Discoloration of Roots Caused by Residual Endodontic Intracanal Medicaments
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 (de...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2014/404676 |
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| author | Belinda Kuan-Jung Chen Roy George Laurence James Walsh |
| author_facet | Belinda Kuan-Jung Chen Roy George Laurence James Walsh |
| author_sort | Belinda Kuan-Jung Chen |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-226e5a705b6645f69aa34ffdad1aedbe |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-226e5a705b6645f69aa34ffdad1aedbe2025-02-03T06:12:17ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/404676404676Discoloration of Roots Caused by Residual Endodontic Intracanal MedicamentsBelinda Kuan-Jung Chen0Roy George1Laurence James Walsh2School of Dentistry and Oral Health, Griffith University, Gold Coast Campus, Southport 4215, AustraliaSchool of Dentistry and Oral Health, Griffith University, Gold Coast Campus, Southport 4215, AustraliaThe School of Dentistry, University of Queensland, Brisbane, QLD 4000, AustraliaAims. 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.http://dx.doi.org/10.1155/2014/404676 |
| spellingShingle | Belinda Kuan-Jung Chen Roy George Laurence James Walsh Discoloration of Roots Caused by Residual Endodontic Intracanal Medicaments The Scientific World Journal |
| title | Discoloration of Roots Caused by Residual Endodontic Intracanal Medicaments |
| title_full | Discoloration of Roots Caused by Residual Endodontic Intracanal Medicaments |
| title_fullStr | Discoloration of Roots Caused by Residual Endodontic Intracanal Medicaments |
| title_full_unstemmed | Discoloration of Roots Caused by Residual Endodontic Intracanal Medicaments |
| title_short | Discoloration of Roots Caused by Residual Endodontic Intracanal Medicaments |
| title_sort | discoloration of roots caused by residual endodontic intracanal medicaments |
| url | http://dx.doi.org/10.1155/2014/404676 |
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