Juntavee Niwut, Juntavee Apa, Srisontisuk Supichaya
Department of Prosthodontics, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand.
Division of Pediatric Dentistry, Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand.
Eur J Dent. 2023 Oct;17(4):1263-1274. doi: 10.1055/s-0042-1759886. Epub 2023 Jan 11.
Color stability of provisional restoration is crucial for full mouth reconstruction, which is probably influenced by aging. Therefore, this study evaluated the effect of aging on the color appearance of different provisional materials.
Rectangular specimens (10 × 10 × 2 mm) were fabricated from computer-aided design-computer-aided manufacturing (CAD-CAM) (Vita CAD-Temp [VC], TelioCAD [TC], artBloc [RC]), autopolymerized (ProtempIV [PA], Luxatemp [LA], UnifastTrad [UA]), and heat-polymerized polymer (Major C&B [MH]). Each was divided into aging (AG, 5,000 thermocycles of 5°/55°C) and non-aging group ( = 21/group). Color parameters were determined using a spectrophotometer through the CIELAB system. The L*, a*, and b* data were calculated for color appearance (∆), translucency parameter (TP), contrast ratio (CR), and opalescence parameter (OP) for each.
An analysis of variance and multiple comparisons were determined for a significant difference in color appearance alteration of materials upon aging ( = 0.05).
Statistically significant differences of L*, a*, b*, ∆, TP, CR, and OP due to the effect of types of material ( < 0.05), aging effect ( < 0.05), and their interactions ( < 0.05) were indicated. Aging affects the color appearance, lightness, chromaticity, translucency, contrast, and opalescence of various types of provisional materials. Color appearance alteration of provisional materials was significantly indicated upon aging ( < 0.05) but within the perceivable limit of clinical acceptance (∆ < 3.0), except for PA and MH. Color stability of CAD-CAM-based poly-methyl methacrylate (PMMA) and autopolymerized PMMA upon aging were better than bis-acryl resin and heat-polymerized PMMA. The TP, CR, and OP alterations of tested materials upon aging were within the perceivable limit.
Color appearance of provisional restorative materials was influenced by aging. The CAD-CAM-based PMMA and autopolymerized PMMA materials showed better color stability than bis-acryl provisional resin and heat-polymerized PMMA upon aging. Therefore, they were suggested as provisional materials for oral rehabilitation.
临时修复体的颜色稳定性对于全口重建至关重要,其可能受老化影响。因此,本研究评估了老化对不同临时材料颜色外观的影响。
通过计算机辅助设计-计算机辅助制造(CAD-CAM)(维他CAD-Temp [VC]、TelioCAD [TC]、artBloc [RC])、自凝(ProtempIV [PA]、Luxatemp [LA]、UnifastTrad [UA])以及热聚合聚合物(Major C&B [MH])制作矩形试件(10×10×2mm)。每种材料均分为老化组(AG,5000次5°/55°C的热循环)和未老化组(每组n = 21)。使用分光光度计通过CIELAB系统测定颜色参数。计算每组的颜色外观(∆)、半透明参数(TP)、对比度(CR)和乳光参数(OP)的L*、a和b数据。
确定方差分析和多重比较,以分析老化后材料颜色外观变化的显著差异(α = 0.05)。
结果表明,材料类型(P < 0.05)、老化效应(P < 0.05)及其相互作用(P < 0.05)对L*、a*、b*、∆、TP、CR和OP有统计学显著差异。老化会影响各种类型临时材料的颜色外观、明度、色度、半透明度、对比度和乳光。除PA和MH外,临时材料老化后的颜色外观变化显著(P < 0.05),但在临床可接受的感知限度内(∆ < 3.0)。基于CAD-CAM的聚甲基丙烯酸甲酯(PMMA)和自凝PMMA老化后的颜色稳定性优于双丙烯酸树脂和热聚合PMMA。测试材料老化后的TP、CR和OP变化在可感知限度内。
临时修复材料的颜色外观受老化影响。基于CAD-CAM的PMMA和自凝PMMA材料在老化后比双丙烯酸临时树脂和热聚合PMMA表现出更好的颜色稳定性。因此,建议将它们作为口腔修复的临时材料。