This study evaluated the effect of acidic environment and tooth brushing on the color stability and translucency of stained 3D-printed ceramic-reinforced composite (CRC) resins for indirect restorations and hybrid prostheses. Twelve specimens were prepared from each 3D-printing resin material: Ceramic Crown (CC), OnX (ONX), and Tough 2 (T2), and one CAD/CAM milling resin, Lava Ultimate (LU). After preparation, all specimens were stained, then immersed in either water or citric acid. Subsequently, the specimens underwent simulated tooth brushing for 3650 cycles. Color stability (ΔE) and translucency parameter (TP) were measured using a spectrophotometer. Data were analyzed using ANOVA, post hoc Tukey tests, and independent Student t-tests (α = 0.05). Material type, immersion medium, and their interaction did not significantly influence the mean ΔE (p > 0.05). The lowest ΔE value was for LU in acid (ΔE = 1.11 ± 0.39), and the highest for T2 in water (ΔE = 2.09 ± 1.47). Except for ONX and LU in acid, all materials had ΔE values above the perceptibility threshold (ΔE = 1.2). The mean TP was significantly affected by material type, immersion medium, and their interaction (p < 0.05). The lowest TP value was for group CC in acid (0.91 ± 0.26); the highest was for group LU in acid (6.24 ± 0.56). After immersion and subsequent tooth brushing, TP values decreased for all materials. Exposure to an acidic environment and tooth brushing did not affect color stability but significantly reduced translucency. Both the 3D-printed CRCs and milled resin material displayed comparable color stability below clinically acceptable thresholds, though the translucency of 3D-printed materials remained lower compared to milled material.
This study aimed to assess the effect of acidic storage and simulated brushing on the translucency and color stability of 3D-printed resins for prosthodontic applications. Three 3D printed resin materials—Ceramic Crown (CC), OnX (ONX), and Tough 2 (T2)—were compared with a CAD/CAM milled nano-ceramic resin material (Lava Ultimate, LU). Twelve specimens were fabricated from each material and were allocated into two groups based on the storage medium (water or citric acid), followed by simulated tooth brushing for 3650 cycles. The specimens’ translucency (TP) and color stability (ΔE) were determined using a spectrophotometer. The data was compared using ANOVA, independent student t-tests, and a post hoc Tukey test (p < 0.05). Multiple comparisons of mean differences in TP revealed significant differences between the tested materials (p < 0.001), except for groups CC and ONX. Irrespective of the groups, all materials showed decreased TP values after simulated tooth brushing. Regarding color stability, CC (0.66 ± 0.42) and T2 (1.40 ± 0.34) in acid demonstrated the least and greatest color changes, respectively. The ΔE did not vary between the materials or between the storage media (p > 0.05). Except for T2 and LU in water, the other materials showed ΔE values below the perceptibility threshold of 1.2. The material type and storage media affected the translucency of the tested materials. However, regardless of the material type and storage media, there was no discernible impact on the color change of the tested materials.