The Effect of Low-Grade Hydrothermal Aging on the Shade Stability of Monolithic CAD/CAM Dental Ceramic Restorations

Translucency and color stability are key factors for the long-term success of dental ceramics. The aim was to compare the translucency parameter (TP) and color stability (ΔE) of CAD/CAM ceramics, including a lithium disilicate (E; IPS e.max CAD), a zirconia-reinforced lithium-silicate (S; VitaSuprinity), and a zirconia-based ceramic (Z; Ceramill Zolid HT+), before and after low-grade hydrothermal aging (134 °C and 2 bars for 20 h). Ninety disks (n = 30/group, A2, 1.2 ± 0.02 mm) were fabricated and their L*, a*, and b* values were recorded against black and white backgrounds to calculate TP, contrast ratio (CR), and opacity (OP). ANOVA, Bonferroni post hoc, and paired t-tests (α = 0.05) showed that after aging, the Z group showed ↓L and ↑a values; the E group showed ↓L with ↑ a and b; and the S group showed only ↑a. All ceramics exhibited ΔE values below the clinical acceptability threshold of 3.7. E presented the highest TP, whereas Z demonstrated the highest CR and masking ability. Aging significantly increased CR and OP but did not alter TP. Within the limitations of this study, all tested ceramics maintained clinically acceptable shade stability and translucency, with E showing superior initial translucency and Z offering improved masking potential.