Coronal Tooth Discoloration and White Mineral Trioxide Aggregate

Abstract Introduction This study assessed and characterized discoloration when white MTA (wMTA) was placed in the coronal aspect of the root canal ex vivo and the influence of red blood cells on this discoloration. Methods Canals were prepared from the apical aspect and restored with either wMTA + s...

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Veröffentlicht in:Journal of endodontics 2013-04, Vol.39 (4), p.484-487
Hauptverfasser: Felman, Daniel, BDSc, DCD, Parashos, Peter, MDSc, PhD
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container_title Journal of endodontics
container_volume 39
creator Felman, Daniel, BDSc, DCD
Parashos, Peter, MDSc, PhD
description Abstract Introduction This study assessed and characterized discoloration when white MTA (wMTA) was placed in the coronal aspect of the root canal ex vivo and the influence of red blood cells on this discoloration. Methods Canals were prepared from the apical aspect and restored with either wMTA + saline ( n  = 18), wMTA + blood ( n  = 18), or controls ( n  = 4 + 4) (blood or saline alone). Color was assessed according to the CIE L*a*b* color space using standardized digital photographs at 3 time points: baseline, day 1, and day 35. Statistical analysis was performed by using 1-way analysis of variance and a 2-sample t test with P  
doi_str_mv 10.1016/j.joen.2012.11.053
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Methods Canals were prepared from the apical aspect and restored with either wMTA + saline ( n  = 18), wMTA + blood ( n  = 18), or controls ( n  = 4 + 4) (blood or saline alone). Color was assessed according to the CIE L*a*b* color space using standardized digital photographs at 3 time points: baseline, day 1, and day 35. Statistical analysis was performed by using 1-way analysis of variance and a 2-sample t test with P  &lt; .05. Results All teeth discolored when restored with wMTA, which was most prominent in the cervical third of the crown. The presence of blood within the canal adjacent to the setting wMTA exacerbated the discoloration ( P  = .03). Conclusions wMTA induces the gray discoloration of the tooth crown, and the effect is compounded in the presence of blood.</description><identifier>ISSN: 0099-2399</identifier><identifier>EISSN: 1878-3554</identifier><identifier>DOI: 10.1016/j.joen.2012.11.053</identifier><identifier>PMID: 23522541</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aluminum Compounds - adverse effects ; Analysis of Variance ; Calcium Compounds - adverse effects ; Dentistry ; Discoloration ; Drug Combinations ; Endocrinology &amp; Metabolism ; Erythrocytes ; Hemolysis ; Humans ; mineral trioxide aggregate ; Oxides - adverse effects ; Root Canal Filling Materials - adverse effects ; Silicates - adverse effects ; Statistics, Nonparametric ; Tooth Crown - drug effects ; Tooth Discoloration - chemically induced ; vital pulp therapy ; white mineral trioxide aggregate</subject><ispartof>Journal of endodontics, 2013-04, Vol.39 (4), p.484-487</ispartof><rights>American Association of Endodontists</rights><rights>2013 American Association of Endodontists</rights><rights>Copyright © 2013 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-3c7e6b28f2ff43a7e56966dbf1c15b998ea2c31869eb827e5093e852487fc3ac3</citedby><cites>FETCH-LOGICAL-c477t-3c7e6b28f2ff43a7e56966dbf1c15b998ea2c31869eb827e5093e852487fc3ac3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.joen.2012.11.053$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23522541$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Felman, Daniel, BDSc, DCD</creatorcontrib><creatorcontrib>Parashos, Peter, MDSc, PhD</creatorcontrib><title>Coronal Tooth Discoloration and White Mineral Trioxide Aggregate</title><title>Journal of endodontics</title><addtitle>J Endod</addtitle><description>Abstract Introduction This study assessed and characterized discoloration when white MTA (wMTA) was placed in the coronal aspect of the root canal ex vivo and the influence of red blood cells on this discoloration. Methods Canals were prepared from the apical aspect and restored with either wMTA + saline ( n  = 18), wMTA + blood ( n  = 18), or controls ( n  = 4 + 4) (blood or saline alone). Color was assessed according to the CIE L*a*b* color space using standardized digital photographs at 3 time points: baseline, day 1, and day 35. Statistical analysis was performed by using 1-way analysis of variance and a 2-sample t test with P  &lt; .05. Results All teeth discolored when restored with wMTA, which was most prominent in the cervical third of the crown. The presence of blood within the canal adjacent to the setting wMTA exacerbated the discoloration ( P  = .03). 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subjects Aluminum Compounds - adverse effects
Analysis of Variance
Calcium Compounds - adverse effects
Dentistry
Discoloration
Drug Combinations
Endocrinology & Metabolism
Erythrocytes
Hemolysis
Humans
mineral trioxide aggregate
Oxides - adverse effects
Root Canal Filling Materials - adverse effects
Silicates - adverse effects
Statistics, Nonparametric
Tooth Crown - drug effects
Tooth Discoloration - chemically induced
vital pulp therapy
white mineral trioxide aggregate
title Coronal Tooth Discoloration and White Mineral Trioxide Aggregate
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