Effect of ceramic materials on the optical properties of porcelain veneers for tetracycline-stained teeth

doi:10.7518/hxkq.2021.03.015

Abstract

Abstract: Objective

To analyze the chromatic properties and translucency of porcelain veneers made from different ceramic materials against the background of tetracycline-stained teeth.

Methods

Porcelain specimens (A1, A3, B2, B4) measuring 0.50 mm in thickness were prepared by heat-press casting and layering. The L*, a*, and b* values of the specimens against simulated tetracycline tooth and black-and-white backgrounds were measured by a spectrophotometer, and color differences ΔE₀₀1 between specimens on simulated tetracycline backgrounds and the backgrounds themselves and ΔE₀₀2 between specimens on simulated tetracycline backgrounds and the white background were calculated. The translucent parameter (TP) was also evaluated.

Results

The ΔE₀₀1 of feldspathic specimens (IPS d.SIGN) with the opaque layer was significantly greater than that of glass ceramic specimens (IPS e.max Press LT), and the ΔE₀₀1 of group B4 was consistently greater than those of the other color groups (P<0.05). The ΔE₀₀2 values of all feldspathic specimens with the opaque layer were less than 1.25, and the ΔE₀₀2 values of the glass ceramic specimens were greater than 2.23. However, no significant difference was observed among the different color groups (P>0.05). The TP values of feldspathic specimens with the opaque layer were significantly lower than those of glass ceramic specimens(P<0.05), but no significant difference was observed among different color groups (P>0.05).

Conclusion

When changing the color of tetracycline-stained teeth, 0.50 mm-thick IPS d.SIGN feldspathic veneers with an opaque layer provide better chromatic properties than IPS e.max Press LT glass ceramic veneers. However, the translucency of feldspathic veneers is generally poorer than that of glass ceramic veneers.

Key words: tetracycline-stained teeth, porcelain veneer, glass-ceramic, feldspathic ceramic, color difference

CLC Number:

R 783.3

Chen Jin, Xia Qi, Zhang Lingling, Qian Huifen, Li Xingxing. Effect of ceramic materials on the optical properties of porcelain veneers for tetracycline-stained teeth[J]. West China Journal of Stomatology, 2021, 39(3): 341-346.

Figures/Tables 7

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References 22

1	Liu M, Gai K, Chen J, et al. Comparison of failure and complication risks of porcelain laminate and indirect resin veneer restorations: a meta-analysis[J]. Int J Prosthodont, 2019, 32(1): 59-65.
2	Kwon SR, Cortez E, Wang M, et al. Systematic review of in vitro studies evaluating tooth bleaching efficacy[J]. Am J Dent, 2020, 33(1): 17-24.
3	夏雨凝, 马楚凡, 陈吉华. 临床应用瓷贴面美学修复前牙的治疗进展[J].牙体牙髓牙周病学杂志, 2018, 28(1): 46-51, 59.
	Xia YN, Ma CF, Chen JH. Treatment progression of clinical application of porcelain verneer in the cosmetic restoration for anterior tooth defect[J]. China J Conserv Dent, 2018, 28(1): 46-51, 59.
4	Kürklü D, Azer SS, Yilmaz B, et al. Porcelain thickness and cement shade effects on the colour and translucency of porcelain veneering materials[J]. J Dent, 2013, 41(11): 1043-1050.
5	Igiel C, Weyhrauch M, Mayer B, et al. Effects of ceramic layer thickness, cement color, and abutment tooth color on color reproduction of feldspathic veneers[J]. Int J Esthet Dent, 2018, 13(1): 110-119.
6	Hernandes DK, Arrais CA, Ed Lima, et al. Influence of resin cement shade on the color and translucency of ceramic veneers[J]. J Appl Oral Sci, 2016, 24(4): 391-396.
7	潘祁, 陈吉华, 牛丽娜, 等. 模拟四环素基牙颜色对瓷贴面修复体颜色的影响[J]. 牙体牙髓牙周病学杂志, 2010, 20(10): 578-580, 571.
	Pan Q, Chen JH, Niu LN, et al. Effects of the color of the mimic-tetracycline pigmentation teeth on the aethetics of the porcelain veneer restorations[J]. China J Conserv Dent, 2010, 20(10): 578-580, 571.
8	许少平, 骆小平, 石玉娟. 热压铸造陶瓷制作前牙瓷贴面的临床效果观察[J].上海口腔医学, 2012, 21(5): 572-575.
	Xu SP, Luo XP, Shi YJ. Esthetic restoration for anterior teeth with the hot pressed porcelain laminate veneers[J]. Shanghai J Stomatol, 2012, 21(5): 572-575.
9	Chen JH, Shi CX, Wang M, et al. Clinical evaluation of 546 tetracycline-stained teeth treated with porcelain laminate veneers[J]. J Dent, 2005, 33(1): 3-8.
10	Faus-Matoses V, Faus-Matoses I, Ruiz-Bell E, et al. Severe tetracycline dental discoloration: restoration with conventional feldspathic ceramic veneers. A clinical report[J]. J Clin Exp Dent, 2017, 9(11): e1379-e1382.
11	孟玉坤, 宗弋. 瓷贴面修复的研究现状及临床应用[J]. 国际口腔医学杂志, 2017, 44(1): 1-10.
	Meng YK, Zong Z. Research status and clinical application of ceramic veneer restorations[J]. Int J Stomatol, 2017, 44(1): 1-10.
12	Atsu SS, Aka PS, Kucukesmen HC, et al. Age-related changes in tooth enamel as measured by electron microscopy: implications for porcelain laminate veneers[J]. J Prosthet Dent, 2005, 94(4): 336-341.
13	Tuğcu E, Vanlıoğlu B, Özkan YK, et al. Marginal adaptation and fracture resistance of lithium disilicate laminate veneers on teeth with different preparation depths[J]. Int J Periodontics Restorative Dent, 2018, 38(): s87-s95.
14	Skyllouriotis AL, Yamamoto HL, Nathanson D. Masking properties of ceramics for veneer restorations[J]. J Prosthet Dent, 2017, 118(4): 517-523.
15	Farhan D, Sukumar S, von Stein-Lausnitz A, et al. Masking ability of bi- and tri- laminate all-ceramic veneers on tooth-colored ceramic discs[J]. J Esthet Restor Dent, 2014, 26(4): 232-239.
16	马晓敏, 李彦, 范丹妮. 陶瓷材料对瓷贴面颜色的影响[J]. 中华口腔医学研究杂志(电子版), 2011, 5(6): 614-620.
	Ma XM, Li Y, Fan DN. Influence of ceramic materials on the color of porcelain veneer restorations[J]. Chin J Stomatol Res (Elec Ed), 2011, 5(6): 614-620.
17	Sari T, Ural C, Yüzbasioglu E, et al. Color match of a feldspathic ceramic CAD-CAM material for ultrathin laminate veneers as a function of substrate shade, restoration color, and thickness[J]. J Prosthet Dent, 2018, 119(3): 455-460.
18	Ghinea R, Pérez MM, Herrera LJ, et al. Color difference thresholds in dental ceramics[J]. J Dent, 2010, 38(): e57-e64.
19	金恩龙, 吴大宏, 闫亮, 等. IPS e.max铸瓷贴面与VITA VM9烤瓷贴面的比较[J]. 中国组织工程研究, 2018, 22(22): 3474-3479.
	Jin EL, Wu DH, Yan L, et al. IPS e.max ceramic veneers versus VITA VM9 porcelain laminate veneers[J]. Chin J Tis Eng Res, 2018, 22(22): 3474-3479.
20	Yu B, Ahn JS, Lee YK. Measurement of translucency of tooth enamel and dentin[J]. Acta Odontol Scand, 2009, 67(1): 57-64.
21	Chaiyabutr Y, Kois JC, Lebeau D, et al. Effect of abutment tooth color, cement color, and ceramic thickness on the resulting optical color of a CAD/CAM glass-ceramic lithium disilicate-reinforced crown[J]. J Prosthet Dent, 2011, 105(2): 83-90.
22	陈斯雨, 刘天爽. 超薄瓷贴面修复的色彩效果评估[J]. 实用口腔医学杂志, 2019, 35(1): 133-136.
	Chen SY, Liu TS. An assessment of color effect on minimal and no-preparation veneers[J]. J Pract Stomatol, 2019, 35(1): 133-136.

背景色	L*	a*	b*
偏黄	71.23	1.33	15.41
偏浅灰	67.12	4.19	3.22
偏亮红	63.88	9.35	4.6
偏深灰	61.27	5.3	0.58
偏暗红	59.21	11.71	3.77
白背景	96.68	-0.18	-0.22
黑背景	1.15	-0.11	-0.50

影响因素	df	F值
背景	4	4 876.327
陶瓷材料	1	9 939.346
陶瓷颜色	3	729.618
背景陶瓷材料陶瓷颜色	12	14.688

影响因素	df	F值	P值
背景	4	197.857	0.000
陶瓷材料	1	16 965.988	0.000
陶瓷颜色	3	1.090	0.355
背景陶瓷材料陶瓷颜色	12	4.057	0.000

影响因素	df	F值	P值
陶瓷材料	1	13 725.168	0.000
陶瓷颜色	3	2.148	0.114
陶瓷材料*陶瓷颜色	3	3.042	0.043

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