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Stephen J. Chu - Fundamentals of Color: Shade Matching and Communiation in Esthetic Dentistry

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Stephen J. Chu Fundamentals of Color: Shade Matching and Communiation in Esthetic Dentistry

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When dental practitioners lack training in the art and science of color, the deficiency often becomes glaringly evident in the quality of their restorative work. This book was written to simplify the study of color and help dentists communicate shade easily and accurately. It begins by presenting the basics of color theory within the context of esthetic dentistry and the factors that affect the transmission and perception of color. This is followed by how-to chapters on conventional and technology-based shade matching, which highlight the advantages and drawbacks of each approach and provide step-by-step shade-matching methods and protocols. This updated and expanded second edition also includes chapters on the use of digital photography for shade verification and the influence of material selection on color matching. In the final two chapters, the authors present their own recommended shade-matching protocol (which combines conventional and computer-based techniques) and an expanded series of cases demonstrating its application in various clinical scenarios. Highly recommended for students, general practioners, and specialists.
Contents
1. Why Study Color?
2. Color Theory
3. Elements Affecting Color
4. Conventional Shade Matching
5. Technology-Based Shade Matching
6. Digital Photography
7. Material Selection
8. Recommended Shade-Matching Protocol
9. Clinical Cases

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Table of Contents APPENDIX TABLE A-1 Conversion of Vita Linearguide - photo 1
Table of Contents

APPENDIX

TABLE A-1 Conversion of Vita Linearguide (Toothguide) 3D-Master tabs to Vita Classical tabs

Vita Linearguide 3D-MasterVita Classical
First best match (E*)Second best match (E*)
0M1B1 (11.0)A1 (11.7)
0M2B1 (8.5)A1 (9.3)
0M3B1 (5.1)A1 (5.7)
1M1B1 (2.9)A1 (3.4)
1M2A1 (4.)B2 (4.3)
2L1.5B2 (0.8)A2 (1.5)
2L2.5A2 (3.8)A3 (4.2)
2M1A1 (2.2)B1 (2.7)
2M2A2 (0.6)B2 (1.9)
2M3A3 (4.5)B3 (4.9)
2R1.5A2 (2.7)B2 (2.9)
2R2.5A2 (2.3)A3 (3.3)
3L1.5C2 (0.9)D3 (1.4)
3L2.5B4 (0.9)B3 (1.3)
3M1D2 (1.3)C1 (1.5)
3M2A3 (1.4)C2 (2.4)
3M3B4 (1.4)B3 (2.3)
3R1.5D3 (1.6)C2 (2.8)
3R2.5A3.5 (1.2)B3 (2.0)
4L1.5C3 (1.4)A3.5 (3.5)
4L2.5A4 (2.6)A3.5 (3.6)
4M1D3 (3.9)C3 (4.3)
4M2A4 (1.6)C3 (3.0)
4M3A3.5 (4.4)B4 (4.5)
4R1.5C3 (3.2)D3 (4.2)
4R2.5A4 (2.1 )A3.5 (2.8)
5M1C4 (3.0)C3 (6.1)
5M2A4 (3.6)C4 (5.2)
5M3A4 (8.6)A3.5 (9.6)
Mean color difference*3.2 2.54.0 2.5
*See Table A-2

TABLE A-2 Conversion of Vita Classical tabs to Vita Linearguide (Toothguide) 3D-Master tabs

Vita ClassicalVita Linearguide 3D-Master
First best match (E*)Second best match (E*)
A12M1 (2.2)2R1.5 (3.0)
A22M2 (0.6)2L1.5 (1.5)
A33M2 (1.4)3L1.5 (2.8)
A3.53R2.5 (1.2)3L2.5 (2.2)
A44M2 (1.6)4R2.5 (2.1)
B12M1 (2.7)1M1 (2.9)
B22L1.5 (0.8)2M2 (1.9)
B33L2.5 (1.3)3R2.5 (2.0)
B43L2.5 (0.9)3M3 (1.4)
C13M1 (1.5)2M1 (3.9)
C23L1.5 (0.9)3M2 (2.4)
C34L1.5 (1.4)4M2 (3.0)
C45M1 (3.0)4L1.5 (4.3)
D23M1 (1.3)3R1.5 (4.2)
D33L1.5 (1.4)3R1.5 (1.6)
D43L1.5 (2.5)3M2 (2.8)
Mean color difference*1.5 0.72.6 0.9
*The mean color differences show that the Linearguide 3D-Master tabs can be used to mimick Vita classical shades more successfully than vice versa. The mean E* of even the second best Linearguide match is lower (ie, more accurate) than Vita Classicals first best match. Note that instrumental findings do not always match visual findings, especially in very small color differences. For example, the second best E* may be 2.5 and the third best E* may be 2.7, but the latter could still be a better visual match.

TABLE A-3 Conversion of Vita Linearguide (Toothguide) 3D-Master tabs to Shofu Vintage Al and ZR veneering porcelain*

Vita Linearguide 3D-Master shade tabsShofu Vintage AL and ZR veneering porcelain shades
1M1A1
1M2B2
2L1.5B2 + 1/4 B3
2L2.5B3 + 1/3 B2
2M1B1 + 1/2 OA-Y
2M2A2
2M3B3 + 1/4 B2
2R1.5A1 + 1/3 OA-Y
2R2.5A3
3L1.5D3
3L2.5B3
3M1C1
3M2B3 + A2
3M3B4
3R1.5B2 + 1/3 OA-Y
3R2.5A3 + 1/4 A3.5
4L1.5C3
4L2.5A4
4M1D3 + 1/3 OA-R
4M2D3 + 1/3 A3.5
4M3A4 + 1/3 OA-R
4R1.5C2 + OA-Y
4R2.5A3.5 + 1/3 OA-V
5M11/4 A3 + 3/4 C4 + 1/3 OA-V
5M2A4 + OA-V
5M33/4 A4 + 14 B4 + OA-V + OA-R
* Table reproduced from Shofu Dental Corporation ( Shofu.com )
Opal Amber Yellow
Opal Amber Red
Opal Amber Violet
CHAPTER 1 COLOR EDUCATION AND TRAINING
In this chapter Cultivating the skill of shade matching Currently available - photo 2

In this chapter:

  • Cultivating the skill of shade matching
  • Currently available shade-matching publications and programs

Many factors influence our ability to achieve accurate shade-matching results, including subjectivity, shade-matching tools, materials, methods, and conditions. Nonetheless, the importance of color education and training should not be underestimated, as S p roull noted in 1973: The technology of color is not a simple matter that can be learned without study; neither is it a complicated matter beyond the comprehension of dentists.1 Color appearance is frequently of critical importance to the final outcome of dental restorations and their acceptance by patients. This is why education and training should be the first step of a process that should result in the predictable and enhanced esthetic outcome of dental restorations.

Cultivating the Skill of Shade Matching

Successful musicians, painters, and other artists are both gifted and well educated in their craft, and yet they continue to practice and improve their skills. In contrast, little effort is made to assess whether the average dental professional has an eye for shade matching. Moreover, education on color is frequently not even part of the undergraduate or graduate dental school curriculum.13 Years of shade-matching experience practiced under inappropriate conditions, using inadequate tools and methods, can hardly be called color training. The literature shows that dentists often overestimate their color-matching and reproduction abilities. When asked to match 16 corresponding pairs from two Vitapan Classical shade guides using the visual method, the pre- and postdoctoral participants correctly matched only 50%.4 In another study, which closely resembled clinical dentistry in that there was no exact match, the observers choice was the second or third best match.5

Several surveys have been conducted on color education. The first one, in 1967, revealed that only 3 institutions (of the 115 institutions that responded) offered a color science course, and only 2.3 classes, on average, referred to color topics.1 In another survey, core curriculum and elective courses on color were taught at 26% and 17%, respectively, of the 69 responding schools.2 A third survey related to teaching of color in predoctoral and postdoctoral dental education was conducted in 1988. Responses were received from 138 institutions.3 The mean number of hours devoted to color topics was 6.6, and 50% of the schools reported a lack of a color-balanced environment. In addition, 85% of respondents believed that there was a need to develop a new, systematic shade guide. It was concluded that additional efforts should be made regarding the study, research, and application of color science in the dental profession, particularly in undergraduate education.

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