Prosthodontics & Occlusion · single question

When is the optimal time to select the shade (color) of a porcelain crown restoration?

  1. At the beginning of the appointment, before tooth preparation and before dehydration
  2. After crown preparation is completed
  3. After the patient has rinsed extensively with water
  4. At the end of the appointment when lighting is optimal
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Correct answer: A. At the beginning of the appointment, before tooth preparation and before dehydration

Shade selection for porcelain restorations should be performed at the beginning of the appointment, before any dental treatment begins. This is critical for two reasons: (1) Dehydration: tooth preparation and rubber dam placement cause the teeth to dehydrate and appear lighter/more opaque than their true color. Once the tooth is dehydrated, shade matching becomes inaccurate. (2) Lighting and fatigue: color perception deteriorates with prolonged exposure to dental operatory lighting. Shade assessment should be done in natural or color-corrected light, with fresh eyes. The patient should also be in their regular clothing (not covered by a dental bib), and makeup should be noted. Shade guides should be moistened before use to simulate natural tooth hydration.

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