Color acceptance of direct dental restorative materials by human observers

The purposes of this study were to evaluate the CIELAB, CMC (2:1), and CMC (1:1) formulas to identify which provides the best indicator for acceptability of small color differences in the esthetic dental restorative materials, to determine if different groups of observers have different levels of acceptability, and to estimate the color difference that would indicate acceptability between a restoration and an adjacent tooth. The subject population of human observers was divided into four groups, each containing 12 subjects. The composition of the groups were: Group I, dental auxiliaries and hygienists; Group 2, dentists; Group 3, dental materials scientists; and Group 4, patients. A color vision screening test was administered to each subject to ensure that only observers with normal color vision were evaluated. A composite resin color discrimination test was developed specifically for this study,. This rest was composed of six sets of discs fabricated from dental composite resin restorative materials. Each set consisted of one standard disc representing tooth color. In each set, six discs representing composite resin restorations were matched To the standard disc for a total of 36 pairings in the rest. Color differences between the standard discs and the restoration discs were calculated in CIELAB, CMC (I:I), and CMC (2:1) color units. The subjects were asked to evaluate the composite resin materials as to acceptability of color differences between the disc pairs. The data were analyzed by logistic regression analysis for each observer and by each Delta E formula to generate receiver operating characteristics (ROC) curves. The areas under these ROC curves were calculated and ranked ANOVA and Tukey's Studentized Range (HSD) Test were applied to the ranks. In regard to the acceptance of dental restorations based solely on color difference, the CMC (1:1) color difference formula gave better correlation than the CIELAB formula for small color differences in the esthetic dental restorative materials. There were significant differences found between the experiment groups in regard to acceptability of color differences using the CMC (1:1) and CIELAB formulas. The dental hygienist/auxiliaries group proved to be more discriminating in accepting differences between tooth and composite resin restorative material color than patients. The mean 50:50 Delta E replacement points for all subjects were 2.29 and 2.72 color units for the CMC (1:1) and CIELAB formulas respectively. (C) 2000 John Wiley & Sons, Inc.