Shade selection Flashcards
Why is correct shade selection important in dentistry?
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It ensures superior aesthetics π
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Satisfies both dentist and patient π
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Requires understanding of colour science & perception π¨ποΈ
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Leads to a pleasing, natural appearance π
What are the consequences of poor shade selection? π¬
β Poor aesthetics π«£
β Lack of translucency at incisal edges π«οΈ
β Functional teeth but aesthetic failure π«
β May cause gingival inflammation, recession worsens π©Έπ±
What 3 variables are used to characterise tooth shade perception? π
1οΈβ£ Hue π¨ (Dominant colour)
2οΈβ£ Value βοΈ (Lightness/darkness)
3οΈβ£ Chroma π (Colour intensity)
Define Hue, Value, and Chroma using the VITA Guide system ποΈ
π¨ Hue: Name of colour (e.g. A = red/yellow, B = yellow, C = grey, D = red-yellow-grey)
π Chroma: Intensity/saturation of colour (represented by numbers in VITA Guide)
βοΈ Value: Lightness/darkness, measured independent of hue (affects enamel selection)
How do you read a shade like A3 in the VITA guide? π °οΈ3οΈβ£
π
°οΈ = Hue (red/yellow)
3οΈβ£ = Chroma (intensity level)
β Q6: What is the difference between the traditional VITA Guide and VITA 3D Master? ππ
π Traditional: Hue + Chroma
π VITA 3D Master: Focuses on Value/lightness first β‘οΈ then Chroma β‘οΈ then Hue
How is lightness determined using the shade guide? π‘
π Hold guide 20β30 cm from patientβs tooth
ποΈ Arm bent, assess under daylight
π’ Select lightness level: 0-5
π― Then choose Chroma & Hue
What are limitations of the shade guide system? π§
β οΈ Shade guide colours vary by manufacturer π
β οΈ Not universal across resin, porcelain, dentures π¦·
β οΈ Important to match labβs shade guide for indirect restorations π§ͺπ§βπ¬
What 3 factors influence shade selection? π§ π¦π
1οΈβ£ The Object (Tooth) π¦·
2οΈβ£ The Observer ποΈ
3οΈβ£ The Illumination π‘π
How does light interact with a tooth surface? π
π Light can be reflected, absorbed, or transmitted
π Smooth surface = specular reflection (mirror-like)
πͺ¨ Rough surface = diffuse, scattered reflection
π¦· Teeth have surface texture (mamelons, ridges), age-related translucency & blocks
What is the difference between light source and illuminant? π¦βοΈ
π‘ Light Source: Physical object emitting light (lamp, sun)
π Illuminant: Standardised light used in colour matching (defined spectral output)
Why is daylight the preferred light source? βοΈ
π Natural balance of blue + yellow light
πΈ Best mimics environment in which tooth will be seen
π Position near window for natural daylight
Whatβs the βblue/gold dressβ phenomenon in shade matching? ππ§
π§ Perception of colour varies with assumed light source
ποΈ Daylight = white/gold
π‘ Artificial warm light = blue/black
πSame applies to teeth under different lighting!
What visual limitations does the observer (dentist) face? π
π Image inversion
π Chromatic/spherical aberrations
π³οΈ Blind spot gaps
π Low light = rod cells (black/white only)
π Bright light = cone cells (full colour)
What are clinical considerations for shade selection? π§ββοΈπͺ₯
π Morning = best time (no eye fatigue)
π Eye-level matching: 61β183 cm away
πͺ Patient upright, teeth at operatorβs eye level
π―ββοΈ Consult patient & assistant
π Midday light optimal, else use daylight-mimicking artificial light
π Use drape to cover bright clothing
π Remove lipstick
π©Ί Teeth must be clean, moist with saliva
π« Avoid shade selection after applying rubber dam
What clinical tips help with better shade matching? π‘πΈπ¦·
πΈ Take photographs with shade tabs
πͺ Use direct composite trial on tooth (no bonding)
πΊοΈ Draw a shade map for lab
πΌοΈ Adjust digital images:
π€ Convert to black & white to assess value
π Boost colour intensity to visualise chroma
π¦ Provide digital clinical photos for complex cases
π― Take stump shade (underlying colour) for crowns
π§± Helps block dark areas in trauma cases
What colour measuring instruments are available? π§ͺπ
π Colorimeter
π Spectrophotometer
𧬠Spectroshade hybrid devices
π These provide objective, accurate shade data
What determines the colour of an object? ππ
The colour of an object is determined by:
π¦ Light Source (Illuminant) β what kind of light is shining on it
πͺ Surface Reflection β how much light is reflected off the object
π«οΈ Absorption β which wavelengths of light are absorbed
π Transmission β how much light passes through the object
π§ Perception β how our eyes and brain interpret that light
π§ͺ Colour = Combo of reflected + transmitted + absorbed light β perception under specific lighting!
What are the key properties of teeth to consider when doing shade selection for restoration? π¦·π¨
π¦· Tooth properties to consider include:
1οΈβ£ Hue β dominant colour (A = red-yellow, B = yellow, etc.)
2οΈβ£ Value β how light or dark the tooth is
3οΈβ£ Chroma β intensity or saturation of colour
4οΈβ£ Translucency β especially near the incisal edge
5οΈβ£ Fluorescence β how tooth glows under UV light
6οΈβ£ Opalescence β bluish-white glow in light
7οΈβ£ Surface Texture β affects how light reflects (smooth vs rough)
8οΈβ£ Gloss β shine or dullness
9οΈβ£ Age-related changes β younger teeth are more translucent and lighter
π Tooth Structure β enamel vs dentine (enamel = more translucent, dentine = more chromatic)