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2 "CAD/CAM block"
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Discoloration of various CAD/CAM blocks after immersion in coffee
Sasipin Lauvahutanon, Maho Shiozawa, Hidekazu Takahashi, Naohiko Iwasaki, Meiko Oki, Werner J. Finger, Mansuang Arksornnukit
Restor Dent Endod 2017;42(1):9-18.   Published online December 8, 2016
DOI: https://doi.org/10.5395/rde.2017.42.1.9
AbstractAbstract PDFPubReaderePub
Objectives

This study evaluated color differences (ΔEs) and translucency parameter changes (ΔTPs) of various computer-aided design/computer-aided manufacturing (CAD/CAM) blocks after immersion in coffee.

Materials and Methods

Eight CAD/CAM blocks and four restorative composite resins were evaluated. The CIE L*a*b* values of 2.0 mm thick disk-shaped specimens were measured using the spectrophotometer on white and black backgrounds (n = 6). The ΔEs and ΔTPs of one day, one week, and one month immersion in coffee or water were calculated. The values of each material were analyzed by two-way ANOVA and Tukey's multiple comparisons (α = 0.05). The ΔEs after prophylaxis paste polishing of 1 month coffee immersion specimens, water sorption and solubility were also evaluated.

Results

After one month in coffee, ΔEs of CAD/CAM composite resin blocks and restorative composites ranged from 1.6 to 3.7 and from 2.1 to 7.9, respectively, and ΔTPs decreased. The ANOVA of ΔEs and ΔTPs revealed significant differences in two main factors, immersion periods and media, and their interaction except for ΔEs of TEL (Telio CAD, Ivoclar Vivadent). The ΔEs significantly decreased after prophylaxis polishing except GRA (Gradia Block, GC). There was no significant correlation between ΔEs and water sorption or solubility in water.

Conclusions

The ΔEs of CAD/CAM blocks after immersion in coffee varied among products and were comparable to those of restorative composite resins. The discoloration of CAD/CAM composite resin blocks could be effectively removed with prophylaxis paste polishing, while that of some restorative composites could not be removed.

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Marginal and internal fit of nano-composite CAD/CAM restorations
So-Hyun Park, Yeon-Jee Yoo, Yoo-Jin Shin, Byeong-Hoon Cho, Seung-Ho Baek
Restor Dent Endod 2016;41(1):37-43.   Published online January 19, 2016
DOI: https://doi.org/10.5395/rde.2016.41.1.37
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to compare the marginal and internal fit of nano-composite CAD-CAM restorations.

Materials and Methods

A full veneer crown and an mesio-occluso-distal (MOD) inlay cavity, which were prepared on extracted human molars, were used as templates of epoxy resin replicas. The prepared teeth were scanned and CAD-CAM restorations were milled using Lava Ultimate (LU) and experimental nano-composite CAD/CAM blocks (EB) under the same milling parameters. To assess the marginal and internal fit, the restorations were cemented to replicas and were embedded in an acrylic mold for sectioning at 0.5 mm intervals. The measured gap data were pooled according to the block types and measuring points for statistical analysis.

Results

Both the block type and measuring point significantly affected gap values, and their interaction was significant (p = 0.000). In crowns and inlays made from the two blocks, gap values were significantly larger in the occlusal area than in the axial area, while gap values in the marginal area were smallest (p < 0.001). Among the blocks, the restorations milled from EB had a significantly larger gap at all measuring points than those milled from LU (p = 0.000).

Conclusions

The marginal and internal gaps of the two nano-composite CAD/CAM blocks differed according to the measuring points. Among the internal area of the two nano-composite CAD/CAM restorations, occlusal gap data were significantly larger than axial gap data. The EB crowns and inlays had significantly larger gaps than LU restorations.

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