Coronal Discoloration Induced by Calcium-Enriched Mixture, Mineral Trioxide Aggregate and Calcium Hydroxide: A Spectrophotometric Analysis

Overview

Journal Iran Endod J

Date 2016 Feb 5

PMID 26843873

Citations 17

Authors

Behnaz Esmaeili

Homayoun Alaghehmand

Tavoos Kordafshari

Ghazaleh Daryakenari

Maryam Ehsani

Ali Bijani

Affiliations

Soon will be listed here.

Abstract

Introduction: The aim of this study was to compare the discoloration potential of calcium-enriched mixture (CEM) cement, white mineral trioxide aggregate (WMTA) and calcium hydroxide (CH), after placement in pulp chamber.

Methods And Materials: Access cavities were prepared in 40 intact maxillary central incisors. Then, a 2×2 mm box was prepared on the middle third of the inner surface on the buccal wall of the access cavity. The specimens were randomly assigned into four groups; the boxes in the control group were left empty, in groups 1 to 3, the boxes were filled with CH, WMTA and CEM cement, respectively. The access cavities and the apical openings were sealed using resin modified glass ionomer (RMGI). The color measurement was performed with a spectrophotometer at the following intervals: before (T0), immediately after placement of the filling material (T1), one week (T2), 1 month (T3), 3 months (T4) and 5 months (T5) after filling of the box and finally immediately after removing the material from the boxes (T6). Color change (Δ E) values were calculated using the sample Kolmogorov-Smirnov test to determine the normal distribution of data, followed by ANOVA, repeated measured ANOVA and post-hoc Tukey's tests.

Results: All materials led to clinically perceptible crown discoloration after 1 week. The highest ΔE value belonged to WMTA group. Discoloration induced by CEM cement was not significantly different from CH or the control group (P>0.05).

Conclusion: CEM cement may be the material of choice in the esthetic region, specifically pertaining to its lower color changing potential compared to WMTA.

Citing Articles

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Novel Universal Bond Containing Bioactive Monomer Promotes Odontoblast Differentiation In Vitro.

Rao Y, Qiu Y, Altankhishig B, Matsuda Y, Hasan M, Saito T J Funct Biomater. 2023; 14(10).

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Clinical and radiographic evaluation of NeoMTA versus conventional white mineral trioxide aggregate in revascularization of non-vital immature permanent anterior teeth (A randomized controlled trial).

Tawfeek H, El-Bardissy A, Abou El-Yazeed M, Youssef R, Abd Alsamad A BDJ Open. 2023; 9(1):17.

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The Effects of Three Bleaching Agents on Tooth Discoloration Caused by Mineral Trioxide Aggregate.

Saati K, Sheikhi S, Esnaashari E, Valizadeh S Iran Endod J. 2023; 14(4):253-258.

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An in Vitro Comparison of Coronal Discolouration Caused by White Mineral Trioxide Aggregate, Theracal, Calcium-Enriched Mixture and Biodentine.

Khalilak Z, Esnaashari E, Saati K, Bineshmarvasti D, Yousefshahi H, Nobakht M Eur Endod J. 2022; 7(1):47-51.

PMID: 35353066 PMC: 9035861. DOI: 10.14744/eej.2020.83584.

References

Tabarsi B, Parirokh M, Eghbal M, Haghdoost A, Torabzadeh H, Asgary S . A comparative study of dental pulp response to several pulpotomy agents. Int Endod J. 2010; 43(7):565-71. DOI: 10.1111/j.1365-2591.2010.01711.x. View

Parirokh M, Asgary S, Eghbal M, Stowe S, Eslami B, Eskandarizade A . A comparative study of white and grey mineral trioxide aggregate as pulp capping agents in dog's teeth. Dent Traumatol. 2005; 21(3):150-4. DOI: 10.1111/j.1600-9657.2005.00311.x. View

Asgary S, Eghbal M, Parirokh M, Ghanavati F, Rahimi H . A comparative study of histologic response to different pulp capping materials and a novel endodontic cement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 106(4):609-14. DOI: 10.1016/j.tripleo.2008.06.006. View

Ioannidis K, Mistakidis I, Beltes P, Karagiannis V . Spectrophotometric analysis of coronal discolouration induced by grey and white MTA. Int Endod J. 2012; 46(2):137-44. DOI: 10.1111/j.1365-2591.2012.02098.x. View

Lenherr P, Allgayer N, Weiger R, Filippi A, Attin T, Krastl G . Tooth discoloration induced by endodontic materials: a laboratory study. Int Endod J. 2012; 45(10):942-9. DOI: 10.1111/j.1365-2591.2012.02053.x. View

Petrino J, Boda K, Shambarger S, Bowles W, McClanahan S . Challenges in regenerative endodontics: a case series. J Endod. 2010; 36(3):536-41. DOI: 10.1016/j.joen.2009.10.006. View

Jacobovitz M, de Lima R . Treatment of inflammatory internal root resorption with mineral trioxide aggregate: a case report. Int Endod J. 2008; 41(10):905-12. DOI: 10.1111/j.1365-2591.2008.01412.x. View

Akbari M, Rouhani A, Samiee S, Jafarzadeh H . Effect of dentin bonding agent on the prevention of tooth discoloration produced by mineral trioxide aggregate. Int J Dent. 2011; 2012:563203. PMC: 3216310. DOI: 10.1155/2012/563203. View

Islam I, Chng H, Yap A . Comparison of the physical and mechanical properties of MTA and portland cement. J Endod. 2006; 32(3):193-7. DOI: 10.1016/j.joen.2005.10.043. View

10.

Steffen R, van Waes H . Understanding mineral trioxide aggregate/Portland-cement: a review of literature and background factors. Eur Arch Paediatr Dent. 2009; 10(2):93-7. DOI: 10.1007/BF03321608. View

11.

Asgary S, Kamrani F, Taheri S . Evaluation of antimicrobial effect of MTA, calcium hydroxide, and CEM cement. Iran Endod J. 2013; 2(3):105-9. PMC: 3844763. View

12.

Parsons J, Walton R . In vitro longitudinal assessment of coronal discoloration from endodontic sealers. J Endod. 2001; 27(11):699-702. DOI: 10.1097/00004770-200111000-00012. View

13.

Asgary S, Eghbal M, Parirokh M, Ghoddusi J, Kheirieh S, Brink F . Comparison of mineral trioxide aggregate's composition with Portland cements and a new endodontic cement. J Endod. 2009; 35(2):243-50. DOI: 10.1016/j.joen.2008.10.026. View

14.

Chueh L, Ho Y, Kuo T, Lai W, Chen Y, Chiang C . Regenerative endodontic treatment for necrotic immature permanent teeth. J Endod. 2009; 35(2):160-4. DOI: 10.1016/j.joen.2008.10.019. View

15.

Krastl G, Allgayer N, Lenherr P, Filippi A, Taneja P, Weiger R . Tooth discoloration induced by endodontic materials: a literature review. Dent Traumatol. 2012; 29(1):2-7. DOI: 10.1111/j.1600-9657.2012.01141.x. View

16.

Belobrov I, Parashos P . Treatment of tooth discoloration after the use of white mineral trioxide aggregate. J Endod. 2011; 37(7):1017-20. DOI: 10.1016/j.joen.2011.04.003. View

17.

Bortoluzzi E, Sivieri Araujo G, Tanomaru J, Tanomaru-Filho M . Marginal gingiva discoloration by gray MTA: a case report. J Endod. 2007; 33(3):325-7. DOI: 10.1016/j.joen.2006.09.012. View

18.

Parirokh M, Torabinejad M . Mineral trioxide aggregate: a comprehensive literature review--Part I: chemical, physical, and antibacterial properties. J Endod. 2009; 36(1):16-27. DOI: 10.1016/j.joen.2009.09.006. View

19.

Parirokh M, Torabinejad M . Mineral trioxide aggregate: a comprehensive literature review--Part III: Clinical applications, drawbacks, and mechanism of action. J Endod. 2010; 36(3):400-13. DOI: 10.1016/j.joen.2009.09.009. View

20.

Lana P, Scelza M, Silva L, de Mattos-Guaraldi A, Junior R . Antimicrobial activity of calcium hydroxide pastes on Enterococcus faecalis cultivated in root canal systems. Braz Dent J. 2009; 20(1):32-6. DOI: 10.1590/s0103-64402009000100005. View