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Shade Selection for Indirect Esthetic Restorations

Course Number: 690

Common Causes of Errors During the Instrumental Shade Selection Process

  1. Errors associated with surface luster: Smooth tooth surfaces appear brighter compared to uneven/rough surfaces, this may lead to an erroneous reading when a digital system is used. It is suggested that filters be added to the newer shade-matching systems to compensate for this probable error.48

  2. Errors associated with translucent teeth/restorations: The surfaces of a translucent tooth/restoration are associated with light loss.39,48 Modifications should be made to the software to accommodate the loss of light and/or other light-scattering properties of teeth, crowns, and shade tabs. Most of the current digital systems (except digital imaging) cannot correctly replicate the translucency of natural teeth.

  3. Errors associated with probe position: Positioning of the probe is an important factor affecting the accuracy and repeatability of the measurement.39,48 A device with a small diameter contact probe is unable to record a detailed color map of the tooth surface while a larger diameter probe is often limited to the anterior regions of the mouth.

  4. Errors associated with poor laboratory system alignment: If the laboratory has a different digital system than the practitioner, there will be errors in shade matching.39,48