Influence of the core material and the glass infiltration mode on the color of glass-infiltrated ceramic veneers over discolored backgrounds. A spectrophotometric evaluation.

The purpose of this study was to evaluate the influence of the core material (Spinell or Alumina) and the glass infiltration mode (under or without vacuum) on the color of 2M2 Vita In-Ceram Spinell and Alumina ceramic veneers (Vident) for the restoration of 5M1 discolored backgrounds. A total of 40 In-Ceram Spinell (SP, n = 20) and Alumina (AL, n = 20) disks (diameter 10.0 mm, thickness 0.4 mm, Vident) were glass-infiltrated under (V, n = 20) or without vacuum (A, n = 20) using a translucent glass (S1, Vident) and then veneered (2M2 Vitadur Alpha, total thickness 0.7 mm). The veneer specimens were bonded onto the 5M1 color backgrounds (Vitadur Alpha, diameter 10.0 mm, thickness 2.0 mm) using a dual curing adhesive cement (Panavia F 2.0 Light, Kuraray), to create the study groups (SPV, SPA, ALV, ALA, each n = 10). Ten 2M2 feldspathic veneer disks (Vitadur Alpha, diameter 10.0 mm, thickness 0.7 mm) bonded onto 2M2 color backgrounds (Vitadur Alpha, diameter 10.0 mm, thickness 2.0 mm) were used as control (CTR group). Lab* color coordinates were measured 5 times for each study group and control specimen using a Vita Easyshade spectrophotometer (Vident). Mean color differences (DeltaE) were calculated using the equation DeltaE = (DeltaL2 + Deltaa2 + Deltab*2)1/2. Mean color differences and standard deviations between each study group and the control group were: 7.31 +/- 0.99 for SPV; 7.23 +/- 0.61 for SPA; 5.81 +/- 1.41 for ALV; and 6.25 +/- 0.89 for ALA. Two-way ANOVA followed by t test showed that only the core material had a statistically significant effect on the final color performance (alpha = .05, P = .000). The core material (Spinell or Alumina) significantly influenced the core-related opacity, while the glass infiltration mode (under or without vacuum) had a minor effect on the final color establishment of both glass-infiltrated veneers over discolored backgrounds. Regarding the reported clinical visible thresholds, In-Ceram Alumina ceramic veneers showed the greatest improvement in the color performance of discolored teeth compared with all other groups.