Spectrophotometric Analysis of Crown Discoloration Induced by Various MTA Based Materials (분광분석법을 이용한 수종 MTA의 치관변색 평가)

임유란; Choi Nam-Ki (최남기); Jaehwan Kim (김재환); Kim Seon Mi (김선미)

Spectrophotometric Analysis of Crown Discoloration Induced by Various MTA Based Materials

Journal of the Korean academy of pediatric dentistry
Abbr : J Korean Acad Pediatr Dent
2017, 44(1), pp.28~37
Publisher : The Korean Academy Of Pediatric Dentistry
Research Area : Medicine and Pharmacy > Dentistry

임유란 ¹, Choi Nam-Ki ¹, Jaehwan Kim ², Kim Seon Mi ¹

¹전남대학교
²전남대학교병원

Accredited

ABSTRACT

Mineral trioxide aggregate have been used for many years as a pulp therapy material. The most widely used product, Proroot white MTA􀋓 has a major drawback that it causes tooth discoloration. This study assessed discoloration of crown when various MTA-based materials were placed in the coronal aspect of the root canal. Seventy-five single-rooted, unrestored premolar teeth were selected. The teeth were randomly assigned to four experimental groups, each of Biodentine􀋓, Proroot wMTA􀋓, Endocem􀋓, RetroMTA􀋓 and one negative control groups. Color measurements were utilized by the Commission International de I’Eclairage’s L*a*b* system with spectrophotometer. The color was assessed eight times : initial, 1 day, 1 week, 2 weeks, 4 weeks, 8 weeks, 12 weeks, and 16 weeks after the placement. Statistical analysis was performed using the 2-way repeated analysis of variance and Bonferroni’s method with p < 0.05. Proroot wMTA􀋓 induced significant decreases in L* values during experiment period. Tooth samples from the Endocem􀋓 group presented indistinct grayish color changes. The Biodentine􀋓 and RetroMTA􀋓 showed color stability. Consequently, while Proroot wMTA􀋓 and Endocem􀋓 that contain bismuth oxide as a radiopacifier showed tooth discoloration, displayed no sign of discoloration Biodentine􀋓 and RetroMTA􀋓 that contain zirconium oxide as a radiopacifier.

KEYWORDS

Crown discoloration, Spectrophotometer, Mineral trioxide aggregate, Bismuth oxide, Zirconium oxide, Radiopacifier

Journal Copyright Policy

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

Citation status

* References for papers published after 2025 are currently being built.

[journal] Torabinejad M / 2010 / Mineral trioxide aggregate:a comprehensive literature review-part II :leakage and biocompatibility investigations / J Endod 36 : 190~202

[journal] Camilleri J / 2011 / Evaluation of the effect of intrinsic material properties and ambient conditions on the dimensional stability of white mineral trioxide aggregate and Portland cement / J Endod 37 : 239~245

[journal] Tsatsas DV / 2005 / Sealing effectiveness of materials used in furcation perforation in vitro / Int Dent J 55 : 133~141

[journal] Camilleri J / 2005 / The constitution of mineral trioxide aggregate / Dent Mater 21 : 297~303

[journal] 김승혜 / 2013 / Effects of Mineral Trioxide Aggregate on the Proliferation and Differentiation of Human Dental Pulp Stromal Cells from Permanent and Deciduous Teeth / 대한소아치과학회지 / 대한소아치과학회 40(3) : 185~193

[journal] Parirokh M / 2005 / A comparative study of white and grey mineral trioxide aggregate as pulp capping agents in dog’s teeth / Dent Traumatolo 21 : 150~154

[journal] Naik S / 2005 / Mineral trioxide aggregate as a pulpotomy agent in primary molars : An in vivo study / J Indian Soc Pedod Prev Dent 23 : 13~16

[journal] Nowicka A / 2015 / Tomographic evaluation of reparative dentin formation after direct pulp capping with Ca(OH)2, MTA, Biodentine, and dentin bonding system in human teeth / J Endod 41 : 1234~1240

[journal] 이혜원 / 2015 / Biologic Response of Human Deciduous Dental Pulp Cells on Newly Developed MTA-like Materials / 대한소아치과학회지 / 대한소아치과학회 42(4) : 291~301

[journal] Torabinejad M / 1995 / Physical and chemical properties of a new rootend filling material / J Endod 21 : 349~353

[journal] Parirokh M / 2010 / Mineral trioxide aggregate : A comprehensive literature review-Part I :chemical, physical, and antibacterial properties / J Endod 36 : 16~27

[journal] Belobrov I / 2011 / Treatment of tooth discoloration after the use of white mineral trioxide aggregate / J Endod 37 : 1017~1020

[journal] Bortoluzzi EA / 2007 / Tanomaru-Filho M : Marginal gingiva discoloration by gray MTA : A case report / J Endod 33 : 325~327

[journal] Asgary S / 2005 / Chemical differences between white and gray mineral trioxide aggregate / J Endod 31 : 101~103

[journal] Marciano MA / 2014 / Assessment of color stability of white mineral trioxide aggregate angelus and bismuth oxide in contact with tooth structure / J Endod 40 : 1235~1240

[journal] Johnson BR / 1999 / Considerations in the selection of a root-end filling material / Oral Surg Oral Med Oral Pathol Oral Radiol Endod 87 : 398~404

[journal] özlem Malkondu / 2014 / A review on biodentine, a contemporary dentine replacement and repair material / Biomed Res Int 2014 : 1~10

[journal] Laurent P / 2008 / Induction of specific cell responses to a Ca3SiO5-based posterior restorative material / Dent Mater 24 : 1486~1494

[journal] Perard M / 2013 / Spheroid model study comparing the biocompatibility of Biodentine and MTA / J Mater Sci Mater Med 24 : 1527~1534

[journal] Zanini M / 2012 / Biodentine induces immortalized murine pulp cell differentiation into odontoblast-like cells and stimulates biomineralization / J Endod 38 : 1220~1226

[journal] Laurent P / 2012 / Biodentine(TM)induces TGF-beta1 release from human pulp cells and early dental pulp mineralization / Int Endod J 45 : 439~448

[web] RetroMTA / Assessment service / http://www.biomta.com/shop/eng/product_5.php

[journal] Chung CJ / 2015 / Effects of two fast-setting calcium-silicate cements on cell viability and angiogenic factor release in human pulp-derived cells / Odontology 2015 : 1~9

[journal] Chang SW / 2015 / 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 41 : 1524~1529

[journal] Koubi G / 2013 / Clinical evaluation of the performance and safety of a new dentine substitute, Biodentine, in the restoration of posterior teeth : a prospective study / Clin Oral Investig 17 : 243~249

[journal] Choi Y / 2013 / Biological effects and washout resistance of a newly developed fast setting pozzolan cement / J Endod 39 : 467~472

[journal] Park SJ / 2014 / Odontogenic effect of a fast-setting pozzolan-based pulp capping material / J Endod 40 : 1124~1131

[journal] Johnston WM / 1989 / Assessment of appearance match by visual observation and clinical colorimetry / J Dent Res 68 : 819~822

[journal] Kuehni RG / 1976 / Color-tolerance data and the tentative CIE 1976 L a b formula / J Opt Soc Am 66 : 497~500

[journal] Akbari M / 2012 / Effect of dentin bonding agent on the prevention of tooth discoloration produced by mineral trioxide aggregate / Int J Dent 3 : 1~3

[journal] Yun DA / 2015 / Tooth discoloration induced by calcium-silicate-based pulp-capping materials / Eur J Dent 9 : 165~170

[journal] Jang JH / 2013 / Tooth discoloration after the use of new pozzolan cement (Endocem) and mineral trioxide aggregate and the effects of internal bleaching / J Endod 39 : 1598~1602

[journal] Karamouzos A / 2007 / Precision of in vivo spectrophotometric colour evaluation of natural teeth / J Oral Rehabil 34 : 613~621

[journal] Seghi RR / 1989 / Visual and instrumental colorimetric assessments of small color differences on translucent dental porcelain / J Dent Res 68 : 1760~1764

[journal] O’Brien WJ / 1990 / A new, smallcolor-difference equation for dental shades / J Dent Res 69 : 1762~1764

[journal] Felman D / 2013 / Coronal tooth discoloration and white mineral trioxide aggregate / J Endod 39 : 484~487

[journal] Ioannidis K / 2013 / Spectrophotometric analysis of coronal discoloration induced by grey and white MTA / Int Endod J 46 : 137~144

[journal] Askarinejad A / 2012 / Evaluation the pozzolanic reactivity of sonochemically fabricated nano natural pozzolan / Ultrason Sonochem 19 : 119~124

[journal] Vallés M / 2015 / Color stability of teeth restored with biodentine : A 6-month in vitro study / J Endod 41 : 1157~1160

[journal] Valles M / 2013 / Influence of light and oxygen on the color stability of five calcium silicate-based materials / J Endod 39 : 525~528

[journal] Bortoluzzi EA / 2009 / Radiographic effect of different radiopacifiers on a potential retrograde filling material / Oral Surg Oral Med Oral Pathol Oral Radiol Endod 108 : 628~632

[journal] Aguilar FG / 2011 / Radiopacity evaluation of calcium aluminate cement containing different radiopacifying agents / J Endod 37 : 67~71

[journal] Cutajar A / 2011 / Replacement of radiopacifier in mineral trioxide aggregate; characterization and determination of physical properties / Dent Mater 27 : 879~891

[journal] Kang SH / 2015 / Color changes of teeth after treatment with various mineral trioxide aggregate-based materials: An ex vivo study / J Endod 41 : 737~741

KJCKorea
Journal Central

Journal of the Korean academy of pediatric dentistry 2025 KCI Impact Factor : 0.43