How well can today's tooth-colored dental restorative materials reproduce the autofluorescence of human teeth? - Ambition and reality!

OBJECTIVES The autofluorescence of dental hard tissues has been known for over 100 years. Thus, manufacturers add fluorophores to dental restorative materials to improve the esthetic properties of these materials. So far, there has been no study evaluating the ability of these fluorophores to reproduce the autofluorescence of dental hard tissues. MATERIALS AND METHODS A total of 240 different color shades representing 17 different brands of fluorescent light-curing RBC and CAD/CAM restorative materials were analyzed with a monochromator-based microplate reader. Additionally, combined enamel-dentin specimens (n = 11) were analyzed as "gold standard". The total fluorescence (TF) and the physiologically relevant luminous efficiency function adjusted total fluorescence (TFa ) were determined. The differences between the brands and the enamel-dentin specimens were further evaluated and visualized as contour plots. RESULTS Merely the TFa of the brands CERASMART™, Filtek Supreme XTE™, KZR-CAD HD 2, and LuxaCam composite were not significantly different to the enamel-dentin specimens. The analysis of the contour plots revealed that even these four materials showed a fluorescence excess for the excitation wavelengths below about 400 nm and a deficit above this wavelength. CONCLUSION None of the materials analyzed in this study were able to reproduce the natural fluorescence spectrum of the enamel-dentin specimens. CLINICAL SIGNIFICANCE Unlike the statements and images of blue fluorescent materials in the manufacturers' brochures, none of the materials examined here is fully capable of reproducing the natural autofluorescence of teeth.