ABRASION Definition : it is a material removal process that can occur when ever surfaces slide against each other. Abrasion resistance : It is the ability of a material to resist abrasion or wear. Etiology : Factors that effect the wear of contacting enamel surfaces are - Hardness - Biting force - Frequency of chewing - Abrasiveness of the diet - Composition of intra oral liquids - Temperature changes - Surface roughness - Physical properties of the materials - Surface irregularities with hard impurity particles - Fine anatomic grooves - Pits or ridges Diagnosis : 1
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Transcript
ABRASION
Definition : it is a material removal process that can occur when ever
surfaces slide against each other.
Abrasion resistance :
It is the ability of a material to resist abrasion or wear.
Etiology :
Factors that effect the wear of contacting enamel surfaces are
- Hardness
- Biting force
- Frequency of chewing
- Abrasiveness of the diet
- Composition of intra oral liquids
- Temperature changes
- Surface roughness
- Physical properties of the materials
- Surface irregularities with hard impurity particles
- Fine anatomic grooves
- Pits or ridges
Diagnosis :
Hardness has often been used as an index of the ability of a material
to resist abrasion or wear. Hardness may be useful for comparing materials
within a given classifications, such as one brand of cast metal with another
brand of same type of casting alloy.
Knoop and Vicker’s hardness tests are based on indentation methods
that quantify the hardness of materials. The tip of knoop diamond indenter
has an elongated pyramid shape, where as the Vicker’s diamond indenter
has an equilateral pyramid design. Both tests involve the application of
indenter to test surface under a known load (usually 100N). The depth of
surface penetration is reported as hardness, in units of force per unit area.
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Silicon carbide and diamond abrasives will abrade dental porcelain
more readily than does garnet.
Treatment :
Although dentists cannot control the bite force of the patient, they can
adjust the occlusion to create broader contact areas in order to reduce
localized stresses, and they can polish the abrading ceramic surface to
reduce the rate of destructive enamel wear.
Optical properties :
Important goal of dentistry is to restore the function of damaged or
missing natural tissues, color and appearance of natural dentition. Aesthetic
dentistry considerations in restorative and prosthetic dentistry have received
greater emphasis over the past several decades. The search for an ideal,
general purpose, technique insensitive, direct-filling, tooth-colored
restorative material is one of the continuing challenges of current dental
materials research. Since aesthetic dentistry imposes severe demands on the
artistic abilities of dentist and technician, knowledge of the underlying
scientific principles of color is essential.
Color and color perception :
Principles of color :
1) Light is the form of electromagnetic energy visible to the human eye.
Light is form of energy which propagates according to laws of
physics. The energy spreads in the form of waves characterized by
two different parameters – wavelength and amplitude. The
wavelength is the distance between successive peaks (troughs). The
amplitude is the wave height with relations to the directional axis of
the wave.
2) In 1666, sir Isaac Newton observed that white light passing through a
prism divided into an orderly pattern of colors now termed the
spectrum. He also discovered that these colors would reproduce white
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light when passed back through the prism proving that all spectral
colors were in the original beam.
3) The electromagnetic spectrum ranges from 10-14 m (gamma rays) to
106m (radio waves). It is only rays with a 380-760nm large that,
through their action on specialized cells, elicit photochemical
reactions from the retina, responsible for triggering visual perception
of shapes and colors with in brain. That is why they cannot
differentiate U-V or infrared rays.
The perception of color of an object is the result of a physiological
response to a physical stimulus.
The sensation is a subjective experience, where as the beam of light,
which is the physical stimulus that produces the sensation is entirely
objective.
The perceived color response results from either a reflected or a
transmitted beam of white light or a portion of that beam.
According to one of Grossman’s laws, the eye can distinguish
differences in only three parameters of color. These parameters are
i) Dominant wavelength
ii) Luminous reflectance
iii) Excitation purity
1) Dominant Wavelength. : light having short wave length is violet
(400nm) and long wave length is red (700nm).
Between these two wavelengths are those corresponding to blue,
green, yellow and orange light. This attribute of color perceptions is also
known as Hue. Hue is the name of the color. i.e. dominant color of an
object. Ex. Red, Green, Blue
Of all the visible colors and shades, there are only three primary
colors: red, green and blue (or violet). Another color may be produced by
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proper combination of these colors. For example yellow may be obtained by
a mixture of green and red colors.
Hue relationship :
The relationship of primary, secondary and complementary hues are
graphically explained by the color wheel.
Primary Hues :
The primary hues are - red, yellow and blue form basis of dental color
system. In dentistry the metal oxide pigments used in coloring porcelains
are limited in forming certain reds, therefore pink is substituted. The
primary hues have a relationship to one another and form basic structure of
color wheel.
Secondary hue :
Any two primary hues, when mixed form a secondary hue. When red
and blue are mixed they create violet, blue and green ,yellow and red create
orange. Altering the proportions of primary hues on a mixture will vary the
hue of the secondary hue produced.
Complementary hue :
Colors directly opposite each other on the color wheel are termed
complementary hues. A peculiarity of this system is that a primary hue is
always opposite a secondary hue and vice versa. When a primary hue is
mixed with a complementary secondary hue, the effect is to “cancel” out
both colors and produce gray. This is the most important in dental color
manipulations.
Eg : when a portion of crown is too yellow, lightly washing with violet
(complementary color) will produce an area that is no longer yellow.
Hue sensitivity :
After 5 seconds a staring at a tooth or shade guide, the eye
accommodates and becomes biased. If one stares at any color for longer
than 5 seconds, and then stares away at a white surface, or closes one’s eyes,
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the image appears but in the complementary hue. This phenomenon is
known as hue sensitivity, adversely effects shade selection.
ii) Luminous Reflectance : The luminous reflectance of a color permits an
object to be classified as equivalent to a number of series of a achromatic
objects ranging from black to white for light diffusing objects and from
black to perfectly clear or colorless for transmitting objects.
The black standard is assigned a luminous reflectance of 0, where as
white standard is assigned 100. This attribute of color perception is
described as VALUE in one visual system of color measurement.
Value : relative light ness or darkness of a color (whiteness / blackness)
It is not the quantity of color but rather quality of brightness on a gray
scale.
Eg : a light tooth has a high value, a dark tooth has a low value.
The use of value in restorative dentistry does not involve adding gray
but rather manipulating colors to increase or decrease amounts of grayness.
iii) Excitation Purity : The excitation purity or saturation of a color
describes the degree of its difference from the achromatic color perception
most resembling it.
Number representing excitations purity range from 0 to 1. This
attribute of color perception is also known as CHROMA.
Chroma : degree of saturation of a particular hue
Chroma can only present with hue.
Eg : to increase the chroma of porcelain restoration more of that hue is
added.
@@@@@@@@@@Typical quantities for dominant
wavelength, luminous reflectance, and excitation purity of materials and
human tissues determined in reflected light are listed as follows –
@@@@@@@@@@@@@@@
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Phenomenon of vision :
It is related to the response of the human eye to light reflected from
an object.
Light from an object i.e. incident on the eye is focused in the retina
and is converted into nerve impulses that are transmitted to brain.
Cone shaped cells in the retina are responsible for the color vision.
These cells have a threshold intensity required for color vision and exhibit a
response curve related to the wavelength of the incident light.
Cone cells function in hue and chroma interpretation. The rod cells
are responsible for interpreting brightness differences and value.
The curves in the figure illustrates individuals with normal color
vision and individuals with color deficient vision.
The normal observer curve indicates that the eye is most sensitive to
light in the green-yellow region of wavelength 550nm and least sensitive at
the red or blue regions of the color spectrum (700nm).
Because a neural response is involved in cold vision, constant
stimulation by a single color may result in color fatigue and a decrease in
the eye’s response. The signals from retina are processed by the brain to
produce the pscyhophysiological perception of color.
Defects in certain portions of color-sensing receptors result in the
different types of color blindness, and thus, human observers vary greatly in
their ability to distinguish colors.
Colorimeter a scientific instrument measures the intensity and
wavelength of light.
Although the colorimeter is more precise than the human eye in
measuring slight differences in colored objects, it can be extremely
inaccurate when used on rough or curved surfaces. But eye is able to
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differentiate between two colors seen on side by side on smooth or irregular
surfaces whether curved or flat.
MEASUREMENT OF COLOUR :
The color of dental restorative materials is most commonly measured
in the reflected light by
1) Instrumental technique
2) Visual technique
1) Instrumental technique :
Curves of spectral reflectance versus wavelengths can be obtained
over the visible range. (405-700nm) with SPECTROPHOTOMETER and
INTEGRATING SPHERE.
Reflectance vs wave length :
Curves
Obtained from spectrophotometer
From reflectance value obtained
They get 3 stimulus values of particular light sources
From the reflectance values and tabulated color matching functions
the tristimulus values (x, y, z) can be computed relatively to a particular
light source that is source A gas filled incandescent lamp (or) source C
average day light from sky.
The ratios of each tristimulus value of a color value of a color to their
sum are called the chromatically coordinates (x, y, z).
X : x + y + z
Y : x + y + z
Z : x + y + z
Dominant wave length (Hue) and excitations purity (chroma) can be
determined by referring its chromatically coordinates to a chromaticity
diagram.
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X = standard observer
Y = co-ordinate system (x, y, z)
A = standard light source
B = colour considered
C = intersection of line AB with spectrum locus is dominant wavelength
The excitation psoity (chroma) is the ratio of two lengths AB and AC.
The (dominant wavelength) is ‘C’ that intersects line AB with
spectrum locus is dominant wavelength i.e. hue.
A diagram according to commission international de I’Eclairage
(C.I.E) L*a*b* color space is characterized by uniform chromaticities.
* In this diagram
L = value (black to white)
a*b* = chroma where
+ a = Red
- a = Green
+ b = Yellow
- b = Blue
* The differences between two colors can be obtained from color difference
formula.
It is
E* (L*a*b*) = [(L*)2 + (a*)2 + (ab*)2]½
where L*, a*, b* depend on the tristimulus value of the specimen and a
perfectly white object.
* value of E is 1 can be observed visually by half of the observers under
standardized conditions.
* value of E of 3.3 is considered perceptible clinically
Visual technique :
A popular system for visual determination of color is the Munsell
color system.
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The parameters are presented in three dimensions. The color
considered is compared with a larger set of color tabs.
Value is determined first by the selection of a tab that most nearly
corresponds with the lightness or darkness of the color. Value ranges from
white (10/) to black (0/).
Chroma is determined next with tabs that are close to the measured
value but are of increasing saturation of color. Chroma ranges from
achromatic or gray (/0) to highly saturated color (/18).
The hue of color is determined last by matching with color tabs of
value and chroma already determined. Hue is measured on a scale from 2.5-
10 in increments of 2.5 for each of the 10 color families. (Red-R, Yellow-
red – YR, Yellow – Y, Green yellow – GY, Green – G, Blue-green, Blue-B,
purple blue-PB, purple-P, red purple-RP).
Example :
The color of the attached gingiva of a healthy patient has been
measured as 5R 6/4
Where 5R – hue
6 - value
4 – chroma
Nickersons formula :
Two similar color can also be compared in the Munsell for system by
a color difference formula such as one derived by Nickersons.
I = (C/5) (2H) + (6V) + (3C)
Where C = average chroma
H, V, C – differences hue, value + chroma
Example :
If color of attached gingiva of a patient with periodontal disease was
2.5 R 5/6
- 2.5 R 5/6 is derived from the Munsell color system.
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- 5R 6/4 is for healthy gingiva. Now to find the difference between the
color of healthy gingiva in periodontal disease according to
Nickerson’s formula.
I = (C/5) (2H) + 6V + 3C
C = average of chroma
C in healthy gingiva is 4
C in periodontal disease is 6
Average of C = 4+6/2 = 5
H = difference in hue
Healthy – PDL gingiva hue
5 – 2.5 = 2.5
V = difference in value
Healthy – PDL gingiva value
6 – 4 = 2
V = 1
C = difference in chroma
6 – 4 = 2
So
I = (5/5) (2) (2.5) + 6(1) + 3(2)
= 5 + 6+6
= 17
Metamerism :
Metamerism can cause two color samples to appear as the same hue
under on light source, but as un-matched hues under a different light source.
They may have non-matching spectral analysis curves but appear to
have identical colors under certain lighting conditions.
There is more than one way to produce a color. I.e pure green versus
a mix of blue and yellow. A pure green color will reflect light in green band,
but green mixture color will reflect light in blue are exposed to a light with a
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full color spectrum they will appear similar. If they are exposed to a light
source that does not contain light is blue band, the two colours will appear
dissimilar.
A spectral curve is a measure of wavelength of light reflected from a
surface and reveals the actual component colors reflected from an object.
The spectral curves of two metameric green surfaces that appeal identical
but exhibit different reflections properties.
Clinical relevance :
Metamerism complicates the color matching of restorations. A shade
button may match under incandescent lighting from the dental operatory
lamp but not under fluorescent lighting in patients work place.
How to reduce metamerism :
- The best approach to color matching is to use three light sources. The
color matches that holds up the best in these three lights is the best
choice.
- By lobbying manufacturers for ceramics with spectral curves as close
as possible to those of natural tooth.
- By having shade selected by some one else choice of two observers
will often be the best match.
- By testing over vision particularly color vision.
- By shade selection using shade guides of the same material.
- By limiting surface staining
Surface finish :
When light strikes a smooth, flat, opaque, body, the reflected rays
will all be parallel.
If the body is rough, the reflected rays will no longer be parallel, a
true scattering of these reflected light rays take place.
When light strikes a smooth, flat, transparent body, the transmitted
rays will all be parallel.
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If the body is rough, the transmitted rays are diverted in multiple
directions or diffused.
There may be surface fluctuations in the natural teeth by aging. So
surface defects will have to be increased to reproduce a new, nontranslucent
tooth in ceramics to reproduce an older tooth, the reverse applies.
This problem is associated with the unpolished or worn glass ionomer
and composite restorations. For example, as the resin matrix of composite
material wears away, the restorations appears lighter and less chromatic
(glayer).
Surface thickness :
The thickness of a restorations can affect its appearance. For example
as the thickness of composite restoration placed against a white back ground
increases the lightness and the chroma decreases.
The most dramatic change observed is the increase in opacity as the
thickness increases.
Pigmentation :
Esthetic effects are some times produced in a restoration by
incorporating colored pigments in non-metallic materials such as resin
composites, denture acrylics and dental ceramics.
The colour observed when pigments are mixed results from the
selective absorption by the pigments and reflection of certain colors.
Mercuric sulfide or vermilion is a red pigment because it absorbs all
colors except red. The mixing of pigments therefore involves the process of
substracting colors. For example a green color may be obtained by mixing
pigment such as cadmium sulfide, which absorbs blue, violet, with
ultramarine, red, orange and yellow. The only color reflected from such a
mixture of pigments is green, which is color observed.
Inorganic pigments rather than organic dyes are usually used because
the pigments are more permanent and durable in their color qualities. When
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colors are combined with proper translucency, the restorative materials may
be made to match closely the surrounding tooth structure or soft tissue. The
color and translucency of human tissues shows a wide variation from patient
to patient and from one tooth or area of the mouth to another.
Fluorescence :
Fluorescence is the emission of luminous energy by a material when a
beam of light is share on it. The wavelength of the emitted light usually is
longer than that of the exciting radiations. Typically, blue or U-V light
produces fluorescence light that is in the visible range.
Sound human teeth emit fluorescent light when excited by ultraviolet
radiation (365 nm) the fluorescence being polychromatic with the greatest
intensity in the blue region (450nm) of the spectrum. Some anterior
restorative materials and dental porcelains are formulated with fluorescing
agents (rare earths excluding uranium) to reproduce the natural appearance
of tooth structure.
Fluorescence makes a definite contribution to the brightness and vital
appearance of tooth. For eg : a person with ceramic / composite restorations
that lack a fluorescing agent appears to be missing teeth when viewed under
a black light in a night club.
Translucency :
Translucency is a property of substances that permits the passage of
light but disperses the light so objects cannot be seen through the material.
Translucency of teeth varies from one individual to the next. It can
also be highly susceptible to changes with age. Dental enamel and dentin
will likewise undergo a great many age related transformations. The enamel
of a new tooth is not very translucent and dentin is very opaque. The enamel
of an older tooth thins and grows more translucent or even transparent, the
dentin becomes less opaque but more saturated.
Sekiene et al (1975) describes three types of translucency –
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Type A :
Little translucency : these are teeth giving no impression of transparency.
The laboratory prescription form should state no transparency or barely
translucent tooth.
Type B :
Translucency is found in incisal regions only, in the form of streaks.
Type C :
Translucency exists at incisal regions and proximal edges.
It is often useful to record not just the extent of the translucent areas
but also their hue. In view of wide range of possible shading, we use
translucency rating scale ranging from 1 to 5 for the sake of simplicity with
1 representing low degree of translucency and 5 corresponding to highly
transparent enamel.
A photographic reference system is the best guide for conveying these
essential data. To convey appearance and the extent of the translucent area,
the dental practitioner lets the ceramic technician know that the tooth to be
reproduced resembles photograph 5 or 6 say. The technician will have exact
visual image of the color and extent of translucent area to be copied.
Unfortunately, shade guides only offer standard translucency,
generally at a lower level than natural teeth. They nerve give the right
information on the translucency of a tooth, which depends partly on the
dental enamel and to a lesser extent on dentin. Some prefer the chromoscop
(Ivoclar) guide at present, this offers 02 shades and a particular arrangement
for shade selection.
Ceramic color guides are most commonly manufactured from ceramic
material differing from that used in powders. This increases the chances of
occurrences of metamerism and hence errors in color matching. Shofer was
the first company to offer a standard vita color guide made of same powders
of ceramic material called crystal.
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Ivoclar’s chromoscop is offered with a full color guide system from
same manufacturer.
Transparency :
Transparent materials allow the passage of light in such a manner that
little distortion takes place and objects may be clearly seen through them.
Transparent materials such as glass may be coloured of they absorb
certain wavelengths and transmit others. For example if a piece of glass
absorbed all wavelengths except red, it would appear red by transmitted
light. If a light beam does not contain red wavelengths glass would appear
opaque because the remaining wavelengths would be absorbed.
OPACITY :
The color of an object is modified not only by the intensity and shade
of pigment or coloring agent but also by translucency or opacity of the
object.
Opacity is the property of the materials that prevents the passage of
light, when all colors of the spectrum from white light source such as sun
light are reflected from an object with the same intensity as received, the
objects appear white when all the spectrum colors are absorbed equally the
object appears black. An opaque material may absorb some of the light and
reflect the remainder. If for example red, orange, yellow, blue, violet are
absorbed the material appears green in the reflected white light. (green not
absorbed just reflected).
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Opalescent effect :
Teeth show opalescent. This opalescent effect is due to a particular
type of light diffraction due presence of very fine and perfectly homogenous
particles.
In natural teeth, very fine particles occur, particularly in the enamel,
in the form of the hydroxyapatite crystals, averaging 0.16m long and 0.02-
0.04m thick which is responsible for the opalescent effect. Teeth will show
blue glints, especially at the incisal edges, with transmitted light, an orange-
yellow shade will be observed however. A surface will reflect short
wavelength (400nm) i.e. blue light due to fine particles, the other
wavelengths 600-700nm of light spectrum will be absorbed.
If the tissue composition alters as with heavily discolored (eg.
tetracycline-stained), this opalescence may greatly diminish or even
disappear, imparting some degree of opacity the teeth. This effect can now
be recreated using modern ceramics such as Duceram-LFC (Ducera) lo
fusing. To produce this effect artificially very five opaque particles with the
refractive index differing from that of the ceramic paste should be mixed
with the basic powder.
Opalizers :
All translucent materials dental ceramics as well as natural teeth
contain so called opalizers. Opalizing materials most commonly take the
form of fine or extra fine particles. The translucency created by these fine
powders will depend on the amount, grain and composition of the opalizers.
Dental enamel and incisal ceramic powders contain low amount of
opalizing particles than natural dentin and dentin powders.
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Opalizing particles produce a light scattering effect in tooth and
dental ceramic which will vary in degree depending on their refractive index
and the size and quantity of particles. The greatest the scattering, the more
opaque will the material look, conversely, the less the scattering the more
translucent will the material appear.
The following opalizing substances may be used in ceramic powders
titanium oxide, zirconium oxide, tin oxide.
Counter-opalescence :
This phenomenon is particularly noticeable on metal ceramic bridge.
The incisal edge appears bluish where as proximal edges look dark and
mainly orange-yellow, despite the use of opaline ceramics in these two
areas. The explanation of counter opalescence is that light will be reflected
because of opacity, and the transmitted light will give the tooth an orange
shade.
How to avoid counter-opalescent effect ?
- By avoiding too shallow depth of ceramics
- By using opaque dentins
- By using darker opaque materials
- By avoiding over-fired opaque materials
Measurement of opacity / contrast ratio :
The opacity of dental material can be determined instrumentally or by
visual comparison with opal glass standards.
Opacity is represented by a central ratio, which is the ratio between
the day light apparent reflectance of a specimen of 1mm thick when backed
by a black standard having a day light apparent reflectance of 70% relative
to magnesium oxide. The contrast ratio (C0-70) for a resin composite should
lie between the values of 0.55 and 0.70. The spectral reflectance curves of a
composite resin backed by black and white standards may be noticed.
The contrast ratio can also be calculated from optical constants.
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Reflection, refraction and light transmission :
When a light ray originating from an environment with refractive
index 2, this results in a ray that is reflected in environment 1 and a ray
undergoing refraction in environment 2. The angles of incidence and
reflection will always be identical. However the angle of refraction will be
proportional to the refractive indices of the materials crossed by the light
rays.
Under certain conditions all light is reflected by the surface and total
reflection will take place where the angles of incidence exceed angle for
refraction will be proportional to the refractive indices of the materials
crossed by the light rays.
Under certain conditions all light is reflected by the surface and total
reflection will take place where the angle of incidence exceed angle for
which all rays will be reflected. It is the critical angle. This explains why
whitish areas appear tooth that is due to full reflection of the light rays. The
same applies to the incisal edge where a very fine white edge accessionally
appears breaking up the bluish look of the edge.
Refractive index :
The index of refraction () for any substance is the ratio of the
velocity of light is vacuum (or air) to its velocity in the medium.
When light enters a medium, it shows from its speed in air (300,000
km/sec) and may change direction. Eg : when a beam of light traveling in air
strikes water surface at an oblique angle, the light rays are bent toward the
normal. The normal is the line drawn perpendicular to the water surface at
the point where the light contacts the water surface. And if the light is
traveling through water and contacts water-air surface at an oblique angle,
the beam of light is bent or refracted away from the normal.
The refractive index is a characteristic property of the substance and
is used extensively for identification.
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One of the most important applications of refraction is the control of
the refractive index of the dispersed and matrix phases in the materials such
as resin composites and ceramics designed to have the translucent
appearance of tooth tissue. a perfect match in the refractive indices results in
a transparent solid, where as large differences result in opaque materials.
Refractive index of various materials :
Material Refractive index
Feldspathic porcelain 1.504
Quartz 1.544
Synthetic hydroxyapatite 1.649
Tooth structure, enamel 1.655
Water 1.333
Optical constants :
Esthetic dental materials such as ceramics, resin composites and
human tooth structure are intensely light scattering and turbic materials. In a
turbid material the intensity of incident light in diminished considerably
when light passes through specimen.
Kubelka Munk equations develop relations for monochromatic light
between the reflection of an infinitely thick layer of a material and its
absorption and scattering coefficients.
Secondary optical constants ‘a’ and ‘b’ can be calculated as follows.
where = RB is reflectance of dark backing (black standard)
RW is reflectance of light backing (white standard)