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Crown discoloration promoted by materials used in regenerative endodontic procedures and effect of dental bleaching: spectrophotometric analysis

Regenerative endodontic procedure (REP) has been proposed as a new approach to treat immature permanent teeth. However, materials used in REP for root canal disinfection or cervical sealing may induce tooth discoloration. OBJECTIVES: To assess tooth crown’s color after intracanal treatment with trip...

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Autores principales: dos SANTOS, Luciane Geanini Pena, FELIPPE, Wilson Tadeu, de SOUZA, Beatriz Dulcineia Mendes, KONRATH, Andrea Cristina, CORDEIRO, Mabel Mariela Rodríguez, FELIPPE, Mara Cristina Santos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade De Odontologia De Bauru - USP 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5393545/
https://www.ncbi.nlm.nih.gov/pubmed/28403365
http://dx.doi.org/10.1590/1678-77572016-0398
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author dos SANTOS, Luciane Geanini Pena
FELIPPE, Wilson Tadeu
de SOUZA, Beatriz Dulcineia Mendes
KONRATH, Andrea Cristina
CORDEIRO, Mabel Mariela Rodríguez
FELIPPE, Mara Cristina Santos
author_facet dos SANTOS, Luciane Geanini Pena
FELIPPE, Wilson Tadeu
de SOUZA, Beatriz Dulcineia Mendes
KONRATH, Andrea Cristina
CORDEIRO, Mabel Mariela Rodríguez
FELIPPE, Mara Cristina Santos
author_sort dos SANTOS, Luciane Geanini Pena
collection PubMed
description Regenerative endodontic procedure (REP) has been proposed as a new approach to treat immature permanent teeth. However, materials used in REP for root canal disinfection or cervical sealing may induce tooth discoloration. OBJECTIVES: To assess tooth crown’s color after intracanal treatment with triple antibiotic paste (TAP) or calcium hydroxide (CH); cervical sealing with glass ionomer cement (GIC) or mineral trioxide aggregate (MTA); and bleaching with carbamide peroxide. MATERIAL AND METHODS: After pulp removal and color spectrophotometer measurement, 50 bovine incisors were divided into 4 experimental groups and one control (untreated). Experiments were performed in phases (Ph). Ph1: TAP (ciprofloxacin, metronidazole, minocycline), TAPM (ciprofloxacin, metronidazole, amoxicillin), DAP (ciprofloxacin, metronidazole), or CH treatment groups. After 1 and 3 days (d); 1, 2, 3 weeks (w); and 1, 2, 3 and 4 months (m), color was measured and medications were removed. Ph2: GIC or MTA cervical sealing, each using half of the specimens from each group. Color was assessed after 1d, 3d; 1w, 2w, 3w; 1m and 2m. Ph3: Two bleaching sessions, each followed by color measurement. Data were analyzed with ANOVA and post-hoc Holm-Sidak method. RESULTS: Ph1: Specimens of TAP group presented higher color alteration (ΔE) mean than those of TAPM group. No significant difference was found among TAP or TAPM and CH, DAP or Control groups. Ph2: cervical sealing materials showed no influence on color alteration. Ph3: Different ΔE means (from different groups), prior to bleaching, became equivalent after one bleaching session. CONCLUSIONS: TAP induces higher color alteration than TAPM; color alteration increases over time; cervical sealing material has no influence on color alteration; and, dental bleaching was able to recover, at least partially, the tooth crown’s color.
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spelling pubmed-53935452017-04-21 Crown discoloration promoted by materials used in regenerative endodontic procedures and effect of dental bleaching: spectrophotometric analysis dos SANTOS, Luciane Geanini Pena FELIPPE, Wilson Tadeu de SOUZA, Beatriz Dulcineia Mendes KONRATH, Andrea Cristina CORDEIRO, Mabel Mariela Rodríguez FELIPPE, Mara Cristina Santos J Appl Oral Sci Original Articles Regenerative endodontic procedure (REP) has been proposed as a new approach to treat immature permanent teeth. However, materials used in REP for root canal disinfection or cervical sealing may induce tooth discoloration. OBJECTIVES: To assess tooth crown’s color after intracanal treatment with triple antibiotic paste (TAP) or calcium hydroxide (CH); cervical sealing with glass ionomer cement (GIC) or mineral trioxide aggregate (MTA); and bleaching with carbamide peroxide. MATERIAL AND METHODS: After pulp removal and color spectrophotometer measurement, 50 bovine incisors were divided into 4 experimental groups and one control (untreated). Experiments were performed in phases (Ph). Ph1: TAP (ciprofloxacin, metronidazole, minocycline), TAPM (ciprofloxacin, metronidazole, amoxicillin), DAP (ciprofloxacin, metronidazole), or CH treatment groups. After 1 and 3 days (d); 1, 2, 3 weeks (w); and 1, 2, 3 and 4 months (m), color was measured and medications were removed. Ph2: GIC or MTA cervical sealing, each using half of the specimens from each group. Color was assessed after 1d, 3d; 1w, 2w, 3w; 1m and 2m. Ph3: Two bleaching sessions, each followed by color measurement. Data were analyzed with ANOVA and post-hoc Holm-Sidak method. RESULTS: Ph1: Specimens of TAP group presented higher color alteration (ΔE) mean than those of TAPM group. No significant difference was found among TAP or TAPM and CH, DAP or Control groups. Ph2: cervical sealing materials showed no influence on color alteration. Ph3: Different ΔE means (from different groups), prior to bleaching, became equivalent after one bleaching session. CONCLUSIONS: TAP induces higher color alteration than TAPM; color alteration increases over time; cervical sealing material has no influence on color alteration; and, dental bleaching was able to recover, at least partially, the tooth crown’s color. Faculdade De Odontologia De Bauru - USP 2017 /pmc/articles/PMC5393545/ /pubmed/28403365 http://dx.doi.org/10.1590/1678-77572016-0398 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
dos SANTOS, Luciane Geanini Pena
FELIPPE, Wilson Tadeu
de SOUZA, Beatriz Dulcineia Mendes
KONRATH, Andrea Cristina
CORDEIRO, Mabel Mariela Rodríguez
FELIPPE, Mara Cristina Santos
Crown discoloration promoted by materials used in regenerative endodontic procedures and effect of dental bleaching: spectrophotometric analysis
title Crown discoloration promoted by materials used in regenerative endodontic procedures and effect of dental bleaching: spectrophotometric analysis
title_full Crown discoloration promoted by materials used in regenerative endodontic procedures and effect of dental bleaching: spectrophotometric analysis
title_fullStr Crown discoloration promoted by materials used in regenerative endodontic procedures and effect of dental bleaching: spectrophotometric analysis
title_full_unstemmed Crown discoloration promoted by materials used in regenerative endodontic procedures and effect of dental bleaching: spectrophotometric analysis
title_short Crown discoloration promoted by materials used in regenerative endodontic procedures and effect of dental bleaching: spectrophotometric analysis
title_sort crown discoloration promoted by materials used in regenerative endodontic procedures and effect of dental bleaching: spectrophotometric analysis
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5393545/
https://www.ncbi.nlm.nih.gov/pubmed/28403365
http://dx.doi.org/10.1590/1678-77572016-0398
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