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05 September 2022

Effect of UV aging in esthetic CAD-CAM materials: in vitro study data

Lara Figini


Increased demand for esthetics of patients and dental professionals has led to generate a large variety of esthetic materials. For clinically successful esthetic restorations, it is essential to combine a proper translucency with an accurate color matching, so a natural appearance can be provided. As materials are exposed to a range of conditions, including UV light, temperature changes, and continuous humidity, aging process simulates the clinical parameters as closely as possible. 


Materials and methods
In an in vitro study, published on Journal of Esthetic Restorative Dentistry March 2019, the authors analyzed the translucency values of different types of CAD-CAM ceramic materials after  UV aging to assess whether "UV aging" may influence the translucency of these materials over time. 70 specimens (n = 10) of Bruxzir Anterior (BA); E.max Cad (EC); Lava Ultimate (LU); Cerasmart (CE); Vita Enamic (VE); Vita Suprinity (VS); Vita Mark II (VM) were prepared (1 mm ± 0.01 mm). Color measurements were performed using a spectrophotometer (VITA Easyshade). RTP values of the specimens before (RTP1) and after UV aging (RTP2) were evaluated. Statistical analyses were done with repeated measurements of two-way-ANOVA with Bonferroni test (P < 0.05).


Results
Evaluating RTP1 and RTP2 values; significant differences were found (P < 0.05). There were no significant difference between the RTP1 values of CE and VS (P = 0.779); EC and VM (P = 0.952); VM and LU (P = 0.995); EP and LU (P = 0.653). Evaluating RTP2 values; VE and BA
were found significantly different from the others (P < 0.05). For all evaluated groups TP values decreased after UV aging (P < 0.05). The most RTP reduction was observed for LU; while VM and EC were less affected.

Conclusions
From the data of this study, which must be confirmed with other similar studies, it can be concluded that glass ceramic VE showed the highest RTP and zirconia-based BA was the most
opaque restorative CAD-CAM material. UV aging caused the CAD-CAM materials get more
opaque.


Clinical implications
Dentists should be aware of that restorations get more opaque after usage, so in cases where translucency is needed chosing VE would give better esthetic results; while zirconia-based BA should be used if more opaque restoration is needed.



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