Spectroradiometric and Chemical Analysis of Severely Discolored Endodontically Treated Teeth. 2016

J Wei, and Y Wang, and Q Li

OBJECTIVE This study aimed to explore the chemical changes and discoloration of endodontically treated teeth using spectroradiometric and chemical analyses. METHODS Ten freshly extracted sound third molars and 10 discolored molars obtained after root canal treatment (RCT) were included in this study. Dentin blocks (3 × 3 × 1 mm) were prepared and treated with an intracoronal bleaching agent. Spectroradiometric evaluations, X-ray photoelectron spectroscopy (XPS), and attenuated total reflection Fourier transform infrared spectroscopy (ATR-FTIR) analyses were performed before and after bleaching. The spectroradiometric parameters and XPS and ATR-FTIR spectra of the dentin slabs were analyzed using independent-sample t-tests or one-way analysis of variance. RESULTS Differences in color coordinates and translucency parameters were observed between the two groups before bleaching. Demineralization effects were also detected in the discolored dentin. No binding energy shifts or new spectral bands were found in the XPS and ATR-FTIR spectra, except in the narrow-scanned XPS spectra of C1s. Significant changes in color coordinates were also found in both groups after bleaching, and the translucency parameter was remarkably altered in discolored dentin. The organic and inorganic components of dentin also decreased in both groups. However, binding energy shifts (ie, C1s, Ca2p, and P2p) were detected only in discolored dentin. CONCLUSIONS Significant alterations in the organic and inorganic components of dentin contributed to the discoloration of endodontically treated teeth. Moreover, intracoronal bleaching could effectively whiten both discolored and vital dentin. The chemical compositions of mineral and organic components within discolored dentin are more sensitive to the acid bleaching agent than normal teeth.

UI MeSH Term Description Entries
D003804 Dentin The hard portion of the tooth surrounding the pulp, covered by enamel on the crown and cementum on the root, which is harder and denser than bone but softer than enamel, and is thus readily abraded when left unprotected. (From Jablonski, Dictionary of Dentistry, 1992) Dentine,Dentines,Dentins
D004708 Endodontics A dental specialty concerned with the maintenance of the dental pulp in a state of health and the treatment of the pulp cavity (pulp chamber and pulp canal). Endodontology
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006861 Hydrogen Peroxide A strong oxidizing agent used in aqueous solution as a ripening agent, bleach, and topical anti-infective. It is relatively unstable and solutions deteriorate over time unless stabilized by the addition of acetanilide or similar organic materials. Hydrogen Peroxide (H2O2),Hydroperoxide,Oxydol,Perhydrol,Superoxol,Peroxide, Hydrogen
D014070 Tooth One of a set of bone-like structures in the mouth used for biting and chewing. Teeth
D014073 Tooth Bleaching The use of a chemical oxidizing agent to whiten TEETH. In some procedures the oxidation process is activated by the use of heat or light. Teeth Bleaching,Teeth Whitening,Tooth Whitening,Bleaching, Teeth,Bleaching, Tooth,Whitening, Teeth,Whitening, Tooth
D014075 Tooth Discoloration Any change in the hue, color, or translucency of a tooth due to any cause. Restorative filling materials, drugs (both topical and systemic), pulpal necrosis, or hemorrhage may be responsible. (Jablonski, Dictionary of Dentistry, 1992, p253) Discoloration, Tooth,Discolorations, Tooth,Tooth Discolorations
D019553 Tooth, Nonvital A tooth from which the dental pulp has been removed or is necrotic. (Boucher, Clinical Dental Terminology, 4th ed) Tooth, Devitalized,Tooth, Endodontically-Treated,Tooth, Pulpless,Teeth, Devitalized,Teeth, Endodontically-Treated,Teeth, Nonvital,Teeth, Pulpless,Devitalized Teeth,Devitalized Tooth,Endodontically-Treated Teeth,Endodontically-Treated Tooth,Nonvital Teeth,Nonvital Tooth,Pulpless Teeth,Pulpless Tooth,Teeth, Endodontically Treated,Tooth, Endodontically Treated

Related Publications

J Wei, and Y Wang, and Q Li
November 1967, Dental clinics of North America,
J Wei, and Y Wang, and Q Li
January 1983, Odontostomatologike proodos,
J Wei, and Y Wang, and Q Li
January 2018, The international journal of esthetic dentistry,
J Wei, and Y Wang, and Q Li
June 2011, Clinical oral investigations,
J Wei, and Y Wang, and Q Li
October 1997, Texas dental journal,
J Wei, and Y Wang, and Q Li
January 1996, Rhode Island dental journal,
J Wei, and Y Wang, and Q Li
February 1994, Dentistry today,
J Wei, and Y Wang, and Q Li
February 1995, Dentistry today,
J Wei, and Y Wang, and Q Li
December 2007, Dental traumatology : official publication of International Association for Dental Traumatology,
J Wei, and Y Wang, and Q Li
January 1984, Rivista di odontostomatologia e implantoprotesi,
Copied contents to your clipboard!