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DOI: 10.4103/1305-7456.156789
Tooth discoloration induced by calcium-silicate-based pulp-capping materials
Publication History
Publication Date:
04 September 2019 (online)
ABSTRACT
Objectives: The aim of this study was to evaluate tooth discoloration induced by contact with various calcium silicate-based pulp capping materials in the presence or absence of blood in vitro. Materials and Methods: Eighty bovine samples were divided into six experimental groups and two control groups according to the type of material used (ProRoot [PR], Endocem [EC], or EndocemZr [ECZ]) and the presence or absence of contamination with blood. A spectrophotometer was used to calculate the color difference (ΔE) between the baseline measurement (after placement of materials) and measurements taken 1, 2, 4, and 8 weeks. The results were analyzed with repeated measures analysis of variance, Tukey's post-hoc tests and independent t-tests (P = 0.05). Results: The PR group and EC group showed significantly higher mean values of ΔE than the negative control group after 2 weeks (P < 0.05), whereas ECZ did not. There were larger ΔE values when there was contact with blood, especially in PR and EC group (P < 0.05). Conclusions: ECZ which contains zirconium oxide as a radiopacifier showed less discoloration irrespective of blood contamination compared to PR and EC.
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Conflict of Interest
None declared
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REFERENCES
- 1 Iwamoto CE, Adachi E, Pameijer CH, Barnes D, Romberg EE, Jefferies S. Clinical and histological evaluation of white ProRoot MTA in direct pulp capping. Am J Dent 2006; 19: 85-90
- 2 Hilton TJ. Keys to clinical success with pulp capping: A review of the literature. Oper Dent 2009; 34: 615-25
- 3 Parirokh M, Asgary S, Eghbal MJ, Stowe S, Eslami B, Eskandarizade A. et al. A comparative study of white and grey mineral trioxide aggregate as pulp capping agents in dog's teeth. Dent Traumatol 2005; 21: 150-4
- 4 Naik S, Hegde AH. Mineral trioxide aggregate as a pulpotomy agent in primary molars: An in vivo study. J Indian Soc Pedod Prev Dent 2005; 23: 13-6
- 5 Maroto M, Barbería E, Planells P, García GodoyF. Dentin bridge formation after mineral trioxide aggregate (MTA) pulpotomies in primary teeth. Am J Dent 2005; 18: 151-4
- 6 Bortoluzzi EA, Araújo GS, Guerreiro TanomaruJM, Tanomaru-Filho M. Marginal gingiva discoloration by gray MTA: A case report. J Endod 2007; 33: 325-7
- 7 Camilleri J, Montesin FE, Brady K, Sweeney R, Curtis RV, Ford TR. The constitution of mineral trioxide aggregate. Dent Mater 2005; 21: 297-303
- 8 Torabinejad M, Hong CU, McDonald F, Pitt FordTR. Physical and chemical properties of a new root-end filling material. J Endod 1995; 21: 349-53
- 9 Asgary S, Parirokh M, Eghbal MJ, Brink F. Chemical differences between white and gray mineral trioxide aggregate. J Endod 2005; 31: 101-3
- 10 Watts JD, Holt DM, Beeson TJ, Kirkpatrick TC, Rutledge RE. Effects of pH and mixing agents on the temporal setting of tooth-colored and gray mineral trioxide aggregate. J Endod 2007; 33: 970-3
- 11 Boutsioukis C, Noula G, Lambrianidis T. Ex vivo study of the efficiency of two techniques for the removal of mineral trioxide aggregate used as a root canal filling material. J Endod 2008; 34: 1239-42
- 12 Jacobovitz M, de Lima RK. Treatment of inflammatory internal root resorption with mineral trioxide aggregate: A case report. Int Endod J 2008; 41: 905-12
- 13 Belobrov I, Parashos P. Treatment of tooth discoloration after the use of white mineral trioxide aggregate. J Endod 2011; 37: 1017-20
- 14 Jang GY, Park SJ, Heo SM, Yu MK, Lee KW, Min KS. Washout resistance of fast-setting pozzolan cement under various root canal irrigants. Restor Dent Endod 2013; 38: 248-52
- 15 Choi Y, Park SJ, Lee SH, Hwang YC, Yu MK, Min KS. Biological effects and washout resistance of a newly developed fast-setting pozzolan cement. J Endod 2013; 39: 467-72
- 16 Park SJ, Heo SM, Hong SO, Hwang YC, Lee KW, Min KS. Odontogenic effect of a fast-setting pozzolan-based pulp capping material. J Endod 2014; 40: 1124-31
- 17 Vallés M, Mercadé M, Duran-Sindreu F, Bourdelande JL, Roig M. Influence of light and oxygen on the color stability of five calcium silicate-based materials. J Endod 2013; 39: 525-8
- 18 Vallés M, Mercadé M, Duran-Sindreu F, Bourdelande JL, Roig M. Color stability of white mineral trioxide aggregate. Clin Oral Investig 2013; 17: 1155-9
- 19 Marciano MA, Costa RM, Camilleri J, Mondelli RF, Guimarães BM, Duarte MA. Assessment of color stability of white mineral trioxide aggregate angelus and bismuth oxide in contact with tooth structure. J Endod 2014; 40: 1235-40
- 20 Bortoluzzi EA, Guerreiro-Tanomaru JM, Tanomaru-Filho M, Duarte MA. Radiographic effect of different radiopacifiers on a potential retrograde filling material. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108: 628-32
- 21 Camilleri J, Cutajar A, Mallia B. Hydration characteristics of zirconium oxide replaced Portland cement for use as a root-end filling material. Dent Mater 2011; 27: 845-54
- 22 Weckwerth PH, Machado AC, Kuga MC, Vivan RR, Polleto RdaS, Duarte MA. Influence of radiopacifying agents on the solubility, pH and antimicrobial activity of portland cement. Braz Dent J 2012; 23: 515-20
- 23 Cutajar A, Mallia B, Abela S, Camilleri J. Replacement of radiopacifier in mineral trioxide aggregate; characterization and determination of physical properties. Dent Mater 2011; 27: 879-91
- 24 Freccia WF, Peters DD. A technique for staining extracted teeth: A research and teaching aid for bleaching. J Endod 1982; 8: 67-9
- 25 Marin PD, Bartold PM, Heithersay GS. Tooth discoloration by blood: An in vitro histochemical study. Endod Dent Traumatol 1997; 13: 132-8
- 26 Felman D, Parashos P. Coronal tooth discoloration and white mineral trioxide aggregate. J Endod 2013; 39: 484-7
- 27 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: 942-9
- 28 Inokoshi S, Burrow MF, Kataumi M, Yamada T, Takatsu T. Opacity and color changes of tooth-colored restorative materials. Oper Dent 1996; 21: 73-80
- 29 Karabucak B, Li D, Lim J, Iqbal M. Vital pulp therapy with mineral trioxide aggregate. Dent Traumatol 2005; 21: 240-3
- 30 Camilleri J. Color stability of white mineral trioxide aggregate in contact with hypochlorite solution. J Endod 2014; 40: 436-40
- 31 Jang JH, Kang M, Ahn S, Kim S, Kim W, Kim Y. et al. Tooth discoloration after the use of new pozzolan cement (Endocem) and mineral trioxide aggregate and the effects of internal bleaching. J Endod 2013; 39: 1598-602
- 32 Schilke R, Lisson JA, Bauss O, Geurtsen W. Comparison of the number and diameter of dentinal tubules in human and bovine dentine by scanning electron microscopic investigation. Arch Oral Biol 2000; 45: 355-61
Correspondence:
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REFERENCES
- 1 Iwamoto CE, Adachi E, Pameijer CH, Barnes D, Romberg EE, Jefferies S. Clinical and histological evaluation of white ProRoot MTA in direct pulp capping. Am J Dent 2006; 19: 85-90
- 2 Hilton TJ. Keys to clinical success with pulp capping: A review of the literature. Oper Dent 2009; 34: 615-25
- 3 Parirokh M, Asgary S, Eghbal MJ, Stowe S, Eslami B, Eskandarizade A. et al. A comparative study of white and grey mineral trioxide aggregate as pulp capping agents in dog's teeth. Dent Traumatol 2005; 21: 150-4
- 4 Naik S, Hegde AH. Mineral trioxide aggregate as a pulpotomy agent in primary molars: An in vivo study. J Indian Soc Pedod Prev Dent 2005; 23: 13-6
- 5 Maroto M, Barbería E, Planells P, García GodoyF. Dentin bridge formation after mineral trioxide aggregate (MTA) pulpotomies in primary teeth. Am J Dent 2005; 18: 151-4
- 6 Bortoluzzi EA, Araújo GS, Guerreiro TanomaruJM, Tanomaru-Filho M. Marginal gingiva discoloration by gray MTA: A case report. J Endod 2007; 33: 325-7
- 7 Camilleri J, Montesin FE, Brady K, Sweeney R, Curtis RV, Ford TR. The constitution of mineral trioxide aggregate. Dent Mater 2005; 21: 297-303
- 8 Torabinejad M, Hong CU, McDonald F, Pitt FordTR. Physical and chemical properties of a new root-end filling material. J Endod 1995; 21: 349-53
- 9 Asgary S, Parirokh M, Eghbal MJ, Brink F. Chemical differences between white and gray mineral trioxide aggregate. J Endod 2005; 31: 101-3
- 10 Watts JD, Holt DM, Beeson TJ, Kirkpatrick TC, Rutledge RE. Effects of pH and mixing agents on the temporal setting of tooth-colored and gray mineral trioxide aggregate. J Endod 2007; 33: 970-3
- 11 Boutsioukis C, Noula G, Lambrianidis T. Ex vivo study of the efficiency of two techniques for the removal of mineral trioxide aggregate used as a root canal filling material. J Endod 2008; 34: 1239-42
- 12 Jacobovitz M, de Lima RK. Treatment of inflammatory internal root resorption with mineral trioxide aggregate: A case report. Int Endod J 2008; 41: 905-12
- 13 Belobrov I, Parashos P. Treatment of tooth discoloration after the use of white mineral trioxide aggregate. J Endod 2011; 37: 1017-20
- 14 Jang GY, Park SJ, Heo SM, Yu MK, Lee KW, Min KS. Washout resistance of fast-setting pozzolan cement under various root canal irrigants. Restor Dent Endod 2013; 38: 248-52
- 15 Choi Y, Park SJ, Lee SH, Hwang YC, Yu MK, Min KS. Biological effects and washout resistance of a newly developed fast-setting pozzolan cement. J Endod 2013; 39: 467-72
- 16 Park SJ, Heo SM, Hong SO, Hwang YC, Lee KW, Min KS. Odontogenic effect of a fast-setting pozzolan-based pulp capping material. J Endod 2014; 40: 1124-31
- 17 Vallés M, Mercadé M, Duran-Sindreu F, Bourdelande JL, Roig M. Influence of light and oxygen on the color stability of five calcium silicate-based materials. J Endod 2013; 39: 525-8
- 18 Vallés M, Mercadé M, Duran-Sindreu F, Bourdelande JL, Roig M. Color stability of white mineral trioxide aggregate. Clin Oral Investig 2013; 17: 1155-9
- 19 Marciano MA, Costa RM, Camilleri J, Mondelli RF, Guimarães BM, Duarte MA. Assessment of color stability of white mineral trioxide aggregate angelus and bismuth oxide in contact with tooth structure. J Endod 2014; 40: 1235-40
- 20 Bortoluzzi EA, Guerreiro-Tanomaru JM, Tanomaru-Filho M, Duarte MA. Radiographic effect of different radiopacifiers on a potential retrograde filling material. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108: 628-32
- 21 Camilleri J, Cutajar A, Mallia B. Hydration characteristics of zirconium oxide replaced Portland cement for use as a root-end filling material. Dent Mater 2011; 27: 845-54
- 22 Weckwerth PH, Machado AC, Kuga MC, Vivan RR, Polleto RdaS, Duarte MA. Influence of radiopacifying agents on the solubility, pH and antimicrobial activity of portland cement. Braz Dent J 2012; 23: 515-20
- 23 Cutajar A, Mallia B, Abela S, Camilleri J. Replacement of radiopacifier in mineral trioxide aggregate; characterization and determination of physical properties. Dent Mater 2011; 27: 879-91
- 24 Freccia WF, Peters DD. A technique for staining extracted teeth: A research and teaching aid for bleaching. J Endod 1982; 8: 67-9
- 25 Marin PD, Bartold PM, Heithersay GS. Tooth discoloration by blood: An in vitro histochemical study. Endod Dent Traumatol 1997; 13: 132-8
- 26 Felman D, Parashos P. Coronal tooth discoloration and white mineral trioxide aggregate. J Endod 2013; 39: 484-7
- 27 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: 942-9
- 28 Inokoshi S, Burrow MF, Kataumi M, Yamada T, Takatsu T. Opacity and color changes of tooth-colored restorative materials. Oper Dent 1996; 21: 73-80
- 29 Karabucak B, Li D, Lim J, Iqbal M. Vital pulp therapy with mineral trioxide aggregate. Dent Traumatol 2005; 21: 240-3
- 30 Camilleri J. Color stability of white mineral trioxide aggregate in contact with hypochlorite solution. J Endod 2014; 40: 436-40
- 31 Jang JH, Kang M, Ahn S, Kim S, Kim W, Kim Y. et al. Tooth discoloration after the use of new pozzolan cement (Endocem) and mineral trioxide aggregate and the effects of internal bleaching. J Endod 2013; 39: 1598-602
- 32 Schilke R, Lisson JA, Bauss O, Geurtsen W. Comparison of the number and diameter of dentinal tubules in human and bovine dentine by scanning electron microscopic investigation. Arch Oral Biol 2000; 45: 355-61