scholarly journals Tooth discoloration induced by apical plugs with hydraulic calcium silicate-based cements in teeth with open apices—a 2-year in vitro study

2021 ◽  
Author(s):  
Ralf Krug ◽  
C. Ortmann ◽  
S. Reich ◽  
B. Hahn ◽  
G. Krastl ◽  
...  
Keyword(s):  
Calcium Silicate ◽  
In Vitro Study ◽  
Color Difference ◽  
Blood Contamination ◽  
Tooth Color ◽  
Color Changes ◽  
Gutta Percha ◽  
Tooth Discoloration ◽  
Post Hoc

Abstract Objectives To assess tooth discoloration induced by different hydraulic calcium silicate-based cements (HCSCs), including effects of blood and placement method. Materials and methods Eighty bovine teeth cut to a length of 18 mm (crown 8 mm, root 10 mm) were randomly assigned to 10 groups (n = 8), receiving orthograde apical plug treatment (APT). Apical plugs were 4 mm in length and made of ProRoot MTA (Dentsply), Medcem MTA (Medcem), TotalFill BC RRM Fast Set Putty (Brasseler), or Medcem Medical Portland Cement (Medcem) plus bismuth oxide (Bi2O3) with and without bovine blood. Further, orthograde (with or without preoperative adhesive coronal dentin sealing) and retrograde APT were compared. Teeth were obturated with gutta-percha and sealer, sealed with composite and stored in distilled water. Tooth color was measured on apical plug, gutta-percha/sealer, and crown surface before treatment versus 24 h, 1, 3, 6, 12, and 24 months after treatment by spectrophotometry. Color difference (ΔE) values were calculated and analyzed by Shapiro–Wilk test, ANOVA with post hoc tests, Friedman test, t test, and post hoc tests with Bonferroni correction (α = .05). Results Tooth discoloration occurred in all groups with no significant differences between HCSCs (p > .05). After 24 months, color changes were prominent on roots but insignificant on crowns. Blood contamination induced a significantly decreased luminescence (p < .05). Blood had a stronger impact on tooth color than Bi2O3. No relevant effects of retrograde placement (p > .05) or preoperative dentin sealing (p > .05) were detected. Conclusions Apical plugs of the tested HCSCs cause discoloration of bovine roots, but not discoloration of bovine tooth crowns within a 24-month period. Clinical relevance APT should be performed carefully while avoiding direct contact with the coronal dentin, and in that case no aesthetic impairments occur.

scholarly journals Effect of Remineralizing Agents on Tooth Color After Home Bleaching

2019 ◽  
Author(s):  
Mohammadreza Malekipour ◽  
Zahra Norouzi ◽  
Sahar Shahlaei
Keyword(s):  
Surface Treatment ◽  
In Vitro Study ◽  
Control Group ◽  
Tooth Color ◽  
Treatment Groups ◽  
Tooth Discoloration ◽  
Significant Difference ◽  
The Mean ◽  
Post Hoc

Objectives: The purpose was to investigate the effect of casein phosphopeptide-amorphous calcium phosphate fluoride (CPP-ACPF) paste, Remin Pro paste, and 0.05% sodium fluoride (NaF) mouthwash on teeth discoloration after home bleaching. Materials and Methods: In this in-vitro study, 48 intact and unstained human incisors were divided into four groups (n=12): control (Group 1), CPP-ACPF paste (Group 2), Remin Pro paste (Group 3), and 0.05% NaF mouthwash (Group 4). The specimens were bleached using 20% carbamide peroxide gel for 21 days and were subjected to pH cycling and surface treatment with remineralizing agents for one month. The color of the specimens was determined according to the CIELAB color space at baseline, after bleaching, and after surface treatment. Data were analyzed using one-way analysis of variance (ANOVA), post-hoc least significant difference (LSD) test, and one-sample t-test (P=0.05). Results: ANOVA showed a significant difference in the mean ΔE of the four groups after surface treatment (P<0.05). Post-hoc LSD test showed a significant difference between the mean ΔE of the control group and those of the treatment groups (P<0.05) with no significant difference between the treatment groups, except for Remin Pro. The mean ΔE and ΔL of the Remin Pro group showed less change than those of the CPP-ACPF and NaF groups, indicating that Remin Pro has the lowest potential for post-bleaching tooth discoloration. Conclusion: CPP-ACPF paste, Remin Pro paste, and 0.05% NaF mouthwash cause noticeable teeth discoloration immediately after bleaching. Remin Pro has less effect on tooth color than the other two products.

scholarly journals Effect of Citric Acid on Color Changes of Calcium Silicate-Based Cements an In Vitro Study

2021 ◽  
Vol 11 (5) ◽  
pp. 2339
Author(s):  
Joanna Metlerska ◽  
Till Dammaschke ◽  
Mariusz Lipski ◽  
Irini Fagogeni ◽  
Anna Machoy-Mokrzyńska ◽  
...  
Keyword(s):  
Citric Acid ◽  
Calcium Silicate ◽  
In Vitro Study ◽  
Vitro Study ◽  
Color Measurement ◽  
Color Changes ◽  
Naked Eye ◽  
Root Canal Irrigants ◽  
The Difference

The aim of the present in vitro study was to investigate the effects of 10% and 40% citric acid (CA) on the color of calcium silicate–based cements (CSCs) in comparison to the effects of common root canal irrigants. Samples of six CSCs (n = 6)—ProRoot MTA (Dentsply, Tulsa, OK, USA), Biodentine (Septodont, Saint-Maur-des-Fossés, France), MTA Plus (Avalon Biomed Inc, by Prevest Denpro Limited, Jammu, India), MTA Repair HP (Angelus, Londrina, PR, Brazil), Ortho MTA (BioMTA, Seoul, Korea), and Retro MTA (BioMTA, Seoul, Korea)—were immersed in 10% and 40% CA as well as 15% EDTA, 2% NaOCl, 2% CHX, and 0.9% NaCl for 15 min, 1 h, and 24 h. ΔE values, representing the difference between the final and baseline values of the color components, were then determined using a VITA Easyshade Compact 5.0 spectrophotometer. Naked-eye evaluation of the changes in color and structures of the materials was performed using our own scale. Upon immersion of the materials in both 10% and 40% CA, there were statistically significant differences between spectrophotometric color measurement results for all CSCs (P < 0.05). However, CA does not cause dark discoloration, observable with the naked eye, of any of the materials, such as NaOCl and CHX. Significant statistical differences were also found between all CSCs in terms of submersion duration (P < 0.05). CA, which could be an alternative to EDTA use, caused greater CSCs discoloration and changed some of their structures. Unless required by the therapeutic procedure, clinicians should pay attention to the fact that the irrigant may affect the CSCs discoloration and minimize the contact time of irrigant with CSCs.

scholarly journals Effect of Hydrothermal Aging and Beverages on Color Stability of Lithium Disilicate and Zirconia Based Ceramics

Medicina ◽  
2019 ◽  
Vol 55 (11) ◽  
pp. 749 ◽  
Author(s):  
Satheesh B. Haralur ◽  
Noura Raqe S. Alqahtani ◽  
Fatimah Alhassan Mujayri
Keyword(s):  
Green Tea ◽  
In Vitro Study ◽  
Color Stability ◽  
Lithium Disilicate ◽  
Color Difference ◽  
Hydrothermal Aging ◽  
Monolithic Zirconia ◽  
Post Hoc ◽  
Coloring Agents

Background and aim: All-ceramic prosthesis is widely used in modern dental practice because of its improved physico-mechanical and optical properties. These restorations are exposed to coloring agents from various nutrition and beverages in the oral cavity. Long-term color stability is critical for the success of these restorative materials. The purpose of this in vitro study was to assess the effect of common beverages and mouthwash on the color stability of lithium disilicate (LD), monolithic zirconia (MZ) and bilayer zirconia (BZ) surfaces. Material and methods: Thirty disc-shaped specimens from each material were fabricated; each group was subdivided (n = 10) according to coffee, green tea and chlorhexidine immersion solutions. The baseline color of ceramic discs was recorded according to the CIE L*a*b* system with a portable spectrophotometer. The second measurement was recorded after 3000 thermocycling and immersion in coloring agents for 7 days. The mean color difference was calculated and data were compared with Kruskal-Wallis and Mann-Whitney post hoc tests (0.05). Results: ΔE values for LD with the immersion of coffee, tea, and Chlorhexidine gluconate (CHG) were 1.78, 2.241 and 1.58, respectively. Corresponding ΔE values for MZ were 5.60, 5.19, and 4.86; marginally higher than the clinically acceptable level of 3.5. Meanwhile, BZ showed better color stability compared to MZ with ΔE values of 4.22, 2.11 and 1.43. Conclusion: Among the ceramics evaluated, LD ceramic was found to be more color stable, while MZ ceramics displayed a higher susceptibility to discoloration. MZ and BZ ceramic colors were significantly altered with coffee immersion, while LD ceramics were more affected by green tea.

scholarly journals Coated stainless steel archwires' discoloration measured by computerized system (An in-vitro study)

2020 ◽  
Vol 32 (4) ◽  
pp. 1-4
Author(s):  
Abeer B Mahmood
Keyword(s):  
Stainless Steel ◽  
Color Change ◽  
Artificial Saliva ◽  
In Vitro Study ◽  
Chemical Compositions ◽  
Color Changes ◽  
The Aesthetic ◽  
Post Hoc ◽  
Computerized System

Background: Aesthetic archwires are used to overcome the aesthetic problems of stainless steel wires but the color of the coating layer can be changed with time when exposed to oral environments. The aim of this study was to evaluate the degree of color change of different aesthetic archwires from different companies under different coloring solutions. Materials and Methods: One hundred fifty samples of coated archwires from three companies (Highland, G&H and Dany) were immersed in 5 solutions (artificial saliva, turmeric, tea, coffee and Miranda) to evaluate the degree of color changes after 7, 14 and 21 days using visible spectrophotometer. Data were collected and analyzed using one way ANOVA and post hoc Tukey’s tests. Results: Turmeric solution caused high color change than other solutions. Aesthetic archwires from Highland company showed the highest degree of color change than archwires from other companies. Conclusions: Turmeric solution produced more discoloration than other solutions and the effects of these solutions are related to different chemical compositions of those solutions.

scholarly journals Comparative Evaluation of Efficacy of Three Different Rotary Retreatment Systems with Manual Instrumentation in Removing Gutta-Percha from Root Canals – An In Vitro Study

2021 ◽  
Vol 10 (14) ◽  
pp. 1025-1029
Author(s):  
Aparna V. Muraleedhar ◽  
Sarvapelli Venkata Satish ◽  
Ashwini M. Patil ◽  
Suresh Kumar Kovvuru ◽  
Snehalatha Patil
Keyword(s):  
In Vitro Study ◽  
Lower Amount ◽  
Filling Material ◽  
Root Canals ◽  
Gutta Percha ◽  
Residual Material ◽  
Group 2 ◽  
Post Hoc ◽  
Endodontic Retreatment

BACKGROUND The primary goal of endodontic retreatment is to take out the root filling completely to ensure that the canal is completely cleaned. Gutta percha removal using hand instruments is a time-consuming procedure and tedious for the operator. Therefore, various nickel titanium instruments have been introduced for the effective retrieval of gutta percha. This study was done to compare the efficacy of three different rotary systems compared with manual instrumentation for gutta percha removal during retreatment. METHODS Forty-eight single rooted premolars were prepared and obturated using gutta percha and AH Plus sealer using lateral compaction technique. Samples were randomly divided into four groups of 12 specimens each. Group 1 was retreated with Hedstrom Files (H-Files), group 2 was retreated with pro taper universal retreatment files (PTUR), group 3 with R-Endo retreatment files and group 4 with Neoendo retreatment files. Time taken for the retreatment was recorded for each tooth using a stopwatch. The samples were sectioned longitudinally and observed under a stereomicroscope. Digital images were taken and analysed using digital image analysing software. The data was statistically analysed using Kruskal-Wallis and Post-hoc Mann-Whitney test. RESULTS The Neoendo group showed significantly lower amount of residual material compared to PTUR, R-Endo and the H-Files (P = 0.00). The maximum residual material was observed in the H file group. The time taken for gutta percha removal was least for the Neoendo group followed by PTUR, R-Endo and H-Files. CONCLUSIONS None of the instruments were able to remove the filling material completely. Gutta percha removal using Neoendo and protaper universal retreatment files were faster and more efficient compared to REndo and H files. KEY WORDS Endodontic Retreatment, Protaper Universal Retreatment Files, R-Endo, Neoendo, HFiles

scholarly journals Apical microleakage assessment of teeth obturated with single-cone gutta-percha using two calcium silicate sealers and a resin sealer: an in vitro study

2021 ◽  
Vol 03 (04) ◽  
pp. 100-105
Author(s):  
Kolla Vishal Babu ◽  
Kalyan Satish R ◽  
Girija S Sajjan ◽  
Madhu Varma K ◽  
Ambika Sigadam ◽  
...  
Keyword(s):  
Calcium Silicate ◽  
In Vitro Study ◽  
Vitro Study ◽  
Gutta Percha ◽  
Single Cone

scholarly journals Fracture Resistance of Retreated Roots Using Different Retreatment Systems

2011 ◽  
Vol 05 (04) ◽  
pp. 387-379 ◽  
Author(s):  
Kursat Er ◽  
Tamer Tasdemir ◽  
Seyda Herguner Siso ◽  
Davut Celik ◽  
Sabri Cora
Keyword(s):  
Fracture Resistance ◽  
In Vitro Study ◽  
Control Group ◽  
Root Fracture ◽  
Vertical Root Fracture ◽  
Root Canals ◽  
Gutta Percha ◽  
Ah Plus ◽  
Post Hoc

ABSTRACTObjectives: This study was designed to evaluate the fracture resistance of retreated roots using different rotary retreatment systems. Methods: Forty eight freshly extracted human canine teeth with single straight root canals were instrumented sequentially increasing from size 30 to a size 55 using K-files whit a stepback technique. The teeth were randomly divided into three experimental and one control groups of 12 specimens each. The root canals were filled using cold lateral compaction of gutta-percha and AH Plus (Dentsply Detrey, Konstanz, Germany) sealer in experimental groups. Removal of gutta-percha was performed with the following devices and techniques: ProTaper Universal (Dentsply Maillefer, Ballaigues, Switzerland), R-Endo (Micro-Mega, Besançon, France), and Mtwo (Sweden & Martina, Padova, Italy) rotary retreatment systems. Control group specimens were only instrumented, not filled or retreated. The specimens were then mounted in copper rings, were filled with a self-curing polymethylmethacrylate resin, and the force required to cause vertical root fracture was measured using a universal testing device. The force of fracture of the roots was recorded and the results in the various groups were compared. Statistical analysis was accomplished by one-way ANOVA and a post hoc Tukey tests. Results: There were statistically significant differences between the control and experimental groups (P<.05). However, there were no significant differences among the experimental groups. Conclusions: Based on the results, all rotary retreatment techniques used in this in vitro study produced similar root weakness. (Eur J Dent 2011;5:387-392)

scholarly journals Tooth discoloration induced by calcium-silicate-based pulp-capping materials

2015 ◽  
Vol 09 (02) ◽  
pp. 165-170 ◽  
Author(s):  
Da-A Yun ◽  
Su-Jung Park ◽  
Seok-Ryun Lee ◽  
Kyung-San Min
Keyword(s):  
Calcium Silicate ◽  
Repeated Measures ◽  
Negative Control Group ◽  
Negative Control ◽  
Control Group ◽  
Blood Contamination ◽  
Mean Values ◽  
Pulp Capping ◽  
Tooth Discoloration

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.

scholarly journals The effects of robusta coffee on tooth discolouration

2012 ◽  
Vol 24 (3) ◽  
Author(s):  
Chu Chin Sin ◽  
Ayu Trisna Hayati ◽  
Endang Sukartini
Keyword(s):  
Tooth Surface ◽  
P Value ◽  
Tooth Color ◽  
Color Changes ◽  
Robusta Coffee ◽  
Tooth Discoloration ◽  
Significant Difference ◽  
The Difference ◽  
High Level

Introduction: One of the most frequent dental problems that confronted dentist is tooth discoloration which can cause significant cosmetic problems. Extrinsic tooth discoloration occurs when stain forms on the tooth surface or in the pellicle and the common causes of extrinsic tooth discoloration is coffee. Robusta coffee contains high level of chromogenic compound which can incorporate itself into the acquired pellicle and tannic acids that can denature the pellicle protein and increase its stain ability. The purpose of this experiment was to investigate the tooth discoloring effect of Robusta coffee solution. Methods: This research type was a true experiment (in vitro) using 30 samples of maxillary first premolar whose roots had been cut until the CEJ. Samples were divided into 2 groups (which are soaked in Robusta coffee solution and the other in mineral water) of 15, with a frequency of three times daily for seven days. The difference in tooth color changes was measured by using a spectrophotometer. Results: This research was analyzed by using t-test and there was a significant difference between the two groups (p-value≤0.00). Conclusion: Robusta coffee effected to tooth discoloration.

scholarly journals Do different time intervals in placement of restorative materials over calcium silicate cements, affect interface microhardness of different restorative materials?

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Behnam Bolhari ◽  
Naghmeh Meraji ◽  
Pegah Khazaee ◽  
Sholeh Ghabraei ◽  
Sara Valizadeh
Keyword(s):  
Calcium Silicate ◽  
In Vitro Study ◽  
Time Interval ◽  
Material Interface ◽  
Cem Cement ◽  
Resin Modified Glass Ionomer ◽  
Restorative Materials ◽  
Calcium Silicate Cements ◽  
Post Hoc

Objectives: The type of materials and application time of final restorations on calcium silicate cements (CSCs) are important factors which influence the interfacial properties. The aim of this study was to investigate the effect of different placement time of RMGI (Resin Modified Glass Ionomer), composite resin and amalgam over different CSCs on the surface microhardness of these restorative materials.Methods: Each CSCs material (Biodentine, MTA, CEM cement) was mixed and carried into a hole (6mm diameter ×4 mm thickness) in the center of 270 molds (n=90 /each CSC). Then these molds were randomly divided into three main experimental groups (n=30) in regard of restorative materials (Amalgam, RMGI, Composite) that were placed in the other molds with the same hole size to make restorative materials and CSCs in contact together. Afterwards, each experimental group was divided into three subgroups according to the time interval of restoration placement that was immediately, after 24h and after 72h (n=10). Two molds were separated from each other after one week storage in incubator with 100% humidity in 37 °C, in order to evaluate the Vickers microhardness of restorative materials in CSC-restorative material interface. Statistical analysis included two-way Anova followed by Post hoc Dunnett T3 in cases with lack of homogeneity and Tukey HSD in cases with homogeneity.(p=0.05)Results: The microhardness of all restorative materials was neither significantly influenced by the CSCs materials (p>0.05) nor by the timing of final restoration (p>0.05) except in RMGI in immediate contact with CEM cement. (p<0.001)Conclusion: Restorative materials hardness in interface with studied CSCs may not affect. This in vitro study found no evidence against immediate definitive restoration over CSCs. 

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