References

Mackenzie L, Parmar D, Burke FJT, Shortall AC. Direct anterior composites: a practical guide. Dent Update. 2013; 40:297-317
Manauat J, Salat A. Layers: An Atlas of Composite Resin Stratification.: Quintessence Publishing; 2013

Technique Tips: How to Make a Customized Shade Guide

From Volume 46, Issue 4, April 2019 | Pages 396-397

Authors

Louis Mackenzie

BDS, FDS RCPS FCGDent, Head Dental Officer, Denplan UK, Andover

General Dental Practitioner, Birmingham; Clinical Lecturer, University of Birmingham School of Dentistry, Birmingham, UK.

Articles by Louis Mackenzie

Article

Contemporary composite materials must have advanced colour matching properties to satisfy patient and professional demand for high-quality aesthetic restorations.

Precise colour matching remains one of the most challenging tasks in clinical dentistry, due partly to the widely acknowledged limitations of proprietary shade guides:1,2

While colour matching for direct composite restorations may be optimized by studying light cured material samples placed on teeth, this is of limited benefit when using polychromatic layering techniques. Here the final colour of a restoration is derived from a combination of opaque ‘dentine’ and overlying translucent ‘enamel’ shades.

To overcome this problem an innovative silicone template and associated components (My Shade Guide, Smileline™, Switzerland) has been developed (Figure 1) and may be used according to published guidelines2 to create personalized shade tabs with standardized dimensions of the ‘enamel’ and ‘dentine’ layers. Step-by-step practical tips for the construction of a customized shade guide follow (Figure 2 to Figure 18):

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