Original Article

The Color Stability of Ceramic Veneers Cemented with Self-Adhesive Cements After Accelerated Aging


Objectives: Color change of cements over time can be detected through translucent ceramic veneers, compromising the aesthetic appearance of restorations in the long-term. This study aimed to assess the color stability of ceramic laminate veneers cemented with self-adhesive resin cements after accelerated aging.
Materials and Methods: In this study, 21 IPS e.max ceramic discs, measuring 8mm in diameter and 0.7 mm in thickness, were fabricated and divided into three groups (n=7) for the application of Choice 2 total-etch light-cure resin cement, RelyX U200 dual-cure self-adhesive resin cement, and SpeedCEM self-cure self-adhesive resin cement. The ceramic discs in each group were cemented on the prepared facial surface of bovine teeth. The color parameters were assessed using a spectrophotometer. Subsequently, the samples were subjected to accelerated aging for 100 hours, and the color parameters were measured again. The data were analyzed using two-way repeated-measures analysis of variance (ANOVA) and Tamhane’s post-hoc test (P<0.05).
Results: Aging significantly affected the ceramic laminate color parameters in all three groups (P<0.05). SpeedCEM cement showed the lowest color stability (∆E=4.2) after aging, and its color change was clinically unacceptable (∆E>3.5). The color change of the other two groups was clinically acceptable (1<∆E<3.5).
Conclusion: The self-adhesive dual-cure cement showed color stability comparable to that of the total-etch light-cure cement for cementation of IPS e.max ceramic laminates. The color stability of both cements was superior to that of the self-adhesive self-cure cement.

1. Addison O, Fleming GJ. The influence of cement lute, thermocycling and surface preparation on the strength of a porcelain laminate veneering material. Dent Mater. 2004 Mar;20(3):286-92.
2. Archegas LR, Freire A, Vieira S, Caldas DB, Souza EM. Colour stability and opacity of resin cements and flowable composites for ceramic veneer luting after accelerated aging. J Dent. 2011 Nov;39(11):804-10.
3. Heffernan MJ, Aquilino SA, Diaz-Arnold AM, Haselton DR, Stanford CM, Vargas MA. Relative translucency of six all-ceramic systems. Part II: core and veneer materials. J Prosthet Dent. 2002 Jul;88(1):10-5.
4. Karaagaclioglu L, Yilmaz B. Influence of cement shade and water storage on the final color of leucite-reinforced ceramics. Oper Dent. 2008 Jul-Aug;33(4):386-91.
5. Heffernan MJ, Aquilino SA, Diaz-Arnold AM, Haselton DR, Stanford CM, Vargas MA. Relative translucency of six all-ceramic systems. Part I: core and veneer materials. J Prosthet Dent. 2002 Jul;88(1):4-9.
6. Heydecke G, Zhang F, Razzoog ME. In vitro color stability of double-layer veneers after accelerated aging. J Prosthet Dent. 2001 Jun;85(6):551-7.
7. Hitz T, Stawarczyk B, Fischer J, Hammerle CH, Sailer I. Are self-adhesive resin cements a valid alternative to conventional resin cements? A laboratory study of the long-term bond strength. Dent Mater. 2012 Nov;28(11):1183-90.
8. Attar N, Tam LE, McComb D. Mechanical and physical properties of contemporary dental luting agents. J Prosthet Dent. 2003 Feb;89(2):127-34.
9. Kilinc E, Antonson SA, Hardigan PC, Kesercioglu A. Resin cement color stability and its influence on the final shade of all-ceramics. J Dent. 2011 Jul;39 Suppl 1:e30-6.
10. Frankenberger R, Reinelt C, Petschelt A, Krämer N. Operator vs. material influence on clinical outcome of bonded ceramic inlays. Dent Mater. 2009 Aug;25(8):960-8.
11. Aguiar TR, André CB, Correr-Sobrinho L, Arrais CA, Ambrosano GM, Giannini M. Effect of storage times and mechanical load cycling on dentin bond strength of conventional and self-adhesive resin luting cements. J Prosthet Dent. 2014 May;111(5):404-10.
12. Suzuki TY, Godas AG, Guedes AP, Catelan A, Pavan S, Briso AL, et al. Microtensile bond strength of resin cements to caries-affected dentin. J Prosthet Dent. 2013 Jul;110(1):47-55.
13. Yaman BC, Ozer F, Takeichi T, Karabucak B, Koray F, Blatz MB. Effect of thermomechanical aging on bond strength and interface morphology of glass fiber and zirconia posts bonded with a self-etch adhesive and a self-adhesive resin cement to natural teeth. J Prosthet Dent. 2014 Sep;112(3):455-64.
14. Hekimoğlu C, Anil N, Etikan I. Effect of accelerated aging on the color stability of cemented laminate veneers. Int J Prosthodont. 2000 Jan-Feb;13(1):29-33.
15. Ghavam M, Amani-Tehran M, Saffarpour M. Effect of accelerated aging on the color and opacity of resin cements. Oper Dent. 2010 Nov-Dec;35(6):605-9.
16. Turgut S, Bagis B. Colour stability of laminate veneers: an in vitro study. J Dent. 2011 Dec;39 Suppl 3:e57-64.
17. Turgut S, Bagis B, Turkaslan SS, Bagis YH. Effect of ultraviolet aging on translucency of resin-cemented ceramic veneers: an in vitro study. J Prosthodont. 2014 Jan;23(1):39-44.
18. Vichi A, Ferrari M, Davidson CL. Color and opacity variations in three different resin-based composite products after water aging. Dent Mater. 2004 Jul;20(6):530-4.
19. Hofmann N, Papsthart G, Hugo B, Klaiber B. Comparison of photo-activation versus chemical or dual-curing of resin-based luting cements regarding flexural strength, modulus and surface hardness. J Oral Rehabil. 2001 Nov;28(11):1022-8.
20. Berrong JM, Weed RM, Schwartz IS. Color stability of selected dual-cure composite resin cements. J Prosthodont. 1993 Mar;2(1):24-7.
21. Lu H, Powers JM. Color stability of resin cements after accelerated aging. Am J Dent. 2004 Oct;17(5):354-8.
22. Koishi Y, Tanoue N, Atsuta M, Matsumura H. Influence of visible-light exposure on colour stability of current dual-curable luting composites. J Oral Rehabil. 2002 Apr;29(4):387-93.
23. Falkensammer F, Arnetzl GV, Wildburger A, Freudenthaler J. Color stability of different composite resin materials. J Prosthet Dent. 2013 Jun;109(6):378-83.
24. Lee YK, Powers JM. Color changes of resin composites in the reflectance and transmittance modes. Dent Mater. 2007 Mar;23(3):259-64.
25. Schulze KA, Marshall SJ, Gansky SA, Marshall GW. Color stability and hardness in dental composites after accelerated aging. Dent Mater. 2003 Nov;19(7):612-9.
26. Uchida H, Vaidyanathan J, Viswanadhan T, Vaidyanathan TK. Color stability of dental composites as a function of shade. J Prosthet Dent. 1998 Apr;79(4):372-7.
27. O’Brien WJ. Dental Materials and Their Selection. Hanover Park, IL, USA, Quintessence Publishing Co. Inc., 2002:50-74.
28. Barrett AA, Grimaudo NJ, Anusavice KJ, Yang MC. Influence of tab and disk design on shade matching of dental porcelain. J Prosthet Dent. 2002 Dec;88(6):591-7.
29. ISO 4049:2009. Dentistry - Polymer-based restorative materials. Available at: https://www.iso.org/standard/42898.html /Accessed January 28, 2019.
30. Guler AU, Yilmaz F, Kulunk T, Guler E, Kurt S. Effects of different drinks on stainability of resin composite provisional restorative materials. J Prosthet Dent. 2005 Aug;94(2):118-24.
31. Gupta R, Parkash H, Shah N, Jain V. A spectrophotometric evaluation of color changes of various tooth colored veneering materials after exposure to commonly consumed beverages. J Indian Posthodont Soc. 2005;5(2):72-78.
32. Smith DS, Vandewalle KS, Whisler G. Color stability of composite resin cements. Gen Dent. 2011 Sep-Oct;59(5):390-4.
33. Marchionatti AME, Wandscher VF, May MM, Bottino MA, May LG. Color stability of ceramic laminate veneers cemented with light-polymerizing and dual-polymerizing luting agent: A split-mouth randomized clinical trial. J Prosthet Dent. 2017 Nov;118(5):604-610.
34. Sideridou I, Achilias DS, Spyroudi C, Karabela M. Water sorption characteristics of

light-cured dental resins and composites based on Bis-EMA/PCDMA. Biomaterials. 2004 Jan;25(2):367-76.
35. Sakaguchi RL, Powers JM. Materials for adhesion and luting. In: Craig’s Restorative Dental Materials. Philadelphia, PA, USA: Elsevier Mosby, 2012:337.
36. Eliades T, Gioka C, Heim M, Eliades G, Makou M. Color stability of orthodontic adhesive resins. Angle Orthod. 2004

37. Almeida JR, Schmitt GU, Kaizer MR, Boscato N, Moraes RR. Resin-based luting agents and color stability of bonded ceramic veneers. J Prosthet Dent. 2015 Aug;114(2):272-7.
38. Paravina RD, Powers JM. Color matching. In: Esthetic Color Training in Dentistry. St. Louis MO, USA: Elsevier Mosby, 2004:139-80.
IssueVol 16, No 5 (2019) QRcode
SectionOriginal Article
DOI https://doi.org/10.18502/fid.v16i5.2288
Dental veneer Esthetics Resin Cements

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How to Cite
Hasani Tabatabaei M, Matinfard F, Ahmadi E, Ranjbar Omrani L, Sadeghi Mahounak F. The Color Stability of Ceramic Veneers Cemented with Self-Adhesive Cements After Accelerated Aging. Front Dent. 16(5):393-401.

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