DOI QR코드

DOI QR Code

Color Change in Tooth Induced by Various Calcium Silicate-Based Pulp-Capping Materials

수 종의 칼슘-실리케이트 치수복조제의 치관 색조 변화

  • Jeon, Jiyoon (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University) ;
  • Choi, Namki (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University) ;
  • Kim, Seonmi (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University)
  • 전지윤 (전남대학교 치의학전문대학원 소아치과학교실) ;
  • 최남기 (전남대학교 치의학전문대학원 소아치과학교실) ;
  • 김선미 (전남대학교 치의학전문대학원 소아치과학교실)
  • Received : 2020.12.24
  • Accepted : 2021.02.24
  • Published : 2021.08.31

Abstract

Color stability of pulp-capping material is considered vital to the final aesthetic result since the material is placed in the coronal area. The purpose of this study was to compare the color stability of various pulp-capping materials by analyzing color change of tooth over time. A cavity was formed in the crown of the extracted premolar, and 4 types of pulp-capping materials were filled. Color assessment was performed with a spectrophotometer at different intervals: before placement; immediately after material placement; 1 day, 1 week, 2 weeks, 4 weeks, 8 weeks, 12 weeks, and 16 weeks after placement. Proroot white MTA® and TheraCal LC® showed a significant decrease in the L* value and an increase in the ∆E* value over time. In contrast, Biodentine® and Well-RootTM PT showed no significant change in the L* value and maintained a steady ∆E* value. The application of pulp-capping materials containing bismuth oxide as a radiopacifier may result in a color change of teeth. Long-term color stability of pulp-capping materials should be considered when treating teeth with thin enamel thickness or in aesthetically important area.

치수복조제는 치관부에 위치하기 때문에 색 안정성이 최종적인 심미성에 영향을 미치는 중요한 요소로 간주된다. 이 연구는 시간에 따른 치관의 색조 변화를 분석하여 치수복조제의 색조 안정성을 비교해보고자 하였다. 발거된 소구치의 치관에 와동을 형성하고 4가지 종류의 치수복조제를 충전하였다. 색상 변화는 분광광도계를 사용하여 재료를 넣기 전, 재료를 넣은 즉시, 재료를 넣고 1일 후, 1주 후, 2주 후, 4주 후, 8주 후, 12주 후, 16주 후에 측정을 시행하였다. Proroot white MTA®와 TheraCal LC®는 시간이 지남에 따라 지속적인 L* 값의 감소와 ∆E* 값의 증가를 보였다. 반면 Biodentine®과 Well-rootTM PT는 유의한 L* 값의 변화가 없었고 일정한 ∆E* 값을 유지하였다. 방사선 불투과성 물질로 산화 비스무트가 포함된 치수복조제의 적용 시 치아의 색조 변화가 나타날 수 있으며, 법랑질의 두께가 얇은 유치의 수복이나 전치부의 심미 수복 시 치수복조제의 장기적인 색 안정성을 고려해야 한다.

Keywords

References

  1. Akhlaghi N, Khademi A : Outcomes of vital pulp therapy in permanent teeth with different medicaments based on review of the literature. J Dent Res, 12:406-417, 2015. https://doi.org/10.4103/1735-3327.166187
  2. Ward J : Vital pulp therapy in cariously exposed permanent teeth and its limitations. Aust Endod J, 28:29-37, 2002. https://doi.org/10.1111/j.1747-4477.2002.tb00364.x
  3. He L, Zhong J, Mao JJ, et al. : Treatment of necrotic teeth by apical revascularization: meta-analysis. Sci Rep, 7:13941, 2017. https://doi.org/10.1038/s41598-017-14412-x
  4. Gandolfi MG, Siboni F, Prati C : Calcium silicate and calcium hydroxide materials for pulp capping: biointeractivity, porosity solubility, and bioactivity of current formulations. J Appl Biomater Funct Mater, 13:43-60, 2015.
  5. Aeinehchi M, Eslami B, Ghanbariha M, Saffar AS : Mineral trioxide aggregate (MTA) and calcium hydroxide as pulpcapping agents in human teeth: a preliminary report. Int Endod J, 36:225-231, 2003. https://doi.org/10.1046/j.1365-2591.2003.00652.x
  6. Ford TR, Torabinejad M, Kariyawasam SP, et al . : Using mineral trioxide aggregate as a pulp-capping material. J Am Dent Assoc , 127:1491-1494, 1996. https://doi.org/10.14219/jada.archive.1996.0058
  7. Maturo P, Costacurta M, Bartolino M, Docimo R : MTA applications in pediatric dentistry. Oral Implantol (Rome), 2:37-44, 2009.
  8. Bortoluzzi EA, Araujo GS, Tanomaru JMG, Tanomaru FM : Marginal gingiva discoloration by gray MTA: a case report. J Endod, 33:325-327, 2007. https://doi.org/10.1016/j.joen.2006.09.012
  9. Felman D, Parashos P : Coronal tooth discoloration and white mineral trioxide aggregate. J Endod, 39:484-487, 2013. https://doi.org/10.1016/j.joen.2012.11.053
  10. Ioannidis K, Mistakidis I, Beltes P, Karagiannis V : Spectrophotometric analysis of coronal discolouration induced by grey and white MTA. Int Endod J, 46:137-144, 2013. https://doi.org/10.1111/j.1365-2591.2012.02098.x
  11. Valles M, Mercade M, Roig M, et al. : Influence of light and oxygen on the color stability of five calcium silicate-based materials. J Endod, 39:525-528, 2013. https://doi.org/10.1016/j.joen.2012.12.021
  12. Cantekin K : Bond strength of different restorative materials to light-curable mineral trioxide aggregate. J Clin Pediatr Dent, 39:143-148, 2015. https://doi.org/10.17796/jcpd.39.2.84x57tp110k46183
  13. Rajasekharan S, Martens LC, Cauwels RGEC, Verbeeck RMH : BiodentineTM material characteristics and clinical applications: a review of the literature. Eur Arch Paediatr Dent, 15:147-158, 2014. https://doi.org/10.1007/s40368-014-0114-3
  14. Butt N, Talwar S, Bali A, et al. : Comparison of physical and mechanical properties of mineral trioxide aggregate and Biodentine. Indian J Dent Res, 25:692-697, 2014. https://doi.org/10.4103/0970-9290.152163
  15. VERICOM Co., Ltd. : VERICOM PRODUCT CATALOG Rev.4. Available from URL: https://vericom.co.kr/eng/cs/catalog.html?bmain=view&uid=2&language=ENG (Accessed on January 13, 2021).
  16. Cohen BD, Combe EC : Development of new adhesive pulp capping materials. Dent Update, 21:57-62, 1994.
  17. Marciano MA, Costa RM, Duarte MA, et al. : Assessment of color stability of white mineral trioxide aggregate angelus and bismuth oxide in contact with tooth structure. J Endod, 40:1235-1240, 2014. https://doi.org/10.1016/j.joen.2014.01.044
  18. Lenherr P, Allgayer N, Krastl G, et al . : Tooth discoloration induced by endodontic materials: a laboratory study. Int Endod J, 45:942-949, 2012. https://doi.org/10.1111/j.1365-2591.2012.02053.x
  19. Dentsply Sirona : Medical device attachment library. Available from URL: https://www.dentsplysirona.com/content/dam/flagship/korea/medical-device-attachments/endo/KRAttachment-ENDO-SH04261-ProRoot-MTA.pdf (Accessed on January 13, 2021).
  20. Islam I, Chng HK, Yap AUJ : Comparison of the physical and mechanical properties of MTA and portland cement. J Endod, 32:193-197, 2006. https://doi.org/10.1016/j.joen.2005.10.043
  21. Septodont : Biodentine® - Bioactive Dentin Substitute. Available from URL: https://www.septodontusa.com/products/biodentine (Accessed on January 13, 2021).
  22. VERICOM Co., Ltd. : Product_Well-Root PT. Available from URL: https://vericom.co.kr/eng/product/view.html?uid=14&mode=&depth1=18&depth2=21 (Accessed on January 13, 2021).
  23. Kang SH, Shin YS, Song JS, et al . : Color changes of teeth after treatment with various mineral trioxide aggregate-based materials: an ex vivo study. J Endod, 41:737-741, 2015. https://doi.org/10.1016/j.joen.2015.01.019
  24. Hintz JK, Bradley TG, Eliades T : Enamel colour changes following whitening with 10 percent carbamide peroxide: a comparison of orthodontically-bonded/debonded and untreated teeth. Eur J Orthod, 23:411-415, 2001. https://doi.org/10.1093/ejo/23.4.411
  25. Joiner A : Tooth colour: a review of the literature. J Dent, 32:3-12, 2004. https://doi.org/10.1016/j.jdent.2003.10.013
  26. Ruyter IE, Nilner K, Moller B : Color stability of dental composite resin materials for crown and bridge veneers. Dent Mater, 3:246-251, 1987. https://doi.org/10.1016/S0109-5641(87)80081-7
  27. Son YJ, Hyun HK, Jang KT, et al . : Color stability of new silorane-based composite resin: an in vitro spectrophotometric study. J Korean Acad Pediatr Dent, 37:73-81, 2010.
  28. Shokouhinejad N, Nekoofar MH, Dummer PHM, et al. : Evaluation and comparison of occurrence of tooth discoloration after the application of various calcium silicate-based cements: an ex vivo study. J Endod, 42:140-144, 2016. https://doi.org/10.1016/j.joen.2015.08.034
  29. Karamouzos A, Papadopoulos MA, Kolokithas G, Athanasiou AE : Precision of in vivo spectrophotometric colour evaluation of natural teeth. J Oral Rehabil, 34:613-621, 2007. https://doi.org/10.1111/j.1365-2842.2007.01744.x
  30. Da Silva JD, Park SE, Weber HP, Ishikawa-Nagai S : Clinical performance of a newly developed spectrophotometric system on tooth color reproduction. J Prosthet Dent, 99:361-368, 2008. https://doi.org/10.1016/S0022-3913(08)60083-9
  31. Park SJ, Lee HY, Hwang IN, et al. : The evaluation of color and color difference according to the layering placement of incisal shade composites on the body composites of the indirect resin restoration. J Korean Acad Conserv Dent, 36:37-49, 2011. https://doi.org/10.5395/JKACD.2011.36.1.37
  32. Song YS, Kim JH, Hwang IN, et al. : Colorimetric comparison of single layered dental composite with double layered dental composite. Restor Dent Endod, 37:84-89, 2012. https://doi.org/10.5395/rde.2012.37.2.84
  33. Eom AH, Kim DS, Choi KK, et al. : Optical Characteristics of Resin Composite before and after Polymerization. J Korean Acad Conserv Dent, 363:219-230, 2011.
  34. Guler AU, Yilmaz F, Kurt S, et al. : Effects of different drinks on stainability of resin composite provisional restorative materials. J Prosthet Dent, 94:118-124, 2005. https://doi.org/10.1016/j.prosdent.2005.05.004
  35. Gross MD, Moser JB : A colorimetric study of coffee and tea staining of four composite resins. J Oral Rehabil, 4:311-322, 1977. https://doi.org/10.1111/j.1365-2842.1977.tb00997.x
  36. Hyun HK, Lee YK, Lee SH, et al. : Color distribution of maxillary primary incisors in Korean children. Col Res Appl, 35:153-158, 2010. https://doi.org/10.1002/col.20556
  37. Yun DA, Park SJ, Min KS, et al. : Tooth discoloration induced by calcium-silicate based pulp-capping materials. Eur J Dent, 9:165-170, 2015. https://doi.org/10.4103/1305-7456.156789
  38. Valles M, Roig M, Mercade M, et al. : Color stability of teeth restored with Biodentine: a 6-month in vitro study. J Endod, 41:1157-1160, 2015. https://doi.org/10.1016/j.joen.2015.03.014
  39. Ramos JC, Palma PJ, Santos JM, et al. : 1-year In vitro evaluation of tooth discoloration induced by 2 calcium silicate based cements. J Endod, 42:1403-1407, 2016. https://doi.org/10.1016/j.joen.2016.06.012
  40. Palma PJ, Marques JA, Ramos JC, et al . : Six-Month Color Stability Assessment of Two Calcium Silicate-Based Cements Used in Regenerative Endodontic Procedures. J Funct Biomater, 10:1-11, 2019. https://doi.org/10.3390/jfb10010001
  41. Jung JE, Jung KH, Park JK, et al . : Comparison of the color of composite resins with different thickness. Korean J Dent Mater, 41:85-96, 2014. https://doi.org/10.14815/kjdm.2014.41.2.85
  42. Hwang IN, Lee KW : Translucency of light cured composite resins depends on thickness & its influence on color of restorations. J Korean Acad Conserv Dent, 24:585-603, 1999.
  43. Park SJ, Lee HY, Hwang IN, et al . : The evaluation of color and color difference according to the layering placement of Incisal shade composites on the body composites of the indirect resin restoration. J Korean Acad Conserv Dent, 36:37-49, 2011. https://doi.org/10.5395/JKACD.2011.36.1.37
  44. Park SJ, Noh EY, Hwang IN, et al. : Color difference of the dental composites measured by different color measuring instruments. J Korean Acad Conserv Dent, 34:199-207, 2009. https://doi.org/10.5395/JKACD.2009.34.3.199