Color Matching in Prosthodontic and Restorative Therapy

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Color matching in prosthodontic and restorative therapy is a very significant task as it influences the esthetic outcome of dental restorations. Both shade evaluation and communication are crucial to fabricating a lifelike realistic restoration. Color is an extraordinary type of psychophysical sensation in the eye caused by visible light.1 Current methods for selecting shades can be influenced by both objective and subjective variables that can greatly affect the quality of the final prosthesis. These variables include light source, surrounding environment, and the clinicians'/technicians' perception of color. The light source and environment can easily be changed by using color-corrected lights and by using light, neutral background colors during shade selection. Human factors are trickier to balance for, as color perception differs due to age, eye fatigue, and neural-color receptors in the eye.2 To at least partially offset these variables, excellent communication must exist between the dentist and laboratory technician.
There are two color matching methods in dentistry: visual (conventional) and instrumental. Visual shade determination, when comparing to patient’s tooth with color standard, is the most frequently applied method in clinical dentistry.3 However, visual shade matching is unreliable, inconsistent and considered highly subjective. This is the result of multiple factors such as individual’s physiological and psychological responses to radiant energy stimulation, aging,fatigue, emotions, lighting conditions, object and illumination position, previous eye exposure and metamerism.4,5 Furthermore, human eye can detect very small differences in color, the range of available shades in the shade guides is inadequate and i...

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...es will improve the clinicians ability to perceive colors.
Technology based color matching has definite advantages over visual, because it provides an objective method with quantified and reproducible data. It is not influenced by the surroundings and lighting conditions. Shade tabs, produced by the same manufacturer, may vary in the observed parameters within and among several guides which proves the lack of precision and non-uniformity of the conventional methods accounting to the large human factor of color reproduction.
By using modern research tools that assist the eyes to work easier and under proper lighting conditions, one can simplify the shade selection process resulting in fewer remakes, saving valuable chair time, and making the work cost effective.
The clinicians could however choose based on their personal preference which shade guide design to use.

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