Tooth crown discoloration induced by endodontic sealers: a 3-year ex vivo evaluation
Objectives The aim of this study was to evaluate the tooth crown discoloration induced by commonly used and new-generation endodontic sealers after 1 month and 1 and 3 years. Materials and methods The crowns of 60 extracted incisors were cut and the pulp chambers were cleaned. The specimens were div...
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| Veröffentlicht in: | Clinical oral investigations 2019-05, Vol.23 (5), p.2097-2102 |
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| creator | Ekici, Mügem Aslı Ekici, Adil Kaskatı, Tolga Helvacıoğlu Kıvanç, Bağdagül |
| description | Objectives
The aim of this study was to evaluate the tooth crown discoloration induced by commonly used and new-generation endodontic sealers after 1 month and 1 and 3 years.
Materials and methods
The crowns of 60 extracted incisors were cut and the pulp chambers were cleaned. The specimens were divided randomly into four groups (
n
= 15 each). Pulp chambers were filled with Pulpispad in group 1, AH26 in group 2, MTA Fillapex in group 3, and EndoREZ in group 4. Specimen color was measured with a spectrophotometer before and after sealer placement. Commission International de L’Eclairage’s (CIE’s) lighteness (
L
*), red-green (
a
*), yellow-blue (
b
*) color system values and color difference (Δ
E
) were recorded at 1 month and 1 and 3 years. Data were analyzed using repeated-measures analysis of variance and Tukey’s honestly significant difference test (
α =
0.05).
Results
All sealers caused discoloration. At 1 month, Δ
E
values were significantly higher in groups 1 and 2 than in groups 3 and 4 (
p
|
| doi_str_mv | 10.1007/s00784-018-2629-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2113269629</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2113269629</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-7e427ac301ff3d4345d95bc947604b9e45382dbffc2a453a6ba2b38d960d2d543</originalsourceid><addsrcrecordid>eNp1kE1PwyAch4nRuDn9AF4MiRcvKG-F4s0sviUmXuaZ0EK1S1cmtNN9e9k6NTHxAv-E5_cDHgBOCb4kGMurmJacI0xyRAVViOyBMeFMICYl2d_OFAmVkxE4inGOMeFCskMwYphmiigyBrOZ990bLIP_aKGtY-kbH0xX-xbWre1LZ2Gxhq613vq2q0sYnWlciNfQQIbWzgToPuGqXnnoVqbpt9FjcFCZJrqT3T4BL3e3s-kDenq-f5zePKGSSdoh6TiVpmSYVBWznPHMqqwoFZcC80I5nrGc2qKqSmrSbERhaMFyqwS21GacTcDF0LsM_r13sdOL9APXNKZ1vo-aEsKoUElNQs__oHPfhza9bkNRTlWOZaLIQCUfMQZX6WWoFyasNcF6o1wPynVSrjfKNUmZs11zXyyc_Ul8O04AHYCYjtpXF36v_r_1Cx_3iv8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2112429807</pqid></control><display><type>article</type><title>Tooth crown discoloration induced by endodontic sealers: a 3-year ex vivo evaluation</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Ekici, Mügem Aslı ; Ekici, Adil ; Kaskatı, Tolga ; Helvacıoğlu Kıvanç, Bağdagül</creator><creatorcontrib>Ekici, Mügem Aslı ; Ekici, Adil ; Kaskatı, Tolga ; Helvacıoğlu Kıvanç, Bağdagül</creatorcontrib><description>Objectives
The aim of this study was to evaluate the tooth crown discoloration induced by commonly used and new-generation endodontic sealers after 1 month and 1 and 3 years.
Materials and methods
The crowns of 60 extracted incisors were cut and the pulp chambers were cleaned. The specimens were divided randomly into four groups (
n
= 15 each). Pulp chambers were filled with Pulpispad in group 1, AH26 in group 2, MTA Fillapex in group 3, and EndoREZ in group 4. Specimen color was measured with a spectrophotometer before and after sealer placement. Commission International de L’Eclairage’s (CIE’s) lighteness (
L
*), red-green (
a
*), yellow-blue (
b
*) color system values and color difference (Δ
E
) were recorded at 1 month and 1 and 3 years. Data were analyzed using repeated-measures analysis of variance and Tukey’s honestly significant difference test (
α =
0.05).
Results
All sealers caused discoloration. At 1 month, Δ
E
values were significantly higher in groups 1 and 2 than in groups 3 and 4 (
p
< 0.05). At 1 year, Δ
E
values were significantly lower in group 3 than in the other groups (
p
< 0.05). At 3 years, Δ
E
values were significantly higher in group 1 than in the other groups (
p
< 0.05).
Conclusions
All tested sealers induced varying chromatic alterations. After root canal obturation, thorough debridement of sealers from the pulp chamber is essential for the prevention of sealer-induced discoloration.
Clinical relevance
Tooth discoloration induced by endodontic materials is a problem for clinicians and patients and may impair the esthetic of endodontically treated teeth. Therefore, evaluation of long-term discoloration effects commonly used, and new-generation endodontic sealers were purposed in this study.</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-018-2629-1</identifier><identifier>PMID: 30259191</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Color ; Composite Resins - adverse effects ; Data processing ; Dental crowns ; Dental pulp ; Dentistry ; Endodontics ; Esthetics, Dental ; Humans ; Incisors ; Medicine ; Original Article ; Random Allocation ; Root Canal Filling Materials - adverse effects ; Root canals ; Sealing compounds ; Teeth ; Tooth Crown - pathology ; Tooth Discoloration - chemically induced ; Zinc Oxide-Eugenol Cement - adverse effects</subject><ispartof>Clinical oral investigations, 2019-05, Vol.23 (5), p.2097-2102</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2018</rights><rights>Clinical Oral Investigations is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-7e427ac301ff3d4345d95bc947604b9e45382dbffc2a453a6ba2b38d960d2d543</citedby><cites>FETCH-LOGICAL-c372t-7e427ac301ff3d4345d95bc947604b9e45382dbffc2a453a6ba2b38d960d2d543</cites><orcidid>0000-0002-0694-2141</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00784-018-2629-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-018-2629-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30259191$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ekici, Mügem Aslı</creatorcontrib><creatorcontrib>Ekici, Adil</creatorcontrib><creatorcontrib>Kaskatı, Tolga</creatorcontrib><creatorcontrib>Helvacıoğlu Kıvanç, Bağdagül</creatorcontrib><title>Tooth crown discoloration induced by endodontic sealers: a 3-year ex vivo evaluation</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>Objectives
The aim of this study was to evaluate the tooth crown discoloration induced by commonly used and new-generation endodontic sealers after 1 month and 1 and 3 years.
Materials and methods
The crowns of 60 extracted incisors were cut and the pulp chambers were cleaned. The specimens were divided randomly into four groups (
n
= 15 each). Pulp chambers were filled with Pulpispad in group 1, AH26 in group 2, MTA Fillapex in group 3, and EndoREZ in group 4. Specimen color was measured with a spectrophotometer before and after sealer placement. Commission International de L’Eclairage’s (CIE’s) lighteness (
L
*), red-green (
a
*), yellow-blue (
b
*) color system values and color difference (Δ
E
) were recorded at 1 month and 1 and 3 years. Data were analyzed using repeated-measures analysis of variance and Tukey’s honestly significant difference test (
α =
0.05).
Results
All sealers caused discoloration. At 1 month, Δ
E
values were significantly higher in groups 1 and 2 than in groups 3 and 4 (
p
< 0.05). At 1 year, Δ
E
values were significantly lower in group 3 than in the other groups (
p
< 0.05). At 3 years, Δ
E
values were significantly higher in group 1 than in the other groups (
p
< 0.05).
Conclusions
All tested sealers induced varying chromatic alterations. After root canal obturation, thorough debridement of sealers from the pulp chamber is essential for the prevention of sealer-induced discoloration.
Clinical relevance
Tooth discoloration induced by endodontic materials is a problem for clinicians and patients and may impair the esthetic of endodontically treated teeth. Therefore, evaluation of long-term discoloration effects commonly used, and new-generation endodontic sealers were purposed in this study.</description><subject>Color</subject><subject>Composite Resins - adverse effects</subject><subject>Data processing</subject><subject>Dental crowns</subject><subject>Dental pulp</subject><subject>Dentistry</subject><subject>Endodontics</subject><subject>Esthetics, Dental</subject><subject>Humans</subject><subject>Incisors</subject><subject>Medicine</subject><subject>Original Article</subject><subject>Random Allocation</subject><subject>Root Canal Filling Materials - adverse effects</subject><subject>Root canals</subject><subject>Sealing compounds</subject><subject>Teeth</subject><subject>Tooth Crown - pathology</subject><subject>Tooth Discoloration - chemically induced</subject><subject>Zinc Oxide-Eugenol Cement - adverse effects</subject><issn>1432-6981</issn><issn>1436-3771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kE1PwyAch4nRuDn9AF4MiRcvKG-F4s0sviUmXuaZ0EK1S1cmtNN9e9k6NTHxAv-E5_cDHgBOCb4kGMurmJacI0xyRAVViOyBMeFMICYl2d_OFAmVkxE4inGOMeFCskMwYphmiigyBrOZ990bLIP_aKGtY-kbH0xX-xbWre1LZ2Gxhq613vq2q0sYnWlciNfQQIbWzgToPuGqXnnoVqbpt9FjcFCZJrqT3T4BL3e3s-kDenq-f5zePKGSSdoh6TiVpmSYVBWznPHMqqwoFZcC80I5nrGc2qKqSmrSbERhaMFyqwS21GacTcDF0LsM_r13sdOL9APXNKZ1vo-aEsKoUElNQs__oHPfhza9bkNRTlWOZaLIQCUfMQZX6WWoFyasNcF6o1wPynVSrjfKNUmZs11zXyyc_Ul8O04AHYCYjtpXF36v_r_1Cx_3iv8</recordid><startdate>20190501</startdate><enddate>20190501</enddate><creator>Ekici, Mügem Aslı</creator><creator>Ekici, Adil</creator><creator>Kaskatı, Tolga</creator><creator>Helvacıoğlu Kıvanç, Bağdagül</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0694-2141</orcidid></search><sort><creationdate>20190501</creationdate><title>Tooth crown discoloration induced by endodontic sealers: a 3-year ex vivo evaluation</title><author>Ekici, Mügem Aslı ; Ekici, Adil ; Kaskatı, Tolga ; Helvacıoğlu Kıvanç, Bağdagül</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-7e427ac301ff3d4345d95bc947604b9e45382dbffc2a453a6ba2b38d960d2d543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Color</topic><topic>Composite Resins - adverse effects</topic><topic>Data processing</topic><topic>Dental crowns</topic><topic>Dental pulp</topic><topic>Dentistry</topic><topic>Endodontics</topic><topic>Esthetics, Dental</topic><topic>Humans</topic><topic>Incisors</topic><topic>Medicine</topic><topic>Original Article</topic><topic>Random Allocation</topic><topic>Root Canal Filling Materials - adverse effects</topic><topic>Root canals</topic><topic>Sealing compounds</topic><topic>Teeth</topic><topic>Tooth Crown - pathology</topic><topic>Tooth Discoloration - chemically induced</topic><topic>Zinc Oxide-Eugenol Cement - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ekici, Mügem Aslı</creatorcontrib><creatorcontrib>Ekici, Adil</creatorcontrib><creatorcontrib>Kaskatı, Tolga</creatorcontrib><creatorcontrib>Helvacıoğlu Kıvanç, Bağdagül</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical oral investigations</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ekici, Mügem Aslı</au><au>Ekici, Adil</au><au>Kaskatı, Tolga</au><au>Helvacıoğlu Kıvanç, Bağdagül</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tooth crown discoloration induced by endodontic sealers: a 3-year ex vivo evaluation</atitle><jtitle>Clinical oral investigations</jtitle><stitle>Clin Oral Invest</stitle><addtitle>Clin Oral Investig</addtitle><date>2019-05-01</date><risdate>2019</risdate><volume>23</volume><issue>5</issue><spage>2097</spage><epage>2102</epage><pages>2097-2102</pages><issn>1432-6981</issn><eissn>1436-3771</eissn><abstract>Objectives
The aim of this study was to evaluate the tooth crown discoloration induced by commonly used and new-generation endodontic sealers after 1 month and 1 and 3 years.
Materials and methods
The crowns of 60 extracted incisors were cut and the pulp chambers were cleaned. The specimens were divided randomly into four groups (
n
= 15 each). Pulp chambers were filled with Pulpispad in group 1, AH26 in group 2, MTA Fillapex in group 3, and EndoREZ in group 4. Specimen color was measured with a spectrophotometer before and after sealer placement. Commission International de L’Eclairage’s (CIE’s) lighteness (
L
*), red-green (
a
*), yellow-blue (
b
*) color system values and color difference (Δ
E
) were recorded at 1 month and 1 and 3 years. Data were analyzed using repeated-measures analysis of variance and Tukey’s honestly significant difference test (
α =
0.05).
Results
All sealers caused discoloration. At 1 month, Δ
E
values were significantly higher in groups 1 and 2 than in groups 3 and 4 (
p
< 0.05). At 1 year, Δ
E
values were significantly lower in group 3 than in the other groups (
p
< 0.05). At 3 years, Δ
E
values were significantly higher in group 1 than in the other groups (
p
< 0.05).
Conclusions
All tested sealers induced varying chromatic alterations. After root canal obturation, thorough debridement of sealers from the pulp chamber is essential for the prevention of sealer-induced discoloration.
Clinical relevance
Tooth discoloration induced by endodontic materials is a problem for clinicians and patients and may impair the esthetic of endodontically treated teeth. Therefore, evaluation of long-term discoloration effects commonly used, and new-generation endodontic sealers were purposed in this study.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30259191</pmid><doi>10.1007/s00784-018-2629-1</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-0694-2141</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1432-6981 |
| ispartof | Clinical oral investigations, 2019-05, Vol.23 (5), p.2097-2102 |
| issn | 1432-6981 1436-3771 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2113269629 |
| source | MEDLINE; SpringerNature Journals |
| subjects | Color Composite Resins - adverse effects Data processing Dental crowns Dental pulp Dentistry Endodontics Esthetics, Dental Humans Incisors Medicine Original Article Random Allocation Root Canal Filling Materials - adverse effects Root canals Sealing compounds Teeth Tooth Crown - pathology Tooth Discoloration - chemically induced Zinc Oxide-Eugenol Cement - adverse effects |
| title | Tooth crown discoloration induced by endodontic sealers: a 3-year ex vivo evaluation |
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