Journals / ADO Klinik Bilimler Dergisi / 2026 / Cilt: 15 Sayı: 2

Influence of Material Type, Thickness, and Cement Type on Optical Properties of CAD/CAM Laminate Restorations

CAD/CAM Lamina Restorasyonlarda Materyal Tipi, Kalınlık ve Siman Türünün Optik Özellikler Üzerindeki Etkisi

Lena Bal(ANKARA MEDİPOL ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ)0000-0003-3493-0137
Nihan Gonulol(19 mayıs university, faculty of dentistry)0000-0002-4149-6351
Pages
95–104
Publication Date
2026-05-20
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Among the evaluated factors, material type was identified as the most critical factor affecting ΔE00 values, while specimen thickness was the main determinant of ΔTP.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: The long-term success of laminate restorations depends not only on their mechanical strength but also on the stability of their optical properties.
📊
Key Findings & Data:This study aimed to evaluate the effects of CAD/CAM material type, thickness, and cement type on color change (ΔE00) and translucency parameter differences (ΔTP) of laminate restorations after UV aging.
💡
Conclusion & Impact:Among the evaluated factors, material type was identified as the most critical factor affecting ΔE00 values, while specimen thickness was the main determinant of ΔTP.
🔬Design:Araştırma Makalesi
📍Scope:200 specimens
⚙️Variables:Bilgisayar yardımlı tasarım · Diş laminatları · Kozmetik diş hekimliği

Abstract

Aim: The long-term success of laminate restorations depends not only on their mechanical strength but also on the stability of their optical properties. This study aimed to evaluate the effects of CAD/CAM material type, thickness, and cement type on color change (ΔE00) and translucency parameter differences (ΔTP) of laminate restorations after UV aging. Materials and Methods: A total of 200 specimens were prepared from five different CAD/CAM materials (CEREC feldspathic block, Cerasmart block, Vita Enamic block, Lava Ultimate block, and Grandio CAD/CAM block) and two thicknesses (0.7 mm and 1.2 mm). Specimens were divided according to cement type (dual-cure and light-cure). Color measurements (L*, a*, b*) were performed before and after UV aging, and color and translucency differences (ΔE00 and ΔTP) were calculated using the CIEDE2000 formula. UV aging was applied as an artificial aging procedure and was not included as an independent variable in the statistical analysis. Data were analyzed using three-way ANOVA according to material type, thickness, and cement type (p < 0.05). Results: Material type significantly influenced color changes (ΔE00) and the translucency parameter differences (ΔTP). Among the tested groups, the CEREC block (1.1 ± 0.3) demonstrated the least color change. In contrast, the Lava Ultimate block (12.7 ± 0.5) exhibited the most significant color change (p < 0.05). The lowest ΔTP differences were observed for Lava Ultimate block (-0.2 ± 0.2), Vita Enamic (-0.3 ± 0.4), and Cerasmart (-0.1 ± 0.4) (p < 0.05). Conclusion: All groups exhibited color changes that exceeded both the perceptibility and clinical acceptability thresholds. Changes observed after UV aging indicated a decrease in translucency. Among the evaluated factors, material type was identified as the most critical factor affecting ΔE00 values, while specimen thickness was the main determinant of ΔTP.

Özet

Amaç: Lamina restorasyonların uzun dönem klinik başarısı, yalnızca mekanik dayanımlarına değil; aynı zamanda renk stabilitesi ve translüsentlik gibi optik özelliklerinin korunmasına da bağlıdır. Bu çalışmada, UV yaşlandırma sonrası CAD/CAM materyal tipi, kalınlık ve siman türünün lamina restorasyonların renk değişimi (ΔE00) ve translüsensi parametresi değişimleri (ΔTP) üzerindeki etkilerinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Toplam 200 örnek, beş farklı CAD/CAM materyalinden (CEREC feldspatik blok, Cerasmart blok, Vita Enamic blok, Lava Ultimate blok ve Grandio CAD/CAM blok) ve iki farklı kalınlıkta (0.7 mm ve 1.2 mm) hazırlandı. Örnekler, simantasyon türüne göre (dual-cure ve light-cure) gruplara ayrıldı. Renk ölçümleri (L*, a*, b*) UV yaşlandırma öncesi ve sonrası gerçekleştirildi; renk ve translüsensi farkları (ΔE00 ve ΔTP) CIEDE2000 formülü kullanılarak hesaplandı. UV yaşlandırma, bir yaşlandırma prosedürü olarak uygulanmış olup istatistiksel analizde bağımsız değişken olarak değerlendirilmemiştir. Veriler, materyal tipi, kalınlık ve siman türüne göre üç yönlü ANOVA kullanılarak analiz edildi (p <0.05). Bulgular: Materyal tipi, ΔE00 ve ΔTP değerlerini istatistiksel olarak anlamlı düzeyde etkiledi. Gruplar arasında en düşük renk değişimi CEREC’te (1.1 ± 0.3) izlenirken, en yüksek renk değişimi Lava Ultimate’te (12.7 ± 0.5) saptandı (p <0.05). En düşük ΔTP değerleri ise Lava Ultimate (-0.2 ± 0.2), Vita Enamic (-0.3 ± 0.4), ve Cerasmart (-0.1 ± 0.4) gruplarında saptandı (p <0.05). Sonuç: Tüm gruplarda, algılanabilirlik ve klinik olarak kabul edilebilirlik eşiklerinin üzerinde renk değişimi saptandı. UV yaşlandırma sonrasında elde edilen bulgular, translüsensinin azaldığını ortaya koymuştur. Değerlendirilen faktörler arasında, CAD/CAM materyal tipi ΔE00 değerlerini etkileyen en kritik faktör olarak belirlenirken, örnek kalınlığı ΔTP değerlerinin temel belirleyicisi olarak bulundu.

🔖

Cite This Article

Bal, L., Gonulol, N. (2026). Influence of Material Type, Thickness, and Cement Type on Optical Properties of CAD/CAM Laminate Restorations. ADO Klinik Bilimler Dergisi, Cilt: 15 Sayı: 2, 95–104. https://doi.org/10.54617/adoklinikbilimler.1801099

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (32)

  1. Awad D, Stawarczyk B, Liebermann A, Ilie N. Translucency of esthetic dental restorative CAD/CAM materials and composite resins with respect to thickness and surface roughness. J Prosthet Dent 2015;113:534-40.
  2. Turgut S, Kılınç H, Bağış B. Effect of UV aging on translucency of currently used esthetic CAD-CAM materials. J Esthet Restor Dent 2019;31:147-52.
  3. Kilinc H, Turgut S. Optical behaviors of esthetic CAD-CAM restorations after different surface finishing and polishing procedures and UV aging: an in vitro study. J Prosthet Dent 2018;120:107-13.
  4. Paravina RD, Ghinea R, Herrera LJ, Bona AD, Igiel C, Linninger M, et al. Color difference thresholds in dentistry. J Esthet Restor Dent 2015;27:1-9.
  5. Arocha MA, Basilio J, Llopis J, Di Bella E, Roig M, Ardu S. et al. Colour stainability of indirect CAD-CAM processed composites vs conventionally laboratory processed composites after immersion in staining solutions. J Dent 2014;42:831-8.
  6. Campos F, Almeida C, Rippe M, De Melo R, Valandro L, Bottino M. Resin bonding to a hybrid ceramic: effects of surface treatments and aging. Oper Dent 2016;41:171-8.
  7. Kim-Pusateri S, Brewer JD, Davis EL, Wee AG. Reliability and accuracy of four dental shade-matching devices. J Prosthet Dent 2009;101:193-9.
  8. Paravina RD, Powers JM. Esthetic color training in dentistry. St Louis: Mosby; 2004.
  9. Egilmez F, Ergun G, Cekic-Nagas I, Vallittu PK, Lassila LVJ. Does artificial aging affect mechanical properties of CAD/CAM composite materials? J Prosthodont Res 2018;62:65-74.
  10. Varvara EB, Gasparik C, Ruiz-López J, Aghiorghiesei AI, Culic B, Dudea D. Color and translucency compatibility among various resin-based composites and layering strategies. Dent J 2025;13:173.
  11. Paolone G, Baldani S, De Masi N, Mandurino M, Collivasone G, Scotti N, et al. Translucency of bulk-fill composite materials: a systematic review. J Esthet Restor Dent 2024;36:995-1009.
  12. Li RW, Chow TW, Matinlinna JP. Ceramic dental biomaterials and CAD/CAM technology: state of the art. J Prosthodont Res 2014;58:208-16.
  13. Gawriołek M, Sikorska E, Ferreira LF, Costa AI, Khmelinskii I, Krawczyk A, et al. Color and luminescence stability of selected dental materials in vitro. J Prosthodont 2012;21:112-22.
  14. Yerliyurt K, Sarıkaya I. Color stability of hybrid ceramics exposed to beverages in different combinations. BMC Oral Health 2022;22:180.
  15. Mahrous AI, Salama AA, Shabaan AA, Abdou A, Radwan MM. Color stability of two different resin matrix ceramics: randomized clinical trial. BMC Oral Health 2023;23:665.
  16. Turgut S, Bagis B. Effect of resin cement and ceramic thickness on final color of laminate veneers: an in vitro study. J Prosthet Dent 2013;109:179-86.
  17. Hampe T, Wiessner A, Frauendorf H, Alhussein M, Karlovsky P, Bürgers R, et al. Monomer release from dental resins: the current status on study setup, detection and quantification for in vitro testing. Polymers 2022;14:1790.
  18. Paolone G, Mandurino M, De Palma F, Mazzitelli C, Scotti N, Breschi L, et al. Color stability of polymer-based composite CAD/CAM blocks: a systematic review. Polymers 2023;15:464.
  19. Mousdraka MG, Gerasimidou O, Nikolaidis AK, Gogos C, Koulaouzidou EA. Evaluation of color stability of UDMA-based dental composite resins after exposure to conventional cigarette and aerosol tobacco heating system. J Compos Sci 2025;9:352.
  20. Stawarczyk B, Sener B, Trottmann A, Roos M, Ozcan M, Hämmerle CH. Discoloration of manually fabricated resins and industrially fabricated CAD/CAM blocks versus glass-ceramic: effect of storage media, duration, and subsequent polishing. Dent Mater J 2012;31:377-83.
  21. Eldwakhly E, Ahmed DRM, Soliman M, Abbas MM, Badrawy W. Color and translucency stability of novel restorative CAD/CAM materials. Dent Med Probl 2019;56:349-56.
  22. Acar O, Yilmaz B, Altintas SH, Chandrasekaran I, Johnston WM. Color stainability of CAD/CAM and nanocomposite resin materials. J Prosthet Dent 2016;115:71-5.
  23. Turgut S, Bagis B. Colour stability of laminate veneers: an in vitro study. J Dent 2011;39:57-64.
  24. Yang Y, Wang Y, Yang H, Chen Y, Huang C. Effect of aging on color stability and bond strength of dual-cured resin cement with amine or amine-free self-initiators. Dent Mater J 2022;41:17-26.
  25. Hardan L, Bourgi R, Hernández-Escamilla T, Piva E, Devoto W, Lukomska‐Szymanska M, et al. Color stability of dual-cured and light-cured resin cements: a systematic review and metaanalysis of in vitro studies. J Prosthodont 2024;33:212-20.
  26. Kilinc E, Antonson SA, Hardigan PC, Kesercioglu A. The effect of ceramic restoration shade and thickness on the polymerization of light- and dual-cure resin cements. Oper Dent 2011;36:661-9.
  27. Favarão J, Oliveira D, Zanini M, Rocha M, Correr-Sobrinho L, Sinhoreti M. Effect of curing-light attenuation on color stability and physical and chemical properties of resin cements containing different photoinitiators. J Mech Behav Biomed Mater 2021;113:104-10.
  28. Alharbi G, Al Nahedh HN, Al-Saud LM, Shono N, Maawadh A. Effect of different finishing and polishing systems on surface properties of universal single shade resin-based composites. BMC Oral Health 2024;24:197.
  29. Çömlekoğlu ME, Paken G, Tan F, Dündar‐Çömlekoğlu M, Özcan M, Akan E, et al. Evaluation of different thickness, die color, and resin cement shade for veneers of multilayered CAD/CAM blocks. J Prosthodont 2016;25:563-9.
  30. Doğu Kaya B, Öztürk S, Şenol AA, Kahramanoğlu E, Yılmaz Atalı P, Tarçın B. Effect of CAD-CAM block thickness and translucency on the polymerization of luting materials. BMC Oral Health 2024;24:1384.
  31. Zheng S, Chen H, Lin Q, Zhu S. Effect of dentin conditioners on dentin bond strength: a systematic review and meta-analysis. J Prosthet Dent 2024;132:509-11.
  32. Radeesujalitkul P, Sripetchdanond J, Srisawasdi S. Influence of ceramic translucency, ceramic thickness, and resin cement shades on the color of CAD-CAM lithium disilicate veneers. J Dent Assoc Thai 2024;74:180-7.