Color Stability of Orthodontic Ceramic Brackets and Adhesives in Potentially Staining Beverages-In Vitro Study

The aim of this study was to evaluate the color stability of esthetic ceramic brackets and adhesive samples after immersion in most commonly consumed beverages. A hundred ceramic brackets from five different manufacturers (Forestadent (R), G & H (R), GC, DynaFlex (R), and American Orthodontics) and 120 samples of adhesives (3M (TM) Transbond (TM) XT and American Orthodontics BracePaste (R) color change adhesive and BracePaste (R) adhesive) were immersed into four different solutions: coffee, Coca-Cola (R), the vitamin drink Cedevita (R), and artificial saliva (control group). The samples were kept in an incubator at 37 degrees C. Color readings were evaluated before (T0), at 24 h (T1), 72 h (T3), 7 days (T4), and 14 days (T5) after initial immersion using a spectrophotometer according to the L*a*b* color scale. All the examined brackets showed a statistically significant difference in discoloration (p = 0.001). 20/40 (TM) Brackets (American Orthodontics) showed the best color stability, while the greatest color modification was recognized in QuicKlear (R) III (Forestadent (R)) brackets. Regarding adhesives, the greatest staining was observed in the BracePaste (R) color change adhesive and the least in the Transbond (TM) XT samples. In conclusion, color change occurs in all solutions, including control groups, and coffee has the greatest impact on color stability.