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Shade reproduction and the ability of lithium disilicate ceramics to mask dark substrates
Maryam Iravani, Sayna Shamszadeh, Narges Panahandeh, Seyedeh Mahsa Sheikh-Al-Eslamian, Hassan Torabzadeh
Restor Dent Endod 2020;45(3):e41.   Published online July 16, 2020
DOI: https://doi.org/10.5395/rde.2020.45.e41
AbstractAbstract PDFPubReaderePub
Objectives

This study aimed to evaluate the ability of lithium disilicate ceramics to reproduce the A2 shade and to mask A4 substrates.

Materials and Methods

Twenty-four discs (8 mm in diameter, shade A2) of high translucency (groups 1–3) and low translucency (groups 4–6) of IPS e.max ceramic with different thicknesses (0.5, 0.75, and 1 mm) were fabricated as monolithic structures. In addition, discs of medium opacity (group 7–8) with different core/veneer combinations (0.3 mm/0.7 mm and 0.5 mm/0.5 mm) were fabricated as bilayer structures. Specimens were superimposed on an A4 substrate (complex). The color changes of the complex were measured using a spectrophotometer on a black background, and the ΔE values of the complex were compared with either the A4 substrate or the A2 shade tab. One-way analysis of variance, the Tukey honest significant difference test, and the Fisher test were used to analyze the data (p < 0.05).

Results

Significant between-group differences were found for comparisons to both the A4 substrate and the A2 shade (p < 0.05). When compared with the A4 substrate, the ΔE values in all groups were in the non-acceptable range. When compared with the A2 shade, the ΔE values in all groups, except groups 2 and 3, were in the clinically acceptable range.

Conclusions

All translucencies and thicknesses masked the underlying dark substrate. However, the low-translucency IPS e.max Press better reproduced the A2 shade.

Citations

Citations to this article as recorded by  
  • The Impact of Surface Treatments and 3D Printing Machines on the Biaxial Flexural Strength of 3D-Printed Composite Resins
    Mohammed K. Fahmi
    The Open Dentistry Journal.2025;[Epub]     CrossRef
  • Masking capacity of minimally invasive lithium disilicate restorations on discolored teeth—The impact of ceramic thickness, the material's translucency, and the cement color
    Kevser Pala, Eva Maria Reinshagen, Thomas Attin, Jürg Hüsler, Ronald E. Jung, Alexis Ioannidis
    Journal of Esthetic and Restorative Dentistry.2024; 36(1): 107.     CrossRef
  • Comparing the color match of monolithic CAD-CAM dental ceramics with the VITA Classical shade guide
    Mohammadjavad Shirani, Maryam Emami, Ramin Mosharraf, Omid Savabi, Mehrdad Akhavankhaleghi, Kamran Azadbakht
    The Journal of Prosthetic Dentistry.2024; 132(3): 605.     CrossRef
  • Quantitative examination of factors influencing the colour reproduction ability of lithium disilicate glass-ceramics
    József Saláta, Ferenc Szabó, Péter Csuti, Melinda Antal, Péter Márton, Péter Hermann, Judit Borbély, Emese Ábrám
    BMC Oral Health.2024;[Epub]     CrossRef
  • Aesthetic restoration using liner-treated lithium disilicate laminate veneers in discolored teeth after endodontic treatment : A case report
    Ji-Hyun Kim, Min-Soo Bae, Yeon-Hee Park, Jung-Jin Lee, Tae-Sung Bae3, Jae-Min Seo
    Korean Journal of Dental Materials.2023; 50(2): 91.     CrossRef
  • Can we use the translucency parameter to predict the CAD/CAM ceramic restoration aesthetic?
    Jie Wang, Jiawei Yang, Kaige Lv, Hongming Zhang, Hui Huang, Xinquan Jiang
    Dental Materials.2023; 39(3): e1.     CrossRef
  • Final Color of CAD-CAM Produced Thin Lithium Disilicate Ceramics Cemented with Different Colored Resin Cements on Darker Backgrounds
    Merve BANKOĞLU GÜNGÖR
    ADO Klinik Bilimler Dergisi.2023; 12(2): 234.     CrossRef
  • Masking Ability of Monolithic and Layered Zirconia Crowns on Discolored Substrates
    Cristina Gasparik, Manuela Maria Manziuc, Alexandru Victor Burde, Javier Ruiz-López, Smaranda Buduru, Diana Dudea
    Materials.2022; 15(6): 2233.     CrossRef
  • Effects of background color and thickness on the optical properties of CAD-CAM resin-matrix ceramics
    Afnan F. Alfouzan, Sarah M. Alnafaiy, Lama S. Alsaleh, Noor H. Bawazir, Hanan N. Al-Otaibi, Sara M. Al Taweel, Huda A. Alshehri, Nawaf Labban
    The Journal of Prosthetic Dentistry.2022; 128(3): 497.e1.     CrossRef
  • Effect of CAD/CAM Ceramic Thickness on Shade Masking Ability of Discolored Teeth: In Vitro Study
    Passent Ellakany, Marwa Madi, Nourhan M. Aly, Zainb S. Al-Aql, Maher AlGhamdi, Abdulrahman AlJeraisy, Adel S. Alagl
    International Journal of Environmental Research and Public Health.2021; 18(24): 13359.     CrossRef
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Bonding of the silane containing multi-mode universal adhesive for lithium disilicate ceramics
Hyun-Young Lee, Geum-Jun Han, Juhea Chang, Ho-Hyun Son
Restor Dent Endod 2017;42(2):95-104.   Published online January 25, 2017
DOI: https://doi.org/10.5395/rde.2017.42.2.95
AbstractAbstract PDFPubReaderePub
Objectives

This study evaluated the influence of a multi-mode universal adhesive (MUA) containing silane (Single Bond Universal, 3M EPSE) on the bonding of resin cement to lithium disilicate.

Materials and Methods

Thirty IPS e.max CAD specimens (Ivoclar Vivadent) were fabricated. The surfaces were treated as follows: Group A, adhesive that did not contain silane (ANS, Porcelain Bonding Resin, Bisco); Group B, silane (S) and ANS; Group C, hydrofluoric acid (HF), S, and ANS; Group D, MUA; Group E, HF and MUA. Dual-cure resin cement (NX3, Kerr) was applied and composite resin cylinders of 0.8 mm in diameter were placed on it before light polymerization. Bonded specimens were stored in water for 24 hours or underwent a 10,000 thermocycling process prior to microshear bond strength testing. The data were analyzed using multivariate analysis of variance (p < 0.05).

Results

Bond strength varied significantly among the groups (p < 0.05), except for Groups A and D. Group C showed the highest initial bond strength (27.1 ± 6.9 MPa), followed by Group E, Group B, Group D, and Group A. Thermocycling significantly reduced bond strength in Groups B, C, and E (p < 0.05). Bond strength in Group C was the highest regardless of the storage conditions (p < 0.05).

Conclusions

Surface treatment of lithium disilicate using HF and silane increased the bond strength of resin cement. However, after thermocycling, the silane in MUA did not help achieve durable bond strength between lithium disilicate and resin cement, even when HF was applied.

Citations

Citations to this article as recorded by  
  • The influence of different factors on the bond strength of lithium disilicate-reinforced glass–ceramics to Resin: a machine learning analysis
    Jiawen Liu, Suqing Tu, Mingjuan Wang, Du Chen, Chen Chen, Haifeng Xie
    BMC Oral Health.2025;[Epub]     CrossRef
  • Influence of different primers and adhesive system combinations on the durability of resin bonding to lithium disilicate
    Christine Yazigi, Shila Alawi, Sebastian Wille, Matthias Kern
    The Journal of Prosthetic Dentistry.2025;[Epub]     CrossRef
  • Effect of universal adhesives and self-etch ceramic primers on bond strength to glass-ceramics: A systematic review and meta-analysis of in vitro studies
    Renally Bezerra Wanderley Lima, Isis de Araújo Ferreira Muniz, Débora e Silva Campos, Fabián Murillo-Gómez, Ana Karina Maciel de Andrade, Rosângela Marques Duarte, Grace Mendonça de Souza
    The Journal of Prosthetic Dentistry.2024; 131(3): 392.     CrossRef
  • Effect of the difference water amounts and hydrolysis times of silane coupling agent on the shear bond strength between lithium disilicate glass ceramic and composite resin
    Pimchanok OSOTPRASIT, Sasipin LAUVAHUTANON, Yosnarong SIRIMETHAWONG, Patcharanun CHAIAMORNSUP, Pornpot JIANGKONGKHO
    Dental Materials Journal.2024; 43(3): 375.     CrossRef
  • Is additional silane application necessary for a new silane‐containing universal adhesive to bond to glass ceramics?
    Priscila Luciane da Silva, Hélio Radke Bittencourt, Luiz Henrique Burnett, Ana Maria Spohr
    Journal of Esthetic and Restorative Dentistry.2024; 36(10): 1452.     CrossRef
  • The Effect of Various Lasers on the Bond Strength Between Orthodontic Brackets and Dental Ceramics: A Systematic Review and Meta-Analysis
    Seyed Ali Mosaddad, Jaafar Abduo, Mehrnaz Zakizade, Hamid Tebyaniyan, Ahmed Hussain
    Photobiomodulation, Photomedicine, and Laser Surgery.2024; 42(1): 20.     CrossRef
  • Long-Term Bonding Performance of One-Bottle vs. Two-Bottle Bonding Agents to Lithium Disilicate Ceramics
    Masao Irie, Masahiro Okada, Yukinori Maruo, Goro Nishigawa, Takuya Matsumoto
    Polymers.2024; 16(16): 2266.     CrossRef
  • Bond strength to different CAD/CAM lithium disilicate reinforced ceramics
    Mona Alhomuod, Jin‐Ho Phark, Sillas Duarte
    Journal of Esthetic and Restorative Dentistry.2023; 35(1): 129.     CrossRef
  • Surface Treatment Effect on Shear Bond Strength between Lithium Disilicate Glass-Ceramic and Resin Cement
    Siripan Simasetha, Awiruth Klaisiri, Tool Sriamporn, Kraisorn Sappayatosok, Niyom Thamrongananskul
    European Journal of Dentistry.2022; 16(02): 373.     CrossRef
  • Bonding of Clear Aligner Composite Attachments to Ceramic Materials: An In Vitro Study
    Bashair A. Alsaud, Maher S. Hajjaj, Ahmad I. Masoud, Ensanya A. Abou Neel, Dalia A. Abuelenain, Amal I. Linjawi
    Materials.2022; 15(12): 4145.     CrossRef
  • Bonding of different resin luting materials to composite, polymer-infiltrated and feldspathic ceramic CAD/CAM blocks
    Burcu Dikici, Esra Can Say
    Journal of Adhesion Science and Technology.2022; 36(14): 1572.     CrossRef
  • Influence of mechanical and chemical pre-treatments on the repair of a hybrid ceramic
    Sascha Niklas Jung, Stefan Rüttermann
    Dental Materials.2022; 38(7): 1140.     CrossRef
  • Effect of Silane-Containing Universal Adhesives on the Bonding Strength of Lithium Disilicate
    Yu-Ri Kim, Jae-Hoon Kim, Sung-Ae Son, Jeong-Kil Park
    Materials.2021; 14(14): 3976.     CrossRef
  • Ceramics in dentistry: which material is appropriate for the anterior or posterior Dentition? Part 1: materials science
    Loo Chien Win, Peter Sands, Stephen J Bonsor, FJ Trevor Burke
    Dental Update.2021; 48(8): 680.     CrossRef
  • The effect of different ceramic surface treatments on the repair bond strength of resin composite to lithium disilicate ceramic
    Nanako UEDA, Tomohiro TAKAGAKI, Toru NIKAIDO, Rena TAKAHASHI, Masaomi IKEDA, Junji TAGAMI
    Dental Materials Journal.2021; 40(5): 1073.     CrossRef
  • Bonding Strength of Universal Adhesives to Indirect Substrates: A Meta‐Analysis of in Vitro Studies
    Carlos Enrique Cuevas‐Suárez, Wellington Luiz de Oliveira da Rosa, Rafael Pino Vitti, Adriana Fernandes da Silva, Evandro Piva
    Journal of Prosthodontics.2020; 29(4): 298.     CrossRef
  • Effect of different surface treatments and multimode adhesive application on the Weibull characteristics, wettability, surface topography and adhesion to CAD/CAM lithium disilicate ceramic
    Karina Barbosa Souza, Dayanne Monielle Duarte Moura, Sarah Emille Gomes da Silva, Gabriela Monteiro de Araújo, Rafael de Almeida Spinelli Pinto, Fabíola Pessôa Pereira Leite, Mutlu Özcan, Rodrigo Othávio de Assunção e Souza
    Journal of Applied Oral Science.2020;[Epub]     CrossRef
  • Effects of the ratio of silane to 10-methacryloyloxydecyl dihydrogenphosphate (MDP) in primer on bonding performance of silica-based and zirconia ceramics
    Minkhant Koko, Tomohiro Takagaki, Ahmed Abdou, Masanao Inokoshi, Masaomi Ikeda, Takahiro Wada, Motohiro Uo, Toru Nikaido, Junji Tagami
    Journal of the Mechanical Behavior of Biomedical Materials.2020; 112: 104026.     CrossRef
  • Influence of surface treatments and repair materials on the shear bond strength of CAD/CAM provisional restorations
    Ki-Won Jeong, Sung-Hun Kim
    The Journal of Advanced Prosthodontics.2019; 11(2): 95.     CrossRef
  • Microtensile bond strengths of adhesively bonded polymer-based CAD/CAM materials to dentin
    Nuray CAPA, Esra CAN SAY, Cansin CELEBI, Ayca CASUR
    Dental Materials Journal.2019; 38(1): 75.     CrossRef
  • Simplified Surface Treatments for Ceramic Cementation: Use of Universal Adhesive and Self-Etching Ceramic Primer
    Heloísa A. B. Guimarães, Paula C. Cardoso, Rafael A. Decurcio, Lúcio J. E. Monteiro, Letícia N. de Almeida, Wellington F. Martins, Ana Paula R. Magalhães
    International Journal of Biomaterials.2018; 2018: 1.     CrossRef
  • Effects of surface treatments on repair bond strength of a new CAD/CAM ZLS glass ceramic and two different types of CAD/CAM ceramics
    Ayse Seda Ataol, Gulfem Ergun
    Journal of Oral Science.2018; 60(2): 201.     CrossRef
  • An in vitro evaluation of fracture load of implant‐supported zirconia‐based prostheses fabricated with different veneer materials
    Hiroki Takata, Futoshi Komine, Junichi Honda, Markus B. Blatz, Hideo Matsumura
    Clinical Oral Implants Research.2018; 29(4): 396.     CrossRef
  • Effects of multiple firings on mechanical properties and resin bonding of lithium disilicate glass-ceramic
    Hongliang Meng, Haifeng Xie, Lu Yang, Bingzhuo Chen, Ying Chen, Huaiqin Zhang, Chen Chen
    Journal of the Mechanical Behavior of Biomedical Materials.2018; 88: 362.     CrossRef
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  • 24 Crossref
Close layer
Flexural strength and microstructure of two lithium disilicate glass ceramics for CAD/CAM restoration in the dental clinic
Suk-Ho Kang, Juhea Chang, Ho-Hyun Son
Restor Dent Endod 2013;38(3):134-140.   Published online August 23, 2013
DOI: https://doi.org/10.5395/rde.2013.38.3.134
AbstractAbstract PDFPubReaderePub
Objectives

There has been a growing interest in glass ceramic systems with good esthetics, high fracture resistance and bonding durability, and simplified fabrication techniques using CAD/CAM. The aim of this study is to compare flexural strength before and after heat treatment of two lithium disilicate CAD/CAM blocks, IPS e.max CAD (Ivoclar Vivadent) and Rosetta SM (Hass), and to observe their crystalline structures.

Materials and Methods

Biaxial flexural strength was tested according to ISO 6872 with 20 disc form specimens sliced from each block before and after heat treatment. Also, the crystalline structures were observed using field-emission scanning microscopy (FE-SEM, Hitachi) and x-ray diffraction (XRD, Rigaku) analysis. The mean values of the biaxial flexural strength were analyzed by the Mann-Whitney U test at a significance level of p = 0.05.

Results

There were no statistically significant differences in flexural strength between IPS e.max CAD and Rosetta SM either before heat treatment or after heat treatment. For both ceramics, the initial flexural strength greatly increased after heat treatment, with significant differences (p < 0.05). The FE-SEM images presented similar patterns of crystalline structure in the two ceramics. In the XRD analysis, they also had similar patterns, presenting high peak positions corresponding to the standard lithium metasilicate and lithium disilicate at each stage of heat treatment.

Conclusions

IPS e.max CAD and Rosetta SM showed no significant differences in flexural strength. They had a similar crystalline pattern and molecular composition.

Citations

Citations to this article as recorded by  
  • A novel simplified method for assessing crystal length and crystalline content in dental ceramics
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    Microscopy Research and Technique.2025; 88(1): 224.     CrossRef
  • The Effect of Chewing Simulation on Flexural Strength of Different Lithium Disilicate Ceramics
    Osamah Alsulimani, Salah Yousief, Raghad Al-Dabbagh, Esraa Attar, Dalea Bukhary, Hamad Algamaiah, Khadija Musawa, Awatif Subahi, Samar Abuzinadah, Abdulrahman Alhaddad, Waleed Alqahtani, Abdel Naser Emam, Mohammad Alqhtani, Ahmed Elmarakby
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    BMC Oral Health.2025;[Epub]     CrossRef
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    BMC Oral Health.2025;[Epub]     CrossRef
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    Dental Research Journal.2024;[Epub]     CrossRef
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    Journal of Dentistry.2024; 148: 105257.     CrossRef
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    BMC Oral Health.2024;[Epub]     CrossRef
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    Thomas Melc, Thomas Attin, Tan Fırat Eyüboğlu, Mutlu Özcan
    Materials.2024; 17(21): 5178.     CrossRef
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    Joissi Ferrari Zaniboni, Amanda Soares Silva, Aryvelto Miranda Silva, João Felipe Besegato, Oscar Fernando Muñoz‐Chávez, Edson Alves de Campos
    Journal of Prosthodontics.2024;[Epub]     CrossRef
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    Applied Sciences.2024; 14(7): 2768.     CrossRef
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    Journal of Prosthodontics.2023; 32(8): 721.     CrossRef
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    The Journal of Prosthetic Dentistry.2023; 130(2): 241.e1.     CrossRef
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    Materials.2023; 16(5): 2057.     CrossRef
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    Materials.2023; 16(12): 4398.     CrossRef
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    Applied Sciences.2020; 10(8): 2696.     CrossRef
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