Research Article
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Investigation of the Effect of Bleaching on Discolored Teeth After Regenerative Treatment on Fracture Resistance of Teeth

Year 2023, Volume: 9 Issue: 1, 72 - 80, 28.02.2023
https://doi.org/10.19127/mbsjohs.1196394

Abstract

Objective: This study aimed to evaluate the effect of bleaching discolored teeth after regenerative endodontic treatment on fracture resistance.

Methods: Forty human maxillary incisors were selected for the study and were divided into four study groups (n=10). Group 1 was called the positive control group, and no treatment was applied. In Group 2; root canals were enlarged to size 6 peezo reamer bur to mimic an immature tooth. The disinfection protocol was performed according to the regenerative endodontic treatment protocol of the American Association of Endodontists. 3 mm thick mineral trioxide aggregate (MTA) was placed at the cementoenamel margin and restored with a temporary restorative material. The samples in group 3 were restored with glass ionomer and composite resin. In Group 4 bleaching was applied with 35% hydrogen peroxide bleaching agent to the samples before restoration with glass ionomer and composite resin. Then each group was applied to the cervical fracture resistance test with a universal testing machine. The fracture resistance values were recorded in Newtons (N), and the obtained data were analyzed statistically.

Results: While the highest fracture strength was obtained in group 1 (1092 ±9.27N), the lowest fracture resistance was observed in group 2 (493.8 ±7.60N). The difference between all groups was statistically significant (p<0.05).

Conclusion: 35% hydrogen peroxide bleaching agent application after regenerative endodontic treatment reduces fracture resistance of the tooth.

References

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  • 2. Östby BN. The role of the blood clot in endodontic therapy an experimental histologic study. Acta Odontol Scand. 1961; 19:323-353.
  • 3. Kontakiotis EG, Filippatos CG, Tzanetakis GN, Agrafioti A. Regenerative endodontic therapy: A data analysis of clinical protocols. J Endod. 2015; 41:146–154.
  • 4. Nosrat A, Homayounfar N, Oloomi K. Drawbacks and unfavourable outcomes of regenerative endodontic treatments of necrotic immature teeth: a literature review and report of a case. J Endod. 2012; 38:1428–1434.
  • 5. Reynolds K, Johnson J, Cohenca N. Pulp revascularization of necrotic bilateral bicuspids using a modified novel technique to eliminate potential coronal discolouration: a case report. Int Endod J. 2009; 42:84–92.
  • 6. Thibodeau B, Trope M. Pulp revascularization of a necrotic infected immature permanent tooth: case report and review of the literature. Pediatr Dent. 2007;29: 47–50.
  • 7. Thomson A, Kahler B. Regenerative endodontics-biologically-based treatment for immature permanent teeth: a case report and review of the literature. Aust Dent J. 2010; 55:446–452.
  • 8. Shin S, Albert J, Mortman R. One step pulp revascularization treatment of an immature permanent tooth with chronic periapical abscess: a case report. Int Endod J. 2009; 42:1118–1126.
  • 9. Diogenes A, Henry MA, Teixeira FB, Hargreaves KM. An update on clinical regenerative endodontics. Endod Topics. 2013; 28:2–23.
  • 10. Krisdapong S, Prasertsom P, Rattanarangsima K, Sheiham A. Associations between perceived needs for dental treatment, oral health-related quality of life and oral diseases in school-aged Thai children. Community Dent Oral Epidemiol. 2014; 42:323–332.
  • 11. American Association of Endodontists. AAE regenerative endodontics clinical considerations. Cited: 2022, september 30. Available from: URL: http://www.aae.org/uploadedfiles/publications_and_research/research/currentregenerativeendodonticconsiderations.pdf.
  • 12. Kirchhoff AL, Raldi DP, Salles AC, Cunha RS, Mello. Tooth discolouration and internal bleaching after the use of triple antibiotic paste. Int Endod J. 2015; 48:1181–1187.
  • 13. Frysh H, Bowles W, Baker F, Rıvera-Hıdalgo G, Guıllen G. Effect of pH on bleaching efficiency. J Dent Res. 1993; 72:384–390.
  • 14. da Silva Pobbe PdO, Viapiana R, Souza-Gabriel AE, Marchesan MA, Sousa-Neto MD, Silva-Sousa YTC, et al. Coronal resistance to fracture of endodontically treated teeth submitted to light-activated bleaching. J Dent. 2008;36(11):935-939.
  • 15. Chng H. Update on materials used in intracoronal bleaching. Annals of the Royal Australasian College of Dental Surgeons. 2002; 16:147-150.
  • 16. Sarrett DC. Tooth whitening today. J Am Dent Assoc. 2002;133(11):1535-1538.
  • 17. Dahl J, Pallesen U. Tooth bleaching a critical review of the biological aspects. Critical Reviews in Oral Biology & Medicine. 2003;14(4):292-304.
  • 18. Elnaghy AM, Elsaka SE. Fracture resistance of simulated immature teeth filled with Biodentine and white mineral trioxide aggregate–an in vitro study. Dent Traumatol. 2016;32(2):116-120.
  • 19. Moosavi H, Maleknejad F, Kimyai S. Fracture resistance of endodontically-treated teeth restored using three root-reinforcement methods. J Contemp Dent Pract. 2008; 9: 30-37.
  • 20. Tawfik H, Abu-Seida AM, Hashem AA, Nagy MM. Regenerative potential following revascularization of immature permanent teeth with necrotic pulps. Int Endod J. 2013; 46:910–922.
  • 21. Berkhoff JA, Chen PB, Teixeira FB, Diogenes A. Evaluation of triple antibiotic paste removal by different irrigation procedures. J Endod. 2014;40(8):1172-1177.
  • 22. Yasa B, Arslan H, Akcay M, Kavrik F, Hatirli H, Ozkan B. Comparison of bleaching efficacy of two bleaching agents on teeth discoloured by different antibiotic combinations used in revascularization. Clin Oral Investig. 2015;19(6):1437-1442.
  • 23. Lim MY, Lum SO, Poh RS, Lee GP, Lim KC. An in vitro comparison of the bleaching efficacy of 35% carbamide peroxide with established intracoronal bleaching agents. Int Endod J. 2004;37(7):483-488.
  • 24. Küçükekenci F, Çakici F, Küçükekenci AS. Spectrophotometric analysis of discoloration and internal bleaching after use of different antibiotic pastes. Clin Oral Investig. 2019;23:161–167.
  • 25. Rotstein I, Mor C, Arwaz JR. Changes in surface levels of mercury, silver, tin, and copper of dental amalgam treated with carbamide peroxide and hydrogen peroxide in vitro. Oral Surg, Oral Med, Oral Pathol, Oral Radiol, Endod. 1997;83(4):506-509.
  • 26. Schwartz RS, Robbins JW. Post placement and restoration of endodontically treated teeth: a literature review. J Endod. 2004;30:289–301.
  • 27. Lado E, Stanley H, Weisman M. Cervical resorption in bleached teeth. Oral Surg, Oral Med, Oral Pathol. 1983;55(1):78-80.
  • 28. Sato C, Rodrigues F, Garcia D, Vidal C, Pashley DH, Tjäderhane L, et al. Tooth bleaching increases dentinal protease activity. J Dent Res. 2012; 92:187-192.
  • 29. Siqueira EL, dos Santos M, Neto JADG, dos Santos FLHV. Resıstêncıa Ao Cısalhamento De Dentes Submetıdosa Duas Técnıcas De Clareamento, Pós-Restaurados Ou Não Shear Strength in Teeth Subjected to Two Bleachıng Technıques, Post-Restoratıon or Otherwıse. Rev Odontol Univ São Paulo. 1997; 11:1.
  • 30. Nosrat A, Seifi A, Asgary S. Regenerative endodontic treatment (revascularization) for necrotic immature permanent molars: a review and report of two cases with a new biomaterial. J Endod. 2011;37(4):562-567.
  • 31. Asgary S, Fazlyab M, Nosrat A. Regenerative Endodontic Treatment versus Apical Plug in Immature Teeth: Three-Year Follow-Up. J Clin Pediatr Dent. 2016;40(5):356-360.
  • 32. Roghanizadeh L, Fazlyab M. Revascularization and Apical Plug in an Immature Molar. Iran Endod J. 2018;13(1):139-142.
  • 33. Kim JH, Kim Y, Shin SJ, Park JW, Jung IY. Tooth discoloration of immature permanent incisor associated with triple antibiotic therapy: a case report. J Endod. 2010;36(6):1086-1091.
  • 34. Santos LG, Felippe WT, Souza BD, Konrath AC, Cordeiro MM, Felippe MC. Crown discoloration promoted by materials used in regenerative endodontic procedures and effect of dental bleaching: spectrophotometric analysis. J Appl Oral Sci. 2017;25(2):234-242.
  • 35. Han L, Okiji T. Bioactivity evaluation of three calcium silicate-based endodontic materials. Int Endod J. 2013; 46:808-814.
  • 36. Sirimai S, Riis DN, Morgano SM. An in vitro study of the fracture resistance and the incidence of vertical root fracture of pulpless teeth restored with six post-and-core systems. J Prosthet Dent. 1999; 81:262-269.
  • 37. Grande NM, Plotino G, Lavorgna L, Ioppolo P, Bedini R, Pameijer CH, et al. Influence of different root canal–filling materials on the mechanical properties of root canal dentin. J Endod. 2007; 33:859-863.
Year 2023, Volume: 9 Issue: 1, 72 - 80, 28.02.2023
https://doi.org/10.19127/mbsjohs.1196394

Abstract

References

  • 1. Galler KM, Krastl G, Simon S, Van Gorp G, Meschi N, Vahedi B, et al. European Society of Endodontology position statement: revitalization procedures. Int Endod J. 2016; 49:717–123.
  • 2. Östby BN. The role of the blood clot in endodontic therapy an experimental histologic study. Acta Odontol Scand. 1961; 19:323-353.
  • 3. Kontakiotis EG, Filippatos CG, Tzanetakis GN, Agrafioti A. Regenerative endodontic therapy: A data analysis of clinical protocols. J Endod. 2015; 41:146–154.
  • 4. Nosrat A, Homayounfar N, Oloomi K. Drawbacks and unfavourable outcomes of regenerative endodontic treatments of necrotic immature teeth: a literature review and report of a case. J Endod. 2012; 38:1428–1434.
  • 5. Reynolds K, Johnson J, Cohenca N. Pulp revascularization of necrotic bilateral bicuspids using a modified novel technique to eliminate potential coronal discolouration: a case report. Int Endod J. 2009; 42:84–92.
  • 6. Thibodeau B, Trope M. Pulp revascularization of a necrotic infected immature permanent tooth: case report and review of the literature. Pediatr Dent. 2007;29: 47–50.
  • 7. Thomson A, Kahler B. Regenerative endodontics-biologically-based treatment for immature permanent teeth: a case report and review of the literature. Aust Dent J. 2010; 55:446–452.
  • 8. Shin S, Albert J, Mortman R. One step pulp revascularization treatment of an immature permanent tooth with chronic periapical abscess: a case report. Int Endod J. 2009; 42:1118–1126.
  • 9. Diogenes A, Henry MA, Teixeira FB, Hargreaves KM. An update on clinical regenerative endodontics. Endod Topics. 2013; 28:2–23.
  • 10. Krisdapong S, Prasertsom P, Rattanarangsima K, Sheiham A. Associations between perceived needs for dental treatment, oral health-related quality of life and oral diseases in school-aged Thai children. Community Dent Oral Epidemiol. 2014; 42:323–332.
  • 11. American Association of Endodontists. AAE regenerative endodontics clinical considerations. Cited: 2022, september 30. Available from: URL: http://www.aae.org/uploadedfiles/publications_and_research/research/currentregenerativeendodonticconsiderations.pdf.
  • 12. Kirchhoff AL, Raldi DP, Salles AC, Cunha RS, Mello. Tooth discolouration and internal bleaching after the use of triple antibiotic paste. Int Endod J. 2015; 48:1181–1187.
  • 13. Frysh H, Bowles W, Baker F, Rıvera-Hıdalgo G, Guıllen G. Effect of pH on bleaching efficiency. J Dent Res. 1993; 72:384–390.
  • 14. da Silva Pobbe PdO, Viapiana R, Souza-Gabriel AE, Marchesan MA, Sousa-Neto MD, Silva-Sousa YTC, et al. Coronal resistance to fracture of endodontically treated teeth submitted to light-activated bleaching. J Dent. 2008;36(11):935-939.
  • 15. Chng H. Update on materials used in intracoronal bleaching. Annals of the Royal Australasian College of Dental Surgeons. 2002; 16:147-150.
  • 16. Sarrett DC. Tooth whitening today. J Am Dent Assoc. 2002;133(11):1535-1538.
  • 17. Dahl J, Pallesen U. Tooth bleaching a critical review of the biological aspects. Critical Reviews in Oral Biology & Medicine. 2003;14(4):292-304.
  • 18. Elnaghy AM, Elsaka SE. Fracture resistance of simulated immature teeth filled with Biodentine and white mineral trioxide aggregate–an in vitro study. Dent Traumatol. 2016;32(2):116-120.
  • 19. Moosavi H, Maleknejad F, Kimyai S. Fracture resistance of endodontically-treated teeth restored using three root-reinforcement methods. J Contemp Dent Pract. 2008; 9: 30-37.
  • 20. Tawfik H, Abu-Seida AM, Hashem AA, Nagy MM. Regenerative potential following revascularization of immature permanent teeth with necrotic pulps. Int Endod J. 2013; 46:910–922.
  • 21. Berkhoff JA, Chen PB, Teixeira FB, Diogenes A. Evaluation of triple antibiotic paste removal by different irrigation procedures. J Endod. 2014;40(8):1172-1177.
  • 22. Yasa B, Arslan H, Akcay M, Kavrik F, Hatirli H, Ozkan B. Comparison of bleaching efficacy of two bleaching agents on teeth discoloured by different antibiotic combinations used in revascularization. Clin Oral Investig. 2015;19(6):1437-1442.
  • 23. Lim MY, Lum SO, Poh RS, Lee GP, Lim KC. An in vitro comparison of the bleaching efficacy of 35% carbamide peroxide with established intracoronal bleaching agents. Int Endod J. 2004;37(7):483-488.
  • 24. Küçükekenci F, Çakici F, Küçükekenci AS. Spectrophotometric analysis of discoloration and internal bleaching after use of different antibiotic pastes. Clin Oral Investig. 2019;23:161–167.
  • 25. Rotstein I, Mor C, Arwaz JR. Changes in surface levels of mercury, silver, tin, and copper of dental amalgam treated with carbamide peroxide and hydrogen peroxide in vitro. Oral Surg, Oral Med, Oral Pathol, Oral Radiol, Endod. 1997;83(4):506-509.
  • 26. Schwartz RS, Robbins JW. Post placement and restoration of endodontically treated teeth: a literature review. J Endod. 2004;30:289–301.
  • 27. Lado E, Stanley H, Weisman M. Cervical resorption in bleached teeth. Oral Surg, Oral Med, Oral Pathol. 1983;55(1):78-80.
  • 28. Sato C, Rodrigues F, Garcia D, Vidal C, Pashley DH, Tjäderhane L, et al. Tooth bleaching increases dentinal protease activity. J Dent Res. 2012; 92:187-192.
  • 29. Siqueira EL, dos Santos M, Neto JADG, dos Santos FLHV. Resıstêncıa Ao Cısalhamento De Dentes Submetıdosa Duas Técnıcas De Clareamento, Pós-Restaurados Ou Não Shear Strength in Teeth Subjected to Two Bleachıng Technıques, Post-Restoratıon or Otherwıse. Rev Odontol Univ São Paulo. 1997; 11:1.
  • 30. Nosrat A, Seifi A, Asgary S. Regenerative endodontic treatment (revascularization) for necrotic immature permanent molars: a review and report of two cases with a new biomaterial. J Endod. 2011;37(4):562-567.
  • 31. Asgary S, Fazlyab M, Nosrat A. Regenerative Endodontic Treatment versus Apical Plug in Immature Teeth: Three-Year Follow-Up. J Clin Pediatr Dent. 2016;40(5):356-360.
  • 32. Roghanizadeh L, Fazlyab M. Revascularization and Apical Plug in an Immature Molar. Iran Endod J. 2018;13(1):139-142.
  • 33. Kim JH, Kim Y, Shin SJ, Park JW, Jung IY. Tooth discoloration of immature permanent incisor associated with triple antibiotic therapy: a case report. J Endod. 2010;36(6):1086-1091.
  • 34. Santos LG, Felippe WT, Souza BD, Konrath AC, Cordeiro MM, Felippe MC. Crown discoloration promoted by materials used in regenerative endodontic procedures and effect of dental bleaching: spectrophotometric analysis. J Appl Oral Sci. 2017;25(2):234-242.
  • 35. Han L, Okiji T. Bioactivity evaluation of three calcium silicate-based endodontic materials. Int Endod J. 2013; 46:808-814.
  • 36. Sirimai S, Riis DN, Morgano SM. An in vitro study of the fracture resistance and the incidence of vertical root fracture of pulpless teeth restored with six post-and-core systems. J Prosthet Dent. 1999; 81:262-269.
  • 37. Grande NM, Plotino G, Lavorgna L, Ioppolo P, Bedini R, Pameijer CH, et al. Influence of different root canal–filling materials on the mechanical properties of root canal dentin. J Endod. 2007; 33:859-863.
There are 37 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research articles
Authors

Funda Fundaoğlu Küçükekenci 0000-0002-9619-545X

Publication Date February 28, 2023
Published in Issue Year 2023 Volume: 9 Issue: 1

Cite

Vancouver Fundaoğlu Küçükekenci F. Investigation of the Effect of Bleaching on Discolored Teeth After Regenerative Treatment on Fracture Resistance of Teeth. Mid Blac Sea J Health Sci. 2023;9(1):72-80.

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