Hombesh M N, Praveen B, Sinha Harsh Vardhan, Prasanna B G, Sachin Bhuvana, Chandrashekar Shashidhar
Department of Prosthodontics, College of Dental Sciences, Davanagere, Karnataka, India.
Department of Prosthodontics and Crown and Bridge, College of Dental Sciences, Davanagere, Karnataka, India.
J Conserv Dent. 2019 May-Jun;22(3):275-280. doi: 10.4103/JCD.JCD_573_18.
Dental shade guides are used before restorative and prosthodontic procedures for the evaluation of tooth color. The spectral coverage of the specific shaded guide and a clinician's experience in shade matching are the two most important factors for a clinically viable shade match of the restoration to the given tooth. Repeated disinfection of the shade guide with disinfectant lead to a clinically significant difference of the shade to be matched, finally resulting in a clinically unacceptable prosthesis. The purpose of this study is to evaluate the effects of disinfection on various shade tabs of VITA 3D Master Shade guide after being subjected to 2 years of simulated disinfection with 70% isopropyl alcohol.
Two sets of VITA 3-D Master Shade Guides were used. One set of each shade guide was assessed after simulated use and surface disinfection with 70% isopropyl alcohol (test group), while the other full set was subjected to cleansing with distilled water (control group). Spectrophotometer was used to measure each of the shade tabs. Readings were recorded at regular intervals of 120, 240, 360, 480, 600, 720, 840, and 960 disinfection cycles. The ΔE values obtained were used to examine the color difference.
There was a significant difference in terms of ΔE between the shade tabs of control and test groups of VITA 3D Master shade guides after 960 cycles of disinfection. The change in mean ΔE was more in the test specimens in the shade tabs of VITA 3D Master Shade Guide tabs than the control specimens. These results are of statistical significance, but they might not be of any clinical significance.
There was a statistically significant but clinically nonsignificant color change in the shade tabs of VITA 3D Master shade guides after 2 years of simulated use and disinfection with 70% isopropyl alcohol.
在修复和口腔修复程序之前,使用牙齿比色板来评估牙齿颜色。特定比色板的光谱覆盖范围以及临床医生在比色方面的经验是使修复体与给定牙齿实现临床上可行的颜色匹配的两个最重要因素。用消毒剂反复对比色板进行消毒会导致待匹配颜色出现临床上显著的差异,最终导致临床上无法接受的修复体。本研究的目的是评估用70%异丙醇进行2年模拟消毒后,消毒对VITA 3D Master比色板各比色片的影响。
使用两组VITA 3 - D Master比色板。每组比色板中的一组在模拟使用并用70%异丙醇进行表面消毒后进行评估(试验组),而另一组完整的比色板用蒸馏水进行清洁(对照组)。使用分光光度计测量每个比色片。在120、240、360、480、600、720、840和960次消毒循环的固定间隔记录读数。获得的ΔE值用于检查颜色差异。
在960次消毒循环后,VITA 3D Master比色板的对照组和试验组比色片之间的ΔE存在显著差异。VITA 3D Master比色板比色片中试验样本的平均ΔE变化比对照样本更大。这些结果具有统计学意义,但可能没有任何临床意义。
在使用70%异丙醇进行2年模拟使用和消毒后,VITA 3D Master比色板的比色片出现了具有统计学意义但临床上无显著意义的颜色变化。