Selecting VITA Classical Shades with the VITA 3D-Master Shade Guide

Purpose: Although the VITA 3D-Master (3D) shade guide offers improved shade matching performance, many dental materials are only available in VITA Classical (VC) shades. This study aimed to clarify whether it is possible to convert 3D shades determined by observers into VC shades (indirect method) without adding a clinically significant error in comparison with direct shade determination using the VC shade guide. Materials and Methods: Forty ceramic specimens were fabricated. L*a*b* values were recorded using a spectroradiometer. Sixty participants (35 dentists, 15 technicians, and 10 students) were recruited and asked to determine the shades of specimens using the VC and 3D shade guides under standardized conditions. Conversion tables were constructed by allocating the closest VC shade tab to every matched 3D shade and by use of an optimization algorithm (indirect methods). Differences between Delta E values for VC matches and for the indirect methods were evaluated using t tests. Results: A mean Delta E (SD) of 4.34 (2.00) for VC and 4.22 (2.21) for 3D was observed (P = .040). Compared with direct shade matching using VC, the indirect method with the optimized tables resulted in a mean Delta E of 4.32 (1.96), which was not significantly different (P = .586). Conclusions: Within the limitations of this study, the conversion tables were suitable for the determination of tooth color using the 3D shade guide followed by conversion into VC shades without adding a clinically significant error.