空腔壁厚对单色树脂复合材料调色潜力的影响

IF 3.1 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of the American Dental Association Pub Date : 2024-07-01 DOI:10.1016/j.adaj.2024.03.006
Fabrício Luscino Alves de Castro DDS, MSc, PhD, Letícia Brandão Durand DDS, MSc, PhD
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引用次数: 0

摘要

背景:树脂复合材料的调色潜力取决于周围结构的具体特性。作者使用 CIEDE2000 色差(ΔE00)公式评估了空腔壁厚对单一色调复合材料的 CIEDE2000 调色潜力(CAP00)的影响:制作了两种类型的试样:单色试样,使用 Vittra APS color DA3(FGM Dental)、Vittra APS Unique (VU)(FGM Dental)和 Omnichroma(Tokuyama Dental)复合材料;双色试样,使用 Vittra APS color DA3,但洞壁厚度为 3、2 或 1 mm,用 VU 或 Omnichroma 修复。从试样不同位置的数码照片中获得 CIEL∗a∗b∗ 颜色坐标,并计算出 ΔE00 和 CAP00。统计分析包括双向方差分析、Kruskal-Wallis、Holm-Sidak、Student-Newman-Keuls、Wilcoxon 符号秩和配对 t 检验(α = 5%):厚度为 1 毫米的洞壁具有较高的ΔE00 值和较低的 CAP00 值,尤其是 VU 值(P < .05)。修复体外围比中心区域与对照组更匹配(P < .001)。总体 ΔE00 平均值超过了颜色可感知阈值(即 0.8)和可接受性阈值(即 1.8)。3 毫米和 2 毫米厚度的修复体中心与对照复合材料之间的色差为中度不可接受,而 1 毫米厚度的修复体中心与对照复合材料之间的色差为极度不可接受。这两种复合材料的ΔE00 色差主要由亮度差异决定。VU 和 Omnichroma 的 CAP00 值为正值:壁厚(尤其是 1 毫米)对单色调复合材料的颜色有负面影响。这种影响在 VU 中更为明显,主要影响修复体的中心区域:实际意义:配色能力取决于结构和材料的特性,临床医生在使用单色树脂复合材料时应注意这些因素。
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Influence of cavity wall thickness on the color adjustment potential of single-shade resin composites

Background

The color adjustment potential of resin composites depends on the specific characteristics of the surrounding structures. The authors evaluated the influence of cavity wall thickness on CIEDE2000 color adjustment potential (CAP00) of single-shade composites using the CIEDE2000 color difference (ΔE00) formula.

Methods

Two types of specimens were produced: single, using Vittra APS color DA3 (FGM Dental), Vittra APS Unique (VU) (FGM Dental), and Omnichroma (Tokuyama Dental) composites; and dual, using Vittra APS color DA3, but with cavity wall thicknesses of 3, 2, or 1 mm, restored with VU or Omnichroma. CIEL∗a∗b∗ color coordinates were obtained from digital photographs of the specimens at different locations, and ΔE00 and CAP00 were calculated. Statistical analysis included 2-way analysis of variance, Kruskal-Wallis, Holm-Sidak, Student-Newman-Keuls, Wilcoxon signed rank, and paired t tests (α = 5%).

Results

Cavity walls 1-mm-thick had higher ΔE00 values and lower CAP00 values, particularly for VU (P < .05). Restorations matched better with the control at the periphery than the central area (P < .001). Overall ΔE00 means exceeded the color perceptibility threshold (ie, 0.8) and the acceptability threshold (ie, 1.8). Color differences (between center of restoration and control composite) were moderately unacceptable for 3-mm and 2-mm thicknesses and extremely unacceptable for 1-mm thickness. Both composites had a ΔE00 color shift predominately determined by means of the lightness difference. Positive CAP00 values were found for VU and Omnichroma.

Conclusions

Wall thickness, especially at 1 mm, negatively impacted the color of single- shade composites. This effect was more pronounced for VU, affecting mainly the restoration’s central area.

Practical Implications

Color matching ability depends on the structural and material characteristics, and clinicians should be attentive to these factors when using single-shade resin composites.

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来源期刊
Journal of the American Dental Association
Journal of the American Dental Association 医学-牙科与口腔外科
CiteScore
5.30
自引率
10.30%
发文量
221
审稿时长
34 days
期刊介绍: There is not a single source or solution to help dentists in their quest for lifelong learning, improving dental practice, and dental well-being. JADA+, along with The Journal of the American Dental Association, is striving to do just that, bringing together practical content covering dentistry topics and procedures to help dentists—both general dentists and specialists—provide better patient care and improve oral health and well-being. This is a work in progress; as we add more content, covering more topics of interest, it will continue to expand, becoming an ever-more essential source of oral health knowledge.
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