The Effect of Accelerated Aging on the Colour Stability of Composite Resin Luting Cements using Different Bonding Techniques.

Introduction: The main criterion of successful aesthetic restoration is to match the colour of the adjacent teeth. Porcelain laminate veneer is widely practiced indirect restoration in the contemporary aesthetic dentistry. The underlying luting cement colour influences the final outcome of the thin, translucent veneer shade. Hence, colour stability of luting cement is important criteria during their selection.

Aim: The objective of the study was to assess the colour stability of the different dentin bonding techniques in composite resin luting cements.

Materials And Methods: A total of forty intact, non carious teeth were prepared to receive Porcelain Laminate Veneers (PLV). The lithium disilicate PLV were fabricated, and fitting surface was conditioned with 5% hydrofluoric acid and silane application. According to the bonding technique employed for the cementation of the PLV, the teeth samples were randomly divided into the four groups of ten each. The Group I and Group II samples were conditioned with etch and wash; the polymerization of resin was accomplished with the dual cure for Group I and light cure for Group II. The Group III and Group IV samples were conditioned with self-etch and self-adhesive technique correspondingly. The teeth shade was recorded in similar locations with a spectrophotometer before and after subjecting them to the accelerated ageing process. The ageing process included the thermocycling process in water between 5°C and 55°C for 5000 cycles followed by 100 hours xenon light exposure. The data were analysed with SPSS 19.0 by ANOVA and LSD post-hoc comparison.

Results: The higher mean colour change was observed in Group I sample (etch washdual cure) with a ∆E value of 2.491. The ∆E value for Group II (etch wash-light cure) and Group III (selfetch) was 1.110 and 2.357 respectively. The lowest mean colour change was observed in Group IV (self-adhesive) with ∆E at 0.614. Statistical analysis showed significant differences between Group IV and Group I; Group IV and Group III with p<0.05.

Conclusion: The self-adhesive and etch-wash light cure luting cements were found to be less susceptible for colour changes due to accelerated ageing.