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PLoS Medicine Oct 2021Suboptimal diets are a leading risk factor for death and disability. Nutrition labelling is a potential method to encourage consumers to improve dietary behaviour. This... (Meta-Analysis)
Meta-Analysis
BACKGROUND
Suboptimal diets are a leading risk factor for death and disability. Nutrition labelling is a potential method to encourage consumers to improve dietary behaviour. This systematic review and network meta-analysis (NMA) summarises evidence on the impact of colour-coded interpretive labels and warning labels on changing consumers' purchasing behaviour.
METHODS AND FINDINGS
We conducted a literature review of peer-reviewed articles published between 1 January 1990 and 24 May 2021 in PubMed, Embase via Ovid, Cochrane Central Register of Controlled Trials, and SCOPUS. Randomised controlled trials (RCTs) and quasi-experimental studies were included for the primary outcomes (measures of changes in consumers' purchasing and consuming behaviour). A frequentist NMA method was applied to pool the results. A total of 156 studies (including 101 RCTs and 55 non-RCTs) nested in 138 articles were incorporated into the systematic review, of which 134 studies in 120 articles were eligible for meta-analysis. We found that the traffic light labelling system (TLS), nutrient warning (NW), and health warning (HW) were associated with an increased probability of selecting more healthful products (odds ratios [ORs] and 95% confidence intervals [CIs]: TLS, 1.5 [1.2, 1.87]; NW, 3.61 [2.82, 4.63]; HW, 1.65 [1.32, 2.06]). Nutri-Score (NS) and warning labels appeared effective in reducing consumers' probability of selecting less healthful products (NS, 0.66 [0.53, 0.82]; NW,0.65 [0.54, 0.77]; HW,0.64 [0.53, 0.76]). NS and NW were associated with an increased overall healthfulness (healthfulness ratings of products purchased using models such as FSAm-NPS/HCSP) by 7.9% and 26%, respectively. TLS, NS, and NW were associated with a reduced energy (total energy: TLS, -6.5%; NS, -6%; NW, -12.9%; energy per 100 g/ml: TLS, -3%; NS, -3.5%; NW, -3.8%), sodium (total sodium/salt: TLS, -6.4%; sodium/salt per 100 g/ml: NS: -7.8%), fat (total fat: NS, -15.7%; fat per 100 g/ml: TLS: -2.6%; NS: -3.2%), and total saturated fat (TLS, -12.9%; NS: -17.1%; NW: -16.3%) content of purchases. The impact of TLS, NS, and NW on purchasing behaviour could be explained by improved understanding of the nutrition information, which further elicits negative perception towards unhealthful products or positive attitudes towards healthful foods. Comparisons across label types suggested that colour-coded labels performed better in nudging consumers towards the purchase of more healthful products (NS versus NW: 1.51 [1.08, 2.11]), while warning labels have the advantage in discouraging unhealthful purchasing behaviour (NW versus TLS: 0.81 [0.67, 0.98]; HW versus TLS: 0.8 [0.63, 1]). Study limitations included high heterogeneity and inconsistency in the comparisons across different label types, limited number of real-world studies (95% were laboratory studies), and lack of long-term impact assessments.
CONCLUSIONS
Our systematic review provided comprehensive evidence for the impact of colour-coded labels and warnings in nudging consumers' purchasing behaviour towards more healthful products and the underlying psychological mechanism of behavioural change. Each type of label had different attributes, which should be taken into consideration when making front-of-package nutrition labelling (FOPL) policies according to local contexts. Our study supported mandatory front-of-pack labelling policies in directing consumers' choice and encouraging the food industry to reformulate their products.
PROTOCOL REGISTRY
PROSPERO (CRD42020161877).
Topics: Adolescent; Adult; Attention; Child; Color; Consumer Behavior; Female; Food Labeling; Health Communication; Humans; Logic; Male; Nutritive Value; Perception; Risk Factors; Self Report
PubMed: 34610024
DOI: 10.1371/journal.pmed.1003765 -
Association Between In-Office And At-Home Tooth Bleaching: A Single Blind Randomized Clinical Trial.Brazilian Dental Journal 2018This controlled randomized clinical trial evaluated the effect of associating at-home and in-office bleaching procedures on tooth sensitivity (TS) and bleaching... (Randomized Controlled Trial)
Randomized Controlled Trial
This controlled randomized clinical trial evaluated the effect of associating at-home and in-office bleaching procedures on tooth sensitivity (TS) and bleaching effectiveness. Forty patients subjected to on session of in-office bleaching with 38% peroxide hydrogen. Subsequently, the patients were randomly allocated to receive a second session of in-office bleaching or to use a tray containing 10% carbamide peroxide delivered during 7 consecutive days. The worst TS score reported during or after each bleaching procedure was recorded using a verbal rating scale and TS risk (score different from 0) was calculated. Color changes were measured 7 days after each in-office session (for patients receiving in-office procedures only) or after the end of at-home bleaching (for the combined protocol), and 6 months after the last procedure for both bleaching protocols. Color was assessed by a spectrophotometer and by color match with the Vita Classical and Bleach guide scales. Statistical analyses were carried out to assess possible differences between the protocols regarding the outcomes and to analyze the effect of time of assessment on color changes. The bleaching protocol did not affect the risk for and the maximum level of TS reported, irrespective of the time of assessment. In the color evaluation, the bleaching protocol also did not affect the ultimate tooth color. In conclusion, after one in-office bleaching session, there was no difference in bleaching effectiveness and TS between performing a second in-office session and associating it with 1-week at-home bleaching.
Topics: Adult; Color; Dental Health Services; Dental Offices; Dentin Sensitivity; Female; Humans; Hydrogen Peroxide; Male; Self Care; Single-Blind Method; Spectrophotometry; Tooth Bleaching; Young Adult
PubMed: 29898058
DOI: 10.1590/0103-6440201801726 -
Journal of Medicine and Life 2016To verify the impact of taking the Toothguide Training Box (TTB) exercise in improving the individual ability to correctly determine dental color. A prospective study...
UNLABELLED
To verify the impact of taking the Toothguide Training Box (TTB) exercise in improving the individual ability to correctly determine dental color. A prospective study was conducted on the 5th year dental students. The participants were required to carry out 3 distinct steps: visual color determination for sample tabs out of the 3DMaster shade guide, the TTB exercise and another color determination after training completion. The sample included 60 students (19M/ 41F) with a mean age of 24, which made 360 color determinations of 6 shade tabs before and after TTB exercise. 32,5% (n=117) of the color determinations were incorrect in both moments, and the value was incorrectly determined just in 11% of them. Students found 3L1.5 and 3M2 colors as the hardest to determine. The results suggested that a single TTB training exercise did not have a high positive influence on the individual capacity to correctly determine the color for tabs out of the shade guide. While there is no evidence of an immediate positive impact of the TTB exercise in evaluating and determining different color variations for sample key elements, through repeat exercises, the individual perception can be improved and thus the correct determination of dental color and its correct codification can be increased.
ABBREVIATIONS
TTB = Tooth Training Box, CIE = Commission internationale de l'éclairage, L = lightness, C = chroma, H = hue.
Topics: Adult; Color; Color Perception; Female; Humans; Male; Prospective Studies; Prosthesis Coloring
PubMed: 27974916
DOI: No ID Found -
Nigerian Journal of Clinical Practice Aug 2022Evaluation of the optical properties of restorative materials is an important parameter for identifying clinical success. The aim of this study was to compare the...
BACKGROUND AND AIMS
Evaluation of the optical properties of restorative materials is an important parameter for identifying clinical success. The aim of this study was to compare the translucency of contemporary resin-matrix ceramics (RMCs) and to evaluate the effect of cement shade on the final color of RMCs indicated for laminate veneers and full crowns.
MATERIALS AND METHODS
A hundred A2 shade RMC specimens were fabricated by using Mazic Duro (MD), CAMouflage NOW (CN), KZR-CAD HR2 (KZR), Grandio Block (GB), and Brilliant Crios (BC) at 0.7-mm and 1.5-mm thicknesses (n = 10). A2 shade composite resin was used for the foundation structure. Twenty resin-cement specimens were prepared from A2 and translucent shades at 0.1-mm thickness. Interchangeably, the foundation-cement-resin matrix ceramic assemblies were created with optical gel. The color coordinates were recorded using a spectrophotometer. After calculating translucency parameter (TP) and color difference (ΔE) values, data were analyzed statistically (P = 0.05).
RESULTS
TP values were influenced by RMC type and thickness. TP values of RMCs can be listed in descending order as MD>GB = CN>BC=KZR. ΔE values were significantly influenced by all parameters and their interactions. MD exhibited higher ΔE values among tested RMCs. The effect of A2 cement was not perceived visually while TR cement demonstrated visually perceptible but clinically acceptable values for both laminate veneers and full crowns. As the material thickness decreased, the TP and ΔE values increased in all RMCs.
CONCLUSIONS
Clinicians should carefully prefer cement shade and RMC material by contemplating their impact on the optical properties particularly when the restoration is thin.
Topics: Ceramics; Color; Glass Ionomer Cements; Humans; Materials Testing; Prosthesis Coloring; Resin Cements; Surface Properties
PubMed: 35975382
DOI: 10.4103/njcp.njcp_172_22 -
Journal of Prosthodontic Research Aug 2021Purpose 1. to assess the ability of four brands of translucent monolithic zirconia with different thicknesses to mask discolored substrates; 2. to assess the influence...
Purpose 1. to assess the ability of four brands of translucent monolithic zirconia with different thicknesses to mask discolored substrates; 2. to assess the influence of glazing upon their color coordinates and masking properties.Methods Sixty samples of shade A1 (0.8, 1.5, and 2.0 mm thickness) from: ZirCAD/MT, Katana/HT, Vita YZ/HT, Cercon/HT were fabricated and glazed using a standardized laboratory procedure. CIE L*a*b* parameters were recorded on composite substrates, (IPS Natural Die Material Kit) (ND1=reference; ND2, ND3, ND4, ND5=test backgrounds), before and after glazing. The color changes of zirconia samples induced by glazing were analyzed. Masking properties was calculated as the color difference between CIE L*a*b* parameters of the samples placed on reference and test substrates with CIEDE2000(1:1:1) formula. The effect of material, thickness, substrate, and glazing on the color of monolithic zirconia was analyzed with ANOVA test and the multiple comparisons were analyzed with Tukey HSD tests (α=0.05).Results After glazing, lightness L* significantly increased, while chromatic coordinates a* and b* decreased (p<0.05). Significant differences in the masking properties of the four materials (p<0.001) were found, with IPS e.max ZirCAD/MT having the lowest masking effect (p<0.001). Thickness, substrate and glazing had a significant effect on the color masking properties of monolithic zirconia (p<0.001).Conclusions Masking properties of translucent zirconia were significantly influenced by the materials, the thickness and the color of the substrate; moreover, glazing improved the masking ability for all zirconia samples.
Topics: Ceramics; Color; Dental Porcelain; Materials Testing; Surface Properties; Zirconium
PubMed: 33116028
DOI: 10.2186/jpr.JPR_D_20_00039 -
Journal of Esthetic and Restorative... Sep 2022Color and optical properties are particularly crucial to mimic natural tooth. This scoping review aimed to present an overview of the literature published on color and... (Review)
Review
OBJECTIVE
Color and optical properties are particularly crucial to mimic natural tooth. This scoping review aimed to present an overview of the literature published on color and optical properties of 3D printing restorative polymer-based materials. The literature search was performed in MED-LINE/Pubmed, Scopus and Web of Science.
MATERIALS AND METHODS
The literature search was conducted in the three databases based on the question: "Are the optical properties and color adequately reported on polymer-based 3D printing dental restorative materials studies?" with no restriction on year of publication. Data were reported and synthesized following PRISMA-ScR statement.
RESULTS
Nine studies fit the inclusion criteria. Five studies focused on evaluating only color stability; three articles assessed the color stability along with mechanical and morphological properties and only one study compared color parameters of 3D printed to conventional polymers. Two studies evaluated translucency parameter and no study was found evaluating scattering, absorption, and transmittance.
CONCLUSIONS
Color and optical properties of 3D printed polymers that can be used in restorative dentistry are not adequately evaluated and characterized. Future studies on the influence of experimental printing conditions should include these physical properties to assist on improving esthetics.
CLINICAL SIGNIFICANCE
This review shows the scarce literature existing on color and optical properties of 3D printing restorative polymer-based materials. These properties and their study are of outmost importance to create materials that mimic natural tooth to allow clinicians to obtain esthetically pleasant restorations.
Topics: Color; Dentistry; Esthetics, Dental; Polymers; Printing, Three-Dimensional
PubMed: 35347852
DOI: 10.1111/jerd.12904 -
Progress in Orthodontics Jun 2019The aim of this trial was to comparatively evaluate Icon® resin infiltration and Clinpro™ XT varnish in restoring aesthetics of white spot lesions (WSLs) present... (Randomized Controlled Trial)
Randomized Controlled Trial
BACKGROUND
The aim of this trial was to comparatively evaluate Icon® resin infiltration and Clinpro™ XT varnish in restoring aesthetics of white spot lesions (WSLs) present post-orthodontic treatment.
MATERIALS AND METHODS
Two hundred forty WSLs were detected in 193 teeth of 12 patients. The participants were analysed-before intervention (T), immediately after intervention (T), 3 months later (T) and 6 months later (T), with a 1:1 allocation ratio for the application of Icon® resin infiltration and Clinpro™ XT varnish. Using a computer-generated allocation sequence, block randomization was done. A spectrophotometer was used to assess the colour of WSLs and the adjacent enamel, while a DIAGNOdent® was used to assess the fluorescence loss.
RESULTS
Immediately after the intervention, Icon® resin infiltration showed statistically significant better improvement than Clinpro™ XT varnish in restoring the colour (p = 0.000); however, at 3 (p = 0.001) and 6 months (p = 0.000), this was reversed. Except at 3 months, the fluorescence loss sequentially reduced more for Icon® resin infiltration (4.48 ± 1.42 at T to 1.48 ± 0.81 at T) and was not statistically significant.
CONCLUSIONS
Clinpro™ XT varnish showed significantly better improvement than Icon® resin infiltration in restoring the colour and lightness of the WSLs at 3 and 6 months. The fluorescence loss significantly recovered with both intervention methods between immediate application and at 6 months. However, Clinpro™ XT varnish-treated WSLs showed a statistically significant difference compared to the adjacent sound enamel at 6 months.
Topics: Color; Dental Caries; Esthetics, Dental; Humans; Orthodontic Brackets; Paint
PubMed: 31204437
DOI: 10.1186/s40510-019-0276-y -
International Journal of Environmental... Jul 2021Nowadays, medical facilities are developing their treatment environment to provide better services to their patients. In particular, dental hospitals have been...
Nowadays, medical facilities are developing their treatment environment to provide better services to their patients. In particular, dental hospitals have been considered uncomfortable and uninviting spaces, which needs to change so that people can visit easily and feel more relaxed. However, only a few systematic studies have reported on the demand for building a comfortable space. This study aimed to investigate gaze characteristics based on a color preference survey of the dental unit chair, which has the most influence on spatial perception in the dental treatment environment, using an eye tracking technique for color. The results of this study showed that the color perception by eye tracking and the color preference by survey did not tend to match. The color most viewed by a majority of subjects was pink, which attracted a high level of attention, regardless of personal preference. In addition, for the psychological color images associated with color preference, the subjects tended to prefer images such as warmth, friendliness, and calmness. This appeared to reflect the psychology of the subjects who wished to replace their feelings of anxiety or fear when going to the dental hospital with comfort and tranquility. Therefore, colors that can provide comfort and tranquility to patients should be considered first as visual elements (e.g., brown) in creating a dental treatment environment.
Topics: Attention; Color; Color Perception; Dental Care; Eye-Tracking Technology; Humans; Space Perception
PubMed: 34360272
DOI: 10.3390/ijerph18157981 -
Scientific Reports Apr 2024Perceptual learning is the improvement of perceptual performance after repeated practice on a perceptual task. Studies on perceptual learning in color vision are...
Perceptual learning is the improvement of perceptual performance after repeated practice on a perceptual task. Studies on perceptual learning in color vision are limited. In this study, we measured the impact of color discrimination repetitions at a specific base color on color perception for entire hues. Participants performed five sessions of color discrimination training (200 or 300 trials per session) over five days, at colors on either the negative or positive direction of the L-M color axis, based on group assignment. We administered three color perception assessments (unique hues, color category boundaries, and color appearance) before and after the sessions to evaluate perceptual changes after training. The results showed declines in color discrimination thresholds after training, as expected. Additionally, the training influenced outcomes across all three assessment types. After the training, the perceived color appearance changed near the trained color along the stimulus hue, and some of the unique hues and the color category boundaries moved significantly toward the trained color. These findings indicate that short-term repetitions of color discrimination training can alter color representations in the visual system, distorting color perception around the trained color.
Topics: Humans; Color Perception; Female; Male; Young Adult; Adult; Photic Stimulation; Color; Learning; Color Vision; Discrimination Learning; Discrimination, Psychological
PubMed: 38671047
DOI: 10.1038/s41598-024-60283-4 -
Sensors (Basel, Switzerland) Nov 2022Based on previous visual assessments of 440 color pairs of 3D-printed samples, we tested the performance of eight color-difference formulas (CIELAB, CIEDE2000,...
Based on previous visual assessments of 440 color pairs of 3D-printed samples, we tested the performance of eight color-difference formulas (CIELAB, CIEDE2000, CAM02-LCD, CAM02-SCD, CAM02-UCS, CAM16-LCD, CAM16-SCD, and CAM16-UCS) using the standardized residual sum of squares () index. For the whole set of 440 color pairs, the introduction of (lightness parametric factor), (exponent in total color difference), and + produced an average decrease of 2.6%, 26.9%, and 29.6%, respectively. In most cases, the CIELAB formula was significantly worse statistically than the remaining seven formulas, for which no statistically significant differences were found. Therefore, based on visual results using 3D-object colors with the specific shape, size, gloss, and magnitude of color differences considered here, we concluded that the CIEDE2000, CAM02-, and CAM16-based formulas were equivalent and thus cannot recommend only one of them. Disregarding CIELAB, the average decreases in the + -optimized formulas from changes in each one of the four analyzed parametric factors were not statistically significant and had the following values: 6.2 units changing from color pairs with less to more than 5.0 CIELAB units; 2.9 units changing the shape of the samples (lowest values for cylinders); 0.7 units changing from nearly-matte to high-gloss samples; and 0.5 units changing from 4 cm to 2 cm samples.
Topics: Humans; Color; Disease Progression; Printing, Three-Dimensional
PubMed: 36433464
DOI: 10.3390/s22228869