"Resin cement clor stability and its influence on the final shade of al" by E. Kilinc, S. A. Antonson et al.
 

Faculty Articles

Resin cement clor stability and its influence on the final shade of all-ceramics

Publication Title

Journal of Dentistry

ISSN

0300-5712

Publication Date

7-1-2011

Abstract

OBJECTIVES: Adhesive resin cements may go through internal discoloration, which may show-through and affect the appearance of translucent all-ceramic restorations. This in vitro study evaluated the amount of resin cement color change and its effect on the final shade of the all-ceramics. METHODS: Three different resin cements in both light and dual-cure forms were included in the study (Nexus-2/Kerr; Appeal/Ivoclar Vivadent; Calibra/Dentsply). All resin cements contained veneered (IPS Empress Esthetic, ETC1 shade, 20 mm × 1 mm ingot discs) and uncovered groups (n=10/group), all luted on white backgrounds (acetalpolyoxymethylene/Delrin(®)). Curing was performed according to ISO standards with a calibrated LED curing-light (Flashlite 1401). Samples were stored in 37°C distilled water at dark. Spectrophotometric baseline color measurements (Color Eye 7000A) were performed from the samples' top surfaces at 24h (D65 illuminator). Samples were subjected to 65 h of accelerated ageing (Atlas Ci4000). Further color measurements from the same areas were recorded in CIEL*a*b* coordinates where a ΔE data above 3 was accepted as visible discoloration (OptiviewLite-1.9software). Statistical analysis was performed using a nested random effects model and Tukey's post hoc analysis. RESULTS: Light-cure groups showed better color stability in all three resins but only in Appeal resin cement, the dual-cure group discolored significantly more (p<0.001). More discoloration was recorded on uncovered cement groups that represented the exposed cement at the margins. There was no visible color change (ΔE>3) through the ceramic surface on any veneered group. CONCLUSIONS: All resin cements showed varying degrees of discoloration after accelerated ageing however their actual color change was partially masked by the ceramic. Dual-cure resin cements may affect aesthetics on restoration margins if directly exposed.

DOI

10.1016/j.jdent.2011.01.005

Volume

39

Issue

1

First Page

30

Last Page

36

Disciplines

Medical Specialties | Medicine and Health Sciences | Osteopathic Medicine and Osteopathy

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