CC BY-NC-ND 4.0 · Eur J Dent 2016; 10(03): 403-407
DOI: 10.4103/1305-7456.184165
Original Article
Dental Investigation Society

Tooth discoloration induced by a novel mineral trioxide aggregate-based root canal sealer

Dae-Sung Lee
1   Department of Conservative Dentistry, School of Dentistry, Chonbuk National University, Jeonju, Korea
,
Myung-Jin Lim
1   Department of Conservative Dentistry, School of Dentistry, Chonbuk National University, Jeonju, Korea
,
Yoorina Choi
2   Department of Conservative Dentistry, Wonkwang University Dental Hospital, Iksan, Korea,
,
Vinicius Rosa
3   Discipline of Oral Sciences, Faculty of Dentistry, National University of Singapore, Singapore
,
Chan-Ui Hong
4   Department of Conservative Dentistry, School of Dentistry, Dankook University, Cheonan, Korea
,
Kyung-San Min
1   Department of Conservative Dentistry, School of Dentistry, Chonbuk National University, Jeonju, Korea
5   Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea
› Institutsangaben
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Publikationsverlauf

Publikationsdatum:
24. September 2019 (online)

ABSTRACT

Objectives: The aim of this study was to evaluate tooth discoloration caused by contact with a novel injectable mineral trioxide aggregate (MTA)-based root canal sealer (Endoseal; Maruchi, Wonju, Korea) compared with a widely used resin-based root canal sealer (AHplus; Dentsply De Trey, Konstanz, Germany) and conventional MTA (ProRoot; Dentsply, Tulsa, OK, USA). Materials and Methods: Forty standardized bovine tooth samples were instrumented and divided into three experimental groups and one control group (n = 10/group). Each material was inserted into the cavity, and all specimens were sealed with a self-adhesive resin. Based on CIE Lab system, brightness change (ΔL) and total color change (ΔE) of each specimen between baseline and 1, 2, 4, and 8 weeks were obtained. Results: At all time points, Endoseal showed no significant difference in ΔL and ΔE compared to AHplus and control group (P > 0.05), whereas the ProRoot group showed significantly higher ΔL and ΔE values than the Endoseal group at 2, 4, and 8 weeks (P < 0.05). Therefore, Endoseal showed less discoloration than conventional MTA and a similar color change to AHplus. Conclusions: Within the limitations of this study, our data indicate that the MTA-based sealer produces a similar amount of tooth discoloration as AHplus which is considered to be acceptable.

 
  • REFERENCES

  • 1 Kim RJ, Shin JH. Cytotoxicity of a novel mineral trioxide aggregate-based root canal sealer [corrected]. Dent Mater J 2014; 33: 313-8
  • 2 Ahmed HM, Abbott PV. Discolouration potential of endodontic procedures and materials: A review. Int Endod J 2012; 45: 883-97
  • 3 Torabinejad M, Hong CU, Lee SJ, Monsef M, Pitt FordTR. Investigation of mineral trioxide aggregate for root-end filling in dogs. J Endod 1995; 21: 603-8
  • 4 Torabinejad M, Hong CU, Pitt FordTR, Kettering JD. Cytotoxicity of four root end filling materials. J Endod 1995; 21: 489-92
  • 5 Enkel B, Dupas C, Armengol V, Akpe AdouJ, Bosco J, Daculsi G. et al. Bioactive materials in endodontics. Expert Rev Med Devices 2008; 5: 475-94
  • 6 Torabinejad M, Rastegar AF, Kettering JD, Pitt FordTR. Bacterial leakage of mineral trioxide aggregate as a root-end filling material. J Endod 1995; 21: 109-12
  • 7 Lim ES, Park YB, Kwon YS, Shon WJ, Lee KW, Min KS. Physical properties and biocompatibility of an injectable calcium-silicate-based root canal sealer: In vitro and in vivo study. BMC Oral Health 2015; 15: 129
  • 8 Krastl G, Allgayer N, Lenherr P, Filippi A, Taneja P, Weiger R. Tooth discoloration induced by endodontic materials: A literature review. Dent Traumatol 2013; 29: 2-7
  • 9 Parirokh M, Torabinejad M. Mineral trioxide aggregate: A comprehensive literature review – Part I: Chemical, physical, and antibacterial properties. J Endod 2010; 36: 16-27
  • 10 Parirokh M, Torabinejad M. Mineral trioxide aggregate: A comprehensive literature review – Part III: Clinical applications, drawbacks, and mechanism of action. J Endod 2010; 36: 400-13
  • 11 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
  • 12 Belobrov I, Parashos P. Treatment of tooth discoloration after the use of white mineral trioxide aggregate. J Endod 2011; 37: 1017-20
  • 13 Yun DA, Park SJ, Lee SR, Min KS. Tooth discoloration induced by calcium-silicate-based pulp-capping materials. Eur J Dent 2015; 9: 165-70
  • 14 Joiner A. Tooth colour: A review of the literature. J Dent 2004; 32 (Suppl. 01) 3-12
  • 15 Felman D, Parashos P. Coronal tooth discoloration and white mineral trioxide aggregate. J Endod 2013; 39: 484-7
  • 16 Kohli MR, Yamaguchi M, Setzer FC, Karabucak B. Spectrophotometric analysis of coronal tooth discoloration induced by various bioceramic cements and other endodontic materials. J Endod 2015; 41: 1862-6
  • 17 Ioannidis K, Mistakidis I, Beltes P, Karagiannis V. Spectrophotometric analysis of coronal discolouration induced by grey and white MTA. Int Endod J 2013; 46: 137-44
  • 18 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
  • 19 Berger T, Baratz AZ, Gutmann JL. In vitro investigations into the etiology of mineral trioxide tooth staining. J Conserv Dent 2014; 17: 526-30
  • 20 Asgary S, Parirokh M, Eghbal MJ, Brink F. Chemical differences between white and gray mineral trioxide aggregate. J Endod 2005; 31: 101-3
  • 21 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
  • 22 Ioannidis K, Mistakidis I, Beltes P, Karagiannis V. Spectrophotometric analysis of crown discoloration induced by MTA- and ZnOE-based sealers. J Appl Oral Sci 2013; 21: 138-44
  • 23 Kang SH, Shin YS, Lee HS, Kim SO, Shin Y, Jung IY. et al. Color changes of teeth after treatment with various mineral trioxide aggregate-based materials: An ex vivo study. J Endod 2015; 41: 737-41
  • 24 Thomson AD, Athanassiadis B, Kahler B, Walsh L. Tooth discolouration: Staining effects of various sealers and medicaments. Aust Endod J 2012; 38: 2-9
  • 25 Zare JahromiM, Navabi AA, Ekhtiari M. Comparing coronal discoloration between AH26 and ZOE sealers. Iran Endod J 2011; 6: 146-9
  • 26 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