Farklı Adeziv Sistemlerin Uygulanma Aşamasının Endoseal MTA'nın Neden Olduğu Koronal Renk Değişikliğine Etkisi: Bir İn-vitro Çalışma
Abstract
Amaç: Bu in vitro çalışmada, kalsiyum silikat esaslı kök kanal patının neden olduğu koronal renk değişikliğini önlemede dentin bonding ajanlarının (DBA) farklı uygulanma aşamalarının etkisi değerlendirilmiştir.
Gereçler ve Yöntemler: Örnekler üç ana gruba ayrıldı: Preparasyon öncesi, Obturasyon öncesi ve Preparasyon öncesi /Obturasyon öncesi. Her grup daha sonra adeziv sistemlere göre subgruplara ayrıldı. DBA, Preparasyon öncesi grubunda irrigasyondan önce; Obturasyon öncesi grubunda irrigasyondan sonra ve Preparasyon öncesi /Obturasyon öncesi gruplarında irrigasyondan önce ve sonra uygulandı. Kanal patı uygulandıktan sonra, renk ölçümleri başlangıçta (T0), 1 ayda (T1) ve 6 ayda (T2) kaydedildi.
Bulgular: Analiz sonuçları, uygulama aşamasının, değerlendirme zamanının ve bu faktörler arasındaki etkileşimin renk değişikliğini önemli ölçüde etkilediğini gösterdi. En düşük renk değişimi T1-T0 arasında gözlendi ve değerlendirme periyodları arasında önemli farklılıklar vardı. T2-T0 değerlendirme periyodunda, en fazla renk değişimi diğer gruplara kıyasla Preparasyon öncesi ve kontrol gruplarında meydana geldi. Ancak tüm gruplar klinik kabul edilebilirlik (>1.8) ve algılanabilirlik eşiklerinin (>0.8) üzerinde renk değişimleri gösterdi.
Sonuçlar: DBA uygulanma aşaması ve değerlendirme zamanı krondaki renklenmeyi önemli ölçüde etkiledi, en fazla renk değişimi Preparasyon öncesi grubunda gözlendi ve bu da estetik etkileri en aza indirmede prosedür zamanlamasının kritik rolünü vurguladı.
References
- 1. Kahler B. Present status and future directions–Managing discoloured teeth. Int Endod J. 2022;55:922-950.
- 2. Savadkouhi ST, Fazlyab M. Discoloration potential of endodontic sealers: A brief review. Iran Endod J. 2016;11:250.
- 3. Krastl G, Allgayer N, Lenherr P, Filippi A, Taneja P, Weiger R. Tooth discoloration induced by endodontic materials: a literature review. Dent Traumatol. 2013;29:2-7.
- 4. Ahmed H, Abbott P. Discolouration potential of endodontic procedures and materials: a review. Int Endod J. 2012;45:883-897.
- 5. Chen SJ, Karabucak B, Steffen JJ, Yu Y-H, Kohli MR. Spectrophotometric Analysis of Coronal Tooth Discoloration Induced by Tricalcium Silicate Cements in the Presence of Blood. J Endod. 2020;46:1913-1919.
- 6. Marciano MA, Estrela C, Mondelli RFL, Ordinola-Zapata R, Duarte MAH. Analysis of the color alteration and radiopacity promoted by bismuth oxide in calcium silicate cement. Braz Oral Res. 2013;27:318-323.
- 7. Marciano MA, Costa RM, Camilleri J, Mondelli RFL, Guimarães BM, Duarte MAH. Assessment of color stability of white mineral trioxide aggregate angelus and bismuth oxide in contact with tooth structure. J Endod. 2014;40:1235-1240.
- 8. Marciano MA, Duarte MAH, Camilleri J. Dental discoloration caused by bismuth oxide in MTA in the presence of sodium hypochlorite. Clin Oral Investig. 2015;19:2201-2209.
- 9. Van der Burgt T, Mullaney T, Plasschaert A. Tooth discoloration induced by endodontic sealers. Oral Surg Oral Med Oral Pathol. 1986;61:84-89.
- 10. Partovi M, Al‐Havvaz AH, Soleimani B. In vitro computer analysis of crown discolouration from commonly used endodontic sealers. Aust Endod J. 2006;32:116-119.
- 11. Marciano MA, Duarte MAH, Camilleri J. Calcium silicate-based sealers: Assessment of physicochemical properties, porosity and hydration. Dent Mater 2016;32:e30-e40.
- 12. Dadgar K, Rastakhiz S, Cherati JY, Hosseinnataj A, Omidi S. Tooth Discoloration after Using a Premixed Mineral Trioxide Aggregate-Based Endodontic Sealer (Endoseal MTA). J Dent Mater Tech. 2022;11:103.
- 13. Akbari M, Rouhani A, Samiee S, Jafarzadeh H. Effect of dentin bonding agent on the prevention of tooth discoloration produced by mineral trioxide aggregate. Int J Dent. 2012;2012:563203.
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- 15. Keskin C, Demiryurek EO, Ozyurek T. Color stabilities of calcium silicate–based materials in contact with different irrigation solutions. J Endod. 2015;41:409-411.
- 16. Ateş MO, Uğur Aydın Z. Evaluation of the effectiveness of different treatment approaches in preventing coronal discoloration caused by regenerative endodontic treatment. Clin Oral Investig. 2023;27:4595-4603.
- 17. Sesen Uslu Y, Arıcan Alpay B, Sesen P, Özyürek T. The efficacy of different laser applications on dentin sealing in preventing discoloration induced by mineral trioxide aggregate. Materials. 2024;17:1015.
- 18. Han J, Kim G, Lee J. An in Vitro Study of the Effects of Different Dentin Bonding Agents on the Prevention of Tooth Discoloration and the Sealing Ability of Calcium Silicate-Based Cement in Regenerative Endodontic Procedures. J Korean Acad Pediatr Dent. 2023;50:277-291.
- 19. Sesen Uslu Y, Arıcan Alpay B, Sesen P, Özyürek T. Preventive Effects of Laser Irradiation and Dentin Bonding Agent Application on Tooth Discoloration Induced by Mineral Trioxide Aggregate. Appl Sci. 2024;14:1048.
- 20. Paravina RD, Pérez MM, Ghinea R. Acceptability and perceptibility thresholds in dentistry: A comprehensive review of clinical and research applications. J Esthet Restor Dent. 2019;31:103-112.
- 21. Vallés M, Mercadé M, Duran-Sindreu F, Bourdelande JL, Roig M. Influence of light and oxygen on the color stability of five calcium silicate–based materials. J Endod. 2013;39:525-528.
- 22. Camilleri J. Color stability of white mineral trioxide aggregate in contact with hypochlorite solution. J Endod. 2014;40:436-440.
- 23. Lenherr P, Allgayer N, Weiger R, Filippi A, Attin T, Krastl G. Tooth discoloration induced by endodontic materials: a laboratory study. Int Endod J. 2012;45:942-949.
- 24. Lee Y-N, Kim M-K, Kim H-J, Yu M-K, Lee K-W, Min K-S. Evaluation of the root dentin bond strength and intratubular biomineralization of a premixed calcium aluminate-based hydraulic bioceramic endodontic
- 25. Ioannidis K, Mistakidis I, Beltes P, Karagiannis V. Spectrophotometric analysis of crown discoloration induced by MTA-and ZnOE-based sealers. J Appl Oral Sci. 2013;21:138-144.
- 26. Bahari M, Oskoee SS, Chaharom MEE, Kahnamoui MA, Gholizadeh S, Davoodi F. Effect of accelerated aging and double application on the dentin bond strength of universal adhesive system. Dent Res J. 2021;18:25.
- 27. Zou L, Shen Y, Li W, Haapasalo M. Penetration of sodium hypochlorite into dentin. J Endod. 2010;36:793-796.
- 28. Choi Y-L, Jang Y-E, Kim BS, Kim J-W, Kim Y. Pre-application of dentin bonding agent prevents discoloration caused by mineral trioxide aggregate. BMC Oral Health. 2020;20:1-8.
- 29. Xu H, Ye Z, Zhang A, Lin F, Fu J, Fok AS. Effects of concentration of sodium hypochlorite as an endodontic irrigant on the mechanical and structural properties of root dentine: A laboratory study. Int Endod J. 2022;55:1091-1102.
- 30. Shokouhinejad N, Khoshkhounejad M, Alikhasi M, Bagheri P, Camilleri J. Prevention of coronal discoloration induced by regenerative endodontic treatment in an ex vivo model. Clin Oral Investig. 2018;22:1725-1731.
Effect of Application Phase of Different Adhesive Systems on Coronal Discoloration Caused by Endoseal MTA: An In-vitro Study
Abstract
Objectives: This in-vitro study evaluated the effect of different application phases of dentin bonding agents (DBA) on preventing crown discoloration caused by a calcium silicate-based root canal sealer.
Materials and Methods: Samples were divided into three main groups: Pre-preparation, Pre-obturation, and Pre-preparation/Pre-obturation, with each group further divided based on adhesive systems. DBA was applied before irrigation in the Pre-preparation, after irrigation in the Pre-obturation, and both before and after irrigation in the Pre-preparation/Pre-obturation groups. After applying the sealer, color measurements were recorded at baseline (T0), 1 month (T1), and 6 months (T2).
Results: Findings showed that application phase, evaluation period and the interaction between these factors significantly affected discoloration. The lowest color change was observed between T1-T0, with significant differences between evaluation periods. The highest color change occurred in the Pre-preparation and control groups at T2-T0 compared to other groups. However, all groups showed color changes above the clinical acceptability (>1.8) and perceptibility thresholds (>0.8).
Conclusion: The application phase of DBA and evaluation period significantly influenced crown discoloration, with the greatest changes observed during the pre-preparation phase, emphasizing the critical role of procedural timing in minimizing aesthetic impacts.
References
- 1. Kahler B. Present status and future directions–Managing discoloured teeth. Int Endod J. 2022;55:922-950.
- 2. Savadkouhi ST, Fazlyab M. Discoloration potential of endodontic sealers: A brief review. Iran Endod J. 2016;11:250.
- 3. Krastl G, Allgayer N, Lenherr P, Filippi A, Taneja P, Weiger R. Tooth discoloration induced by endodontic materials: a literature review. Dent Traumatol. 2013;29:2-7.
- 4. Ahmed H, Abbott P. Discolouration potential of endodontic procedures and materials: a review. Int Endod J. 2012;45:883-897.
- 5. Chen SJ, Karabucak B, Steffen JJ, Yu Y-H, Kohli MR. Spectrophotometric Analysis of Coronal Tooth Discoloration Induced by Tricalcium Silicate Cements in the Presence of Blood. J Endod. 2020;46:1913-1919.
- 6. Marciano MA, Estrela C, Mondelli RFL, Ordinola-Zapata R, Duarte MAH. Analysis of the color alteration and radiopacity promoted by bismuth oxide in calcium silicate cement. Braz Oral Res. 2013;27:318-323.
- 7. Marciano MA, Costa RM, Camilleri J, Mondelli RFL, Guimarães BM, Duarte MAH. Assessment of color stability of white mineral trioxide aggregate angelus and bismuth oxide in contact with tooth structure. J Endod. 2014;40:1235-1240.
- 8. Marciano MA, Duarte MAH, Camilleri J. Dental discoloration caused by bismuth oxide in MTA in the presence of sodium hypochlorite. Clin Oral Investig. 2015;19:2201-2209.
- 9. Van der Burgt T, Mullaney T, Plasschaert A. Tooth discoloration induced by endodontic sealers. Oral Surg Oral Med Oral Pathol. 1986;61:84-89.
- 10. Partovi M, Al‐Havvaz AH, Soleimani B. In vitro computer analysis of crown discolouration from commonly used endodontic sealers. Aust Endod J. 2006;32:116-119.
- 11. Marciano MA, Duarte MAH, Camilleri J. Calcium silicate-based sealers: Assessment of physicochemical properties, porosity and hydration. Dent Mater 2016;32:e30-e40.
- 12. Dadgar K, Rastakhiz S, Cherati JY, Hosseinnataj A, Omidi S. Tooth Discoloration after Using a Premixed Mineral Trioxide Aggregate-Based Endodontic Sealer (Endoseal MTA). J Dent Mater Tech. 2022;11:103.
- 13. Akbari M, Rouhani A, Samiee S, Jafarzadeh H. Effect of dentin bonding agent on the prevention of tooth discoloration produced by mineral trioxide aggregate. Int J Dent. 2012;2012:563203.
- 14. Khim TP, Sanggar V, Shan TW, Peng KC, Western JS, Dicksit DD. Prevention of coronal discoloration induced by root canal sealer remnants using Dentin Bonding agent: An: in vitro: study. J Conserv Dent Endod. 2018;21:562-568.
- 15. Keskin C, Demiryurek EO, Ozyurek T. Color stabilities of calcium silicate–based materials in contact with different irrigation solutions. J Endod. 2015;41:409-411.
- 16. Ateş MO, Uğur Aydın Z. Evaluation of the effectiveness of different treatment approaches in preventing coronal discoloration caused by regenerative endodontic treatment. Clin Oral Investig. 2023;27:4595-4603.
- 17. Sesen Uslu Y, Arıcan Alpay B, Sesen P, Özyürek T. The efficacy of different laser applications on dentin sealing in preventing discoloration induced by mineral trioxide aggregate. Materials. 2024;17:1015.
- 18. Han J, Kim G, Lee J. An in Vitro Study of the Effects of Different Dentin Bonding Agents on the Prevention of Tooth Discoloration and the Sealing Ability of Calcium Silicate-Based Cement in Regenerative Endodontic Procedures. J Korean Acad Pediatr Dent. 2023;50:277-291.
- 19. Sesen Uslu Y, Arıcan Alpay B, Sesen P, Özyürek T. Preventive Effects of Laser Irradiation and Dentin Bonding Agent Application on Tooth Discoloration Induced by Mineral Trioxide Aggregate. Appl Sci. 2024;14:1048.
- 20. Paravina RD, Pérez MM, Ghinea R. Acceptability and perceptibility thresholds in dentistry: A comprehensive review of clinical and research applications. J Esthet Restor Dent. 2019;31:103-112.
- 21. Vallés M, Mercadé M, Duran-Sindreu F, Bourdelande JL, Roig M. Influence of light and oxygen on the color stability of five calcium silicate–based materials. J Endod. 2013;39:525-528.
- 22. Camilleri J. Color stability of white mineral trioxide aggregate in contact with hypochlorite solution. J Endod. 2014;40:436-440.
- 23. Lenherr P, Allgayer N, Weiger R, Filippi A, Attin T, Krastl G. Tooth discoloration induced by endodontic materials: a laboratory study. Int Endod J. 2012;45:942-949.
- 24. Lee Y-N, Kim M-K, Kim H-J, Yu M-K, Lee K-W, Min K-S. Evaluation of the root dentin bond strength and intratubular biomineralization of a premixed calcium aluminate-based hydraulic bioceramic endodontic
- 25. Ioannidis K, Mistakidis I, Beltes P, Karagiannis V. Spectrophotometric analysis of crown discoloration induced by MTA-and ZnOE-based sealers. J Appl Oral Sci. 2013;21:138-144.
- 26. Bahari M, Oskoee SS, Chaharom MEE, Kahnamoui MA, Gholizadeh S, Davoodi F. Effect of accelerated aging and double application on the dentin bond strength of universal adhesive system. Dent Res J. 2021;18:25.
- 27. Zou L, Shen Y, Li W, Haapasalo M. Penetration of sodium hypochlorite into dentin. J Endod. 2010;36:793-796.
- 28. Choi Y-L, Jang Y-E, Kim BS, Kim J-W, Kim Y. Pre-application of dentin bonding agent prevents discoloration caused by mineral trioxide aggregate. BMC Oral Health. 2020;20:1-8.
- 29. Xu H, Ye Z, Zhang A, Lin F, Fu J, Fok AS. Effects of concentration of sodium hypochlorite as an endodontic irrigant on the mechanical and structural properties of root dentine: A laboratory study. Int Endod J. 2022;55:1091-1102.
- 30. Shokouhinejad N, Khoshkhounejad M, Alikhasi M, Bagheri P, Camilleri J. Prevention of coronal discoloration induced by regenerative endodontic treatment in an ex vivo model. Clin Oral Investig. 2018;22:1725-1731.
Details
| Primary Language | English |
|---|---|
| Subjects | Endodontics, Restorative Dentistry, Dental Materials |
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | March 28, 2025 |
| Submission Date | January 3, 2025 |
| Acceptance Date | February 25, 2025 |
| Published in Issue | Year 2025Volume: 28 Issue: 1 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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