Literature DB >> 28265772

In vivo study for tooth colour determination-visual versus digital.

Jan Brandt1,2, Shirley Nelson3,4, Hans-Christoph Lauer3,4, Ulrike von Hehn5, Silvia Brandt3,4.   

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.

Entities:  

Keywords:  Intra-oral scanner; Shade guide; Shade matching; Spectrophotometer; Tooth colour; Visual

Mesh:

Year:  2017        PMID: 28265772     DOI: 10.1007/s00784-017-2088-0

Source DB:  PubMed          Journal:  Clin Oral Investig        ISSN: 1432-6981            Impact factor:   3.573


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