Influence of Different Cements on the Color Outcomes of Titanium-Based Lithium Disilicate All-Ceramic Crowns and Peri-implant Soft Tissue

The effects of provisional resin cements on the color and retentive strength of all-ceramic restorations cemented on customized zirconia abutments

This study aimed to evaluate the effects of two types of provisional resin cements on the color and retentive strength of two different all-ceramic restorations cemented onto customized zirconia abutments. Forty-two crowns were made of monolithic zirconia and lithium disilicate ceramics (n = 21 per group) and cemented on customized zirconia abutments by using two provisional resin cements of TempBond Clear and Implantlink Semi, and TempBond serving as the control (n = 7 per cement subgroup). The specimens’ color was measured before and after cementation and after thermocycling. The color difference was calculated by using CIEDE2000 formula (ΔE₀₀). The tensile force was applied to assess the retentive strength. Kruskal-Wallis, Dunn’s post-hoc, and Mann-Whitney non-parametric tests were used to compare ΔE₀₀(1) and ΔE₀₀(2) and two-way ANOVA followed by one-way ANOVA and Tukey’s HSD post hoc test and T-test were used to compare retentive strength between subgroups. In the lithium disilicate group, ΔE₀₀ of the control subgroup (TempBond) was significantly higher than that of Implantlink Semi cements subgroup (P = 0.001). But, in the monolithic zirconia group, ΔE₀₀ of the control subgroup (TempBond) was significantly higher than that of Implantlink Semi (P = 0.020) and TempBond Clear cements (P = 0.007). In the monolithic zirconia group, the control subgroup (TempBond) was significantly more retentive than TempBond Clear (P = 0.003) and Implantlink Semi cement (P = 0.001). However, in the lithium disilicate group, Implantlink Semi cement was significantly more retentive than TempBond Clear (P = 0.019) and TempBond (control) (P = 0.001). The final color of both restorations was significantly affected by the provisional resin cement type. The retentive strength was influenced by both the type of cement and ceramic.