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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Journal of Esthetic ...arrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
Journal of Esthetic and Restorative Dentistry
Article . 2025 . Peer-reviewed
License: Wiley Online Library User Agreement
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Reliability of Dental Shade Selection Methods: Agreement Among Spectrophotometer, Intraoral Scanner, and Cross‐Polarization Photography

Authors: Jose Alfredo Gonzalez‐Chavez; Uriel Soto‐Barreras; Brenda Perez‐Aguirre; Martina Nevarez‐Rascon; Carlos Esteban Villegas‐Mercado; Ruben Abraham Dominguez‐Perez;

Reliability of Dental Shade Selection Methods: Agreement Among Spectrophotometer, Intraoral Scanner, and Cross‐Polarization Photography

Abstract

ABSTRACTObjectiveThe study aimed to evaluate the reliability and agreement of dental shade selection methods—spectrophotometry, intraoral scanning, and cross‐polarized digital photography (CP photography)—using VITA Classical (VC) and VITA 3D‐MASTER (V3M) shade guides.Materials and MethodsThe shade of the central area of the right maxillary central incisor was assessed in 56 subjects using three methods: SpectroShade spectrophotometer, 3Shape TRIOS intraoral scanner, and CP photography. All measurements were standardized, performed in triplicate, and conducted under controlled conditions. Fleiss' Kappa was used to evaluate intra‐instrument reliability, while Cohen's weighted Kappa assessed inter‐instrument agreement. CIEDE2000 (ΔE 00) values were calculated to evaluate the magnitude of color differences between methods.ResultsIntra‐instrument reliability was highest for the spectrophotometer across both shade guides, followed by CP photography and the intraoral scanner. Inter‐instrument agreement revealed substantial agreement between CP photography and the spectrophotometer for the VC guide (κ = 0.736) and moderate agreement for the V3M guide (κ = 0.553). The intraoral scanner showed moderate to substantial agreement with the spectrophotometer for the V3M guide (κ = 0.607). Additionally, CP photography yielded fewer cases exceeding the acceptability threshold than the intraoral scanner.ConclusionsCP photography demonstrated high intra‐instrument reliability and substantial agreement with the spectrophotometer, particularly when using the VC guide.Clinical SignificanceThis study supports the use of accessible methods, such as CP photography, for accurate shade selection, which could potentially enhance clinical outcomes and patient satisfaction in restorative dentistry.

Keywords

Incisor, Male, Adult, Dental Prosthesis Design, Spectrophotometry, Photography, Dental, Prosthesis Coloring, Humans, Reproducibility of Results, Color, Female, Esthetics, Dental

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
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