Comparison of Tooth Discoloration Induced by Calcium-enriched Mixture, Mineral Trioxide Aggregate, and Endocem

Farhang, Robab; Hekmatfar, Somayeh; Samadi, Vahid; Meraji, Avisa; Jafari, Karim

doi:10.5005/jp-journals-10015-1758

Cited by 3 publications

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“…It should be pointed out that the sample sizes were small in the above studies. In a study by Farhang et al, the discoloration caused by CEM cement at the 1-month interval was less than that caused by MTA; however, there were no significant differences between these two materials over time [31]. In the present study, over time, CEM had significantly less discoloration.…”

Section: Discussioncontrasting

confidence: 56%

“…In the present study, over time, CEM had significantly less discoloration. In the study of Farhang R. et al, the entire pulp chamber was filled with the investigated material, which is different from this study [31]. On the other hand, according to the results of Rohani et al, who compared the discoloration of CEM and MTA by colorimeter, no coronal color change was reported for CEM [19].…”

Section: Discussionmentioning

confidence: 61%

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Comparison of Coronal Discoloration Induced by White MTA and CEM Cement

et al. 2022

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Coronal discoloration of endodontically treated teeth is a challenge in clinical dentistry. This study aimed to compare coronal discoloration induced by White Mineral Trioxide Aggregate and Calcium-enriched mixture cement. Fifty single-rooted, unrestored premolar teeth extracted for orthodontic reasons were selected. After access cavity preparation, all the root canals were instrumented with MTWO rotary files up to #40.6%. The specimens were randomly assigned to two experimental groups, White Mineral Trioxide Aggregate and Calcium-enriched mixture cement groups (n = 20), and two control groups (n = 5). In the White Mineral Trioxide Aggregate and Calcium-enriched mixture cement groups, the material was condensed via the access cavity 3 mm below the cementoenamel junction to a thickness of 3 mm. Tooth color was assessed using computer analysis of digital images. Tooth color measurements were recorded at eight time intervals: before material placement (but after tooth preparation), at 24 h, 48 h, one week, two weeks, four weeks, eight weeks, and sixteen weeks after material placement. Data were analyzed using t-test, ANOVA, repeated measure ANOVA, and Tukey HSD tests. The significance level was set at 5% for all the tests. Cervical discoloration of teeth in both experimental groups significantly increased over time (p < 0.05). However, samples in the White Mineral Trioxide Aggregate group showed more discoloration in cervical regions than Calcium-enriched mixture cement specimens after two, four, eight, and sixteen weeks (p < 0.05). Applying both White Mineral Trioxide Aggregate and Calcium-enriched mixture cement induced coronal discoloration; however, White Mineral Trioxide Aggregate samples exhibited greater cervical discoloration than Calcium-enriched mixture cement specimens after two, four, eight, and sixteen weeks.

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Section: Discussioncontrasting

confidence: 56%

Section: Discussionmentioning

confidence: 61%

Comparison of Coronal Discoloration Induced by White MTA and CEM Cement

et al. 2022

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Comprehensive review of composition, properties, clinical applications, and future perspectives of calcium-enriched mixture (CEM) cement: a systematic analysis

Asgary,

Aram,

Fazlyab

2024

BioMed Eng OnLine

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Intracanal medicaments and coronal sealing materials influence on root fracture resistance and coronal discoloration: An in vitro study

Sahebalam,

Boskabady,

Naghavi

et al. 2024

Saudi Endodontic Journal

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Introduction: Immature teeth are more susceptible to fracture, and intracanal medicaments and coronal filling materials used in regenerative endodontics affect their optic and mechanical properties. This study aimed to evaluate the fracture resistance and coronal discoloration of simulated immature teeth following the placement of several intracanal medicaments and coronal sealing materials. Materials and Methods: Eighty-eight premolars simulating immature teeth were divided into 11 groups (n = 8 each) according to the type of intracanal medicament (triple antibiotic paste [TAP]; double antibiotic pastes [DAP]; calcium hydroxide [Ca(OH)2]) and used coronal barrier materials (mineral trioxide aggregate [MTA] and calcium-enriched mixture [CEM]). A bonding agent was applied in half of the samples in the groups where antibiotic pastes were used (n = 8). After incubating for 3 weeks, the sample’s fracture resistance and color change were evaluated. Data analysis was conducted using multivariate and one-way analysis of variance, Tukey’s honestly significant difference post hoc, and the Kruskal–Wallis tests (α =0.05). Results: The color change after placing the medicaments was comparable among the groups. However, after 3 months, the color change in the TAP-CEM-No-Bonding group was higher than the control, Ca(OH)2-MTA, and DAP-MTA-No-Bonding groups (P < 0.05). The fracture resistance of the TAP-MTA-Bonding, DAP-CEM-Bonding, Ca(OH)2-MTA, and Ca(OH)2-CEM was lower than the control group (P < 0.05). Conclusion: Simultaneous use of DAP-MTA without a dentin bonding agent led to comparable color change and fracture resistance to the control group.

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Comparison of Tooth Discoloration Induced by Calcium-enriched Mixture, Mineral Trioxide Aggregate, and Endocem

Cited by 3 publications

References 0 publications

Comparison of Coronal Discoloration Induced by White MTA and CEM Cement

Comparison of Coronal Discoloration Induced by White MTA and CEM Cement

Comprehensive review of composition, properties, clinical applications, and future perspectives of calcium-enriched mixture (CEM) cement: a systematic analysis

Intracanal medicaments and coronal sealing materials influence on root fracture resistance and coronal discoloration: An in vitro study

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