Abstract
The aim of this study was to evaluate the effect of thickness on the color appearance and translucency parameter (TP) of multilayer CAD/CAM composite resin blocks. Four brands of A3-shade multilayer CAD/CAM composite resin blocks were examined (Katana Avencia, CERASMART Multi, KZR-CAD HR Block 4 E-va, and Block HC Hard AN). Six specimens of five thicknesses were prepared for each brand, yielding 120 specimens in total. CIEL*a*b* values were determined using a spectrophotometer against black and white backgrounds, and the TP was calculated. The color differences (ΔE00) between layers (cervical/middle/incisal) and brands for each thickness against the black background were calculated using the CIEDE2000 system. As a result, on the black background, L* of the incisal layer was greater while a* and b* were smaller than those of the cervical layer for all brands. The ΔE00 values between the cervical and middle layers (1.23–3.27) were smaller than those between the cervical and incisal layers (3.98–5.67) and those between the middle and incisal layers (3.14–5.92). TP decreased with increasing block thickness. Some TP differences between layers were significant, but they were less than 2.75. In conclusion, the color appearance of CAD/CAM blocks was significantly influenced by both the thickness and layer. L*a*b* decreased with thickness, and a negative exponential relationship between TP and thickness was observed for all layers and brands.
Similar content being viewed by others
References
Tunac AT, Celik EU, Yasa B. Two-year performance of CAD/CAM fabricated resin composite inlay restorations: a randomized controlled clinical trial. J Esthet Restor Dent. 2019;31:627–38. https://doi.org/10.1111/jerd.12534.
Krämer N, Reinelt C, Frankenberger R. Ten-year clinical performance of posterior resin composite restorations. J Adhes Dent. 2015;17:433–41. https://doi.org/10.3290/j.jad.a35010.
Stawarczyk B, Özcan M, Trottmann A, Schmutz F, Roos M, Hämmerle C. Two-body wear rate of CAD/CAM resin blocks and their enamel antagonists. J Prosthet Dent. 2013;109:325–32. https://doi.org/10.1016/S0022-3913(13)60309-1.
Lauvahutanon S, Shiozawa M, Takahashi H, Iwasaki N, Oki M, Finger WJ, Arksornnukit M. Discoloration of various CAD/CAM blocks after immersion in coffee. Restor Dent Endod. 2017;42:9–18. https://doi.org/10.5395/rde.2017.42.1.9.
Hugo B, Witzel T, Klaiber B. Comparison of in vivo visual and computer-aided tooth shade determination. Clin Oral Investig. 2005;9:244–50. https://doi.org/10.1007/s00784-005-0014-3.
Li X, Zhang P, Yang J, Guo T. Influence of particle size distribution of dental opacifier on the color of titanium opaque porcelain. J Dent. 2011;39(Suppl 1):e45–50. https://doi.org/10.1016/j.jdent.2011.07.003.
Kristiansen J, Sakai M, Da Silva JD, Gil M, Ishikawa-Nagai S. Assessment of a prototype computer colour matching system to reproduce natural tooth colour on ceramic restorations. J Dent. 2011;39(Suppl 3):e45–51. https://doi.org/10.1016/j.jdent.2011.11.009.
Luo MR, Cui G, Rigg B. The development of the CIE 2000 colour-difference formula: CIEDE2000. Color Res Appl. 2001;26:340–50. https://doi.org/10.1002/col.1049.
Gómez-Polo C, Portillo Muñoz M, Lorenzo Luengo MC, Vicente P, Galindo P, Martín Casado AM. Comparison of the CIELab and CIEDE2000 color difference formulas. J Prosthet Dent. 2016;115:65–70. https://doi.org/10.1016/j.prosdent.2015.07.001.
RadeD P, Ghinea R, Herrera LJ, Bona AD, Igiel C, Linninger M, Sakai M, Takahashi H, Tashkandi E, Perez Mdel M. Color difference thresholds in dentistry. J Esthet Restor Dent. 2015;27(Suppl 1):S1–9. https://doi.org/10.1111/jerd.12149.
International Commission on Illumination. CIE 15: technical report: colorimetry. 3rd ed. Vienna: Austria; 2004.
Awad D, Stawarczyk B, Liebermann A, Ilie N. Translucency of esthetic dental restorative CAD/CAM materials and composite resins with respect to thickness and surface roughness. J Prosthet Dent. 2015;113:534–40. https://doi.org/10.1016/j.prosdent.2014.12.003.
Yu B, Ahn JS, Lee YK. Measurement of translucency of tooth enamel and dentin. Acta Odontol Scand. 2009;67:57–64. https://doi.org/10.1080/00016350802577818.
Peixoto RT, Paulinelli VM, Sander HH, Lanza MD, Cury LA, Poletto LT. Light transmission through porcelain. Dent Mater. 2007;23:1363–8. https://doi.org/10.1016/j.dental.2006.11.025.
Powers JM, Dennison JB, Lepeak PJ. Parameters that affect the color of direct restorative resins. J Dent Res. 1978;57:876–80. https://doi.org/10.1177/00220345780570090701.
Johnston WM, Ma T, Kienle BH. Translucency parameter of colorants for maxillofacial prostheses. Int J Prosthodont. 1995;8:79–86.
Johnston WM, Reisbick MH. Color and translucency changes during and after curing of esthetic restorative materials. Dent Mater. 1997;13:89–97. https://doi.org/10.1016/s0109-5641(97)80017-6.
Johnston WM. Review of translucency determinations and applications to dental materials. J Esthet Restor Dent. 2014;26:217–23. https://doi.org/10.1111/jerd.12112.
Kamishima N, Ikeda T, Sano H. Color and translucency of resin composites for layering techniques. Dent Mater J. 2005;24:428–32. https://doi.org/10.4012/dmj.24.428.
Angerame D, Fanfoni L, De Biasi M, Bevilacqua L, Generali L. Influence of thickness and shade on the color of layered novel nanohybrid composite systems. Int J Periodontics Restorative Dent. 2021;41:451–4551. https://doi.org/10.11607/prd.4787.
Kim SJ, Son HH, Cho BH, Lee IB, Um CM. Translucency and masking ability of various opaque-shade composite resins. J Dent. 2009;37:102–7. https://doi.org/10.1016/j.jdent.2008.10.002.
ISO 1172: 1996. Textile-glass-reinforced plastics—prepregs, moulding compounds and laminates. Determination of the textile glass and mineral-filler content—calcination methods, 2nd edn. International Organization for Standardization, Geneva
Kim DH, Park SH. Evaluation of resin composite translucency by two different methods. Oper Dent. 2013;38(3):E76–90. https://doi.org/10.2341/12-085-L.
Ardu S, Rossier I, di Bella E, Krejci I, Dietschi D. Resin composite thickness’ influence on L*a*b* coordinates and translucency. Clin Oral Invest. 2019;23:1583–6. https://doi.org/10.1007/s00784-018-2585-9.
Ikeda T, Murata Y, Sano H. Translucency of opaque-shade resin composites. Am J Dent. 2004;17(2):127–30.
Elamin HO, Abubakr NH, Ibrahim YE. Identifying the tooth shade in group of patients using vita easy shade. Eur J Dent. 2015;9(02):213–7. https://doi.org/10.4103/1305-7456.156828.
Matzinger M, Hahnel S, Preis V, Rosentritt M. Polishing effects and wear performance of chairside CAD/CAM materials. Clin Oral Investig. 2019;23:725–37. https://doi.org/10.1007/s00784-018-2473-3.
Yu B, Lee Y-K. Influence of color parameters of resin composites on their translucency. Dent Mater. 2008;24:1236–42. https://doi.org/10.1016/j.dental.2008.01.016.
Pérez MM, Ghinea R, Herrera LJ, Ionescu AM, Pomares H, Pulgar R, Paravina RD. Dental ceramics: a CIEDE2000 acceptability thresholds for lightness, chroma and hue differences. J Dent. 2011;39:e37–44. https://doi.org/10.1016/j.jdent.2011.09.007.
Paravina RD, Ghinea R, Herrera LJ, Bona AD, Igiel C, Linninger M, Sakai M, Takahashi H, Tashkandi E, Pérez MM. Color difference thresholds in dentistry. J Esthet Restor Dent. 2015;27:S1–9. https://doi.org/10.1111/jerd.12149.
Sidhu SK, Ikeda T, Omata Y, Fujita M, Sano H. Change of color and translucency by light curing in resin composites. Oper Dent. 2006;31:598–603. https://doi.org/10.2341/05-109.
Ardu S, Rossier I, di Bella E, Krejci I, Dietschi D. Resin composite thickness’ influence on L*a*b* coordinates and translucency. Clin Oral Investig. 2019;23:1583–6. https://doi.org/10.1007/s00784-018-2585-9.
Schmeling M, Andrada MACDE, Maia HP, Araújo EMDE. Translucency of value resin composites used to replace enamel in stratified composite restoration techniques. J Esthet Restor Dent. 2012;24:53–8. https://doi.org/10.1111/j.1708-8240.2011.00419.x.
Wang F, Takahashi H, Iwasaki N. Translucency of dental ceramics with different thicknesses. J Prosthet Dent. 2013;110:14–20. https://doi.org/10.1016/S0022-3913(13)60333-9.
Arikawa H, Kanie T, Fujii K, Takahashi H, Ban S. Effect of filler properties in composite resins on light transmittance characteristics and color. Dent Mater J. 2007;26(1):38–44. https://doi.org/10.4012/dmj.26.38.
Suh YR, Ahn JS, Ju SW, Kim KM. Influences of filler content and size on the color adjustment potential of nonlayered resin composites. Dent Mater J. 2017;36(1):35–40. https://doi.org/10.4012/dmj.2016-083.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
This article does not contain any studies with human participants or animals performed by any of the authors.
Informed consent
For this type of study, formal consent is not required.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Ha, R., Tsuchida, Y., Shiozawa, M. et al. Effect of thickness on color appearance of multilayer CAD/CAM composite resin blocks. Odontology 110, 664–672 (2022). https://doi.org/10.1007/s10266-022-00701-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10266-022-00701-z