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THE ASSESSMENT OF CORONAL TOOTH DISCOLORATION WITH USE OF MICROMEGA MTA OR MTA+ AS THE PULP-CAPPING MATERIAL

Year 2021, Volume: 31 Issue: 4, 571 - 575, 14.10.2021
https://doi.org/10.17567/ataunidfd.956947

Abstract

Abstract
Aim: Mineral trioxide aggregate and calcium silicate cements have common usage in endodontics and restorative dentistry. However, MTA has some disadvantages such as long setting time, discoloration and cost. The treatment can not finish in a single visit because of long setting time. The aim of this study is to determine the discoloration of different materials on the coronal dentine.
Material and Methods: In this study, fifty bovine teeth were prepared and filled with Proroot MTA, MM-MTA, Biodentine, MTA+ (Cerkamed) placed and then sealed with a translusent composite. Unfilled samples were determined as a control groub. The specimens were kept at 37 oC in a dark environment. The color assessment was performed a with a spectrophotometer at different intervals (1th day, 1 month, 3 months, 9 months). The statistical analysis was performed by using One way Anova and Post-hoc Tukey tests.
Results: In the analysis of the tooth discoloration, the materials (Pro Root MTA, MM-MTA and MTA+ Cerkamed) were showed discoloration by the time. Biodentine showed tooth color stability because of zirconium oxide as a radiopacifier. The discoloration degree is very high between 1th month and 3th month.
Conclusions: Different discoloration degrees of materials which are used in vital pulp treatments have been determined in this study. This criteria should also be taken into consideration if a dental vital pulp treatment isplanned in a tooth which may be anesthetically anxious.
Keywords: MTA, discoloration, vital pulp treatment

Pulpa Kapaklama Materyali Olarak Mikromega MTA ve Cerkamed Kullanımıyla Meydana Gelen Koronal Diş Renklenmesinin Değerlendirilmesi
Öz
Amaç: Mineral trioksit agregat (MTA) ve kalsiyum silikat bazlı simanlar endodonti ve restoratif tedavisinde sıklıkla kullanılmaktadır. Ancak MTA’nın sertleşme süresinin uzun olması, dişlerde renklenmeye sebep olması ve maliyetinin fazla olması gibi dezavantajları bulunmaktadır. Bu çalışmanın amacı farklı materyallerin koronal materyallerin koronal dentinde yaptığı renklenmeyi değerlendirmektir.
Gereç ve Yöntem: Bu çalışmada elli adet sığır dişinden örnekler hazırlanıp 5 gruba ayrıldı. Gruplara Proroot MTA, Biodentin, MM-MTA, MTA+ (Cerkamed) yerleştirildi ve daha sonra translusent kompozit ile restore edildi. Kontrol grubundaki örneklere herhangi bir işlem uygulanmadı. Örnekler karanlık ortamda 37oC'de bekletildi. Renk değişimleri bir spektrofotometre ile farklı zaman aralıklarında (1. gün, 1 ay, 3 ay, 9 ay) ölçüldü. İstatistiksel analiz Tek yönlü Anova ve Post-hoc Tukey testleri kullanılarak yapıldı.
Bulgular: Çalışmada elde edilen verilere göre; Pro Root MTA, MM-MTA ve MTA+ (Cerkamed) kullanılan gruplarda zamanla renklenme gözlendi. Biodentinin içeriğinde bulunan zirkonyum oksit nedeniyle renklenme meydana gelmedi. Renklenme en fazla 1. ay ve 3. ayda görüldü.
Sonuç: Vital pulpa tedavilerinde kullanılan materyallerin diş renklenmesi üzerine etkisinin değerlendirildiği bu çalışmada; materyallerin farklı renklendirme dereceleri belirlenmiştir. Estetik açısından kaygı oluşabilecek bir dişte vital pulpa tedavisi planlanıyorsa bu kriter de göz önüne alınmalıdır.
Anahtar Kelimeler: MTA, renklenme, vital pulpa tedavisi

References

  • 1. Bortoluzzi EA, Araujo GS, Guerreiro Tanomaru JM, Tanomaru-Filho M. Marginal gingiva discoloration by gray MTA: a case report. J Endod. 2007;33(3):325-327.
  • 2. Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review--Part III: Clinical applications, drawbacks, and mechanism of action. J Endod. 2010;36(3):400-413.
  • 3. Yılmaz F, Kalaycı A, Melis A. Trikalsiyum Silikat İçerikli Üç Farklı Endodontik Materyalin Sebep Olduğu Koronal Diş Renkleşmesinin Spektrofotometrik Analiz Yöntemi İle Değerlendirilmesi. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi.28(3):305-311.
  • 4. Felman D, Parashos P. Coronal tooth discoloration and white mineral trioxide aggregate. J Endod. 2013;39(4):484-487.
  • 5. Belobrov I, Parashos P. Treatment of tooth discoloration after the use of white mineral trioxide aggregate. J Endod. 2011;37(7):1017-1020.
  • 6. Zanini M, Sautier JM, Berdal A, Simon S. Biodentine induces immortalized murine pulp cell differentiation into odontoblast-like cells and stimulates biomineralization. J Endod. 2012;38(9):1220-1226.
  • 7. Nowicka A, Lipski M, Parafiniuk M, Sporniak-Tutak K, Lichota D, Kosierkiewicz A, Kaczmarek W, Buczkowska-Radlinska J. Response of human dental pulp capped with biodentine and mineral trioxide aggregate. J Endod. 2013;39(6):743-747.
  • 8. Laurent P, Camps J, De Meo M, Dejou J, About I. Induction of specific cell responses to a Ca(3)SiO(5)-based posterior restorative material. Dent Mater. 2008;24(11):1486-1494.
  • 9. Valles M, Roig M, Duran-Sindreu F, Martinez S, Mercade M. Color Stability of Teeth Restored with Biodentine: A 6-month In Vitro Study. J Endod. 2015;41(7):1157-1160.
  • 10. Camilleri J, Sorrentino F, Damidot D. Investigation of the hydration and bioactivity of radiopacified tricalcium silicate cement, Biodentine and MTA Angelus. Dent Mater. 2013;29(5):580-593.
  • 11. Kum KY, Kim EC, Yoo YJ, Zhu Q, Safavi K, Bae KS, Chang SW. Trace metal contents of three tricalcium silicate materials: MTA Angelus, Micro Mega MTA and Bioaggregate. Int Endod J. 2014;47(7):704-710.
  • 12. Chang SW, Bae WJ, Yi JK, Lee S, Lee DW, Kum KY, Kim EC. Odontoblastic Differentiation, Inflammatory Response, and Angiogenic Potential of 4 Calcium Silicate-based Cements: Micromega MTA, ProRoot MTA, RetroMTA, and Experimental Calcium Silicate Cement. J Endod. 2015;41(9):1524-1529.
  • 13. Chang SW, Lee SY, Kum KY, Kim EC. Effects of ProRoot MTA, Bioaggregate, and Micromega MTA on odontoblastic differentiation in human dental pulp cells. J Endod. 2014;40(1):113-118.
  • 14. 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(10):942-949.
  • 15. Dettwiler CA, Walter M, Zaugg LK, Lenherr P, Weiger R, Krastl G. In vitro assessment of the tooth staining potential of endodontic materials in a bovine tooth model. Dent Traumatol. 2016;32(6):480-487.
  • 16. Marciano MA, Costa RM, Camilleri J, Mondelli RF, Guimaraes BM, Duarte MA. Assessment of color stability of white mineral trioxide aggregate angelus and bismuth oxide in contact with tooth structure. J Endod. 2014;40(8):1235-1240.
  • 17. Kang SH, Shin YS, Lee HS, Kim SO, Shin Y, Jung IY, Song JS. Color changes of teeth after treatment with various mineral trioxide aggregate-based materials: an ex vivo study. J Endod. 2015;41(5):737-741.
  • 18. Deepa VL, Dhamaraju B, Bollu IP, Balaji TS. Shear bond strength evaluation of resin composite bonded to three different liners: TheraCal LC, Biodentine, and resin-modified glass ionomer cement using universal adhesive: An in vitro study. J Conserv Dent. 2016;19(2):166-170.

THE ASSESSMENT OF CORONAL TOOTH DISCOLORATION WITH USE OF MICROMEGA MTA OR MTA+ AS THE PULP-CAPPING MATERIAL

Year 2021, Volume: 31 Issue: 4, 571 - 575, 14.10.2021
https://doi.org/10.17567/ataunidfd.956947

Abstract

Aim: Mineral trioxide aggregate and calcium silicate cements have common usage in endodontics and restorative dentistry. However, MTA has some disadvantages such as long setting time, discoloration and cost. The treatment can not finish in a single visit because of long setting time. The aim of this study is to determine the discoloration of different materials on the coronal dentine.
Material and Methods: In this study, fifty bovine teeth were prepared and filled with Proroot MTA, MM-MTA, Biodentine, MTA+ (Cerkamed) placed and then sealed with a translusent composite. Unfilled samples were determined as a control groub. The specimens were kept at 37 oC in a dark environment. The color assessment was performed a with a spectrophotometer at different intervals (1th day, 1 month, 3 months, 9 months). The statistical analysis was performed by using One way Anova and Post-hoc Tukey tests.
Results: In the analysis of the tooth discoloration, the materials (Pro Root MTA, MM-MTA and MTA+ Cerkamed) were showed discoloration by the time. Biodentine showed tooth color stability because of zirconium oxide as a radiopacifier. The discoloration degree is very high between 1th month and 3th month.
Conclusions: Different discoloration degrees of materials which are used in vital pulp treatments have been determined in this study. This criteria should also be taken into consideration if a dental vital pulp treatment isplanned in a tooth which may be anesthetically anxious.
Keywords: MTA, discoloration, vital pulp treatment

Pulpa Kapaklama Materyali Olarak Mikromega MTA ve Cerkamed Kullanımıyla Meydana Gelen Koronal Diş Renklenmesinin Değerlendirilmesi
Öz
Amaç: Mineral trioksit agregat (MTA) ve kalsiyum silikat bazlı simanlar endodonti ve restoratif tedavisinde sıklıkla kullanılmaktadır. Ancak MTA’nın sertleşme süresinin uzun olması, dişlerde renklenmeye sebep olması ve maliyetinin fazla olması gibi dezavantajları bulunmaktadır. Bu çalışmanın amacı farklı materyallerin koronal materyallerin koronal dentinde yaptığı renklenmeyi değerlendirmektir.
Gereç ve Yöntem: Bu çalışmada elli adet sığır dişinden örnekler hazırlanıp 5 gruba ayrıldı. Gruplara Proroot MTA, Biodentin, MM-MTA, MTA+ (Cerkamed) yerleştirildi ve daha sonra translusent kompozit ile restore edildi. Kontrol grubundaki örneklere herhangi bir işlem uygulanmadı. Örnekler karanlık ortamda 37oC'de bekletildi. Renk değişimleri bir spektrofotometre ile farklı zaman aralıklarında (1. gün, 1 ay, 3 ay, 9 ay) ölçüldü. İstatistiksel analiz Tek yönlü Anova ve Post-hoc Tukey testleri kullanılarak yapıldı.
Bulgular: Çalışmada elde edilen verilere göre; Pro Root MTA, MM-MTA ve MTA+ (Cerkamed) kullanılan gruplarda zamanla renklenme gözlendi. Biodentinin içeriğinde bulunan zirkonyum oksit nedeniyle renklenme meydana gelmedi. Renklenme en fazla 1. ay ve 3. ayda görüldü.
Sonuç: Vital pulpa tedavilerinde kullanılan materyallerin diş renklenmesi üzerine etkisinin değerlendirildiği bu çalışmada; materyallerin farklı renklendirme dereceleri belirlenmiştir. Estetik açısından kaygı oluşabilecek bir dişte vital pulpa tedavisi planlanıyorsa bu kriter de göz önüne alınmalıdır.
Anahtar Kelimeler: MTA, renklenme, vital pulpa tedavisi

References

  • 1. Bortoluzzi EA, Araujo GS, Guerreiro Tanomaru JM, Tanomaru-Filho M. Marginal gingiva discoloration by gray MTA: a case report. J Endod. 2007;33(3):325-327.
  • 2. Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review--Part III: Clinical applications, drawbacks, and mechanism of action. J Endod. 2010;36(3):400-413.
  • 3. Yılmaz F, Kalaycı A, Melis A. Trikalsiyum Silikat İçerikli Üç Farklı Endodontik Materyalin Sebep Olduğu Koronal Diş Renkleşmesinin Spektrofotometrik Analiz Yöntemi İle Değerlendirilmesi. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi.28(3):305-311.
  • 4. Felman D, Parashos P. Coronal tooth discoloration and white mineral trioxide aggregate. J Endod. 2013;39(4):484-487.
  • 5. Belobrov I, Parashos P. Treatment of tooth discoloration after the use of white mineral trioxide aggregate. J Endod. 2011;37(7):1017-1020.
  • 6. Zanini M, Sautier JM, Berdal A, Simon S. Biodentine induces immortalized murine pulp cell differentiation into odontoblast-like cells and stimulates biomineralization. J Endod. 2012;38(9):1220-1226.
  • 7. Nowicka A, Lipski M, Parafiniuk M, Sporniak-Tutak K, Lichota D, Kosierkiewicz A, Kaczmarek W, Buczkowska-Radlinska J. Response of human dental pulp capped with biodentine and mineral trioxide aggregate. J Endod. 2013;39(6):743-747.
  • 8. Laurent P, Camps J, De Meo M, Dejou J, About I. Induction of specific cell responses to a Ca(3)SiO(5)-based posterior restorative material. Dent Mater. 2008;24(11):1486-1494.
  • 9. Valles M, Roig M, Duran-Sindreu F, Martinez S, Mercade M. Color Stability of Teeth Restored with Biodentine: A 6-month In Vitro Study. J Endod. 2015;41(7):1157-1160.
  • 10. Camilleri J, Sorrentino F, Damidot D. Investigation of the hydration and bioactivity of radiopacified tricalcium silicate cement, Biodentine and MTA Angelus. Dent Mater. 2013;29(5):580-593.
  • 11. Kum KY, Kim EC, Yoo YJ, Zhu Q, Safavi K, Bae KS, Chang SW. Trace metal contents of three tricalcium silicate materials: MTA Angelus, Micro Mega MTA and Bioaggregate. Int Endod J. 2014;47(7):704-710.
  • 12. Chang SW, Bae WJ, Yi JK, Lee S, Lee DW, Kum KY, Kim EC. Odontoblastic Differentiation, Inflammatory Response, and Angiogenic Potential of 4 Calcium Silicate-based Cements: Micromega MTA, ProRoot MTA, RetroMTA, and Experimental Calcium Silicate Cement. J Endod. 2015;41(9):1524-1529.
  • 13. Chang SW, Lee SY, Kum KY, Kim EC. Effects of ProRoot MTA, Bioaggregate, and Micromega MTA on odontoblastic differentiation in human dental pulp cells. J Endod. 2014;40(1):113-118.
  • 14. 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(10):942-949.
  • 15. Dettwiler CA, Walter M, Zaugg LK, Lenherr P, Weiger R, Krastl G. In vitro assessment of the tooth staining potential of endodontic materials in a bovine tooth model. Dent Traumatol. 2016;32(6):480-487.
  • 16. Marciano MA, Costa RM, Camilleri J, Mondelli RF, Guimaraes BM, Duarte MA. Assessment of color stability of white mineral trioxide aggregate angelus and bismuth oxide in contact with tooth structure. J Endod. 2014;40(8):1235-1240.
  • 17. Kang SH, Shin YS, Lee HS, Kim SO, Shin Y, Jung IY, Song JS. Color changes of teeth after treatment with various mineral trioxide aggregate-based materials: an ex vivo study. J Endod. 2015;41(5):737-741.
  • 18. Deepa VL, Dhamaraju B, Bollu IP, Balaji TS. Shear bond strength evaluation of resin composite bonded to three different liners: TheraCal LC, Biodentine, and resin-modified glass ionomer cement using universal adhesive: An in vitro study. J Conserv Dent. 2016;19(2):166-170.
There are 18 citations in total.

Details

Primary Language English
Subjects Dentistry
Journal Section Araştırma Makalesi
Authors

Cemile Kedici Alp This is me 0000-0002-1847-1367

Hanife Altınışık This is me 0000-0001-7430-4750

Oya Bala This is me 0000-0001-5446-2583

Publication Date October 14, 2021
Published in Issue Year 2021 Volume: 31 Issue: 4

Cite

APA Kedici Alp, C., Altınışık, H., & Bala, O. (2021). THE ASSESSMENT OF CORONAL TOOTH DISCOLORATION WITH USE OF MICROMEGA MTA OR MTA+ AS THE PULP-CAPPING MATERIAL. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 31(4), 571-575. https://doi.org/10.17567/ataunidfd.956947
AMA Kedici Alp C, Altınışık H, Bala O. THE ASSESSMENT OF CORONAL TOOTH DISCOLORATION WITH USE OF MICROMEGA MTA OR MTA+ AS THE PULP-CAPPING MATERIAL. Ata Diş Hek Fak Derg. October 2021;31(4):571-575. doi:10.17567/ataunidfd.956947
Chicago Kedici Alp, Cemile, Hanife Altınışık, and Oya Bala. “THE ASSESSMENT OF CORONAL TOOTH DISCOLORATION WITH USE OF MICROMEGA MTA OR MTA+ AS THE PULP-CAPPING MATERIAL”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 31, no. 4 (October 2021): 571-75. https://doi.org/10.17567/ataunidfd.956947.
EndNote Kedici Alp C, Altınışık H, Bala O (October 1, 2021) THE ASSESSMENT OF CORONAL TOOTH DISCOLORATION WITH USE OF MICROMEGA MTA OR MTA+ AS THE PULP-CAPPING MATERIAL. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 31 4 571–575.
IEEE C. Kedici Alp, H. Altınışık, and O. Bala, “THE ASSESSMENT OF CORONAL TOOTH DISCOLORATION WITH USE OF MICROMEGA MTA OR MTA+ AS THE PULP-CAPPING MATERIAL”, Ata Diş Hek Fak Derg, vol. 31, no. 4, pp. 571–575, 2021, doi: 10.17567/ataunidfd.956947.
ISNAD Kedici Alp, Cemile et al. “THE ASSESSMENT OF CORONAL TOOTH DISCOLORATION WITH USE OF MICROMEGA MTA OR MTA+ AS THE PULP-CAPPING MATERIAL”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 31/4 (October 2021), 571-575. https://doi.org/10.17567/ataunidfd.956947.
JAMA Kedici Alp C, Altınışık H, Bala O. THE ASSESSMENT OF CORONAL TOOTH DISCOLORATION WITH USE OF MICROMEGA MTA OR MTA+ AS THE PULP-CAPPING MATERIAL. Ata Diş Hek Fak Derg. 2021;31:571–575.
MLA Kedici Alp, Cemile et al. “THE ASSESSMENT OF CORONAL TOOTH DISCOLORATION WITH USE OF MICROMEGA MTA OR MTA+ AS THE PULP-CAPPING MATERIAL”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, vol. 31, no. 4, 2021, pp. 571-5, doi:10.17567/ataunidfd.956947.
Vancouver Kedici Alp C, Altınışık H, Bala O. THE ASSESSMENT OF CORONAL TOOTH DISCOLORATION WITH USE OF MICROMEGA MTA OR MTA+ AS THE PULP-CAPPING MATERIAL. Ata Diş Hek Fak Derg. 2021;31(4):571-5.

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