Evaluation of Ozonized Gel Application for Stain Removal on Dental Composite Resins

Staining removal is an issue of interest in dentistry. Current treatments deal with staining removal on enamel, while few studies concentrate on resin composites. The aim of the current study is to evaluate the efficacy in staining removal of an ozonated gel on dental composites. The study sample consisted of 40 specimens of restorative composites: 20 specimens were stained for 1 day in tea solution (tea group) and 20 specimens were stained for 1 day in physiological solution (NaCl group). Both the tea and NaCl groups underwent the experimental treatment as follows: five specimens underwent ozonized gel application, five specimens underwent an ozonized spray, five specimens underwent an application of olive oil, and five specimens were not treated. A colorimetric evaluation was performed with a spectrophotometer, using CIEDE2000 data elaboration at the baseline (T0), after staining (T1), and after staining removal (T2). In the T0–T1 time frame, significantly different color changes (ΔE00) were found between tea groups and NaCl groups (p < 0.05), except for control groups (p > 0.05). After staining removal in the T1–T2 period, no significant differences in ΔE00 were found (p > 0.05). Higher values were found for groups treated with ozonized gel, denoting a stain removal effect. The groups treated with olive oil, instead, exhibited higher ΔE00 values, showing a greater staining effect. In conclusion, the ozonized gel tested showed staining removal activity on restorative resin composites. Future clinical applications are required to validate the in vitro results obtained.