(1) Background: Natural-looking dental restorations require careful selection of the restorative material, with color and translucency characteristics similar to the natural dental structures. (2) Objectives: This research aimed to evaluate if there is compatibility regarding the color and translucency between different commercial RBCs in different layering recipes. (3) Methods: Sixty 1 mm thick disk specimens were produced from three different RBCs: ESS (Essentia-GC), BEG (Brilliant Ever Glow-Coltene), and IPS (IPS Empress Direct-Ivoclar Vivadent). Three different opacities and translucencies (enamel, dentin, and opaque shades) from each system were used in four recipes (R1-enamel, R2-dentin, R3-enamel and dentin, R4-enamel, dentin, and opaque) to obtain single-, double-, and triple-layered samples, respecting the anatomical layering technique. CIE L*, a*, b*, C*, h0 coordinates were recorded, and the relative translucency parameter (RTP00) was calculated. Further, the color differences (ΔE00) and the difference in translucencies ΔRTP00 were analyzed between the materials and between the layered recipes. (4) Results: The CIE L* and h° color coordinates and RTP00 showed significant differences among all three RBCs for all four recipes (p < 0.001). The decreasing order of translucency for each recipe was R1: ESS > BEG > IPS, R2 and R3: BEG > IPS > ESS, R4: BEG > ESS > IPS. Important differences were found in color and translucency among the recipes for each of the three RBCs tested (p < 0.001). The decreasing order of translucency for the tested RBCs was ESS: R1 > R3 > R4 > R2, BEG and IPS: R1 > R3 > R2 > R4. (5) Conclusions: No significant compatibility was observed in color and translucency among different layering recipes of the same composite materials nor between similar layering recipes when using different composites. The color differences between materials were more significant than the differences in translucency for each recipe.
Background and Objectives: Nowadays, indication of composite materials for various clinical situations has increased significantly. However, in the oral environment, these biomaterials are subjected (abnormal occlusal forces, external bleaching, consumption of carbonated beverages, etc.) to changes in their functional and mechanical behavior when indicated primarily for patients with masticatory habits. The study aimed to recreate in our lab one of the most common situations nowadays—in-office activity of a young patient suffering from specific parafunctional occlusal stress (bruxism) who consumes acidic beverages and is using at-home dental bleaching. Materials and Methods: Sixty standardized class II cavities were restored with two nanohybrid biocomposite materials (Filtek Z550, 3M ESPE, and Evetric, Ivoclar Vivadent); the restored teeth were immersed in sports drinks and carbonated beverages and exposed to an at-home teeth bleaching agent. The samples were subjected to parafunctional mechanical loads using a dual-axis chewing simulator. A grading evaluation system was conducted to assess the defects of the restorations using different examination devices: a CBCT, a high-resolution digital camera, and periapical X-rays. Results: Before mechanical loading, the CBCT analysis revealed substantially fewer interfacial defects between the two resin-based composites (p > 0.05), whereas, after bruxism forces simulation, significantly more defects were identified (p < 0.05). Qualitative examination of the restorations showed more occlusal defects for the Evetric than the other nanohybrid composite. Conclusions: There were different behaviors observed regarding the studied nanocomposites when simulation of parafunctional masticatory forces was associated with aging treatments.
Dyschromic lesions (DLs) of tooth enamel are common disorders, with multiple etiologies and various clinical forms, that raise public health concerns. This study aimed to determine the factors that influence the perception of DLs and to assess the perceived need for dental treatment in various clinical cases. A paper-based questionnaire with attached images of frontal teeth exhibiting different DLs was distributed to patients, dental students, and dentists. A total of 383 volunteers participated in this study, and their answers were statistically described and analyzed. This study found that in cases with multiple, well-demarcated areas of opacities associated with diffuse opacities on neighboring teeth, most respondents noticed and reported only the most severe lesions, disregarding the minor ones. The contrast of the lesion with the color of the substrate influenced the overall perception and a significant correlation between these two variables was found. However, the color of the DLs did not significantly impact the overall perception of the lesions. A higher overall perception of DLs was significantly correlated with a favorable opinion regarding the need for treatment. Furthermore, gender and medical background were significantly associated with the overall perception of DLs.
15 March 2024 in Romanian Journal of Oral Rehabilitation
Aim of the study The main objective of this paper is to perform an up-to-date literature review of the application and implications of using Snap-On Smile devices for short-term aesthetic rehabilitation, as well as to showcase the 3D printing workflow in manufacturing these devices through a case study. Materials and methods The present systematic study was conducted following the PRISMA-P structure of a systematic review, by using three electronic databases (PubMed, Google Scholar, and EMBASE) to perform a literature search from 2000 to 2024 using the following MESH terms: snap on smile, aesthetic, removable, device. After discarding duplicates, out of 81 results, a total of 6 articles were eligible and included in the review. Results Constructed from durable materials like crystallized acetyl resin or PMMA, the Snap-On Smile offers up to five years of use. Manufactured through advanced techniques such as injection moulding, CAD/CAM milling, or 3D printing, it provides an aesthetic solution without necessitating tooth preparation. The case study of a 59-year-old female illustrates its efficacy in providing immediate aesthetic enhancement for a significant social event. Conclusions The Snap-On Smile has emerged as a significant advancement in aesthetic dentistry, balancing the desire for improved dental aesthetics with the need to preserve natural tooth structures. Its ease of application and non-invasive nature make it a suitable option for many patients, though its limitations necessitate careful consideration in complex cases.