Lauvahutanon Sasipin, Shiozawa Maho, Takahashi Hidekazu, Iwasaki Naohiko, Oki Meiko, Finger Werner J, Arksornnukit Mansuang
Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Department of Removable Partial Prosthodontics, Division of Oral Health Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
Restor Dent Endod. 2017 Feb;42(1):9-18. doi: 10.5395/rde.2017.42.1.9. Epub 2016 Dec 8.
This study evaluated color differences (Δs) and translucency parameter changes (Δs) of various computer-aided design/computer-aided manufacturing (CAD/CAM) blocks after immersion in coffee.
Eight CAD/CAM blocks and four restorative composite resins were evaluated. The CIE values of 2.0 mm thick disk-shaped specimens were measured using the spectrophotometer on white and black backgrounds ( = 6). The Δs and Δs of one day, one week, and one month immersion in coffee or water were calculated. The values of each material were analyzed by two-way ANOVA and Tukey's multiple comparisons (α = 0.05). The Δs after prophylaxis paste polishing of 1 month coffee immersion specimens, water sorption and solubility were also evaluated.
After one month in coffee, Δs of CAD/CAM composite resin blocks and restorative composites ranged from 1.6 to 3.7 and from 2.1 to 7.9, respectively, and Δs decreased. The ANOVA of Δs and Δs revealed significant differences in two main factors, immersion periods and media, and their interaction except for Δs of TEL (Telio CAD, Ivoclar Vivadent). The Δs significantly decreased after prophylaxis polishing except GRA (Gradia Block, GC). There was no significant correlation between Δs and water sorption or solubility in water.
The Δs of CAD/CAM blocks after immersion in coffee varied among products and were comparable to those of restorative composite resins. The discoloration of CAD/CAM composite resin blocks could be effectively removed with prophylaxis paste polishing, while that of some restorative composites could not be removed.
本研究评估了各种计算机辅助设计/计算机辅助制造(CAD/CAM)块材在浸入咖啡后颜色差异(ΔE)和透明度参数变化(Δs)。
评估了8种CAD/CAM块材和4种修复用复合树脂。使用分光光度计在白色和黑色背景(n = 6)上测量2.0 mm厚圆盘形试样的CIE值。计算在咖啡或水中浸泡1天、1周和1个月后的ΔE和Δs。每种材料的值通过双向方差分析和Tukey多重比较进行分析(α = 0.05)。还评估了1个月咖啡浸泡试样经预防性抛光膏抛光后的ΔE、吸水性和溶解性。
在咖啡中浸泡1个月后,CAD/CAM复合树脂块材和修复用复合材料的ΔE分别为1.6至3.7和2.1至7.9,且Δs降低。ΔE和Δs的方差分析显示,除TEL(Telio CAD,义获嘉伟瓦登特公司)的Δs外,浸泡时间和介质这两个主要因素及其相互作用存在显著差异。除GRA(Gradia Block,GC公司)外,预防性抛光后ΔE显著降低。ΔE与吸水性或在水中的溶解性之间无显著相关性。
CAD/CAM块材在浸入咖啡后的ΔE因产品而异,与修复用复合树脂的ΔE相当。CAD/CAM复合树脂块材的变色可通过预防性抛光膏有效去除,而一些修复用复合材料的变色则无法去除。