Effect of CAD/CAM aesthetic material thickness and translucency on the polymerisation of light- and dual-cured resin cements

Babaier, Rua, Haider, Julfikar ORCID: https://orcid.org/0000-0001-7010-8285, Silikas, Nick and Watts, David C (2022) Effect of CAD/CAM aesthetic material thickness and translucency on the polymerisation of light- and dual-cured resin cements. Dental Materials, 38 (12). pp. 2073-2083. ISSN 0109-5641

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Abstract

Objectives This study investigated potential variations in polymerisation of light- and dual-cured (LC and DC) resin cements photoactivated through four CAD/CAM restorative materials as a function of substrate thickness. Methods Four CAD/CAM materials [two resin composites CeraSmart (CS) and Grandio Blocs (GB); a polymer infiltrated ceramic Vita Enamic (VE) and a feldspathic ceramic Vita Mark II (VM)], with five thicknesses (0.5, 1, 1.5, 2, and 2.5 mm) were prepared and their optical characteristics measured. 1 mm discs of LC and DC resin cement (Variolink® Esthetic, Ivoclar AG) were photoactivated through each specimen thickness. After 1 h post-cure, polymerisation efficiency was determined by degree of conversion (DC%) and Martens hardness (HM). Interactions between materials, thicknesses and properties were analysed by linear regressions, two-way ANOVA and one-way ANOVA followed by post hoc multiple comparisons (α = 0.05). Results All substrates of 0.5- and 1.0-mm thickness transmitted sufficiently high peak irradiances at around 455 nm: (It = 588–819 mW/cm2) with translucency parameter TP = 21.14 – 10.7; ranked: CS> GB = VM> VE. However, increasing the substrate thickness (1.5–2.5 mm) reduced energy delivery to the luting cements (4 – 2.8 J/cm2). Consequently, as their thicknesses increased beyond 1.5 mm, HM of the cement discs differed significantly between the substrates. But there were only slight reduction of DC% in LC cements and DC cement discs were not affected. Significance: Photoactivating light-cured Ivocerin™ containing cement through feldspathic ceramics and polymer-infiltrated ceramics achieved greater early hardness results than dual-cured type, irrespective of substrate thickness (0.5 – 2.5 mm). However, only 0.5 and 1 mm-thick resin composites showed similar outcome (LC>DC). Therefore, for cases requiring early hardness development, appropriate cement selection for each substrate material is recommended.