Gozalo-Diaz David, Johnston William M, Wee Alvin G
School of Dental Medicine, University of Colorado Health Science Center, Denver, CO 80045, USA.
J Prosthet Dent. 2008 Aug;100(2):93-8. doi: 10.1016/S0022-3913(08)60155-9.
There is no scientific information regarding the selection of the color of teeth for edentulous patients.
The purpose of this study was to evaluate linear regression models that may be used to predict color parameters for central incisors of edentulous patients based on some characteristics of dentate subjects.
A spectroradiometer and an external light source were set in a noncontacting 45/0 degree (45-degree illumination and 0-degree observer) optical configuration to measure the color of subjects' vital craniofacial structures (maxillary central incisor, attached gingiva, and facial skin). The subjects (n=120) were stratified into 5 age groups with 4 racial groups and balanced for gender. Linear first-order regression was used to determine the significant factors (alpha=.05) in the prediction model for each color direction of the color of the maxillary central incisor. Age, gender, and color of the other craniofacial structures were studied as potential predictors. Final predictions in each color direction were based only on the statistically significant factors, and then the color differences between observed and predicted CIELAB values for the central incisors were calculated and summarized.
The statistically significant predictors of age and gender accounted for 36% of the total variability in L*. The statistically significant predictor of age accounted for 16% of the total variability in a*. The statistically significant predictors of age and gender accounted for 21% of the variability in b*. The mean Delta (SD) between predicted and observed CIELAB values for the central incisor was 5.8 (3.2).
Age and gender were found to be statistically significant determinants in predicting the natural color of central incisors. Although the precision of these predictions was less than the median color difference found for all pairs of teeth studied, and may be considered an acceptable precision, further study is needed to reduce this precision to the limit of detection.
目前尚无关于无牙颌患者牙齿颜色选择的科学信息。
本研究的目的是评估线性回归模型,该模型可用于根据有牙受试者的某些特征预测无牙颌患者中切牙的颜色参数。
将分光辐射计和外部光源设置为非接触式45/0度(45度照明和0度观察)光学配置,以测量受试者重要颅面结构(上颌中切牙、附着龈和面部皮肤)的颜色。受试者(n = 120)按年龄分为5组,按种族分为4组,并在性别上保持平衡。采用线性一阶回归确定上颌中切牙颜色各方向预测模型中的显著因素(α = 0.05)。研究年龄、性别和其他颅面结构的颜色作为潜在预测因素。每个颜色方向的最终预测仅基于具有统计学意义的因素,然后计算并总结中切牙观察到的和预测的CIELAB值之间的颜色差异。
年龄和性别的具有统计学意义的预测因素占L总变异性的36%。年龄的具有统计学意义的预测因素占a总变异性的16%。年龄和性别的具有统计学意义的预测因素占b*变异性的21%。中切牙预测值与观察值的CIELAB值之间的平均差值(标准差)为5.8(3.2)。
年龄和性别是预测中切牙自然颜色的具有统计学意义的决定因素。尽管这些预测的精度低于所研究的所有牙齿对的颜色差异中位数,且可被认为是可接受的精度,但仍需要进一步研究以将该精度降低到检测限。