Discoloration of roots caused by residual endodontic intracanal medicaments

Chen, Belinda Kuan-Jung, George, Roy and Walsh, Laurence James (2014) Discoloration of roots caused by residual endodontic intracanal medicaments. Scientific World Journal, 2014 404676.1-404676.7. doi:10.1155/2014/404676


Author Chen, Belinda Kuan-Jung
George, Roy
Walsh, Laurence James
Title Discoloration of roots caused by residual endodontic intracanal medicaments
Journal name Scientific World Journal   Check publisher's open access policy
ISSN 2356-6140
1537-744X
Publication date 2014-01-01
Year available 2014
Sub-type Article (original research)
DOI 10.1155/2014/404676
Open Access Status DOI
Volume 2014
Start page 404676.1
End page 404676.7
Total pages 7
Place of publication New York, United States
Publisher Hindawi Publishing Corporation
Language eng
Abstract Aims. This study examined the extent to which intervisit corticosteroid-based antibiotic pastes (CAP) medicaments contribute to staining of tooth structure after attempted removal by irrigation techniques. Methods. A total of 140 roots were prepared and the canals were filled with Ledermix paste (demeclocycline), Odontopaste (clindamycin), and Doxypaste (doxycycline). The pastes were removed after 2 or 4 weeks of storage in the dark using EDTA and NaOCl with either a 27-gauge-slotted needle or an Endo Activator (Dentsply). The roots were then exposed to an intense light source for 30 minutes each week and photographed after a further 1, 3, or 6 months. Digital images were standardized and data for changes in luminosity were analysed using repeated measures ANOVA and a post hoc test. Results. Removal of the medicament did not prevent later discolouration. There was no significant difference between the paste removal methods. Ledermix paste caused the greatest darkening compared to the untreated controls, for both application periods and both methods of removal. Doxypaste and Odontopaste caused less darkening than Ledermix. Conclusion. Medicaments that stain teeth may continue to discolour teeth despite best attempts to remove them. This study stresses the importance of material selection and minimising contact of Ledermix within the coronal aspects of teeth.
Formatted abstract
Aims. This study examined the extent to which intervisit corticosteroid-based antibiotic pastes (CAP) medicaments contribute to staining of tooth structure after attempted removal by irrigation techniques.
Methods. A total of 140 roots were prepared and the canals were filled with Ledermix paste (demeclocycline), Odontopaste (clindamycin), and Doxypaste (doxycycline). The pastes were removed after 2 or 4 weeks of storage in the dark using EDTA and NaOCl with either a 27-gauge-slotted needle or an EndoActivator (Dentsply). The roots were then exposed to an intense light source for 30 minutes each week and photographed after a further 1, 3, or 6 months. Digital images were standardized and data for changes in luminosity were analysed using repeated measures ANOVA and a post hoc test.
Results. Removal of the medicament did not prevent later discolouration. There was no significant difference between the paste removal methods. Ledermix paste caused the greatest darkening compared to the untreated controls, for both application periods and both methods of removal. Doxypaste and Odontopaste caused less darkening than Ledermix. Conclusion. Medicaments that stain teeth may continue to discolour teeth despite best attempts to remove them. This study stresses the importance of material selection and minimising contact of Ledermix within the coronal aspects of teeth.
Keyword Ledermix paste
Calcium hydroxide
Tooth discoloration
Teeth
Tetracycline
Release
Canals
Demeclocycline
Triamcinolone
Antibiotics
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article ID 404676

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Dentistry Publications
 
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