Xiao Ping Luo1, Lei Zhang. 1. Department of Prosthodontics, Nanjing Stomatological Hospital, Nanjing University, Nanjing City, People's Republic of China. l_xiaoping@yahoo.com
Abstract
PURPOSE: This study compared the color parameters and total luminous transmittance of disc specimens by different veneering techniques in order to examine the effect of veneering technique on esthetics of yttria-stabilized tetragonal zirconia polycrystalline (Y-TZP) all-ceramic restorations. MATERIALS AND METHODS:Thirty disc specimens (10-mm diameter, 0.50 +/- 0.01 mm thick) were fabricated of IPS e.max ZirCAD core material, and ZL1 IPS e.max ZirLiner (0.10-mm thick) was layered. The specimens were randomly divided into three groups (n = 10/group). Group ZP (fully anatomical technique) was veneered 0.60 mm by heat-pressing IPS e.maxZirPress fluorapatite glass-ceramic ingots; Group ZC (traditional layering technique) was veneered 0.60 mm by condensing and sintering IPSe.maxCeram low-fusing nano-fluorapatite veneering porcelain; Group ZPC (cutback technique) was veneered by partially pressed ingots and subsequently layered 0.30 mm with veneering porcelain. Color parameters (L*, a*, b*) and total luminous transmittance (tau) of zirconia core discs and core and veneer specimens were measured with ShadeEye NCC dental colorimeter and spectrophotometer, respectively. Color saturation (C*ab) and color difference (DeltaE) were calculated using color difference formula. One-way analysis of variance (ANOVA) combined with a Tukey multiple-range test were used to analyze the data (alpha= 0.05). RESULTS: As to ZP, ZPC, and ZC groups, the value of a* increased (-1.35 +/- 0.07, -0.64 +/- 0.06, -0.36 +/- 0.05, respectively) (p < 0.05); b* decreased (27.01 +/- 0.07, 25.48 +/- 0.11, 23.28 +/- 0.25, respectively) (p < 0.05); and C*ab decreased (27.04 +/- 0.08, 25.49 +/- 0.11, 23.28 +/- 0.25, respectively) (p < 0.05). L* value and total luminous transmittance were highest in ZP group (87.53 +/- 0.48, 1.64 +/- 0.03, respectively), and lowest in ZPC group (82.14 +/- 0.18, 1.47 +/- 0.01, respectively) (p < 0.05). CONCLUSIONS: Y-TZP all-ceramic restoration veneered by fully anatomical technique was the most transparent and lightest, while restorations veneered by cutback technique were the least translucent and the darkest.
RCT Entities:
PURPOSE: This study compared the color parameters and total luminous transmittance of disc specimens by different veneering techniques in order to examine the effect of veneering technique on esthetics of yttria-stabilized tetragonal zirconia polycrystalline (Y-TZP) all-ceramic restorations. MATERIALS AND METHODS: Thirty disc specimens (10-mm diameter, 0.50 +/- 0.01 mm thick) were fabricated of IPS e.max ZirCAD core material, and ZL1 IPS e.max ZirLiner (0.10-mm thick) was layered. The specimens were randomly divided into three groups (n = 10/group). Group ZP (fully anatomical technique) was veneered 0.60 mm by heat-pressing IPS e.max ZirPress fluorapatite glass-ceramic ingots; Group ZC (traditional layering technique) was veneered 0.60 mm by condensing and sintering IPS e.max Ceram low-fusing nano-fluorapatite veneering porcelain; Group ZPC (cutback technique) was veneered by partially pressed ingots and subsequently layered 0.30 mm with veneering porcelain. Color parameters (L*, a*, b*) and total luminous transmittance (tau) of zirconia core discs and core and veneer specimens were measured with ShadeEye NCC dental colorimeter and spectrophotometer, respectively. Color saturation (C*ab) and color difference (DeltaE) were calculated using color difference formula. One-way analysis of variance (ANOVA) combined with a Tukey multiple-range test were used to analyze the data (alpha= 0.05). RESULTS: As to ZP, ZPC, and ZC groups, the value of a* increased (-1.35 +/- 0.07, -0.64 +/- 0.06, -0.36 +/- 0.05, respectively) (p < 0.05); b* decreased (27.01 +/- 0.07, 25.48 +/- 0.11, 23.28 +/- 0.25, respectively) (p < 0.05); and C*ab decreased (27.04 +/- 0.08, 25.49 +/- 0.11, 23.28 +/- 0.25, respectively) (p < 0.05). L* value and total luminous transmittance were highest in ZP group (87.53 +/- 0.48, 1.64 +/- 0.03, respectively), and lowest in ZPC group (82.14 +/- 0.18, 1.47 +/- 0.01, respectively) (p < 0.05). CONCLUSIONS:Y-TZP all-ceramic restoration veneered by fully anatomical technique was the most transparent and lightest, while restorations veneered by cutback technique were the least translucent and the darkest.