One of the most common questions patients ask when it comes to tooth colour is:
'Is A1 tooth shade really white, or does it just look natural?'
A1 tooth shade is included in the VITA Classical Shade Guide, one of the most widely used colour classification systems in dentistry, and is considered 'natural white' in aesthetic dental treatments. In this article, we will explain what A1 tooth shade means, how it differs from B1, in which treatments it is preferred and how it is scientifically evaluated.
What is A1 tooth shade?
A1 tooth shade is the lightest shade of the A group in the VITA Classical colour scale.
In the VITA system, tooth colours are divided into four main groups: A, B, C and D:
Group A: Reddish-brown undertones
Group B: Reddish-yellow undertones
Group C: Shades of grey
Group D: Reddish-grey tones
A1 is considered one of the lightest and most balanced natural white shades among these groups. For this reason, it is frequently preferred by both dentists and dental technicians.
Is A1 tooth colour white or natural?
From a clinical point of view, A1 is defined as a healthy and natural white tooth colour, not 'too white'.
This point is especially important because the aim of aesthetic dentistry is not always to achieve the whitest shade, but to achieve a colour that is compatible with the face and mouth structure.
Perception of tooth colour according to scientific studies;
- Light conditions
- Skin tone
- Lip colour
- Restoration in the neighbourhood
is influenced by many factors. For this reason, A1 is perceived by many as the 'ideal white' in everyday life.
How to determine A1 tooth shade?
Visual (classic) method
In the traditional method, the dentist assesses the tooth colour visually with the help of a shade guide. This method is fast but may vary depending on light and personal perception.
Digital measurement methods
Today, digital systems are preferred for more objective results:
- Spectrophotometers
- Intraoral scanners
- Digital photo analysis systems
The scientific literature shows that spectrophotometers in particular give more consistent results by measuring tooth colour over the CIELAB colour space.
In which treatments is A1 tooth shade preferred?
Teeth whitening
In many patients, the targeted result after professional whitening is A1 level. However, factors such as initial colour, enamel structure and age affect the result.
Lamina and veneer treatments
A1 is one of the most preferred shades for porcelain laminae and veneers.
The reason is the low risk of an 'artificial' appearance over time.
Crowns and veneers
Due to its compatibility with natural teeth and stable results in laboratory production, A1 is considered a safe choice for fixed prostheses.
What is the difference between A1 and B1?
| Feature | A1 Tooth Shade | B1 Tooth Shade |
|---|---|---|
| Whiteness Level | Natural white | Brighter white |
| Undertone | Slightly warm | Cooler |
| Perceived Naturalness | Very high | More noticeable |
| Clinical Use | Most common | Aesthetics-focused |
| Long-term Appearance | Balanced | May look artificial over time |
Is A1 tooth shade suitable for everyone?
Although A1 tooth shade is suitable for most patients, it may not be ideal for everyone.
In particular:
- B1 may be more aesthetic in very fair-skinned individuals
- In the more mature age group A1 looks more natural
- Patients with social media orientated 'very white' expectations may find A1 insufficient
Therefore, colour selection must be made with clinical evaluation.
Is A1 tooth shade permanent?
After bleaching: The colour may return slightly over time
Crowns / veneer: A1 colour stable for many years
Coffee, tea, smoking: may adversely affect colour stability
Scientific studies show that shade A1 shows high colour stability in restorative materials.
Frequently Asked Questions About A1 Tooth Shade
Is A1 whiter or B1?
B1 is whiter, A1 is more natural.
Is A1 the whitest tooth colour?
No. There are lighter shades in the VITA system, but they are not considered natural.
Can A1 be achieved with bleaching?
Yes in most patients, but it is not guaranteed.
References
-
ISO 22598:2020 – Dentistry — Colour tabs for intraoral tooth colour determination.
https://www.iso.org/standard/73544.html -
Joiner A. Tooth colour: a review of the literature. Journal of Dentistry, 2004.
https://pubmed.ncbi.nlm.nih.gov/14738829/
