Effects of the type and thickness of ceramic, substrate, and cement on the optical color of a lithium disilicate ceramic

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• 作者：Laí ; s A. Pires ; DDS ; MSc^a ; ^{lais_pires@hotmail.com} ; Pollyanna M.R. Novais ; DDS ; MSc ; PhD^b ; Viní ; cius D. Araú ; jo ; MSc ; PhD^c ; Luiz F. Pegoraro ; DDS ; PhD^d
• 刊名：The Journal of Prosthetic Dentistry
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：117
• 期：1
• 页码：144-149
• 全文大小：348 K
• 卷排序：117

文摘

Reproducing the characteristics of natural teeth in ceramic crowns remains a complex and difficult process.PurposeThe purpose of this in vitro study was to evaluate the effect of the substrate, cement, type, and thickness of the ceramic on the resulting color of a lithium disilicate ceramic.Material and methodsForty ceramic disks were prepared from IPS e.max Press LT (low translucency) and HO (high opacity) in 2 different thicknesses (1.5 and 2 mm). The LT groups were composed of monolithic ceramic disks, and the HO groups were composed of disks fabricated with a 0.5-mm thickness combined with a 1- or 1.5-mm veneering ceramic thickness. Disks made of composite resin (R) and alloy (A) were used as substrate structures. The resin cement used was Variolink II. Color was measured with a spectrophotometer and expressed in CIELAB coordinates. Color differences (ΔE) were calculated. The data were analyzed with ANOVA and the Tukey HSD test (α=.05).ResultsWhen the ΔE of ceramic disks with both substrates, with and without cement, were compared, the lowest value (3) was obtained for ceramic HO with a 2-mm thickness/alloy substrate/without cement; the highest value (10) was obtained for ceramic LT with a1.5-mm thickness/alloy substrate/with cement. This difference was statistically significant. When the effect of cement on the ΔE of ceramics in both substrates was compared, the lowest value (1.1) occurred with ceramic HO with a 1.5-mm thickness/resin substrate, and the highest was observed for ceramic LT with a 1.5-mm thickness/alloy substrate (6.4). This difference was statistically significant.ConclusionsThe substrate color, type and thickness of ceramic, and presence of the cement significantly influenced the resulting optical color. The ΔE values of cemented HO ceramics were lower than that of the LT ceramic.