Reliability of Dental Shade Selection Methods: Agreement Among Spectrophotometer, Intraoral Scanner, and Cross-Polarization Photography.

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Tác giả: Ruben Abraham Dominguez-Perez, Jose Alfredo Gonzalez-Chavez, Martina Nevarez-Rascon, Brenda Perez-Aguirre, Uriel Soto-Barreras, Carlos Esteban Villegas-Mercado

Ngôn ngữ: eng

Ký hiệu phân loại: 535.52 Polarization

Thông tin xuất bản: England : Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 697014

OBJECTIVE: The study aimed to evaluate the reliability and agreement of dental shade selection methods-spectrophotometry, intraoral scanning, and cross-polarized digital photography (CP photography)-using VITA Classical (VC) and VITA 3D-MASTER (V3M) shade guides. MATERIALS AND METHODS: The shade of the central area of the right maxillary central incisor was assessed in 56 subjects using three methods: SpectroShade spectrophotometer, 3Shape TRIOS intraoral scanner, and CP photography. All measurements were standardized, performed in triplicate, and conducted under controlled conditions. Fleiss' Kappa was used to evaluate intra-instrument reliability, while Cohen's weighted Kappa assessed inter-instrument agreement. CIEDE2000 (ΔE RESULTS: Intra-instrument reliability was highest for the spectrophotometer across both shade guides, followed by CP photography and the intraoral scanner. Inter-instrument agreement revealed substantial agreement between CP photography and the spectrophotometer for the VC guide (κ = 0.736) and moderate agreement for the V3M guide (κ = 0.553). The intraoral scanner showed moderate to substantial agreement with the spectrophotometer for the V3M guide (κ = 0.607). Additionally, CP photography yielded fewer cases exceeding the acceptability threshold than the intraoral scanner. CONCLUSIONS: CP photography demonstrated high intra-instrument reliability and substantial agreement with the spectrophotometer, particularly when using the VC guide. CLINICAL SIGNIFICANCE: This study supports the use of accessible methods, such as CP photography, for accurate shade selection, which could potentially enhance clinical outcomes and patient satisfaction in restorative dentistry.
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