suppl 1: 27-34.
 
[36]  Sulieman M, MacDonald E, Rees JS, Newcombe RG, Addy M. Tooth bleaching by different concentrations of carbamide peroxide and hydrogen peroxide whitening strips: an in vitro study. J Esthet Restor Dent. 2006; 18(2): 93-100; discussion 101.
 
[37]  Nathoo S, Santana E 3rd, Zhang YP, Lin N, Collins M, Klimpel K, DeVizio W, Giniger M. Comparative seven-day clinical evaluation of two tooth whitening products. Compend Contin Educ Dent. 2001 Jul; 22(7): 599-604, 606; quiz 608. PMID: 11494621.
 
[38]  Padiyar, Narendra & Kaurani, Pragati. (2010). Colour stability: An important physical property of esthetic restorative materials. Int J Clin Dent Sci. 1.
 
[39]  Imbery, Terence & Geissberger, Marc & Hakim, Foroud & Al-Anezi, Shaman & Uram-Tuculescu, Sorin & Gottlieb, Riki & Estrich, Cameron. (2013). Evaluation of Four Dental Clinical Spectrophotometers Relative to Human Shade Observation. Journal of the American Dental Association (1939). 144. 1183-1186. 10.14219/jada.archive.2013.0041.
 
[40]  Al Moaleem, M.M.; Adawi, H.A.; Alsharif, K.F.; Alhazmi, H.A.; Alshahrani, F.A.; Abu Hadi, R.M.; Kara, R.; Muyidi, H.M.; Khalid, A.; Asiri, A.M.; et al. Impact of Smokeless Tobacco on the Color Stability of Zirconia, Zirconia-Reinforced Lithium Silicate and Feldspathic CAD/CAM Restorative Materials: An In Vitro Study. Coatings 2022, 12, 207.
 
[41]  Alandia-Roman CC, Cruvinel DR, Sousa AB, Pires-de-Souza FC, Panzeri H. Effect of cigarette smoke on color stability and surface roughness of dental composites. J Dent. 2013 Aug; 41 Suppl 3: e73-9.
 
[42]  Patil SS, M R D, Gujjari AK. Effect of cigarette smoke on acrylic resin teeth. J Clin Diagn Res. 2013 Sep; 7(9): 2056-9.
 
[43]  Mahross HZ, Mohamed MD, Hassan AM, Baroudi K. Effect of Cigarette Smoke on Surface Roughness of Different Denture Base Materials. J Clin Diagn Res. 2015 Sep; 9(9): ZC39-42.
 
[44]  Schelkopf S, Dini C, Beline T, Wee AG, Barão VAR, Sukotjo C, Yuan JC. The Effect of Smoking and Brushing on the Color Stability and Stainability of Different CAD/CAM Restorative Materials. Materials (Basel). 2022 Oct 5; 15(19): 6901.
 
[45]  Zhao X, Zanetti F, Wang L, Pan J, Majeed S, Malmstrom H, Peitsch MC, Hoeng J, Ren Y. Effects of different discoloration challenges and whitening treatments on dental hard tissues and composite resin restorations. J Dent. 2019 Oct; 89: 103182.
 
[46]  Dalrymple A, Badrock TC, Terry A, Barber M, Hall PJ, Thorne D, Gaca MD, Coburn S, Proctor C. Assessment of enamel discoloration in vitro following exposure to cigarette smoke and emissions from novel vapor and tobacco heating products. Am J Dent. 2018 Oct; 31(5): 227-233. PMID: 30346667.
 
[47]  Slaboseviciute M, Vasiliauskaite N, Drukteinis S, Martens L, Rajasekharan S. Discoloration Potential of Biodentine: A Systematic Review. Materials (Basel). 2021 Nov 14; 14(22): 6861.
 
[48]  Mathias P, Silva LD, Saraiva Lde O, Costa L, Sampaio MD, de Araujo RP, Cavalcanti AN. Effect of surface sealant and repolishing procedures on the color of composite resin exposed to cigarette smoke. Gen Dent. 2010 Jul-Aug; 58(4): 331-5. PMID: 20591779.