Selection of tooth color for the fixed partial prosthesis patient.
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PURPOSE: This study examines how the color coordinates of human teeth are related to each other and describes a mathematical relationship between Hue, Value, and Chroma of the middle site of anterior teeth. MATERIALS AND METHODS: The color coordinates obtained from a previous instrumental survey of the colors of vital teeth (see Goodkind and Schwabacher) were examined statistically, and equations were sought to describe their distribution in color space. The resulting single equation was applied to the colors of 100 extracted teeth. RESULTS: Correlations between Hue, Value, and Chroma were not significant for incisal and cervical sites. For the middle site, these Munsell color coordinates were highly correlated and closely confined to a planar region of the color space, described by a single equation. CONCLUSIONS: Human tooth color distribution seems to be relatively simple, at least for the middle site. It seems possible that a systematic method of shade selection (see Goodkind and Loupe) can be made available.
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PURPOSE: To evaluate the 4-year clinical performance of castable glass ceramic crowns used to restore teeth in the posterior segments. MATERIALS AND METHODS: 101 castable ceramic (Dicor) full++ crown restorations were placed in 61 molar and 40 premolar teeth using a bonded resin cement. RESULTS: After 4 years of clinical performance, 15 of the original 101 restorations were known to have failed with 13 of those failures affecting molar restorations. All serviceable restorations were rated as excellent for color match, margin adaptation, proximal contact and gingival health. Cavosurface margin discoloration received a 93.5% alfa response. The results of this study show that Dicor crowns meet the esthetic and biological requirements for posterior restorations. The incidence of fracture of molar restorations in this study indicated that when used for restoring molars, careful case selection and caution must be employed.
OBJECTIVES: The objective of this study was to characterize the influence of various metals, metal compounds, and P2O5 as a nucleating agent on the color and translucency of a Li2O-Al2O3-CaO-SiO2 glass-ceramic. METHODS: Glass frits of Li2O-Al2O3-CaO-SiO2 (LACS), LACS with 1 mol% P2O5 (LACSP), and/or LACS with one of 16 colorants were melted, poured into a cylindrical graphite mold, cut into disks, annealed, nucleated, crystallized, and annealed again. Ten translucency measurements of each of five disks were made using a tristimulus colorimeter and a D65 standard CIE illuminant. The color of each disk was analyzed using the CIE L*a*b* color space system (1976) as a function of colorant, colorant concentration, and P2O5. RESULTS: Mean L* values of glass-ceramic disks ranged from 63.5 for LACS containing 6.2 mmol% FeCl3 (LACSP-6.2Fe) to 84.1 for LACS. No significant difference (p > 0.05) was found between the mean L* values for LACS, LACSP, and LACS with 0.19 mmol% AgNO3 (LACS-0.19Ag). The mean contrast ratio of glass-ceramic specimens ranged from 0.42 (LACS and LACS-1.0Fe) to 0.98 (LACS-0.78Ag). Mean color difference values varied from 5.8 (LACSP-1.0Fe vs. LACS) to 36.3 (LACSP-0.78Ag vs. LACSP). SIGNIFICANCE: The results of this study indicate that, because certain colorants in glass-ceramics affect opacity as well as hue and chroma, the development of glass-ceramics should be simplified by: 1) employing a nucleating agent that does not affect hue or chroma significantly, 2) controlling fixed levels of translucency consistent with mechanical and physical property requirements, and 3) varying the hue and chroma by means of colorants that do not affect the crystallization process. This implies that the volume fraction and mean size of crystals must be controlled, since the translucency or opacity of glass-ceramics is associated with scattering of light at the interfaces between adjacent crystals, and between crystals and the glass phase because of differences in refractive indices (McMillan, 1979a).
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The masking power of various generic, dry mineral earth, and flocking colorants dispersed in medical-grade silicone elastomer was investigated. Reflectance measurements were made by diffuse reflectance spectrophotometry using black and white backings. These data were reduced to optical scattering and absorption coefficients through the use of the Kubelka-Munk reflectance theory. The color difference between a 0.13-cm-thick layer of the colored elastomer placed on an ideal black backing and this layer on an ideal white backing was calculated and established as a translucency parameter. Using analysis of variance and stepwise comparison testing, significant differences were found among the translucency parameters of the colorants. Since these colorants differ substantially in their ability to mask underlying colors and since the translucency of maxillofacial material is an important aspect of color measurement and natural appearance, differences in these colorants go beyond their obvious differences in color.
This paper reports the development of a newly modified, noncontact spectrophotometer for clinical use. The instrument is capable of accurately measuring the color within small areas (1 x 2 mm) of a tooth. This spectrophotometer used a 45 degree/0 degree geometry, a 150W halogen lamp, and fiberoptics to focus the light, together with a lens having a focal point distance of 85 mm. A movable platform was added to the apparatus to automatically scan and measure the color of specific areas. Short-term repeatability indicated the color difference delta E to be approximately 0.15.
This study made an in vitro comparative evaluation of the color variation of four types of acrylic resin for provisional fixed prostheses, as determined using computerized spectrophotometry, before and after a 20- and 30-day cycle of immersion in four staining solutions. The four acrylic resins used for provisional fixed restorations were: Cold Pac, Trim, Protemp, and Mixacryl II. Thirty-two specimens for each resin were divided into four subgroups of eight elements, immersed in the four staining solutions (synthetic saliva, synthetic saliva and tea, synthetic saliva and coffee, and synthetic saliva and chlorhexidine in 0.12% water solution), and then placed into four thermostatic baths at 37 degrees C +/- 1 degree C. All specimens were measured for each resin before immersion (baseline). After 20 and 30 days, the specimens were analyzed by computerized spectrophotometry and compared. All data were analyzed with analysis of variance for repeated measures (P < .05). Only the Cold Pac resin was color stable in all staining solutions, while the others showed color changes from the different staining solutions.
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Current standard specifications for the laboratory evaluation of denture base materials require subjective assessment of colour stability. This study evaluates a new objective measurement technique for translucent denture base materials, by comparing quantitative data with the results obtained from a standard subjective method. Preliminary work on three representative commercial acrylic materials resulted in the selection of a white background for the quantification of colour change of these translucent materials. One half of each sample was exposed to artificial sunlight for 24 h. The colour of both exposed and unexposed resin was measured on the CIE L*a*b* scale using a photo-electric colorimeter. Significant changes in the b* and E* values (P < 0.01) were observed following light exposure. Objective data for a wide range of commercial materials were compared with the results of a subjective evaluation and it was shown that a change in b* of 1.5 units was discernable subjectively by eye for 100% of the cases. It is suggested that this method and limit value could form the basis of a new objective colour change specification for polymeric dental materials.
The color stability of both light- and dual-polymerized samples of three shades of three commercial resin cements was measured using a reflection spectrophotometer after accelerated aging over a period of 179 hours. Porcelite cement was the most color stable, followed by Optec and then 3M. The Optec and Porcelite cements changed color after accelerated aging, but with one exception the changes were not perceptible. Five of six 3M cements had perceptible color changes after accelerated aging, becoming darker and more yellow. The two lighter shades of Optec and 3M changed color more than the darker shade. Most differences between light- and dual-polymerized samples were significant but none was perceptible.
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