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        <full_title>The Open Dentistry Journal</full_title>
        <abbrev_title>TODENTJ</abbrev_title>
        <issn media_type="print">1874-2106</issn>
      </journal_metadata>
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        <publication_date media_type="print">
          <month>10</month>
          <day>30</day>
          <year>2018</year>
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        <journal_volume>
          <volume>12</volume>
        </journal_volume>
        <issue>1</issue>
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      <journal_article publication_type="full_text">
        <titles>
          <title>Precision of a Reflectance Spectrophotometer in Measuring Anterior Tooth Color</title>
        </titles>
        <contributors>
          <person_name contributor_role="author" sequence="first">
            <given_name>Effimia</given_name>
            <surname>Koumpia</surname>
          </person_name>
          <person_name contributor_role="author" sequence="additional">
            <given_name>Athanasios E.</given_name>
            <surname>Athanasiou</surname>
          </person_name>
          <person_name contributor_role="author" sequence="additional">
            <given_name>Theodore</given_name>
            <surname>Eliades</surname>
          </person_name>
          <person_name contributor_role="author" sequence="additional">
            <given_name>Michael</given_name>
            <surname>Knösel</surname>
          </person_name>
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        <jats:abstract>
                <jats:sec>
                    <jats:title>Background:</jats:title>
                    <jats:p>Intraorally, a common instrumental approach for measuring tooth color is reflectance spectrophotometry.</jats:p>
                </jats:sec>
                <jats:sec>
                    <jats:title>Objective:</jats:title>
                    <jats:p>To evaluate the precision of a reflectance spectrophotometer in accurately measuring anterior tooth color.</jats:p>
                </jats:sec>
                <jats:sec>
                    <jats:title>Methods:</jats:title>
                    <jats:p>The twelve labial surfaces of the anterior teeth of sixteen patients were measured spectrophotometrically (SpectroShade<jats:sup>TM</jats:sup> Micro) on three non-consecutive days (1<jats:sup>st</jats:sup>, 2<jats:sup>nd</jats:sup>, 8<jats:sup>th</jats:sup>). Tooth color was converted to L*, a* and b* colorimetric values; intra-examiner repeatability was assessed in ΔΕ-units between two same day repeated measurements. Intra-examiner reproducibility was measured for the effect of tooth type, time and their interaction.The linear effect of the acquisition angle on the colorimetric values of each tooth was also estimated.</jats:p>
                </jats:sec>
                <jats:sec>
                    <jats:title>Results:</jats:title>
                    <jats:p>The highest values of systematic or random error occurred for teeth #33, #43 and #32. There were no statistically significant differences in systematic or random errors for any tooth between the three measurement days. Statistically significant differences were found for tooth type (<jats:italic>p</jats:italic>=0.039), whereas time and tooth and time interaction were not statistically significant. A statistically significant linear correlation was found between the L* and a* values and the acquisition angle for teeth #12 and #31, (<jats:italic>p</jats:italic>&lt;0.008).</jats:p>
                </jats:sec>
                <jats:sec>
                    <jats:title>Conclusion:</jats:title>
                    <jats:p>The reflectance spectrophotometer provided a precise measurement of tooth color <jats:italic>in-vivo</jats:italic> since the systematic and random errors generated were below the threshold for perceivable color mismatches (ΔΕ&lt;1). In rejection of the null hypotheses, the tooth type (maxillary central incisors) and variation of the acquisition angle of image capture (L* and a* parameters in teeth #12 and #31) affected the reproducibility of intraoral spectrophotometric measurements.</jats:p>
                </jats:sec>
            </jats:abstract>
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          <month>10</month>
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          <year>2018</year>
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          <first_page>884</first_page>
          <last_page>895</last_page>
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