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

Detalhes bibliográficos
Autor(a) principal: Palma, Paulo J.
Data de Publicação: 2020
Outros Autores: Marques, Joana A., Santos, Joana, Falacho, Rui I., Sequeira, Diana B., Diogo, Patrícia, Caramelo, Francisco, Ramos, João C., Santos, João Miguel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10316/105768
https://doi.org/10.3390/app10175793
Resumo: 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 (DE) was assessed using the L* a* b* system at five di erent 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 di erences regarding DE over time (p < 0.001). Statistical di erences 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 di erences 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 di erences. MTA exhibited the greatest color variation. The selection of biomaterial should consider the material’s discoloration potential.
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spelling Tooth Discoloration after Regenerative Endodontic Procedures with Calcium Silicate-Based Cements—An Ex Vivo Studycalcium silicate-based cementsendodontic biomaterialsregenerative endodontic procedurestooth discolorationvital pulp therapyThe 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 (DE) was assessed using the L* a* b* system at five di erent 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 di erences regarding DE over time (p < 0.001). Statistical di erences 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 di erences 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 di erences. MTA exhibited the greatest color variation. The selection of biomaterial should consider the material’s discoloration potential.MDPI2020info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/105768http://hdl.handle.net/10316/105768https://doi.org/10.3390/app10175793eng2076-3417Palma, Paulo J.Marques, Joana A.Santos, JoanaFalacho, Rui I.Sequeira, Diana B.Diogo, PatríciaCaramelo, FranciscoRamos, João C.Santos, João Miguelinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-07T21:34:39Zoai:estudogeral.uc.pt:10316/105768Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:22:16.578619Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Tooth Discoloration after Regenerative Endodontic Procedures with Calcium Silicate-Based Cements—An Ex Vivo Study
title Tooth Discoloration after Regenerative Endodontic Procedures with Calcium Silicate-Based Cements—An Ex Vivo Study
spellingShingle Tooth Discoloration after Regenerative Endodontic Procedures with Calcium Silicate-Based Cements—An Ex Vivo Study
Palma, Paulo J.
calcium silicate-based cements
endodontic biomaterials
regenerative endodontic procedures
tooth discoloration
vital pulp therapy
title_short Tooth Discoloration after Regenerative Endodontic Procedures with Calcium Silicate-Based Cements—An Ex Vivo Study
title_full Tooth Discoloration after Regenerative Endodontic Procedures with Calcium Silicate-Based Cements—An Ex Vivo Study
title_fullStr Tooth Discoloration after Regenerative Endodontic Procedures with Calcium Silicate-Based Cements—An Ex Vivo Study
title_full_unstemmed Tooth Discoloration after Regenerative Endodontic Procedures with Calcium Silicate-Based Cements—An Ex Vivo Study
title_sort Tooth Discoloration after Regenerative Endodontic Procedures with Calcium Silicate-Based Cements—An Ex Vivo Study
author Palma, Paulo J.
author_facet Palma, Paulo J.
Marques, Joana A.
Santos, Joana
Falacho, Rui I.
Sequeira, Diana B.
Diogo, Patrícia
Caramelo, Francisco
Ramos, João C.
Santos, João Miguel
author_role author
author2 Marques, Joana A.
Santos, Joana
Falacho, Rui I.
Sequeira, Diana B.
Diogo, Patrícia
Caramelo, Francisco
Ramos, João C.
Santos, João Miguel
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Palma, Paulo J.
Marques, Joana A.
Santos, Joana
Falacho, Rui I.
Sequeira, Diana B.
Diogo, Patrícia
Caramelo, Francisco
Ramos, João C.
Santos, João Miguel
dc.subject.por.fl_str_mv calcium silicate-based cements
endodontic biomaterials
regenerative endodontic procedures
tooth discoloration
vital pulp therapy
topic calcium silicate-based cements
endodontic biomaterials
regenerative endodontic procedures
tooth discoloration
vital pulp therapy
description 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 (DE) was assessed using the L* a* b* system at five di erent 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 di erences regarding DE over time (p < 0.001). Statistical di erences 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 di erences 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 di erences. MTA exhibited the greatest color variation. The selection of biomaterial should consider the material’s discoloration potential.
publishDate 2020
dc.date.none.fl_str_mv 2020
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10316/105768
http://hdl.handle.net/10316/105768
https://doi.org/10.3390/app10175793
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https://doi.org/10.3390/app10175793
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