Volume 8, Issue 1 (1-2023)                   J Res Dent Maxillofac Sci 2023, 8(1): 11-17 | Back to browse issues page


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Saati K, Chitsazha R, Firouzi N, Tour Savadkouhi S, Firouzi N. Effect of Different Durations of Home Bleaching on Tooth Discoloration Caused by Mineral Trioxide Aggregate: An In Vitro Study. J Res Dent Maxillofac Sci 2023; 8 (1) :11-17
URL: http://jrdms.dentaliau.ac.ir/article-1-402-en.html
1- Department of Restorative Dentistry, Dental Branch, Islamic Azad University of Medical Sciences, Tehran, Iran
2- Department of Periodontics, Faculty of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
3- Department of Endodontics, Faculty of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran , neginfirouzi@gmail.com
4- Department of Endodontics, Faculty of Dentistry, Islamic Azad University of Medical Sciences, Tehran, Iran
5- Faculty of Dentistry, Islamic Azad Uni-versity of Medical Sciences, Tehran, Iran
Abstract:   (829 Views)
Background and Aim: Discoloration is an unfavorable side effect of regenerative endodontic procedures using mineral trioxide aggregate (MTA). The efficacy of home bleaching of discolored teeth with carbamide peroxide has not been well investigated, and the minimum required duration of home bleaching is still unclear. This study aimed to compare the effects of different durations of home bleaching on tooth discoloration caused by MTA.  
Materials and Methods: This in vitro, experimental study used 16 tooth blocks of bovine central incisors. To cause discoloration, white MTA was applied for 40 days in cavities drilled in blocks. The color parameters were measured at baseline and at 14, 28, and 42 days after the application of 20% carbamide peroxide using a spectrophotometer. Data were analyzed by repeated measures ANOVA and Tukey’s post-hoc test.
Results: The color change (∆E) value was 22.9±10, 26.3±10.9, and 27.03±11 at 14, 28, and 42 days after bleaching, respectively.
Significant color change occurred at 2, 4, and 6 weeks after the application of carbamide peroxide (P<0.001). The color change increased at 42 days (∆E of 3.1, or 13% compared with baseline), which was the highest amount among all time points. However, pairwise comparisons showed that it was not statistically significant (P=0.4).

Conclusion: It appears that 14 days is the required time for bleaching of teeth discolored by MTA. Longer bleaching times showed insignificantly higher efficacy for tooth whitening.
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Type of Study: Original article | Subject: Endodontics

References
1. Kim SG, Malek M, Sigurdsson A, Lin LM, Kahler B. Regenerative endodontics: a comprehensive review. Inter En-dod J. 2018;51(12): 1367-88. [DOI:10.1111/iej.12954] [PMID]
2. Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review--Part I: chemical, physical, and antibacterial properties. J Endod. 2010 Jan;36(1):16-27. [DOI:10.1016/j.joen.2009.09.006] [PMID]
3. Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review--Part III: Clinical applications, drawbacks, and mechanism of action. J Endod. 2010 Mar;36(3):400-13. [DOI:10.1016/j.joen.2009.09.009] [PMID]
4. Chen SJ, Chen LP. Radiographic outcome of necrotic immature teeth treated with two endodontic techniques: A retrospective analysis. Biomed J. 2016oct;39(5):366-71. [DOI:10.1016/j.bj.2015.12.006] [PMID] [PMCID]
5. Reitzer F, Ehlinger C, Minoux M. A modified inside/outside bleaching technique for nonvital discolored teeth: a case report. Quintessence Int. 2019;50(10):802-7.
6. Saati K, Sheikhi S, Esnaashari E, Valizadeh S. The Effects of Three Bleaching Agents on Tooth Discoloration Caused by Min-eral Trioxide Aggregate. Iran Endod J. 2018;14(4):253-8.
7. Alqahtani MQ. Tooth-bleaching procedures and their controversial effects: A literature review. Saudi Dent J. 2014 Apr;26(2):33-46. [DOI:10.1016/j.sdentj.2014.02.002] [PMID] [PMCID]
8. Coelho AS, Garrido L, Mota M, Marto CM, Amaro I, Carrilho E, et al. Non-Vital Tooth Bleaching Techniques: A Systematic Re-view. Coatings. 2020; 10(1):61. [DOI:10.3390/coatings10010061]
9. Zimmerli B, Jeger F, Lussi A. Bleaching of nonvital teeth. A clinically relevant literature review. Schweiz Monatsschr Zahnmed. 2010;120(4):306-20.
10. Palma PJ, Marques JA, Falacho RI, Correia E, Vinagre A, Santos JM, Ramos JC. Six-Month Color Stability Assessment of Two Calcium Silicate-Based Cements Used in Regenerative En-dodontic Procedures. J Funct Biomater. 2019 Feb 28; 10 (1):14. [DOI:10.3390/jfb10010014] [PMID] [PMCID]
11. Ioannidis K, Mistakidis I, Beltes P, Karagiannis V. Spectrophotometric analysis of coronal discolouration induced by grey and white MTA. Int Endod J. 2013 Feb; 46 (2):137-44. [DOI:10.1111/j.1365-2591.2012.02098.x] [PMID]
12. Choi YL, Jang YE, Kim BS, Kim JW, Kim Y. Pre-application of dentin bonding agent prevents discoloration caused by mineral trioxide aggregate. BMC Oral Health. 2020;20(1): 163. [DOI:10.1186/s12903-020-01151-1] [PMID] [PMCID]
13. Kahler B, Rossi-Fedele G. A Review of Tooth Discoloration after Regenerative Endodontic Therapy. J Endod. 2016 Apr;42(4):563-9. [DOI:10.1016/j.joen.2015.12.022] [PMID]
14. 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 Aug;42(4):323-32. [DOI:10.1111/cdoe.12092] [PMID]
15. Tsiliagkou A, Diamantopoulou S, Papazoglou E, Kakaboura A. Evaluation of reliability and validity of three dental color-matching devices. Int J Esthet Dent. 2016 Spring;11(1):110-24.
16. Lee DS, Lim MJ, Choi Y, Rosa V, Hong CU, Min KS. Tooth dis-coloration induced by a novel mineral trioxide aggregate-based root canal sealer. Eur J Dent. 2016 Jul-Sep;10(3):403-7. [DOI:10.4103/1305-7456.184165] [PMID] [PMCID]
17. Plotino G, Buono L, Grande NM, Pameijer CH, Somma F. Nonvital tooth bleaching: a review of the literature and clinical procedures. J Endod. 2008 Apr;34(4):394-407. [DOI:10.1016/j.joen.2007.12.020] [PMID]
18. Bernardon JK, Vieira Martins M, Branco Rauber G, Monteiro Junior S, Baratieri LN. Clinical evaluation of different desensitizing agents in home-bleaching gels. J Prosthet Dent. 2016 Jun;115(6):692-6. [DOI:10.1016/j.prosdent.2015.10.020] [PMID]
19. Aka B, Celik EU. Evaluation of the Efficacy and Color Stability of Two Different At-Home Bleaching Systems on Teeth of Differ-ent Shades: A Randomized Controlled Clinical Trial. J Esthet Restor Dent. 2017 Sep;29(5):325-38. [DOI:10.1111/jerd.12296] [PMID]
20. Burrows S. A review of the efficacy of tooth bleaching. Dent Update. 2009 Nov;36(9):537-8, 541-4, 547-8 passim. [DOI:10.12968/denu.2009.36.9.537] [PMID]
21. Bird DC, Komabayashi T, Guo L, Opperman LA, Spears R. In vitro evaluation of dentinal tubule penetration and biomineralization ability of a new root-end filling material. J Endod. 2012 Aug;38(8):1093-6. [DOI:10.1016/j.joen.2012.04.017] [PMID] [PMCID]
22. Dreger LA, Felippe WT, Reyes-Carmona JF, Felippe GS, Bortoluzzi EA, Felippe MC. Mineral trioxide aggregate and Port-land cement promote biomineralization in vivo. J Endod. 2012 Mar;38(3):324-9. [DOI:10.1016/j.joen.2011.11.006] [PMID]
23. Han L, Okiji T. Uptake of calcium and silicon released from calcium silicate-based endodontic materials into root canal dentine. Int Endod J. 2011 Dec;44(12):1081-7. [DOI:10.1111/j.1365-2591.2011.01924.x] [PMID]
24. Jang JH, Kang M, Ahn S, Kim S, Kim W, Kim Y, Kim E. Tooth discoloration after the use of new pozzolan cement (Endocem) and mineral trioxide aggregate and the effects of internal bleach-ing. J Endod. 2013 Dec;39(12):1598-602. [DOI:10.1016/j.joen.2013.08.035] [PMID]
25. Sulieman M, Addy M, Macdonald E, Rees JS. A safety study in vitro for the effects of an in-office bleaching system on the integ-rity of enamel and dentine. J Dent. 2004 Sep; 32 (7):581-90. [DOI:10.1016/j.jdent.2004.06.003] [PMID]
26. Llena C, Esteve I, Forner L. Effect of Hydrogen and Carbamide Peroxide in Bleaching, Enamel Morphology, and Min-eral Composition: In vitro Study. J Contemp Dent Pract. 2017 Jul 1;18(7):576-82. [DOI:10.5005/jp-journals-10024-2087] [PMID]
27. Cvikl B, Lussi A, Moritz A, Flury S. Enamel Surface Changes After Exposure to Bleaching Gels Containing Carbamide Peroxide or Hydrogen Peroxide. Oper Dent. 2016 Jan-Feb;41(1):E39-47.
29. Elfallah HM, Bertassoni LE, Charadram N, Rathsam C, Swain MV. Effect of tooth bleaching agents on protein content and mechanical properties of dental enamel. Acta Bio-mater. 2015 Jul;20:120-8. [DOI:10.1016/j.actbio.2015.03.035] [PMID]
30. Farawati FAL, Hsu SM, O'Neill E, Neal D, Clark A, Esquivel-Upshaw J. Effect of carbamide peroxide bleaching on enamel characteristics and susceptibility to further discoloration. J Prosthet Dent. 2019 Feb;121(2):340-6.

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