Sains
Malaysiana 54(6)(2025): 1551-1558
http://doi.org/10.17576/jsm-2025-5406-10
Color Stability of CAD-CAM Laminate
Veneer after Aging and Exposure to Food Spices
(Kestabilan Warna
Venir Laminat CAD-CAM selepas Penuaan dan Pendedahan kepada Rempah Makanan)
ENAS ABDALLA
ETAJURI1, NOORHAYATI RAJA MOHD1, ZUBAIDAH ZANUL ABIDIN1,
KHOR XIN EE2, JOELLE LIM SIN YI2 & SITI FAUZZA AHMAD1,*
1Department
of Restorative Dentistry, Faculty of Dentistry, Universiti Malaya, 50603 Kuala
Lumpur, Malaysia
2Dental
Alumnae, Faculty of Dentistry, Universiti Malaya, 50603 Kuala Lumpur, Malaysia
Diserahkan: 23 Julai 2024/Diterima: 12 Mac 2025
Abstract
The
color stability of CAD-CAM ceramic veneer restoration is a crucial factor for
the long-term success of the restoration. However, the effect of food spices on
CAD-CAM ceramic has not been evaluated. The purpose of this study was to evaluate the color stability of CAD-CAM
laminate veneer materials after artificial aging and exposure to turmeric and
paprika staining solutions. CAD-CAM ceramic slices (N=72; shade; A2; diameter 9
mm × 7 mm) were prepared using feldspathic ceramic (n=36) and
zirconia-reinforced lithium disilicate (n=36). Each type of ceramic material is
divided into two thicknesses, 0.5 mm (n=18) and 0.7 mm (n=18). The ceramic
slices were cemented onto central incisors. The samples were subjected to
accelerated aging for 1000 cycles. Samples were further divided into 3
subgroups (n=6): distilled water (control), turmeric, and paprika staining
solutions, and soaked for 24 h. Spectrophotometric color measurement was
recorded, and color difference (∆E) was calculated after aging
(∆E1), and after 24 h of immersion in spices solutions (∆E2).
Two-way analysis of variance and Bonferroni’s test were used for the
statistical analysis (α=.05). ∆E1 means were not significantly
influenced by ceramic materials (P=0.770) and thicknesses (P=
0.162). ∆E2 means were significantly affected by the interaction between
thickness and staining solutions in both materials (P <0.05). Both
ceramic veneers presented the highest color change after immersion in turmeric
solution. Ceramic veneers show color changes after artificial aging. Turmeric
shows a significant effect on the color of ceramic veneer after staining.
Ceramic thickness influences the amount of color change after aging and
staining.
Keywords:
CAD/CAM ceramic veneer; color stability; food spices
Abstrak
Kestabilan
warna pemulihan venir seramik CAD-CAM merupakan faktor penting untuk kejayaan
jangka panjang pemulihan. Walau bagaimanapun, kesan rempah makanan pada seramik
CAD-CAM belum dinilai. Tujuan kajian ini adalah untuk menilai kestabilan warna
bahan venir lamina CAD-CAM selepas penuaan buatan dan pendedahan kepada larutan
pewarna kunyit dan paprika. Kepingan seramik CAD-CAM (N=72; lorek; A2; diameter
9 mm × 7 mm) disediakan menggunakan seramik feldspathic (n=36) dan litium
disilikat bertetulang zirkonia (n=36). Setiap jenis bahan seramik dibahagikan
kepada dua ketebalan, 0.5 mm (n=18) dan 0.7 mm (n=18). Potongan seramik disimen
pada gigi kacip tengah. Sampel telah tertakluk kepada penuaan dipercepatkan
untuk 1000 kitaran. Sampel dibahagikan lagi kepada 3 subkumpulan (n=6): air
suling (kawalan), larutan pewarna kunyit dan paprika dan direndam selama 24
jam. Pengukuran warna spektrofotometri telah direkodkan dan perbezaan warna
(∆E) dikira selepas penuaan (∆E1) dan selepas 24 jam rendaman dalam
larutan rempah (∆E2). Analisis dua hala bagi varians dan ujian Bonferroni
digunakan untuk analisis statistik (α=.05). ∆E1 bermakna tidak
banyak dipengaruhi oleh bahan seramik (P=0.770) dan ketebalan (P= 0.162).
Purata ∆E2 telah terjejas dengan ketara oleh interaksi antara ketebalan
dan larutan pewarnaan dalam kedua-dua bahan (P <0.05). Kedua-dua venir
seramik memberikan perubahan warna yang paling tinggi selepas rendaman dalam
larutan kunyit. Venir seramik menunjukkan perubahan warna selepas penuaan
buatan. Kunyit menunjukkan kesan ketara pada warna venir seramik selepas pewarnaan.
Ketebalan seramik mempengaruhi jumlah perubahan warna selepas penuaan dan
pewarnaan.
Kata
kunci: Kestabilan warna; rempah-rempah makanan; venir seramik CAD/CAM
RUJUKAN
Almeida, J.R., Schmitt, G.U., Kaizer, M.R.,
Boscato, N. & Moraes, R.R. 2015. Resin-based luting agents and color
stability of bonded ceramic veneers. The Journal of Prosthetic Dentistry 114(2):
272-277. https://doi.org/10.1016/j.prosdent.2015.01.008
Alp, G., Subasi, M.G., Johnston, W.M. &
Yilmaz, B. 2018. Effect of surface treatments and coffee thermocycling on the
color and translucency of CAD-CAM monolithic glass-ceramic. The Journal
of Prosthetic Dentistry 120(2): 263-268.
Ardu, S., Braut, V., Gutemberg, D., Krejci, I.,
Dietschi, D. & Feilzer, A.J. 2010. A long-term laboratory test on staining
susceptibility of esthetic composite resin materials. Quintessence International
(Berlin, Germany: 1985) 41(8): 695-702.
Atay, A., Karayazgan, B., Ozkan, Y. &
Akyil, M.S. 2009. Effect of colored beverages on the color stability of
feldspathic porcelain subjected to various surface treatments. Quintessence
International (Berlin, Germany: 1985) 40(7): e41-e48.
Bagis, B. & Turgut, S. 2013. Optical
properties of current ceramics systems for laminate veneers. Journal of
Dentistry 41(3): e24-e30. https://doi.org/10.1016/j.jdent.2012.11.01
Belli, R., Wendler, M., de Ligny, D., Cicconi,
M.R., Petschelt, A., Peterlik, H. & Lohbauer, U. 2017. Chairside CAD/CAM
materials. Part 1: Measurement of elastic constants and microstructural
characterization. Dental materials: Official publication of the Academy
of Dental Materials 33(1): 84-98.
https://doi.org/10.1016/j.dental.2016.10.009
Bravo, L. 1998. Polyphenols: Chemistry, dietary
sources, metabolism, and nutritional significance. Nutrition Reviews 56(11):
317-333. https://doi.org/10.1111/j.1753-4887.1998.tb01670.x
Calgaro, P.A., Furuse, A.Y., Correr, G.M.,
Ornaghi, B.P. & Gonzaga, C.C. 2014. Post-cementation colorimetric
evaluation of the interaction between the thickness of ceramic veneers and the
shade of resin cement. American Journal of Dentistry 27(4):
191-194.
Chittem, J., Sajjan, G.S. & Varma Kanumuri,
M. 2017. Spectrophotometric evaluation of colour stability of nano hybrid
composite resin in commonly used food colourants in Asian countries. Journal
of Clinical and Diagnostic Research 11(1): ZC61-ZC65.
https://doi.org/10.7860/JCDR/2017/22919.9193
Cho, J.H.,
Çakmak, G., Yi, Y., Yoon, H.I., Yilmaz, B. & Schimmel, M. 2024. Tooth
morphology, internal fit, occlusion and proximal contacts of dental crowns
designed by deep learning-based dental software: A comparative study. Journal
of Dentistry 141: 104830 DOI 10.1016/j.jdent.2023.104830
CIE Technical
Report. 2004. Colorimetry. CIE Publication 15.3. Vienna, Austria: CIE Central
Bureau.
Çömlekoğlu, M.E., Paken, G., Tan, F.,
Dündar-Çömlekoğlu, M., Özcan, M., Akan, E. & Aladağ, A. 2016.
Evaluation of different thickness, die color, and resin cement shade for
veneers of multilayered CAD/CAM clocks. Journal of Prosthodontics: Official
Journal of the American College of Prosthodontists 25(7): 563-569.
https://doi.org/10.1111/jopr.12367
de Carvalho Ramos, N., Campos, T.M., Paz, I.S.,
Machado, J.P., Bottino, M.A., Cesar, P.F. & Melo, R.M. 2016. Microstructure
characterization and SCG of newly engineered dental ceramics. Dental
Materials: Official Publication of the Academy of Dental Materials 32(7):
870-878. https://doi.org/10.1016/j.dental.2016.03.018
de Oliveira, P.T.G., Queiroga, R.B., Mota,
E.G., Bittencourt, H.R., Kunrath, M.F. & Teixeira, E.R. 2023. Comparative analysis of techniques for
extrinsic characterization of CAD/CAM ceramics. Ceramics International 49(10): 15044-15054.
Duane Douglas, R., Steinhauer, T.J. & Wee,
A.G. 2007. Intraoral determination of the tolerance of dentists for
perceptibility and acceptability of shade mismatch. The Journal of Prosthetic
Dentistry 97(4): 200-208. https://doi.org/10.1016/j.prosdent.2007.02.012
D'Amario, M., Campidoglio, M., Morresi, A.L.,
Luciani, L., Marchetti, E. & Baldi, M. 2010. Effect of thermocycling on the
bond strength between dual-cured resin cements and zirconium-oxide
ceramics. Journal of Oral Science 52(3): 425-430. https://doi.org/10.2334/josnusd.52.425
Farook,
T.H., Jamayet, N.B., Abdullah, J.Y., Asif, J.A., Rajion, Z.A. & Alam, M.K.
2020. Designing 3D prosthetic templates for maxillofacial defect
rehabilitation: A comparative analysis of different virtual workflows. Computers
in Biology and Medicine 118(1): 103646 DOI 10.1016/j.compbiomed.2020.103646
Gale, M.S. & Darvell, B.W. 1999. Thermal
cycling procedures for laboratory testing of dental restorations. Journal
of Dentistry 27(2): 89-99.
https://doi.org/10.1016/s0300-5712(98)00037-2
Gürdal, I., Atay, A., Eichberger, M., Cal, E.,
Üsümez, A. & Stawarczyk, B. 2018. Color change of CAD-CAM materials and
composite resin cements after thermocycling. The Journal of Prosthetic
Dentistry 120(4): 546-552. https://doi.org/10.1016/j.prosdent.2017.12.003
Igiel, C., Weyhrauch, M., Mayer, B., Scheller,
H. & Lehmann, K.M. 2018. Effects of ceramic layer thickness, cement color,
and abutment tooth color on color reproduction of feldspathic veneers. The
International Journal of Esthetic Dentistry 13(1): 110-119.
Kara, R.
2022. Evaluation of discoloration after thermocycling in CAD/CAM blocks of
different thicknesses. Journal of Health and Medical Sciences 5(2):
35-43. DOI: 10.31014/aior.1994.05.02.209
Lee, J.H., Kim, S.H., Yoon, H.I., Yeo, I.L.
& Han, J.S. 2020. Colour stability and surface properties of
high-translucency restorative materials for digital dentistry after simulated
oral rinsing. European Journal of Oral Sciences 128(2): 170-180.
https://doi.org/10.1111/eos.12676
Lee, S.M. & Choi, Y.S. 2018. Effect of ceramic
material and resin cement systems on the color stability of laminate veneers
after accelerated aging. The Journal of Prosthetic Dentistry 120(1):
99-106. https://doi.org/10.1016/j.prosdent.2017.09.014
Morsy, Z., Ghoneim, M. & Afifi, R. 2020. Influence of luting
resin cement polymerization mode and veneer thickness on the color stability of
feldspathic CAD/CAM veneers. Alexandria
Dent. J. 45: 111-116.
Naidu, V.
& Jaju, S. 2022. CAD/CAM engineering and artificial intelligence in
dentistry. IOP Conference Series: Materials Science and Engineering 1259(1): 012018. DOI 10.1088/1757-899X/1259/1/012018
Palla, E.S., Kontonasaki, E., Kantiranis, N.,
Papadopoulou, L., Zorba, T., Paraskevopoulos, K.M. & Koidis, P. 2018. Color
stability of lithium disilicate ceramics after aging and immersion in common
beverages. The Journal of Prosthetic Dentistry 119(4): 632-642.
https://doi.org/10.1016/j.prosdent.2017.04.031
Porojan, L., Vasiliu, R. D., Bîrdeanu, M. I., & Porojan,
S. D. 2020. Surface characterization and optical properties of reinforced
dental glass-ceramics related to artificial aging. Molecules (Basel,
Switzerland) 25(15): 3407.
https://doi.org/10.3390/molecules25153407
Schuckar, M. & Geurtsen, W. 1997.
Proximo-cervical adaptation of Class II-composite restorations after
thermocycling: A quantitative and qualitative study. Journal of Oral
Rehabilitation 24(10): 766-775. https://doi.org/10.1046/j.1365-2842.1997.00591.x
Soygun, K., Varol, O., Ozer, A. & Bolayir,
G. 2017. Investigations on the effects of mouthrinses on the colour stability
and surface roughness of different dental bioceramics. The Journal of Advanced
Prosthodontics 9(3): 200-207.
Stober, T., Gilde, H. & Lenz, P. 2001.
Color stability of highly filled composite resin materials for facings. Dental
Materials: Official Publication of the Academy of Dental Materials 17(1):
87-94. https://doi.org/10.1016/s0109-5641(00)00065-8
Su, Y., Xin, M., Chen, X. & Xing, W. 2021.
Effect of CAD-CAM ceramic materials on the color match of veneer
restorations. The Journal of Prosthetic Dentistry 126(2):
255.e1-255.e7. https://doi.org/10.1016/j.prosdent.2021.04.029
Tamam, E., Güngör, M.B. & Nemli, S.K. 2020.
How are the color parameters of a CAD/CAM feldspathic ceramic of the material
affected by its thickness, shade, and color of the substructure? Nigerian
Journal of Clinical Practice 23(4): 523-533. https://doi.org/10.4103/njcp.njcp_517_19
Turgut, S. & Bagis, B. 2011. Colour
stability of laminate veneers: An in vitro study. Journal of Dentistry 39(3):
e57-e64. https://doi.org/10.1016/j.jdent.2011.11.006
Wegner, S.M., Gerdes, W. & Kern, M. 2002.
Effect of different artificial aging conditions on ceramic-composite bond
strength. The International Journal of Prosthodontics 15(3):
267-272.
Ye, Z., Jiang, J.,
Yang, L., Xu, T., Lin, Y. & Luo, F. 2023. Research progress and clinical
application of all-ceramic micro-veneer. Materials 16(8):
2957. https://doi.org/10.3390/ma16082957
Yew, H.Z., Berekally, T.L. & Richards, L.C.
2013. A laboratory investigation of colour changes in two contemporary resin
composites on exposure to spices. Australian Dental Journal 58(4):
468-477. https://doi.org/10.1111/adj.12099
Zarone, F., Ruggiero, G., Leone, R., Breschi,
L., Leuci, S. & Sorrentino, R. 2021. Zirconia-reinforced lithium silicate
(ZLS) mechanical and biological properties: A literature review. Journal
of Dentistry 109: 103661. https://doi.org/10.1016/j.jdent.2021.103661
*Pengarang untuk surat-menyurat; email: sfauzza@um.edu.my