A Clinical Study Comparing the Maxillary Anterior Tooth Shade and Fabricated Crown Shade of the Western Uttar Pradesh Population to Commercial Shade Guides

• Published in: Curēus (Palo Alto, CA) Vol. 15; no. 3; p. e35719
• Main Authors: Sinha, Tushar, Ranjan, Madhu, Chatterjee, Ujjal, Sinha, Dharmendra K, Chaudhary, Aditya, Vijayan, Anuraj
• Format: Journal Article
• Language: English
• Published: United States Springer Nature B.V 03.03.2023; Cureus
• Subjects: Accuracy; Age groups; Dentistry; Dentists; Health services; Patients; Public health; Teeth; Uttar Pradesh India; United States > US; Germany; India; lithium disilicate; all ceramic; color; light source; shade tabs
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.35719

Background It is essential for dentists and technicians to work together to fabricate and create restorations that are a "perfect" shade match for a particular person. Thus, the Vitapan 3D-Master tooth shade system (Vita Zahnfabrik, Germany) was created and put into use in order to improve the accuracy of shade-selection operations. The objective was to visually assess the color of the maxillary anterior teeth in male and female subjects from various age groups in Uttar Pradesh, India. Materials and methods There were 150 patients in total, and they were divided equally into three groups of 50: Group I, which included patients aged 18 to 30; Group II, which included patients aged 31 to 40; and Group III, which included patients aged 41 to 50. Ceiling-mounted fluorescent lighting fixtures with PHILIPS 65 D tubes (OSRAM GmbH, Germany) were installed. Three medical experts provided their opinions as part of this research. The maxillary central incisor was placed next to tabs of various shades, and the doctors' final assessment was based solely on the central one-third of the face. From each of the two sample sets, a total of 30 patients were selected. Once the crown had been made from the prepared tooth of the patient, it was colored according to two shade guidelines (Vita Classic and Vita 3D Master). The three clinicians matched the shade of the manufactured crown with visual shade guides. For shade matching, a modified United States Public Health Service (USPHS) standard was employed. Results The Chi-square test was used to compare categorical variables across groups. According to the Vitapan Classic shade guide, 26% of Group I participants matched the first Hue group (A1), 14% of Group II participants matched the first Hue group (A3), and 20% of Group III participants matched the second Hue group (B2). Master shade guide for Vita 3D 26% of Group I participants matched with the second value group (2M2), 18% of Group II participants matched with the third value group (3L 1.5), and 24.5% of Group III participants matched with the third value group (3M2). Eighty percent of people who were matched to Alpha scored for crowns made using the Vita 3D Master shade guide, while 94.1% of people who were matched to Charlie scored for crowns made using the Vitapan Classic shade guide in a comparison of the two shade guides. Conclusion The majority of the shades obtained from the Vita 3D master shade guide were found to be 1M1 and 2M1 in the younger patients, 2M1 and 2M2 in the second age group, and 3L 1.5, 3M2 in the older age group. In contrast, the Vitapan Classic shade guide revealed A1, A2, A3, B2, C1, D2, and D3 as the predominant shades.