Related Experiment Video
Updated: May 14, 2025
Detection and Removal of Tooth-Colored Composite Resin Using the Fluorescence-Aided Identification Technique
Published on: July 27, 2022
Shade variability and stability in interim and definitive tooth-colored resin-based restorative materials: Comparing
Amal Alfaraj1, Toshiki Nagai2, Wei-Shao Lin2
1Department of Prosthodontics, College of Dentistry, King Faisal University, Al Ahsa, Saudi Arabia.
Purpose:
To evaluate the shade variability and stability of interim and definitive tooth-colored restorative materials by comparing manufacturer-claimed shades to a universal shade guide before and after thermocycling.
Materials And Methods:
Eight commercially available tooth-colored restorative materials were tested, including conventional, milled, and 3D-printed types. Each material was categorized into three shade subgroups (A1, A2, and A3), with 10 samples per subgroup. The color differences (ΔE00) between the materials' shades and a universal shade guide (VITA classical A1-D4) were measured using a digital spectrophotometer before (ΔE00-R1) and after (ΔE00-R2) thermocycling. A higher ΔE00 indicated higher variability between the manufacturer-claimed shade and a corresponding universal shade guide. The ΔE00 was analyzed using the CIEDE2000 formula, and statistical analysis was performed to evaluate the effects of materials, shades, and thermocycling. In addition, the ΔE00 was compared against 50%:50% perceptibility threshold (PT) and 50%:50% acceptability threshold (AT) using one-sample t-tests (α = 0.05).
Results:
The observations from descriptive statistics showed that the milled Aidite group exhibited the lowest ΔE00. In addition, shade A1 showed higher ΔE00 than A2 and A3 within each group; however, the ΔE00 between shade types A2 and A3 was similar. The three-way interaction among materials, shades, and thermocycling was significant (p < 0.0001), highlighting their combined effect on ΔE00. No significant interaction between shade and thermocycling was observed (p = 0.6239), suggesting that thermocycling did not significantly affect ΔE00 among shade subgroups. Comparison of ΔE00-R1 and ΔE00-R2 against 50%:50% PT (0.8) and 50%:50% AT (1.8) revealed significant color differences beyond both thresholds for most study groups.
Conclusions:
Color variability in dental restorative materials is influenced by material, shade, and thermocycling. Most samples showed significant discrepancies from manufacturer-specified shades (A1, A2, and A3) when compared to the VITA classical A1-D4 guide. Clinicians might consider using a custom shade guide that is fabricated from the same material as the prostheses to improve shade matching outcomes.
