scholarly journals Six-Month Color Stability Assessment of Two Calcium Silicate-Based Cements Used in Regenerative Endodontic Procedures

2019 ◽  
Vol 10 (1) ◽  
pp. 14 ◽  
Author(s):  
Paulo Palma ◽  
Joana Marques ◽  
Rui Falacho ◽  
Eder Correia ◽  
Alexandra Vinagre ◽  
...  
Keyword(s):  
Calcium Silicate ◽  
Saline Solution ◽  
Color Space ◽  
Mineral Trioxide Aggregate ◽  
Color Stability ◽  
Color Variation ◽  
Color Measurement ◽  
Suitable Alternative ◽  
Significance Level ◽  
Over Time

Aim: The purpose of the present study is to assess the color stability of two calcium silicate-based cements (CSCs) used in regenerative endodontic procedures (REPs). Methods: A total of 40 acrylic single-rooted transparent teeth, with immature apex, were used. Root canals were filled up to 3 mm below the level of the cementoenamel junction, with either saline solution (Mineral Trioxide Aggregate (MTA)/saline and Biodentine/saline) or blood (MTA/blood and Biodentine/blood). Subsequently, ProRoot MTA® or BiodentineTM was placed in the root canal to create a cervical barrier. Color measurement was carried out at four different evaluation periods (3 h, 72 h, 7 days, and 6 months). Shade analysis within the L* a* b* color space was performed and color variation (∆E) calculated. The significance level for statistical analysis was set at p < 0.05. Results: The four groups showed a significant decrease in L* values over time. The ΔE value increased over time for all groups but was not statistically significant for the Biodentine/blood group. Two-way ANOVA showed no interaction between the CSC and treatment (contact with saline solution or blood). CSC used was the factor responsible for ΔE over time, inducing statistically significant color variations from T3H to T7D (p = 0.04) and T3H to T6M (p < 0.01). After 6 months, MTA/saline had 5.08 (p = 0.001) higher ΔE than Biodentine/Saline and the MTA/blood had 3.65 (p = 0.009) higher than Biodentine/blood. Conclusions: After 6 months, regardless of blood exposure, Biodentine exhibits superior color stability compared to MTA. Biodentine might be a suitable alternative to MTA as a cervical barrier material in REPs.

scholarly journals Tooth Discoloration after Regenerative Endodontic Procedures with Calcium Silicate-Based Cements—An Ex Vivo Study

2020 ◽  
Vol 10 (17) ◽  
pp. 5793
Author(s):  
Paulo J. Palma ◽  
Joana A. Marques ◽  
Joana Santos ◽  
Rui I. Falacho ◽  
Diana Sequeira ◽  
...  
Keyword(s):  
Calcium Silicate ◽  
Color Change ◽  
Ex Vivo ◽  
Mineral Trioxide Aggregate ◽  
Critical Factor ◽  
Color Variation ◽  
Significance Level ◽  
Tooth Discoloration ◽  
Biomaterial Application ◽  
Ex Vivo Study

The aim of the present ex vivo study was to assess and compare coronal discoloration induced by four endodontic biomaterials used in regenerative endodontic procedures (REPs). Root resection was executed horizontally, 2 mm apical to the cementoenamel junction, in all fifty-four teeth. After accessing the pulp chamber, specimens were randomly divided in groups and filled with either saline solution or blood, followed by calcium silicate-based cements (CSCs) placement: ProRoot mineral trioxide aggregate (MTA) (Dentsply Sirona), Biodentine (Septodont), TotalFill BC (FKG), or pulp capping material (PCM) (Coltène). Color change (ΔE) was assessed using the L* a* b* system at five different timepoints (before and immediately after biomaterial application, 72 h, 7 days, and 6 months). The significance level for statistical analysis was set at p < 0.05. There are statistically significant differences regarding ΔE over time (p < 0.001). Statistical differences are found considering material (p < 0.001), treatment (p = 0.007), or both (p = 0.002). If solely the material or treatment is considered, regardless of time, statistically significant differences are detected (p < 0.001). After a six-month period of evaluation, blood exposure might be a critical factor in biomaterials’ color variation. Biodentine presents the lowest discoloration potential, followed by TotalFill and PCM, albeit without statistically significant differences. MTA exhibited the greatest color variation. The selection of biomaterial should consider the material’s discoloration potential.

Quantifying Coronal Permanent Tooth Discoloration Caused by Different Pulpotomy Materials

2021 ◽  
Vol 45 (5) ◽  
pp. 306-311
Author(s):  
Hanaa Azem ◽  
Sigalit Blumer ◽  
Benjamin Peretz ◽  
Sohad Haj-Yahya ◽  
Shlomo Elbahary
Keyword(s):  
Color Space ◽  
Mineral Trioxide Aggregate ◽  
Permanent Tooth ◽  
Control Group ◽  
Major Drawback ◽  
Tooth Structure ◽  
Color Changes ◽  
Base Materials ◽  
Tooth Discoloration ◽  
Over Time

Introduction: Bioceramic materials, gray and white mineral trioxide aggregate (GMTA, WMTA), have been shown to have high rates of success in various endodontic applications. A major drawback is their tendency to discolor teeth compared to Biodentine (BD), that has been claimed not to discolor teeth. The aim of this study was to compare tooth discoloration after applying different pulpotomy base materials (BD, GMTA and WMTA). Study design: Forty human incisors teeth were used in this study. Coronal access was achieved by a Tungsten Carbide drill, and the pulp chambers were accessed and chemo-mechanically debrided. Each material was placed in the pulp chamber, up to the cervical sectioning level. All specimens were incubated at 37°C and 100% humidity for three months and have been evaluated before the study and weekly. Color was assessed according to the CIE L*a*b* color space system. Results: ΔE of all experimental groups (GMTA, WMTA and BD) were significantly different from the control group at all time points (P&lt;0.05). Color changes in the GMTA and WMTA groups, had no statistically significant differences, but showed higher discoloration compared to BD group in the cervical part of the crown, since week 1 (P&lt;0.05). WMTA group showed significant discoloration in the cervical part as of week 1 (P&lt;0.05), and gradually increased over time (Figure 2). BD group showed no significantly discoloration over time. GMTA group showed the significant discoloration at week 1 and week 14 (P&lt;0.05). Conclusions: both GMTA and WMTA pulpotomy materials may discolor tooth structure over time in an extracted permanent anterior tooth model. When choosing bioceramic pulpotomy material, BD may be preferable in esthetic area.

Quantifying Coronal Primary Tooth Discoloration Caused by Different Pulpotomy Materials

2020 ◽  
Vol 44 (3) ◽  
pp. 142-147
Author(s):  
S Elbahary ◽  
R Bercovich ◽  
N Flaisher-Salem ◽  
H Azem
Keyword(s):  
Color Space ◽  
Mineral Trioxide Aggregate ◽  
Primary Tooth ◽  
Control Group ◽  
Major Drawback ◽  
Tooth Structure ◽  
Color Changes ◽  
Base Materials ◽  
Tooth Discoloration ◽  
Over Time

Introduction: Bioceramic materials, gray and white mineral trioxide aggregate (GMTA, WMTA), have been shown to have high rates of success in various endodontic applications. A major drawback is their tendency to discolor teeth. Biodentine (BD), a recenlty developed bioceramic material, has been claimed not to discolor teeth. The aim of this study was to compare tooth discoloration after applying different pulpotomy base materials (BD, GMTA and WMTA). Methods: Forty human fully developed primary incisors teeth were used in this study. Coronal access was achieved by a Tungsten Carbide drill, and the pulp chambers were accessed and chemo-mechanically debrided. Each material was placed in the pulp chamber, up to the cervical sectioning level. All specimens were incubated at 37°C and 100% humidity for 14 weeks and have been evaluated before the study and weekly. Color was assessed according to the CIE L*a*b* color space system. Results: The ΔE (delta E) of all experimental groups (GMTA, WMTA and BD) were significantly different from the control group at all time points. Color changes in the GMTA and WMTA groups showed significantly higher discoloration compared to BD group in the cervical part of the crown, since week 1. WMTA group showed significant discoloration in the cervical part as of week 1, and gradually increased over time. BD group showed no significant discoloration over time. GMTA group showed the most significant discoloration at week 1 and week 14 (P&lt;0.05). Conclusions: both GMTA and WMTA pulpotomy materials may discolor tooth structure over time in an extracted primary anterior tooth model. When choosing bioceramic pulpotomy material, BD may be preferable, mainly in esthetic area.

scholarly journals Color stability of artificial teeth after exposure to acid and staining agents

2015 ◽  
Vol 18 (1) ◽  
pp. 60 ◽  
Author(s):  
Mateus Guimaraes Lage Reggiani ◽  
Fernanda Alves Feitosa ◽  
Rodrigo Máximo De Araújo
Keyword(s):  
Red Wine ◽  
Artificial Saliva ◽  
Soft Drink ◽  
Color Stability ◽  
Lemon Juice ◽  
Color Variation ◽  
Color Measurement ◽  
Oral Rehabilitation ◽  
Before And After ◽  
Artificial Teeth

<p><strong>Objective: </strong>Changes in color of artificial teeth mainly occur due to ingestion of beverages and use of products for cleaning and disinfection. The more aggressive solutions must be identified and the patient provided with explanations in order to avoid or reduce the frequency of their use, to a higher longevity of the denture. The purpose of this study was to evaluate the changes in color of artificial teeth before and after immersion in beverages and disinfectants. <strong>Material and Methods: </strong>96 artificial resin teeth were randomly divided into 8 groups. Each group was immersed for 10 min into a test solution (coffee, lemon juice, chlorhexidine gluconate, red wine, cola-based soft drink, vinegar or antiseptic with and without alcohol) and then the specimens were stored in artificial saliva for 23 h and 50 min, completing a period of 24 h. This procedure was performed for 14 consecutive days and after this period the second color measurement was made.The data obtained with the spectrophotometer using the CIEL*a*b* system were statistically analyzed using ANOVA non parametric, Kruskal-Walis and the Dunn test. <strong>Results: </strong>There were found differences in color variation for each experimental group after the challenge. statistically significant differences were found between the coffee, red wine and lemon juice groups. <strong>Conclusion: </strong>All the substances changed the color of artificial teeth; coffee was the substance that caused most staining of artificial teeth, altering color and luminosity; the oral antiseptics with and without alcohol promoted whitening of the artificial teeth.</p><p class="western" align="justify"><span style="font-family: Arial, serif;"><strong>Keywords: </strong></span><span style="font-family: Arial, serif;"><span lang="en-US">Artificial tooth; Denture; Oral rehabilitation; Staining.</span></span></p>

scholarly journals Color Change in Tooth Induced by Various Calcium Silicate-Based Pulp-Capping Materials

2021 ◽  
Vol 48 (3) ◽  
pp. 280-290
Author(s):  
Jiyoon Jeon ◽  
Namki Choi ◽  
Seonmi Kim
Keyword(s):  
Bismuth Oxide ◽  
Calcium Silicate ◽  
Color Change ◽  
Color Stability ◽  
Enamel Thickness ◽  
Aesthetic Result ◽  
Pulp Capping ◽  
L Value ◽  
Over Time

Color stability of pulp-capping material is considered vital to the final aesthetic result since the material is placed in the coronal area. The purpose of this study was to compare the color stability of various pulp-capping materials by analyzing color change of tooth over time. A cavity was formed in the crown of the extracted premolar, and 4 types of pulp-capping materials were filled. Color assessment was performed with a spectrophotometer at different intervals: before placement; immediately after material placement; 1 day, 1 week, 2 weeks, 4 weeks, 8 weeks, 12 weeks, and 16 weeks after placement. Proroot white MTA® and TheraCal LC® showed a significant decrease in the L* value and an increase in the ΔE* value over time. In contrast, Biodentine® and Well-Root™ PT showed no significant change in the L* value and maintained a steady ΔE* value. The application of pulp-capping materials containing bismuth oxide as a radiopacifier may result in a color change of teeth. Long-term color stability of pulp-capping materials should be considered when treating teeth with thin enamel thickness or in aesthetically important area.

scholarly journals Influence of experimental staining on the color stability of indirect computer-aided design/computer-aided manufacturing dental provisional materials

2018 ◽  
Vol 12 (02) ◽  
pp. 269-274 ◽  
Author(s):  
Thamer Almohareb ◽  
Mohammed S. Alkatheeri ◽  
Fahim Vohra ◽  
Ali Alrahlah
Keyword(s):  
Computer Aided Design ◽  
Color Stability ◽  
Monomer Conversion ◽  
Mean Value ◽  
Color Variation ◽  
Color Measurement ◽  
Computer Aided Manufacturing ◽  
Computer Aided ◽  
Cad Cam ◽  
Aided Design

ABSTRACT Objective: This study presents a comparative analysis of the color stability of computer-aided design/computer-aided manufacturing (CAD/CAM)-fabricated provisional restorations with those of conventional restorations. Materials and Methods: Three different provisional restorative materials (Systemp C&B, 3M Protemp 4, and Telio CAD) were inspected for their color stability using four solutions (Pepsi, coffee, tea, and distilled water). All samples used were fabricated using A1 shade by following the manufacturer's instructions. Color assessment was performed using CIELAB system and a colorimeter. After baseline color measurement, color assessments were done weekly after immersion in specified solutions. Triplicate readings were taken for every sample and the mean value of the color coordinates (L*), (a*), and (b*) were recorded at baseline, week 1, week 2, week 3, and week 4. The data within different groups were compared statistically using analysis of variance (⍺ = 0.05). Results: Overall, the highest color stability was found in CAD/CAM material, followed by Protemp and SystempC&B. It was also observed that the maximum color variation was observed in case of coffee, followed by tea and Pepsi. Conclusions: CAD/CAM provisional material (Telio CAD) showed better color stability compared to conventional materials (Protemp 3M ESPE and SystempC&B Ivoclar Vivadent). CAD/CAM provisional materials are recommended for long-term temporization procedures. This is attributed to the prepolymerization, higher monomer conversion, and minimal preparation errors in CAD/CAM materials.

scholarly journals Color Stability of Restorative Materials in Response to Arabic Coffee, Turkish Coffee and Nescafe

2013 ◽  
Vol 14 (4) ◽  
pp. 681-690 ◽  
Author(s):  
Khalid H Al-Samadani
Keyword(s):  
Color Change ◽  
Resin Composite ◽  
Color Stability ◽  
Color Difference ◽  
Composite Resins ◽  
Color Measurement ◽  
Water Control ◽  
Mean Values ◽  
Significance Level ◽  
Restorative Materials

ABSTRACT Objective To evaluate the effect of Arabic coffee, Turkish coffee and Nescafe on the color stability of four different composite resins after a period of aging time 1, 7 and 30 days. Materials and methods Twenty specimens from each type of tested composite resin material were prepared. Five specimens from each tested material (Z350 XT, Artist, GC and Z250) was evaluated after storage in Arabic coffee, Turkish coffee, Nescafe and distil water (control) at 37°C in a dark container for 1, 7 and 30 days. Color measurement was done using colorimeter based on the CIE L* a* b* color scale. Color differences ΔE*ab, Δb* and Δa* among specimens immersed in distil water and staining coffee beverages were evaluated overtime. Mean values were statistically analyzed with one-way analysis of variance (ANOVA), followed by Tukey test with p < 0.05 as significance level. Results All tested composite resins showed increase color change after a period of 1, 7 and 30 days. The color change ΔE*ab, Δb* and Δa* exhibited by Arabic coffee, in Turkish coffee and Nescafe except Δa*. The highest total color difference ΔE*ab after 30 days was in group A Arabic coffee (ΔE > 1.5 perceivable) and not perceivable in group B Turkish coffee and group C Nescafe. For Δb* all materials discolored toward yellowness after 30 days except Arabic coffee group which shifted from yellowness toward blueness (Δb*> 1.5 perceivable). Conclusion The effect of staining beverages on the resin composite materials increases with time of aging toward yellowness and not perceivable in all groups except with Arabic coffee which had highest effect after 30 days and the discoloration shifted from yellowness to blueness perceivable. How to cite this article Al-Samadani KH. Color Stability of Restorative Materials in Response to Arabic Coffee, Turkish Coffee and Nescafe. J Contemp Dent Pract 2013;14(4):681-690.

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 Color stability of ceramic brackets immersed in potentially staining solutions

2015 ◽  
Vol 20 (4) ◽  
pp. 32-38 ◽  
Author(s):  
Bruna Coser Guignone ◽  
Ludimila Karsbergen Silva ◽  
Rodrigo Villamarim Soares ◽  
Emilio Akaki ◽  
Marcelo Coelho Goiato ◽  
...  
Keyword(s):  
Profile Analysis ◽  
Artificial Saliva ◽  
Rocky Mountain ◽  
Color Stability ◽  
Bonferroni Correction ◽  
Time Intervals ◽  
Significance Level ◽  
Paired Samples ◽  
Immersion Period ◽  
Ceramic Brackets

OBJECTIVE: To assess the color stability of five types of ceramic brackets after immersion in potentially staining solutions.METHODS: Ninety brackets were divided into 5 groups (n = 18) according to brackets commercial brands and the solutions in which they were immersed (coffee, red wine, coke and artificial saliva). The brackets assessed were Transcend (3M/Unitek, Monrovia, CA, USA), Radiance (American Orthodontics, Sheboygan, WI, USA), Mystique (GAC International Inc., Bohemia, NY, USA) and Luxi II (Rocky Mountain Orthodontics, Denver, CO, USA). Chromatic changes were analyzed with the aid of a reflectance spectrophotometer and by visual inspection at five specific time intervals. Assessment periods were as received from the manufacturer (T0), 24 hours (T1), 72 hours (T2), as well as 7 days (T3) and 14 days (T4) of immersion in the aforementioned solutions. Results were submitted to statistical analysis with ANOVA and Bonferroni correction, as well as to a multivariate profile analysis for independent and paired samples with significance level set at 5%.RESULTS: The duration of the immersion period influenced color alteration of all tested brackets, even though these changes could not always be visually observed. Different behaviors were observed for each immersion solution; however, brackets immersed in one solution progressed similarly despite minor variations.CONCLUSIONS: Staining became more intense over time and all brackets underwent color alterations when immersed in the aforementioned solutions.

scholarly journals Does Delayed Restoration Improve Shear Bond Strength of Different Restorative Protocols to Calcium Silicate-Based Cements?

Materials ◽  
2018 ◽  
Vol 11 (11) ◽  
pp. 2216 ◽  
Author(s):  
Paulo Palma ◽  
Joana Marques ◽  
Rui Falacho ◽  
Alexandra Vinagre ◽  
João Santos ◽  
...  
Keyword(s):  
Bond Strength ◽  
Calcium Silicate ◽  
Shear Bond Strength ◽  
Proper Time ◽  
Testing Machine ◽  
Glass Ionomer Cement ◽  
Mineral Trioxide Aggregate ◽  
Bonding System ◽  
Post Hoc ◽  
Ionomer Cement

The purpose of the present study was to assess the proper time to perform a restoration (immediately or delayed) after placement of two calcium silicate-based cements (CSCs) and to test the performance of two different restorative protocols regarding shear bond strength (SBS). Seventy-five acrylic blocks were randomly divided into five groups (n = 15). Specimens were filled with either ProRoot MTA (Dentsply Tulsa Dental) or Biodentine (Septodont). The restoration was performed at an immediate (12 min) or delayed (seven days) timeframe, using a resin-based flowable composite (SDR) (bonded to the CSC using a universal bonding system) or glass ionomer cement (GIC) as restorative materials. SBS was measured using a universal testing machine. Fractured surfaces were evaluated, and the pattern was registered. Statistical analysis was performed using the Dunn–Sidak post hoc test (P < 0.05). Biodentine/immediate SDR showed the highest mean SBS value (4.44 MPa), with statistically significant differences when compared to mineral trioxide aggregate (MTA)/GIC (1.14 MPa) and MTA/immediate SDR (1.33 MPa). MTA/GIC and MTA/immediate SDR did not present significant differences regarding SBS. No statistical differences were verified concerning mean SBS between both CSCs within the 7 day groups. MTA/delayed SDR (3.86 MPa) presented statistical differences compared to MTA/immediate SDR, whereas no differences were observed regarding Biodentine performance (Biodentine/immediate SDR and Biodentine/delayed SDR (3.09 MPa)). Bonding procedures directly on top of MTA might be preferably performed at a delayed timeframe, whereas Biodentine might allow for immediate restoration.

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