An In Vitro Study on Effect of Ceramic Thickness and Multiple Firings on Colour of Metal Ceramic Restorations.

Abstract

Preparation of porcelain restorations that match the natural dentition has been a subject of great concern for many years. An understanding of the process by which the colour and translucency of fixed restorations are planned and obtained so as to replicate the colour of its adjacent teeth is important for achieving an esthetic restoration. This study was done to study the effect of fabrication procedures such as ceramic thickness and number of firing cycles on the colour of metal ceramic restorations. Metal ceramic samples with three different ceramic thicknesses; 0.5, 1 and 1.5mm (N=30, n=10 per group) were fabricated. A3 shade of [VMK 95, VITA Zahnfabrik, Bad Sackingen, Germany] ceramic was used for the fabrication of samples. Samples were subject to multiple firing cycles and colour was measured after 2nd, 3rd, 4th, 6th, 8th and 10th firing cycle. Colour measurement was done objectively using spectrolino (Gretag Macbeth Inc., Germany) spectrophotometer. 'Repeated measures ANOVA' test was used for doing statistical analysis. No significant change was noticed in any of the four colour parameters between the baseline reading after second firing uptil the tenth firing for any of the three groups with different ceramic thicknesses. There was a consistent rise in L* or lightness of colour as the thickness of ceramic increased. Between group I and group III there was a consistent shift of a* axis towards the blue green side and there was a consistent shift in b* axis towards purple-blue with an increase in ceramic thickness. It was observed that there was a change in ΔE with a change in ceramic thickness. There was a change of about two units between group I and group II and a change of about one unit between group II and group III. Change in ΔE between group I and group III was the most significant, being about three units. It was concluded from the study that multiple firing cycles during fabrication of metal ceramic restorations do not have any effect on colour while colour varies with change in ceramic thickness.