DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20212312

Iatrogenic tooth discoloration by obturating materials: a literature review

Abdulkader Abdulelah Abulhamayel, Mohammed K. Alhudaithi, Bayan H. Alharbi, Ammar R. Busaeed, Hassan E. Alkhalaf, Abdulmaleek S. Abunayan, Mazen H. Alshahrani, Mohammed M. Alkhathami, Mohammed A. Alazaiqi, Fahdah M. Alkahtani, Turki I. Alharthi

Abstract


Tooth discoloration might constitute a major problem for patients undergoing endodontic procedures, including obturation. Iatrogenic teeth discoloration might be a burden because it is time-consuming and hard to blench even if it were effective in removing the tooth stains in compared with traumatic tooth discoloration which is easy to deal with. Accordingly, clinicians must have a comprehensive understanding of the potential discoloration effects of the current sealers that are indicated for administration in many of the obturation procedures to enhance the prognosis and the relevant outcomes. In the present study, the aim to conduct a literature review about the potential iatrogenic discoloration effects of some endodontic sealers when conducting obturation procedures, based on the current evidence from the relevant studies. Among the reported agents to induce discoloration, calcium hydroxide, zinc oxide eugenol (ZOE), resin, glass ionomer, and silicon-based sealers have been reported to cause significant degrees of discoloration. Moreover, among the included studies AH-26 seems to be the least significant modality to include discoloration;however, discoloration could still be detected. With the recent technological advances, bioceramic sealers should be able to overcome this problem, especially for areas with the highest esthetic concerns. Accordingly, further investigations might be needed to enhance the quality of the current modalities and to obtain better outcomes.


Keywords


Endodontics, Obturation, Complications, Discoloration, Sealers

Full Text:

PDF

References


Van der Burgt TP, Mullaney TP, Plasschaert AJ. Tooth discoloration induced by endodontic sealers. Oral Surg Oral Med Oral Pathol. 1986;61(1):84-9.

Elkhazin M. Analysis of coronal discoloration from commonly used obturation materials. University of the Western Cape. 2007.

Partovi M, Al-Havvaz AH, Soleimani B. In vitro computer analysis of crown discolouration from commonly used endodontic sealers. Aust Endod J. 2006;32(3):116-9.

Parsons JR, Walton RE, Ricks-Williamson L. In vitro longitudinal assessment of coronal discoloration from endodontic sealers. J Endod. 2001;27(11):699-702.

Ahmed HM, Abbott PV. Discolouration potential of endodontic procedures and materials: a review. Int Endod J. 2012;45(10):883-97.

Krastl G, Allgayer N, Lenherr P, Filippi A, Taneja P, Weiger R. Tooth discoloration induced by endodontic materials: a literature review. Dent Traumatol. 2013;29(1):2-7.

Abbott P, Heah SY. Internal bleaching of teeth: an analysis of 255 teeth. Aust Dent J. 2009;54(4):326-33.

Friedman S, Löst C, Zarrabian M, Trope M. Evaluation of success and failure after endodontic therapy using a glass ionomer cement sealer. J Endod. 1995;21(7):384-90.

Moshonov J, Trope M, Friedman S. Retreatment efficacy 3 months after obturation using glass ionomer cement, zinc oxide-eugenol, and epoxy resin sealers. J Endod. 1994;20(2):90-2.

Heling I, Chandler NP. The antimicrobial effect within dentinal tubules of four root canal sealers. J Endod. 1996;22(5):257-9.

Ørstavik D, Nordahl I, Tibballs JE. Dimensional change following setting of root canal sealer materials. Dent Mat. 2001;17(6):512-9.

Bouillaguet S, Wataha JC, Tay FR, Brackett MG, Lockwood PE. Initial in vitro biological response to contemporary endodontic sealers. J Endod. 2006;32(10):989-92.

Eldeniz AU, Mustafa K, Ørstavik D, Dahl JE. Cytotoxicity of new resin-, calcium hydroxide- and silicone-based root canal sealers on fibroblasts derived from human gingiva and L929 cell lines. Int Endod J. 2007;40(5):329-37.

Ioannidis K, Beltes P, Lambrianidis T, Kapagiannidis D, Karagiannis V. Crown discoloration induced by endodontic sealers: spectrophotometric measurement of Commission International de I'Eclairage's L*, a*, b* chromatic parameters. Operative Dent. 2013;38(3):1-12.

Kim YK, Grandini S, Ames JM. Critical review on methacrylate resin-based root canal sealers. J Endod. 2010;36(3):383-99.

Pameijer CH, Zmener O. Resin materials for root canal obturation. Dent Clin North Am. 2010;54(2):325-44.

Zare Jahromi M, Navabi AA, Ekhtiari M. Comparing Coronal Discoloration Between AH26 and ZOE Sealers. Iran Endod J. 2011;6(4):146-9.

Meincke DK, Prado M, Gomes BP, Bona AD, Sousa EL. Effect of endodontic sealers on tooth color. J Dent. 2013;41(3):93-6.

Lenherr P, Allgayer N, Weiger R, Filippi A, Attin T, Krastl G. Tooth discoloration induced by endodontic materials: a laboratory study. Int Endod J. 2012;45(10):942-9.

Darvell BW, Wu RC. "MTA"-an Hydraulic Silicate Cement: review update and setting reaction. Dent Mat. 2011;27(5):407-22.

Ioannidis K, Mistakidis I, Beltes P, Karagiannis V. Spectrophotometric analysis of crown discoloration induced by MTA- and ZnOE-based sealers. J Appl Oral Sci. 2013;21(2):138-44.

Al-Khatib ZZ, Baum RH, Morse DR, Yesilsoy C, Bhambhani S, Furst ML. The antimicrobial effect of various endodontic sealers. Oral Sur Oral Med Oral Pathol. 1990;70(6):784-90.

Augsburger RA, Peters DD. Radiographic evaluation of extruded obturation materials. J Endod. 1990;16(10):492-7.

Allan NA, Walton RC, Schaeffer MA. Setting times for endodontic sealers under clinical usage and in vitro conditions. J Endod. 2001;27(6):421-3.

Peters DD. Two-year in vitro solubility evaluation of four Gutta-percha sealer obturation techniques. J Endod. 1986;12(4):139-45.

Kazemi RB, Safavi KE, Spångberg LS. Dimensional changes of endodontic sealers. Oral Surg Oral Med Oral Pathol. 1993;76(6):766-71.

Davis MC, Walton RE, Rivera EM. Sealer distribution in coronal dentin. J Endod. 2002;28(6):464-6.

ØRstavik D. Materials used for root canal obturation: technical, biological and clinical testing. Endod Topics. 2005;12(1):25-38.

Desai S, Chandler N. Calcium hydroxide-based root canal sealers: a review. J Endod. 2009;35(4):475-80.

El Sayed MA, Etemadi H. Coronal discoloration effect of three endodontic sealers: An in vitro spectrophotometric analysis. J Conserv Dent. 2013;16(4):347-51.