Background. Aesthetic restorations should be able to mimic the natural colour depth of teeth, affected by several factors including material properties. There is a lack of information regarding the effect of cement shade and material thickness on the final colour of ultratranslucent multilayered zirconia veneers. Objectives. This study evaluated the effect of ceramic thickness and resin cement shade on the final colour of different layers of ultratranslucent multilayered (UTML) zirconia veneers. Methods. This in vitro study produced 90 rectangular-shaped specimens with nonsintered Katana UTML monolithic zirconia (Kuraray Noritake Dental, Tokyo, Japan), shade A1 blocks. Ceramic samples were prepared in two groups of 0.7 mm and 0.5 mm thicknesses, 45 of each (a: 8 × 11 × 0.5 mm ; b: 8 × 11 × 0.7 mm ). Specimens of each thickness were further divided into 5 groups: universal, clear, brown, white, and opaque ( n = 9 ). Each adhesive resin cement (Panavia V5) was applied between the ceramic samples and composite substrate. The colour values were measured using a spectrophotometer in baseline and after resin cement application according to the CIELab system. For all samples, Δ E 00 values were obtained. Data were evaluated with SPSS 25 using the three-way ANOVA test ( p < 0.05 ). Results. The factors of cement shade, ceramic thickness, and ceramic layers have statistically significant effect on Δ E 00 values ( p < 0.001 ). The results showed lower Δ E 00 values with thicker ceramic veneers. Tukey test results showed that the opaque and brown shade had a significantly greater Δ E 00 values comparing to universal ( p = 0.004 ), clear, and white shades ( p < 0.001 ). Conclusion. The colour change was greater in lower ceramic thickness. Different shades of resin cement and layers of UTML zirconia differently affected the final colour.
Background. The current study aimed at identifying the color agreement between try-in pastes and the respective resin cements and investigated the effect of thickness and regions of Ultra-Translucent Multilayered Zirconia Veneers. Methods. A total of 90 cubic zirconia discs were prepared at two different thicknesses (0.5 mm and 0.7 mm) (n=45) in five groups in terms of the shade of the try-in paste and resin cement as follows: Universal, Clear, Brown, White and Opaque. Try-in paste and the respective resin cement were applied between the specimens and composite substrate, respectively, and colorimetric evaluation was carried out using CIE-Lab system. For each specimen, ΔE between the try-in paste and cement was calculated. Data were analyzed with SPSS 17 using Multifactor ANOVA (P<0.05). Results. Multifactor ANOVA results showed that ΔE values were significantly affected by the resin cement shade and the thickness of ceramic veneer (P<0.05). The results showed better shade agreement between the try-in paste and the respective resin cement with thicker ceramic veneers. The results of Tukey HSD revealed that ΔE values for the Clear, Universal and Brown shades were less than those of the White and Opaque shades. Lighter shades exhibited better agreement between the try-in paste and the respective resin cement. Conclusion. Perceptible color difference was found between the try-in pastes and the respective resin cement in most colors investigated. Although, the agreement of the try-in pastes and the respective resin cement was affected by the thickness of zirconia veneers, the different regions of multilayered ultra-translucent zirconia ceramic showed no significant effect.
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