Share This Article:

Evaluation of Teeth Discoloration Induced by Endomethasone, AH+, Canason and Apexit Paste

Abstract Full-Text HTML Download Download as PDF (Size:2607KB) PP. 507-517
DOI: 10.4236/ojst.2014.412068    2,512 Downloads   3,214 Views   Citations

ABSTRACT

Objective: The aim of this study was to investigate, in vitro, the color changes of the teeth, induced by endodontic sealers. Materials and Methods: Forty-five mature maxillary and mandibular anterior teeth, extracted for periodontal reasons, were collected. After the chemo-mechanical instrumentation of the root canal, teeth were filled with four endodontic sealers (Endomethason, AH+, Canason and Apexit). Depending on canal sealers and the CEJ (Cement Enamel Junction), teeth were divided into 8 experimental groups (n = 5) and one control group/CG (n = 5). Teeth color changes (L*a*b*/CIE Commission Internationaled’ Eclaraige) were determinated by a spectrophotometer Vita Easyshade in 4 stages (Baseline, Week 0, 4 and 12). Results: Between the EOCEJ and CG for the parameter L*, there was a statistical significance (p < 0.05). The L*a*b* results were: L* (82.5 ± 4.2 → 77.2 ± 1.2); a* (﹣2.38 ± 0.93 → 0.36 ± 1.41) and b* (15.5 ± 2.0 → 19.0 ± 3.2). For AOCEJ and CG there was not a statistical significance (p > 0.05). The L*a*b* results were: L* (83.6 ± 4.8 → 83.6 ± 4.9); a* (﹣2.68 ± 1.02 → ﹣1.12 ± 0.72) and b* (20.2 ± 4.5 → 24.4 ± 4.2). Conclusions: All endodontic sealers may cause teeth discoloration.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Ajeti, N. , Pustina-Krasniqi, T. , Kelmendi, T. , Murtezani, A. , Vula, V. and Bicaj, T. (2014) Evaluation of Teeth Discoloration Induced by Endomethasone, AH+, Canason and Apexit Paste. Open Journal of Stomatology, 4, 507-517. doi: 10.4236/ojst.2014.412068.

References

[1] Sheets, C.G., Paquette, J.M. and Wright, R.S. (2002) Tooth Whitening Modalities for Pulpless and Discoloured Teeth. In: Cohen, S. and Burns, R.C., Eds., Pathways of the Pulp, 8th Edition, Mosby, London, 755.
[2] van der Burgt, T.P. and Plasschaert, A.J. (1985) Tooth Discolouration Induced by Dental Materials. Oral Surgery, Oral Medicine, Oral Pathology, 60, 666-669.
http://dx.doi.org/10.1016/0030-4220(85)90373-1
[3] Zareba, T., Bojar, W. and Wasaw, P.L. (2004) Antimicrobial Activity of Root Canal Sealers—In Vitro Evaluation. Clinical Microbiology and Infection, 10, 55-59.
[4] Pumarola, J., Berastegui, E., Brau, E., Cunalda, C. and Jimenez de Ante, M.T. (1992) Antimicrobial Activity of Seven Root canal Sealers. Results of Agar Diffusion and Agar Dilution Tests. Oral Surgery, Oral Medicine, Oral Pathology, 72, 216-220.
http://dx.doi.org/10.1016/0030-4220(92)90386-5
[5] Orstavik, D.A. (1981) Antibacterial Properties of Root Canal Sealers, Cements and Pastes. International Endodontic Journal, 14, 125-133.
http://dx.doi.org/10.1111/j.1365-2591.1981.tb01073.x
[6] Kaplan, A.E., Picca, M., Gonzalez, M., Macchi, P.L. and Molgatini, S.L. (1999) Antimicrobial Effect of Six Endodontic Sealers: An in Vitro Evaluation. Endodontics & Dental Traumatology, 15, 42-45.
http://dx.doi.org/10.1111/j.1600-9657.1999.tb00748.x
[7] Davis, M.C., Walton, R.E. and Rivera, E.M. (2002) Sealer Distribution in Coronal Dentin. Journal of Endodontics, 28, 464-466.
http://dx.doi.org/10.1097/00004770-200206000-00012
[8] Tina, P.A., Cemal, A., Burgt, A., Eronat, J.M. and Plasschaert, J.M.A. (1996) Staining Patterns in Teeth Discolored by Endodontic Sealers. Journal of Endodontics, 12, 187-191.
[9] Walsh, L.J. and Athanassiadis, B. (2007) Endodontic Aesthetic Iatrodontics. Australian Dental Practice, 18, 16-24.
[10] Elkhazin, M. (2011) Analysis of Coronal Discoloration from Common Obturation Materials. An in Vitro Spectrophotometry Study. Lambert Academic Publishing, Saarbruecken.
[11] Lenherr, P., Allgayer, N., Weiger, R., Filippi, A., Attin, T. and Krasti, G. (2012) Tooth Discoloration Induced by Endodontic Materials: A Laboratory Study. International Endodontic Journal, 45, 942-949.
http://dx.doi.org/10.1111/j.1365-2591.2012.02053.x
[12] Kim, S.T., Abbott, P.V. and McGinley, P. (2000) The Effects of Ledermix Paste on Discolouration of Mature Teeth. International Endodontic Journal, 33, 227-232.
http://dx.doi.org/10.1046/j.1365-2591.2000.00278.x
[13] White, R.R., Goldman, M. and Lin, P.S. (1987) The Influence of the Smeared Layer upon Dentinal Tubule Penetration by Endodontic Filling Materials. Part II. Journal of Endodontics, 13, 369-374.
http://dx.doi.org/10.1016/S0099-2399(87)80195-4
[14] Meincke, D.K., Prado, M., Gomes, B.P., Bona, A.D. and Sousa, E.L. (2013) Effect of Endodontic Sealers on Tooth Color. Journal of Dentistry, 41, 93-96.
[15] Zare Jahromi, M., Navabi, A.A. and Ekhtiari, M. (2011) Comparing Coronal Discoloration between AH26 and ZOE Sealers. Iranian Endodontic Journal, 6, 146-149.
[16] El Sayed, M.A.A. and Etemadi, H. (2013) Coronal Discoloration Effect of Three Endodontic Sealers: An in Vitro Spectrophotometric Analysis. Journal of Conservative Dentistry, 16, 347-351.
http://dx.doi.org/10.4103/0972-0707.114369
[17] van der Burgt, T.P., Mullaney, T.P. and Plasschaert, A.J. (1986) Tooth Discoloration Induced by Endodontic Sealers. Oral Surgery, Oral Medicine, Oral Pathology, 61, 84-89.
http://dx.doi.org/10.1016/0030-4220(86)90208-2
[18] van der Burgt, T.P., Eronat, C. and Plasschaert, A.J. (1986) Staining Patterns in Teeth Discolored by Endodontic Sealers. Journal of Endodontics, 12, 187-191.
http://dx.doi.org/10.1016/S0099-2399(86)80152-2
[19] Saunders, E.M. and Saunders, W.P. (1995) Long-Term Coronal Leakage of JS Quickfill Root Fillings with Sealapex and Apexit Sealers. Dental Traumatology, 11, 181-185.
http://dx.doi.org/10.1111/j.1600-9657.1995.tb00484.x
[20] McMichen, F.R., Pearson, G., Rahbaran, S. and Gulabivala, K. (2003) A Comparative Study of Selected Physical Properties of Five Root-Canal Sealers. International Endodontic Journal, 36, 629-635.
http://dx.doi.org/10.1046/j.1365-2591.2003.00701.x
[21] Paravina, R.D. and Powers, J.M. (2004) Esthetic Color Training in Dentistry. Elsevier Mosby, Amsterdam.
[22] Brewer, J.D., Wee, A. and Seyhi, R. (2004) Advances in Color Matching. Dental Clinics of North America, 48, 341-358.
http://dx.doi.org/10.1016/j.cden.2004.01.004
[23] Burgt, G. (1993) Clinical Evaluation of an Experimental Body and Incisal Shade Guide Based on in Vivo Tooth Colour Measurements. MS Thesis, University of Minnesota, Minneapolis.
[24] (2004) Operating Manual: Vita Easyshade.
[25] Pittford, T.R. (1986) Apexification and Apexogenesis. In: Walton, R.E. and Torabinejad, M., Eds., Principles and Practice of Endodontics, WB Saunders, Philadelphia.
[26] Walton, R.E. and Rotstein, I. (1996) Bleaching Discolored Teeth: Internal and External. In: Walton, R.E. and Torabinejad, M., Eds., Principles and Practice of Endodontics, 2nd Edition, WB Saunders, Philadelphia, 385.
[27] Parsons, J.R., Walton, R.E. and Ricks-Williamson, L. (2001) In Vitro Longitudinal Assessment of Coronal Discoloration from Endodontic Sealers. Journal of Endodontics, 27, 699-702.
http://dx.doi.org/10.1097/00004770-200111000-00012
[28] Chiappinelli, J.A. and Walton, R.E. (1992) Tooth Discoloration Resulting from Long-Term Tetracycline Therapy: A Case Report. Quintessence International, 23, 539-541.
[29] Weinberg, J.E., Rabinowitz, R.L., Zainger, M. and Gennaro, A.F. (1972) 14C-Eugenol: 1. Synthesis, Polymerization, and Use. Journal of Dental Research, 51, 1055-1061.
http://dx.doi.org/10.1177/00220345720510041101

  
comments powered by Disqus

Copyright © 2018 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.