Home Bleaching Effects on the Surface Gloss, Translucency, and Roughness of CAD/CAM Multi-Layered Ceramic and Hybrid Ceramic Materials

The surface qualities of CAD/CAM multi-layered ceramic and hybrid ceramic materials are critical for superior aesthetics and may be impaired by the application of home bleaching. The aim of this study was to assess how home bleaching affects the surface gloss, translucency parameter (TP), and surface roughness (Ra, Rq, and Rz) of different CAD/CAM multi-layered ceramic and hybrid ceramic dental materials. The two types of innovative ceramics that were tested are ultra-translucent multi-layered (UTML) zirconia and polymer-infiltrated ceramic blocks. The samples were treated using home bleaching agents. Each specimen was tested under bleached and non-bleached conditions. The surface gloss and TP of the specimens were measured using a spectrophotometer. The surface examination was performed using scanning electron microscope (SEM) images, while the average surface roughness values (Ra, Rq, and Rz) were calculated using three-dimensional SEM images obtained by an imaging analysis system. A total of 120 disc-shaped resin composite specimens was distributed randomly according to each material in two main groups (n = 60): a control group immersed in 20 mL distilled water (non-bleached) (n = 30), and a second group treated with 20 mL of a home bleaching agent (Crest 3D White Multi-Care Whitening Mouthwash) for 60 s, twice daily for seven days (bleached) (n = 30). The surface gloss, TP, and surface roughness (n = 10 per test for each group) of each group (bleached and non-bleached) was tested. An independent sample t-test was used statistically to assess the effect of home bleaching on the surface gloss, translucency, and roughness of each ceramic material and to compare the two materials. The significance level was adjusted at p ≤ 0.05. The results of the bleached UTML specimens showed no significant changes regarding surface gloss, TP, and roughness, whereas the bleached Vita Enamic specimens showed a significant reduction in surface gloss and TP and increased surface roughness. Moreover, the UTML specimens showed a significantly higher initial surface gloss and TP, and a reduced surface roughness, contrary to the Vita Enamic specimens. This study concluded that surface gloss retention, translucency, and surface roughness could be negatively influenced when subjected to home bleaching according to the type and composition of the ceramic materials.