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da Silva SF, de Araújo Régis M, Francci CE. The capacity of conservative preparations for lithium disilicate glass-ceramic laminates luted with different resin cements to mask different substrate shades: A minimally invasive esthetic approach. J ESTHET RESTOR DENT 2024; 36:761-769. [PMID: 38010079 DOI: 10.1111/jerd.13176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Revised: 10/22/2023] [Accepted: 11/15/2023] [Indexed: 11/29/2023]
Abstract
OBJECTIVE Demonstrate the ability of 0.5 mm thickness lithium disilicate laminates associated with resin cement to mask different substrate saturations. METHODS 60 specimens (n = 5) were prepared with CAD/CAM lithium disilicate glass-ceramic IPS e.max CAD, 0.5 mm thick, in three degrees of translucency (HT, MT and LT); cemented by Variolink Esthetic LC Light+ (L) and Neutral (N) on composite resin substrates A1 and A4 shades. Color measurements were performed by a spectrophotometer (CM-3700d -Konica Minolta). The L*, a*, b* parameters of the tri-layer structure (laminate/ resin cement/ substrate) were used to calculate color difference ( ∆ E 00 ) by CIEDE2000 formula and Translucency Parameter (TP 00 ). This study adopted ∆ E 00 = 0.8, as perceptibility threshold (PT), and ∆ E 00 = 1.8, as acceptability threshold (AT). Statistical analyses were performed by one-way ANOVA and Tukey tests (a = 0.05). RESULTS Color difference between resin cement shades showed statistical differences (p < 0.0001) and ∆ E 00 > 1.8 for all groups. Color difference between substrates saturations showed a significant statistical difference (p < 0.0001) and ∆ E 00 values above AT for all groups. TheTP 00 demonstrated significant statistical differences (p < 0.0001). The LTL combination, the opaquest set, showed the smallest ∆ E 00 values between substrate shades differences, however, above AT. CONCLUSION The translucency of the lithium disilicate, the substrate saturation and the resin cement opacity influenced final color of restoration. The ceramic translucency impact on final color was reduced by opaque resin cement. Furthermore, the LT lithium disilicate and the Light+ resin cement reduced the translucency of the restoration, contributing to mask saturated substrate. CLINICAL RELEVANCE This study shows the influence of conservative lithium disilicate laminates with different degrees of translucency associated with resin cement on final color of saturated substrate restorations. A minimally invasive esthetic protocol for masking substrates is demonstrated by associating low translucency ceramic laminates and opaque resin cement.
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Affiliation(s)
- Samara Franco da Silva
- Department of Biomaterials and Oral Biology, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Mylena de Araújo Régis
- Department of Biomaterials and Oral Biology, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Carlos Eduardo Francci
- Department of Biomaterials and Oral Biology, School of Dentistry, University of São Paulo, São Paulo, Brazil
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Pala K, Reinshagen EM, Attin T, Hüsler J, Jung RE, Ioannidis A. Masking capacity of minimally invasive lithium disilicate restorations on discolored teeth-The impact of ceramic thickness, the material's translucency, and the cement color. J ESTHET RESTOR DENT 2024; 36:107-115. [PMID: 37933738 DOI: 10.1111/jerd.13146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2023] [Revised: 09/22/2023] [Accepted: 09/25/2023] [Indexed: 11/08/2023]
Abstract
OBJECTIVES To evaluate minimally invasive restorations' capacity to mask discolored teeth and explore the impact of ceramic thickness, translucency, and cement color. MATERIALS AND METHODS Twenty-four assessment pairs of naturally colored and discolored bovine dentin samples were formed, using lithium disilicate specimens in six different thicknesses (0.3-0.8 mm), two different translucencies (high, low), and two cements (transparent, tooth-colored). Evaluators assessed the color differences in each assessment pair, and the threshold for detecting a color difference was determined using sequential testing and the Bonferroni-Holm method. RESULTS A thickness of 0.6 mm effectively masked color differences using high translucent ceramic with transparent cement, detectable differences were still observed at 0.7/0.8 mm. A threshold thickness of 0.4 mm was seen using high translucent ceramic and tooth-colored cement, with color differences still discernible at 0.5 and 0.8 mm. A threshold thickness of 0.4 mm was detected using low translucent ceramic and transparent cement, while detectable differences persisted at 0.5, 0.7, and 0.8 mm. A 0.5 mm threshold thickness was observed when using low translucent ceramic and tooth-colored cement, and no detectable color differences were detected beyond this thickness. CONCLUSIONS Masking can be achieved with a thickness of 0.4-0.5 mm using a low translucent material and tooth-colored cement. CLINICAL SIGNIFICANCE Understanding the impact of ceramic thickness, translucency, and cement color can aid clinicians in making informed decisions for achieving the best esthetic outcomes while preserving tooth structure. Effective masking can be accomplished with ceramic thicknesses starting at 0.4 mm, especially when employing a low translucent material and tooth-colored cement. However, clinicians should be aware that discolorations may still be detectable in certain scenarios when using minimally invasive lithium disilicate restorations.
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Affiliation(s)
- Kevser Pala
- Clinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Eva Maria Reinshagen
- Doctoral Student at the Clinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Thomas Attin
- Clinic of Conservative and Preventive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Jürg Hüsler
- Department of Mathematical Statistics, University of Bern, Bern, Switzerland
| | - Ronald E Jung
- Clinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Alexis Ioannidis
- Clinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
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P Gomes PW, Zuffa S, Bauermeister A, Caraballo-Rodríguez AM, Zhao HN, Mannochio-Russo H, Dogo-Isonagie C, Patel O, Pimenta P, Gronlund J, Lavender S, Pilch S, Maloney V, North M, Dorrestein PC. Ex vivo study of molecular changes of stained teeth following hydrogen peroxide and peroxymonosulfate treatments. Sci Rep 2023; 13:16349. [PMID: 37770593 PMCID: PMC10539445 DOI: 10.1038/s41598-023-43201-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Accepted: 09/21/2023] [Indexed: 09/30/2023] Open
Abstract
White teeth can give confidence and tend to be associated with a healthier lifestyle in modern society. Therefore, tooth-bleaching strategies have been developed, including the use of hydrogen peroxide. Recently, peroxymonosulfate has been introduced as an alternative bleaching method to hydrogen peroxide. Although both chemicals are oxidizing agents, their effects on the molecular composition of the stained teeth are yet unknown. In this study, the molecular profiles of teeth bleached with hydrogen peroxide and peroxymonosulfate were compared using Liquid Chromatography-Tandem Mass Spectrometry. Statistical analyses were used to assess the samples. In addition, reference spectral libraries and in silico tools were used to perform metabolite annotation. Overall, principal component analysis showed a strong separation between control and hydrogen peroxide and peroxymonosulfate samples (p < 0.001). The analysis of molecular changes revealed amino acids and dipeptides in stained teeth samples after hydrogen peroxide and peroxymonosulfate treatments. Noteworthy, the two bleaching methods led to distinct molecular profiles. For example, diterpenoids were more prevalent after peroxymonosulfate treatment, while a greater abundance of alkaloids was detected after hydrogen peroxide treatment. Whereas non-bleached samples (controls) showed mainly lipids. Therefore, this study shows how two different tooth-whitening peroxides could affect the molecular profiles of human teeth.
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Affiliation(s)
- Paulo Wender P Gomes
- Skaggs School of Pharmacy and Pharmaceutical Sciences, Collaborative Mass Spectrometry Innovation Center, University of California, San Diego, La Jolla, CA, USA
- Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, La Jolla, CA, USA
| | - Simone Zuffa
- Skaggs School of Pharmacy and Pharmaceutical Sciences, Collaborative Mass Spectrometry Innovation Center, University of California, San Diego, La Jolla, CA, USA
- Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, La Jolla, CA, USA
| | - Anelize Bauermeister
- Skaggs School of Pharmacy and Pharmaceutical Sciences, Collaborative Mass Spectrometry Innovation Center, University of California, San Diego, La Jolla, CA, USA
- Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, La Jolla, CA, USA
| | - Andrés Mauricio Caraballo-Rodríguez
- Skaggs School of Pharmacy and Pharmaceutical Sciences, Collaborative Mass Spectrometry Innovation Center, University of California, San Diego, La Jolla, CA, USA
- Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, La Jolla, CA, USA
| | - Haoqi Nina Zhao
- Skaggs School of Pharmacy and Pharmaceutical Sciences, Collaborative Mass Spectrometry Innovation Center, University of California, San Diego, La Jolla, CA, USA
- Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, La Jolla, CA, USA
| | - Helena Mannochio-Russo
- Skaggs School of Pharmacy and Pharmaceutical Sciences, Collaborative Mass Spectrometry Innovation Center, University of California, San Diego, La Jolla, CA, USA
- Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, La Jolla, CA, USA
| | | | - Om Patel
- Colgate-Palmolive, Global Technology Center, Piscataway, NJ, USA
| | - Paloma Pimenta
- Colgate-Palmolive, Global Technology Center, Piscataway, NJ, USA
| | | | - Stacey Lavender
- Colgate-Palmolive, Global Technology Center, Piscataway, NJ, USA
| | - Shira Pilch
- Colgate-Palmolive, Global Technology Center, Piscataway, NJ, USA
| | - Venda Maloney
- Colgate-Palmolive, Global Technology Center, Piscataway, NJ, USA
| | - Michael North
- Colgate-Palmolive, Global Technology Center, Piscataway, NJ, USA
| | - Pieter C Dorrestein
- Skaggs School of Pharmacy and Pharmaceutical Sciences, Collaborative Mass Spectrometry Innovation Center, University of California, San Diego, La Jolla, CA, USA.
- Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, La Jolla, CA, USA.
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Sancaktar O, Koseoglu M, Bayindir F. Influence of ceramic thickness, background and cement shade on the translucency of zirconia reinforced lithium silicate and lithium disilicate ceramics. J Clin Exp Dent 2023; 15:e720-e725. [PMID: 37799753 PMCID: PMC10550081 DOI: 10.4317/jced.60806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2023] [Accepted: 07/29/2023] [Indexed: 10/07/2023] Open
Abstract
Background Although, the influence of cement and background shade on the final color and translucency of zirconia reinforced lithium silicate (ZLS) and lithium disilicate (LDS) ceramics has been previously investigated, there is still little data on the translucency of LDS and ZLS ceramics in decreased thickness (0.4 and 0.6 mm). The aim of this study was to investigate ceramic thickness', background and cement shades' effects on the zirconia reinforced lithium silicate (ZLS) and lithium disilicate (LDS) ceramics' translucency. Material and Methods Totally 160 square-shaped A1 shade LDS and ZLS samples produced in 0.4 and 0.6 mm thicknesses were cemented with light and neutral shade resin cement on A2 and A3 shade composite resin backgrounds. The color notations of specimen were measured and translucency parameter (TP) values were calculated. Factorial ANOVA and Tamhane's T2 multiple comparison statistical analyzes were used. Results Highest TP values (11.82±0.97) were obtained in ZLS specimens that were 0.4 mm in thickness, cemented on A2 background with light shade resin cement. While, the lowest TP values (9.60±0.55) were calculated in LDS samples that had 0.6 mm thickness, cemented on A3 background with neutral shade resin cement. Conclusions Material type, thickness, and background shade affected TP values of specimens. The cement and background shade used might change the final translucency of ZLS and LDS ceramics that had 0.4 and 0.6 mm thickness. Key words:Ceramics, lithium disilicate, spectrophotometry, zirconia, dental materials.
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Affiliation(s)
- Ozge Sancaktar
- Graduate Prosthodontist, Private Practice, Istanbul, Turkey
| | - Merve Koseoglu
- Associate Professor, Sakarya University, Faculty of Dentistry, Department of Prosthodontics, Sakarya, Turkey
| | - Funda Bayindir
- Professor, Ataturk University, Faculty of Dentistry, Department of Prosthodontics, Erzurum, Turkey
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Color Assessment of Feldspathic Ceramic with Two Different Thicknesses, Using Multiple Polymeric Cements. Polymers (Basel) 2023; 15:polym15020397. [PMID: 36679277 PMCID: PMC9864571 DOI: 10.3390/polym15020397] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Revised: 01/05/2023] [Accepted: 01/09/2023] [Indexed: 01/15/2023] Open
Abstract
The purpose of this study was to evaluate the color changes of feldspathic ceramics CEREC Blocs (Dentsply Sirona, Milford, DE, USA) when cemented with different luting agents, while varying the ceramic thickness. Seventy ceramic discs of feldspathic ceramic (A2 shade) were obtained with 0.5 and 0.8 mm thicknesses. Seventy composite discs (A3 shade) 1 mm in thickness were used as substrates. After being polished and conditioned, the ceramic and composite discs were cemented with different resin cements and a flowable composite: Variolink® Esthetic Light, Neutral and Warm (Ivoclar Vivadent, Schaan, Liechtenstein); RelyXTM Veneer B0.5, Translucent and A3 Opaque/yellow shades (3M Oral Care, St. Paul, MN, USA); G-aenial® Universal Flow A2 (GC Europe, Leuven, Belgium). Color difference (ΔE) was determined using a spectrophotometer. A two-way ANOVA and multiple comparisons were performed using the Bonferroni method with a 95% confidence interval. Variolink® Neutral showed the highest ΔE (15.12 ± 0.71) and RelyXTM Veneer A3 the lowest value (1.59 ± 0.33). There are no statistically significant differences between the two ceramic thicknesses for Variolink® Light (p = 0.230) and RelyXTM Veneer B0.5 (p = 0.318) cements. The feldspathic ceramic final color is influenced by the cement used and the ceramic thickness. The use of different cements in a thin ceramic has a clinically significant impact on the final esthetic result.
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Use of Transcutaneous Electrical Nerve Stimulation (TENS) for the Recovery of Oral Function after Orthognathic Surgery. J Clin Med 2022; 11:jcm11123268. [PMID: 35743339 PMCID: PMC9225233 DOI: 10.3390/jcm11123268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Revised: 04/07/2022] [Accepted: 06/02/2022] [Indexed: 02/04/2023] Open
Abstract
The oral functions of patients are markedly diminished immediately after orthognathic surgery, and novel approaches are needed to accelerate their recovery. The aim of this study was to examine the usefulness of weekly applications of transcutaneous electrical nerve stimulation (TENS) for this purpose, based on the evidence of its effectiveness in other types of patients with muscle alterations. Maximum jaw opening, bite force, pain, and facial inflammation were compared between patients receiving TENS and those receiving sham-TENS for 30 min at baseline and weekly over a four-week period after orthognathic surgery and were also compared between the before and after of each procedure. TENS was applied at 220 Hz, applying the maximum intensity tolerated by each individual patient. The TENS procedure was identical for all patients, but the device was not turned on in the sham-TENS group. Patients were blinded to their group membership. Results were analyzed separately in skeletal class II and III patients. Improvements in jaw opening and inflammation were significantly greater in the TENS than in the sham-TENS group, attributable to the muscle relaxation achieved with the procedure. Research is warranted on the benefits of a more frequent application of TENS.
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Masking Abilities of Dental Cad/Cam Resin Composite Materials Related to Substrate and Luting Material. Polymers (Basel) 2022; 14:polym14030364. [PMID: 35160353 PMCID: PMC8838689 DOI: 10.3390/polym14030364] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 01/11/2022] [Accepted: 01/15/2022] [Indexed: 12/05/2022] Open
Abstract
An outstanding treatment challenge related to aesthetic monolithic materials is to mask discolored substrates in aesthetic areas. The purpose of the study is to evaluate the substrate masking ability of different resin composite materials and the influence of their association with luting agents and substrates. Five types of 2M2 HT (high translucency) resin composite materials were selected: Vita Enamic [E] and four types of nanoparticle-filled composites Lava Ultimate [L], Cerasmart [C], Shofu HC [S], and Hyramic [H]. Resin composite Vita VM LC with different shades was used for the substrates: 2M2, 3M2, and CP2. Variolink Esthetic Try-inpastes neutral, light+, and warm+ colors were chosen to simulate the luting agent color. Optical parameters (TP (translucency), CR (contrast ratio), and OP (opalesce)) and color differences ΔE (chromatic difference) were calculated. Statistical analyses were performed to evaluate the comparisons between the groups and establish correlations. TP average values for all materials were in the range of 21.49–24.53. OP average values were in the rage of 6.31–7.85. OP is moderate positive correlated to TP and CR is negative and strong correlated to TP. Related to materials, average color changes decrease as following: E > H > C > L > S. Referring to the tryin material, warm colors induce marked color changes of the restoration. The differences of the color changes determined by all studied substrates are significant. For the final aesthetic aspect of the restoration, it is essential to consider the underlying dental structure, luting agent, and restoration material as a whole unit. The masking ability of the investigated resin matrix ceramic materials materials shows differences, the best behavior demonstrated Shofu HC and Lava Ultimate. Marked color changes are related to high chroma substrates. For substrates with a darker color, the association with warm try-in pastes lead to marked color changes, but with neutral and light try-in pastes at most perceivable.
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Durães I, Cavalcanti A, Mathias P. The Thickness and Opacity of Aesthetic Materials Influence the Restoration of Discolored Teeth. Oper Dent 2021; 46:559-565. [PMID: 34919719 DOI: 10.2341/19-093-l] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/19/2020] [Indexed: 11/23/2022]
Abstract
OBJECTIVES This study aimed to evaluate the influence of thickness and opacity on the ability of composite resin and ceramic veneer restorations to mask discolored teeth. METHODS Ninety veneers were made of lithium disilicate ceramic, shades BL1 and 0 (IPS e.max Press, Ivoclar Vivadent), and 60 were made of composite resin, shade BL-L (IPS Empress Direct, Ivoclar Vivadent). The veneers measured 4 mm in width x 4 mm in length and had a thickness of 0.7, 1.0, or 1.2 mm. One hundred and fifty human premolars were selected to obtain 150 dental fragments with the following dimensions: 4 mm x 4 mm x 3 mm (width x length x thickness). The fragments were discolored, submitted to color measurement and randomly assigned to 15 groups (n=10) according to the type and opacity of the restorative material (IPS e.max Press: high translucency [HT], low translucency [LT], and medium opacity [MO]; IPS Empress Direct: dentin and enamel) and thickness of the veneers (0.7, 1.0, and 1.2 mm). After cementation of the ceramic or composite resin veneers using a translucent resin cement (RelyX veneer, 3M), a final color measurement was taken from each specimen and the total color variation (ΔE) was calculated by subtracting the initial and the final color measurement. The final lightness (L*) of the restored dental fragments was also calculated. RESULTS The highest ΔE values were observed for the LT and MO ceramic groups, followed by dentin composite resin. Regarding the different thicknesses of ceramic veneers, every 1.2-mm-thick group had higher values of ΔE, considering their respective opacities (p<0.05). The highest lightness values were found for the LT and MO ceramic veneers (thickness of 1.2 mm). Dentin-shade composite resins showed similar lightness values in all groups. CONCLUSION The best thickness/opacity combinations for masking discolored dental substrates were LT and MO ceramic veneers with 1.2-mm thickness. Dentin-shade composite resin veneers with a thickness of 0.7-1.0 mm showed good ability to mask discolored dental substrates.
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Affiliation(s)
- I Durães
- Iris Durães, MS, post-gradute student, PÓS Instituto de Ciências da Saude, Salvador, Brazil
| | - A Cavalcanti
- Andrea Cavalcanti, MS, PhD, professor, Bahia School of Medicine and Public Health (EBMSP), Department of Oral Rehabilitation, Salvador, Brazil
| | - P Mathias
- *Paula Mathias, MS, PhD, professor, Federal University of Bahia, Department of Clinical Dentistry, Salvador, Brazil
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Dos Santos RB, Collares K, Brandeburski SBN, Pecho OE, Della Bona A. Experimental methodologies to evaluate the masking ability of dental materials: A systematic review. J ESTHET RESTOR DENT 2021; 33:1118-1131. [PMID: 34085377 DOI: 10.1111/jerd.12791] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Revised: 04/19/2021] [Accepted: 05/25/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To conduct a systematic review on the masking ability of discolored substrates, analyzing the capacity and quality of the response produced by the different methodologies and techniques applied to overcome this clinical challenge. MATERIALS AND METHODS The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The electronic search was conducted in MEDLINE/PubMed, Scopus and Web of Science databases, without date restriction. In vitro studies, written in English, applying different methodologies to evaluate masking ability were included. The variables of interest were: type, color and thickness of the restorative and/or cement material; use of pigments in the restorative material and/or cement; color of the substrate; and background color used for the evaluations. RESULTS Database search retrieved 307 eligible papers with a final inclusion of 47 published papers. Approximately 98% of the studies used ΔE, 36% used TP, and only 6% used CR to evaluate the masking ability of restorative materials. CONCLUSIONS The most appropriate methodology to evaluate the masking ability is using color difference equations (ΔE) associated with the perceptibility and acceptability thresholds. CLINICAL SIGNIFICANCE As different methodologies have been used to evaluate the masking ability of esthetic restorative materials on colored substrates, there is an urgent need to reach a consensus and propose a method, which is suggested by the present systematic review.
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Affiliation(s)
- Renan Brandenburg Dos Santos
- Postgraduate Program in Dentistry, Dental School, University of Passo Fundo, Passo Fundo, Rio Grande do Sul, Brazil
| | - Kaue Collares
- Postgraduate Program in Dentistry, Dental School, University of Passo Fundo, Passo Fundo, Rio Grande do Sul, Brazil
| | - Suzane Boa Nova Brandeburski
- Postgraduate Program in Dentistry, Dental School, University of Passo Fundo, Passo Fundo, Rio Grande do Sul, Brazil
| | - Oscar E Pecho
- Postgraduate Program in Dentistry, Dental School, University of Passo Fundo, Passo Fundo, Rio Grande do Sul, Brazil
| | - Alvaro Della Bona
- Postgraduate Program in Dentistry, Dental School, University of Passo Fundo, Passo Fundo, Rio Grande do Sul, Brazil
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Impact of Bleaching before or after Veneer Preparation on Color Masking Ability of Laminate Veneers: An In Vitro Study. BIOMED RESEARCH INTERNATIONAL 2021; 2021:6611173. [PMID: 33997023 PMCID: PMC8099513 DOI: 10.1155/2021/6611173] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/26/2020] [Revised: 03/26/2021] [Accepted: 04/15/2021] [Indexed: 11/17/2022]
Abstract
Purpose This study evaluates the effect of bleaching before or after veneer preparation and the depth of preparation on color masking ability of laminate veneers. Methods. Sixty extracted premolars were artificially stained to vita shade A4, verified by digital spectrophotometer (Vita Easy Shade V), and then divided into three groups: NB = nonbleached, BBP = bleaching before preparation, and BAP = bleaching after preparation. Based on the preparation depths, each group was further divided into two subgroups: S1 = 0.5 mm and S2 = 1.0 mm. BBP and BAP were subjected to one session of in-office bleaching using 35% hydrogen peroxide. IPS e-max CAD veneers of 0.5 and 1.0 mm thickness (corresponding to the preparation depths) of the same shade and translucency (HT A1) were cemented immediately to the bleached surfaces. Immediately after cementation, the color change ΔE between the baseline (after staining) and the resulted shades was measured using the Vita Easy Shade V digital spectrophotometer and CIELab color system. Results Bleached groups exhibited a significant ΔE value compared to the nonbleached group (p < 0.05). BAP showed the highest ΔE value. No significant difference was found between BBP and BAP. S2 revealed a significant ΔE value than S1 (p < 0.05). No significant difference was found between S1of BAP and S2 of NB, BBP, and BAP (p > 0.05). Regarding the color coordinates, the difference between the tested groups was highly significant in lightness (ΔL∗) (p < 0.001), while no significant differences were found in green/red value (Δa∗) and yellow/blue value (Δb∗) (p > 0.05). Conclusions In cases of severe tooth discoloration, one session of in-office bleaching before or after veneer preparation and the preparation depth do not influence the color masking ability of laminate veneers.
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Önöral Ö, Günal-Abduljalil B, Ongun S. Effect of color of the cement and the composite resin foundation on the resultant color of resin-matrix ceramics. J Prosthet Dent 2020; 125:351.e1-351.e7. [PMID: 33172651 DOI: 10.1016/j.prosdent.2020.09.021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2019] [Revised: 09/01/2020] [Accepted: 09/01/2020] [Indexed: 11/20/2022]
Abstract
STATEMENT OF PROBLEM An improper restoration color match to the adjacent natural teeth can jeopardize esthetic success. The type of resin-matrix ceramic (RMC), the shade of the underlying foundation, and the shade of cement may affect the optical behavior of RMC materials, but studies on this issue are lacking. PURPOSE The purpose of this in vitro study was to assess the cumulative effect of different shades of composite resin foundation (CRF) and cement on the optical behaviors of 3 different RMCs. MATERIAL AND METHODS Forty-five rectangular RMC specimens (14×12×1 mm, shade A2) were prepared from 3 different blocks, including a polymer-infiltrated ceramic network (Vita Enamic [VE]), a resin nanoceramic (Lava Ultimate [LU]), and a flexible nanoparticle-filled resin (GC Cerasmart [GC]) (n=15 per RMC block). CRFs (14×12×4 mm) were fabricated in white and dentin shades (n=1 per composite resin shade). Cement specimens (G-CEM LinkForce) were prepared from 3 shades (A2, opaque [OP], and translucent [TR]) (n=15 per shade). For control groups, 3 rectangular RMC foundations (14×12×4 mm) were also milled from RMC blocks (n=1 per block). Color coordinates were recorded by using a digital spectrophotometer. The coordinates of 4-mm-thick RMC foundations served as the control groups. The coordinates of RMC specimens on each combination of CRF and cement served as test groups. The CIEDE2000 (ΔE00) formula was used to assess color differences. Data were subjected to 3-way ANOVA and Tukey honestly significant difference (HSD) tests (α=.05). RESULTS ΔE00 values of specimens were influenced by the CRF shade, cement shade, RMC type, as well as the interaction terms of the 3 variables (P<.001). Color differences in groups VE-A2-dentin, VE-OP-dentin, LU-OP-dentin, and GC-OP-dentin showed perceptible but clinically acceptable values (0.8<ΔE00≤1.8). The highest and lowest ΔE00 values were observed in the white-OP-LU (5.32 ±0.34) and dentin-OP-VE (0.94 ±0.31) groups. CONCLUSIONS Opaque cement on the white foundation led to the highest ΔE00 values in the resultant colors of all RMC groups. When used with the same shade on the dentin foundation, this cement produced clinically acceptable results.
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Affiliation(s)
- Özay Önöral
- Assistant Professor, Department of Prosthodontics, Faculty of Dentistry, Near East University, Nicosia, Mersin, Turkey.
| | - Burcu Günal-Abduljalil
- Assistant Professor, Department of Prosthodontics, Faculty of Dentistry, Near East University, Nicosia, Mersin, Turkey
| | - Salim Ongun
- Assistant Professor, Department of Prosthodontics, Faculty of Dentistry, Near East University, Nicosia, Mersin, Turkey
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Ongun S, Önöral Ö, Günal-Abduljalil B. Evaluation of shade correspondence between current monolithic CAD/CAM blocks and target shade tab by considering the influence of cement shade and restorative material thickness. Odontology 2020; 109:393-402. [PMID: 32989521 DOI: 10.1007/s10266-020-00554-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Accepted: 09/11/2020] [Indexed: 11/28/2022]
Abstract
It was aimed to evaluate shade matching between novel CAD/CAM blocks and the A2 target shade tab by considering the influence of cement shade and restorative material thickness on the chromatic background. A total number of 120 rectangular-shaped specimens were subtracted from four different prefabricated CAD/CAM blocks [Vita Enamic (VE), Lava Ultimate (LU), GC Cerasmart (GC), and Vita Mark II (VMII)]. These specimens had thicknesses of 0.5 mm and 1.0 mm. Three different shades (A2, opaque, and translucent) of dual-polymerized resin cement were chosen. The dentin shade (A3.5) restorative composite foundation was incrementally fabricated in a silicon mold. For control group, the A2 shade tab of the Vitapan classical shade guide was used. Different restorative material-cement-foundation assemblies were generated with optic gel. Color readings were performed by using a clinical spectrophotometer, and CIEDE2000 (ΔE00) formula was used to assess color differences. Data were statistically analyzed (α = 0.05). With increasing thickness, color difference values decreased. Higher mean ΔE00 units were observed in all restorative material sub-groups for 0.5 mm thickness. In TR shade, no statistically significant difference was detected among the mean ΔE00 values of 0.5 mm-thick restorative materials. Color differences in groups 1.0 mm-opaque-LU and 1.0 mm-opaque-GC indicated perceptible but clinically acceptable values (0.8˂ΔE00 ≤ 1.8). The highest and lowest ΔE00 units were observed in the 0.5 mm-A2-VE group (ΔE00 = 7.07) and 1 mm-opaque-GC group (ΔE00 = 1.46), respectively. Luting cement shade, restorative material type, and thickness significantly influenced the resultant color of restoration. Opaque cement on dentin foundation exhibited lower color differences.
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Affiliation(s)
- Salim Ongun
- Department of Prosthodontics, Faculty of Dentistry, Near East University, Near East Boulevard, 99138, Mersin 10, Nicosia, Turkey.
| | - Özay Önöral
- Department of Prosthodontics, Faculty of Dentistry, Near East University, Near East Boulevard, 99138, Mersin 10, Nicosia, Turkey
| | - Burcu Günal-Abduljalil
- Department of Prosthodontics, Faculty of Dentistry, Near East University, Near East Boulevard, 99138, Mersin 10, Nicosia, Turkey
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Valizadeh S, Mahmoudi Nahavandi A, Daryadar M, Özcan M, Hashemikamangar SS. The effect of ceramic thickness on opalescence. Clin Exp Dent Res 2020; 6:693-699. [PMID: 32902165 PMCID: PMC7745071 DOI: 10.1002/cre2.325] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Revised: 08/04/2020] [Accepted: 08/05/2020] [Indexed: 11/18/2022] Open
Abstract
Objectives Creating a tooth‐like appearance by use of dental ceramics is still a challenge. Opalescence is a unique property of dental enamel, attempted to be mimicked by dental restorative materials. This study aimed to assess the effect of ceramic thickness on opalescence. Materials and methods Twenty‐four discs were fabricated of feldspathic ceramic, IPS e.max, zirconia and Enamic ceramics with 10 mm diameter and 0.5 and 1 mm thicknesses (n = 12). The opalescence of ceramic specimens was calculated by measuring the difference in yellow‐blue axis (CIE ∆b*) and red‐green axis (CIE ∆a*) between the transmitted and reflected spectra. One‐way ANOVA was applied to compare the opalescence of different ceramic specimens with variable thicknesses at .05 level of significance. Results The opalescence of feldspathic, IPS e.max, zirconia and Enamic ceramic specimens with 0.5 mm thickness was 1.06 ± 0.15, 3.39 ± 0.15, 1.98 ± 0.15 and 1.44 ± 0.15, respectively. By increasing the thickness to 1 mm, the opalescence of feldspathic, IPS e.max, zirconia and Enamic ceramics changed to 1.12 ± 0.15, 1.47 ± 0.15, 3.85 ± 0.15 and 2.00 ± 0.15, respectively. In all groups except for IPS e.max, the mean opalescence of 1‐mm‐thick specimens was higher than that of 0.5‐mm‐thick specimens. Conclusion Type and thickness of ceramic affect its opalescence. The opalescence of all ceramic specimens tested in this study with 0.5 and 1 mm thicknesses was lower than that of the enamel.
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Affiliation(s)
- Sara Valizadeh
- Dental Research Center, Dentistry Research Institute, Restorative Dentistry Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Alireza Mahmoudi Nahavandi
- Color Imaging and Color Image Processing Department, Institute for Color Science and Technology (ICST), Tehran, Iran
| | - Marzieh Daryadar
- Restorative Dentist, Tehran University of Medical Sciences, Tehran, Iran
| | - Mutlu Özcan
- Division of Dental Biomaterials, Center for Dental and Oral Medicine, Clinic for Reconstructive Dentistry, University of Zürich, Zurich, Switzerland
| | - Sedighe Sadat Hashemikamangar
- Dental Research Center, Dentistry Research Institute, Department of Operative Dentistry, Dental School, Tehran University of Medical Sciences, Tehran, Iran
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Sonza QN, Della Bona A, Pecho OE, Borba M. Effect of substrate and cement on the final color of zirconia-based all-ceramic crowns. J ESTHET RESTOR DENT 2020; 33:891-898. [PMID: 32757249 DOI: 10.1111/jerd.12632] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2019] [Revised: 06/07/2020] [Accepted: 07/08/2020] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To evaluate the influence of the substrate and the cement on the final color of ceramic crowns. METHODS Prosthetic crowns (framework + porcelain) were fabricated using two all-ceramic systems (YZ, 3 mol% yttria-stabilized tetragonal zirconia; IZ, alumina-based zirconia-reinforced glass-infiltrated ceramic) and a metal-ceramic system (MC; n = 8). Metal (M) and resin (R) were used as substrate abutments. For R substrate, crowns were evaluated as seated (R) and after cementation (R-C). CIELAB color coordinates were obtained using a dental spectrophotometer with D65 light illumination. CIELAB, CIEDE2000 (1:1:1) and CIEDE2000 (2:1:1) color difference metrics were used. Data were analyzed using 95% confidence intervals and compared to perceptibility (PT) and acceptability (AT) thresholds. RESULTS The ∆ E ab * , ∆E00 (1 : 1 : 1), and ∆E00 (2 : 1 : 1) values of the restorative systems evaluated using different substrates (M.R) were similar to the AT values of each metric. When non-cemented and cemented crowns were evaluated (R.R-C), MC had color difference values at PT and below AT; while YZ and IZ showed similar values to AT, for ∆ E ab * and ∆E00 (1 : 1 : 1) metrics. CONCLUSION The substrate and cement affected the final color of zirconia-based all-ceramic crowns, but the color differences corresponded to an acceptable match. CLINICAL SIGNIFICANCE As both substrate and cement influence the final color of multi-layered ceramic prosthesis, dentists and dental technicians should understand the optical properties of dental ceramics to reproduce the natural appearance of dental structures and maximize the chance for excellent color matches.
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Affiliation(s)
- Queli N Sonza
- Post-Graduate Program in Dentistry, Dental School, University of Passo Fundo, Passo Fundo, Brazil
| | - Alvaro Della Bona
- Post-Graduate Program in Dentistry, Dental School, University of Passo Fundo, Passo Fundo, Brazil
| | - Oscar E Pecho
- Post-Graduate Program in Dentistry, Dental School, University of Passo Fundo, Passo Fundo, Brazil
| | - Marcia Borba
- Post-Graduate Program in Dentistry, Dental School, University of Passo Fundo, Passo Fundo, Brazil
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Tabatabaei MH, Matinfard F, Omrani LR, Mahounak FS, Ahmadi E. Evaluation of the Final Color of Ceramic Veneers with Different Self-Adhesive Resin Cements. Open Dent J 2019. [DOI: 10.2174/1874210601913010203] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background:
Proper selection of cement plays an effective role in the success of ceramic laminate veneers. The cement can affect the final color by changing the optical properties of the ceramic.
Objective:
Due to the ease of clinical use of the seventh generation of cement (Self-Adhesive Cement), this study aimed to evaluate the effect of this type of cement on the final color of Ceramic Veneers (CV).
Methods:
In this study, 21 IPS e.max ceramic disks (8mm× 0.7 mm) were used. They were divided into 3 groups of 7, depending on the type of cement. (Choice 2, RelyX U200, Speed Cem). In the first stage, ceramic disks were set on the facial surface of bovine’s teeth by bonding agents and the color properties were analyzed by spectrophotometer. In the next stage, specimens were cemented on the prepared surfaces according to the manufacturer’s instructions and their color was evaluated subsequently.
Results:
Results were analyzed by repeated measures two-way ANOVA and TAMHANE post hoc methods (P < 0.05). Results showed that cement influences the color of the ceramic laminate. ∆E values were reported to be higher than the critical point after cementation (∆E > 2.69).
Conclusion:
There was no significant difference between the effects of three cement types on the final color of the ceramic veneers.
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Masking ability of indirect restorative systems on tooth-colored resin substrates. Dent Mater 2019; 35:e122-e130. [DOI: 10.1016/j.dental.2019.03.001] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2018] [Revised: 02/28/2019] [Accepted: 03/04/2019] [Indexed: 11/21/2022]
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Dundar Yilmaz B, Seyfioglu Polat Z, Deniz Izgi A, Toprak Gunduz D, Seseogullari Dirihan R. The contribution of ceramic thickness and adhesive type on the de-bonding strength of dental ceramic veneers using Er,Cr:YSGG laser. JOURNAL OF ORAL RESEARCH 2019. [DOI: 10.17126/joralres.2019.021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Purpose: De-bonding strength of ceramic veneers by laser use needs to be evaluated in detail. The aim of this study, is to determine the contribution of ceramic thickness and cementing agents to the de-bonding strength of ceramic veneers using Er,Cr:YSGG laser. Methods: A total of 120 maxillary central incisors specimens were randomly divided into twelve groups on the basis of disc thickness, cementing agent, and Er,Cr:YSGG laser use. Under laboratory conditions, 120 IPS Empress II system discs 0.5mm, 1mm, and 2mm in thickness were applied to the tooth surfaces, for laser use. An Er,Cr:YSGG laser system was applied to the central surface of the IPS Empress II discs on specimens in all laser groups (Groups 1,3,5,7,9,11). Then the shear bond strength (SBS) for all specimens were tested with a testing machine at a speed of 0.5mm/min. The SBS values were considered as the de-bonding strength. Results: The mean de-bonding strength values for Groups 9 and 11 (0,5 mm disc thickness + laser application) have the lowest median load (0.000 N), while Group 4 (2mm disc thickness + no laser) has the highest median load (573.885 N). The de-bonding strengths of all the groups without laser application were higher than those of all groups with laser use. When laser is applied, the mean de-bonding strength decreases with decreasing disc thickness, and it reaches zero at 0.5mm thickness of discs cemented by self- or total-etch adhesives. Conclusions: The de-bonding strength decreases with laser use, and decreasing disc thickness. In the absence of laser, the mean de-bonding values of discs cemented by a total etch adhesive system are always higher than those of discs cemented with a self-etch adhesive system. Without any extra load, all 0.5mm thick discs were dislodged from teeth while applying or testing the laser.
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Kandil BSM, Hamdy AM, Aboelfadl AK, El-Anwar MI. Effect of ceramic translucency and luting cement shade on the color masking ability of laminate veneers. Dent Res J (Isfahan) 2019; 16:193-199. [PMID: 31040876 PMCID: PMC6474172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
BACKGROUND The aim of this study was to evaluate the effect of ceramic material types, degree of veneer translucency, and luting cement shades on masking the underlying dark dental substrate to achieve best esthetics. MATERIALS AND METHODS In this in vitro study, 56 specimens each of 0.5-mm thickness were fabricated from two esthetic veneer materials Vita Enamic and Vita Suprinity, with two different translucencies, i.e., HT and T. To simulate the color of a dark underlying dental structure, background discs with C3 shade were fabricated using resin composite. The ceramic specimens with varying translucencies were cemented on the dark background of the resin composite with A1 and opaque white shades of resin luting cement. Color difference (ΔE) values from a reference color (A1 shade) were calculated using a spectrophotometer. The results were then statistically analyzed using three-way ANOVA test (α = 0.05). RESULTS The ΔE values of both ceramic systems were affected by both the degree of veneer translucency (P = 0.00) and the luting agent shade (P = 0.016). The use of an opaque luting agent and T translucency resulted in a decrease in the ΔE* values for all ceramics tested, regardless to the material type. Suprinity and Enamic showed similarity in the masking ability of dark substrate after cementation. CONCLUSION None of the 0.5-mm veneers of the two ceramic systems could reach A1 shade without a detectable color difference after cementation. The change in degree of veneer translucency was more effective than the change in luting agent shade in masking the underlying dark substrate.
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Affiliation(s)
| | - Amena M. Hamdy
- Department of Prosthodontics, Ain Shams University, Cairo, Egypt
| | - Ahmed K. Aboelfadl
- Department of Prosthodontics, Ain Shams University, Cairo, Egypt,Department of Oral Technology, Bonn University, Bonn, Germany
| | - Mohamed I. El-Anwar
- Department of Mechanical Engineering, National Research Centre, Giza, Egypt,Address for correspondence: Dr. Mohamed I. El-Anwar, Department of Mechanical Engineering, National Research Centre, 33 El Bohouth Street, P.O. 12622, Dokki, Giza, Egypt. E-mail:
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Diniz RS, Albuquerque LFBD, Tavarez RDJR, Moffa EB, Lago ADN, Gonçalves LM. Correspondence between try-in pastes and resin cements, and color stability of bonded lithium disilicate disks. Braz Oral Res 2019; 33:e009. [DOI: 10.1590/1807-3107bor-2019.vol33.0009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2018] [Accepted: 01/09/2019] [Indexed: 11/22/2022] Open
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Perroni AP, Kaizer MR, Della Bona A, Moraes RR, Boscato N. Influence of light-cured luting agents and associated factors on the color of ceramic laminate veneers: A systematic review of in vitro studies. Dent Mater 2018; 34:1610-1624. [DOI: 10.1016/j.dental.2018.08.298] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2018] [Accepted: 08/28/2018] [Indexed: 11/25/2022]
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21
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Gürdal I, Atay A, Eichberger M, Cal E, Üsümez A, Stawarczyk B. Color change of CAD-CAM materials and composite resin cements after thermocycling. J Prosthet Dent 2018; 120:546-552. [DOI: 10.1016/j.prosdent.2017.12.003] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2017] [Revised: 12/06/2017] [Accepted: 12/06/2017] [Indexed: 11/25/2022]
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Gunal B, Ulusoy MM. Optical properties of contemporary monolithic CAD-CAM restorative materials at different thicknesses. J ESTHET RESTOR DENT 2018; 30:434-441. [DOI: 10.1111/jerd.12382] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Affiliation(s)
- Burcu Gunal
- Department of Prosthodontics, Faculty of Dentistry; Near East University; Mersin10 Turkey
| | - M. Mutahhar Ulusoy
- Department of Prosthodontics, Faculty of Dentistry; Near East University; Mersin10 Turkey
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Pasini M, Brandt WC, Miranda ME, Olivieri KAN, Vitti RP. Resistência da união ao microcisalhamento de cimento resinoso e resina fluida à cerâmica de dissilicato de lítio. JOURNAL OF ORAL INVESTIGATIONS 2018. [DOI: 10.18256/2238-510x.2018.v7i1.2592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Objetivos: O objetivo neste estudo foi avaliar a resistência da união ao microcisalhamento de uma resina composta microhíbrida de baixa viscosidade (fluida) e de um cimento resinoso fotopolimerizável aplicados a uma cerâmica de dissilicato de lítio. Métodos: Discos de uma cerâmica de dissilicato de lítio (IPS e.max CAD, Ivoclar Vivadent) foram divididos em 2 grupos (n = 10), de acordo com material utilizado para a cimentação: cimento resinoso (Allcem Veneer, FGM) ou resina composta microhíbrida fluida (Opallis Fluida, FGM). Previamente a aplicação do material para cimentação, todas as cerâmicas receberam tratamento superficial padronizado: condicionamento com ácido fluorídrico a 10% (Condac Porcelana, FGM) por 20 s, lavagem com água por 60 s, secagem com ar por 30s e aplicação de silano (Prosil, FGM). Os materiais foram inseridos em uma matriz elastomérica (0,5 mm x 1,2 mm) sobre o bloco cerâmico. Quatro cilindros por grupo foram construídos e fotoativados por um aparelho de diodo emissor de luz (LED, Valo, Ultradent) por 40 s a uma irradiância de 1200 mW/cm2. O teste de microcisalhamento foi feito utilizando uma máquina de ensaio universal (EMIC) a uma velocidade de 0,5 mm/min. Os dados (MPa) foram submetidos ao teste de normalidade (Kolmogorov-Smirnov) e one-way ANOVA, sendo as médias comparadas pelo teste de Tukey (α=0,05). Resultados: O cimento resinoso apresentou resistência da união ao microcisalhamento estatisticamente superior à resina composta fluida (ρ=0,020). Conclusão: Melhor desempenho na união à cerâmica de dissilicato de lítio foi obtido utilizando cimento resinoso.
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Celik N, Yapar MI, Taşpınar N, Seven N. The Effect of Polymerization and Preparation Techniques on the Microleakage of Composite Laminate Veneers. Contemp Clin Dent 2017; 8:400-404. [PMID: 29042725 PMCID: PMC5643997 DOI: 10.4103/ccd.ccd_46_17] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Marginal leakage is the important factor influencing the maintenance of dental esthetic. AIM The purpose of this study was to evaluate the relationship between the preparation techniques and type of polymerization techniques on microleakage of composite laminate veneers. MATERIALS AND METHODS Ninety-one same sized, caries-free human maxillary central incisors were randomly assigned to 13 groups (n = 7) and were designed with four different preparation techniques (window type, feather type, bevel type, and incisal overlap type). One group determined as control group and any preparation was applied. Nanohybrid resin composite was used for restoration. Composite laminate veneers polymerized with three different techniques (direct light curing, indirect polymerization with a combination of pressure, light and heat using a light cup and heat cup, direct polymerization, and additionally heat cured in an oven). The specimens were thermocycled, and then immersed in 5% basic fuchsine solution. Following 24 h, all specimens were immersed in 65% nitric acid solutions for volumetric dye extraction test. Samples diluted with distilled water and centrifuged and microleakage determined by a spectrophotometer. STATISTICAL ANALYSIS USED Data were analyzed with two-way ANOVA and Tukey honest significant difference post hoc multiple comparisons test (P < 0.05). RESULTS For comparing the microleakage value of preparation and polymerization techniques, Window type preparation showed a significant difference in direct polymerization + additional cured group (P < 0.05). Control group was statistically different from the other groups (P < 0.05). CONCLUSIONS Window type laminate preparation can be preferred in indirect polymerization technique because it caused less leakage in this present study.
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Affiliation(s)
- Neslihan Celik
- Department of Restorative Dentistry, Faculty of Dentistry, Ataturk University, 25240, Erzurum, Turkey
| | - Merve Iscan Yapar
- Department of Restorative Dentistry, Faculty of Dentistry, Ataturk University, 25240, Erzurum, Turkey
| | - Numan Taşpınar
- Department of Medical Pharmacology, Faculty of Dentistry, Ataturk University, 25240, Erzurum, Turkey
| | - Nilgun Seven
- Department of Restorative Dentistry, Faculty of Dentistry, Ataturk University, 25240, Erzurum, Turkey
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Color match of a feldspathic ceramic CAD-CAM material for ultrathin laminate veneers as a function of substrate shade, restoration color, and thickness. J Prosthet Dent 2017; 119:455-460. [PMID: 28552290 DOI: 10.1016/j.prosdent.2017.02.022] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2016] [Revised: 02/20/2017] [Accepted: 02/21/2017] [Indexed: 11/21/2022]
Abstract
STATEMENT OF PROBLEM The final color of a ceramic restoration, especially an ultrathin veneer, is important, but selecting the correct shade is difficult because the substrate can affect the final color of the restoration. PURPOSE The purpose of this in vitro study was to investigate the effect of substrate shade and thickness on the final color of ultrathin laminate veneers milled from feldspathic ceramic and to present a straightforward methodology with which a clinician can visualize the effects of substrate color, ceramic thickness, and prefabricated computer-aided design and computer-aided manufacturing (CAD-CAM) block color on the final color of the restoration. MATERIAL AND METHODS All specimens were fabricated by slicing CAD-CAM feldspathic ceramic material with a precision cutter into 12×10-mm slices of approximately 0.35, 0.55, 0.75, and 1.55 mm in thickness with 10 different colors (0M1-1M1-1M2-2M1-2M2-2M3-3M1-3M2-3M3-4M1). As a background substrate, composite resin disks (12×10×2 mm) were fabricated with different shades (0M1 S, 1M1 S, 2M3 S, 3M2 S, 4M3 S, 5M3 S). The CIELab values of the polished surfaces of each specimen were measured on a background (white or simulated foundation) with a spectrophotometer by a single experienced operator, and color differences (ΔE) were calculated. Mean ±SD values were calculated and subjected to ANOVA with 2 variables (substrate and ceramic color) (α=.05). RESULTS Combinations of a lighter substrate shade and a lighter value ceramic restoration and of a darker substrate shade and darker value ceramic restoration only changed the final color of the restoration minimally. CONCLUSIONS The final color of a dental restoration is affected by the thickness of the restoration, the substrate color, and the ceramic color. Lighter and darker substrate colors show more color changes, and thin veneers cannot mask the substrate color.
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Perroni AP, Bergoli CD, Dos Santos MBF, Moraes RR, Boscato N. Spectrophotometric analysis of clinical factors related to the color of ceramic restorations: A pilot study. J Prosthet Dent 2017; 118:611-616. [PMID: 28385444 DOI: 10.1016/j.prosdent.2016.12.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2016] [Revised: 12/30/2016] [Accepted: 12/30/2016] [Indexed: 11/18/2022]
Abstract
STATEMENT OF PROBLEM Shade matching natural teeth with ceramic restorations is still an esthetic, clinical challenge. PURPOSE The purpose of this prospective clinical study was to evaluate the influence of color-related factors on the color variation of ceramic restorations based on spectrophotometric analysis. MATERIAL AND METHODS Color records were obtained from 11 participants who received 38 lithium disilicate restorations. CIELab color coordinates were measured with a spectrophotometer on the ceramic restoration, tooth (baseline), prepared tooth, and luted ceramics. Color variation (ΔE00) was calculated for each variable (luting agent and restoration type, tooth substrate shade, ceramic thickness, and translucency parameters) measured at baseline on the prepared tooth and after cementation of the restorations. Confidence intervals (CI) for the means (95% CI) were calculated, and the ΔE00 values and CIELab individual color coordinates were compared for each pair of variable by using the Student t test or Welch test (α=.05). RESULTS Greater color variation values were observed between measurements obtained on the prepared tooth and luted restoration. The lower ΔE00 values were observed over darker tooth substrate measured at baseline and after luting (P=.007). CONCLUSIONS The 3 conditions evaluated presented clinically visible color differences, highlighting the importance of clinical evaluations on the visual color acceptability limits for restorations, which are usually defined in laboratory studies. The lithium disilicate ceramic showed lower masking ability over darker tooth substrate, whereas the coordinates L*, a*, and b* were cementation-dependent.
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Affiliation(s)
- Ana Paula Perroni
- Doctoral student, Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - César D Bergoli
- Professor, Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | | | - Rafael R Moraes
- Professor, Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - Noéli Boscato
- Professor, Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil.
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