Ioana-Sofia Pop-Ciutrila1, Razvan Ghinea2,3,4, Horatiu A Colosi5, Javier Ruiz-López6, Maria M Perez6,7, Rade D Paravina8, Diana Dudea9. 1. Department of Conservative Dentistry and Endodontics, Faculty of Dental Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, 33 Motilor Street, 400001, Cluj-Napoca, Romania. 2. Department of Optics, Faculty of Science, University of Granada, Campus de Fuentenueva, s/n, 18071, Granada, Spain. rghinea@ugr.es. 3. Houston Center for Biomaterials and Biomimetics (HCBB), University of Texas School of Dentistry at Houston, 7500 Cambridge St., Ste. 5350, Houston, TX, USA. rghinea@ugr.es. 4. Department of Physics, Faculty of Sciences, University of Craiova, 13 AI Cuza Street, 200585, Craiova, Romania. rghinea@ugr.es. 5. Department of Medical Informatics and Biostatistics, Faculty of General Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, 6 Louis Pasteur Street, 400349, Cluj-Napoca, Romania. 6. Department of Optics, Faculty of Science, University of Granada, Campus de Fuentenueva, s/n, 18071, Granada, Spain. 7. Houston Center for Biomaterials and Biomimetics (HCBB), University of Texas School of Dentistry at Houston, 7500 Cambridge St., Ste. 5350, Houston, TX, USA. 8. Department of Restorative Dentistry and Prosthodontics, Houston Center for Biomaterials and Biomimetics (HCBB), University of Texas School of Dentistry at Houston, 7500 Cambridge St., Ste. 5350, Houston, TX, USA. 9. Department of Prosthodontics and Dental Materials, Iuliu Hatieganu University of Medicine and Pharmacy, 32 Clinicilor Street, 400006, Cluj-Napoca, Romania.
Abstract
BACKGROUND: To assess color compatibility between dental structures (human enamel and dentine) and three different types of ceramic systems. METHODS: Samples (1 and 2 mm-thick) of extracted tooth (containing dentine and enamel areas) and three ceramic systems with different shades and opacities (HT-High Translucent, T-Translucent) were prepared for this study: Vita Suprinity-VS (HT, T; A1, A2, A3, A3.5, B2, C2, D2) (Vita Zahnfabrik); Vita Enamic-VE (HT, T; 1M1, 1M2, 2M2, 3M2) (Vita Zahnfabrik) and Noritake Super Porcelain EX-3-NKT (A1, A2, A3, A3.5, B2, C2, D2) (Kuraray Noritake Dental). Reflectance measurements of all samples were performed over black backgrounds using a non-contact spectroradiometer (SpectraScan PR-670, Photo Research) under a CIE 45°/0° geometry. CIE L*a*b* color parameters were measured and CIELAB/CIEDE2000 color differences (ΔE00/ΔE*ab) and corresponding Coverage Error (CE) of ceramic system for dentine or enamel samples were calculated. Color data was analyzed using one-way ANOVA and post-hoc multiple comparisons tests. CE values were interpreted by comparisons with available 50:50% acceptability color threshold (AT) for dentistry. RESULTS: Statistically significant differences in lightness were found among all ceramic systems and human dentine (p < 0.001), while no significant differences were registered between enamel and VSHT, T and VEHT. 1 mm dentine showed no statistical differences with VST and VSHT for a* coordinate, while 2 mm dentine showed no significant differences (p > 0.05) with VEHT. Thin samples (1 mm) of dentine and enamel showed significant statistical differences (p < 0.05) for b* coordinate with less translucent materials (NKT, VET and VST). For dentine samples, none of the ceramic materials provided a CE lower than AT. VSHT provided the best CE for 1 mm-thick (CE00 = 1.7, CEab = 1.9) and for 2 mm-thick (CE00 = 2.3; CEab = 2.5) enamel samples. CONCLUSIONS: Color coordinates of evaluated esthetic ceramic systems were statistically different from those of human dentine in almost all cases. The evaluated ZrO2 lithium silicate glass-ceramic (VS), with its two levels of translucency, provided lower CE values with human enamel samples while conventional feldspathic ceramic (NKT) and hybrid ceramic systems (VE) demonstrated a better color compatibility with dentin samples.
BACKGROUND: To assess color compatibility between dental structures (human enamel and dentine) and three different types of ceramic systems. METHODS: Samples (1 and 2 mm-thick) of extracted tooth (containing dentine and enamel areas) and three ceramic systems with different shades and opacities (HT-High Translucent, T-Translucent) were prepared for this study: Vita Suprinity-VS (HT, T; A1, A2, A3, A3.5, B2, C2, D2) (Vita Zahnfabrik); Vita Enamic-VE (HT, T; 1M1, 1M2, 2M2, 3M2) (Vita Zahnfabrik) and Noritake Super Porcelain EX-3-NKT (A1, A2, A3, A3.5, B2, C2, D2) (Kuraray Noritake Dental). Reflectance measurements of all samples were performed over black backgrounds using a non-contact spectroradiometer (SpectraScan PR-670, Photo Research) under a CIE 45°/0° geometry. CIE L*a*b* color parameters were measured and CIELAB/CIEDE2000 color differences (ΔE00/ΔE*ab) and corresponding Coverage Error (CE) of ceramic system for dentine or enamel samples were calculated. Color data was analyzed using one-way ANOVA and post-hoc multiple comparisons tests. CE values were interpreted by comparisons with available 50:50% acceptability color threshold (AT) for dentistry. RESULTS: Statistically significant differences in lightness were found among all ceramic systems and human dentine (p < 0.001), while no significant differences were registered between enamel and VSHT, T and VEHT. 1 mm dentine showed no statistical differences with VST and VSHT for a* coordinate, while 2 mm dentine showed no significant differences (p > 0.05) with VEHT. Thin samples (1 mm) of dentine and enamel showed significant statistical differences (p < 0.05) for b* coordinate with less translucent materials (NKT, VET and VST). For dentine samples, none of the ceramic materials provided a CE lower than AT. VSHT provided the best CE for 1 mm-thick (CE00 = 1.7, CEab = 1.9) and for 2 mm-thick (CE00 = 2.3; CEab = 2.5) enamel samples. CONCLUSIONS: Color coordinates of evaluated esthetic ceramic systems were statistically different from those of human dentine in almost all cases. The evaluated ZrO2 lithium silicate glass-ceramic (VS), with its two levels of translucency, provided lower CE values with human enamel samples while conventional feldspathic ceramic (NKT) and hybrid ceramic systems (VE) demonstrated a better color compatibility with dentin samples.
Entities:
Keywords:
Color coordinates; Coverage error; Dental ceramics; Dentine; Enamel; Spectroradiometer
Authors: Rade D Paravina; Razvan Ghinea; Luis J Herrera; Alvaro D Bona; Christopher Igiel; Mercedes Linninger; Maiko Sakai; Hidekazu Takahashi; Esam Tashkandi; Maria del Mar Perez Journal: J Esthet Restor Dent Date: 2015-04-17 Impact factor: 2.843