Evidence map›Paper›PMID 40618088›Full record

ArticleBMC oral health2025

Effect of ceramic thickness and resin cement colors on the final color of various monolithic CAD/CAM materials.

Neşe Cızıroğlu, Erman Bülent Tuncer, Recep Kara

Abstract read
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Neşe CızıroğluDepartment of Prosthodontics, Faculty of Dentistry, Biruni University, Istanbul, Turkey.
Erman Bülent TuncerDepartment of Prosthodontics, Faculty of Dentistry, Aydın University, Istanbul, Turkey.
Recep KaraPrivate Clinic, Kütahya, Turkey. drecepkara@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the impact of resin cement color and the thickness of monolithic CAD/CAM materials on the final color of the fixed dental restoration. MATERIALS AND

methodsFour high translucent monolithic CAD-CAM materials in shade A2, including lithium disilicate glass-ceramic (IPS e.max CAD, IP), monolithic zirconia (Ceramill Zolid HT+, CZ), two zirconia-reinforced lithium silicate ceramics (VITA Suprinity, VS, and Celtra Duo, CD) were prepared as rectangular specimens measuring 12 × 14 mm in two thicknesses (0.5 mm and 1 mm), (N = 160, n = 20 per group). Subsequently, three different colors of PANAVIA™ SA(PV) Cement Universal Automix Universal (A2), White (W), and Translucent (Tr) polymerized resin cement specimens (12 × 14 × 0.2 mm) were placed underneath the ceramic samples. After and befor aging color values were measured. The color difference was calculated using CIEDE2000 formulae. Statistical analysis was conducted using a three-way ANOVA and EMF function with Bonferroni correction.

resultsThe 3-way ANOVA for the color difference data showed a statistically significant effect of all three main factors ceramic thickness, materials, and resin cement (p < 0.05). Among these, resin cement color had the most pronounced influence on color change (ηp² = 0.974). The most significant color change was observed with a thickness of 0.5 mm and white cement, with mean ∆E values ranging from 7.72 to 3.40. All ceramic groups, except for monolithic zirconia, exhibited color changes exceeding the clinically acceptable threshold (∆E ≤ 3.5). Additionally, all ceramic groups, except for monolithic zirconia, were affected by thickness.

conclusionThe study revealed that material type and cement group significantly influenced ∆E values in certain ceramics (CD, IP), while others (CZ+, VS) remained unaffected at 1 mm thickness. These findings highlight the importance of selecting appropriate cement color and type to optimize the final esthetics of monolithic restorations.

Indexed as

CeramicsComputer-Aided DesignDental MaterialsDental PorcelainProsthesis ColoringResin CementsColorDental Prosthesis DesignHumansMaterials TestingSurface PropertiesZirconiumDental MaterialsDental PorcelainGlass ceramicslithia disilicateResin CementsVITA SuprinityZirconiumzirconium oxideCAD/CAM materialsColor changeMonolithic restorationsResin cementTranslucent zirconia

Identifiers

PMID40618088
PMCPMC12228380

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.