Repair Performance of Additively and Subtractively Manufactured Permanent Crown Materials: A Combined Mechanical and Optical Evaluation

This study aimed to investigate the repair performance of these materials subjected to different surface treatment protocols using combined mechanical and optical evaluations. Four resin-matrix materials were evaluated: two CAD/CAM materials (HIPC Plus and GC Cerasmart) and two additively manufactured resins (VarseoSmile TriniQ and CrownTec). Standardized disc specimens were fabricated and thermocycled prior to repair. Three surface treatments were applied: airborne particle abrasion (APA), tribochemical silica coating (TSC) with silane, and laser treatment (LT). Micro-shear bond strength (µSBS) was measured using composite cylinders bonded to treated surfaces. For optical evaluation, standardized cavities were restored with composite resin, and color measurements were obtained at baseline (T0) and after aging (T1) using a spectrophotometer. Color mismatch and color stability were calculated. Data were analyzed using two-way ANOVA and Tukey tests (α = 0.05). Material type and surface treatment significantly affected µSBS (p < 0.001). CAD/CAM materials had higher bond strength than additively manufactured ones. The TSC group showed the highest µSBS. Aging increased color mismatch, with post-aging ΔE00 values surpassing clinical thresholds. Additively manufactured materials experienced greater color changes. Repair performance depends on manufacturing method and surface treatment. The higher bond strength in the TSC group likely results from silica coating and silanization. CAD/CAM materials showed better optical stability.