Department of Fixed Prosthodontics, Faculty of Dental Medicine, Misr University for Science and Technology, Cairo, Egypt.
Department of Fixed Prosthodontics, Faculty of Dental Medicine, Al-Azhar University, Cairo, 11651, Egypt.
BMC Oral Health. 2024 Apr 19;24(1):472. doi: 10.1186/s12903-024-04218-5.
The aim of the current study was to evaluate the effect of simulated gastric acid on the color and translucency of different indirect restorative materials.
A total of 36 disc-shaped samples were cut by using an isomet saw and divided into four equal groups (n = 9) according to the material type: Group Z: translucent zirconia (Ceramill® Zolid ht. preshade, Amann Girrbach, Koblach, Austria); Group E: lithium disilicate (IPS e.max CAD, Ivoclar Vivadent AG, Schaan, Liechtenstein); Group C: resin nanoceramic (Cerasmart, GC, Tokyo, Japan); Group P: polyether ether ketone (PEEK) (Bettin Zirconia Dentale Italy) veneered with indirect high impact polymer composite (HIPC) (breCAM HIPC, Bredent GmbH & Co. KG, Germany). The samples were immersed in simulated gastric acid (HCl, pH 1.2) for 96 hours at 37 °C in an incubator. The color change (ΔE) and translucency (RTP) were measured every 9.6 hours (one-year clinical simulation) of immersion in simulated gastric acid.
For color change (∆E) and translucency (RTP) among the tested materials, there was a highly statistically significant difference (P < 0.001) after every year of follow-up. The color change in both Z and G groups was the lowest after 1 year of acid immersion, followed by that in group H, and the highest change in color was recorded in group P.
High translucent zirconia is recommended in patients who are concerned about esthetic, especially with acidic oral environment.
本研究旨在评估模拟胃酸对不同间接修复材料颜色和半透明度的影响。
使用等速锯切割 36 个圆盘形样本,并根据材料类型将其分为四组(n=9):组 Z:半透明氧化锆(Ceramill® Zolid ht. preshade,Amann Girrbach,Koblach,Austria);组 E:锂硅二酸盐(IPS e.max CAD,Ivoclar Vivadent AG,Schaan,Liechtenstein);组 C:树脂纳米陶瓷(Cerasmart,GC,Tokyo,Japan);组 P:聚醚醚酮(PEEK)(Bettin Zirconia Dentale Italy)用间接高抗冲聚合物复合材料(HIPC)(breCAM HIPC,Bredent GmbH & Co. KG,Germany)包层。将样本浸入模拟胃酸(HCl,pH 1.2)中,在 37°C 的孵育箱中孵育 96 小时。在浸入模拟胃酸的每 9.6 小时(一年临床模拟)测量颜色变化(ΔE)和半透明度(RTP)。
在测试的材料中,颜色变化(∆E)和半透明度(RTP)之间,经过一年的随访后,存在高度统计学差异(P<0.001)。在酸浸泡 1 年后,Z 和 G 组的颜色变化最低,其次是 H 组,P 组的颜色变化最大。
对于关注美观的患者,特别是在酸性口腔环境中,建议使用高透明氧化锆。