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Color Matching and Stability of Single-Shade Chameleon Dental Composites: A Systematic Review
Alain Chaple Gil1, Rodrigo Caviedes2, Cristian Bersezio2
1Universidad Autónoma de Chile, Facultad de Ciencias de la Salud, Santiago, Chile.
Objective:
This systematic review evaluates the color-matching ability (ΔE 00 values) and chromatic stability of single-shade chameleon dental resin composites in restorative dentistry.
Methods:
A comprehensive search of PubMed, Scopus, Web of Science, Embase, and Cochrane Library was conducted following PRISMA guidelines. Studies assessing color adaptation and stability of single-shade composites in vitro, in clinical trials, and in retrospective analyses were included.
Results:
Seven studies (four in vitro, two clinical trials, one retrospective study) reported ΔE 00 values within clinically acceptable thresholds (< 3.3). Clinical trials showed that single-shade composites (e.g., Omnichroma, Vittra APS Unique) achieved comparable aesthetic outcomes to multi-shade composites over 12-18 months. Factors such as staining agents and cavity depth influenced color stability, with coffee exposure causing the most discoloration. Bleaching procedures induced minimal color shifts. Study heterogeneity limited meta-analysis.
Conclusion:
Single-shade chameleon resin composites provide reliable color adaptation and stability, streamlining shade selection and reducing clinical time. However, staining susceptibility and restoration depth must be considered for long-term aesthetic success.
Clinical Significance:
Single-shade chameleon composites simplify shade selection, reducing chair time and enhancing efficiency in restorative dentistry. However, clinicians should consider staining susceptibility and restoration depth to ensure long-term aesthetic stability.
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