CLINICAL RESEARCH

Bio-Emulation: biomimetically
emulating nature utilizing a histo
anatomic approach; visual synthesis
Panaghiotis Bazos, DDS
Emulation, Athens, Greece

Pascal Magne, DMD, MSc, PhD

Associate Professor, Don and Sybil Harrington Foundation,
Chair of Esthetic Dentistry, Herman Ostrow School of Dentistry,
University of Southern California, Los Angeles, USA

Correspondence to: Panaghiotis Bazos DDS

33 Vasilissis Sophias Avenue 106 75 Athens, Greece. Tel: +30 210 722 2329; E-mail: [email protected]

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Abstract
A thorough understanding of the spatial

Themain goalsfor this article are to cog-

distribution pertaining to the histo-ana-

nize histo-anatomic visualization by in-

tomic coronal structures and dynamic

troducing: (1) Dynamic light interaction,

light interaction of the natural dentition

(2)the 9 elements of visual synthesis,

provides the dental team with the ulti-

(3)
dynamic infinite optical thickness,

mate strategic advantage with regards

and (4)amplified visual perception ef-

to optical integration of the final restor-

fect of the hard dental tissues. Further-

ation. The second part of this two-part

more, a diversification of photographic

article will attempt to provide insight on

illumination techniques will be illustrat-

the illumination interactivity and the spa-

ed in order to juxtapose optical asso-

tial arrangement of the coronal elements

ciations between the enamel/dentinoe-

of natural teeth through the utilization of

namel complex/dentin nexus.

this knowledge in the clinical and technical restorative approach.

(Int J Esthet Dent 2014;9:330352)

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DEC

R E L A T I V E

DENTIN

ENAMEL

OPACIFICATION

FLUO

TRANSPARENCY

FLUO

TRANSLUCENCY

OPAL

Fig 1 Relative attribution: although translucent by nature, the coronal structural elements can be graded
with regards to their relative dynamic light interactivity and unique optical expression.

Introduction

luster (S/G/L) should also be appraised

In the modern dental practice, recreat-

escence and fluorescence (T/O/F) as

ing the optical features of the intact tooth

part of the process of visual assessment

presents a formidable task, due to the in-

(Fig2).

in conjunction with translucency, opal-

herent translucent nature of enamel, the

dentinoenamel complex (DEC) and dentin. Translucent materials offer a significant color measurement challenge since

Dynamic light interaction

they interact with light in a far more com-

Reflection and refraction

plex manner than most other materials.

in enamel and dentin

While being translucent by nature,

when coronal structures, such as enam-

Incident light ray interactivity with a tooth

el, the DEC and dentin, are compared

can be:

among each other, they seem to pos-

Reflected specularly and/or diffusely

sess relative translucency, transpar-

from its surface (Fig3)

ency and opacity respectively (Fig1).

Refracted and either:

Anachronistic traditional visual estima-

scattered within it and subsequently

tion approaches that solely employ the

reflected, a process largely respon-

Munsell color model system based on

sible for color perception (Fig4)

hue, chroma, and value (H/C/V) domi-


transmitted diffusely through it (re-

nate the dental market appear to be

lating to the properties of transpar-

inadequate when conveying the perti-

ency, translucency and opacity)

nent information among the dental team

(Fig5)

members (clinician/technician/patient).

absorbed within it (the electromag-

Further information regarding the de-

netic energy is transformed to other

scription of surface texture, gloss, and

forms of energy, eg, heat, photolu-

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descriptive

objective

subjective
9 Elements

Fig 2 Dynamic light interaction will generate the visual synthesis which is influenced by nine elements:
surface texture, gloss and luster (S/G/L); hue, chroma and value (H/C/V) and translucency, opalescence
and fluorescence (T/O/F).

Incident Light Ray

Diffuse Reflection

Specular Reflection
Reflection
Fig 3 The term reflectance is used to denote the fraction of light energy that is reflected by the surface
of a given material. If the surface is not plane but curved, as is the case with enamel above, it may still be
considered to be made up of many very small, elementary plane surfaces.

DENTIN

DEC

ENAMEL

1.54

1.43

1.63

Refraction

Fig 4 The term refraction is used to denote a change in direction of propagation of light waves as a result
of its traveling at different speeds at different points among the wave front between mediums of varying
optical densities. Primary subsurface scattering is denoted by the radial arrow depictions.

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IN

ID

LI

DENTIN

D
TE
IT
SM
N
A
TR

T
H
G
LI
R
E
F
L
E
C
T
E
D

L
IG
H
T

DEC

ENAMEL
Fig 5 Light interactivity model. From the cervical to the incisal regions, the dominance of the dentin core
gradually gives way to that of the enamel shell respectively, achieving a brief equilibrium in the middle
region. Multi-directional forms of scattering (colored arrows) and refractive index variations between the
enamel/dentinoenamel complex/dentin substrates create infinite photonic pathways, collectively rendering
a unique visual synthesis depending upon the incident light direction and intensity.

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minescence,

photoelectric

effect

etc)
re-radiated with a lower energy state
(eg, fluorescence)

Light guiding by scattering

in enamel and dentin
The

heterogenous

composition

and

asymmetric directional distribution of

Relative refractive index

the hard dental tissue structural compo-

Due to the fact that enamel and dentin

regards to microscopic light interactivity.

are heterogeneous hydrated substrates

Natural waveguides,8 such as enamel

of variable inorganic and organic com-

and dentin, are differentiated from con-

position, one must consider collectively

ventional optical fibers by being non-

the volume fraction of their individual

uniform and containing scattering parti-

elemental components refractive index

cles. Nonetheless, they have the ability

(RI), resulting in their respective relative

to collect light and transport it purposely

refractive index (RRI). Moreover, de-

towards the pulp chamber (Fig5).9-12

nents add to the level of complexity with

pending on the localized mineral content

Scattering generally implies a forced

of these substrates, minor fluctuations

deviation of light from a straight trajec-

in the RI may ensue, with the highest

tory by localized non-uniformities (scat-

values always occurring within the more

terers), found upon or within the me-

mineralized locations.1,2

dium through which it interacts, without

The structural orientation and the ar-

the loss of energy. Reflection, refraction

rangement of the enamel prisms do not

and diffraction represent various forms

seem to have a significant effect on light

of scattering. With regards to enamel

attenuation, resulting in an RRI value of

and dentin, multiple scattering path-

1.63.3,4

Unlike enamel, the structural ori-

ways are prevalent. In the quantum pic-

entation and arrangement of the dentin

ture, when the wavelength (frequency)

tubules seem to play a significant role

of the scattered light is the same as the

with regards to the RRI of dentin. Tra-

incident light, elastic scattering occurs.

ditionally, dentin has been cited with a

Conversely, when the emitted radiation

generalized RRI value of 1.54.3 Contem-

has a wavelength different from that of

porary localized RRI values for dentin

the incident radiation, inelastic scatter-

subadjacent to the dentinoenamel com-

ing occurs.

plex (DEC) include 1.60 (cervical), 1.56

(middle), and 1.49 (incisal).4
The DEC, being an organic proteinaceous

continuum5

The inorganic component of the dental hard tissues is responsible for elastic
scattering; via Rayleigh scattering (rath-

that is dominated pri-

er isotropic, only depending on the po-

marily by Type I collagen, has an RRI

larization of the wavelength) in the case

value of 1.43.6,7

of enamel and via Mie scattering (rather

anisotropic, forward scattering is predominant) in the case of dentin,13 while
the organic component of the dental
hard tissues is responsible for inelastic
scattering; via fluorescence.

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Fig 6 The frontal longitudinal tooth section was submerged in distilled water and photographed on a
black background. Despite using the same amount of direct reflective illumination per exposure, a directional change of 90 degrees reveals stunning and complex light transmissive and reflective pathways,
emphasizing the optical anisotropy of dentin. Sharp details and remarkable contrast within the dentin shade
is seen (c). Pronounced backscattering across the enamel prisms and the dentin tubules render a diffuse
appearance obscuring critical details as evident in depiction (d), based on incident light direction. Parallel illumination with respect to the long axis of the tooth present on the left and perpendicular on the right.

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Dentin tubule direction at the DEC

parallel

oblique

45
POV

perpendicular

90

Fig 7 Dentin subadjacent to the DEC exhibits a transitional orthogonal rotational orientation from cervical
to incisal with regards to the dentin tubules. Hence, despite the fact that cervical dentin is thicker, due to
the parallel orientation of of the tubules, it is rendered more translucent. The opposite happens with respect
to incisal dentin, despite the fact that it is thinner, due to the perpendicular orientation of the tubules, it is
rendered more opacious.

In the case of enamel, major random

DEC, scattering is decreased due to

scattering occurs on the ultrastructur-

low tubule density with small tubule size,

al level from the hydroxyapatite (HAp)

compared to the dentin directly adja-

crystal subunits, whereas minor random

cent to or above the pulp due to high

scattering occurs on the microstructural

tubule density with large tubule size.21

level due to the prism sheaths/interpris-

Thus there exists a significant translu-

matic material orientation in conjunc-

cency gradient, that of superficial den-

tion with the sinuous paths of Hunter-

tin which is more translucent and that of

Schreger

bands.14,15

scattering

deep dentin, which is three times more

coefficient appears to increase with

opacious.22 Additionally, the regional

shorter

wavelengths,16

The

while thin enam-

variation of dentin tubule orientation is of

el sections also exhibit a Fraunhofer dif-

particular relevance with regards to light

fraction pattern in the plane perpendicu-

transmission, rendering cervical dentin

prisms,17

acting as a

as highly transmissive, middle dentin

diffraction grating which in turn may be

as moderate, and incisal dentin as low

responsible for generating iridescent re-

(Fig7).

lar to the enamel

flections (Fig6).

Conversely, the DEC lacks significant

In the case of dentin, multiple direc-

scatterers. The elevated lateral light dif-

tional scattering occurs on the micro-

fusion that occurs at the DEC has been

structural level due to the presence and

described as the glass layer or high

spatial arrangement of the dentin tubules

diffusion layer or brilliance zone.23,24

and the collagen fiber mesh.14,18,19 In

Factors that may be considered for this

contrast with enamel, the scattering co-

enhanced light diffusion is that the in-

efficient does not change significantly

ner aprismatic enamel presents a more

with wavelength.20 Directly below the

uniform HAp crystal orientation, con-

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Fig 8 Direct illumination is used to enhance the sensation of surface topography of the maxillary central
incisors. Moderate wear is viewed on the vertical developmental lobular heights of contour whereas the
concave depressions have retained parts of their original horizontal structural anatomy; diffuse light was
utilized via indirect illumination to enhance the sensation of gloss and luster.

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sequently producing an elevated light-

Luster

flux density concentration at this junc-

Luster describes the qualitative correla-

tion,25,26

while the underlying mantle

tion of the visual appearance produced

dentin exhibits low tubule density and

by the reflection of light with the enamel

small tubular size, providing minimal

surface. Also known as contrast gloss,

scattering. Furthermore, the change in

luster can be somewhat subjective, ex-

the RRI between dentin and enamel re-

pressed in relative terms such as satin-

sults in partial reflections of light at this

like, pearly, metallic, glass-like (Fig8).

junction and theoretically, when conditions are favorable for short distances,
localized total internal reflections may
be attained.

Objective color elements

Hue
Hue Is defined as the name that distinguishes one family of colors from an-

The nine elements

of visual synthesis

other. Hue is specified as the dominant

Descriptive surface elements

The base shade of dentin primarily de-

Surface texture

be considered the quality of pigment

Surface texture describes the physical

(Figs9 and 10).

range of wavelengths in the visible spectrum that yields the perceived color.27
termines the hue of a tooth.28,29 Hue can

characteristics of the enamel surface,

being directional (vertical developmen-

Chroma

tal lobes/horizontal cervical ridges) and

Chroma is defined as the saturation,

structural (perikymata). Perpetual sur-

intensity, or strength of the hue. Unlike

face texture adaptation is a function of

value, which occurs independently of

the inherent microstructure at eruption

hue, chroma is only present when there

and the subsequent physical and chem-

is hue.30 Chromaticity is an objective

ical processes that modify it: attrition,

specification of the quality of a color

abrasion, and erosion (Fig8).

regardless of its value, that is, as determined by its hue and chroma, and

Gloss

is readily visualized via cross-polarized

Gloss describes the visual perception

reflective photography (Figs9 and 10).

based on the interaction of light with the

physical characteristics of the enamel

Value

surface, relating to the ability to reflect

Value is defined as the relative white-

light in a specular (glossy appearance

ness or blackness of a color and is de-

observed

con-

termined by comparing it to a gray of

tours) or diffuse (matte appearance

similar brightness. Value is also called

observed within concave depressions)

lightness,

manner. Like color, it exhibits physical,

(Figs9 and 10).

on

polished

convex

brightness

or

luminance

physiologic, and psychological aspects

(Fig8).

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Fig 9 The intact teeth comprising the maxillary triad were extracted concurrently due to periodontal
reasons and deemed as exemplary dental specimens for exploring interdental structural and optical
inter-relationships. Aggressive acidulation led to the selective enamel dissolution and revealed the dentin
substructure. Lobular coalescence is particularly prevalent in the central incisor.

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HUE

++

+++

+++

CHROMA

++

++

VALUE

+++

Fig 10 The objective color elements as viewed and estimated; general congruency is observed among
the cervical (C), middle (M) and incisal (I) thirds amongst the maxillary triad. A multitude of hues is found
at the incisal third due to the phenomena of opalescence and counter-opalescence. Chroma is more pronounced at the cervical third due to the thickness of dentin.31 In all instances Value is highest at the middle
third, due to the fact that the enamel and dentin present an equilibrium in terms of thickness ratios.32

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Fig 11 The longitudinal histological tooth section of a maxillary central incisor, 1mm in thickness, was
submerged in distilled water and photographed via transmissive illumination (upper) and reflective illumination (lower) to epitomize the opalescent nature of enamel.

Subjective optical elements

wide to 8m high) meet this property because the HAp subunit crystals exhibit

Translucency

thicknesses of 25 to 40nm, and widths

Translucency is defined as a gradi-

of 40 to 90nm. For that reason the short

ent between transparency (complete

blue wavelengths reflect preferentially

transmission of light) and opacification

from the enamel, while the longer am-

(complete reflection of light). The light

ber wavelengths transmit accordingly

transmission of enamel has been shown

through it (Fig11).

to be wavelength specific, age related

and is influenced by its state of hydra-

Fluorescence

tion. A decrease in translucency during

An example of photoluminescence is a

dehydration is explained as a result of

phenomenon in which invisible UV light

an increased difference in refractive in-

is absorbed and then re-emitted almost

dices between the enamel prisms and

immediately34 (10-8 s) at a less energet-

the surrounding medium when water is

ic wavelength in the visible spectrum.

replaced by air.33

Enamel and dentin both possess fluorescent properties, with dentin generally

Opalescence

exhibiting three times the intensity than

Known as the Rayleigh scattering ef-

that of enamel35 upon longitudinal sec-

fect; enamel demonstrates this dichroic

tion, emitting a white-blue luminescence

effect, which is caused by scattering

after excitation, imparting additional vi-

particles with typical dimensions much

tality and brightness to the natural tooth

smaller than the wavelength of illumina-

appearance predominantly in UV rich

tion used. The mineral crystals present

environments only. The DEC also exhib-

in the enamel prism (measuring 4m

its elevated fluorescence due to the col-

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ENAMEL
+

DENTIN
+++

Fig 12 A submerged maxillary premolar was photographed with reflected long wavelength UV illumination (365nm), enabling the visualization of dentin exhibiting three times the fluorescence intensity than that
of enamel. Note that the DEC also exhibits pronounced fluorescence.39-41

lagen-rich, highly cross-linked composi-

of that material either on a white or black

tion, with primary intrinsic (endogenous)

background, defines its infinite optical

fluorophores being the aromatic amino

thickness (IOT).

acid tryptophan36,37 and the collagen

cross-linking

agent

hydroxypyridium

(Fig12).38

Although light transmission in enamel

at 1mm has been tentatively measured
to be 66% 11%, while that of dentin at
1mm is 44% 12%,47 one must consider the significance of sample loca-

Dynamic infinite optical

thickness

tion, the relative thickness distribution of

both tissues as well as stage of tissue
maturation.48

Perceived color can be considered a

With regards to dynamic aging on

combination of the reflected color of the

the macrostructural level, enamel inad-

translucent enamel layer plus the color

vertently goes through a volumetric re-

reflected from the underlying relatively

duction via functional wear, mechanical

opacified dentin layer. As the enamel

abrasion and chemical erosion, result-

and dentin layers vary inversely in rela-

ing externally in a hyperpolished sur-

tive thickness from cervical to incisal,

face. Conversely, internally the dentin

the amount of color contribution from

volume increases via secondary and

the two tissues will be reciprocal (vice

tertiary dentin deposition.

versa) (Figs13 and

14).4446

On a microstructural level, a signifi-

The thickness of a given translucent

cant reduction in the porosity of the

material at which any further material ad-

enamel is due to posteruptive matura-

dition does not alter the transmission of

tion via hypermineralization4951 and

light, nor the perceived reflected color

homogenization leading to HAp crys-

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Average facial
enamel thickness

CLINICAL RESEARCH

0.230.40mm

0.260.30mm

0.240.40mm

0.3mm

0.800.99mm

0.800.92mm

0.800.90mm

0.9mm

1.001.19mm

0.901.02mm

0.861.00mm

1.0mm

ENAMEL
+++ IOT

+++

translucen
cy gradien
t

additional
material th
ickness (+
++) does
not alter op
tical expres
sion

Infinite Optical Thickness

Fig 13 Individual and pooled averages with regards to labial enamel thickness for the maxillary triad at
the cervical (C), middle (M) and incisal (I) thirds.44-46

tal elongation,52 while in a homologous

appearing more transparent grey (lower

manner, hypermineralization of dentin

value) due to less light scattering.

ensues via natural tubular obliteration,

Further research is desired in order

rendering dentin more translucent over

to estimate the dynamic IOT values for

time.

enamel and dentin at different stages of

Due to this dynamic cycle of events,

tissue maturation, thus establishing uni-

juvenile enamel, which is thicker, pos-

versal industry standards for composite

sesses a texturized surface and is com-

resins and etchable ceramics. Possess-

posed of small HAp crystals, appearing

ing knowledge of the dynamic IOT and

to be translucent white (higher value)

the degree of translucency and opacity

due to more light scattering, while adult

of dental resins53,54 and etchable ce-

(and senior) enamel, which is thinner, is

ramics at given thicknesses will auto-

characterized by a polished surface and

matically enable clinicians and techni-

composed of large HAp crystals, thus

cians to strategize accordingly in order

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DENTIN thickness

BAZOS/MAGNE

2.5mm

1.8mm

2.2mm

2.2mm

1.9mm

1.4mm

1.4mm

1.6mm

0.2mm

0.2mm

0.2mm

0.2mm

DENTIN
+++

+++

IOT

translucen
cy gradien
t

additional
material th
ickness (+
++) does
not alter op
tical expres
sion

Infinite Optical Thickness

Fig 14 Pooled averages with regards to labial dentin thickness for the maxillary triad at the cervical (C),
middle (M) and incisal (I) thirds.44

to provide adequate tooth reduction to

a stunning effect; an optical illusion of

meet the specific objectives that are re-

magnification55 and spatial proximity is

quired.

perceived with regards to the underlying

dentin mamelons. This apparent magnification manifests in an incisobuccal

Amplified visual
perception effect

direction, creating an optical illusion with

Due to the convex lens-like shape of

is subdued in part by the birefringent

enamel in conjunction with possessing

nature of enamel, obscuring details ren-

an RRI of 1.63, optical distortion oc-

dering a hazy net appearance (Fig15).

curs. Thus, light being refracted within

Concurrently, dentin also exhibits mag-

enamel, the DEC and subsequently in-

nification properties56,57 due to the di-

ternally reflected from dentin produces

vergent radial fanning of the dentin tu-

regards to the position and dimension

of dentin mamelons. This optical illusion

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apparent dentin mamelons

actual dentin mamelons

Fig 15 Enamel is responsible for creating an optical illusion of the apparent versus the actual position
with regards to the visualization of the underlying incisal dentin.

bules when light is reflected internally

graphic techniques aimed at increasing

from the deeper strata.

the accuracy and objectivity of dental

shade evaluation and laboratory communication. In order to minimize the

Diversification of
photographic illumination
techniques

user-dependent error in future clinic-

Intact dental specimens provide the ul-

methods (Figs16 and 17).

al practice, it is necessary to develop

standardized,

reproducible

imaging

modalities and objective image analysis

timate reference for the perpetual devotion of time and attention to acquire
the needed knowledge with regards to
visual interpretation.58,59

Reflective Illumination
Direct reflective illumination utilizing a

Over the last decade, there has been

macro twin flash, via manual standardi-

profound interest in alternative photo-

zation of power output, remains the pho-

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Fig 16 Facial illumination techniques from top to

Fig 17 Palatal illumination techniques from top to

bottom: reflective, reflective cross-polarized, reflec-

bottom: reflective, reflective cross-polarized, reflec-

tive UV and transillumination.

tive UV and transillumintion.

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tographic standard for providing pre-

estimation of incisal enamel distribu-

dictable and repeatable levels of light

tion. Opalescence may also be visually

for shade estimation. Indirect reflective

assessed and gauged via this type of

illumination (Lumiquest, Pocket Bounc-

photography. To obtain such an image

ers,) on the other hand, aids in revealing

intraorally, a fiber optic transilluminator

fine surface texture details.

is utilized (Micro-Lux, AdDent).

Reflective cross-polarized
illumination

Discussion

This photography technique significant-

The restorative task is elaborated along

ly mitigates unwanted specular reflec-

four levels of integration: biological,

tions which obscure the fine details of

functional,

dental structures23,60, while providing a

To meet contemporary challenges, the

high contrast/hypersaturated dental im-

dental team must enhance its capacity

age to be objectively analyzed via a cali-

in all four levels equally.

mechanical,

and

optical.

brated RAW workflow utilizing a generic

From an optical standpoint in ambi-

software program (Adobe Photoshop)

ent light, enamel can be considered

in the CIE L*a*b color space. To obtain

isotropic, with the visual gradient being

such a photographic image intraorally,

expressed in the vertical direction (cer-

a cross-polarization filter is utilized (po-

vical/incisal) due to thickness variation,

lar_eyes, Emulation).

whereas dentin can be considered anisotropic, with the visual gradient being

UV Illumination

expressed: a) in a radial direction due

Ultraviolet Illumination is utilized in or-

eter and density (qualitiative), and b) in a

der to induce fluorescence and aid in

horizontal zonal direction (cervical/mid-

the selection of the restorative material

dle/incisal) due to thickness variation

(etchable ceramics and resins) with a

and differing RRI indexes (quantitative).

similar fluorescence intensity,61-63 pro-

Hue and chroma are predominately

viding the restoration with optimal inte-

determined by the properties of dentin,

gration primarily in the event of exposure

dynamically changing over time as sec-

to a UV dominant lighting environment,

ondary deposition occurs. In some in-

such as a dancehall or a nightclub. To

stances, as in the cases of severe incisal

obtain such an image intraorally, a cus-

wear, dentin can be breached to such

tom modified xenon flash tube is utilized

an extent that external chromophores

(fluor_eyes, Emulation).

become readily absorbed, resulting in

to the dentin tubule attributes of diam-

infiltration staining (Fig10).

Transillumination

While the opacity of dentin provides

and establishes a baseline for value, the

Transillumination reveals histo-anatomic

luminosity is predominately regulated by

relative opacity levels (transparent den-

the properties of enamel. The surface

tin vs opaque) and visual quantitative

texture influences the primary interac-

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CENTRAL

LATERAL

CANINE
Fig 18 Stone replicas facilitate visual assessment and rumination of the variability between enamel and
dentin surface topography. Mesiobccal (left) and Mesiopalatal (right) oblique views of central incisor,
lateral incisor and canine (top to bottom). Generalized external enamel macromorphological congruency
is seen upon the dentin counterpart, with amplified vertical corrugations, providing added roughness and
waviness that is critical to be emulated during restorative stratification techniques.64

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tion of the incident light. A highly tex-

they opt to employ; a trilaminar technique

tured surface renders higher amounts of

(enamel/DEC/dentin) for a simplex inter-

diffuse surface scattering, thus elevat-

pretation or a pentalaminar technique

ing the perceived value, appearing to

(Exo enamel/eso enamel/DEC/exo den-

be more translucent. This is in contrast

tin/eso dentin) for a complex one. The

to a smooth surface, which would ex-

utilization of this knowledge in the clin-

hibit lesser amounts of diffuse surface

ical and technical restorative approach

scattering, thus demoting the perceived

is to be described thoroughly in articles

value, and appearing to be more trans-

that will be published in future issues of

parent. The relative thickness of enamel

this journal.

dictates the proportional amount of diffuse subsurface scattering (quantitative), while the degree and postmaturation stage of the HAp crystals affects the
type of photonic interaction (qualitative).
Transparency,

translucency

Conclusion
This article presented fundamental yet

and

simplified photonic interactions with re-

opacification are all visual representa-

gards to the histoanatomic elements, ren-

tions of the amount of light that is scat-

dering the final visual synthesis. It should

tered and subsequently reflected to the

be emphasized that a thorough under-

observer by the microstructural features

standing of the light propagation within

of a given substrate. Embracing the

the coronal structures is a prerequisite

paradigm shift of thinking in terms of dy-

in order to elucidate color and shade,

namic light interactivity via the principle

however mastery of spatial distribution

of scattering enables the clinician and

of the three-dimensional histoanatomic

technician to choose the level of sophis-

relationships is paramount in the quest

tication within the stratification protocol

for restorative dental emulation (Fig18).

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BAZOS/MAGNE

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