预防性抛光膏对CAD/CAM修复材料表面粗糙度、颜色和抗染色性的影响
The Impact of Prophylactic Polishing Pastes on the Surface Roughness, Color, and Stain Resistance of CAD/CAM Restorative Materials.
作者信息
Arkan Betul, Iscan Ipek, Tinastepe Neslihan
机构信息
Department of Prosthodontics, Institute of Health Sciences, Faculty of Dentistry, Istanbul Medipol University, Istanbul 34250, Turkey.
Department of Prosthodontics, Faculty of Dentistry, Istanbul Medipol University, Istanbul 34214, Turkey.
出版信息
Dent J (Basel). 2025 May 15;13(5):212. doi: 10.3390/dj13050212.
Prophylactic polishing pastes (PPPs) are widely used to clean teeth and dental restorations; however, their effects on restorative materials are crucial for clinical outcomes. This study investigates the impact of PPPs on the susceptibility of CAD/CAM restorative materials to staining and the relationship between surface roughness and discoloration. Samples of tested materials (resin nanoceramic, hybrid ceramic, feldspathic ceramic, and lithium disilicate-reinforced glass ceramic) were treated with various PPPs (Cleanic, CleanJoy, Detartrine, Proxyt). Surface roughness and color parameters were recorded before and after the PPP application and following coffee immersion for 12 days. Initial measurements of surface roughness (Ra1) and color were taken. The specimens were divided into groups based on the PPP applied. After PPP application, secondary roughness (Ra2) and color values were measured. Changes in roughness (ΔRa), color (ΔEab, ΔE00), and whiteness index (ΔWID) were calculated post-application and after coffee immersion. Data normality was tested with the Shapiro-Wilks test. Two-way ANOVA evaluated the effects of material type and PPP on ΔE, ΔWID, and ΔRa. One-way ANOVA, Tukey HDS test, and Pearson correlation were used for further analysis, with significance set at < 0.05. The Vita Enamic-Detartrine group showed the highest ΔEab 1 and ΔE001 values, while Cerasmart-control showed the lowest. The Vita Enamic-Proxyt group had the lowest ΔWID1, and Vita Enamic-Cleanjoy exhibited the highest values of ΔEab 2, ΔE002, and ΔWID2. The E.MAX-control group had the lowest values for these metrics. No significant correlation was found between ΔRa and color changes (ΔEab 2, ΔE002, ΔWID2); however, a moderate positive correlation was found between values of ΔE1 and ΔE2. These findings indicate that PPPs significantly affect the discoloration and surface features of CAD/CAM materials, with both types of PPPs and materials.
预防性抛光膏(PPPs)被广泛用于清洁牙齿和牙科修复体;然而,它们对修复材料的影响对临床结果至关重要。本研究调查了PPPs对CAD/CAM修复材料染色易感性的影响以及表面粗糙度与变色之间的关系。测试材料(树脂纳米陶瓷、混合陶瓷、长石质陶瓷和二硅酸锂增强玻璃陶瓷)的样本用各种PPPs(Cleanic、CleanJoy、Detartrine、Proxyt)进行处理。在应用PPPs之前以及咖啡浸泡12天后记录表面粗糙度和颜色参数。进行了表面粗糙度(Ra1)和颜色的初始测量。根据应用的PPPs将标本分为几组。应用PPPs后,测量二次粗糙度(Ra2)和颜色值。计算应用后以及咖啡浸泡后的粗糙度变化(ΔRa)、颜色变化(ΔEab、ΔE00)和白度指数(ΔWID)。用Shapiro-Wilks检验测试数据正态性。双向方差分析评估材料类型和PPPs对ΔE、ΔWID和ΔRa的影响。单向方差分析、Tukey HDS检验和Pearson相关性用于进一步分析,显著性设定为<0.05。Vita Enamic-Detartrine组显示出最高的ΔEab 1和ΔE001值,而Cerasmart-对照组显示出最低值。Vita Enamic-Proxyt组的ΔWID1最低,Vita Enamic-Cleanjoy组的ΔEab 2、ΔE002和ΔWID2值最高。E.MAX-对照组这些指标的值最低。未发现ΔRa与颜色变化(ΔEab 2、ΔE002、ΔWID2)之间存在显著相关性;然而,发现ΔE1和ΔE2值之间存在中度正相关。这些发现表明,PPPs对CAD/CAM材料的变色和表面特征有显著影响,PPPs类型和材料类型均如此。