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美学暂封材料的光学性能与最终修复体的颜色。

Optical properties of esthetic temporary cements and final restoration color.

出版信息

J Am Dent Assoc. 2023 Jun;154(6):461-470. doi: 10.1016/j.adaj.2023.03.010. Epub 2023 Apr 26.

Abstract

BACKGROUND

Opaque cements can be esthetically unfavorable and alternative translucent materials have been developed. The aim of this study was to evaluate the color interference of a new translucent cement compared with conventional materials, in association with interim restoration with different thickness and shades.

METHODS

Bis-acryl composite disks were prepared in 2 thicknesses (1.2 mm, 0.6 mm) and 3 shades (A3.5, A2, bleached) to simulate the restorations. Cementation over dentin disks was performed with 1 translucent cement (Provicol QM Aesthetic; VOCO), 2 conventional cements (Provicol; VOCO, Temp-Bond NE; Kerr Dental), and 1 transparent liquid (polyethylene glycol 400). The difference between the color of the specimens cemented with the transparent liquid and that of the specimens cemented with each cement was calculated (ΔEab). The data were analyzed using 3-way analysis of variance and Tukey tests (5%).

RESULTS

Significant differences were observed for all factors and some interactions (P < .05). For Provicol QM Aesthetic, the shade and thickness did not influence the ΔEab. For Provicol and Temp-Bond NE, the lighter and thinner the specimen, the higher the ΔEab. Only Provicol QM Aesthetic had smaller means than the perceptibility threshold. Temp-Bond NE and Provicol had higher values than the acceptability threshold for some combinations.

CONCLUSIONS

The highly translucent cement had less color interference than the conventional materials. The thickness and resin shade only affected the results for the opaque cements. The thinner specimens and the lighter shades had higher color interference.

PRACTICAL IMPLICATIONS

The use of a more translucent cement can produce a smaller color interference on the esthetic outcome of interim restorations.

摘要

背景

不透明的水门汀可能在美观上不尽人意,因此已经开发出了替代的半透明材料。本研究的目的是评估一种新型半透明水门汀与传统材料的颜色干扰情况,同时考虑到不同厚度和色调的临时修复体。

方法

制备了 2 种厚度(1.2mm、0.6mm)和 3 种色调(A3.5、A2、漂白)的双丙烯酸复合盘,以模拟修复体。用 1 种半透明水门汀(Provicol QM Aesthetic;VOCO)、2 种传统水门汀(Provicol;VOCO,Temp-Bond NE; Kerr Dental)和 1 种透明液体(聚乙二醇 400)对牙本质盘进行粘结。计算粘结透明液体和每种水门汀后标本的颜色差异(ΔEab)。使用三因素方差分析和 Tukey 检验(5%)对数据进行分析。

结果

所有因素和一些相互作用均存在显著差异(P<0.05)。对于 Provicol QM Aesthetic,色调和厚度不会影响ΔEab。对于 Provicol 和 Temp-Bond NE,标本越浅越薄,ΔEab 越高。只有 Provicol QM Aesthetic 的平均值小于可察觉阈值。对于某些组合,Temp-Bond NE 和 Provicol 的值高于可接受阈值。

结论

高度半透明水门汀的颜色干扰小于传统材料。厚度和树脂色调仅影响不透明水门汀的结果。较薄的标本和较浅的色调会产生更高的颜色干扰。

实用意义

使用更半透明的水门汀可以减少临时修复体美观效果的颜色干扰。

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