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Perceptibility and acceptability of lightness difference of a single maxillary central incisor

Objectives The aim of this study was to assess the lightness difference perceptibility and acceptability thresholds, for a single maxillary central incisor, and to investigate possible differences in these thresholds regarding the direction (+ΔL* vs. −ΔL*), the observer group (dentists vs. layperson...

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Published in:Journal of esthetic and restorative dentistry 2024-07, Vol.36 (7), p.1068-1074
Main Authors: Ntovas, Panagiotis, Diamantopoulou, Sofia, Johnston, William Michael, Papazoglou, Efstratios
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container_title Journal of esthetic and restorative dentistry
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creator Ntovas, Panagiotis
Diamantopoulou, Sofia
Johnston, William Michael
Papazoglou, Efstratios
description Objectives The aim of this study was to assess the lightness difference perceptibility and acceptability thresholds, for a single maxillary central incisor, and to investigate possible differences in these thresholds regarding the direction (+ΔL* vs. −ΔL*), the observer group (dentists vs. laypersons), and the gender and age of the observers. Materials and Methods A series of images with varying lightness (L*), were created by altering the right maxillary central incisor of a male Caucasian, on a frontal view full‐portrait image. Digital modification of one central incisor by 1 ΔL* unit resulted in 15 different images: one control, seven with increased and seven with decreased lightness. The images were presented in random order, on a digitally calibrated monitor, to 158 observers, grouped into 79 dentists, and 79 laypersons, who were asked to evaluate every image and answer whether they perceive a difference and if yes, whether they accept this difference. A multifactorial analysis of covariance was performed to analyze the perception and acceptance of any difference in the central incisors and to estimate the thresholds. The statistical significance level was α = 0.05. Results Overall, the magnitude of ΔL*, direction of ΔL*, observer group and age were each significant (p 
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Materials and Methods A series of images with varying lightness (L*), were created by altering the right maxillary central incisor of a male Caucasian, on a frontal view full‐portrait image. Digital modification of one central incisor by 1 ΔL* unit resulted in 15 different images: one control, seven with increased and seven with decreased lightness. The images were presented in random order, on a digitally calibrated monitor, to 158 observers, grouped into 79 dentists, and 79 laypersons, who were asked to evaluate every image and answer whether they perceive a difference and if yes, whether they accept this difference. A multifactorial analysis of covariance was performed to analyze the perception and acceptance of any difference in the central incisors and to estimate the thresholds. The statistical significance level was α = 0.05. Results Overall, the magnitude of ΔL*, direction of ΔL*, observer group and age were each significant (p &lt; 0.001), as was gender (p = 0.03). The effect of the magnitude of ΔL* interacted with its direction and the observer group (p = 0.045), and the effect of age interacted with the direction of ΔL*, and the gender and the group of the observers. Estimated 50%:50% perceptibility thresholds ranged from 0.1 to 2.7, and 50%:50% acceptability thresholds ranged from 2.3 to 4.5. Overall, dentists perceived lightness differences at lower magnitudes than laypersons; difference in lightness was perceived and accepted at lower magnitudes when the tooth become lighter instead of darker; and female observers perceived and accepted lightness differences at lower magnitudes compared to males. As age increased overall, differences of lightness were perceived and accepted at higher magnitudes. Conclusions Perceptibility and acceptability of lightness differences of a single maxillary central incisor are affected by the magnitude and the direction of lightness change, as well as the gender, the age, and the type of the observers. Clinical Significance Even small changes in lightness are perceivable; however, thresholds of perception and acceptance are dependent on the magnitude and the direction of change and are also dependent on the observer, with women, dentists and younger people perceiving and accepting changes at lower magnitudes of ΔL*.</description><identifier>ISSN: 1496-4155</identifier><identifier>ISSN: 1708-8240</identifier><identifier>EISSN: 1708-8240</identifier><identifier>DOI: 10.1111/jerd.13245</identifier><identifier>PMID: 38712860</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>acceptability threshold ; Adult ; Age ; Color ; Dentists ; Female ; Gender ; Humans ; Incisor ; Incisors ; laypersons ; lightness difference ; Male ; Maxilla ; Middle Aged ; perceptibility threshold ; Perception ; Perceptions ; Young Adult</subject><ispartof>Journal of esthetic and restorative dentistry, 2024-07, Vol.36 (7), p.1068-1074</ispartof><rights>2024 The Authors. published by Wiley Periodicals LLC.</rights><rights>2024 The Authors. Journal of Esthetic and Restorative Dentistry published by Wiley Periodicals LLC.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3525-8cecebfbfaa626536cb2d634db07aa96cb7139ffbe3de0eab942940fe65603483</cites><orcidid>0000-0003-2652-3814 ; 0000-0002-1349-2548</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38712860$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ntovas, Panagiotis</creatorcontrib><creatorcontrib>Diamantopoulou, Sofia</creatorcontrib><creatorcontrib>Johnston, William Michael</creatorcontrib><creatorcontrib>Papazoglou, Efstratios</creatorcontrib><title>Perceptibility and acceptability of lightness difference of a single maxillary central incisor</title><title>Journal of esthetic and restorative dentistry</title><addtitle>J Esthet Restor Dent</addtitle><description>Objectives The aim of this study was to assess the lightness difference perceptibility and acceptability thresholds, for a single maxillary central incisor, and to investigate possible differences in these thresholds regarding the direction (+ΔL* vs. −ΔL*), the observer group (dentists vs. laypersons), and the gender and age of the observers. Materials and Methods A series of images with varying lightness (L*), were created by altering the right maxillary central incisor of a male Caucasian, on a frontal view full‐portrait image. Digital modification of one central incisor by 1 ΔL* unit resulted in 15 different images: one control, seven with increased and seven with decreased lightness. The images were presented in random order, on a digitally calibrated monitor, to 158 observers, grouped into 79 dentists, and 79 laypersons, who were asked to evaluate every image and answer whether they perceive a difference and if yes, whether they accept this difference. A multifactorial analysis of covariance was performed to analyze the perception and acceptance of any difference in the central incisors and to estimate the thresholds. The statistical significance level was α = 0.05. Results Overall, the magnitude of ΔL*, direction of ΔL*, observer group and age were each significant (p &lt; 0.001), as was gender (p = 0.03). The effect of the magnitude of ΔL* interacted with its direction and the observer group (p = 0.045), and the effect of age interacted with the direction of ΔL*, and the gender and the group of the observers. Estimated 50%:50% perceptibility thresholds ranged from 0.1 to 2.7, and 50%:50% acceptability thresholds ranged from 2.3 to 4.5. Overall, dentists perceived lightness differences at lower magnitudes than laypersons; difference in lightness was perceived and accepted at lower magnitudes when the tooth become lighter instead of darker; and female observers perceived and accepted lightness differences at lower magnitudes compared to males. As age increased overall, differences of lightness were perceived and accepted at higher magnitudes. Conclusions Perceptibility and acceptability of lightness differences of a single maxillary central incisor are affected by the magnitude and the direction of lightness change, as well as the gender, the age, and the type of the observers. Clinical Significance Even small changes in lightness are perceivable; however, thresholds of perception and acceptance are dependent on the magnitude and the direction of change and are also dependent on the observer, with women, dentists and younger people perceiving and accepting changes at lower magnitudes of ΔL*.</description><subject>acceptability threshold</subject><subject>Adult</subject><subject>Age</subject><subject>Color</subject><subject>Dentists</subject><subject>Female</subject><subject>Gender</subject><subject>Humans</subject><subject>Incisor</subject><subject>Incisors</subject><subject>laypersons</subject><subject>lightness difference</subject><subject>Male</subject><subject>Maxilla</subject><subject>Middle Aged</subject><subject>perceptibility threshold</subject><subject>Perception</subject><subject>Perceptions</subject><subject>Young Adult</subject><issn>1496-4155</issn><issn>1708-8240</issn><issn>1708-8240</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNp9kEtLxDAUhYMozji68QdIwY0IHZOmSdqljOOLAUV0a0nTmzFDH2PSovPvTe3owoXZ3OTw3cPJQeiY4Cnx52IFtpgSGsVsB42JwEmYRDHe9fc45WFMGBuhA-dWGBMmUrGPRjQRJEo4HqPXR7AK1q3JTWnaTSDrIpCqV-RWaXRQmuVbW4NzQWG0Bgu1gl6XgTP1soSgkp-mLKXdBArq1soyMLUyrrGHaE_L0sHRdk7Qy_X8eXYbLh5u7maXi1BRFrEwUaAg17mWkkecUa7yqOA0LnIspEz9UxCaap0DLQCDzNM4SmOsgTOOaZzQCTobfNe2ee_AtVllnAKfqYamcxnFjPgFIYRHT_-gq6aztU_nKS4wSX0iT50PlLKNcxZ0tram8j_MCM761rO-9ey7dQ-fbC27vILiF_2p2QNkAD5MCZt_rLL7-dPVYPoF_VKODQ</recordid><startdate>202407</startdate><enddate>202407</enddate><creator>Ntovas, Panagiotis</creator><creator>Diamantopoulou, Sofia</creator><creator>Johnston, William Michael</creator><creator>Papazoglou, Efstratios</creator><general>John Wiley &amp; Sons, Inc</general><general>Blackwell Publishing Ltd</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2652-3814</orcidid><orcidid>https://orcid.org/0000-0002-1349-2548</orcidid></search><sort><creationdate>202407</creationdate><title>Perceptibility and acceptability of lightness difference of a single maxillary central incisor</title><author>Ntovas, Panagiotis ; Diamantopoulou, Sofia ; Johnston, William Michael ; Papazoglou, Efstratios</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3525-8cecebfbfaa626536cb2d634db07aa96cb7139ffbe3de0eab942940fe65603483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>acceptability threshold</topic><topic>Adult</topic><topic>Age</topic><topic>Color</topic><topic>Dentists</topic><topic>Female</topic><topic>Gender</topic><topic>Humans</topic><topic>Incisor</topic><topic>Incisors</topic><topic>laypersons</topic><topic>lightness difference</topic><topic>Male</topic><topic>Maxilla</topic><topic>Middle Aged</topic><topic>perceptibility threshold</topic><topic>Perception</topic><topic>Perceptions</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ntovas, Panagiotis</creatorcontrib><creatorcontrib>Diamantopoulou, Sofia</creatorcontrib><creatorcontrib>Johnston, William Michael</creatorcontrib><creatorcontrib>Papazoglou, Efstratios</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of esthetic and restorative dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ntovas, Panagiotis</au><au>Diamantopoulou, Sofia</au><au>Johnston, William Michael</au><au>Papazoglou, Efstratios</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perceptibility and acceptability of lightness difference of a single maxillary central incisor</atitle><jtitle>Journal of esthetic and restorative dentistry</jtitle><addtitle>J Esthet Restor Dent</addtitle><date>2024-07</date><risdate>2024</risdate><volume>36</volume><issue>7</issue><spage>1068</spage><epage>1074</epage><pages>1068-1074</pages><issn>1496-4155</issn><issn>1708-8240</issn><eissn>1708-8240</eissn><abstract>Objectives The aim of this study was to assess the lightness difference perceptibility and acceptability thresholds, for a single maxillary central incisor, and to investigate possible differences in these thresholds regarding the direction (+ΔL* vs. −ΔL*), the observer group (dentists vs. laypersons), and the gender and age of the observers. Materials and Methods A series of images with varying lightness (L*), were created by altering the right maxillary central incisor of a male Caucasian, on a frontal view full‐portrait image. Digital modification of one central incisor by 1 ΔL* unit resulted in 15 different images: one control, seven with increased and seven with decreased lightness. The images were presented in random order, on a digitally calibrated monitor, to 158 observers, grouped into 79 dentists, and 79 laypersons, who were asked to evaluate every image and answer whether they perceive a difference and if yes, whether they accept this difference. A multifactorial analysis of covariance was performed to analyze the perception and acceptance of any difference in the central incisors and to estimate the thresholds. The statistical significance level was α = 0.05. Results Overall, the magnitude of ΔL*, direction of ΔL*, observer group and age were each significant (p &lt; 0.001), as was gender (p = 0.03). The effect of the magnitude of ΔL* interacted with its direction and the observer group (p = 0.045), and the effect of age interacted with the direction of ΔL*, and the gender and the group of the observers. Estimated 50%:50% perceptibility thresholds ranged from 0.1 to 2.7, and 50%:50% acceptability thresholds ranged from 2.3 to 4.5. Overall, dentists perceived lightness differences at lower magnitudes than laypersons; difference in lightness was perceived and accepted at lower magnitudes when the tooth become lighter instead of darker; and female observers perceived and accepted lightness differences at lower magnitudes compared to males. As age increased overall, differences of lightness were perceived and accepted at higher magnitudes. Conclusions Perceptibility and acceptability of lightness differences of a single maxillary central incisor are affected by the magnitude and the direction of lightness change, as well as the gender, the age, and the type of the observers. Clinical Significance Even small changes in lightness are perceivable; however, thresholds of perception and acceptance are dependent on the magnitude and the direction of change and are also dependent on the observer, with women, dentists and younger people perceiving and accepting changes at lower magnitudes of ΔL*.</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>38712860</pmid><doi>10.1111/jerd.13245</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-2652-3814</orcidid><orcidid>https://orcid.org/0000-0002-1349-2548</orcidid><oa>free_for_read</oa></addata></record>
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subjects acceptability threshold
Adult
Age
Color
Dentists
Female
Gender
Humans
Incisor
Incisors
laypersons
lightness difference
Male
Maxilla
Middle Aged
perceptibility threshold
Perception
Perceptions
Young Adult
title Perceptibility and acceptability of lightness difference of a single maxillary central incisor
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