Color Matching of Single-Shade Composite Resin by Various Pulp Capping Materials in Anterior Teeth

박소현,김종수,김종빈,한미란,신지선,이준행 대한소아치과학회 2024 大韓小兒齒科學會誌 Vol.51 No.2

This study aimed to compare color matching between single-shade composite resinrestored teeth with various pulp capping materials and the dentin surrounding the restoration through instrumental analysis and visual evaluation of the color difference. Fifty maxillary right central incisor acrylic resin teeth were prepared with standardized Class III cavities on the proximal surfaces. These teeth were divided into five groups: restored with single-shade composite resin only; Ultra-Blend™ plus followed by single-shade composite resin; TheraCal PT™ followed by single-shade composite resin; Endocem® MTA premixed followed by single-shade composite resin; and Well-root PT™ followed by single-shade composite resin. The color difference (ΔEab*) between the restored area and the center of the resin teeth was measured using a spectrophotometer. No significant color difference was observed in groups restored with only single-shade composite resin, Ultra-Blend™ plus, and TheraCal PT™. The visual evaluation revealed that Ultra-Blend™ plus exhibited the best color matching score, whereas the Endocem® MTA premixed and Well-root PT™ groups showed significantly lower color matching scores than the single-shade composite resin-only group. When opting for single-shade composite resin usage for anterior tooth restorations with the aim of reducing chair time, pulp capping materials Ultra- Blend™ plus and TheraCal PT™ provide esthetically pleasing results.

색상 측정 기기를 이용한 복합레진 적층 수복과 단일 수복의 색상 비교 분석

송영상,김자현,이빈나,장지현,장훈상,황윤찬,오원만,황인남 大韓齒科保存學會 2012 Restorative Dentistry & Endodontics Vol.37 No.2

Objectives: This study analyzed the difference in color caused by different thickness in enamel layer of composite resins when applied with single and layering placement technique, and evaluated if the results agreed with the shade guide from the manufacturers to verify reliability of the color matching process of the manufacturers. Materials and Methods: For single composite resin samples, 6 mm diameter and 4 mm thickness cylindrical samples were fabricated using Ceram-X mono (DENTSPLY DeTrey) and CIE L*a*b* values were measured with spectrophotometer. Same process was done for layering compositie resin samples, making 3 dentinal shade samples, 4 mm thickness, for each shade using Ceram-X duo (DENTSPLY DeTrey) and enamel shade resins were layered in 2 mm thickness and CIE L*a*b* values were measured. These samples were ground to 0.2 mm thickness each time, and CIE L*a*b* values were measured to 1 mm thickness of enamel shade resin. Results: Color difference (△E*) between single and layering composite resin was 1.37 minimum and 10.53 maximum when layering thicknesses were between 1 mm and 2 mm and 6 out of 10 same shade groups suggested by manufacturer showed remarkable color difference at anythickness (△E* > 3.3). Conclusion: When using Ceram-X mono and duo for composite resin restoration, following the manufacturer's instructions for chossing the shade is not appropriate, and more accurate information for Ceram-X duo is needed on the variation and expression of the shades depending on the thickness of the enamel. (Restor Dent Endod 2012;37(2):84-89)

The translucent and color change of nanofilled composite resin according to resin shades and staining solutions

이욱,정재은,정경화,손성애,허복,권용훈,박정길 대한치과재료학회 2014 대한치과재료학회지 Vol.41 No.2

This study examined the color changes in a resin composite with different shades after exposure to different drink media. A nanohybrid resin composite (Filtek Z350 XT) was exposed to a pH 6 solution for 2 weeks and then immersed in a staining solution (Coffee or Grape juice) or distilled water (as control) for 3 days. The color coordinates of the specimen before and after immersion in the staining solutions were measured using a spectrophotometer. The color difference (ΔE ) and the change in the translucency parameter (ΔTP ) were calculated using the CIEL*a*b* system. The data was tatistically analyzed using ANOVA and a Tukey’s test. The ΔE of the specimens tested differed significantly according to the staining solutions (p<0.05) and the shades of the composite resins (p<0.05). Coffee and B1 shade showed the greatest color change. The values of TP after immersion in the staining beverages decreased except for distilled water. The absolute ΔTP values of grape juice were higher than the others regardless of the shades. Overall, the color stability of the resin composites differs according to the staining media used and shade of the composite resins.

Influences of luting cement shade on the color of various translucent monolithic zirconia and lithium disilicate ceramics for veneer restorations

Ghada Alrabeah,Nawaf Alamro,Atif Alghamdi,Ahmed Almslam,Meshari Azaaqi 대한치과보철학회 2023 The Journal of Advanced Prosthodontics Vol.15 No.5

Purpose. The purpose of this study was to assess the effect of resin cement shade on the color of different novel ultratranslucent monolithic zirconia and lithium disilicate veneer materials. Materials and methods. For a total of 40 specimens, flat cylindrical discs with a 9-mm diameter and 0.5-mm thickness were created using CAD/CAM technology. The specimens were divided into five groups according to their material (n = 8) (e.max, Prettau, Aidite, Shofu and Dima) using A1 shade. Resin discs with the same diameter and shade as the specimens served as tooth-colored substructures. Three shades (neutral, light and warm) of resin cement try-in pastes (Variolink Esthetic LC) were used as the luting cement material. The color of each material group was measured before and after cementation using the three cement shades, and the CIE L*a* b* coordinates were obtained with a spectrophotometer. Values for the translucency parameter (TP) and color change delta E (E) before (baseline) and after cementation of each specimen were determined. To compare differences among the material groups within each shade of cement and among various shades of cement within each material, the data were analyzed using one-way ANOVA and post hoc testing. Results. Color coordinates L*, a* and b* significantly changed after the application of try-in pastes relative to baseline values, with a noticeable decrease in lightness (L*) (P < .05). A significant color change (∆E) was observed in all tested materials after cementation, with ∆E values exceeding 3.3 (P < .05). Although TP changed after cementation for most materials tested, these changes were not statistically significant (P > .05). Shofu and Dima ceramics showed the lowest TP values, while Aidite and Prettau showed the highest TP values. For e.max, translucency decreased after cementation with neutral and warm shades, and it significantly increased after cementation with a light shade. Conclusion. The shade of cement significantly altered the final color of the ceramic veneer material to a level above the threshold at which the clinical perception of color change occurred (> 3.3). The TP was not influenced by the cement shade. The translucency levels of the novel ultratranslucent multilayer monolithic zirconia ceramics Aidite and Prettau were higher than that of the lithium disilicate e.max material.

Effect of immersion into solutions at various pH on the color stability of composite resins with different shades

문지덕,선은미,손성애,권용훈,박정길 대한치과보존학회 2015 Restorative Dentistry & Endodontics Vol.40 No.4

Objectives: This study examined the color changes of a resin composite with different shades upon exposure to water with different pH. Materials and Methods: Nanohybrid resin composites (Filtek Z350XT, 3M ESPE) with four different shades (A2, A3, B1, and B2) were immersed in water with three different pH (pH 3, 6, and 9) for 14 day. The CIE L*a*b* color coordinates of the specimens were evaluated before and after immersion in the solutions. The color difference (ΔE*) and the translucency parameter (TP) were calculated using the color coordinates. Results: ΔE* ranged from 0.33 to 1.58, and the values were affected significantly by the pH. The specimens immersed in a pH 6 solution showed the highest ΔE* values (0.87 - 1.58). The specimens with a B1 shade showed the lowest ΔE* change compared to the other shades. TP ranged from 7.01 to 9.46 depending on the pH and resin shade. The TP difference between before and after immersion in the pH solutions was less than 1.0. Conclusions: The resulting change of color of the tested specimens did not appear to be clinically problematic because the color difference was < 1.6 in the acidic, neutral, and alkaline solutions regardless of the resin shade, i.e., the color change was imperceptible.

Effect of immersion into solutions at various pH on the color stability of composite resins with different shades

Moon, Ji-Deok,Seon, Eun-Mi,Son, Sung-Ae,Jung, Kyoung-Hwa,Kwon, Yong-Hoon,Park, Jeong-Kil The Korean Academy of Conservative Dentistry 2015 Restorative Dentistry & Endodontics Vol.40 No.4

Objectives: This study examined the color changes of a resin composite with different shades upon exposure to water with different pH. Materials and Methods: Nanohybrid resin composites (Filtek Z350XT, 3M ESPE) with four different shades (A2, A3, B1, and B2) were immersed in water with three different pH (pH 3, 6, and 9) for 14 day. The CIE $L^*a^*b^*$ color coordinates of the specimens were evaluated before and after immersion in the solutions. The color difference (${\Delta}E^*$) and the translucency parameter (TP) were calculated using the color coordinates. Results: ${\Delta}E^*$ ranged from 0.33 to 1.58, and the values were affected significantly by the pH. The specimens immersed in a pH 6 solution showed the highest ${\Delta}E^*$ values (0.87 - 1.58). The specimens with a B1 shade showed the lowest ${\Delta}E^*$ change compared to the other shades. TP ranged from 7.01 to 9.46 depending on the pH and resin shade. The TP difference between before and after immersion in the pH solutions was less than 1.0. Conclusions: The resulting change of color of the tested specimens did not appear to be clinically problematic because the color difference was < 1.6 in the acidic, neutral, and alkaline solutions regardless of the resin shade, i.e., the color change was imperceptible.

Cytotoxicity of dental light-cured calcium hydroxide cements on human dental pulp stem cell

이효진,손준식,박의균,권대근,김교한,권태엽 대한치과재료학회 2014 대한치과재료학회지 Vol.41 No.2

This study examined the color changes in a resin composite with different shades after exposure to different drink media. A nanohybrid resin composite (Filtek Z350 XT) was exposed to a pH 6 solution for 2 weeks and then immersed in a staining solution (Coffee or Grape juice) or distilled water (as control) for 3 days. The color coordinates of the specimen before and after immersion in the staining solutions were measured using a spectrophotometer. The color difference (ΔE ) and the change in the translucency parameter (ΔTP ) were calculated using the CIEL*a*b* system. The data was statistically analyzed using ANOVA and a Tukey’s test. The ΔE of the specimens tested differed significantly according to the staining solutions (p<0.05) and the shades of the composite resins (p<0.05). Coffee and B1 shade showed the greatest color change. The values of TP after immersion in the staining beverages decreased except for distilled water. The absolute ΔTP values of grape juice were higher than the others regardless of the shades. Overall, the color stability of the resin composites differs according to the staining media used and shade of the composite resins.

열 순환 처리가 Gingival shade 복합레진의 기계적 특성에 미치는 영향

임용운,황성식 대한치과기공학회 2017 대한치과기공학회지 Vol.39 No.2

Purpose: The objective of this study was to evaluate influence of mechanical properties of gingival shade composite resins(GSCRs) according to thermocycling treatment. Methods: The material utilized in this study was Crea.lign(CGR), Twiny flow(TGF) and Twiny(TGP). Total sixty specimens were fabricated with a dimension of 25×2×2mm according to the ISO 4049. After fabrications, specimens of before and after thermocycling(to 55℃ from 5℃) were stored in the distilled water for 24 hours at the 37℃. Three-point flexural test was performed in universal testing machine(Instron 5966, USA) at a crosshead speed of 1 mm/min. Flexural strength, flexural modulus and work of fracture according to the thermocycling were analyzed using a one-way ANOVA analysis. Surface analysis of GSCRs after thermocycling evaluated using the scanning electron microscope. Results: : The highest FS was measured in TGP group of NTC group and lowest in CGR group after TC. After TC, FS and FM decreased in CGR and TGP groups, but TGF increased. There was a statistically significant difference between FS and WOF in GSCRs(p <0.05). But FM did not show any significant difference after TC (p> 0.05).The strength of the characteristic exceeded the flexural strength required by ISO 4049(> 80 MPa). Weibull modulus(m) showed the highest reliability in the TGP group (m = 14.22), and the reliability of the TGF and TGP groups after TC decreased. Conclusion: Thermocycling treatment is important factor influence of mechanical properties with gingival shade composite resins. Therefore, we recommended that mechanical properties need to get useful information and accuracy for life-span expectancy according to the thermocycling treatment.

Effects of 3 different light-curing units on the physico-mechanical properties of bleach-shade resin composites

Farzad Azin,Kasraei Shahin,Haghi Sahebeh,Masoumbeigi Mahboubeh,Torabzadeh Hassan,Panahandeh Narges 대한치과보존학회 2022 Restorative Dentistry & Endodontics Vol.47 No.1

Objectives This study investigated the microhardness, flexural strength, and color stability of bleach-shade resin composites cured with 3 different light-curing units. Materials and Methods In this in vitro experimental study, 270 samples were fabricated of bleach and A2 shades of 3 commercial resin composites (Point 4, G-aenial Anterior, and Estelite Sigma Quick). Samples (n = 5 for each trial) were cured with Bluephase N, Woodpecker LED.D, and Optilux 501 units and underwent Vickers microhardness and flexural strength tests. The samples were tested after 24 hours of storage in distilled water. Color was assessed using a spectrophotometer immediately after preparation and 24 hours after curing. Data were analyzed using 3-way analysis of variance and the Tukey test (p ≤ 0.001). Results Samples cured with Optilux exhibited the highest and those cured with LED.D exhibited the lowest microhardness (p = 0.023). The bleach shade of Point 4 composite cured with Optilux displayed the highest flexural strength, while the same composite and shade cured with Sigma Quick exhibited the lowest (p ≤ 0.001). The color change after 24 hours was greatest for the bleach shade of G-aenial cured with Bluephase N and least for the A2 shade of Sigma Quick cured with Optilux (p ≤ 0.001). Conclusions Light curing with polywave light-emitting diode (LED) yielded results between or statistically similar to those of quartz-tungsten-halogen and monowave LED in the microhardness and flexural strength of both A2 and bleach shades of resin composites. However, the brands of light-curing devices showed significant differences in color stability. Objectives This study investigated the microhardness, flexural strength, and color stability of bleach-shade resin composites cured with 3 different light-curing units. Materials and Methods In this in vitro experimental study, 270 samples were fabricated of bleach and A2 shades of 3 commercial resin composites (Point 4, G-aenial Anterior, and Estelite Sigma Quick). Samples (n = 5 for each trial) were cured with Bluephase N, Woodpecker LED.D, and Optilux 501 units and underwent Vickers microhardness and flexural strength tests. The samples were tested after 24 hours of storage in distilled water. Color was assessed using a spectrophotometer immediately after preparation and 24 hours after curing. Data were analyzed using 3-way analysis of variance and the Tukey test (p ≤ 0.001). Results Samples cured with Optilux exhibited the highest and those cured with LED.D exhibited the lowest microhardness (p = 0.023). The bleach shade of Point 4 composite cured with Optilux displayed the highest flexural strength, while the same composite and shade cured with Sigma Quick exhibited the lowest (p ≤ 0.001). The color change after 24 hours was greatest for the bleach shade of G-aenial cured with Bluephase N and least for the A2 shade of Sigma Quick cured with Optilux (p ≤ 0.001). Conclusions Light curing with polywave light-emitting diode (LED) yielded results between or statistically similar to those of quartz-tungsten-halogen and monowave LED in the microhardness and flexural strength of both A2 and bleach shades of resin composites. However, the brands of light-curing devices showed significant differences in color stability.

간접 수복용 복합레진의 Incisal 색상 적층 두께에 따른 표면 색상 및 색차의 평가

박수정,이한영,나명윤,장훈상,황윤찬,오원만,황인남 大韓齒科保存學會 2011 Restorative Dentistry & Endodontics Vol.36 No.1

연구목적: 간접 복합레진 수복은 직접 수복의 여러 문제점들을 극복하는 대안으로 적용 빈도가 증가하고 있지만 간접 수복물 의 특성상 치아 삭제 전 술자에 의해 결정된 색상을 기공 과정 동안 재현해야하기 때문에 기준이 되는 shade guide와 실제 간접수복용 레진간의 색상의 일치성이 요구되며, 치아의 다양한 표면의 광학적 특성을 부여하기위한 법랑질 특성의 복합레진 의 광학적 특성에 대한 정보가 필요하다. 연구 재료 및 방법: 본 연구에서는 이러한 간접 복합레진 수복재료의 색상 특성을 알아보기 위해 간접수복용 레진인 Tescera ATL (Bisco, USA)의 Body composite의 색상과 동일한 색상 기호의 Vitapan shade guide 간의 색차를 알아보고, Body composite와 Incisal composite의 적층 수복 시 색상 변화 양상을 분석하고자 시행하였다. 직경 5 mm, 두께 3 mm의 원기 둥형 Body composite 시편을 각 색상 당 9개씩 제조사의 지시에 따라 제작하고, 표면 연마 후 분광광도계(NF999, Nipon Denshuku, Japan)을 이용해 색상(CIE L*a*b*)을 측정하고 Vitapan shade guide의 색상을 측정하였다. 색상 측정이 끝 난 Body composite에 9 색상의 Incisal composite를 1 mm 두께로 적층하고 중합, 연마 한 후 적층면의 색상을 측정하였으 며, Incisal composite를 0.5 mm 두께만큼 연마한 후 다시 색상을 동일한 측정 기기로 측정하였다. 결과: Tescera ATL과 Vitapan shade guide의 동일한 색상 간에 최소 6.88, 최대 12.80의 큰 색차(△E*)를 보였으며, 모 든 색상에서 시각적으로 확연한 차이를 보였다. 모든 색상의 Body composite에서 적층한 Incisal composite의 색상에 관계 없이 Incisal composite의 두께가 두꺼워 질수록 Body composite 과의 색차가 증가하였다(p < 0.05). 또한 L*값과 b*값은 Incisal composite의 두께가 두꺼울수록 감소하는 양상을 보인 반면 a*값은 큰 변화를 보이지 않았다. 결론: 이상의 결과로 Tescera ATL을 이용한 간접 복합레진 수복 시 색상 결정에 있어 기존의 shade guide의 사용은 부적절 하며, 동일한 재료로 제작한 개별적인 shade guide가 필요하리라 사료되며, Incisal composite 적용 시 색상 변화에 대한 정확한 정보를 바탕으로 신중한 적용이 필요하리라 사료된다. Objectives: The aim of this study was to evaluate the surface color of indirect resin restoration according to the layering placement of different shade of incisal composite. Materials and Methods: In this study, CIE L*a*b* value of 16 Body composite of Tescera ATL (Bisco, Schaumburg IL,USA) was measured by spectrophotometer (NF999, Nippon Denshuku, Japan), and compared to CIE L*a*b* value of Vitapan shade guide. Nine shade Incisal composite of Tescera ATL were buildup to 1 mm thickness on Body composites inlay block, and CIE L*a*b* value was measured. Incisal composite was ground to 0.5 mm thickness and CIE L*a*b* value was re-measured. Color difference between Body composite and Incisal composites layered on Body composite was calculated as a function of thickness. Results: Color difference between corresponding shade of Tescera Body composite and Vitapan shade guide was from 6.88 to 12.80. L* and b*value was decreased as layering thickness of Incisal composite on Body composite was increased. But, a* value did not show specific change tendency. Conclusions: Surface color difference between Body composites and Incisal composites layered on Body composite was increased as the layering thickness of Incisal composite increased (p < 0.05). [J Kor Acad Cons Dent 2011;36(1):37-49.]