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Successful shade matching--what does it take?

Dental practitioners can avoid expensive and embarrassing shade matching errors by learning about the structure and function of the eye and how to control the external and internal factors that affect human vision. The color of objects is identified by the visible light that they reflect; objects can reflect only the light that shines upon them. Eyes sense the hue, intensity, and saturation of light, so lighting of proper intensity and color balance is necessary for consistent, correct shade-matching. Although sunlight is the most common standard for good lighting, in everyday practice, it cannot be used for shade matching because of its extreme variability with weather conditions, time of day, and season of the year. In addition to external factors such as lighting, conditions internal to the observer also play a role in accurate color perception. Color vision confusion (CVC), often called "color blindness," is a serious handicap for dental professionals. The popular assumption is that very few people are afflicted; in fact, all people suffer from some level of color vision confusion. This distortion of visual information can be permanent or transitory. Therefore, controlling these variables can lead to color matching success.

Color Perception↗

Eight cases of congenital achromatopsia with amblyopia in two pedigrees from Northern Sweden.

Two families from northern Sweden with a total of 8 patients with typical symptoms of congenital achromatopsia with amblyopia were studied. In one of the families 4 affected children (3 brothers and 1 sister) also showed pallor of the optic discs and marked astigmatism. The transmission of the disease was consistent with an autosomal recessive inheritance in both families. The study confirmed that complete and incomplete achromatopsia might be different expressions of the same gene. Six out or 13 near relatives of the achromatic patients showed minor colour vision defects, suggesting a tendency towards heterozygotic manifestation of the gene.

Adolescent↗

The status of color fields today.

Pathology of the visual system can alter perception in the central and peripheral visual field. Pseudoisochromatic plates and pigment panel tests can be used to study macular color vision. Perimetric techniques using color targets extends testing to the peripheral field. This facilitates detection of early, sometimes subtle defects that are missed with conventional white-target perimetry. The stimulus conditions and methods of color perimetry are reviewed in this paper, particularly recent methodological advancements which offer a potential for increased sensitivity in detection of pathology.

Color Perception↗

Colour vision disturbances in chronic smokers.

PURPOSE: The aim of the present study was to test the influence of smoking on colour perception. SUBJECTS AND METHODS: At the University Eye Hospital Tübingen, 76 generally healthy smokers with inconspicuous ophthalmological findings (visual acuity, refraction, intraocular pressure, morphology) were examined by the cap-sorting test, Roth 28-hue desaturated. Group 1 was comprised of smokers (n = 20; M 9, F 11; mean age 28.1+/-10.3 years) with a smoking consumption of less than one packet of cigarettes per day (8.4+/-5.3 cigarettes/day) for 9.1+/-8.3 years. Group 2 consisted of smokers (n = 32; M 22, F 10; mean age 28.6+/-9.7 years) with a smoking consumption of one or more than one packet per day (30+/-8.4 cigarettes/ day) for 9.5+/-8.3 years. Generally healthy and ophthalmologically normal non-smokers served as a control group (n = 76; M 41, F 35; mean age 30+/-9 years). RESULTS: The average error score of the control group was (median +/- mean absolute deviation) 42+/-18. Group 1 showed no difference to the control group (51+/-27; P = 0.42). On the other hand, group 2 had a significantly higher error score than the control group (102+/-45; P<0.0001). CONCLUSION: Otherwise healthy smokers with a cigarette consumption of less than 20 cigarettes per day do not show any disturbances in colour vision. Smokers who consume more than 20 cigarettes per day may suffer colour vision defects as a result.

Adult↗