Translucency and Color Difference of Monolithic Zirconia Restorations: The Effect of Surface Finishing on Background Color

Abstract

This study evaluates the effect of different surface finishing procedures on the color and translucency values of monolithic zirconia materials on three different colored composite backgrounds. Sixty monolithic zirconia blocks of three different translucency levels were prepared in vitro using computer-aided design/computer-aided manufacturing (CAD/CAM) systems. The correlation between repeat measurements was 0.5, resulting in a sample size of nine samples per group to detect a medium effect size, f = 0.25. Half of the zirconia blocks in each group were subjected to glazing, while the other half were polished ( n = 10). Composite blocks of three different colors were prepared to simulate dental substrates, and the zirconia specimens were placed on these composite backgrounds. The color parameters of the specimens were measured using a spectrophotometer on gray, black, and white backgrounds. Three-way repeated measure ANOVA was used to assess the interaction between the three independent variables (zirconia brand, surface finishing technique, and background color) and the effects of each tested variable on the changes in color and translucency. The surface finishing techniques had a significant effect on the color and translucency of the monolithic zirconia materials. Glazing resulted in higher color differences and lower translucency values compared to polishing. For backgrounds of the same color, no significant differences were detected between the glazed zirconia groups for the same condition ( p > .016). Overall, the study demonstrated the importance of selecting the appropriate surface finishing technique and translucency property of the monolithic zirconia materials to obtain the optimal esthetic results in dental restorations.