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VOLUME 15 , ISSUE 5 ( September-October, 2014 ) > List of Articles

ORIGINAL RESEARCH

In vitro Assessment of Tooth Color Alteration by Two Different Types of Endodontic Irrigants

Anastasios Dimitrios Koursoumis, Nikolaos P Kerezoudis, Afrodite Kakaboura

Citation Information : Koursoumis AD, Kerezoudis NP, Kakaboura A. In vitro Assessment of Tooth Color Alteration by Two Different Types of Endodontic Irrigants. J Contemp Dent Pract 2014; 15 (5):529-533.

DOI: 10.5005/jp-journals-10024-1574

Published Online: 01-10-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

The purpose of this study was to assess in vitro the tooth color alterations associated with two commonly used endodontic irrigants, the chlorhexidine gluconate (CHX) and the sodium hypochlorite (NaOCl) up to 15 days post-treatment. Additionally, the possible influence of endodontic access preparation on tooth color was investigated.

Materials and methods

Thirty intact human anterior teeth were used. Black adhesive tape with a 4 mm diameter window was used to standardize the enamel surface intended for color analysis. After the access cavity, preparation and the initial root canal negotiation with stainless steel hand files, the root canal shaping was completed with rotary nickel-titanium files. The teeth were divided into three groups (n = 10). Conventional syringe irrigation was performed with one irrigant for each group. The enamel surfaces were colorimetrically evaluated before access cavity, after cavity preparation and at 1, 3, 7 and 15 days post-treatment. The CIE color parameters (L*, a*, b*) were recorded and averaged for each material and the corresponding color differences (ΔE) were calculated and statistically analyzed.

Results

The most significant factor in tooth color alteration, during the endodontic treatment, was the access preparation. CHX and NaOCl caused tooth color changes comparable with the saline. CHX and NaOCl did not increase the tooth color changes relative to the values induced by the access preparation.

Conclusion

The two endodontic irrigants were not able to induce tooth color alteration to a greater extent than the access preparation.

Clinical significance

Chlorhexidine and NaOCl cannot be considered as discoloring endodontic materials. The most contributing factor in tooth color alteration during endodontic treatment in the anterior teeth is access preparation.

How to cite this article

Koursoumis AD, Kerezoudis NP, Kakaboura A. In vitro Assessment of Tooth Color Alteration by Two Different Types of Endodontic Irrigants. J Contemp Dent Pract 2014;15(5):529-533.


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