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Colour stability of provisional crown and bridge restoration materials.

OBJECTIVE: In an in vitro study to determine the colour stability of provisional restoration materials, the PMMA synthetics Trimm and Cronsin and the bis-acrylic composites Protemp Garant, Protemp Garant NF, Protemp II and Provipont DC were investigated. MATERIALS AND METHODS: The colour changes of the cylindrical untreated samples were measured in comparison with samples after 24 and 72 hours of artificial ageing in a Suntest CPS+ UV ageing device using the Minolta CM 3500d spectrophotometer according to the CIE-L*a*b* system. RESULTS: Trimm (light), Cronsin (brown, yellow and universal), Provipont DC (yellow) and Protemp Garant NF (extra light) displayed the greatest discoloration with values > or = 4-21 delta E, where discoloration toward yellow could be discerned. The remaining materials showed lower luminance reflectance values of < or = 1-4 delta E, and therefore greater colour stability. CONCLUSIONS: Because of their colour stability the materials Cronsin (grey), Protemp Garant (yellow), Protemp II (light), Protemp Garant NF (yellow, light and extra light) could also be used as long-term interim prosthetics.

Analysis of Variance↗

The selection of anterior teeth appropriate for the age and sex of the individual. How variable are dental staff in their choice?

As part of the development of a guide to aid the undergraduate in the selection of artificial teeth, the aim of this study was to investigate the variability in choice of dental staff to select teeth appropriate to the age and sex of the individual with the aid of a series of three-dimensional guides. Four three-dimensional guides were produced for use in the study. Fifty dentists were asked to complete a questionnaire designed to assess the variability in selection of anterior teeth appropriate for the age and sex of an individual. From this study it can be concluded that there was little consistency in the selection of the shade, mould and arrangement of anterior teeth appropriate for the age and sex of the individual by qualified dental staff. The development and implementation of an aesthetic proforma to guide dental staff, dental undergraduates and patients through the process of choosing tooth mould, shade and arrangement based on age and sex may be helpful.

Adult↗

Effects of colour measuring mode and light source on the colour of shade guides.

The objectives of this paper were to evaluate the effects of colour measuring modes [specular component excluded (SCE) versus specular component included (SCI)] and the standard light source (C, A or D65) on the colour of shade guides. After the labial part of shade tabs of two shade guides (Vita and Chromascop) was polished flat up to no. 2400 silicone carbide paper, the colour was measured according to the International Commission on Illumination (CIE)L*a*b* colour scale on a spectrophotometer. In both shade guides, all the average CIE L* values of each shade series, and most of CIE b* values were different depending on the measuring mode (P < 0.01). However, there was no difference in CIE a* values depending on the measuring mode. Colour difference (deltaE*) between the values measured with SCE mode and with SCI mode was 3.21-6.50 in Vita shade guide, 3.22-5.47 in Chromascop shade guide. DeltaE* caused by the difference in light source was very small in Vita shade guide regardless of the measuring mode. In the Vita shade guide, the shade series (A-D) was negatively correlated with CIE L* and CIE a* values measured with SCE mode. In the Chromascop shade guide, the shade series (100-500) was negatively correlated with CIE L* value measured with SCI mode.

Colorimetry↗

Influence of abutment substrates on the colour of metal-free polymer crowns.

New-generation composite materials have excellent strength and wear resistance, and thus can be used to make metal-free crowns. However, composite materials are translucent, and so when using them to make metal-free crowns, it is necessary to take the effect of the abutments into consideration. In this study, five types of materials including three types of new-generation composite materials, a conventional composite material, and a ceramic material were used to examine the translucency (contrast ratio) of the materials and the effects of the colour of the abutments on the final appearance of metal-free crowns. It was found that the materials varied slightly from one-another in translucency and that it was possible to reproduce the desired colour when gold alloy was used for the background. However, it was difficult to produce an adequate colour match when silver-palladium alloy was used for the background. When a tooth colour material that was darker than the target colour was used for the abutment teeth, some materials could not reproduce the target colour satisfactorily.

Composite Resins↗

Effect of finishing and polishing procedures on the surface roughness of new tooth-coloured restoratives.

The purpose of this study was to evaluate the effect of various finishing and polishing procedures on the surface roughness of three new tooth-coloured restorative materials. The materials included a hybrid composite resin (Filtek Z250), a packable composite resin (Filtek P60), and an ormocer (organically modified ceramic) (Definite). Thirty-two specimens of each material were prepared and randomly divided into four finishing and polishing groups (n = 8): (i) diamond bur/silicone polishers, (ii) diamond bur/Sof-Lex discs, (iii) carbide bur/silicone polishers, (iv) carbide bur/Sof-Lex discs. Average surface roughness (Ra) in micrometers was measured with a Mitutoyo Surftest-402 Surface Roughness Tester and the data compared using anova, at P < or = 0.05. Surface topography was also assessed using the scanning electron microscope (s.e.m) from samples of each group. The Mylar strip produced the smoothest surface and finishing/polishing procedures; (ii) and (iv) were significantly smoother than (i) and (iii). The lowest variability in initial surface roughness between materials was also observed with ormocer group.

Composite Resins↗

Properties of dual-curable luting composites polymerized with single and dual curing modes.

The purpose of this study was to evaluate the influence of visible-light exposure on water absorption, solubility and colour stability of dual-curable luting composites. Using eight dual-curable luting composites (2bond2, Bistite II, G-CERA Cosmotech II, Imperva Dual, Linkmax, Lute-It, Panavia Fluoro Cement and Variolink II), disk specimens were prepared by the following two methods: (i) dual-cured specimens; exposed with visible-light from a light-curing unit, and (ii) chemical-cured specimens; chemically polymerized without exposure. Five specimens were produced for each material and curing mode. Water absorption and solubility were determined according to standardized testing methods, and the data were compared using analysis of variance (ANOVA) and contrasts. With regard to colour stability, the colour difference (DeltaE*) values between 24 h and the other immersion periods (1, 2, 3, 4, 8, 12, 16, 20 and 24 weeks) were calculated and then analysed by repeated measure ANOVA. The dual-cured specimens exhibited significantly lower solubility values than the chemical-cured specimens except for the Lute-It material. The dual-cured Linkmax material exhibited the lowest solubility (0.51 +/- 0.01 microg mm(-3)) and the lowest DeltaE* value after 24 weeks (2.64 +/- 0.39). The dual-curable luting composites should be light-exposed after seating of restorations in order to reduce water absorption and solubility, and to improve colour stability.

Absorption↗

Colourfast pigments in silicone hand and maxillofacial prostheses.

This study addresses the clinical problem of long-term discolouration of silicone hand and maxillofacial prostheses. Seven (7) pigment hues, considered essential for achieving a suitable tissue colour-matched prosthesis, were compared for their colourfast property, across three selected proprietary formulations. In all, a series of 21 pigments, were tested for colourfastness. The pigments, presenting as suspensions (PS), pastes (PP) and dry pigments (PD), were exposed, over nine months, to ultraviolet light, elevated temperatures and varying concentrations of salinity. Colour change of the pigments was measured and expressed as Commission International de l'Eclairage (CIE) (L*, a*, b*) units. Pigment discoloration was significantly attributed to ultraviolet light. Pigmented and clear silicone samples showed a "yellowing" (+delta b*) effect. Lighter pigments became darker (-delta L*) in shade. Pigment samples at the elevated temperature of 50 degrees C showed significant but small colour change (delta E, 0.77 to 3.63). Only the master blue pigment (PS-4) recorded a higher delta E, 6.26 at 50 degrees C. At a moderate temperature of 35 degrees C, both pigmented and clear silicone test samples remained relatively colourfast. Comparison was made to control samples, stored in darkness, at 26 degrees C. The pigments were generally colourfast (deltaE<6 units) to saline solutions of 0.15 M and 5.0 M concentrations. Only the monastral red (PD-3) pigment recorded a delta E of 9.33, in 0.15 M normal saline, simulating the vulnerability of this pigment to the salinity of human sweat. Pigment hues were systematically ranked according to colourfastness. Pigment suspensions were more colourfast than pigment pastes.

Artificial Limbs↗

Translucency of glass-fibre-reinforced composite materials.

summary The purpose of this study was to examine the translucency of glass-fibre-reinforced composite framework materials. Vectris and FibreKor, as well as an experimental material, were the glass-fibre-reinforced framework materials used. Targis, Sculpture and Estenia were the types of particulate filler composites veneered onto frameworks. Specimens were fabricated from each material, 0.5 and 1.0 mm thick. In addition, laminate specimens, 1.5 mm thick, were fabricated. The translucency of each specimen was evaluated by determining its contrast ratio. The laminate specimens were examined for colour differences. The experimental framework material was more translucent than the enamel composite when it was not coloured, and was nearly as translucent as the dentine composite when coloured. The commercial tooth-coloured framework materials were nearly as translucent as the dentine composite. It was found that it was possible to reproduce the same colour as the veneering dentine composite, when the framework thickness was 0.5 mm, except in the case of FibreKor. Within the limitations of this study, tooth-coloured, glass-fibre-reinforced framework materials are nearly as translucent as the veneering dentine composite, but these materials affect the colour of the prosthesis if the thickness of the framework material is increased beyond a certain point.

Composite Resins↗

One-year clinical evaluation of two composite materials used for anterior class V restorations.

The purpose of the current study was to evaluate the clinical performance of two composite materials used for filling anterior cavity preparations. A total of 100 class V cavities of anterior tooth were restored with two different composite materials (Palfique Estelite and Palfique Toughwell, 50 cavities each, respectively) in combination with the same bonding agent (Mac Bond II). Colour match, cavosurface marginal discolouration, recurrent caries, wear, marginal integrity and surface texture were evaluated clinically for all restorations on the basis of the United States Public Health Service (USPHS) criteria immediately after insertion (baseline), after 6 months and after 1 year. In the comparison of baseline to 1-year evaluation, the Palfique Toughwell material showed significant changes in all factors except recurrent caries. The Palfique Estelite material, however, showed neither significant cavosurface marginal discolouration nor recurrent caries. No significant difference (P > 0b05) was observed between the two materials in clinical performance after 1 year, with the exception of caries rate, which was found to be significantly lower in the Palfique Estelite material. It was concluded that both composites were clinically reliable materials when used for anterior class V restorations.

Composite Resins↗

Calculation of colour resulting from composite/compomer layering techniques.

This study determined the influence of optical properties of constituent layers on the colour of double-layer aesthetic filling materials. Multiple regression equations for the Commission Internationale de I'Eclairage (CIE) L*, a* and b* of layered materials were calculated from the optical values of the covering and underlying layers. Specimens (10 mm diameter, 1 mm thickness) of two light-cured resin composites and one compomer of seven to 11 shades were used. CIE L*, a* and b* values of each specimen were measured with a colour spectrophotometer backed by a standard white background. The scattering coefficient (S), absorption coefficient (K), contrast ratio (C) and translucency parameter (T) were calculated. Double-layered specimens were formed in optical contact by joining two different shades from the same material, or resin composite as covering with a compomer underlying layer. Each of the L*, a* and b* of layered material was used as a dependent variable, and 14 optical values of underlying and covering layers were used as independent variables in forward regression analysis (P = 0.01). CIE L* after layering had a positive correlation with S of covering layer (correlation coefficient; beta = 0.79-0.91, P < 0.01) and a correlation with L* of underlying layer (beta = 0.14-0.16). CIE a* after layering had a correlation with a* of covering layer (beta = 0.83-0.94) and a correlation with a* of underlying layer (beta = 0.30-0.56). CIE b* after layering had a correlation with b* of covering layer (beta = 0.77-0.90) and a correlation with T of covering layer (beta = 0.40-0.59). The layered colour of these materials can be predicted by the derived regression equations within the limitations of this study. CIE L*, a* and b* values of double-layer material are mainly influenced by S, CIE a* and b* of covering layer, respectively.

Colorimetry↗

Difference in the colour and colour change of dental resin composites by the background.

The objective of this study was to evaluate the difference in the colour and colour change of dental resin composites over commonly used two backgrounds. Colour of five uncured and cured resin composites before and after polishing with 600-, 1000- or 1500-grit SiC paper was measured according to the CIELAB colour scale relative to the illuminant D65 over a white background (WB; reflectance = 91.57%) and a light trap (LT; reflectance = 0.01%) on a reflection spectrophotometer with the SCE geometry. Colour difference (DeltaE*ab) by the background, and by the specimen conditions over each of two backgrounds was calculated. DeltaE*ab values between the same specimen by the background were 2.38-11.60. DeltaE*ab values by the specimen condition were varied by the background, and DeltaE*ab between cured/polished specimens over WB were significantly higher than those over LT (P < 0.05) except a few cases. Background influenced three-colour coordinates of CIE L*, a*, and b* values differently depending on the material and the specimen condition. Background significantly influenced the colour coordinates and colour difference by the specimen conditions. As the light trap can eliminate the influence of variations at the background, measured colour over the light trap can be the colour of material itself. Correlation between the measured colour and varied shades of background should be further studied.

Colorimetry↗

Colour stability of low fusing porcelains: an in vitro study.

Developing porcelain manufacturing technology provides lower fusing porcelains to avoid thermal stresses in metal substructure, particularly for titanium and gold alloys. So far, aesthetic properties of low fusing ceramics have not been well documented. The purpose of this study was, therefore, to estimate the long-term colour stability of low fusing ceramics by using an accelerated aging procedure. Four different ceramics (Vita Omega 900, Vita Titankeramik, Ceramco Finesse, Ceramco II) were used. Porcelain samples 11 +/- 0.5 mm in diameter and 1.4 +/- 0.2 mm in thickness were prepared in three commonly used shades to provide 10 samples of each group. The samples were fired in accordance with the recommendations of the manufacturers. CIE Lab readings were recorded with a spectrophotometer prior to experiments and after a 100 h accelerated aging. The results revealed that only Ceramco Finesse porcelain had a colour change (DeltaE > 1) that is noticeable by human eye. When the shades of porcelains were compared, C3 had greater colour change compared with A3 and B3 shades (P < 0.05).

Dental Porcelain↗

Colour stability of porcelain repair materials with accelerated ageing.

The purpose of this study was to measure and compare the colour stability of three porcelain repair materials (Charizma, Clearfil and Silux Plus) with an all-ceramic material following accelerated ageing. Three composites and one ceramic control were subjected to accelerated ageing for a period of 300 h. Initial specimen colour parameters were determined in the Commission International de I'Eclairage Lab (CIELAB) colour order system with a colorimeter. Colour changes were calculated before (DeltaE) and after 300 h of accelerated ageing (DeltaE*). Colour difference data were subjected to one-way analysis of variance (anova) followed by Duncan's test to examine the interaction between material and time interval of ageing. There were no significant difference between DeltaL values of Porcelain-Charizma and Porcelain-Silux Plus. All mean DeltaL* values were negative after 300 h ageing. Porcelain-Silux Plus demonstrated the highest DeltaL* of the investigated groups. There were significant differences between baseline 300-h aged specimens with respect to Deltaa*, Deltaa for either of the investigated materials. For Silux Plus, Deltaa and Deltaa* values were significantly higher than the others. Significant differences were observed between baseline and 300-h values for Deltab and Deltab*. Deltab and Deltab* values were significantly higher for Silux Plus. There were significant differences between baseline and 300-h values of colour difference, DeltaE, DeltaE*. Highest DeltaE* value was obtained using the microfilled composite, Silux Plus. Lowest value of DeltaE was recorded with the hybrid composite, Charizma.

Colorimetry↗

3-Year clinical evaluation of posterior packable composite resin restorations.

This study evaluated the clinical performance of four packable resin composite restorative materials in posterior teeth (Class I and II) compared with one hybrid composite after 3 years. Eighty-four restorations were placed in 16 patients. The tested materials were: (i) Solitaire + Solid Bond; (ii) ALERT + Bond-1; (iii) Surefil + Prime & Bond NT; (iv) Filtek P60 + Single Bond and (v) TPH Spectrum + Prime & Bond 2.1. All restorations were made using rubber dam isolation, and the cavity design was restricted to the elimination of carious tissue. Deeper cavities were covered with calcium hydroxide and/or glass-ionomer cement. Each adhesive system and composite resin was placed according to the manufacturer's instructions. One week later, the restorations were finished/polished and evaluated according USPHS modified criteria. Fourteen patients attended the 3-year recall and 75 restorations were evaluated at that time based on the same evaluation criteria. Friedman repeated measures analysis of variance by rank and Wilcoxon sign-ranked test for pair-wise comparison was used for data analysis (alpha = 0.05). The analysis was performed only for the baseline and for the 3-year period. Solitaire showed some fractures at marginal ridges in 25% of the cases. Solitaire and ALERT showed some concerns related to colour match (43 and 77%, respectively) and surface texture (86 and 77%, respectively). TPH Spectrum showed a great percentage of colour mismatch after 3 years, around 50%. Surefil and Filtek P60 showed an excellent clinical performance after 3 years, similar to the hybrid resin tested, TPH Spectrum. Solitaire did not fulfil the ADA acceptance criteria for restorative materials and, therefore, is not recommended for use in posterior restorations.

Acetone↗

Use of tissue-tinted porcelain to restore soft-tissue defects.

Anterior, partially edentulous residual ridges often have hard-tissue and soft-tissue defects that create esthetic and functional problems when conventional fixed prostheses are used to replace the missing teeth. However, tissue-tinted porcelain can be used in conjunction with fixed prostheses to solve many of these problems. Proper prosthesis design and shade matching are important considerations in the fabrication of fixed prostheses that incorporate tissue-tinted porcelain to restore hard-tissue and soft-tissue defects.

Cuspid↗

Custom tinting denture bases by visible light cure lamination.

A urethane dimethacrylate and tinting powder lamination, chemically bonded to a methyl methacrylate denture base, produces a natural-appearing distribution of the tints. The characterization is protected by a hard, clear layer of urethane. Procedures are described that achieve this lamination either in the laboratory, before processing the dentures, or after the dentures have been fabricated.

Acrylic Resins↗