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Research Articles
Effects of eye dominance on shade matching and color perception among the dentist population
Pattnaik Kalyani, Kannan Subiksha, Amit Jena, Govind Shashirekha, Saumyakanta Mohanty, Gaurav Sharma
Restor Dent Endod 2023;48(4):e40.   Published online November 9, 2023
DOI: https://doi.org/10.5395/rde.2023.48.e40
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to evaluate the influence of eye dominance on color perception, and shade matching.

Materials and Methods

A total of 104 participants were selected for the study. There were 3 groups: Group I: 3rd and 4th year dental students and interns (n = 40); Group II: postgraduates (n = 34); Group III: senior residents and faculty members (≥ 6 years of clinical experience) (n = 30). All participants were evaluated for congenital color blindness with Ishihara plates, their dominant eye with Mile's test, and their color perception with the Farnsworth-Munsell 100 hue test. The shade guide test was used for shade matching with a second corresponding set of Vitapan classical shade guides.

Results

The results of Mile’s test revealed that 60.6% were right-eye dominant and 39.4% were left-eye dominant. There was a statistically significant difference among all participants between the dominant eye and the non-dominant eye in shade matching.

Conclusions

The dominant eye has a positive effect on shade matching and the ability to match shades becomes better with an increase in clinical experience.

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Evaluation of at-home bleaching protocol with application on different surfaces: bleaching efficacy and hydrogen peroxide permeability
Heloisa Forville, Michael Willian Favoreto, Michel Wendlinger, Roberta Micheten Dias, Christiane Philippini Ferreira Borges, Alessandra Reis, Alessandro D. Loguercio
Restor Dent Endod 2023;48(4):e33.   Published online October 6, 2023
DOI: https://doi.org/10.5395/rde.2023.48.e33
AbstractAbstract PDFPubReaderePub
Objectives

This study aimed to evaluate the bleaching efficacy and hydrogen peroxide permeability in the pulp chamber by the at-home bleaching gel in protocols applied on different dental surfaces.

Materials and Methods

Forty premolars were randomly into 4 groups: control group no bleaching, only application on the buccal surface (OB), only application on the lingual surface (OL) and application in buccal and lingual surfaces, simultaneously (BL). At-home bleaching gel (White Class 7.5%) was used for the procedure. The bleaching efficacy was evaluated with a digital spectrophotometer (color change in CIELAB [ΔE ab] and CIEDE 2000 [ΔE 00] systems and Whitening Index for Dentistry [ΔWID]). The hydrogen peroxide permeability in the pulp chamber (µg/mL) was assessed using UV-Vis spectrophotometry and data were analyzed for a 1-way analysis of variance and Tukey’s test (α = 0.05).

Results

All groups submitted to bleaching procedure showed bleaching efficacy when measured with ΔE ab and ΔE 00 (p > 0.05). Therefore, when analyzed by ΔWID, a higher bleaching efficacy were observed for the application on the groups OB and BL (p = 0.00003). Similar hydrogen peroxide permeability was found in the pulp chambers of the teeth undergoing different protocols (p > 0.05).

Conclusions

The application of bleaching gel exclusively on the OB is sufficient to achieve bleaching efficacy, when compared to BL. Although the OL protocol demonstrated lower bleaching efficacy based on the ΔWID values, it may still be of interest and relevant in certain clinical scenarios based on individual needs, requiring clinical trials to better understand its specificities.

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Effects of 3 different light-curing units on the physico-mechanical properties of bleach-shade resin composites
Azin Farzad, Shahin Kasraei, Sahebeh Haghi, Mahboubeh Masoumbeigi, Hassan Torabzadeh, Narges Panahandeh
Restor Dent Endod 2022;47(1):e9.   Published online February 7, 2022
DOI: https://doi.org/10.5395/rde.2022.47.e9
AbstractAbstract PDFPubReaderePub
Objectives

This study investigated the microhardness, flexural strength, and color stability of bleach-shade resin composites cured with 3 different light-curing units.

Materials and Methods

In this in vitro experimental study, 270 samples were fabricated of bleach and A2 shades of 3 commercial resin composites (Point 4, G-aenial Anterior, and Estelite Sigma Quick). Samples (n = 5 for each trial) were cured with Bluephase N, Woodpecker LED.D, and Optilux 501 units and underwent Vickers microhardness and flexural strength tests. The samples were tested after 24 hours of storage in distilled water. Color was assessed using a spectrophotometer immediately after preparation and 24 hours after curing. Data were analyzed using 3-way analysis of variance and the Tukey test (p ≤ 0.001).

Results

Samples cured with Optilux exhibited the highest and those cured with LED.D exhibited the lowest microhardness (p = 0.023). The bleach shade of Point 4 composite cured with Optilux displayed the highest flexural strength, while the same composite and shade cured with Sigma Quick exhibited the lowest (p ≤ 0.001). The color change after 24 hours was greatest for the bleach shade of G-aenial cured with Bluephase N and least for the A2 shade of Sigma Quick cured with Optilux (p ≤ 0.001).

Conclusions

Light curing with polywave light-emitting diode (LED) yielded results between or statistically similar to those of quartz-tungsten-halogen and monowave LED in the microhardness and flexural strength of both A2 and bleach shades of resin composites. However, the brands of light-curing devices showed significant differences in color stability.

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Shade reproduction and the ability of lithium disilicate ceramics to mask dark substrates
Maryam Iravani, Sayna Shamszadeh, Narges Panahandeh, Seyedeh Mahsa Sheikh-Al-Eslamian, Hassan Torabzadeh
Restor Dent Endod 2020;45(3):e41.   Published online July 16, 2020
DOI: https://doi.org/10.5395/rde.2020.45.e41
AbstractAbstract PDFPubReaderePub
Objectives

This study aimed to evaluate the ability of lithium disilicate ceramics to reproduce the A2 shade and to mask A4 substrates.

Materials and Methods

Twenty-four discs (8 mm in diameter, shade A2) of high translucency (groups 1–3) and low translucency (groups 4–6) of IPS e.max ceramic with different thicknesses (0.5, 0.75, and 1 mm) were fabricated as monolithic structures. In addition, discs of medium opacity (group 7–8) with different core/veneer combinations (0.3 mm/0.7 mm and 0.5 mm/0.5 mm) were fabricated as bilayer structures. Specimens were superimposed on an A4 substrate (complex). The color changes of the complex were measured using a spectrophotometer on a black background, and the ΔE values of the complex were compared with either the A4 substrate or the A2 shade tab. One-way analysis of variance, the Tukey honest significant difference test, and the Fisher test were used to analyze the data (p < 0.05).

Results

Significant between-group differences were found for comparisons to both the A4 substrate and the A2 shade (p < 0.05). When compared with the A4 substrate, the ΔE values in all groups were in the non-acceptable range. When compared with the A2 shade, the ΔE values in all groups, except groups 2 and 3, were in the clinically acceptable range.

Conclusions

All translucencies and thicknesses masked the underlying dark substrate. However, the low-translucency IPS e.max Press better reproduced the A2 shade.

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Effect of immersion into solutions at various pH on the color stability of composite resins with different shades
Ji-Deok Moon, Eun-Mi Seon, Sung-Ae Son, Kyoung-Hwa Jung, Yong-Hoon Kwon, Jeong-Kil Park
Restor Dent Endod 2015;40(4):270-276.   Published online August 28, 2015
DOI: https://doi.org/10.5395/rde.2015.40.4.270
AbstractAbstract PDFPubReaderePub
Objectives

This study examined the color changes of a resin composite with different shades upon exposure to water with different pH.

Materials and Methods

Nanohybrid resin composites (Filtek Z350XT, 3M ESPE) with four different shades (A2, A3, B1, and B2) were immersed in water with three different pH (pH 3, 6, and 9) for 14 day. The CIE L*a*b* color coordinates of the specimens were evaluated before and after immersion in the solutions. The color difference (ΔE*) and the translucency parameter (TP) were calculated using the color coordinates.

Results

ΔE* ranged from 0.33 to 1.58, and the values were affected significantly by the pH. The specimens immersed in a pH 6 solution showed the highest ΔE* values (0.87 - 1.58). The specimens with a B1 shade showed the lowest ΔE* change compared to the other shades. TP ranged from 7.01 to 9.46 depending on the pH and resin shade. The TP difference between before and after immersion in the pH solutions was less than 1.0.

Conclusions

The resulting change of color of the tested specimens did not appear to be clinically problematic because the color difference was < 1.6 in the acidic, neutral, and alkaline solutions regardless of the resin shade, i.e., the color change was imperceptible.

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Colorimetric comparison of single layered dental composite with double layered dental composite
Young-Sang Song, Ja-Hyun Kim, Bin-Na Lee, Ji-Hyun Jang, Hoon-Sang Chang, Yun-Chan Hwang, Won-Mann Oh, In-Nam Hwang
Restor Dent Endod 2012;37(2):84-89.   Published online May 18, 2012
DOI: https://doi.org/10.5395/rde.2012.37.2.84
AbstractAbstract PDFPubReaderePub
Objectives

This study analyzed the difference in color caused by different thickness in enamel layer of composite resins when applied with single and layering placement technique, and evaluated if the results agreed with the shade guide from the manufacturers to verify reliability of the color matching process of the manufacturers.

Materials and Methods

For single composite resin samples, 6 mm diameter and 4 mm thickness cylindrical samples were fabricated using Ceram-X mono (DENTSPLY DeTrey) and CIE L*a*b* values were measured with spectrophotometer. Same process was done for layering composite resin samples, making 3 dentinal shade samples, 4 mm thickness, for each shade using Ceram-X duo (DENTSPLY DeTrey) and enamel shade resins were layered in 2 mm thickness and CIE L*a*b* values were measured. These samples were ground to 0.2 mm thickness each time, and CIE L*a*b* values were measured to 1 mm thickness of enamel shade resin.

Results

Color difference (ΔE*) between single and layering composite resin was 1.37 minimum and 10.53 maximum when layering thicknesses were between 1 mm and 2 mm and 6 out of 10 same shade groups suggested by manufacturer showed remarkable color difference at any thickness (ΔE* > 3.3).

Conclusion

When using Ceram-X mono and duo for composite resin restoration, following the manufacturer's instructions for choosing the shade is not appropriate, and more accurate information for Ceram-X duo is needed on the variation and expression of the shades depending on the thickness of the enamel.

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Basic Researchs
Effects of the color components of light-cured composite resin before and after polymerization on degree of conversion and flexural strength
Ji-A Yoo, Byeong-Hoon Cho
J Korean Acad Conserv Dent 2011;36(4):324-335.   Published online July 31, 2011
DOI: https://doi.org/10.5395/JKACD.2011.36.4.324
AbstractAbstract PDFPubReaderePub
Objectives

This study investigated the effects of the color components of light-cured composite resin before and after polymerization on degree of conversion (DC) and biaxial flexural strength (FS).

Materials and Methods

Four enamel shades (A1, A2, A3, A4) and two dentin shades (A2O, A3O) of Premisa (Kerr Co.) and Denfil (Vericom Co.) were evaluated on their CIE L*, a*, b* color components using the spectrophotometer before curing, after curing and at 7 day. The DC of same specimens were measured with Near-infrared spectrometer (Nexus, Thermo Nicolet Co.) at 2 hr after cure and at 7 day. Finally, the FS was obtained after all the other measurements were completed at 7 day. The correlations between each color component and DC and FS were evaluated.

Results

The light-curing of composite resin resulted in color changes of Premisa in red-blue direction and Denfil in green-blue direction. The DC and FS were affected by product, time and shade (3-way ANOVA, p < 0.05) and product and shade (2-way ANOVA, p < 0.05), respectively. Premisa only showed a significant correlation between the DC and CIE a* component - before and after polymerization (Pearson product moment correlation, p < 0.05). The FS of Premisa showed significant negative correlations with CIE a* and CIE b* components.

Conclusions

The DC and FS of the light-curing composite resin were affected by the color components of the material before and after polymerization.

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Clinical assessment of whitening efficacy and safety of in-office tooth whitening system containing 15% hydrogen peroxide with or without light activation
Young-Suk Noh, Young-Jee Rho, Yeon-Jee Yoo, Hyang-Ok Lee, Sang-Min Lim, Hyun-Jeong Kweon, Yeun Kim, Seong-Yeon Park, Hee-Young Yoon, Jung-Hyun Lee, Chan-Hee Lee, So-Ram Oh, Kee-Yeon Kum
J Korean Acad Conserv Dent 2011;36(4):306-312.   Published online July 31, 2011
DOI: https://doi.org/10.5395/JKACD.2011.36.4.306
AbstractAbstract PDFPubReaderePub
Objectives

This clinical study evaluated the effect of light activation on the whitening efficacy and safety of in-office bleaching system containing 15% hydrogen peroxide gel.

Materials and Methods

Thirty-three volunteers were randomly treated with (n = 17, experimental group) or without light activation (n = 16, control group), using Zoom2 white gel (15% H2O2, Discus Dental) for a total treatment time of 45 min. Visual and instrumental color measurements were obtained using Vitapan Classical shade guide and Shadepilot (DeguDent) at screening test, after bleaching, and 1 month and 3 month after bleaching. Data were analyzed using t-test, repeated measure ANOVA, and chi-squared test.

Results

Zoom2 white gel produced significant shade changes in both experimental and control group when pre-treatment shade was compared with that after bleaching. However, shade difference between two groups was not statistically significant (p > 0.05). Tooth shade relapse was not detected at 3 months after bleaching. The incidence of transient tooth sensitivity was 39.4%, with being no differences between two groups.

Conclusions

The application of light activation with Zoom2 white gel system neither achieved additional whitening effects nor showed more detrimental influences.

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The evaluation of color and color difference according to the layering placement of Incisal shade composites on the body composites of the indirect resin restoration
Su-Jung Park, Han-Young Lee, Myong-Yun Nah, Hoon-Sang Chang, Yun-Chan Hwang, Won-Mann Oh, In-Nam Hwang
J Korean Acad Conserv Dent 2011;36(1):37-49.   Published online January 14, 2011
DOI: https://doi.org/10.5395/JKACD.2011.36.1.37
AbstractAbstract PDFPubReaderePub
Abstract Objectives:

The aim of this study was to evaluate the surface color of indirect resin restoration according to the layering placement of different shade of incisal composite.

Materials and Methods:

In this study, CIE L*a*b* value of 16 Body composite of Tescera ATL (Bisco, Schaumburg IL, USA) was measured by spectrophotometer (NF999, Nippon Denshuku, Japan), and compared to CIE L*a*b* value of Vitapan shade guide. Nine shade Incisal composite of Tescera ATL were buildup to 1 mm thickness on Body composites inlay block, and CIE L*a*b* value was measured. Incisal composite was ground to 0.5 mm thickness and CIE L*a*b* value was re-measured. Color difference between Body composite and Incisal composites layered on Body composite was calculated as a function of thickness.

Results:

Color difference between corresponding shade of Tescera Body composite and Vitapan shade guide was from 6.88 to 12.80.

L* and b*value was decreased as layering thickness of Incisal composite on Body composite was increased. But, a* value did not show specific change tendency.

Conclusions:

Surface color difference between Body composites and Incisal composites layered on Body composite was increased as the layering thickness of Incisal composite increased (p < 0.05).

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Clinical Research
The evaluation of clinical efficacy and longevity of home bleaching without combined application of In-office bleaching
Byunk-Gyu Shin, Sung-Eun Yang
J Korean Acad Conserv Dent 2010;35(5):387-394.   Published online September 30, 2010
DOI: https://doi.org/10.5395/JKACD.2010.35.5.387
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to evaluate the whitening efficacy and longevity of home bleaching.

Materials and Methods

A total of 28 patients were divided into either experimental group (Opalescence F; 15% carbamide peroxide) or control group randomly. The patients in experimental group were instructed to wear individual trays applied with bleaching gel for 2 hours a day for 4 weeks. Any treatments weren't applied to the patients in control group. The color measurements of central incisors, lateral incisors & canines of upper and lower arch were recorded at base line, immediately after the finishment of treatmemt (4 weeks), 8 weeks and 12 weeks using Colorimeter (Chroma Meter, 2600d Konica Minolta co.) and Vitapan classical shade guide (Vita Zahnfabrik).

Results

A significantly stronger color change was observed for overall teeth samples in experimental group immediately after treatment (at 4 weeks) compared to ones in control group (p < 0.05). There was also a significant difference between baseline and 8 weeks or 12 weeks separately though color rebouncing phenomenon occurred as time went by (p < 0.05).

Conclusions

The clinical effecacy and longevity of home bleaching without combined application of in-office bleaching was observed through this experiment.

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Original Articles
Clinical study of shade improvement and safety of polymer-based pen type BlancTic Forte whitening agent containing 8.3% Carbamide peroxide
Jin-Kyung Lee, Sun-Hong Min, Sung-Tae Hong, So-Ram Oh, Shin-Hye Chung, Young-Hye Hwang, Sung-Yeop You, Kwang-Shik Bae, Seung-Ho Baek, Woo-Cheol Lee, Won-Jun Son, Kee-Yeon Kum
J Korean Acad Conserv Dent 2009;34(2):154-161.   Published online March 31, 2009
DOI: https://doi.org/10.5395/JKACD.2009.34.2.154
AbstractAbstract PDFPubReaderePub

This clinical study evaluated the whitening effect and safety of polymer based-pen type BlancTis Forte (NIBEC) containing 8.3% carbamide peroxide. Twenty volunteers used the BlancTis Forte whitening agent for 2 hours twice a day for 4 weeks. As a control, Whitening Effect Pen (LG) containing 3% hydrogen peroxide was used by 20 volunteers using the same protocol. The change in shade (ΔE*, color difference) was measured using Shadepilot™ (DeguDent) before, during, and after bleaching (2 weeks, 4 weeks, and post-bleaching 4 weeks). A clinical examination for any side effects (tooth hypersensitivity or soft tissue complications) was also performed at each check-up. The following results were obtained.

1. Both the experimental and control groups displayed a noticeable change in shade (ΔE) of over 2. No significant differences were found between the two groups (p > 0.05), implying that the two agents have a similar whitening effect.

2. The whitening effect was mainly due to changes in a and b values rather than in L value (brightness). The experimental group showed a significantly higher change in b value, thus yellow shade, than the control (p < 0.05).

3. None of the participants complained of tooth hypersensitivity or soft tissue complications, confirming the safety of both whitening agents.

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The effectiveness of sealing technique on in-office bleaching
Yoon Lee, So-Ran Kwon, Jeong-Won Park
J Korean Acad Conserv Dent 2008;33(5):463-471.   Published online September 30, 2008
DOI: https://doi.org/10.5395/JKACD.2008.33.5.463
AbstractAbstract PDFPubReaderePub

This study investigated the clinical effectiveness and safety of sealed bleaching compared to conventional in-office bleaching using a randomized clinical trial of split arch design. Ten participants received a chairside bleaching treatment on the upper anterior teeth, and each side was randomly designated as sealed or control side. A mixture of Brite powder (PacDent, Walnut, USA), 3% hydrogen peroxide and carbamide peroxide (KoolWhite, PacDent, Walnut, USA) were used as bleaching agent. The control side was unwrapped and the experimental side was covered with a linear low density polyethylene (LLDPE) wrap for sealed bleaching. The bleaching gel was light activated for 1 hour. The tooth shades were evaluated before treatment, after treatment, and at one week check up by means of a visual shade (VS) assessment using a value oriented shade guide and a computer assisted shade assessment using a spectrophotometer (SP). The data were analyzed by paired t-test.

In the control and sealed groups, the visual shade scores after bleaching treatment and at check up showed statistically significant difference from the preoperative shade scores (p < .05). The shade scores of the sealed group were significantly lighter than the control immediately after bleaching and at the check-up appointment (p < 0.05). Compared to prebleaching status, the ΔE values at post-bleaching condition were 4.35 ± 1.38 and 5.08 ± 1.34 for the control and sealed groups, respectively. The ΔE values at check up were 3.73 ± 1.95 and 4.38 ± 2.08 for the control and sealed groups. ΔE values were greater for the sealed group both after bleaching (p < .05) and at check up (p < .05).

In conclusion, both ΔE and shade score changes were greater for the sealed bleaching group than the conventional bleaching group, effectively demonstrating the improvement of effectiveness through sealing.

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Evaluating the reliability and repeatability of the digital color analysis system for dentistry
Joong-Jae Jeong, Su-Jung Park, Hyun-Gu Cho, Yun-Chan Hwang, Won-Mann Oh, In-Nam Hwang
J Korean Acad Conserv Dent 2008;33(4):352-368.   Published online July 31, 2008
DOI: https://doi.org/10.5395/JKACD.2008.33.4.352
AbstractAbstract PDFPubReaderePub

This study was done to evaluate the reliability of the digital color analysis system (ShadeScan, CYNOVAD, Montreal, Canada) for dentistry.

Sixteen tooth models were made by injecting the A2 shade chemical cured resin for temporary crown into the impression acquired from 16 adults. Surfaces of the model teeth were polished with resin polishing cloth. The window of the ShadeScan handpiece was placed on the labial surface of tooth and tooth images were captured, and each tooth shade was analyzed with the ShadeScan software. Captured images were selected in groups, and compared one another.

Two models were selected to evaluate repeatability of ShadeScan, and shade analysis was performed 10 times for each tooth.

And, to ascertain the color difference of same shade code analyzed by ShadeScan, CIE L*a*b*values of shade guide of Gradia Direct (GC, Tokyo, Japan) were measured on the white and black background using the Spectrolino (GretagMacbeth, USA), and Shade map of each shade guide was captured using the ShadeScan.

There were no teeth that were analyzed as A2 shade and unique shade. And shade mapping analyses of the same tooth revealed similar shade and distribution except incisal third.

Color difference (ΔE*) among the Shade map which analyzed as same shade by ShadeScan were above 3.

Within the limits of this study, digital color analysis instrument for dentistry has relatively high repeatability, but has controversial in accuracy.

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Opacity and masking effect of the opaque shade composite resins
Su Jung Park, Yun-Chan Hwang, Wonmann Oh, In-Nam Hwang
J Korean Acad Conserv Dent 2007;32(4):356-364.   Published online July 31, 2007
DOI: https://doi.org/10.5395/JKACD.2007.32.4.356
AbstractAbstract PDFPubReaderePub

The purpose of this study was to assess the background color-interceptive ability and opacity of opaque shade composites (Universal composite, Filtek Z350, Charisma, Clearfil ST, Palpaque Estelite, Esthet-X, and Metafil Flo).

Twenty four background specimens (diameter 5.5 mm, thickness 3.0 mm) with Root dentin Mustard (Bisco, Schaumburg, IL, USA) were made. The CIE L*a*b* value of background specimens was measured by a spectrophotometer (Spectrolino, GretagMacbeth, Regensdorf, Switzerland). Three specimens in every group were filled on the background specimens. The surface color of samples was measured by a spectrophotometer in 3.0 mm and every thickness to 0.5 mm while grinding. The color difference in the background color along with 3.0 mm specimen gauged the masking effect in each thickness while grinding and polishing. The opacity was calculated in 1 mm thick specimens.

The opacity was in the decreasing order of Clearfil ST, Metafil Flo, Filtek Z350, Palpaque Estelite, Universal composite, Charisma, and Esthet-X (p < 0.05). As the thickness get reduced, L* value showed decreasing, a* increasing tendency. The surface color difference between pair of the 3.0 mm thick specimen and after grinding in same opaque resin was above 3.3 except Clearfil ST and Metafil Flo. The color difference (ΔE*) between pair of background specimen and opaque resin builtup specimen showed more than 10.0 regardless kinds and thickness.

The variance in opacity characteristics and color of the opaque composites is dependent upon manufacturer. When using the opaque resin, the optical properties of each material must be considered as well as cavity.

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Influence of the shade guide design on color matching
Geol Park, Dong-Jun Kim, Shee-Eun Lee, Yun-Chan Hwang, Won-Mann Oh, In-Nam Hwang
J Korean Acad Conserv Dent 2005;30(3):170-177.   Published online May 31, 2005
DOI: https://doi.org/10.5395/JKACD.2005.30.3.170
AbstractAbstract PDFPubReaderePub

This study was conducted in order to assess whether the form of the shade guide affects in deciding the color of the teeth using the shade guide.

Eight shade light cured composite resins (Esthet-X, Dentsply, Milford, USA) were used in this study. Shade guides including the model of maxillary central incisors, teeth-form shade guide, doughnut form shade guide, and shade guide with perforated gray shield were prepared with eight shade composite resins and provided the codes randomly.

After arranging the models of teeth, 19 dentists working at the clinic of the Dentistry of Chonnam University Hospital and 65 students of college of dentistry, Chonnnam University selected the shade guides corresponding to the color of each tooth on the gray board under the D65 standard illuminant.

B1 shade showed highest accuracy of about 95% among all shade guides of 3 forms applied to the test and regardless of observer, tooth form shade guide showed the highest accuracy (p < 0.05), and the doughnut form showed the lowest accuracy (p < 0.05).

At the time of deciding on the color of the teeth using the shade guides as a result of above, the forms of the shade guides can affect the accuracy, and it suggests that the development of the diversified forms of shade guides, which may obtain more accurate results, is required.

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Metamerism in composite resins under five standard illuminants - D65, A, C, FCW and TL84
Ki-Jeong Park, Yun-Chan Hwang, Sun-Ho Kim, Won-Mann Oh, In-Nam Hwang
J Korean Acad Conserv Dent 2003;28(5):402-408.   Published online September 30, 2003
DOI: https://doi.org/10.5395/JKACD.2003.28.5.402
AbstractAbstract PDFPubReaderePub

This study was done to present a criterion in selection of the most proper light sources and materials by measuring metamerism index(MI) of the light curing composite resins with spectrocolorimeter. Metamerism is defined when two objects appear to be the same color in one illuminant but different in another. This is due to the fact that they have different spectral curves that fail to match under the second illuminant.

In this study, A1 & A3 shade of five light curing composite resins (Esthet-X, Filteck Z250, Filteck A110, Charisma, Vitalescence) were chosen based on Vita shade. Five samples were made for shade of each product with Teflon mold (diameter: 15mm, thickness: 2mm).

Metamerism index of each samples on a Barium sulfate plate (L*=96.54, a*=0.19, b*=0.01) prepared for sample fixation were measured with spectrocolorimeter(Miniscan XE plus, Model 4000s, Hunter Lab, USA) by applying standard light source D65, C, Fcw, TL84 and A. Standardization was done with reference standard (X=80.8, Y=85.7, Z=90.8) and light trap. The results were as follows.

Different resins with same Vita shade showed recognizable color difference(ΔE*>2).

All composites had MI below accepted value 0.5 between standard illuminant(D65, C, & A) and below 1.5 under fluorescent condition (Fcw & TL84).

MI value between D65 and A showed higher value than MI value between other source of light(p<0.01).

All resins except Z250 showed MI value that A3 is higher than A1 between D65 and A(p<0.05).

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