Cai Xue, Nie Jie, Wang Zu-hua, Tian Hong-yan, Zhao Ying, Wang Xiao-yan
Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology, Beijing 100081, China.
Department of Conservative Dentistry, Beijing Chongwen Hospital of Stomatology, Beijing 100062, China.
Beijing Da Xue Xue Bao Yi Xue Ban. 2015 Feb 18;47(1):120-3.
To evaluate effects of color matching of different cavosurface margins on the resin composites in vitro.
Twenty extracted human premolars with an A2 shade buccal surface were used in this study. Rectangular shaped cavities (3.0 mm depth, 2.0 mm width, 2.0 mm length) were prepared in the center of the buccal surfaces. The gingival and occlusal cavosurface margins were prepared to be either shoulder or bevel; the other cavosurface margins remained vertical. Ten teeth were filled with Clearfil AP-X (AP), the other ten with Clearfil Majesty (MJ) and light cured. The color difference at the cavosurface margin area was measured using a spectrophotometer (CrystalEye) and evaluated by 3 observers subjectively. The data were statistically analyzed using repeated measures ANOVA and Chi-square test.
When measured by CrystalEye, the color difference between the tooth and resin composite was reduced from the center of restoration to the cavosurface margin area. Both objective and subjective evaluations showed that for AP, the color difference at the cavosurface margin area had no statistical difference among 3 types of the margins; for MJ, the color difference at bevel margin area was significantly smaller than that at the vertical margin area.
The resin composite restorations produced the color matching at marginal area. The color matching of resin composites with higher diffused light transmission property is more susceptible to the type of cavosurface margins. Preparing bevels may reduce the color difference between the restoration and tooth surface.
在体外评估不同洞缘斜面颜色匹配对树脂复合材料的影响。
本研究使用20颗颊面为A2色的拔除人类前磨牙。在颊面中央制备矩形洞(深度3.0mm、宽度2.0mm、长度2.0mm)。龈缘和咬合洞缘斜面制备成肩台或斜面;其他洞缘保持垂直。10颗牙齿用Clearfil AP-X(AP)充填,另外10颗用Clearfil Majesty(MJ)充填并光固化。使用分光光度计(CrystalEye)测量洞缘区域的颜色差异,并由3名观察者进行主观评估。数据采用重复测量方差分析和卡方检验进行统计学分析。
用CrystalEye测量时,牙齿与树脂复合材料之间的颜色差异从修复体中心到洞缘区域逐渐减小。客观和主观评估均显示,对于AP,3种洞缘类型在洞缘区域的颜色差异无统计学差异;对于MJ,斜面洞缘区域的颜色差异明显小于垂直洞缘区域。
树脂复合材料修复体在边缘区域实现了颜色匹配。具有较高漫射光透射性能的树脂复合材料的颜色匹配更容易受到洞缘斜面类型的影响。制备斜面可减少修复体与牙面之间的颜色差异。