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Shade Communication in Dentistry - An Introduction

Posted on 05/22/2012

Shade communication in dentistry is our next topic of discussion.

As patient esthetic requirements demand ever superior shade matching, the doctor and lab tech find themselves addressing complex shade issues which increasingly often require open lines of communication about final restoration shades, stump shades (prep shades) and material options.

And with the growth in all ceramic restoration - specifically IPS e.Max by Ivoclar Vivadent ® and the full contour zirconia restorations or porcelain fused to zirconia - doctors now have a broad range of restorative material options to offer patients beyond the standard PFM (porcelain fused to metal).

But understanding how to communicate a shade to a lab tech, and deciding on material options, is not a simple challenge. Shade guides are not always adequate, digital images are subject to screen resolution or printing distortion, lighting constraints hinder correct visual observation, and even machines like Vident Easy Shade ® leave much of the confirmation to the human eye.

Our discussion of this subject will loosely follow the outline set in the book: Fundaments of Color - Shade Matching and Communication in Esthetic Dentistry published by Quintessence Publishing Co. Inc and written by Dr. Stephen J. Chu, Dr. Alessandro Devigus, Dr. Rade D. Paravina and Mr. Adam J. Mieleszko. The book is available at: http://www.quintpub.com/display_detail.php3?psku=B4979.

The outline is as follows:
1. Color Theory
2. Elements Affecting Color
3. Shade Matching
4. Technology and Shade Matching
5. Digital Imagery
6. Material Options
7. Predictable Outcomes

However, we may digress from this outline when we find an interesting case in our lab that warrants discussion. As always, we welcome feedback at blog@streamlinedental.com.


Shade Communication, e.Max, Zirconia, PFM, Vident Easy Shade

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