Color shifting at the border of resin composite restorations in human tooth cavity

TY - JOUR

T1 - Color shifting at the border of resin composite restorations in human tooth cavity

AU - Tsubone, Mako

AU - Nakajima, Masatoshi

AU - Hosaka, Keiichi

AU - Foxton, Richard M.

AU - Tagami, Junji

PY - 2012/8

Y1 - 2012/8

N2 - Objectives. The purposes of this study were to evaluate color shifting at the boader of resin composite restorations after placement in human tooth cavities in vitro.Methods. Twenty extracted human premolars with an A2 shade were used in this study. Cylindrical shaped cavities (3.0 mm or 1.5 mm depth; 2.0 mm diameter) were prepared in the center of the crowns. One of four resin composites of A2 shade (Clearfil AP-X, AP; Clearfil Majesty, MA; Tetric N Ceram, TNC; Ceram X mono, CX) was placed in the cavity, and the color was measured at four points (0.4 mm x 0.4 mm) on the restored teeth (area 1: tooth area 1.0 mm away from the border of resin composite restoration; area 2: tooth border area 0.3 mm away from margin of resin composite restoration; area 3: resin composite border area 0.3 mm away from margin of resin composite restoration; area 4: resin composite area at the center of resin composite restoration) using a spectrophotometer (Crystaleye). The color of each area was determined according to the CIELAB color scale. Color differences (Delta E*) between the areas of 1 and 2, 2 and 3, 3 and 4, and 1 and 4 were calculated, and also the ratio of Delta E*23 to Delta E*14 as a parameter of the color shifting at the border of resin composite restoration, was determined. The data were statistically analyzed using two-way ANOVA, and Dunnett's T3 and t-test for the post hoc test.Results. For all materials, the Delta*23 were significantly lower than Delta E*14, in which Delta E*23 were significantly influenced by the materials although there were no significant differences in the Delta E*14 between the materials. Additionally, Delta E*12 were significantly higher than Delta E*34. For the 3.0 mm cavity depth group, the lowest Delta E*23/14 ratio was seen in CX = MJ < TNC < AP. For the 1.5 mm cavity depth group, TNC dramatically reduced the Delta E*23/14 ratio, and the lowest ratio was seen in TNC = CX < MJ < AP.Significance. All resin composite restorations in the tooth cavities produced the color shifting of resin composite and tooth at the border. For deep cavity, resin composites with higher diffused light transmission property showed higher color shifting at the border, while for shallow cavity, the straight-line as well as diffused light transmission of resin composite affected the color shifting at the border. Clinically, diffused light transmission property of resin composites may contribute to the color shifting at the border of resin composite restoration regardless of cavity depth, resulting in better color matching. (C) 2012 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

AB - Objectives. The purposes of this study were to evaluate color shifting at the boader of resin composite restorations after placement in human tooth cavities in vitro.Methods. Twenty extracted human premolars with an A2 shade were used in this study. Cylindrical shaped cavities (3.0 mm or 1.5 mm depth; 2.0 mm diameter) were prepared in the center of the crowns. One of four resin composites of A2 shade (Clearfil AP-X, AP; Clearfil Majesty, MA; Tetric N Ceram, TNC; Ceram X mono, CX) was placed in the cavity, and the color was measured at four points (0.4 mm x 0.4 mm) on the restored teeth (area 1: tooth area 1.0 mm away from the border of resin composite restoration; area 2: tooth border area 0.3 mm away from margin of resin composite restoration; area 3: resin composite border area 0.3 mm away from margin of resin composite restoration; area 4: resin composite area at the center of resin composite restoration) using a spectrophotometer (Crystaleye). The color of each area was determined according to the CIELAB color scale. Color differences (Delta E*) between the areas of 1 and 2, 2 and 3, 3 and 4, and 1 and 4 were calculated, and also the ratio of Delta E*23 to Delta E*14 as a parameter of the color shifting at the border of resin composite restoration, was determined. The data were statistically analyzed using two-way ANOVA, and Dunnett's T3 and t-test for the post hoc test.Results. For all materials, the Delta*23 were significantly lower than Delta E*14, in which Delta E*23 were significantly influenced by the materials although there were no significant differences in the Delta E*14 between the materials. Additionally, Delta E*12 were significantly higher than Delta E*34. For the 3.0 mm cavity depth group, the lowest Delta E*23/14 ratio was seen in CX = MJ < TNC < AP. For the 1.5 mm cavity depth group, TNC dramatically reduced the Delta E*23/14 ratio, and the lowest ratio was seen in TNC = CX < MJ < AP.Significance. All resin composite restorations in the tooth cavities produced the color shifting of resin composite and tooth at the border. For deep cavity, resin composites with higher diffused light transmission property showed higher color shifting at the border, while for shallow cavity, the straight-line as well as diffused light transmission of resin composite affected the color shifting at the border. Clinically, diffused light transmission property of resin composites may contribute to the color shifting at the border of resin composite restoration regardless of cavity depth, resulting in better color matching. (C) 2012 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

U2 - 10.1016/j.dental.2012.04.032

DO - 10.1016/j.dental.2012.04.032

M3 - Article

SN - 0109-5641

VL - 28

SP - 811

EP - 817

JO - Dental Materials

JF - Dental Materials

IS - 8

ER -