Color Stability of Computer-aided Design–Computeraided Manufacturing of Ceramic Materials upon Lightemitting Diode Illumination Bleaching
Niwut Juntavee, Apa Juntavee, Korpkiat Riyaboot
Citation Information :
Juntavee N, Juntavee A, Riyaboot K. Color Stability of Computer-aided Design–Computeraided Manufacturing of Ceramic Materials upon Lightemitting Diode Illumination Bleaching. World J Dent 2017; 8 (6):445-451.
Aim: This study evaluated the influence of light emitting diode (LED) illumination bleaching technique on color stability of various computer-aided design–computer-aided manufacturing
(CAD–CAM) of ceramic materials.
Materials and methods: A total of 20 disk-shaped samples (width × length × thickness = 10 mm × 15 mm × 2 mm) were prepared from each of the ceramic materials for CAD–CAM including Lava™ Ultimate (LV), Vita Enamic® (En), IPS e.max® CAD (Me), inCoris® TZI (IC), and Prettau® zirconia (Pr). The samples from each type of ceramic were randomly divided into two groups based upon different bleaching techniques using 35% hydrogen peroxide with and without LED illumination. Colorimetric evaluation was determined using spectrophotometer for color differences.
Results: The color difference (ΔE) upon bleaching, either without or with LED illumination [mean ± standard deviation (SD)], for each type of ceramic was 0.34 ± 0.21, 0.54 ± 0.41 for LV groups; 5.59 ± 1.35, 5.81 ± 1.45 for En groups, 4.60 ± 1.80, 6.92 ± 1.42 for Me groups, 3.43 ± 1.04, 4.14 ± 0.72 for IC
groups, and 6.61 ± 0.80, 7.03 ± 0.64 for Pr groups respectively. The differences in color changes were indicated upon bleaching procedure in different degrees for the different ceramic
materials. The analysis of variance (ANOVA) indicated significant differences of color change due to the effect of bleaching technique on the ceramic material (p < 0.05).
Conclusion: Bleaching can affect the color stability of dental ceramics for CAD–CAM. Using 35% hydrogen peroxide bleaching agent with LED illumination caused more color alteration of
dental ceramics than without LED illumination. Clinical significance: B leaching a ffects c olor o f c eramic materials. Clinicians should be careful in the protection of the existing restoration.
Dahl JE, Pallesen U. Tooth bleaching-–a critical review of the biological aspects. Crit Rev Oral Biol Med 2003;14(4)292-304
Nonvital tooth bleaching: a review of the literature and clinical procedures. J Endod 2008 Apr;34(4):394-407
Clinical evaluation of in-office dental bleaching treatments with and without the use of light-activation sources. Oper Dent 2008 Jan-Feb;33(1):15-22
Safety issues when using carbamide peroxide to bleach vital teeth–a review of the literature. Eur J Prosthodont Restor Dent 2003;11:9-13
Undesirable and adverse effects of tooth-whitening products: a review. Clin Oral Investig 2010 Feb;14(1):1-10
Color related to ceramic and zirconia restorations: a review. Dent Mater 2011 Jan;27(1):97-108
A review of dental CAD/CAM: current status and future perspectives from 20 years of experience. Dent Mater J 2009 Jan;28(1): 44-56
Emerging ceramic-based materials for dentistry. J Dent Res 2014 Dec;93(12):1235-1242
Hygroscopic and hydrolytic effects in dental polymer networks. Dent Mater 2006 Mar;22(3):211-222
The effect of current bleaching agents on the color of light-polymerized composites in vitro. J Prosthet Dent 2003 May;89(5):474-478
The effect of a bleaching system on properties related to different ceramic surface textures. J Prosthodont 2009 Apr;18(3):223-229
Low temperature degradation-aging-of zirconia: a critical review of the relevant aspects in dentistry. Dent Mater 2010 Aug;26(8):807-820
Discoloration of restorative materials after bleaching application. Quintessence Int 2005 Jan;36(1):33-39
Lowtemperature aging of zirconia ferrules for optical connectors. J Am Ceram Soc 2001 Nov;84(11):2731-2733
Degradability of dental ceramics. Adv Dent Res 1992 Sep;6:82-89
Zirconia ceramics, their contrast ratio and grain size depending on sintering parameters. Dent Mater J 2014 Jul;33(5):591-598
Effects of surface treatments on the susceptibilities of low temperature degradation by autoclaving in zirconia. J Biomed Mater Res B Appl Biomater 2012 Jul;100(5):1334-1343
Direct evidence for continuous linear kinetics in the low-temperature degradation of Y-TZP. Acta Biomater 2013 Jan;9(1):4826-4835
Effect of bleaching on sound enamel and with early artificial caries lesions using confocal laser microscopy. Braz Dent J 2012 Mar;23(2):110-115
Effect of bleaching on restorative materials and restorations—a systematic review. Dent Mater 2004 Nov;20(9):852-861
Effect of filler properties in composite resins on light transmittance characteristics and color. Dent Mater J 2007 Jan;26(1):38-44
Effect of bleaching on color change and refractive index of dental composite resins. Dent Mater J 2008 Jan;27(1):105-116
Effect of bleaching on color change and surface topography of composite restorations. Int J Dent 2010 Nov;2010:695748
Effect of four bleaching regimens on color changes and microhardness of dental nanofilled composite. Int J Dent 2009 Nov;2009:313845
Effect of tooth-bleaching methods on gloss and color of resin composites. J Dent 2010 Jun;38(Suppl 2):e129-e136
Bleaching agent action on color stability, surface roughness and microhardness of composites submitted to accelerate aging. Eur J Dent 2011 Apr;5(2): 143-149
Nightguard vital bleaching beneath existing porcelain veneers: a case report. Quintessence Int 1999 Nov;30(11):743-747
The effect of bleaching agents on the color stability of ceromer and porcelain restorative materials in vitro. Oper Dent 2013 Jan-Feb;38(1):E1-E8
Dental color matching instruments and systems. Review of clinical and research aspects. J Dent 2010 Aug;38(Suppl 2):e2-e16
Recommendations on uniform color spaces, color difference equations, psychometric color terms. Vol. 15. Paris: CIE Publication; 1978. p. 9-12.