Chaware Sachin Haribhau, Borse Siddhesh Vasant, Kakatkar Vinay, Darekar Abhishek
Department of Prosthodontics, MGV KBH Dental College, Nashik, Maharashtra, India.
Department of Prosthodontics, SMBT IDSR Dental College, Nashik, Maharashtra, India.
Contemp Clin Dent. 2023 Jan-Mar;14(1):3-10. doi: 10.4103/ccd.ccd_522_21. Epub 2022 Nov 3.
This study aimed to determine the clinical effectiveness of android mobile digital application shade matching on tooth shade reproduction.
This was a double-blind randomized controlled clinical trial (REF/2021/03/042258).
Thirty participants were selected from the two dental centers. The participant who required full-coverage restorations in one of the central incisors with adjacent central incisor untouched was the main inclusion criteria. Three metal-ceramic or all-ceramic crowns were fabricated with reference shades from Vita Three-Dimensional (3D) Master shade guide, Vita Easyshade spectrophotometer, and mobile application for each participant. ΔE values between reference maxillary central incisor and metal-ceramic and all-ceramic crowns were measured for each participant. In addition, two operators and participants observed the clinical agreement between for each crown on a visual analog scale.
ANOVA statistics and Turkey's test were used for ΔE value. Kappa statistics was used for clinical agreement.
Mean ΔE value of fabricated metal-ceramic and all-ceramic crowns and reference maxillary central incisor of Vita 3D Master shade guide was significantly higher than Vita Easyshade spectrophotometer and mobile digital application ( = 0.004). However, ΔE values of Vita Easyshade and mobile digital application were contiguous. However, ΔE value of Vita 3D Master was lower than clinically acceptable value of intraoral color difference. Kappa value figured moderate agreement for Vita Easyshade and mobile digital application and slight to no agreement for Vita 3D Master.
Within the limitations of the study, the Android mobile digital application can turn up as a reliable method for shade selection.
本研究旨在确定安卓移动数字应用程序进行牙齿比色对牙齿颜色再现的临床效果。
这是一项双盲随机对照临床试验(REF/2021/03/042258)。
从两个牙科中心选取30名参与者。主要纳入标准为需要对一颗中切牙进行全冠修复且相邻中切牙未受影响的参与者。为每位参与者制作三个金属烤瓷或全瓷冠,分别参照Vita三维(3D)大师比色板、Vita Easyshade分光光度计和移动应用程序的比色结果。测量每位参与者上颌中切牙参考色与金属烤瓷冠和全瓷冠之间的ΔE值。此外,两名操作人员和参与者通过视觉模拟量表观察每个冠的临床一致性。
对ΔE值采用方差分析和土耳其检验。对临床一致性采用kappa统计分析。
制作的金属烤瓷冠和全瓷冠与Vita 3D大师比色板上颌中切牙参考色的平均ΔE值显著高于Vita Easyshade分光光度计和移动数字应用程序(P = 0.004)。然而,Vita Easyshade和移动数字应用程序的ΔE值相近。不过,Vita 3D大师比色板的ΔE值低于口腔内颜色差异的临床可接受值。Vita Easyshade和移动数字应用程序的kappa值显示为中度一致,Vita 3D大师比色板的kappa值显示为轻微至无一致。
在本研究的局限性范围内,安卓移动数字应用程序可成为一种可靠的比色方法。