1. Effect of internal bleaching on the reversal of coronal discoloration induced by triple‐antibiotic‐paste or Biodentine use in regenerative endodontic procedures
- Author
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Valentin E. Viqueira-Pérez, Santiago González-López, Marı́a Victoria Bolaños, Francisco M. Martínez-Verdú, Cristina Benavides-Reyes, Juan L. Jiménez-Padilla, Universidad de Alicante. Departamento de Óptica, Farmacología y Anatomía, Universidad de Alicante. Instituto Universitario de Física Aplicada a las Ciencias y las Tecnologías, and Visión y Color
- Subjects
genetic structures ,ENDODONTIC PROCEDURES ,Chemistry ,business.industry ,General Chemical Engineering ,CIELAB ,Internal bleaching ,Dentistry ,Human Factors and Ergonomics ,General Chemistry ,Tooth discoloration ,Biodentine ,Triple-antibiotic-paste ,Coronal plane ,sense organs ,Regenerative endodontic procedures ,Triple Antibiotic ,business ,Óptica - Abstract
The aim of this study is to measure color changes caused by two regenerative protocols over 3 months, and the effectiveness of internal bleaching. Twenty extracted human maxillary anterior teeth were used. The apex and canal were prepared to reproduce immature teeth. Teeth were divided: group 1: Triple-antibiotic-paste was applied for 3 weeks and then changed for blood until 3 months. Group 2: Blood was inoculated and sealed at cemento-enamel junction level with Biodentine for 3 months. Both groups were subjected to three sessions of internal bleaching. Color assessments were taken at baseline and at 2 and 3 weeks, 2 and 3 months, and 1, 2, and 3 weeks from the beginning the bleaching phase. Statistical significance was considered at P = .05. Both techniques produce color changes above the acceptability limit at 2 weeks. Chromatic variation caused by Triple-antibiotic-paste was intense and progressive over time. Replacement of the Triple-antibiotic-paste with blood made the color change more intense and progressive, with significant statistical differences at 2 and 3 months (T4 > T3; P = .028). The internal bleaching technique was statistically more effective in the Triple-antibiotic-paste group at 1 week (P = .002). Both techniques cause unacceptable color changes, causing Triple-antibiotic-paste more staining than Biodentine. Two sessions of internal bleaching recovered clinically perceptible color in both regenerative endodontic procedures without returning the original color.
- Published
- 2021
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