Comparison of Fluorescence of Tooth Enamel, Resin Composite, Lithium Disilicate and Monolithic Zirconia Under Thermocyclic Ageing

M. Alqahtani, Hisham Abushaqqaf, Yazeed Assiry, Ahmed S Almslam, Fahad Al-obaid, Yazeed Alzamel, Ahmed Alhejazi, A. Alanzi
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Abstract

The aim was to compare the fluorescence intensity of tooth enamel, resin composite, lithium disilicate, and monolithic zirconia before and after thermocyclic aging. Lithium disilicate (LD) and monolithic Zirconia ceramic samples were fabricated with the CAD-CAM method. Resin composite specimens, of shades A1, A2, and A3, were prepared with photo-polymerization and putty mold. Extracted second molar teeth were obtained and sectioned to produce enamel specimens. Fluorescence assessment prior to thermocycling was performed using flurolog-Qm system before and after thermocycling. Samples were exposed to thermocycling (TC) for 30,000 cycles in distilled water at 5 °C and 55 °C for 30 s each, with 5 s between the baths. The means and standard deviations were compared using, t-test, analysis of variance, and Tukey–Kramer multiple comparisons test. The initial fluorescence intensities before thermocyclic ageing were highest in LD ceramic specimens (42579±817.1). The lowest fluorescence was observed in monolithic Zr specimen 14750±584.7. The reduction in fluorescence intensity after thermocyclic ageing was highest in LD specimens, however, the lowest difference was noted in composite A3 specimens. LD ceramic showed significantly high fluorescence among all materials before and after ageing. The fluorescence of the tested materials reduced with ageing and is expected to decrease intraorally with time.
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牙釉质、树脂复合材料、二硅酸锂和单片氧化锆在热循环老化下的荧光比较
目的是比较牙釉质、树脂复合材料、二硅酸锂和单片氧化锆在热循环老化前后的荧光强度。采用CAD-CAM方法制备了二硅酸锂(LD)和单片氧化锆陶瓷样品。用光聚合和油灰模具制备了色调为A1、A2和A3的树脂复合材料试样。取出第二磨牙并进行切片以制备釉质标本。在热循环之前和之后使用flurolog-Qm系统进行热循环之前的荧光评估。样品在5°C和55°C的蒸馏水中暴露于热循环(TC)30000次,每次30 s,浴之间5 s。使用t检验、方差分析和Tukey–Kramer多重比较检验对平均值和标准差进行比较。LD陶瓷样品在热循环老化前的初始荧光强度最高(42579±817.1),单片Zr样品的最低荧光强度为14750±584.7。热循环老化后,LD样品的荧光强度降低幅度最大,但复合A3样品的差异最小。在所有材料中,LD陶瓷在老化前后都表现出显著的高荧光。受试材料的荧光随着老化而减少,预计体内荧光会随着时间的推移而减少。
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