SHADE MATCHING FOR Aesthetic SUCCESS Stefan Ursu C.D.T. •History of Color in Dentistry Shade Matching •Theory of color •Variables affecting color •Conventional and technology-based shade matching •Shade Matching Procedure •Clinical Cases History of color in dentistry • 1930’s - Dr. Bruce Clark • 1960’s & 70’s - Dr. R. Sproull, Dr. J. Preston, Dr. S. Bergen. (SCAD) • 1970’s-1980’s Dr. John McLean, Mr. Willi Geller • 1990’s - Present Dr. Stephen Chu, Dr. Galip Theory of Color Sir Issac Newton • -THE INTERACTION OF LIGHT WITH AN • OBJECT MAKES COLOR PERCEPTION • POSSIBLE - The Physics of Light The Physics of Light • Emission - The source of light. Produced by physical or chemical processes. The Physics of Light • Transmission - Process by which light passes through a translucent or transparent object. The Physics of Light • Reflection - occurs when light strikes a solid object and bounces off of it. The Physics of Light Absorption - Process by which light is absorbed by the object. The Physics of Light Perception - Occurs in the brain. Rods perceive brightness and and cones perceive the hue (color). The Physics of Light The Physics of Light The perceived color of an object is the determined by the molecular density and makeup of that object Color in Dentistry Primary and Secondary Colors Complementary Colors Complementar y colors neutralize each other and form grey Prof. Albert D. Munsell Munsell’s Color Chart Munsell’s Color Chart Hue - Color tone, the actual color Chroma - Saturation, purity of color Value - Relative lightness/darkness of the color Translucency - The degree to which light is transmitted rather than absorbed or reflected in a given restoration Variables Affecting Color(perception) ILLUMINATION Light Intensity... Light Quality... Incandescent - 2856 K Fluorescent - 4000 K Color Corrected - 5500 K FACTORS AFFECTING ILLUMINATION •Metamerism •Lighting Conflicts Metamerism - Phenomenon in which the same object will look differently under different lighting conditions. Lighting Conflicts - mixing of light sources CONTRAST EFFECTS Value Contrast Value Contrast Hue Contrast Hue Contrast Chroma Contrast Chroma Contrast Areal Contrast Areal Contrast Spacial Contrast Spacial Contrast Successive Contrast Successive Contrast VIEWER ASSOCIATED EFFECTS VIEWER-ASSOCIATED EFFECTS 1. Color Blindness 2. Age 3. Fatigue 4. Nutrition 5. Emotions 6. Binocular differences 7. Medication Effects of Chemicals on Color Perception Drug Effect on R/O/Y Effect on B/G/P Alcohol/Morphi ne Lighter Darker Caffeine Darker Lighter Shade Matching Armamentarium Conventional Technology-Based Vita Classical and 3-D Master Shade Guides Vita Easy-Shade System Digital SLR Camera Nikon Canon Macro/Micro Lens Sigma EX Macro 105mmF2.8 Canon 100mm Macro EF Nikon Micro 105mm F2.8 VR 7-Step Shade Matching Procedure 1. Patient Evaluation 1. Patient Evaluation - Are there any contrast effects present? - How will shade selection of one restoration affect overall smile? - How will adjacent and opposing dentition affect shade matching? - Polycromatism/High translucency/high opacity? 2. Analysis 2. Analysis A1 B1 B1 D2 2. Analysis 2. Analysis 3. Communication 3. Communication • Reference photographs of shade system suggested shades including full smile photos and photos of surrounding dentition • Shots from different angles and lighting conditions • Use of 18% gray card to eliminate color distractions • Electronic transfer of tech-based shade systems and photos Reference Shots 4. Interpretation 4. Interpretation • Shade tab information is interpreted and converted into the nomenclature of the ceramic system used 4. Interpretation •A shade map is created using the ceramic system language 5. Fabrication 5. Fabrication • Restoration is fabricated using the materials that would best match the surrounding dentition 6. Verification 6. Verification • Restoration is checked for accuracy with Easy-Shade System AND with conventional shade tabs. 7. Insertion/Placement 7. Insertion/Placement •The final test for a color match. Suggested Reading Suggested Reading SHADE MATCHING • History of shade • Brief theory of color • Variables affecting color • Conventional and technology-based shade matchin • Shade Matching Procedure • Clinical Cases THANK YOU... Stefan Ursu CDT Aesthetic DesignStudio info@AestheticDesignStudios.com