Objective: To evaluate the accuracy and repeatability of different intraoral scanners on shade determination.
Materials and methods: Ten different shades of Vita Mark II blocks were used. A disc-shape specimen (10 mm in diameter and 1 mm thick) per ceramic block was fabricated. Ten color measurements per specimen were performed by each instrument (Vita Easyshade V [control], 3shape Trios, Cerec Omnicam, Cerec Primescan) and recorded in Vita Classic color system. The number of correct shade match per instrument for each shade was recorded. Instrumental accuracy was compared using Cochran Q test and repeatability was analyzed using Cronbach's alpha.
Results: There was a significant difference in the instrumental accuracy for shade determination (p < 0.001). There was no statistical difference between the Easyshade V (78%) and the 3Shape Trios (66%) (p > 0.05), with the latter being similar to the other scanners Primescan(63%) and Omnicam (57%) (p > 0.05). No significant difference was found (p > 0.05) when different shades were evaluated by the same instrument. Similar repeatability was found for the different devices, ranging from 44.3% for Easyshade to 51.9% for Omnicam.
Conclusion: The evaluated instruments showed less than expected repeatability and accuracy on measuring different dental shades. Therefore, caution should be exercised when using instrumental shade determination, which should be accompanied by experienced human visual assessment.
Clinical significance: The outcome of this study might help clinicians evaluate the performance of intraoral scanners as a shade matching tool.
Keywords: CAD/CAM; ceramics; intraoral scanners; shade selection; spectrophotometer.
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