Effect of Simulated Gastric Acid on Surface Characteristics and Color Stability of Hybrid CAD/CAM Materials

Hybrid computer-aided design and computer-aided manufacturing (CAD/CAM) materials have gained prominence in restorative dentistry due to their advantageous mechanical and esthetic properties; however, their long-term performance may be adversely affected by acidic oral environments, such as those associated with gastroesophageal reflux disease (GERD). This in vitro study aimed to investigate the effects of simulated gastric acid exposure on the surface roughness, gloss, color stability, and microhardness of two hybrid CAD/CAM materials: Vita Enamic and Cerasmart. Standardized rectangular specimens (2 mm thickness) were prepared and polished using a clinically relevant intraoral protocol. Baseline measurements were obtained for surface roughness, gloss, color change (Delta E), and Vickers microhardness. All specimens were then immersed in hydrochloric acid (pH 1.2) for 24 h to simulate prolonged gastric acid exposure, after which the same properties were re-evaluated. Post-immersion analysis revealed significant increases in surface roughness and reductions in gloss and microhardness for both materials (p < 0.05), with Vita Enamic demonstrating greater susceptibility to degradation. Color changes remained below the clinically perceptible threshold, with no significant differences between materials. These findings highlight the potential vulnerability of hybrid CAD/CAM materials to acidic environments and underscore the importance of careful material selection in patients predisposed to acid-related challenges.