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Influence of the bleaching interval on the luminosity of long-term discolored enamel-dentin discs

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Abstract

Objectives

The aim of this study is to investigate the influence of changing the sodium perborate-tetrahydrate (PBS-4) at a 4-day interval versus no change after 16 days of internal bleaching.

Materials and methods

Two hundred and ten bovine enamel-dentin discs were discolored for 3.5 years with 14 different endodontic materials. All groups with a discoloring index of ∆E (mean) ≥ 5.5 were included in the present investigation: ApexCal (APCA), MTA white + blood (WMTA+BL), Portland cement + blood (PC+BL), blood (BL), MTA gray (GMTA), MTA gray + blood (GMTA+BL), Ledermix (LED), and triple antibiotic paste containing minocycline (3Mix). Fourteen specimens of each group were randomly assigned into two treatment groups: (1) no change of the PBS-4 (n = 7); (2) change of the PBS-4 every 4 days (n = 7). Color measurements were taken at 10 different time intervals and the L*a*b* values were recorded with a spectrophotometer (VITA Easyshade® compact).

Results

In the group 3Mix, significantly better results were achieved by changing the bleaching agent every 4 days (P = 0.0049; q = 0.04), while the group WMTA+BL indicated better results by no change of the bleaching agent (P = 0.0222, q = 0.09). All remaining groups showed no statistical difference between the two treatment procedures.

Conclusions

Moderate discolorations can be successfully treated without changing the bleaching agent over a period of 16 days. Changing the sodium perborate-tetrahydrate every 4 days is preferred in case of severe discolored enamel-dentin discs only.

Clinical relevance

This approach may offer a reduced number of clinical appointments and a secondary cost reduction to the patient.

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References

  1. Brown G (1965) Factors influencing successful bleaching of the discolored root-filled tooth. Oral Surg Oral Med Oral Pathol 20:238–244

    Article  PubMed  Google Scholar 

  2. Davis MC, Walton RE, Rivera EM (2002) Sealer distribution in coronal dentin. J Endod 28:464–466

    Article  PubMed  Google Scholar 

  3. Gutierrez JH, Guzman M (1968) Tooth discoloration in endodontic procedures. Oral Surg Oral Med Oral Pathol 26:706–711

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  5. Lenherr P, Allgayer N, Weiger R, Filippi A, Attin T, Krastl G (2012) Tooth discoloration induced by endodontic materials: a laboratory study. Int Endod J 45:942–949

    Article  PubMed  Google Scholar 

  6. van der Burgt TP, Eronat C, Plasschaert AJ (1986) Staining patterns in teeth discolored by endodontic sealers. J Endod 12:187–191

    Article  PubMed  Google Scholar 

  7. van der Burgt TP, Mullaney TP, Plasschaert AJ (1986) Tooth discoloration induced by endodontic sealers. Oral Surg Oral Med Oral Pathol 61:84–89

    Article  PubMed  Google Scholar 

  8. Watts A, Addy M (2001) Tooth discolouration and staining: a review of the literature. Br Dent J 190:309–316

    PubMed  Google Scholar 

  9. Attin T, Paque F, Ajam F, Lennon AM (2003) Review of the current status of tooth whitening with the walking bleach technique. Int Endod J 36:313–329

    Article  PubMed  Google Scholar 

  10. Dahl JE, Pallesen U (2003) Tooth bleaching—a critical review of the biological aspects. Crit Rev Oral Biol Med 14:292–304

    Article  PubMed  Google Scholar 

  11. Plotino G, Buono L, Grande NM, Pameijer CH, Somma F (2008) Nonvital tooth bleaching: a review of the literature and clinical procedures. J Endod 34:394–407

    Article  PubMed  Google Scholar 

  12. van der Burgt TP, Plasschaert AJ (1986) Bleaching of tooth discoloration caused by endodontic sealers. J Endod 12:231–234

    Article  PubMed  Google Scholar 

  13. Westland S (2003) Review of the CIE system of colorimetry and its use in dentistry. J Esthet Restor Dent 15:5–12

    Article  Google Scholar 

  14. Paul S, Peter A, Pietrobon N, Hammerle CH (2002) Visual and spectrophotometric shade analysis of human teeth. J Dent Res 81:578–582

    Article  PubMed  Google Scholar 

  15. Valera MC, Camargo CH, Carvalho CA, de Oliveira LD, Camargo SE, Rodrigues CM (2009) Effectiveness of carbamide peroxide and sodium perborate in non-vital discolored teeth. J Appl Oral Sci 17:254–261

    Article  PubMed  PubMed Central  Google Scholar 

  16. Weiger R, Kuhn A, Lost C (1994) In vitro comparison of various types of sodium perborate used for intracoronal bleaching of discolored teeth. J Endod 20:338–341

    Article  PubMed  Google Scholar 

  17. Cal E, Sonugelen M, Guneri P, Kesercioglu A, Kose T (2004) Application of a digital technique in evaluating the reliability of shade guides. J Oral Rehabil 31:483–491

    Article  PubMed  Google Scholar 

  18. Feiz A, Barekatain B, Khalesi S, Khalighinejad N, Badrian H, Swift EJ (2014) Effect of several bleaching agents on teeth stained with a resin-based sealer. Int Endod J 47:3–9

    Article  PubMed  Google Scholar 

  19. Yui KC, Rodrigues JR, Mancini MN, Balducci I, Goncalves SE (2008) Ex vivo evaluation of the effectiveness of bleaching agents on the shade alteration of blood-stained teeth. Int Endod J 41:485–492

    Article  PubMed  Google Scholar 

  20. Gehrke P, Riekeberg U, Fackler O, Dhom G (2009) Comparison of in vivo visual, spectrophotometric and colorimetric shade determination of teeth and implant-supported crowns. Int J Comput Dent 12:247–263

    PubMed  Google Scholar 

  21. Judeh A, Al-Wahadni A (2009) A comparison between conventional visual and spectrophotometric methods for shade selection. Quintessence Int 40:69–79

    Google Scholar 

  22. Baltzer A, Kaufmann-Jinoian V (2005) Shading of ceramic crowns using digital tooth shade matching devices. Int J Comput Dent 8:129–152

    PubMed  Google Scholar 

  23. Lim MY, Lum SO, Poh RS, Lee GP, Lim KC (2004) An in vitro comparison of the bleaching efficacy of 35 % carbamide peroxide with established intracoronal bleaching agents. Int Endod J 37:483–488

    Article  PubMed  Google Scholar 

  24. Johnston WM, Kao EC (1989) Assessment of appearance match by visual observation and clinical colorimetry. J Dent Res 68:819–822

    Article  PubMed  Google Scholar 

  25. Nutting EB, Poe GS (1967) Chemical bleaching of discolored endodontically treated teeth. Dent Clin North Am. 655-662

  26. Anitua E, Zabalegui B, Gil J, Gascon F (1990) Internal bleaching of severe tetracycline discolorations: four-year clinical evaluation. Quintessence Int 21:783–788

    PubMed  Google Scholar 

  27. Holmstrup G, Palm AM, Lambjerg-Hansen H (1988) Bleaching of discoloured root-filled teeth. Endod Dent Traumatol 4:197–201

    Article  PubMed  Google Scholar 

  28. Madhu K, Hegde S, Mathew S, Lata D, Bhandi SH, N S (2013) Comparison of radicular peroxide leakage from four commonly used bleaching agents following intracoronal bleaching in endodontically treated teeth - an in vitro study. J Int Oral Health 5:49-55

  29. Rotstein I, Mor C, Friedman S (1993) Prognosis of intracoronal bleaching with sodium perborate preparation in vitro: 1-year study. J Endod 19:10–12

    Article  PubMed  Google Scholar 

  30. Rotstein I, Zalkind M, Mor C, Tarabeah A, Friedman S (1991) In vitro efficacy of sodium perborate preparations used for intracoronal bleaching of discolored non-vital teeth. Endod Dent Traumatol 7:177–180

    Article  PubMed  Google Scholar 

  31. Ari H, Ungor M (2002) In vitro comparison of different types of sodium perborate used for intracoronal bleaching of discoloured teeth. Int Endod J 35:433–436

    Article  PubMed  Google Scholar 

  32. Cardoso M, Martinelli CS, Carvalho CA, Borges AB, Torres CR (2013) Ultrasonic activation of internal bleaching agents. Int Endod J 46:40-46

  33. Kaneko J, Inoue S, Kawakami S, Sano H (2000) Bleaching effect of sodium percarbonate on discolored pulpless teeth in vitro. J Endod 26:25–28

    Article  PubMed  Google Scholar 

  34. Warren MA, Wong M, Ingram 3rd TA (1990) In vitro comparison of bleaching agents on the crowns and roots of discolored teeth. J Endod 16:463–467

    Article  PubMed  Google Scholar 

  35. Abbott P, Heah SY (2009) Internal bleaching of teeth: an analysis of 255 teeth. Aust Dent J 54:326–333

    Article  PubMed  Google Scholar 

  36. Weiger R, Kuhn A, Lost C (1993) Effect of various types of sodium perborate on the pH of bleaching agents. J Endod 19:239–241

    Article  PubMed  Google Scholar 

  37. O'Brien WJ, Hemmendinger H, Boenke KM, Linger JB, Groh CL (1997) Color distribution of three regions of extracted human teeth. Dent Mater 13:179–185

    Article  PubMed  Google Scholar 

  38. Day PF, Duggal MS, High AS, Robertson A, Gregg TA, Ashley PF, Welbury RR, Cole BO, Westland S (2011) Discoloration of teeth after avulsion and replantation: results from a multicenter randomized controlled trial. J Endod 37:1052–1057

    Article  PubMed  Google Scholar 

  39. R Core Team (2013). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. http://www.R-project.org/. Accessed 13 June 2013

  40. Freccia WF, Peters DD, Lorton L, Bernier WE (1982) An in vitro comparison of nonvital bleaching techniques in the discolored tooth. J Endod 8:70–77

    Article  PubMed  Google Scholar 

  41. Gupta SK, Saxena P (2014) Evaluation of patient satisfaction after non-vital bleaching in traumatized discolored intact anterior teeth. Dent Traumatol 30:396–399

    Article  PubMed  Google Scholar 

  42. Cale AE, Freedman PD, Lumerman H (1988) Pigmentation of the jawbones and teeth secondary to minocycline hydrochloride therapy. J Periodontol 59:12–114

    Article  Google Scholar 

  43. Frankel MA, Hawes RR (1964) Tetracycline antibiotics and tooth discoloration. J Oral Ther Pharmacol 1:147–155

    PubMed  Google Scholar 

  44. Sanchez AR, Rogers 3rd RS, Sheridan PJ (2004) Tetracycline and other tetracycline-derivative staining of the teeth and oral cavity. Int J Dermatol 43:709–715

    Article  PubMed  Google Scholar 

  45. Eisenberg E (1975) Anomalies of the teeth with stains and discolorations. J Prev Dent 2(7-14):16–20

    Google Scholar 

  46. Bowles WH, Bokmeyer TJ (1997) Staining of adult teeth by minocycline: binding of minocycline by specific proteins. J Esthet Dent 9:30–34

    Article  PubMed  Google Scholar 

  47. Good ML, Hussey DL (2003) Minocycline: stain devil? Br J Dermatol 149:237–239

    Article  PubMed  Google Scholar 

  48. Kim JH, Kim Y, Shin SJ, Park JW, Jung IY (2010) Tooth discoloration of immature permanent incisor associated with triple antibiotic therapy: a case report. J Endod 36:1086–1091

    Article  PubMed  Google Scholar 

  49. Trope M (2010) Treatment of the immature tooth with a non-vital pulp and apical periodontitis. Dent Clin N Am 54:313–324

    Article  PubMed  Google Scholar 

  50. Cutress TW (1972) The inorganic composition and solubility of dental enamel from several specified population groups. Arch Oral Biol 17:93–109

    Article  PubMed  Google Scholar 

  51. Yassen GH, Platt JA, Hara AT (2011) Bovine teeth as substitute for human teeth in dental research: a review of literature. J Oral Sci 53:273–282

    Article  PubMed  Google Scholar 

Download references

Compliance with ethical standards

The present investigation was not funded and no human or animal participants were involved. The tooth specimens were obtained from a previous discoloration study (Lenherr et al. 2012, [5]), which originally were extracted from slaughtered calves at the slaughterhouse Bell AG (Oensingen, Switzerland). The authors declare that they have no conflict of interest related to the present investigation.

Author information

Authors and Affiliations

  1. Department of Periodontology, Endodontology and Cariology, University of Basel, Hebelstrasse 3, 4056, Basel, Switzerland

    Lucia K. Zaugg & Roland Weiger

  2. Department of Reconstructive Dentistry and Temporomandibular Disorders, University of Basel, Hebelstrasse 3, 4056, Basel, Switzerland

    Patrik Lenherr

  3. European Molecular Biology Laboratory, Computational and Structural Biology Unit, Meyerhofstrasse 1, 69117, Heidelberg, Germany

    Judith B. Zaugg

  4. Department of Conservative Dentistry and Periodontology, University of Würzburg, Pleicherwall 2, 97070, Würzburg, Germany

    Gabriel Krastl

Authors
  1. Lucia K. Zaugg
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  2. Patrik Lenherr
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  3. Judith B. Zaugg
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  4. Roland Weiger
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  5. Gabriel Krastl
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Corresponding author

Correspondence to Lucia K. Zaugg.

Additional information

Lucia K. Zaugg and Patrik Lenherr contributed equally to the study.

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Zaugg, L.K., Lenherr, P., Zaugg, J.B. et al. Influence of the bleaching interval on the luminosity of long-term discolored enamel-dentin discs. Clin Oral Invest 20, 451–458 (2016). https://doi.org/10.1007/s00784-015-1545-x

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  • DOI: https://doi.org/10.1007/s00784-015-1545-x

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