Tooth discoloration effects of calcium silicate based barrier materials used in revascularization and treatment with internal bleaching

Background/purpose: Usage of barrier materials is an important step in revascularization procedure. One of the undesired properties of these barrier materials is to cause coronal tooth discoloration. The aim of this in vitro study was to evaluate the tooth discoloration induced by ProRoot MTA (PMTA...

Full description

Bibliographic Details
Main Authors: Makbule Bilge Akbulut, Arslan Terlemez, Melek Akman, Begum Buyukerkmen, Mehmet Burak Guneser, Ayce Unverdi Eldeniz
Format: Article
Language:English
Published: Elsevier 2017-12-01
Series:Journal of Dental Sciences
Online Access:http://www.sciencedirect.com/science/article/pii/S1991790217300594
_version_ 1818986447300984832
author Makbule Bilge Akbulut
Arslan Terlemez
Melek Akman
Begum Buyukerkmen
Mehmet Burak Guneser
Ayce Unverdi Eldeniz
author_facet Makbule Bilge Akbulut
Arslan Terlemez
Melek Akman
Begum Buyukerkmen
Mehmet Burak Guneser
Ayce Unverdi Eldeniz
author_sort Makbule Bilge Akbulut
collection DOAJ
description Background/purpose: Usage of barrier materials is an important step in revascularization procedure. One of the undesired properties of these barrier materials is to cause coronal tooth discoloration. The aim of this in vitro study was to evaluate the tooth discoloration induced by ProRoot MTA (PMTA), Biodentine, and MM-MTA, as well as the efficacy of internal bleaching on this discoloration. Materials and methods: Forty-two maxillary incisor teeth were prepared. Triple antibiotic paste (TAP) was placed in the root canals and incubated for 3 weeks. After removing the TAP, blood embedded spongostans were inserted into the root canals, and PMTA, Biodentine, or MM-MTA was placed over them. The teeth were incubated for 4 weeks at 37 °C; then, the internal bleaching agent was sealed for one week. The tooth color was measured throughout the study and the color change values (ÎE) of each specimen were calculated, and the data was statistically analyzed using the one-way ANOVA and Tamhane's T2 tests. Results: The TAP significantly decreased the luminosity of the teeth (p < 0.05); however, no significant differences were observed between the tooth discolorations induced by the PMTA, Biodentine, and MM-MTA (p > 0.05). The teeth in the Biodentine group were more whitened than those of the PMTA and MM-MTA groups (p < 0.05). Conclusion: Although the PMTA, Biodentine, and MM-MTA caused similar color alterations in the teeth, more bleaching was observed on those teeth discolored using TAP + blood + Biodentine. Keywords: dental materials, endodontics, revascularization, tooth bleaching
first_indexed 2024-12-20T18:50:56Z
format Article
id doaj.art-5bd4420edb044d5488f995a19f5dece9
institution Directory Open Access Journal
issn 1991-7902
language English
last_indexed 2024-12-20T18:50:56Z
publishDate 2017-12-01
publisher Elsevier
record_format Article
series Journal of Dental Sciences
spelling doaj.art-5bd4420edb044d5488f995a19f5dece92022-12-21T19:29:36ZengElsevierJournal of Dental Sciences1991-79022017-12-01124347353Tooth discoloration effects of calcium silicate based barrier materials used in revascularization and treatment with internal bleachingMakbule Bilge Akbulut0Arslan Terlemez1Melek Akman2Begum Buyukerkmen3Mehmet Burak Guneser4Ayce Unverdi Eldeniz5Necmettin Erbakan University, Faculty of Dentistry, Department of Endodontics, Konya, Turkey; Corresponding author. Necmettin Erbakan University, Faculty of Dentistry, Department of Endodontics, 42050, Karatay, Konya, Turkey. Fax: +90 332 220 00 45.Necmettin Erbakan University, Faculty of Dentistry, Department of Endodontics, Konya, TurkeyNecmettin Erbakan University, Faculty of Dentistry, Department of Endodontics, Konya, TurkeyNecmettin Erbakan University, Faculty of Dentistry, Department of Prosthetic Dentistry, Konya, TurkeyBezmialem Vakif University, Faculty of Dentistry, Department of Endodontics, Istanbul, TurkeySelcuk University, Faculty of Dentistry, Department of Endodontics, Konya, TurkeyBackground/purpose: Usage of barrier materials is an important step in revascularization procedure. One of the undesired properties of these barrier materials is to cause coronal tooth discoloration. The aim of this in vitro study was to evaluate the tooth discoloration induced by ProRoot MTA (PMTA), Biodentine, and MM-MTA, as well as the efficacy of internal bleaching on this discoloration. Materials and methods: Forty-two maxillary incisor teeth were prepared. Triple antibiotic paste (TAP) was placed in the root canals and incubated for 3 weeks. After removing the TAP, blood embedded spongostans were inserted into the root canals, and PMTA, Biodentine, or MM-MTA was placed over them. The teeth were incubated for 4 weeks at 37 °C; then, the internal bleaching agent was sealed for one week. The tooth color was measured throughout the study and the color change values (ÎE) of each specimen were calculated, and the data was statistically analyzed using the one-way ANOVA and Tamhane's T2 tests. Results: The TAP significantly decreased the luminosity of the teeth (p < 0.05); however, no significant differences were observed between the tooth discolorations induced by the PMTA, Biodentine, and MM-MTA (p > 0.05). The teeth in the Biodentine group were more whitened than those of the PMTA and MM-MTA groups (p < 0.05). Conclusion: Although the PMTA, Biodentine, and MM-MTA caused similar color alterations in the teeth, more bleaching was observed on those teeth discolored using TAP + blood + Biodentine. Keywords: dental materials, endodontics, revascularization, tooth bleachinghttp://www.sciencedirect.com/science/article/pii/S1991790217300594
spellingShingle Makbule Bilge Akbulut
Arslan Terlemez
Melek Akman
Begum Buyukerkmen
Mehmet Burak Guneser
Ayce Unverdi Eldeniz
Tooth discoloration effects of calcium silicate based barrier materials used in revascularization and treatment with internal bleaching
Journal of Dental Sciences
title Tooth discoloration effects of calcium silicate based barrier materials used in revascularization and treatment with internal bleaching
title_full Tooth discoloration effects of calcium silicate based barrier materials used in revascularization and treatment with internal bleaching
title_fullStr Tooth discoloration effects of calcium silicate based barrier materials used in revascularization and treatment with internal bleaching
title_full_unstemmed Tooth discoloration effects of calcium silicate based barrier materials used in revascularization and treatment with internal bleaching
title_short Tooth discoloration effects of calcium silicate based barrier materials used in revascularization and treatment with internal bleaching
title_sort tooth discoloration effects of calcium silicate based barrier materials used in revascularization and treatment with internal bleaching
url http://www.sciencedirect.com/science/article/pii/S1991790217300594
work_keys_str_mv AT makbulebilgeakbulut toothdiscolorationeffectsofcalciumsilicatebasedbarriermaterialsusedinrevascularizationandtreatmentwithinternalbleaching
AT arslanterlemez toothdiscolorationeffectsofcalciumsilicatebasedbarriermaterialsusedinrevascularizationandtreatmentwithinternalbleaching
AT melekakman toothdiscolorationeffectsofcalciumsilicatebasedbarriermaterialsusedinrevascularizationandtreatmentwithinternalbleaching
AT begumbuyukerkmen toothdiscolorationeffectsofcalciumsilicatebasedbarriermaterialsusedinrevascularizationandtreatmentwithinternalbleaching
AT mehmetburakguneser toothdiscolorationeffectsofcalciumsilicatebasedbarriermaterialsusedinrevascularizationandtreatmentwithinternalbleaching
AT ayceunverdieldeniz toothdiscolorationeffectsofcalciumsilicatebasedbarriermaterialsusedinrevascularizationandtreatmentwithinternalbleaching