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Journal of Prosthetic Dentistry

Relationship between tooth shade value and skin color: An observational study

      Abstract

      Statement of Problem. There is limited scientific information on the relationship between tooth shade and skin color. This lack of knowledge may impact the ability of the prosthodontist to select artificial teeth that complement the facial complexion of the patient. Purpose. This observational study explored the possibility of a relationship between tooth shade and skin color. Material and Methods. A total of 119 individuals aged 18 to 80 years participated in this observational study. Two investigators calibrated for examining tooth shade performed all examinations. A Vita-Lumin shade guide was used to examine either the maxillary right or left central incisor, one of which had to be restoration- and caries-free for study inclusion. Tooth shades were divided into 4 categories according to value, and skin tones were divided into 4 categories (fair, fair/medium, medium, and dark) with the use of L'Oreal True Illusion compact makeup shades as a guide. Categorical modeling with chi-square analysis and Fisher's exact tests was used to analyze the data (α=.05). Results. No interaction among age, skin color, and tooth shade or gender, skin color, and tooth shade was found; however, age was associated with tooth shade (P<.001). Older persons were more likely to have teeth with lower values (darker). Among those aged 60 and older, 85% had teeth in the medium and low range values compared with 17% of those younger than 31. Significant tooth shade differences were discovered among patients with different skin colors (P<.05). Among those with low values (darker teeth), 50% were of fair complexion and 17% were of dark complexion (P<.001). Conclusion. Within the limitations of this study, tooth shade value and skin color were inversely related. Older adults were more likely to have darker teeth (lower value). (J Prosthet Dent 2002;87:149-52.)
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      References

        • Fischer D
        • Bailey JH
        Vital bleaching for aesthetic improvement.
        Pract Periodontics Aesthet Dent. 1995; 7: 61-64
        • Seale NS
        • Thrash WJ
        Systematic assessment of color removal following vital bleaching of intrinsically stained teeth.
        J Dent Res. 1985; 64: 457-461
        • Chiappinelli JA
        • Walton RE
        Tooth discoloration resulting from long-term tetracycline therapy: a case report.
        Quintessence Int. 1992; 23: 539-541
        • Dreizen S
        Oral complications of cancer therapies. Description and incidence of oral complications.
        NCI Monogr. 1990; 9: 11-15
        • Telivuo M
        • Murtomaa H
        • Lahtinen A
        Observations and concepts of the oral health consequences of tobacco use of Finnish periodontists and dentists.
        J Clin Periodontol. 1992; 19: 15-18
        • Brodbelt RH
        • O'Brien WJ
        • Fan PL
        • Frazer-Dib JG
        • Yu R
        Translucency of human dental enamel.
        J Dent Res. 1981; 60: 1749-1753
        • Burchett Jr, PJ
        • Christensen LC
        Estimating age and sex by using color, form, and alignment of anterior teeth.
        J Prosthet Dent. 1988; 59: 175-179
        • Solheim T
        Dental color as an indicator of age.
        Gerodontics. 1988; 4: 114-118
        • Goodkind RJ
        • Keenan KM
        • Schwabacher WB
        A comparison of Chromascan and spectrophotometric color measurements of 100 natural teeth.
        J Prosthet Dent. 1985; 53: 105-109
        • Goodkind RJ
        • Schwabacher WB
        Use of a fiber-optic colorimeter for in vivo color measurements of 2830 anterior teeth.
        J Prosthet Dent. 1987; 58: 535-542
        • Hasegawa A
        • Ikeda I
        • Kawaguchi S
        Color and translucency of in vivo natural central incisors.
        J Prosthet Dent. 2000; 83: 418-423
        • Schwabacher WB
        • Goodkind RJ
        Three-dimensional color coordinates of natural teeth compared with three shade guides.
        J Prosthet Dent. 1990; 64: 425-431
        • Sorensen JA
        • Torres TJ
        Improved color matching of metal ceramic restorations. Part II. Procedures for visual communication.
        J Prosthet Dent. 1987; 58: 669-677
        • Miller A
        • Long J
        • Cole J
        • Staffanou R
        Shade selection and laboratory communication.
        Quintessence Int. 1993; 24: 305-309