Journal of Oral Health and Community Dentistry

Register      Login

VOLUME 16 , ISSUE 3 ( September-December, 2022 ) > List of Articles


Perception and Practice of Shade Selection Principles among Postgraduates and Dental Practitioners in India: A Cross-sectional Survey

Ram Basam Chowdary, Sravanthi Tammineedi, Bolla Nagesh, Sayesh Vemuri, Ram Sunil Chukka, Lakshman Chowdary Basam, BS Anila

Keywords : Dental practitioners, Esthetic restorations, Perception, Shade matching

Citation Information : Chowdary RB, Tammineedi S, Nagesh B, Vemuri S, Chukka RS, Basam LC, Anila B. Perception and Practice of Shade Selection Principles among Postgraduates and Dental Practitioners in India: A Cross-sectional Survey. J Oral Health Comm Dent 2022; 16 (3):151-158.

DOI: 10.5005/jp-journals-10062-0153

License: CC BY-NC 4.0

Published Online: 23-03-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Aims: The main purpose of this survey is to analyze the perceptions and practices of shade selection principles among postgraduates and dental practitioners in India. Materials and methods: A well-formulated questionnaire consisting a total of 25 questions was disseminated among the postgraduates (Conservative Dentistry and Endodontics, Prosthodontics, Pedodontics) general practitioners, specialist practitioners (Conservative Dentistry and Endodontics, Prosthodontics, Pedodontics). The questionnaire includes knowledge and practice about shade selection principles and techniques. A total of 530 replies was accepted over Google forms. Responses were obtained from 266 postgraduates, 176 specialist practitioners, and 88 general practitioners. The data was analyzed using SPSS V25. Descriptive statistics were represented with percentages. The Chi-square test and Fisher's exact test were utilized to find the association between level of knowledge and level of practice with demographic variables (p < 0.05). Results: Among the 530 respondents, 412 (77.7%) have poor/average knowledge and 118 (22.3%) have good knowledge of shade matching principles. There are 418 (78.9%) respondents utilized poor/average shade-matching practices. There are 112 (21.1%) respondents utilized good methods of practice for shade selection. Conclusion: Among specialist practitioners, postgraduates, and general practitioners, the specialist practitioners had satisfactory knowledge and practices on shade selection. Knowledge and practice regarding the shade matching principles among the dentists were not adequate and Continuing Dental Education (CDE) programs on principles of shade analysis are recommended to regularly update the knowledge among the dental practitioners.

  1. Carsten DL. Successful shade matching: what does it take? Compend Contin Educ Dent 2003;24:175–178. PMID: 12680347.
  2. Sproull RC. Color matching in dentistry. I. The three-dimensional nature of color. J Prosthet Dent 1973;29(4):416–424. DOI: 10.1016/s0022-3913(73)80019-8.
  3. Lamb T, Bourriau J (eds). Colour: Art and Science. Cambridge, UK: Cambridge University Press 1995. ISBN: 0521-49645-4.
  4. Magne P, Holz J. Stratification of composite restorations: systematic and durable replication of natural aesthetics. Pract Periodontics Aesthet Dent 1996;8:61–68. PMID: 9028274.
  5. Terry DA. Dimensions of color: creating high-diffusion layers with composite resin. Compend Contin Educ Dent 2003;24 (2 Suppl):3–13. PMID: 12793207.
  6. Berns RS. Billmeyer and Saltzman's Principles of Color Technology, 4th ed. New York: John Wiley & Sons, 2000. DOI: 10.1002/9781119367314.
  7. Chu SJ. The science of color and shade selection in aesthetic dentistry. Dent Today 2002;21(9):86–89. PMID: 12271849.
  8. Joiner A. Tooth color: a review of the literature. J Dent 2004;32 (Suppl 1):3–12. PMID: 14738829.
  9. Jahangiri L, Reinhardt SB, Mehra RV, et al. Relationship between tooth shade value and skin color: an observational study. J Prosthet Dent 2002;87(2):149–152. PMID: 11854669.
  10. Beltrami R, Colombo M, Chiesa M, et al. Scattering properties of a composite resin: influence on color perception. Contemp Clin Dent 2014;5(4):501–506. PMID: 25395767.
  11. Stephen JC, Alessandro D, Adam M. Fundamentals of color: shade matching and communication in esthetic dentistry. 2nd ed. Chicago: Quintessence 2004:28–30. ISBN-13 978-0867154979.
  12. Chu SJ. Color. In: Gürel G (ed). The Science and Art of Porcelain Laminate Veneers. 1st ed. Chicago: Quintessence 2003:158–206. ISBN-13 978-3876524580.
  13. Barna GJ, Taylor JW, King GE, et al. The influence of selected light intensities on color perception within the color range of natural teeth. J Prosthet Dent 1981;46(40):450–453. PMID: 6975371.
  14. Albers J. Interaction of Color. New Haven, 50th ed. CT: Yale University Press 1971. ISBN-13 978-0300115956.
  15. Passon C, Lambert R. Tooth-shade shift after rubber-dam isolation. Gen Dent 1994;42(2):148–152. PMID: 8056275.
  16. Russell MD, Gulfraz M, Moss BW. In vivo measurement of color changes in natural teeth. J Oral Rehabil 2000;27(9):786–792. DOI: 10.1046/j.1365-2842.2000.00610.x.
  17. Alvin G. Description of color, color-replication process, and esthetics. In: Rosenstiel SF, Land MF, Fujimoto J, editors. Contemporary Fixed Prosthodontics. 4th ed. New Delhi: Elsevier; 2007. p. 709–739.
  18. Dagg H, O'Connell B, Claffey N, et al. The influence of some different factors on the accuracy of shade selection. J Oral Rehabil 2004;22:900–904. DOI: 10.1111/j.1365-2842.2004.01310.x.
  19. Alruwaili MN, Alanazi AO, Albilasi RM, et al. Knowledge, attitude and practice of dental students, practitioners and specialist on composite shade matching in Al-jouf, KSA. Egypt J Hosp Med 2018;72(2): 4017–4020. DOI: 10.21608/EJHM.2018.9091.
  20. Stevensen B. Current methods of shade matching in dentistry: a review of the supporting literature. Dent Update 2009;36(5):270–276. DOI: 10.12968/denu.2009.36.5.270.
  21. Alkhudairy R, Tashkandi E. The effectiveness of a shade-matching training program on the dentists’ ability to match teeth color. J Esthet Restor Dent 2017;29:E33–E43. DOI: 10.1111/jerd.12286.
  22. Enone LL, Oyapero A, Makanjuola JO. Perception and practices with regard to tooth shade selection for composite restoration among dentists in Southwest, Nigeria. Indian J Dent Sci 2020;12:80–86. DOI: 10.4103/IJDS.IJDS_132_19.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.