BACKGROUND The purpose of this in-vitro study was to compare the colour stability and bond strength of zirconia-based ceramic restorations after hydrothermal aging using conventional layering, heat-pressing, and multilayer veneering techniques. METHODS One hundred twenty specimens’ core (15 x 10 x 0.7) was fabricated from A2-shade zirconia CAD-CAM blocks (IPS e.max ZirCAD). Specimens were divided into 4 groups for veneering (N = 30): [(layering group (L), IPS e.max ceram), (heat – pressing group (P), IPS press), and multilayer group, IPS e max Cad for 2 different types of cement (cemented with RelyX U200 (M1) and PANAVIA SA (M2))]. Aging was performed for (5 - 55°C, 5000). Colour coordinates before and after aging were measured to calculate colour differences (ΔE00). The shear bond strength test was performed with a universal test unit. The data were analysed using the analysis of variance (ANOVA) and Tukey’s Honest Significant Difference test (alpha = 0.05). RESULTS Significant differences were found between the groups in bond strength (P < 0.001). Group M1 had the highest bond strength while Group L had the lowest bond strength. In terms of ΔE00 values, there were significant variations between the groups (P < 0.001). Group M1 had the highest colour stability, while Group M2 had the lowest colour stability. CONCLUSIONS The method of fabrication had an impact on the power of the bond between veneering ceramic and zirconia, as well as its colour stability. The restoration fabricated by a multilayer technique was cemented by resin cement (Rely X U200 Automix) which was found to be more resistant and colour stable. KEY WORDS Veneers, Heat-Press Technique, Bond Strength, Colour Different, Hydrothermal Aging.

Objective: The purpose of this study was to investigate the effect of mouth rinses on the color and translucency of three computer-aided design and computer-aided manufacturing (CAD-CAM) restorative materials in laminate veneer and crown thicknesses.Methods: Specimens from two different 5Y-TZP zirconia (InCoris TZI (IT), and Zirkonzahn (ZH)) and lithium disilicate (IPS e.max CAD [IC]) in two different thicknesses (0.7 mm for laminate veneer, and 1.5 mm for crown) were sectioned. All specimens were colored with an A2-shade liquid, and the baseline color values were recorded according to the CIELab system with a spectrophotometer. Each group was divided into two subgroups (n = 15) according to the immersion solution: two different mouth rinses, KL (Klorhex), and LI (Listerine, cool mint) for 180 hours. The color coordinates (L*, a*, b*) of the specimens were measured before and after immersion in a mouth rinse, and TP and ΔE 00 color differences were calculated by using the CIEDE2000 color difference formula. A 3-way ANOVA, Bonferroni test, and 1-sample t tests were used to analyze the data (α = 0.05). Results:The 3-way ANOVA revealed a significant interaction of material, thickness, and mouth rinse for translucency parameter and color difference (ΔE 00 ) data (p < 0.001). TP decreased for both zirconia materials in laminate veneer thickness when immersed in LI mouth rinse (p < 0.05). No difference was found among the TP mean values of three materials in crown thickness after immersed in mouth rinses (p > 0.826). Both zirconia materials immersed in LI showed greater discoloration than after immersed in KL (p < 0.05). A significant difference was found in color change values among three materials for the laminate veneer thickness after immersed in LI (p < 0.001). However, all color difference values were within the clinical acceptability threshold, except for when ZH in laminate veneer thickness was immersed in LI. Conclusions:The color change of ZH zirconia with LI mouth rinse in laminate veneer thickness was high. For both zirconia ceramics, translucency decreased and the color was less stable in laminate veneer thickness after immersed in LI compared to the crown thickness.

Objective: The aim of this study was to evaluate the effect of different polishing systems on the colour stability of different laminate veneer blocks for chair-side CAD-CAM after ultraviolet (UV) ageing. Methods: About 240 sample (13 × 13 × 0.7) were prepared from four different CAD-CAM blocks IPS e.max CAD (IP), IPS Empress CAD (IE), Mark II (M) and Lava Ultimate (LU)) with A1 shade. Each group was divided into five subgroups ( n = 12) according to the control (C) and four different polishing system: Sof-Lex (S), Edenta (E), Identoflex (I) and Zircon Brite (Z). Surface roughnesses (Ra) were measured by a profilometer before and after polishing. The baseline colour values were recorded according to the CIELab system. The colour coordinates (L*, a* and b*) of the samples were measured before and after UV ageing, and colour differences (ΔE00) were calculated by using the CIEDE2000 colour difference formula. A two-way ANOVA and Tukey test methods were used to analyse the data (α = 0.05). Results: A significant interaction was observed between CAD-CAM blocks and polishing system ( p < 0.001). The higher Ra and colour difference was calculated in LU in the Z group after polished and the lower Ra and colour difference was calculated in the IP in the S group after polished. For the IP group, the glazing procedure showed higher Ra and ΔE values with Z group than polished S system, whereas there is no statistical differences. Conclusion: It is concluded that polishing with the Sof-Lex system improves significantly smoothness and colour stability. However, there is no success in using the Zircon Brite polishing system.

No abstract

In the current study, we evaluated the effects of heat treatment (by Er:YAG or furnace) and various surface treatments on the microtensile bond strength (μTBS) of silanized lithium disilicate ceramic. Seventy lithium disilicate (IPS e. max Press; Ivoclar Vivadent) and composite resin (Tetric N-Ceram; Ivoclar Vivadent) blocks were made and distributed into seven groups (n = 10) at random: S: silanization alone; ALS: airborne particle abrasion (APA) and silanization; SC: APA modified with silica and silanization; SHT1: silanization and heat treatment by Er:YAG; SHT2: silanization and heat treatment performed in the furnace (100 °C, 1 min); HF: etching with HF; and HFS: etching with HF and silanization. Every ceramic specimen was cemented to a composite resin block after surface treatment. Cemented specimens were embedded into acrylic resin and were tested with the μTBS test. Data were analyzed using one-way ANOVA and Tamhane T2 tests (α = 0.05). The SHT1 group had the highest bond of strength compared to the other groups (27.46 MPa). The ALS group had the lowest strength of the groups (15.56 MPa). Between SHT2 and HFS (p = 1), the comparison of the mean µTBS values showed no significant differences. It was concluded that silane heat treatment increased the resin composite–ceramic bond strength; however, within the terms of μTBS, the Er:YAG laser treatment was more successful than other surface treatment applications.