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Color stability of provisional resin restorative materials.

STATEMENT OF PROBLEM: Use of temporary crowns and fixed partial dentures is especially relevant when the treatment plan requires restorations for long interim periods, and the in-service discoloration of provisional restorative materials is a major drawback. PURPOSE: This study evaluated the discoloration effect of coffee and tea on some materials that are commonly used in the fabrication of provisional restorations. MATERIAL AND METHODS: Six commercially available provisional resins (Jet, Caulk TBR, Protemp Garant, Luxatemp Solar, Provipont DC and SR-Ivocron-PE) were evaluated after 1 day, 7 days, and 30 days of immersion in various staining solutions. Color measurements were obtained by using a Dr Lange Micro Color tristimulus colorimeter and color differences (delta E*) were estimated. RESULTS: The 2 chemically activated resins (Jet and Caulk TBR) and the heat-cured resin (SR-Ivocron PE) exhibited the least color changes, whereas the Provipont-DC resin was the least color stable. After immersion for 30 days, the combination with the coffee solution resulted in unacceptable discoloration for all the tested materials. CONCLUSIONS: Provisional restorative materials, staining solutions, and immersion time were significant factors that affected color stability. After immersion for 7 days, all materials showed observable color changes. The composite-based materials, especially light-curing composites, were the least color stable. The coffee solution exhibited more staining capacity than the tea solution.

Analysis of Variance↗

Evaluation of visual and instrument shade matching.

STATEMENT OF PROBLEM: Visual color matching to determine shades in dentistry is inconsistent and unreliable. If accurate, instrumental measurement of tooth color would provide objective, quantified data to match natural teeth to clinical shade guides. PURPOSE: This study evaluated and compared the ability of a new computerized colorimeter and a simple visual test to match ceramic shade guide teeth. MATERIAL AND METHODS: Thirty-one (n = 31) observers with normal color vision were allowed unlimited time to match one set of Vita Lumin shade guide teeth to the corresponding shade guide teeth of a second Vita Lumin shade guide. The same test was administered to 14 of the observers several months later to determine within-subject variability. A computerized colorimeter (Colortron II) equipped with a positioning guide was used to measure the middle third of each shade guide tooth. Through a "match tool" present in the computer's software, readings from one shade guide were matched with readings of the other shade guide by using CIELAB measurements and DeltaE values. The mean number of correct matches by the colorimeter and of correct matches in visual test were compared with a 1-tailed t test. Repeatability for both tests was determined with a paired t test. RESULTS: The Colortron II instrument correctly matched 8 of the 16 tabs (50% correct), whereas visual matching by examiners averaged 7. 7 of 16 correct matches (48% correct) (standard deviation 2.7). No statistically significant differences existed between the 2 methods. The colorimeter demonstrated 100% repeatability and the visual test demonstrated fair repeatability (correlation coefficient r =.60). CONCLUSIONS: Shade determination by visual means was inconsistent. Accuracy of a new colorimeter in matching porcelain shade guide teeth was only slightly better.

Ceramics↗

Five-year color changes of light-cured resin composites: influence of light-curing times.

OBJECTIVES: The purpose of this study was to investigate the influence of light-curing times on the color changes of light-cured resin composites, over specified periods of time. METHODS: Silux Plus (3M Dental Products) light-cured resin composite disks (shades: U, Y, DY, L, G, UO, YO), 10 mm in diameter and 1 mm in thickness were prepared with 20, 40, and 120 s of light exposure through a 1 mm thick glass plate. The specimens were stored in artificial saliva at 37 degrees C. Colorimetric values of the specimens immediately after curing and after every 6 months for 5 years were measured backed by a light trap, and a white colored plate using a fast spectrophotometer. The CIE 1976 L*a*b* color system was used for the determination of the color difference. RESULTS: For specimens backed by a white colored plate, the delta E*ab of all shades increased for 3 years and 6 months to 5 years, to the time elapsed during all curing times. However, the a*b* values to the time elapsed differed among the shades and light curing times. In the 20 and 120 s curing time groups, the opacity% of all shades increased for 4 or 5 years to the time elapsed. SIGNIFICANCE: The modes of color changes of Silux Plus resins differed among the shades and light curing times.

Analysis of Variance↗

Human-eye versus computerized color matching.

This project compared the difference in color matching between human-eye assessment and computerized colorimetry. Fifty dental personnel were asked to color match Vita Lumin shade tabs to seven different randomly arranged test tabs from the Z100 shade guide. All evaluators were blinded to the shades of the test tabs and were asked to match only body shade of the Vita Lumin tab to the middle third or body of each test tab. The results obtained were subsequently computed into L*a*b* values and compared with results obtained by computerized colorimetry. Results indicate that the difference in color matching between human-eye assessment and computerized colorimetry is shade dependent. Discrepancy was significant for b* coordinates for shades A1 and B2 and L* and b* coordinates for shade C4. For all shades evaluated, color difference between human-eye and computerized color matching is perceivable under clinical settings, as delta E values are greater than 3. There is a need for correction factors in the formal specification of the color-matching software due to the discrepancy between human-eye and computerized colorimetric color matching.

Color↗

Tooth colour analysis by a new optoelectronic system.

The difficulties in assessing and comparing tooth shades are well documented. This pilot study introduces an alternative method of photoelectric tooth colour measurement, the silicon photodiode array apparatus. This apparatus was used to determine colorimetric values for samples of acrylic resin teeth and the results compared with colour values obtained using a conventional photoelectric tristimulus colorimeter. Whilst a significant difference was found between some colorimetric data produced by the two types of apparatus for the same sample these differences existed purely at the mathematical level and would not be perceived by a human observer.

Acrylic Resins↗

[Color determination in dental ceramics].

Determining the appropriate color of an esthetic restoration is an important step in dental treatment. In this study instead of a shade guide the validity of a recently available objective colorimeter Castor has been investigated. A porcelain-fused-to-metal porcelain (PFM) (Biodent B2), the sinter-porcelain Mark II and the glass-porcelain Dicor have been spectrometrically studied, as well as a Vita shade guide. The Castor equipment has been used for all measurements. The lightness (L*) of the PFM porcelain was not altered by the glaze firing, whereas the red-green-values (a*) tended towards red and the blue-yellow-values towards blue. Total color value (E*) and lightness (L*) of Mark II and Dicor decreased with rising thickness of the samples. At and above a thickness of 1.5 mm, the background had only marginal influence on the L*a*b*-values. It was noticed, that the order by decreasing lightness within the shade guide did not meet official manufacturer declarations, whereas color intensity correlated evidently with the specification. The Castor equipment for color determination is an interesting innovation in dentistry. For the first time and in an economic reasonable frame it permits objective evaluation of color characteristics, such as lightness (L*), red-green (a*) and yellow-blue (b*).

Color↗

Color differences between resin composites and shade guides.

The color of manufacturers' shade guides was compared with the color of the actual resin composites. Five light-activated resin composite products were evaluated. Resin specimens and shade guides of same thickness were measured with a spectrophotometer. Color differences (delta E* values) were more than perceptible in all products. The mean delta E* values were least in Z100 and greatest in Herculite XR. Generally, the L* and b* values of the shade guides were higher than those of the resin composites. Some colors showed color differences greater than the acceptable level.

Color↗

Gold color in dental alloys.

This article will help the dental laboratory with alloy selection by exploring how the relationship among color, ductility and strength applies to gold and how color can be quantified. Because higher quality materials translate into higher profits, upselling to the dentist and patient is also discussed.

Color↗

Shade selection: problems and solutions.

This article introduces shade selection as an act of communication rather than a quasi-science that has failed for generations. The use of three simple items: the Pensler Shield, the Kodak Color Viewing Light Selector Card (P3-180), and a patient-oriented prescription form solve the major problems in shade selection. Shade selection must be taught with an understanding of the psychology of vision and a communication of what you think you see.

Color↗

Color stability of new-generation indirect resins for prosthodontic application.

STATEMENT OF PROBLEM: Several new-generation indirect resins are being advocated for full contour restoration of teeth. Previous indirect resin systems have failed in this application, due in part to color instability. PURPOSE: This study evaluated and characterized the color stability of various new-generation indirect resins (ceramic-polymers) when subjected to accelerated aging. MATERIAL AND METHODS: Four new-generation indirect resin systems, 1 direct resin system, and 1 dental porcelain control were subjected to accelerated aging for a period of 300 hours. Initial specimen color parameters were determined in the Commission International de l'Eclairage Lab (CIELAB) color order system with a colorimeter. Color changes (DeltaE) were calculated between baseline color measurements and measurements made after 150 and 300 hours of accelerated aging. Color difference data were subjected to a 1-way analysis of variance to examine the interaction between material and time interval of aging. Where significant interactions occurred, a least-squared means test was performed to identify differences in the color stability between the materials (P </=.05). RESULTS: After 300 hours of accelerated aging, color changes of the indirect resins ranged between 0.62 and 3.40 DeltaE units. Two of the products tested demonstrated color stability that was not significantly different from the porcelain control. CONCLUSION: All the indirect resins tested demonstrated color stability at or below a quantitative level that would be considered clinically acceptable. Color changes of ceramic-polymers occurred because of changes in chroma, rather than alterations in lightness.

Analysis of Variance↗

Color stability: denture base resins processed with the microwave method.

Several quick heat-cured denture base resin systems and microwave processing resins have been introduced to provide easier and faster processing. The microwave processing method is the fastest of the heat-cured processing methods. Conventional acrylic resins processed with the microwave method seem to possess adequate physical properties, and one study indicated that a microwave acrylic resin was reasonably color stable under conditions of accelerated aging, although manufacturers do not recommend using them for microwave processing. The purpose of this study was to evaluate the color stability of seven conventional and one microwave heat-cured denture base materials processed with the microwave method. The samples were subjected to conditions of accelerated aging to test for color stability. The color stability was quantitatively measured and color measurements were made before weathering and at 300, 600, and 900 hours. The mean color change for each sample group was statistically analyzed with polynomial regression to determine the pattern of color change over time. The differences in color change for the acrylic resins were significant for all materials, but the color change for Lucitone Hy-pro was not noticeable on visual examination. The results of this study revealed that color changes occurred after accelerated aging in heat-cured denture base resins and Acron GC microwave acrylic resins processed with the microwave method. Hy-pro and TruTone materials exhibited the least color change; Hy-pro material was the most color stable material.

Acrylic Resins↗

Curing depth of different shades of a photo-activated prosthetic composite material.

This study determined the depth of cure of different shades of a prosthetic composite material with the aim of evaluating the influence of shade variation on post-curing material properties. Four light shades having small tabs (A1, B1, C1 and D2) and four dark shades having higher tabs (A4, B4, C4 and D4) of a prosthetic composite (Artglass) for body paste based on the Vita Lumin Shade guide were selected. Specimens of each shade were exposed with the proprietary photo-curing unit (UniXS) for periods 20, 30, 60 and 90 s. The curing depth of the material for each shade was determined with a scraping technique described by the International Organization for Standardization (ISO 4049), and average values of groups of five specimens were compared using analysis of variance (ANOVA) and Scheffe's S intervals (P < 0.05). The L*a*b* colour parameters of five specimens after 90 s exposure were measured using a small-area dental colorimeter (ShadeEye) in order to determine the colorimetric differences. Three-factor ANOVA revealed that the depth of cure was influenced by shade letter (A, B, C or D) and shade tab (1 and 2, or 4) as well as by the exposure period (P=0.05). Curing depth of the light shades was consistently greater than that of the dark shades. Among the eight shades selected, B1 shade demonstrated the greatest curing depth, while A4 shade exhibited the lowest curing depth. For all shades, longer exposure increased the depth of cure. All of the light shades exhibited higher L* values than any of the four dark shades. Curing depth of the composite material was found to be related to the Vita shade variation and the exposure period.

Analysis of Variance↗

Porcelain veneer color blending.

Matching the color of porcelain veneers to existing teeth has proved to be a challenge for the restorative dentist. The resulting color of a veneer depends upon several factors. This paper reviews a technique for making a test veneer to predict with accuracy the color of the result.

Color↗

Assessing shade differences in acrylic resin denture and natural teeth.

Four experiments in this study assess shade differences in acrylic resin denture and natural teeth. The first two examine the perceptual errors made by experienced dentists in their use of a manufacturer-provided shade guide for acrylic resin denture teeth. In the first of four experiments, dentists examine whether the numbering of a selected shade guide corresponds to the arrangement of the tabs from light to dark. In the second experiment, a visual discrimination task determines whether dentists can distinguish shade guide tabs from one another. The results from these two experiments revealed that the numbered progression of the shade tabs does not correspond to a light-to-dark order, that dentists have difficulty discriminating between several shade tabs, and that the shade tabs can be rearranged on an empirical basis. The third experiment demonstrated how the shade of natural teeth varies by age, gender, and complexion. The Biotone shade guide, rearranged in the manner suggested by the second experiment, was used to make these assessments. The fourth experiment examined whether the shades used for complete dentures were similar to shades found in natural teeth. The results from the last two experiments showed that shade selection can be facilitated by use of a rearranged set of shade guide tabs. The results also reveal that natural teeth significantly and clinically darken with age; however, selections made for denture teeth tend to be relatively constant in color, despite the age of the patient. Differences for gender and complexion do not appear to be clinically significant.

Acrylic Resins↗