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journal of dentistry 38s (2010) e57–e64

available at www.sciencedirect.com

journal homepage: www.intl.elsevierhealth.com/journals/jden

Color difference thresholds in dental ceramics

Razvan Ghinea a, Marı́a M. Pérez a,*, Luis J. Herrera b, Marı́a José Rivas a, Ana Yebra a,
Rade D. Paravina c
a
Department of Optics, Faculty of Science, University of Granada, Campus Fuentenueva s/n 18071, Granada, Spain
b
Department of Computer Architecture and Computer Technology, E.T.S.I.I.T. University of Granada, s/n 18071, Granada, Spain
c
Department of Restorative Dentistry and Biomaterials, The University of Texas Dental Branch at Houston, 6516 M.D,
Anderson Boulevard, Ste. 493, Houston, TX, USA

article info abstract

Article history: Objectives: The objective of the study was to determine the perceptibility and acceptability
Received 22 April 2010 thresholds for dental ceramics using CIEDE2000 (DE00) and CIELAB ðDEab Þ color difference
Received in revised form formulas and a novel TSK Fuzzy Approximation.
17 July 2010 Methods: A 13-observer panel performed independent observations of perceptibility and
Accepted 19 July 2010 acceptability judgments on 105 pairs of ceramic discs (14 mm in diameter and 3 mm thick).
Color differences of the disc pairs were calculated using both color difference formulas (DE00
ranged from 0.10 to 9.91). Two fitting procedures were used: S-shaped curve and TSK Fuzzy
Keywords: Approximation. For both procedures, from the resultant fitting curves, the 95% confidence
CIEDE2000 intervals were estimated and the 50:50% thresholds were calculated (50% positive and 50%
CIELAB negative answers).
Acceptability thresholds Results: With the S-shaped fitting procedure, a 50:50% acceptability threshold was found to
Perceptibility thresholds be DE00 = 2.25 (r2 = 0.88) and DEab ¼ 3:46 (r2 = 0.85). Corresponding values with a TSK Fuzzy
Fuzzy Approximation Approximation were DE00 = 2.23 (r2 = 0.89) and DEab ¼ 3:48 (r2 = 0.86). The perceptibility
Dental ceramics thresholds for fitted S-shape curves were DE00 = 1.30 (r2 = 0.74) and DEab ¼ 1:80 (r2 = 0.70)
and DE00 = 1.25 (r2 = 0.75), and DEab ¼ 1:74 (r2 = 0.71) for the TSK Fuzzy Approximation. The
DL0 , DC0 , DH0 values corresponding to a 50% acceptability threshold were DL0 = 2.44, DC0 = 3.15
and DH0 = 3.24 respectively.
Conclusions: The CIEDE2000 color difference formula provided a better fit than CIELAB
formula in the evaluation of color difference thresholds of dental ceramics. There was a
statistically significant difference between perceptibility and acceptability thresholds for
dental ceramics. The TSK Fuzzy Approximation has been proved to be a reliable alternative
approach for the color threshold calculation procedure.
# 2010 Elsevier Ltd. All rights reserved.

1. Introduction extensively in dental research and applications, including


the quantification of color change caused by processing
Color difference formulas are designed to provide a quanti- dental materials1,2, descriptions of coverage error of
tative representation (DE) of the perceived color difference dental shade guides3,4, color accuracy and precision5,6,
(DV) between a pair of colored samples under a given set of color perceptibility and acceptability7,8 and translucency
experimental conditions. Color difference has been used parameter.9

* Corresponding author at: Office 137, Department of Optics, Faculty of Science, University of Granada, Campus Fuentenueva s/n 18071,
Granada, Spain. Tel.: +34 958246164; fax: +34 958248533.
E-mail address: mmperez@ugr.es (M.M. Pérez).
0300-5712/$ – see front matter # 2010 Elsevier Ltd. All rights reserved.
doi:10.1016/j.jdent.2010.07.008
e58 journal of dentistry 38s (2010) e57–e64
[(Fig._1)TD$IG]
In majority of dental color studies, color and color
difference are quantified using the CIELAB color space and
the associated DEab respectively.10 With the aim of improving
the correction between computed and perceived color
differences of CIELAB formula, three advanced color differ-
ence formulas have been developed: CMC11, CIE9412 and
CIEDE2000.10,13,14 CIE10 presently recommends the use of the
CIEDE2000 formula whenever in the past the CIE94 or CMC
formulas were used.
The CIEDE2000 utilises the concepts of chroma and hue,
reinforcing the importance of the conceptual developments of
Munsell. Comparisons of CIELAB and CIEDE2000 color differ-
ence formulas are available in dental literature.15,16 Recent
reports showed significant correlations between DEab and DE00
values after polymerisation or thermocycling.16–18 The majority
of reported correlations showed only that the values obtained
from these formulas were proportional, but not that the two Fig. 1 – Relative distribution of CIEDE2000 color differences
color differences formulas could be used interchangeably to among pairs of ceramic discs.
evaluate the color differences of resin composites.
Just perceptible color difference refers to smallest color
difference that can be detected by human observer. Color
difference that can be noticed by 50% of observers corresponds CIEDE2000 color differences ranging from 0.10 to 9.91. The
to 50:50% perceptibility threshold. Analogously, the difference distribution of color differences is shown in Fig. 1.
in color that is acceptable for 50% of observers corresponds to A non-contact SpectraScan PR-704 spectroradiometer
50:50% acceptability threshold. The color difference formula is (Photo Research, Chatsworth, USA) was used to measure the
important to allow better correlation between visual judg- spectral reflectance of the ceramic discs. This device can
ments (perceptibility and acceptability) and instrumental measure color in a way that matches the geometry of the
color difference values. Improved correlation might provide visual assessments, and it has been previously used in dental
a more accurate clinical interpretation of the color differences research.25,26 The discs were positioned 40 cm away from the
in dentistry. spectroradiometer and measured at 458. A VeriVide CAC60
A sizeable literature exists on perceptibility and accept- viewing cabinet (VeriVide Limited, Leicester, United King-
ability thresholds in dentistry.7,8,19,20 However, these refer- dom), with a light source simulating the spectral relative
ences predominantly used CIELAB color difference formula, irradiance of CIE D65 standard illuminant was employed to
while the number of studies that used CIEDE2000 formula is provide consistent viewing conditions. The ceramic discs were
limited. Mentioned studies are diverse in methodologies placed in the centre of the viewing cabinet on a 458 tilted base
employed and results obtained. (which corresponds to diffuse/08 illuminating/measuring
The objective of the present study was to determine the geometry). The CIE 1931 28 Standard Colorimetric Observer
perceptibility and acceptability thresholds for dental ceramics was used to calculate color.
using the CIEDE2000 and CIELAB color difference formulas. In Since teeth are translucent and the oral cavity is dark, a
addition to standard adjustment procedures,7,8,21 a novel Munsell black background (L* = 2.8, a* = 0.7, b* = 1.9) was used
Fuzzy Approximation of the perceptible/acceptable percent- for measurements in this study. Similar to another study,26 a
age curves using a Takagi–Sugeno–Kang (TSK) fuzzy model triangular stand was built to hold samples to avoid the
was performed.22,23 Null hypothesis was that there was no specular reflection from the glossy surface.
difference between perceptibility and acceptability thresholds CIELAB color difference ðDEab Þ is calculated as follows:10
for dental ceramics. h i
2 1=2
DEab ¼ ðDL Þ2 þ ðDa Þ2 þ ðDb Þ (1)

2. Materials and methods where DL*, Da*, and Db* are the differences in lightness, green-
red coordinate and blue-yellow coordinate, respectively.
2.1. Samples and color measurements CIEDE2000 color difference (DE00) is calculated as fol-
lows:10,13,14
A total of 15 ceramic discs, 14 mm in diameter by 3 mm thick, " 2  2  2   #1=2
were fabricated8 using mixtures of Vita Omega 900, Vitapan DL0 DC0 DH0 DC0 DH0
DE0 ¼ þ þ þ RT
3D-Master opaque powders, and pink, white, and mauve color KL SL KC SC KH SH KC SC KH SH
opaque powders (VITA Zahnfabrik, Bad Säckingen, Germany). (2)
The range of the color coordinates of the ceramic discs were
L* = 53.95–76.05, a* = 0.33–9.94 and b* = 4.59–29.75. All discs where DL0 , DC0 , and DH0 are the differences in lightness, chro-
were within the color range of central and lateral incisor and ma, and hue for a pair of samples in CIEDE2000, and RT is a
canine teeth from a published study.24 The 15 ceramic discs function (the so-called rotation function) that accounts for the
were combined to create a total of 105 disc pairs, with interaction between chroma and hue differences in the blue
journal of dentistry 38s (2010) e57–e64 e59

region. Weighting functions, SL, SC, SH adjust the total color defined as the color difference at which an observer had a 50%
difference for variation in the location of the color difference probability of making dichotomous judgment. The 50% DE
pair in L0 , a0 , b0 coordinates and the parametric factors, KL, KC, point was the level of perceptibility and acceptability,
KH, are correction terms for experimental conditions. In the respectively, for each of these judgment types.
present study, the parametric factors of the CIEDE2000 color
difference formula were set to 1. 2.3.1. S-shaped curve
To calculate using the CIEDE2000 color difference formula, Procedures described in previous studies21,28 were employed
discontinues due to mean hue computation and hue-differ- to explore the correlation between the visually perceived and
ence computation were taken into account, whereby both instrumentally measured color differences. Thus, for each
were pointed out and characterised by Sharma et al.27 pair, the percentage of DV answers (% unacceptable or %
imperceptible) has been plotted against the instrumentally
2.2. Psychophysical experiments measured color differences DE00 and DEab . Then, a S-shaped
curve given by the equation y = A/[1 + exp(B + Cx)] was fitted
2.2.1. Acceptability using an iterative algorithm (Matlab 7.1 Optimization Toolbox,
The 105 ceramic disc pairs were judged by a panel of 13 MathWorks Inc., Natick, MA) of successive approximations to
observers (7 females and 6 males aged between 20 and 48). All the function and its derivatives, until maximising the value of
observers have been screened for normal color vision using r.
the Ishihara charts (Ishihara Color Vision Test, Kamehara
Trading Inc., Tokio, Japan 2004) and all have previous 2.3.2. TSK Fuzzy Approximation
experience in color discrimination experiments. A TSK Fuzzy Approximation is generally a method to
During the visual comparisons, the observers were approximate the unknown function that generates the set
approximately 40 cm away from the ceramic discs pair, which of observed data. This approach is used as an alternative
was the same distance used for instrumental color measure- method to obtain a smooth curve without a pre-designed
ments. Each observer was instructed to focus their attention formulation that likewise fits the data. A TSK Fuzzy Approxi-
on the centre of the ceramic discs and answer the following mation with Gaussian membership functions and constant
question: ‘‘Would you accept the color difference between the consequents was used to perform the approximation of the
two ceramic discs under clinical conditions?’’ The responses percentage of answers against the instrumentally measured
for each pair of ceramic discs and each observer (DV – visual CIEDE2000 and CIELAB color differences (Matlab 7.1 Fuzzy
color difference) were processed. Logic Toolbox, MathWorks Inc., Natick, MA).

2.2.2. Perceptibility
For the calculation of the perceptibility threshold, the 3. Results
observers answered the following question: ‘‘Can you detect
a color difference between the two ceramics discs?’’ Each 3.1. Acceptability threshold
observer made a total of 105 perceptibility judgments and
these responses (DV – visual color difference) were processed. The values of percent ‘‘unacceptable’’ by the observers against
the CIEDE2000 color difference (DE00) and 95% confidence curves
2.2.3. Acceptability thresholds in the L0 , C0 and H0 directions are plotted in Fig. 2. The fitted curve-percent had the optimal S-
(DL0 , DC0 and DH0 ) shaped curve parameters: A = 97.40, B = 4.53, C = 2.03 and
A preliminary study of acceptability thresholds for lightness, r2 = 0.88 (Fig. 2a). The color difference for 50% acceptability was
chroma and hue differences has also been conducted in this DE00 = 2.25 (95% confidence interval 1.52–3.03). Corresponding
research. To calculate the acceptability threshold for DL0 , 15 value with a TSK Fuzzy Approximation was DE00 = 2.23 (95%
ceramic disc pairs, with the absolute DC0 and DH0 values confidence interval 1.55–3.00), with r2 = 0.89 (Fig. 2b).
smaller than 0.5 units, were selected from the initial 105 For CIELAB color difference formula, the fitted curve-
ceramic discs pairs. Therefore, it was considered that the color percent parameters were: A = 98.12, B = 4.29, C = 1.25 and
differences among these pairs originated basically from the r2 = 0.85. The color difference for 50% acceptability was DEab ¼
lightness differences, which ranged from DL0 = 0.12–3.11. 3:46 (95% confidence interval 2.48–4.48) (Fig. 3a). Using a TSK
Similarly, to evaluate the DC0 acceptability threshold, only Fuzzy Approximation, the corresponding value was DEab ¼
samples with DL0 and DH0 smaller than 0.5 units were selected 3:48 (95% confidence interval 2.49–4.44), with r2 = 0.86 (Fig. 3b).
(18 pairs, DC’ = 0.15–7.44), while only ceramic pairs with DL0
and DC0 below 0.5 units were used in evaluation of the DH0 3.2. Perceptibility threshold
threshold (16 pairs, DH0 = 0.13–4.07).
Figs. 4 and 5 show the values of percent ‘‘imperceptible’’ and
2.3. Fitting procedures the 95% confidence curves plotted against DE00 and DEab ,
respectively. For CIEDE2000 color difference formula, the fitted
Two fitting methods were used, S-shaped curve and TSK Fuzzy curve-percent was 97.91/[1 + exp(2.75  2.16x)], with r2 = 0.74.
Approximation. For both procedures, from the resultant fitting The DE00 value corresponding to 50% perceptibility for fitted S-
curves obtained, the 95% confidence intervals were estimated shape curves and TSK Fuzzy Approximation was 1.30 (95%
and the 50:50 (50% of positive answers and 50% negative confidence interval 0.50–2.13) (Fig. 4a) and 1.25 (95% confi-
answers) threshold was calculated. The 50% DE point was dence interval 0.69–2.22) with r2 = 0.75 (Fig. 4b), respectively.
e60 journal of dentistry 38s (2010) e57–e64
[(Fig._2)TD$IG]

Fig. 2 – Unacceptable percentages versus color differences (DE00) between pairs of ceramic discs: (a) fitted S-shape curve
y = A/[1 + exp(B + Cx)] (b) TSK Fuzzy Approximation with 4 equally distributed rules along the x-axis and constant
consequents.

For CIELAB color difference formula, the fitted curve- for DL0 , DC0 , DH0 corresponding to a 50% acceptability threshold
percent was 97.56/[1 + exp(2.59  1.47x)], with r2 = 0.70 are presented in Table 2.
(Fig. 5a). The DEab value corresponding to 50% perceptibility
for fitted S-shape curve and TSK Fuzzy Approximation
was 1.80 (95% confidence interval 0.74–2.92) and 1.74 4. Discussion
(95% confidence interval 0.94–2.94) with r2 = 0.71 (Fig. 5b),
respectively. The 50:50% CIEDE2000 acceptability threshold calculated
using the S-shape adjustment curve and the TSK Fuzzy
3.3. Acceptability thresholds in the L0 , C0 and H0 directions Approximation were similar, but the TSK Fuzzy Approxima-
(DL0 , DC0 and DH0 ) tion has a slightly better adjustment (r2 = 0.89). Recent report8
showed lower values for the CIEDE2000 acceptability thresh-
Table 1 shows the optimal parameters determined for the S- old. There are a number of important differences between
shaped curve and the optimal number of rules used for the that study and the current one, including range of color
TSK Fuzzy Approximation for CIEDE2000 acceptability thresh- differences and different experimental conditions (surround,
olds in the L0 , C0 and H0 directions (DL0 , DC0 and DH0 ). The values use of a shutter, etc.) which might have caused discrepancy of

[(Fig._3)TD$IG]

Fig. 3 – Unacceptable percentages versus color differences ðDEab Þ between pairs of ceramic discs: (a) fitted S-shape curve
y = A/[1 + exp(B + Cx)] (b) TSK Fuzzy Approximation with 4 equally distributed rules along the x-axis and constant
consequents.
journal of dentistry 38s (2010) e57–e64 e61
[(Fig._4)TD$IG]

Fig. 4 – Imperceptible percentages versus color differences (DE00) between pairs of ceramic discs: (a) fitted S-shape curve
y = A/[1 + exp(B + Cx)] (b) TSK Fuzzy Approximation with 5 equally distributed rules along the x-axis and constant
consequents.

the obtained thresholds. As for the acceptability threshold, according to the confidence intervals of the respective curves,
the DE00 corresponding to a 50:50% perceptibility threshold a t-test confirmed the difference between the perceptibility
was similar when the S-shaped adjustment curve or the TSK and acceptability thresholds, obtaining in all cases a p-
Fuzzy Approximation were used, with better fit obtained with value < 0.001. The mean 50:50% acceptability and perceptibil-
the latter method. ity thresholds obtained with the best fit were DE00 = 2.23 and
The values obtained in this study for the CIEDE2000 DE00 = 1.25, respectively.
acceptability/perceptibility thresholds corresponded approxi- The results showed that the 50:50% perceptibility thresh-
mately to 70% of the values obtained using the CIELAB olds were lower than the corresponding acceptability thresh-
formula. These results are in agreement with previous studies olds. Recent study, using computer-simulated teeth, found
that pointed a linear correlation between DE00 and DEab , with that the acceptability and perceptibility thresholds were
DE00 values representing a 70–80% of the values of DEab .15,18 nearly identical.29 Another study, on ceramic fused to metal
Although this behaviour may be valid for specific points in crowns, found that the DEab acceptability threshold was
color space (the region of the color space of the studied ceramic significantly greater than the perceptibility threshold.30 This
discs) it should be noted that it is not necessarily generally valid. comparison among perceptibility and acceptability judgments
The null hypothesis was rejected for both color difference were not performed independently (only the subjects who
formulas using both fitting procedures. Assuming the 50:50% previously identified a perceptible color difference were
[(Fig._5)TD$IG]
values as normal distributions with variance estimated allowed to judge whether the difference was acceptable).

Fig. 5 – Imperceptible percentages versus color differences ðDEab Þ between pairs of ceramic discs: (a) fitted S-shape curve
y = A/[1 + exp(B + Cx)] (b) TSK Fuzzy Approximation with 5 equally distributed rules along the x-axis and constant
consequents.
e62 journal of dentistry 38s (2010) e57–e64

Table 1 – Optimal parameters of the S-shaped fitting curves and optimal number of rules used for the TSK Fuzzy
Approximation.
S-shaped curve y = A/[1 + exp(B + Cx)] optimal TSK Fuzzy Approximation optimal number of rules
parameters

A B C
0
DL 758.44 5.13 0.95 3
DC0 93.69 3.32 1.10 3
DH0 68.90 3.11 1.26 3

In our study, the sensorial experiments were independent, so to tolerances in chroma and hue could be due to the specific
the results could not be affected by the method used in the weighting function defined for lightness in CIEDE2000, or to the
visual judgments. fact that the parametric factor KL should have different value. In
The use of an adequate color difference formula is important addition, the rotation function (RT) introduced in CIEDE2000 to
to obtain a better correlation of perceptibility and acceptability weight the interaction between chroma and hue differences in
to instrumental color difference values. Improved correlation the blue region, was found to be close to zero (for the region of
might provide a more accurate clinical interpretation of color the color space of the studied ceramic discs), which means that
differences which can result in research targeted at improving this term might have not influenced the values of the DE00.
the color replication process in dentistry. We found that Future work for the development of a new term that includes
CIEDE2000 color difference formula provided higher degree of the interaction between lightness and chroma and hue
fit than the CIELAB formula for both acceptability and differences should be undertaken.
perceptibility judgments. It is well established that the The calculated acceptability thresholds in each of these
CIEDE2000 formula that adjusts for the so-called hue-super directions were higher than the recorded acceptability
importance leads to statistically significantly improved per- threshold. This result could be justified by the weighting
formance of the formula against visual data when compared to functions (SL, SC, SH). In our study, the tolerances in chroma,
CIELAB, as does CMC and CIE94. Nevertheless, it seems hue and lightness were determined from the differences
appropriate to continue studying the CIEDE2000 weighting between the values of chroma, hue and lightness of each
functions (SL, SC, and SH), which may result in an even better fit sample of the pair (according to: DL0 ¼ L02  L01 ; DC0 ¼ C02  C01
pffiffiffiffiffiffiffiffiffiffiffi
with the visual judgments. It is also beneficial the use of an and DH0 ¼ 2 C01 C02 sinðDh0 =2Þ), while when calculating the
efficient research design to determine the optimum adjustment acceptability threshold, the differences in chroma, hue and
functions for color of human teeth. Using a valid and applicable lightness are weighted by their corresponding functions
formula will improve the modelling of tooth colored aesthetic (always greater than unity). Therefore, for proper comparison
materials and, ultimately, patient satisfaction. between the acceptability threshold and tolerances for each of
As noted, the number of pairs used to calculate the the directions, the influence of the weighting function on the
thresholds for L0 , C0 and H0 differences is markedly lower than value of the color difference should be considered.
the one used for acceptability and perceptibility thresholds, but In addition to the usual adjustment procedures, a novel
nevertheless is similar to those reported in literature.8 The Fuzzy Approximation of the perceptible/acceptable percen-
results of our study revealled slight differences in tolerance for tages curves using a Takagi–Sugeno–Kang (TSK)22,23 Fuzzy
thresholds in lightness, chroma and hue, especially for the later model with Gaussian membership functions and constant
two. It is well documented in the literature that in the Euclidean consequents was used in this study. As an alternative method
metric of CIELAB there is an increase of the tolerance when the to traditional statistics inference, data fuzzy modelling
color difference is due essentially to the difference in chroma or represents a flexible and effective method to model an
hue, or the difference in chroma is very large.31 In CIELAB-based unknown function from a set of observed data relative to
color difference formulas, such as CIEDE2000, the tolerance of that function or phenomenon.33 This method is receiving
chroma difference is corrected with a specific weighting more and more attention in explaining and predicting clinical
function (SC). Some authors have shown that chroma correction results in medical sciences34 and is being currently used in
is sufficient to eliminate tolerance differences in lightness, colorimetric studies in dentistry.23
chroma and hue and that the hue correction, although In a one dimensional approximation problem, the optimisa-
significant, is less important than the DC0 correction.32 The tion of a TSK Fuzzy Approximation requires the determination
slight difference between the tolerance in lightness compared of the number of rules, the position of their respective centres

Table 2 – Value for DL’, DC’, DH’ corresponding to a 50:50% unacceptance percentage.
50:50% Acceptability threshold r2

S-shaped curve TSK Fuzzy Approximation S-shaped curve TSK Fuzzy Approximation

DL0 2.71 2.44 0.92 0.93


DC0 3.25 3.15 0.96 0.96
DH0 3.33 3.24 0.95 0.96
journal of dentistry 38s (2010) e57–e64 e63

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