Assistant Professor, Department of General Practice and Materials Science, College of Dentistry, The Ohio State University, Columbus, Ohio.
Associate Professor, Department of Restorative Science and Prosthodontics, College of Dentistry, The Ohio State University, Columbus, Ohio.
J Prosthet Dent. 2019 Aug;122(2):160-166. doi: 10.1016/j.prosdent.2018.09.011. Epub 2019 Mar 15.
STATEMENT OF PROBLEM: Assessing the long-term stainability and durability of restorative materials is an important parameter for determining clinical success and longevity. Information remains limited regarding the color stainability and translucency of the recently introduced ceramic materials for restorative treatment. PURPOSE: The purpose of this in vitro study was to compare the effect of cyclic immersion in hot and cold coffee on the color stainability and translucency of 6 computer-aided design and computer-aided manufacturing (CAD-CAM) restorative materials at thicknesses which represent a laminate veneer and a complete crown. MATERIAL AND METHODS: CAD-CAM restorative materials including zirconia-reinforced lithium silicate ceramic (Celtra Duo), lithium disilicate glass-ceramic (IPS e.max CAD), polymerized resin nanoceramic (Lava Ultimate), integrated ceramic and acrylate polymer network material (VITA ENAMIC), zirconia-reinforced lithium silicate (VITA SUPRINITY), and zirconia (VITA YZ HT) were studied in 2 thicknesses for laminate veneer (0.7 mm) and complete crown application (1.3 mm to 1.5 mm). For each specimen, color difference on a gray backing was calculated using a spectroradiometer between its baseline color and after 6000 cycles of coffee thermocycling. The colors of the specimens on the black and white backings were used to calculate the relative translucency parameter from the CIEDE2000 color difference formula. An ANOVA and the Bonferroni-corrected Student t tests were used for testing statistical significance (α=.05). RESULTS: No difference was found among the means of color change after coffee thermocycling between any 2 materials for the crown thickness (P>.999), and no difference was found among the means of color change between the 2 thickness groups within each material (P≥.187). However, the mean color change of the resin nanoceramic material in laminate veneer application (0.7 mm) was greater than that of every other material in the veneer thickness group (P<.001), and the mean color change of the integrated ceramic and acrylate polymer network material was greater than that of the lithium disilicate glass-ceramic material studied at the veneer thickness (P=.014). Translucency was found to be lower for complete crown thickness compared with laminate veneer thickness within each combination of material and coffee thermocycling (P<.001). The translucency of the lithium disilicate glass-ceramic material studied at the laminate veneer thickness was also found to be higher after coffee thermocycling (P=.033). Furthermore, several differences among materials were found for each combination of thickness and coffee. CONCLUSIONS: Color change after coffee thermocycling of the resin nanoceramic material was beyond the acceptability threshold. The lower translucency found for crown thickness compared with veneer thickness was verified.
问题陈述:评估修复材料的长期耐污渍性和耐久性是确定临床成功率和使用寿命的一个重要参数。有关最近用于修复治疗的陶瓷材料的颜色耐污渍性和半透明度的信息仍然有限。
目的:本体外研究的目的是比较循环浸泡在热咖啡和冷咖啡中对 6 种计算机辅助设计和计算机辅助制造(CAD-CAM)修复材料的颜色耐污渍性和半透明度的影响,这些材料的厚度分别代表层压贴面和全冠。
材料和方法:研究了 CAD-CAM 修复材料,包括氧化锆增强硅酸锂陶瓷(Celtra Duo)、二硅酸锂玻璃陶瓷(IPS e.max CAD)、聚合树脂纳米陶瓷(Lava Ultimate)、一体化陶瓷和丙烯酰聚合物网络材料(VITA ENAMIC)、氧化锆增强硅酸锂(VITA SUPRINITY)和氧化锆(VITA YZ HT),厚度分别为层压贴面(0.7 毫米)和全冠应用(1.3 毫米至 1.5 毫米)。对于每个样本,使用光谱光度计在灰色背景下计算其基线颜色和经过 6000 次咖啡热循环后的色差。使用 CIEDE2000 色差公式计算黑色和白色背景上样本的颜色,得出相对半透明度参数。使用方差分析和 Bonferroni 校正学生 t 检验进行统计显著性检验(α=.05)。
结果:对于冠厚度(P>.999),任何两种材料之间经过咖啡热循环后的颜色变化平均值之间没有差异,并且在每种材料的两个厚度组内,颜色变化平均值之间没有差异(P≥.187)。然而,在层压贴面应用(0.7 毫米)中,纳米树脂陶瓷材料的平均颜色变化大于层压贴面厚度组中其他所有材料(P<.001),而一体化陶瓷和丙烯酰聚合物网络材料的平均颜色变化大于层压贴面厚度的二硅酸锂玻璃陶瓷材料(P=.014)。在每种材料和咖啡热循环的组合中,全冠厚度的半透明度均低于层压贴面厚度(P<.001)。经过咖啡热循环后,层压贴面厚度研究的二硅酸锂玻璃陶瓷材料的半透明度也更高(P=.033)。此外,在每种厚度和咖啡的组合中,还发现了几种材料之间的差异。
结论:经过咖啡热循环后,纳米树脂陶瓷材料的颜色变化超过了可接受的阈值。验证了全冠厚度的半透明度低于层压贴面厚度的结果。
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