World Journal of Dentistry

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VOLUME 11 , ISSUE 5 ( September-October, 2020 ) > List of Articles


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

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

Keywords : Calcium-enriched mixture, Crown discoloration, Endocem, Mineral trioxide aggregate, Spectrophotometer

Citation Information : Farhang R, Hekmatfar S, Samadi V, Meraji A, Jafari K. Comparison of Tooth Discoloration Induced by Calcium-enriched Mixture, Mineral Trioxide Aggregate, and Endocem. World J Dent 2020; 11 (5):392-395.

DOI: 10.5005/jp-journals-10015-1758

License: CC BY-NC 4.0

Published Online: 14-12-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Aim: Dental discoloration after the application of endodontic materials has become a primary cause of concern for many dental patients in recent times. Regarding this, the present in vitro study was performed to evaluate tooth discoloration induced by calcium-enriched mixture (CEM) cement, mineral trioxide aggregate (MTA), and Endocem. Materials and methods: This study was conducted on 54 healthy central incisors extracted due to orthodontic treatment or periodontal disease. The samples were assigned into three groups in which the pulp chambers were filled with Endocem (group I), CEM cement (group II), and MTA (group III). The samples were sealed by glass ionomer cement. Color change was measured using the Vita Easyshade spectrophotometer at the baseline as well as 30 and 90 days after the application of cements. Data analysis was performed using SPSS software (version 23). Results: A visible color change with a delta of >3.3 was observed in all groups 1 month postintervention. The results revealed a significant difference among the three groups in terms of color change 1 month after the intervention (p value <0.001). In this regard, group I and group II showed the highest and lowest color change, respectively. However, there was no significant difference 3 months after the application of the cements. Conclusion: As the findings indicated, tooth discoloration was similarly detectable 1 month after the application of CEM cement, MTA, and Endocem. Clinical significance: CEM cement, MTA, and Endocem showed similar tooth discoloration after 3 months placement.

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