Investigating the Ability to Mask Dental Discoloration by CAD/CAM Bleach Shade Ceramics in Different Thicknesses

ABSTRACT Objectives The initial color of a ceramic restoration is determined by the background color. Dental ceramics are great at masking a variety of stains, which helps achieve a natural and beautiful smile. A recent study delved into the effectiveness of CAD/CAM bleach shade ceramics of varying...

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Main Authors: Shervin Reybod, Fariba Ezoji, Ghazaleh Ahmadizenouz, Behnaz Esmaeili
Format: Article
Language:English
Published: Wiley 2025-02-01
Series:Clinical and Experimental Dental Research
Subjects:
Online Access:https://doi.org/10.1002/cre2.70102
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author Shervin Reybod
Fariba Ezoji
Ghazaleh Ahmadizenouz
Behnaz Esmaeili
author_facet Shervin Reybod
Fariba Ezoji
Ghazaleh Ahmadizenouz
Behnaz Esmaeili
author_sort Shervin Reybod
collection DOAJ
description ABSTRACT Objectives The initial color of a ceramic restoration is determined by the background color. Dental ceramics are great at masking a variety of stains, which helps achieve a natural and beautiful smile. A recent study delved into the effectiveness of CAD/CAM bleach shade ceramics of varying thicknesses in concealing dental discoloration. Material and Methods In this laboratory research, ceramic samples including feldspathic ceramics, lithium silicate ceramics, and zirconia ceramics of varying thicknesses were used. Each type of ceramic had a thickness of 0.5, 1.0, 1.5, and 2.0 mm, with dimensions of 7 × 7 mm (n = 10). Backgrounds of C4 and A2 color porcelain were used. To evaluate color coverage, ceramic pieces were placed on the C4 and A2 porcelain backgrounds, and the Vita spectrophotometer was used to calculate the L*a*b* parameters and color difference (ΔE00). A ΔE00 value of ≤ 1.8 was considered clinically acceptable. The data was analyzed using two‐way and one‐way analysis of variance tests, and pairwise comparisons of groups were performed using Tukey's test. Results The research revealed that both the thickness and type of ceramic material significantly influenced the color changes of the samples, with their interaction also playing a crucial role (all three: p < 0.001). Zirconia demonstrated superior color masking performance on the C4 substrate at 0.5 and 1.0 mm thicknesses. The masking ability of ceramics varied at 0.5, 1.0, and 1.5 mm but notably improved at a thickness of 2.0 mm. Conclusions Zirconia generally demonstrated superior masking ability across all thicknesses, while other ceramics exhibited commendable performance only at 1.5 and 2.0 mm thicknesses. Nevertheless, augmenting the thickness of ceramic restorations amplified their masking capability.
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spelling doaj-art-78364b51e20143baaa61b3333bcd9b7e2025-08-20T03:18:41ZengWileyClinical and Experimental Dental Research2057-43472025-02-01111n/an/a10.1002/cre2.70102Investigating the Ability to Mask Dental Discoloration by CAD/CAM Bleach Shade Ceramics in Different ThicknessesShervin Reybod0Fariba Ezoji1Ghazaleh Ahmadizenouz2Behnaz Esmaeili3Student Research Committee Babol University of Medical Sciences Babol I.R. IranDental Materials Research center, Health Research Institute Babol University of Medical Sciences Babol I.R. IranDental Materials Research center, Health Research Institute Babol University of Medical Sciences Babol I.R. IranDental Materials Research center, Health Research Institute Babol University of Medical Sciences Babol I.R. IranABSTRACT Objectives The initial color of a ceramic restoration is determined by the background color. Dental ceramics are great at masking a variety of stains, which helps achieve a natural and beautiful smile. A recent study delved into the effectiveness of CAD/CAM bleach shade ceramics of varying thicknesses in concealing dental discoloration. Material and Methods In this laboratory research, ceramic samples including feldspathic ceramics, lithium silicate ceramics, and zirconia ceramics of varying thicknesses were used. Each type of ceramic had a thickness of 0.5, 1.0, 1.5, and 2.0 mm, with dimensions of 7 × 7 mm (n = 10). Backgrounds of C4 and A2 color porcelain were used. To evaluate color coverage, ceramic pieces were placed on the C4 and A2 porcelain backgrounds, and the Vita spectrophotometer was used to calculate the L*a*b* parameters and color difference (ΔE00). A ΔE00 value of ≤ 1.8 was considered clinically acceptable. The data was analyzed using two‐way and one‐way analysis of variance tests, and pairwise comparisons of groups were performed using Tukey's test. Results The research revealed that both the thickness and type of ceramic material significantly influenced the color changes of the samples, with their interaction also playing a crucial role (all three: p < 0.001). Zirconia demonstrated superior color masking performance on the C4 substrate at 0.5 and 1.0 mm thicknesses. The masking ability of ceramics varied at 0.5, 1.0, and 1.5 mm but notably improved at a thickness of 2.0 mm. Conclusions Zirconia generally demonstrated superior masking ability across all thicknesses, while other ceramics exhibited commendable performance only at 1.5 and 2.0 mm thicknesses. Nevertheless, augmenting the thickness of ceramic restorations amplified their masking capability.https://doi.org/10.1002/cre2.70102ceramiccomputer‐aided designing/computer‐aided manufacturing (CAD/CAM)dental discolorationthickness
spellingShingle Shervin Reybod
Fariba Ezoji
Ghazaleh Ahmadizenouz
Behnaz Esmaeili
Investigating the Ability to Mask Dental Discoloration by CAD/CAM Bleach Shade Ceramics in Different Thicknesses
Clinical and Experimental Dental Research
ceramic
computer‐aided designing/computer‐aided manufacturing (CAD/CAM)
dental discoloration
thickness
title Investigating the Ability to Mask Dental Discoloration by CAD/CAM Bleach Shade Ceramics in Different Thicknesses
title_full Investigating the Ability to Mask Dental Discoloration by CAD/CAM Bleach Shade Ceramics in Different Thicknesses
title_fullStr Investigating the Ability to Mask Dental Discoloration by CAD/CAM Bleach Shade Ceramics in Different Thicknesses
title_full_unstemmed Investigating the Ability to Mask Dental Discoloration by CAD/CAM Bleach Shade Ceramics in Different Thicknesses
title_short Investigating the Ability to Mask Dental Discoloration by CAD/CAM Bleach Shade Ceramics in Different Thicknesses
title_sort investigating the ability to mask dental discoloration by cad cam bleach shade ceramics in different thicknesses
topic ceramic
computer‐aided designing/computer‐aided manufacturing (CAD/CAM)
dental discoloration
thickness
url https://doi.org/10.1002/cre2.70102
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