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Dr. Talha Tanveer
Dr. Bushra Jabeen
Dr. Humera Nasim
Dr. Hasan Afaq Zaidi
Dr. Kelash Kumar
Dr. Komal


Challenges, Dental students, fixed prosthesis, tooth shade, selection


Introduction: Proper shade selection is essential for both direct and indirect restoration of dentition to achieve successful aesthetic dentistry that meets patient satisfaction and has a progressive impact on a person's personality. Choosing the right shade is one of the most fascinating aspects of giving teeth their original appearance back.

Objective: The main aim of the study is to assess the challenges experienced by dental students and graduates during final shade selection in fixed prostheses.

Material and Methods: A cross-sectional study was conducted among dental students and graduates of Dow University of Health Sciences, Karachi, Pakistan after the approval of IRB. Hence, study participants completed a self-administered questionnaire to assess the challenges experienced by final-year students and graduates during final shade selection in fixed prosthesis. For their convenience, online forms were also emailed to all the participants. A digital spectrophotometer was utilized to record the color coordinates of the real colors in a clinical setting. The correlation between socio-demographic variables and students’ knowledge was assessed using a Pearson correlation.

Results: A total of 317 students were enrolled in the study. The response rate of the self-administered questionnaire was 78.5%. The average age of all participants was 24.5 ± 2.4 years. Almost 168 (52%) participants informed that knowledge regarding shade selection of tooth is being taught in dental school. Approximately 43 (53%) participants informed that knowledge regarding shade selection of tooth is given by delivering sessions, 23 (28%) participants informed that clinical training is given, and only 15 (18%) informed that both clinical training and sessions are given.

Conclusion: The results of the study concluded that dental students and graduates experienced challenges in final shade selection in fixed prostheses. Hence, for this purpose teaching faculty of dental schools should emphasize the importance of teaching color selection in dental schools through various clinical trainings and sessions. Enhancing knowledge and abilities through exposure also enhances one's perception of dental aesthetics in various extensive dental situations.

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1. Alruwaili MN, Alanazi AO, Albilasi RM, Alruwaili YK, Alanazi AH, Almusieb FF. Knowledge, attitude, and practice of dental students, practitioners, and specialists on composite shade matching in Al-jouf, KSA. The Egyptian Journal of Hospital Medicine. 2018 Jul 1;72(2):4017-20.
2. Oremosu OA, Makanjuola JO. Shade Selection Practices Amongst Clinical Dental Students in South Western Nigeria. Nigerian Journal of Dental Research. 2020 Jul 31;5(2):167-76.
3. Adebayo GE, Gbadebo OS, Ajayi MD. The tooth shade matching ability among dental professionals: A comparative study. Annals of Ibadan Postgraduate Medicine. 2022;20(1):65-71.PMID: 37006646; PMCID: PMC10061675
4. Jouhar R. Comparison of shade matching ability among dental students under different lighting conditions: a cross-sectional study. International Journal of Environmental Research and Public Health. 2022 Sep 20;19(19):11892.http://doi:10.3390/ijerph191911892. PMID: 36231194; PMCID: PMC9565139
5. Al-Shekhli AA. The Effect of the Surrounding Light Sources on Shade Selection Accuracy. Journal of International Dental and Medical Research. 2022 Sep 1;15(3):972-6.
6. Borse S, Chaware SH. Tooth shade analysis and selection in prosthodontics: A systematic review and meta-analysis. The Journal of the Indian Prosthodontic Society. 2020 Apr;20(2):131. PMID: 32655217; PMCID: PMC7335029
7. Joiner A, Luo W. Tooth color and whiteness: A review. Journal of dentistry. 2017 Dec 1;67:S3-10.http://doi:10.1016/j.jdent.2017.09.006. Epub 2017 Sep 18. PMID: 28928097.
8. Rafael CF, Güth JF, Kauling AE, Cesar PF, Volpato CA, Liebermann A. Impact of background on color, transmittance, and fluorescence of leucite-based ceramics. Dental Materials Journal. 2017 Jul 25;36(4):394-401.http://doi:10.4012/dmj.2016-322. Epub 2017 Mar 29. PMID: 28367913
9. Jouhar R, Ahmed MA, Khurshid Z. An overview of shade selection in clinical dentistry. Applied Sciences. 2022 Jul 6;12(14):6841.
10. Kuckreja H, Kuckreja KB, Bhullar D, Nahar S, Singh A, Jain A. The prevalence of natural tooth colors in the people of North India. Indian Journal of Dental Sciences. 2017 Oct 1;9(4):251-5.
11. Tejada-Casado M, Ghinea R, Pérez MM, Ruiz-López J, Lübbe H, Herrera LJ. Development of Thickness-Dependent Predictive Methods for the Estimation of the CIEL* a* b* Color Coordinates of Monolithic and Layered Dental Resin Composites. Materials. 2023 Jan 12;16(2):761.http://doi:10.3390/ma16020761. PMID: 36676498; PMCID: PMC9864169
12. Igiel C, Lehmann KM, Ghinea R, Weyhrauch M, Hangx Y, Scheller H, Paravina RD. Reliability of visual and instrumental color matching. Journal of Esthetic and Restorative Dentistry. 2017 Sep;29(5):303-8.http://doi:10.1111/jerd.12321. Epub 2017 Jul 25. PMID: 28742283
13. Hardan L, Bourgi R, Cuevas-Suárez CE, Lukomska-Szymanska M, Monjarás-Ávila AJ, Zarow M, Jakubowicz N, Jorquera G, Ashi T, Mancino D, Kharouf N. Novel trends in dental color match using different shade selection methods: a systematic review and meta-analysis. Materials. 2022 Jan 8;15(2):468.http://doi:10.3390/ma15020468. PMID: 35057185; PMCID: PMC8778907
14. Udiljak Ž, Illeš D, Zlatarić DK, Ćelić R. Effect of clinical experience on the shade matching accuracy in different dental occupational groups. Acta Stomatologica Croatica. 2018 Jun;52(2):132.http://doi:10.15644/asc52/2/6.PMID: 30034012; PMCID: PMC6047596
15. Parameswaran V, Anilkumar S, Lylajam S, Rajesh C, Narayan V. Comparison of accuracies of an intraoral spectrophotometer and conventional visual method for shade matching using two shade guide systems. The Journal of the Indian Prosthodontic Society. 2016 Oct;16(4):352. http://doi:10.4103/0972-4052.176537. PMID: 27746599; PMCID: PMC5062144
16. Liberato WF, Barreto IC, Costa PP, de Almeida CC, Pimentel W, Tiossi R. A comparison between visual, intraoral scanner, and spectrophotometer shade matching: A clinical study. The Journal of Prosthetic Dentistry. 2019 Feb 1;121(2):271-5.
http://doi:10.1016/j.prosdent.2018.05.004. Epub 2018 Oct 26. PMID: 30722987
17. Rao D, Joshi S. Evaluation of natural tooth color space of the Indian population and its comparison to manufacturer's shade systems. Contemporary Clinical Dentistry. 2018 Jul;9(3):395. http://doi:10.4103/ccd.ccd_144_18. PMID: 30166833; PMCID: PMC6104365.
18. El Mourad AM, Al Shamrani A, Al Mohaimeed M, Al Sougi S, Al Ghanem S, Al Manie W. Self-perception of dental esthetics among dental students at King Saud University and their desired treatment. International journal of dentistry. 2021 Feb 22;2021:1-8.
http://doi:10.1155/2021/6671112. PMID: 33679980; PMCID: PMC7925033
19. Jain M, Jain V, Yadav NR, Jain S, Singh S, Raghav P, Kohli J, Sharma A. Dental students' tooth shade selection ability about years of dental education. Journal of Family Medicine and Primary Care. 2019 Dec;8(12):4010. http://doi:10.4103/jfmpc.jfmpc_803_19. PMID: 31879651; PMCID: PMC6924212.
20. Corcodel N, Krisam J, Klotz AL, Deisenhofer UK, Stober T, Hassel AJ, Rammelsberg P, Zenthöfer A. Evaluation of small‐group education on the shade determination ability of preclinical dental students—A controlled clinical trial. European Journal Of Dental Education. 2018 Aug;22(3):e582-7. http://doi:10.1111/eje.12355. Epub 2018 Apr 17. PMID: 29665167

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