of dental
composite resin materials for
crown and bridge veneers
Code
Manufacturer
Light source
Time
sec
Polymerization
mode
Dentacolor
DC
Kulzer:, FRG
DentacolorR XS
180
light
EB
PLC-2000
90
light
ESPE VISIOGEMa
VG
Schiitz-Dental GmbH,
FRG
ESPE, FRG
5-10
900
light
VITAPAN
K+B N
VITAPAN
K+B S
VITAPAN
K+B K
VP-N
heat
VP-S
heat
VP-K
chemical
Elcebond
247
*~
LU
ui
o
Z
<1
oc
i -I
Ea
8
o
EB
~' VG
S
I-I
240
720
960
1200
480
1440
TIME, h
Fig. 1. Total color difference (AE*ab)with time for all 3 light-polymerized materials after exposure to water in the dark. The uniform standard deviation of AE*abaveraged + 0.3 below
240 h, at 720 h + 0.35, and at 1140 h + 0.4.
*iii~
<~
u2
O
Z
w
er
~
___
~
(~
~
O
<~
I---
879 EB
65-
DC
49
3~
-- VG
21
I
240
480
720
9()0
12'00
1440
TIME, h
Fig. 2. Total color difference (AE*ab)with time for all 3 light-polymerized materials after exposure to water and xenon light. The uniform standard deviation of AE*ab averaged + 0.3
below 240 h, at 720 h + 0.5, and at 1440 h +_ 0.8.
Ruyter et al.
248
'l
TIME, h
,80
9
7'~0
9(~0
1200
14~40
Fig. 3. Chromaticity difference (AC*ab) with time for material EB after exposure to water in
darkness (solid dots) and xenon light (open dots). The uniform standard deviation of AC*ab
averaged 0.25 in the dark and 0.1 inthe light below 240 h, at 720 h _+0.4 in the dark and
0.3 in the light, and at 1440 h 0.5 both for dark and light.
length were obtained for each specimen
between 380 and 720 nm. Each specimen was evaluated in the sample port
backed by a white standard and a black
standard (Carl Zeiss, FRG). For calibration purposes a freshly prepared
white standard was used (Bariumsulfat
fuer Weisstandard DIN 5033, Art.
1748, E. Merck, FRG).
The tristimulus values (X, Y, Z) relative to the CIE color-matching functions for CIE standard Illuminant D65
was computed at 10 nm intervals (16).
The appearance of the sample discs
were characterized by means of the L*,
a* and b* uniform color space (CIELAB) (17), which were calculated from
the tristimulus values.
A n estimated opacity or reflection efficiency was obtained by calculation of
the contrast ratio (CR) of luminous reflectance with the specimen disc backed
by a black standard and luminous reflectance with the disk backed by a
white ceramic standard, Yb/Yw (8, 18,
19).
The black standard was a matt black
painted hollow body with the back wall
covered with black velvet (X = 0; Y =
0; Z = 0). The white standard was of a
colorless ceramic material with the tristimulus values: X = 78.148; Y =
82.915; Z -- 88.08 corresponding to L*
-- 92.98; a* = -1.27; b* = 1.52.
of CIE
color
scales
and
color
differences
C*ab
((a*) 2 + (b*)2) 89
Accordingly a change
(AC*ab) is given by:
in
chroma
AChroma = ChromasampleCbromareference
10-
tu
VP-K
mZ
W
nLtl
LL
u_
6-
nO
-J
O
O
4-
2-
,.J
p-
9 VP-N
r
---"
Rationale
240
480
- VP-S
720
960
1200
1440
TIME, h
Fig. 4. Total color difference (AE*ab) with time for the auto-polymerized and the 2 heatpolymerized materials after exposure to water in darkness. The uniform standard deviation
of AE*,b averaged _+ 0.2 for all measurements.
18-
VP-K
16~:~14~12-
n,,~ 1014.
8nO
_1 60
0
_1 4<:
2, o
960
480
VP-S
12'oo
14:4o
TIME, h
Fig. 5. Total color difference (AE*ab) with time for the auto-polymerized and the 2 heatpolymerized materials after exposure to water and xenon light. The uniform standard deviaton of AE*abfor the auto-polymerized material VP-K averaged _+0.5 below 240 h, at 720 h _+
2.0, and at 1440 h _+2.4. The uniform standard deviation of AE*~bfor the 2 heat-polymerized
materials after exposure to water and xenon light averaged + 0.1 below 240 h, at 270 h _ 0.3,
and at 1440 h + 0.4.
Results
The total color difference AE*ab for all
3 light-polymerized composite veneer
materials after up to 1440 h in water
and darkness is presented in Fig. 1.
Corresponding values after xenon light
exposure in water are presented in Fig.
2. From the results presented in Fig. 2
249
~ 8I 6~ 4tu
Z
r~2.
LU
ni
240
480
720
960
1200
1440
TIME, h
Fig. 6. Redness-greenness (a*) with time for the auto-polymerized material VP-K after exposure to water in darkness (solid dots) and xenon light (open dots). The uniform standard deviation of a* averaged _+0.4 for all measurements of the specimens exposed to water in darkness. For the specimens exposed to water and light the uniform standard deviation of a*
averaged _+ 0.5 below 240 h, at 720 h + 0.9, and at 1440 h _+ 1.3.
250
Ruyter et al.
40-
35i
S
30-
._1
._1
tu 25
>i
24-0
480
720
960
1200
1440
TIME, h
Fig. 7. Yellowness-blueness (b*) with time for the auto-polymerized material VP-K after exposure to water in darkness (solid dots) and xenon light (open dots). The uniform standard
deviation of b* averaged + 0.3 for all measurements of the specimens exposed to water in
darkness. For the specimen exposed to water and light the uniform standard deviation of b*
averaged + 0.2 below 240 h, at 720 h and 1440 h + 0.5.
storage in the dark. These increased
values of contrast ratios reflect increasing opacity.
The compiled data from the acceptability judgement showed that 50% of
the observers considered that sample
pairs were unacceptable when the color
difference AE*ab was approximately
3.3.
Discussion
Poor color stability of materials used
where esthetics are important, is of
concern for both the patient and dentist. Perfect occlusion and gingival adaptation of the metal framework become of minor interest when the esthetics of restorations start to fail.
Changing a discolored filling is a fairly
simple matter, whereas extensive repair of veneers seldom gives satisfactory results. Several reports (8, 9, 11,
12) point to tfae need of improved
measures by the profession to be able
to predict the clinical color stability of
the materials.
Literature on color science (21) and
color measure standardization (16, 17),
however, clearly indicates that there
are methodological problems inherent
in the evaluation of color changes. In
this context, the present study is intended as a baseline study. It is necessary
to have objective criteria for color
include other kinds of stress in combination with exposure to light under wet
conditions. The in vitro test is accelerated compared to clinical light-exposure. There were marked differences in
the color stability of veneer materials at
the end of the test period. This has also
been found for restorative composite
resins by Asmussen (11), using another
test system. A n interesting finding in
the present system is the distinct difference between some of the materials already at the first registration. For example the total color difference for the
auto-polymerized material was four
times that of heat-polymerized materials already after 24 h exposure to water and xenon light. Such an immediate
difference in appearance of auto-polymerized materials presumably indicates
a real difference in composition compared to heat cured materials. The
same rapid initial change in color appearance was also found between 2 of
the light-activated materials and might
also reflect a difference in composition
of these materials.
Further analytical studies of the different materials might explain how
compositional differences influence the
color stability.
The clinical relevance of the present
findings is not self-evident. The in vitro
study clearly differentiated the materials with respect to color changes.
However, most of the changes were, in
absolute values, lower than AE*ab of 3.
In our laboratory, 10 yrs experience
1 O0
r--'l
''
90
d
,~
rr
I(o
<
rr
I--
80i
70
240
480
720
960
1200
1440
TIME, h
Fig. 8. Contrast ratio (CR) with time for the auto-polymerized material VP-K after exposure
to water in darkness (solid dots) and xenon light (open dots). The uniform standard deviation of CR averaged + 0.25 for all measurements of the specimens exposed to water in darkness, and + 0.3 for the specimens exposed to water and light.
C o l o r stability o f v e n e e r s
References
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1958: 13: 502-514.
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CL, Strickland WD, Wall JT. Clinical
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JA, Myers ML, Kilgore JL. Leakage
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Color of dental restorative resins. J
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Color stability of restorative resins under accelerated aging. J Dent Res 1978:
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Color of selected shades of composites
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Res 1982: 61: 1176-1179.
251