Purpose: The purpose of this study was to investigate the distribution of shades selected for metal ceramic crowns provided at a dental teaching hospital. Materials and Methods: Data on the selection of shade for 2,500 metal ceramic crown units, placed over a 5-year period at the University Dental Hospital of Manchester, were collected and analyzed. Only those crowns placed adjacent to minimally restored vital teeth were included in the study. Results: The results indicate that the most frequently chosen shades were in the mid-range of reddish-brown hue. Furthermore, shades in the reddish-grey range of hue were rarely chosen. The selection of more than one shade for a crown ( mixed shades ) was generally restricted to the maxillary anterior teeth. Conclusion: Knowledge of the distribution of shades selected for permanently luted metal ceramic crowns may be a useful adjunct in shade selection, particularly for the inexperienced operator.