Yapay Zeka Hızlı Bakış & Çıkarımlar
AI InsightKeywords: Lithium disilicate, nano-lithium disilicate, zirconia-reinforced lithium disilicate, masking ability, color difference, ceramic
📌 3 Maddede Bu Makale
Abstract
Background: The purpose of this in vitro study to evaluate the masking ability of three CAD-CAM ceramics—lithium disilicate (LDS), nano-lithium disilicate (NLD), and zirconia-reinforced lithium silicate (ZLS)—when placed over different abutment shades (opaque white [OW], A1, A2, A3.5) using CIEDE2000 (ΔE₀₀) color difference measurements. Methods: Thirty rectangular ceramic plates (n=10 per material; IPS e.max CAD, Amber Mill, Celtra Duo) with a thickness of 1.5 ± 0.01 mm. Composite resin blocks in the OW, A1, A2, and A3.5 shades served as backgrounds. Color evaluation was performed using a dental spectrophotometer (Vita EasyShade V) using the CIE Lab system. Masking ability was calculated as ΔE₀₀ between baseline measurements on a white background and measurements over each abutment shade. Data were analyzed using two-way ANOVA and post-hoc comparisons with Tukey’s HSD and Bonferroni-adjusted LSD tests (α=0.05). Results: Abutment shade significantly affected ΔE₀₀ values (F=98.566, p<0.001). The lowest mean ΔE₀₀ was recorded for the A1 shade (3.89±0.04), while the highest was observed for A3.5 (4.83±0.04), which was significantly higher than all other shades (p<0.001). The material type was also significant (F=13.313, p<0.001). LDS exhibited the highest mean ΔE₀₀, followed by NLD and ZLS. On the A3.5 background, NLD demonstrated the poorest masking performance (5.12±0.08), which was significantly higher than that of LDS (p=0.014) and ZLS (p<0.001). A significant interaction between the material and abutment shade was observed (F=15.842, p<0.001). Conclusions: Masking ability varied significantly with both the ceramic type and abutment shade. Darker abutments (A3.5) resulted in greater color differences for all materials. Nano-lithium disilicate exhibited reduced masking on darker backgrounds, whereas zirconia-reinforced lithium silicate provided more consistent performance across shades. Keywords: Lithium disilicate, nano-lithium disilicate, zirconia-reinforced lithium disilicate, masking ability, color difference, ceramic