Keywords
color del diente
espectrofotómetro
How to Cite
Abstract
RESUMEN. Antecedentes: Una de las variables que dificulta la precisión en la toma del color dental es la comunicación del color evaluado por el ojo humano, lo que genera diversidad de resultados entre diferentes operadores, por lo cual se han diseñado instrumentos para su evaluación objetiva. Objetivo: Evaluar la concordancia entre la toma digital de color del diente y la toma manual por el observador. Métodos: Se realizó un estudio de concordancia donde se evaluó el central superior izquierdo de 30 pacientes que cumplieron con los criterios de inclusión, se utilizaron dos espectrofotómetros (Easy Shade, Vita y Shade X, X Rite) y 3 evaluadores hombres de diferentes edades que utilizaron la guía Vita Toothguide 3D master. Resultados: la concordancia que se encontró entre las lecturas del color del diente obtenidas por los evaluadores y los espectrofotómetros fue muy baja. En valores continuos, se encontraron 3 concordancias moderadas entre: El evaluador 1 y el evaluador 2 (K=0,60; IC95 %: 0,37–0,83), el evaluador 2 y el espectrofotómetro 1 (K=0,56; IC95 %: 0,30-0,81) y entre las dos máquinas (K=0,47; IC95 %: 0,19–0,75). La cantidad de aciertos entre los operadores fue tan solo de 6 %, y para los espectrofotómetros fue del 20 %. Conclusión: La estandarización en la toma de color del diente sigue siendo uno de los grandes problemas de la rehabilitación oral y la estética que debe ser resuelto para disminuir las fallas en las prótesis y aumento de costos y complejidad en los tratamientos, especialmente en la estética dental.
ABSTRACT. Background: One of the variables that hinders the accuracy of the dental color is the communication of the color evaluated by the human eye. This generates a diversity of results among different operators. Instruments have been designed for their objective evaluation. Purpose: To evaluate the concordance between the digital of color take of the tooth and the manual taking by the observer. Methods: A concordance study was performed. 30 left upper teeth of patients who met the inclusion criteria were evaluated. The color of each tooth was taken with two spectrophotometers (Easy Shade, Vita and Shade X, X Rite) and by three male evaluators of different ages using the Vita Toothguide 3D master guide. Results: The agreement between the readings of the tooth color obtained by the evaluators and the spectrophotometers was very low. In continuous values, only 3 moderate concordances were found between: evaluator 1 and evaluator 2 (K = 0.60, 95% CI: 0.37-0.83), assessor 2 and spectrophotometer 1 (K = 0, 56, 95% CI: 0.30-0.81) and between the two machines (K = 0.47, 95% CI: 0.19-0.75). Equal results among operators were only 6%, and for spectrophotometers it was 20%. Conclusion: The standardization of tooth color remains one of the main problems in oral rehabilitation and dental aesthetics. This must be resolved to reduce defects in prostheses and decrease the costs and complexity of treatments.
Hirata R. TIPS: Claves de la odontología estética. 1ª ed. Sao Paulo, Brasil: Panamericana; 2012.
Guzmán H. Biomateriales Odontológicos de uso Clínico. 5ª ed. Bogotá, Colombia: Ecoe; 2013.
Paul S, Peter A, Pietrobon N, Hämmerle CHF. Visual and spectrophotometric shade analysis of human teeth. J Dent Res 2002 Ago; 81(8): 578-582.
Kina S. Invisible: restauración estética cerámica. 1ª ed. Sao Paulo: Artes Médicas: 2008.
Núñez P. Estudio comparativo entre sistemas de medición del color en Odontología (espectrofotometría). Gaceta dental. 2007 Mar; 17(9): 164-175
Yilmaz B, Karaagaclioglu L. Comparison of visual shade determination and an intra-oral dental colourimeter. J Oral Rehabil. 2008 Oct; 35(10): 789-794. doi: 10.1111/j.1365-2842.2008.01860.x
Stephen J. Fundamentals of color shade matching and communication in esthetic dentistry. Chicago, IL, EE. UU.: Quintessence; 2002.
Munsell A. Book of color: defining, explaining, and illustrating the fundamental characteristics of color. 1a ed. Baltimore: Munsell; 1929.
Kim J, Yu B, Lee Y. Correlations between color differences based on three color-difference formulas using dental shade guide tabs. J Prosthodont. 2009 Feb; 18(2): 135-140. doi: 10.1111/j.1532-849X.2008.00393.x.
Pascual-Moscardó A, Camps-Alemany IChromatic appreciation in the clinic and the laboratory. Med Oral Patol Oral Cir Bucal 2006 Jul; 11(4): E363-3688.
O'Brien WJ, Hemmendinger H, Boenke KM, Linger JB, Groh CL. Color distribution of three regions of extracted human teeth. Dent Mater. 1997 May; 13(3): 179-185.
Kuzmanovic D, Lyons KM. Tooth shade selection using a colorimetric instrument compared with that using a conventional shade guide. N Z Dent J. 2009 Dic; 105(4): 131-134.
Paravina RD, Powers JM, Fay RM. Dental Color Standards: Shade tab arrangement. J Esthet Restor Dent. 2001 Jul; 13(4): 254-263.
Joiner A. Tooth colour: a review of the literature. J Dent 2004 Oct; 32, Supplement 1: 3-12.
Dozic A, Kharbanda AK, Kamell H, Brand HS. European dental students’ opinions about visual and digital tooth colour determination systems. J Dent. 2011 Dec; 39, Supplement 3: e23-e28. doi: 10.1016/j.jdent.2011.08.015.
Dozic A, Kleverlaan C, El- Zohairy A, Feilzer AJ, Khashayar G. Performance of five commercially available tooth color-measuring devices. J Prosthodont. 2007 Mar; 16(2): 93-100.
Derdilopoulou FV, Zantner C, Neumann K, Kielbassa AM. Evaluation of visual and spectrophotometric shade analyses: a clinical comparison of 3758 teeth. Int J Prosthodont. 2007 Jul; 20(4): 414-416.
Sarafianou A, Kamposiora P, Papavasiliou G, Goula H. Matching repeatability and interdevice agreement of 2 intraoral spectrophotometers. J Prosthet Dent. 2012 Mar; 107(3): 178-185. doi: 10.1016/S0022-3913(12)60053-5.
Ontiveros JC, Paravina RD. Color change of vital teeth exposed to bleaching performed with and without supplementary light. J Dent. 2009 Nov; 37(11): 840-847. doi: 10.1016/j.jdent.2009.06.015.
Gómez-Polo C, Gómez-Polo M, Celemin-Viñuela A, Martínez Vázquez De Parga JA. Differences between the human eye and the spectrophotometer in the shade matching of tooth colour. J Dent. 2014 Jun; 42(6): 742-745. doi: 10.1016/j.jdent.2013.10.006.
This journal is registered under a Creative Commons Attribution 4.0 International Public License. Thus, this work may be reproduced, distributed, and publicly shared in digital format, as long as the names of the authors and Pontificia Universidad Javeriana are acknowledged. Others are allowed to quote, adapt, transform, auto-archive, republish, and create based on this material, for any purpose (even commercial ones), provided the authorship is duly acknowledged, a link to the original work is provided, and it is specified if changes have been made. Pontificia Universidad Javeriana does not hold the rights of published works and the authors are solely responsible for the contents of their works; they keep the moral, intellectual, privacy, and publicity rights.
Approving the intervention of the work (review, copy-editing, translation, layout) and the following outreach, are granted through an use license and not through an assignment of rights. This means the journal and Pontificia Universidad Javeriana cannot be held responsible for any ethical malpractice by the authors. As a consequence of the protection granted by the use license, the journal is not required to publish recantations or modify information already published, unless the errata stems from the editorial management process. Publishing contents in this journal does not generate royalties for contributors.