In Vitro Evaluation of Color Changes in CAD/CAM Materials Due to Long-Term Water Aging
DOI:
https://doi.org/10.15517/kyea6q06Keywords:
CAD/CAM block; Color stability; Polishing systems;, Spectrophotometry; Water aging; Dental materials.Abstract
The aim of this study is to examine the discoloration in CAD/CAM materials used in dentistry after 4-years of contact with water, which is the environment to which they are most exposed in the oral cavity. Three different A2-colored resin-based CAD/CAM blocks (Cerasmart, Coltene Brilliant Crios and Shofu Block HC) were used in our study. A total of 180 specimens, 60 of each CAD/CAM material, were prepared with a thickness of 2-mm. Then, each material was divided into three different groups based on the polishing systems (Coltene Diatech, Sof-Lex Diamond, Identoflex Diamond Ceramic) applied in accordance with the recommendations of the manufacturing companies (n:20). The discoloration of the materials on a white background and under natural light sources at the beginning and after being stored in distilled water for 4-years were measured with the VITA EasyshadeV spectrophotometer. All the obtained data were examined using the Kolmogorov Smirnov and Shapiro Wilk Normality Test values. After the water aging process, no statistically significant difference was found between the Cerasmart (p=1.51; p>0.05) and Shofu (p=0.95; p>0.05) CAD/CAM material groups using three different polishing systems. A statistically significant difference was found between all polishing system groups of Coltene CAD/CAM materials (p=0.00). All CAD/CAM materials showed color changes above the ∆E00≤0.8 perceptibility threshold after being aged in distilled water for 4 years. Cerasmart CAD/CAM blocks (Coltene ∆E00=1.33, Sof-lex ∆E00=1.43, Identoflex ∆E00=1.69) showed color changes below the ∆E00≤1.8 acceptability threshold in all groups where different polishing systems were applied, while Coltene (Coltene ∆E00=3.7, Sof-lex ∆E00=3.81, Identoflex ∆E00=4.69) and Shofu (Coltene ∆E00=2.33, Sof-lex ∆E00=1.74, Identoflex ∆E00=1.91) blocks showed color changes above the acceptable threshold value.
Downloads
References
Ruse N.D., Sadoun M.J. Resin-composite blocks for dental CAD/CAM applications. J Dent Res 2014; 93 (12): 1232-4. DOI: https://doi.org/10.1177/0022034514553976
Seghi R.R., Denry I.L., Rosenstiel S.F. Relative fracture toughness and hardness of new dental ceramics. J Prosthet Dent 1995; 74 (2): 145-50. DOI: https://doi.org/10.1016/S0022-3913(05)80177-5
Nguyen J.F., Migonney V., Ruse N.D., Sadoun M. Resin composite blocks via high-pressure high-temperature polymerization. Dent Mater 2012; 28 (5): 529-34. DOI: https://doi.org/10.1016/j.dental.2011.12.003
Belli R., Geinzer E., Muschweck A., et al. Mechanical fatigue degradation of ceramics versus resin composites for dental restorations. Dent Mater 2014; 30 (4): 424-32. DOI: https://doi.org/10.1016/j.dental.2014.01.003
Ghazal M., Kern M. Wear of denture teeth and their humanenamel antagonists. Quintessence Int 2010; 41(2): 157-63
Acar O., Yilmaz B., Altintas S.H., Chandrasekaran I., Johnston W.M. Color stainability of CAD/CAM and nanocomposite resin materials. J Prosthet Dent 2016; 115 (1): 71-5. DOI: https://doi.org/10.1016/j.prosdent.2015.06.014
Wang F., Takahashi H., Iwasaki N. Translucency of dental ceramics with different thicknesses. J Prosthet Dent 2013; 110 (1): 14-20. DOI: https://doi.org/10.1016/S0022-3913(13)60333-9
Chaiyabutr Y., Kois J.C., LeBeau D., et al. Effect of abutment tooth color, cement color, and ceramic thickness on the resulting optical color of a CAD/ CAM glass-ceramic lithium disilicate reinforced crown. J Prosthet Dent 2011; 105 (2): 83-90. DOI: https://doi.org/10.1016/S0022-3913(11)60004-8
Cavalcanti A.N., Mitsui F.H.O., Ambrosano G.M.B., Marchi G.M. Influence of adhesive systems and flowable composite lining on bond strength of class II restorations submitted to thermal and mechanical stresses. J Biomed Mater Res B Appl Biomater. 2007; 80 (1): 52-8. DOI: https://doi.org/10.1002/jbm.b.30567
Nikaido T., Kunzelmann K.H., Chen H., Ogata M., Harada N., Yamaguchi S., Cox C.F., Hickel R., Tagami J. Evaluation of thermal cycling and mechanical loading on bond strength of a self-etching primer system to dentin. Dent Mater. 2002; 18 (3): 269-75. DOI: https://doi.org/10.1016/S0109-5641(01)00048-3
Kovuturk A.E., Kusgoz A., Ulker M., Yeşilyurt C. Effects of mechanical and thermal aging on microleakage of different fissure sealants. Dent Mater J. 2008; 27 (6): 795-801. DOI: https://doi.org/10.4012/dmj.27.795
Morresi A.L., Amario M.D.’, Capogreco M., Gatto R., Marzo G., Arcangelo C. D’,Monaco A. Thermal cycling for restorative materials: does a standardized protocol exist in laboratory testing? A literature review. J Mech Behav Biomed Mater. 2014; 29: 295-308. DOI: https://doi.org/10.1016/j.jmbbm.2013.09.013
Attia A., Abdealaziz K., Freitag S., Kern M. Fracture load of composite resin and feldspathic all-ceramic CAD/CAM crowns. J Prosthet Dent, 2006; 95 (2): 117-23. DOI: https://doi.org/10.1016/j.prosdent.2005.11.014
Gruber S., Kamnoedboon P., Ozcan M., Srinivasan M. CAD/CAM complete denture resins: an in vitro evaluation of color stability. J Prosthodont. 2001; 30 (5): 430-439. DOI: https://doi.org/10.1111/jopr.13246
Egilmez F., Ergun G., Cekic-Nagas I., Vallittu P.K., Lassilla L.V.J. Does artificial aging affect mechanical properties of CAD/CAM composite materials. J Prosthodont Res. 2018; 62 (1): 65-74. DOI: https://doi.org/10.1016/j.jpor.2017.06.001
Ilie N. Altering of optical and mechanical properties in high- translucent CAD-CAM resin composites during aging. J Dent. 2019; 85: 64-72. DOI: https://doi.org/10.1016/j.jdent.2019.05.015
Porojan L., Toma F.R., Bîrdeanu M.I., Vasiliu R.D., Utu ID, Matichescu A. Surface characteristics and color stability of dental PEEK related to water saturation and thermal cycling. Polymers (Basel). 2022; 14 (11): 2144. DOI: https://doi.org/10.3390/polym14112144
Bollen C.M., Lambrechts P., Quirynen M. Comparison of surface roughness of oral hard materials to the threshold surface roughness for bacterial plaque retention: a review of the literature. Dent Mater 1997; 13 (4): 258-69. DOI: https://doi.org/10.1016/S0109-5641(97)80038-3
Yilmaz C., Korkmaz T., Demirkoprulu H., Ergun G., Ozkan Y. Color stability of glazed and polished dental porcelains. J Prosthodont 2008; 17 (1): 20-4. DOI: https://doi.org/10.1111/j.1532-849X.2007.00237.x
de Oliveira A.L., Botta A.C., Campos J.A., Garcia P.P. Effects of immersion media and repolishing on color stability and superficial morphology of nanofilled composite resin. Microsc Mikroanal 2014; 20 (4): 1234-9. DOI: https://doi.org/10.1017/S1431927614001299
Fontes S.T., Fernandez M.R., de Moura C.M., Meireles S.S. Color stability of a nanofill composite: effect of different immersion media. J Appl Oral Sci 2019; 17 (5): 388-91. DOI: https://doi.org/10.1590/S1678-77572009000500007
Erdemir U., Yildiz E., Eren M.M. Effects of sports drinks on color stability of nanofilled and mycrohybrid composites after long-term immersions. J Dent 2012; 40 Suppl 2: e55-63. DOI: https://doi.org/10.1016/j.jdent.2012.06.002
Palmer D.S., Barco M.T., Billy E.J. Temperature extremes produced orally by hot and cold liquids. J Prosthet Dent. 1992; 67 (3): 325-7. DOI: https://doi.org/10.1016/0022-3913(92)90239-7
Alp G., Subasi M.G., Johnston W.M., et al. Effect of surface treatments and coffee thermal cycling on the color and translucency of CAD-CAM monolithic glass-ceramic. J Prosthet Dent. 2018; 120 (2): 263-268. DOI: https://doi.org/10.1016/j.prosdent.2017.10.024
Vasiliu R.D., Porojan S.D., Birdeanu M.I., et al. Effect of thermal cycling, surface treatments and microstructure on the optical properties and roughness of CAD-CAM and heat-pressed glass ceramics. Materials (Basel). 2020; 13 (2): 381. DOI: https://doi.org/10.3390/ma13020381
Archegas L.R., Freire A., Vieira S., et al. Colour stability and opacity of resin cements and flowable composites for ceramic veneer luting after accelerated ageing. J Dent. 2011; 39 (11): 804-10. DOI: https://doi.org/10.1016/j.jdent.2011.08.013
Shiozawa M., Tsuchida Y., Suzuki T., Takahashi H. Discoloration of fiber-reinforced composite resin disc for computer-aided design/computer aided manufacturing after immersion in coffee and cury solutions. Dent Mater J 2023; 42 (1): 64-71. DOI: https://doi.org/10.4012/dmj.2022-121
Al-Angari N.S., Quwayhis S., Almayouf N., Meaigel S., Aldahash A., Al-Angari. Effect of staining and whitening systems on color stability of computer aided design/computer aided manufacturing lithium disilicate glass ceramic. Saudi Dent J 2023; 35 (4): 359-364. DOI: https://doi.org/10.1016/j.sdentj.2023.03.011
Luo M.R., Cui G., Rigg B. The development of the CIE 2000 color-difference formula: CIEDE2000. Color Res Appl 2001; 26: 340-350. DOI: https://doi.org/10.1002/col.1049
Paravina R.D., Pérez M.M., Ghinea R. Acceptability and perceptibility thresholds in dentistry: a comprehensive review of clinical and research applications. J Esthet Restor Dent. 2019; 31 (2): 103-112. DOI: https://doi.org/10.1111/jerd.12465
Farahat D.S., El-Wassefy N.A. Effects of food-simulating solutions on the surface properties of two CAD/CAM resin composites. J Clin Exp Dent. 2022; 14 (10): e782-e790. DOI: https://doi.org/10.4317/jced.59822
Badra V.V., Faraoni J.J., Ramos R.P., Palma-Dibb R.G. Influence of different beverages on the microhardness and surface roughness of resin composites. Oper Dent. 2005; 30 (2): 213-9.
Yap A.U., Tan D.T., Goh B.K., Kuah H.G., Goh M. Effect of food-simulating liquids on the flexural strength of composite and polyacid-modified composite restoratives. Oper Dent. 2000; 25 (3): 202-8.
Papathanasiou I., Zinelis S., Papavasiliou G., Kamposiora P. Effect of aging on color, gloss and surface roughness of CAD/CAM composite materials. J Dent 2023;130. DOI: https://doi.org/10.1016/j.jdent.2023.104423
Alharthi R., Alqahtani A.R., Alshehri A.M., Almalki A., Abozaed H.W., Hussein E.M.R., Soliman T.A. Effect of Thermal Aging on Color Stability and Mechanical Properties of High-Density CAD/CAM Polymers Utilized for Provisional Restorations. J Funct Biomater. 2025; 16 (6): 223. DOI: https://doi.org/10.3390/jfb16060223
Mourouzis P., Tsiyeli A., Tsetseli P., Gogos C., Tolidis K. Impact of erosion and aging simulation on chairside materials. Microsc Res Tech. 2023; 86 (8): 943-954. DOI: https://doi.org/10.1002/jemt.24361
Zenthöfer A., Cabrera T., Corcodel N., Rammelsberg P., Hassel A.J. Comparison of the Easyshade compact and advance in vitro and in vivo. Clin Oral Investig. 2013; 18 (5): 1473-9. DOI: https://doi.org/10.1007/s00784-013-1118-9
Published
Issue
Section
License
Copyright (c) 2025 Elif İ. Sancak, Selen Bozkaya Bilgin, Neslihan Tekçe, Kübra Kavram Sarıhan.

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
ODOVTOS - Int. J. Dent. Sc. endorses CC BY-NC-SA
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. If you remix, adapt, or build upon the material, you must license the modified material under identical terms. CC BY-NC-SA includes the following elements:
BY: credit must be given to the creator.
NC: Only noncommercial uses of the work are permitted.
SA: Adaptations must be shared under the same terms.



