Shade selection Flashcards

1
Q

Why is correct shade selection important in dentistry?

A

βœ… It ensures superior aesthetics πŸ‘‘
βœ… Satisfies both dentist and patient 😊
βœ… Requires understanding of colour science & perception πŸŽ¨πŸ‘οΈ
βœ… Leads to a pleasing, natural appearance 🌟

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1
Q

What are the consequences of poor shade selection? 😬

A

❌ Poor aesthetics 🫣
❌ Lack of translucency at incisal edges 🌫️
❌ Functional teeth but aesthetic failure 🚫
❌ May cause gingival inflammation, recession worsens 🩸🌱

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2
Q

What 3 variables are used to characterise tooth shade perception? πŸ”

A

1️⃣ Hue 🎨 (Dominant colour)
2️⃣ Value βš–οΈ (Lightness/darkness)
3️⃣ Chroma 🌈 (Colour intensity)

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3
Q

Define Hue, Value, and Chroma using the VITA Guide system πŸ—‚οΈ

A

🎨 Hue: Name of colour (e.g. A = red/yellow, B = yellow, C = grey, D = red-yellow-grey)
🌈 Chroma: Intensity/saturation of colour (represented by numbers in VITA Guide)
βš–οΈ Value: Lightness/darkness, measured independent of hue (affects enamel selection)

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4
Q

How do you read a shade like A3 in the VITA guide? πŸ…°οΈ3️⃣

A

πŸ…°οΈ = Hue (red/yellow)
3️⃣ = Chroma (intensity level)

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5
Q

❓ Q6: What is the difference between the traditional VITA Guide and VITA 3D Master? πŸ“˜πŸ“—

A

πŸ“˜ Traditional: Hue + Chroma
πŸ“— VITA 3D Master: Focuses on Value/lightness first ➑️ then Chroma ➑️ then Hue

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6
Q

How is lightness determined using the shade guide? πŸ’‘

A

πŸ“ Hold guide 20–30 cm from patient’s tooth
πŸ‘οΈ Arm bent, assess under daylight
πŸ”’ Select lightness level: 0-5
🎯 Then choose Chroma & Hue

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7
Q

What are limitations of the shade guide system? 🚧

A

⚠️ Shade guide colours vary by manufacturer 🏭
⚠️ Not universal across resin, porcelain, dentures 🦷
⚠️ Important to match lab’s shade guide for indirect restorations πŸ§ͺπŸ§‘β€πŸ”¬

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8
Q

What 3 factors influence shade selection? πŸ§ πŸ”¦πŸ‘€

A

1️⃣ The Object (Tooth) 🦷
2️⃣ The Observer πŸ‘οΈ
3️⃣ The Illumination πŸ’‘πŸŒž

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9
Q

How does light interact with a tooth surface? 🌈

A

πŸ” Light can be reflected, absorbed, or transmitted
πŸ’Ž Smooth surface = specular reflection (mirror-like)
πŸͺ¨ Rough surface = diffuse, scattered reflection
🦷 Teeth have surface texture (mamelons, ridges), age-related translucency & blocks

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10
Q

What is the difference between light source and illuminant? πŸ”¦β˜€οΈ

A

πŸ’‘ Light Source: Physical object emitting light (lamp, sun)
πŸ“Š Illuminant: Standardised light used in colour matching (defined spectral output)

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11
Q

Why is daylight the preferred light source? β˜€οΈ

A

🌞 Natural balance of blue + yellow light
πŸ“Έ Best mimics environment in which tooth will be seen
πŸ“ Position near window for natural daylight

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12
Q

What’s the β€œblue/gold dress” phenomenon in shade matching? πŸ‘—πŸ§ 

A

🧠 Perception of colour varies with assumed light source
πŸ‘οΈ Daylight = white/gold
πŸ’‘ Artificial warm light = blue/black
πŸ‘†Same applies to teeth under different lighting!

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13
Q

What visual limitations does the observer (dentist) face? πŸ™ˆ

A

πŸŒ€ Image inversion
🌈 Chromatic/spherical aberrations
πŸ•³οΈ Blind spot gaps
πŸŒ‘ Low light = rod cells (black/white only)
🌞 Bright light = cone cells (full colour)

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14
Q

What are clinical considerations for shade selection? πŸ§‘β€βš•οΈπŸͺ₯

A

πŸ“† Morning = best time (no eye fatigue)
πŸ“ Eye-level matching: 61–183 cm away
πŸͺž Patient upright, teeth at operator’s eye level
πŸ‘―β€β™‚οΈ Consult patient & assistant
πŸ•› Midday light optimal, else use daylight-mimicking artificial light
πŸ‘š Use drape to cover bright clothing
πŸ’„ Remove lipstick
🩺 Teeth must be clean, moist with saliva
🚫 Avoid shade selection after applying rubber dam

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15
Q

What clinical tips help with better shade matching? πŸ’‘πŸ“ΈπŸ¦·

A

πŸ“Έ Take photographs with shade tabs
πŸͺ„ Use direct composite trial on tooth (no bonding)
πŸ—ΊοΈ Draw a shade map for lab
πŸ–ΌοΈ Adjust digital images:
πŸ–€ Convert to black & white to assess value
🌈 Boost colour intensity to visualise chroma
πŸ“¦ Provide digital clinical photos for complex cases
🎯 Take stump shade (underlying colour) for crowns
🧱 Helps block dark areas in trauma cases

16
Q

What colour measuring instruments are available? πŸ§ͺπŸ“Š

A

πŸ“ Colorimeter
🌈 Spectrophotometer
🧬 Spectroshade hybrid devices
πŸ‘‰ These provide objective, accurate shade data

17
Q

What determines the colour of an object? πŸŒˆπŸ‘€

A

The colour of an object is determined by:

πŸ”¦ Light Source (Illuminant) – what kind of light is shining on it
πŸͺž Surface Reflection – how much light is reflected off the object
🌫️ Absorption – which wavelengths of light are absorbed
πŸ’Ž Transmission – how much light passes through the object
🧠 Perception – how our eyes and brain interpret that light

πŸ§ͺ Colour = Combo of reflected + transmitted + absorbed light βž• perception under specific lighting!

18
Q

What are the key properties of teeth to consider when doing shade selection for restoration? 🦷🎨

A

🦷 Tooth properties to consider include:

1️⃣ Hue – dominant colour (A = red-yellow, B = yellow, etc.)
2️⃣ Value – how light or dark the tooth is
3️⃣ Chroma – intensity or saturation of colour
4️⃣ Translucency – especially near the incisal edge
5️⃣ Fluorescence – how tooth glows under UV light
6️⃣ Opalescence – bluish-white glow in light
7️⃣ Surface Texture – affects how light reflects (smooth vs rough)
8️⃣ Gloss – shine or dullness
9️⃣ Age-related changes – younger teeth are more translucent and lighter
πŸ”Ÿ Tooth Structure – enamel vs dentine (enamel = more translucent, dentine = more chromatic)