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In vivo study for tooth colour determination—visual versus digital

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Abstract

Objectives

Tooth colour determination is an essential component in the preservative and prosthetic workflow during production of tooth-coloured restorations. The aim of the study was to compare the clinical suitability of conventional, visual tooth colour determination and digital methods.

Materials and methods

Tooth colour of vital, natural central incisors among a total of 107 subjects was determined visually by a dentist (VD) and dental technician (VDT) using VITA Toothguide 3D-MASTER®, digitally by the spectrophotometer VITA Easyshade Advance 4.0 (reference instrument) and Trios®Color intra-oral scanner (test subject). Reliability was examined by repeating the digital measurements of 20 teeth three times. The analysis was based on the recorded 3D-MASTER values and L*a*b/L*C*h parameters.

Results

The measuring accuracy was 43.9% with the Trios®Color scanner, 35.5% for VD and 34.6% for VDT. In 25.5% of cases, the scanner’s results corresponded with VD and in 33.6% with VDT. The visual methods corresponded with 45.8%. All mean values of the recorded colour differences fell within the clinically acceptable range of ΔE ≤ 6.8. The intra-oral scanner attained repeatability of 78.3% and the VITA Easyshade system of 76.6%.

Conclusions

The Trios®Color intra-oral scanner appears to be a good alternative to the current standard of visual tooth colour determination. The new module attains better results than the visual method and is comparable to the reference instrument.

Clinical relevance

Dentistry becomes increasingly digitalized and tooth colour determination devices have generally to be improved. Therefore, the investigation of a new digital device is important for future developments.

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References

  1. Strub JR, Kern M, Türp JC, Witkowski S (2011) Ästhetik in der Zahnmedizin. In: Strub JR (ed) Curriculum Prothetik band II, vol 4. Quintessenz Verlag, Berlin, pp 373–404

    Google Scholar 

  2. Gomez-Polo C, Gomez-Polo M, Celemin-Vinuela A, Martinez Vazquez De Parga JA (2014) Differences between the human eye and the spectrophotometer in the shade matching of tooth colour. J Dent 42(6):742–745. doi:10.1016/j.jdent.2013.10.006

    Article  PubMed  Google Scholar 

  3. Corcodel N, Zenthofer A, Setz J, Rammelsberg P, Hassel AJ (2011) Estimating costs for shade matching and shade corrections of fixed partial dentures for dental technicians in Germany: a pilot investigation. Acta Odontol Scand 69(5):319–320. doi:10.3109/00016357.2011.568964

    Article  PubMed  Google Scholar 

  4. Dozic A, Kleverlaan CJ, El-Zohairy A, Feilzer AJ, Khashayar G (2007) Performance of five commercially available tooth color-measuring devices. J Prosthodont 16(2):93–100. doi:10.1111/j.1532-849X.2007.00163.x

    Article  PubMed  Google Scholar 

  5. Faber FJ (2002) Die Bestimmung der Zahnfarbe. Dtsch Zahnärztl Z 57(8):448–449

    Google Scholar 

  6. Paul SJ, Peter A, Rodoni L, Pietrobon N (2004) Conventional visual vs spectrophotometric shade taking for porcelain-fused-to-metal crowns: a clinical comparison. Int J Periodontics Restorative Dent 24(3):222–231

    PubMed  Google Scholar 

  7. Gomez-Polo C, Gomez-Polo M, Celemin Vinuela A, Martinez Vazquez de Parga JA (2015) A clinical study relating CIELCH coordinates to the color dimensions of the 3D-Master System in a Spanish population. J Prosthet Dent 113(3):185–190. doi:10.1016/j.prosdent.2014.09.013

    Article  PubMed  Google Scholar 

  8. Todorovic A, Todorovic A, Gostovic AS, Lazic V, Milicic B, Djurisic S (2013) Reliability of conventional shade guides in teeth color determination. Vojnosanit Pregl 70(10):929–934

    Article  PubMed  Google Scholar 

  9. Yuan JC, Brewer JD, Monaco EA Jr, Davis EL (2007) Defining a natural tooth color space based on a 3-dimensional shade system. J Prosthet Dent 98(2):110–119. doi:10.1016/S0022-3913(07)60044-4

    Article  PubMed  Google Scholar 

  10. Paul S, Peter A, Pietrobon N, Hammerle CH (2002) Visual and spectrophotometric shade analysis of human teeth. J Dent Res 81(8):578–582

    Article  PubMed  Google Scholar 

  11. Kim-Pusateri S, Brewer JD, Davis EL, Wee AG (2009) Reliability and accuracy of four dental shade-matching devices. J Prosthet Dent 101(3):193–199. doi:10.1016/S0022-3913(09)60028-7

    Article  PubMed  Google Scholar 

  12. Paravina RD, Majkic G, Stalker JR, Kiat-Amnuay S, Chen JW (2008) Development of a model shade guide for primary teeth. Eur Arch Paediatr Dent 9(2):74–78

    Article  PubMed  Google Scholar 

  13. Da Silva JD, Park SE, Weber HP, Ishikawa-Nagai S (2008) Clinical performance of a newly developed spectrophotometric system on tooth color reproduction. J Prosthet Dent 99(5):361–368. doi:10.1016/S0022-3913(08)60083-9

    Article  PubMed  Google Scholar 

  14. Reich S (2014) Die Bedeutung der intraoralen optischen Abformung in der Implantatprothetik. In: Wolfart S (ed) Implantatprothetik - Ein patientenorientiertes Konzept. Quintessenz Verlag, Berlin, pp 361–391

    Google Scholar 

  15. Hack GD, Patzelt SBM (2015) Evaluating of the accuracy of six intraoral scanning devices: an in-vitro investigation. ADA Professional Product Review 10(4):1–5

    Google Scholar 

  16. Yilmaz B, Karaagaclioglu L (2008) Comparison of visual shade determination and an intra-oral dental colourimeter. J Oral Rehabil 35(10):789–794. doi:10.1111/j.1365-2842.2008.01860.x

    Article  PubMed  Google Scholar 

  17. Vivek R, Singh A, Soni R, Singh SV, Chaturvedi TP (2013) Conventional and digitally assisted shade matching—a comparative study. Indian J Dent 4(4):191–199

    Article  Google Scholar 

  18. Lasserre JF, Pop-Ciutrila IS, Colosi HA (2011) A comparison between a new visual method of colour matching by intraoral camera and conventional visual and spectrometric methods. J Dent 39:29–36. doi:10.1016/j.jdent.2011.11.002

    Article  Google Scholar 

  19. Khurana R, Tredwin CJ, Weisbloom M, Moles DR (2007) A clinical evaluation of the individual repeatability of three commercially available colour measuring devices. Br Dent J 203(12):675–680. doi:10.1038/bdj.2007.1108

    Article  PubMed  Google Scholar 

  20. Bayindir F, Kuo S, Johnston WM, Wee AG (2007) Coverage error of three conceptually different shade guide systems to vital unrestored dentition. J Prosthet Dent 98(3):175–185. doi:10.1016/S0022-3913(07)60053-5

    Article  PubMed  PubMed Central  Google Scholar 

  21. Haddad HJ, Jakstat HA, Arnetzl G, Borbely J (2009) Does gender and experience influence shade matching quality? J Dent 37:40–44. doi:10.1016/j.jdent.2009.05.012

    Article  Google Scholar 

  22. Huang PY, Masri R, Romberg E, Driscoll CF (2014) The effect of various disinfectants on dental shade guides. J Prosthet Dent 112(3):613–617. doi:10.1016/j.prosdent.2014.04.006

    Article  PubMed  Google Scholar 

  23. Alsaleh S, Labban M, AlHariri M, Tashkandi E (2012) Evaluation of self shade matching ability of dental students using visual and instrumental means. J Dent 40:82–87. doi:10.1016/j.jdent.2012.01.009

    Article  Google Scholar 

  24. Olms C, Setz JM (2013) The repeatability of digital shade measurement—a clinical study. Clin Oral Investig 17(4):1161–1166. doi:10.1007/s00784-012-0796-z

    Article  PubMed  Google Scholar 

  25. Paravina RD, Powers JM, Fay RM (2002) Color comparison of two shade guides. Int J Prosthodont 15(1):73–78

    PubMed  Google Scholar 

  26. Baltzer A, Kaufmann-Jinoian V (2004) Die Bestimmung der Zahnfarben. Quintessenz Zahntechnik 30(7):726–740

    Google Scholar 

  27. Capa N, Malkondu O, Kazazoglu E, Calikkocaoglu S (2010) Evaluating factors that affect the shade-matching ability of dentists, dental staff members and laypeople. J Am Dent Assoc 141(1):71–76

    Article  PubMed  Google Scholar 

  28. Douglas RD, Steinhauer TJ, Wee AG (2007) Intraoral determination of the tolerance of dentists for perceptibility and acceptability of shade mismatch. J Prosthet Dent 97(4):200–208. doi:10.1016/j.prosdent.2007.02.012

    Article  PubMed  Google Scholar 

  29. Johnston WM, Kao EC (1989) Assessment of appearance match by visual observation and clinical colorimetry. J Dent Res 68(5):819–822

    Article  PubMed  Google Scholar 

  30. Ragain JC, Jonston WM (2000) Color acceptance of direct dental restorative materials by human observers. Color Res Appl 25:278–285

    Article  Google Scholar 

  31. Ruyter IE, Nilner K, Moller B (1987) Color stability of dental composite resin materials for crown and bridge veneers. Dent Mater 3(5):246–251. doi:10.1016/S0109-5641(87)80081-7

    Article  PubMed  Google Scholar 

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Acknowledgements

We wish to thank VITA Zahnfabrik for providing the VITA Toothguide 3D-MASTER® and spectrophotometer VITA Easyshade Advance 4.0 as well as the company 3Shape A/S for providing the Trios®Color intra-oral scanner.

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Authors and Affiliations

  1. Department of Prosthodontics, Hospital for Dental, Oral and Orthodontic Medicine (Carolinum), Johann Wolfgang Goethe-University Frankfurt am Main, Frankfurt, Germany

    Jan Brandt, Shirley Nelson, Hans-Christoph Lauer & Silvia Brandt

  2. Poliklinik für Zahnärztliche Prothetik, ZZMK Carolinum, Johann Wolfgang Goethe – Universität Frankfurt am Main, Theodor-Stern-Kai 7, Haus 29, 60596, Frankfurt am Main, Germany

    Jan Brandt, Shirley Nelson, Hans-Christoph Lauer & Silvia Brandt

  3. medistat GmbH, Schauenburgerstraße 116, 24118, Kiel, Germany

    Ulrike von Hehn

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  1. Jan Brandt
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Correspondence to Jan Brandt.

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Conflict of interest

The authors declare that they have no conflict of interest.

Funding

The companies VITA Zahnfabrik, Bad Säckingen, Germany and 3Shape A/S, Copenhagen, Denmark supported the study by providing the spectrophotometer VITA Easyshade Advance 4.0, the VITA Toothguide 3D-MASTER® and the Trios®Color intra-oral scanner as a loan for the performed study.

Ethical approval

As the examinations were conducted with human participants, an approval was commissioned and issued by the Ethics Commission of the Medical Department at the Goethe University of Frankfurt with transaction number 25/15 before the beginning of the study. All procedures performed in the study were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Brandt, J., Nelson, S., Lauer, HC. et al. In vivo study for tooth colour determination—visual versus digital. Clin Oral Invest 21, 2863–2871 (2017). https://doi.org/10.1007/s00784-017-2088-0

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  • DOI: https://doi.org/10.1007/s00784-017-2088-0

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