
Effect of ceramic type and thickness on the masking ability of chairside machinable all-ceramic crowns
Li Sinuo, Zhang Luyao, Liang Shanshan, Liu Yuqiang, Xing Wenzhong
Effect of ceramic type and thickness on the masking ability of chairside machinable all-ceramic crowns
Objective This study aimed to evaluate the influence of ceramic type and thickness on the masking ability and final aesthetic effects of chairside machinable all-ceramic crowns. Methods Six kinds from three types chairside machinable ceramic materials (IPS e.max CAD HT/MT/LT, IPS Empress LT, and VITA Suprinity HT/T) in shade A2 were fabricated to slice specimens into 1.0, 1.5, and 2.0 mm-thick sections (n=10). The color parameters of the specimens against black and white tiles and four resin substrates (A2, A4, B3, and C4 shade) were measured with a spectrophotometer. The translucency parameter (TP) was calculated using color parameters measured over standard white and black backgrounds. The color differences (ΔE) were calculated between there substrate shades (A4, B3, C4 ) and A2 shade (control group). Two-way analysis of variance (ANOVA) was performed on the TP values. The two va-riables were ceramic type and ceramic thickness. Three-way ANOVA was used to determine the effects of ceramic materials, ceramic thickness, and substrate shades on the ΔE values, followed by Tukey test for multiple comparisons (α=0.05). Results Ceramic type, ceramic thickness, and substrate shade significantly affected the ΔE values (P<0.001). The L* and b* values of the specimens increased with increasing ceramic thickness, except in substrate A2, whereas the ΔE values decreased. The color difference of all 1.0 mm-thick specimens or all specimens over the substrates C4 shade exceeded the clinically acceptable threshold (ΔE>3.3). Conclusion The masking ability of chairside machinable all-ceramic crowns is influenced by ceramic type and thickness, and ceramic material. The thickness of ceramic less than 2.0 mm cannot mask the gray shade abutment.
chairside machinable ceramic / all-ceramic crown / masking ability / resin background / color diffe-rence
R783.1
1 | 包旭东, 高学军. 椅旁CAD/CAM数字化修复[J]. 中国实用口腔科杂志, 2016, 9(6): 321-325. |
1 | Bao XD, Gao XJ. Digital dental restoration with chair-side CAD/CAM[J]. Chin J Pract Stomatol, 2016, 9(6): 321-325. |
2 | Kang W, Park JK, Kim SR, et al. Effects of core and veneer thicknesses on the color of CAD-CAM lithium disi-licate ceramics[J]. J Prosthet Dent, 2018, 119(3): 461-466. |
3 | Ruyter IE, Nilner K, Moller B. Color stability of dental composite resin materials for crown and bridge veneers[J]. Dent Mater, 1987, 3(5): 246-251. |
4 | Czigola A, Abram E, Kovacs ZI, et al. Effects of substrate, ceramic thickness, translucency, and cement sha-de on the color of CAD/CAM lithium-disilicate crowns[J]. J Esthet Restor Dent, 2019, 31(5): 457-464. |
5 | Alayad AS, Alqhatani A, Alkatheeri MS, et al. Effects of CAD/CAM ceramics and thicknesses on translucency and color masking of substrates[J]. Saudi Dent J, 2021,33(7): 761-768. |
6 | Carrabba M, Vichi A, Tozzi G, et al. Cement opacity and color as influencing factors on the final shade of metal-free ceramic restorations[J]. J Esthet Restor Dent, 2022, 34(2): 423-429. |
7 | Al-Haj Husain N, Walther L, ?zcan M, et al. Effect of thickness and shade of resin and ceramic-based hybrid materials on color masking abilities and optical performance of CAD/CAM materials[J]. Eur J Prosthodont Restor Dent, 2021, 29(1): 14-21. |
8 | Valizadeh S, Mahmoudi Nahavandi A, Daryadar M, et al. The effect of ceramic thickness on opalescence[J]. Clin Exp Dent Res, 2020, 6(6): 693-699. |
9 | 杜易敏, 陈丽萍, 佘文珺, 等. 基底色与黏结剂颜色对CAD/CAM全瓷贴面颜色的影响[J]. 上海交通大学学报(医学版), 2016, 36(2): 184-188. |
9 | Du YM, Chen LP, She WJ, et al. Effects of color of abutment and resin cement on color of CAD/CAM all-cera-mic veneers[J]. J Shanghai Jiaotong Univ (Med Sci), 2016, 36(2): 184-188. |
10 | Kelly JR, Nishimura I, Campbell SD. Ceramics in dentistry: historical roots and current perspectives[J]. J Prosthet Dent, 1996, 75(1): 18-32. |
11 | Vichi A, Ferrari M, Davidson CL. Influence of ceramic and cement thickness on the masking of various types of opaque posts[J]. J Prosthet Dent, 2000, 83(4): 412-417. |
12 | Juntavee N, Juntavee A, Phetpanompond S. Masking ability of different ceramics upon various underlying structures[J]. J Esthet Restor Dent, 2022, 34(2): 430-439. |
13 | Al Ben Ali A, Kang K, Finkelman MD, et al. The effect of variations in translucency and background on color differences in CAD/CAM lithium disilicate glass cerami-cs[J]. J Prosthodont, 2014, 23(3): 213-220. |
14 | Tabatabaian F, Khaledi Z, Namdari M. Effect of ceramic thickness and cement type on the color match of high-translucency monolithic zirconia restorations[J]. Int J Prosthodont, 2021, 34(3): 334-340. |
15 | Bacchi A, Boccardi S, Alessandretti R, et al. Substrate masking ability of bilayer and monolithic ceramics used for complete crowns and the effect of association with an opaque resin-based luting agent[J]. J Prosthodont Res, 2019, 63(3): 321-326. |
16 | Ilie N, Hickel R. Correlation between ceramics translucency and polymerization efficiency through ceramics[J]. Dent Mater, 2008, 24(7): 908-914. |
17 | Elsaka SE, Elnaghy AM. Mechanical properties of zirconia reinforced lithium silicate glass-ceramic[J]. Dent Mater, 2016, 32(7): 908-914. |
18 | Chaiyabutr Y, Kois JC, Lebeau D, et al. Effect of abutment tooth color, cement color, and ceramic thickness on the resulting optical color of a CAD/CAM glass-ceramic lithium disilicate-reinforced crown[J]. J Prosthet Dent, 2011, 105(2): 83-90. |
19 | Dotto L, Soares Machado P, Slongo S, et al. Layering of discolored substrates with high-value opaque composi-tes for CAD-CAM monolithic ceramics[J]. J Prosthet Dent, 2021, 126(1): 128.e1-128.e6. |
/
〈 |
|
〉 |