Assessment of tooth discoloration induced by biodentine and white mineral trioxide aggregate in the presence of blood

Abstract

Introduction: In clinical dental application, using silicate-based cements is extremely popular. These materials come into direct contact with blood during or after placement and may cause tooth discoloration. Objectives: The purpose of this study was to compare the coronal tooth discoloration induced by white mineral trioxide aggregate (MTA) and biodentine in the presence of blood. Materials and Methods: Seventy specimens were chemomechanically prepared and divided into four experimental and two control groups. In the experimental groups, the pulp chambers were filled with white MTA angelus or biodentine. Blood or saline saturated cotton pellets were placed within the canals. Saline or blood alone was used in the control groups. Color was assessed with a spectrophotometer at baseline, 1 week, and 1 and 3 months, and color change values were calculated. Tukey's honestly significant difference and Sidak tests were used for statistical analysis. Results: The color change was significantly less with biodentine/saline than MTA/saline and MTA/blood ( P < 0.05). Regardless of the material type and blood presence, discoloration increased after 3 months ( P < 0.05). Conclusion: Discoloration induced by biodentine/saline may not be clinically noticeable and it was less than MTA-containing groups. Irrespective of blood presence or absence, MTA caused perceptible color change.

Discoloration Potential of Biodentine: A Systematic Review

“…The most common method for color change evaluation was spectrophotometry, used in six studies [12,13,21,27,41,42], followed by spectrophotometry used with a digital camera [14,24,25,28,40], colorimetry [22], spectroradiometry [23], and only a digital camera [26].…”

“…Color changes were measured by calculating ∆E values in all studies. Eleven publications [12][13][14]21,22,[24][25][26]28,40,42] indicated human eye perceptible color change ranging from ∆E1.2 to ∆E3.7, whereas three articles [23,27,41] did not provide numeric information about ∆E thresholds, which were taken as perceptible to the human eye.…”

“…From 14 included studies, nine [12][13][14]22,[25][26][27]41,42] provided ∆E values, while five articles [21,23,24,28,40] did not present numeric ∆E values.…”

“…Six articles (Madani et al [21], Adl et al [42], Chen et al [25], Shokouhinejad et al [23], Palma et al [26]), Al-Hiyasat et al [13]) evaluated the discoloration potential of Biodentine in the presence as well as absence of blood; two articles (Marques Jr. et al [12] and Keskin et al [40]) compared the material blood contamination with the control group without blood and one article (Ramos et al [22]) compared Biodentine without blood with the positive control group with blood. The most common method for color change evaluation was spectrophotometry, used in six studies [12,13,21,27,41,42], followed by spectrophotometry used with a digital camera [14,24,25,28,40], colorimetry [22], spectroradiometry [23], and only a digital camera [26].…”

“…Six articles (Madani et al [21], Adl et al [42], Chen et al [25], Shokouhinejad et al [23], Palma et al [26]), Al-Hiyasat et al [13]) evaluated the discoloration potential of Biodentine in the presence as well as absence of blood; two articles (Marques Jr. et al [12] and Keskin et al [40]) compared the material blood contamination with the control group without blood and one article (Ramos et al [22]) compared Biodentine without blood with the positive control group with blood.…”