Colour Changes of Acetal Resins (CAD-CAM) In Vivo

Abstract

To quantify the discolouration of the temporary acetal resins in vivo, based on the weeks of follow-up and the salivary pH in the three thirds of the tooth. To find out if the final CIELAB coordinates can be predicted from the initial colour coordinates, the salivary pH, the situation (in thirds) and the weeks of follow-up. Colour coordinates (L, C, and h) were recorded by spectrophotometry in 13 participants fitted with hybrid provisional complete dentures made of acetal resin. Colour recordings were made on the day of placement and after several weeks of follow-up (6 to 31 weeks). Salivary pH was also measured as a predictor variable for colour change. The ANOVA statistical test and regression models have been used. The highest colour difference according to DEab* was 27.46 units after 15 weeks of follow-up and the lowest was 7.34 units after 17 weeks of follow-up. Neither in the cervical nor in the middle third any regressor variable (initial L*, initial C*, initial h*, salivary pH and weeks of follow-up) was able to significantly predict any of the final colour coordinates (p > 0.05). The colour change of the temporary acetal resins used exceeds the threshold of clinical acceptability, and it is not acceptable to maintain satisfactory aesthetics. The weeks of follow-up and the salivary pH are not capable of satisfactorily predicting the final color coordinates of the acetal resins.