Color Stability of Teeth Restored with Biodentine: A 6-month In Vitro Study.
BACKGROUND
White mineral trioxide aggregate (WMTA) has been reported to cause dental discoloration. A previous study on the color stability of 5 calcium silicate-based materials investigated the color stability of Biodentine (Septodont, Saint-Maur-des-Fossés, France) in different experimental environments; however, no data are available on the color stability of teeth restored with Biodentine. In this study, we assessed the color stability under artificial light of ex vivo human teeth restored coronally with WMTA or Biodentine.


METHODS
Cavities were prepared on coronal tooth specimens and restored with WMTA + composite (n = 16), Biodentine + composite (n = 16), or composite alone (control, n = 3). Color was assessed spectrophotometrically at 6 time points (initial, 1 week, 2 weeks, 1 month, 3 months, and 6 months), and color difference values were calculated. Statistical analysis was performed using analysis of variance and the Fisher least significant difference test for which P < .05 was considered statistically significant.


RESULTS
The WMTA group showed discoloration at 1 week, which increased over time. The Biodentine and control groups showed color stability and were not significantly different from one another.


CONCLUSIONS
Teeth treated with WMTA exhibited discoloration, whereas those treated with Biodentine maintained color stability throughout the study. However, further in vivo studies are necessary to corroborate these results.
Department of Restorative Dentistry and Endodontics, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain.
Marta
M
Vallés
Department of Restorative Dentistry and Endodontics, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain.
Miguel
M
Roig
Department of Restorative Dentistry and Endodontics, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain.
Fernando
F
Duran-Sindreu
Department of Restorative Dentistry and Endodontics, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain.
Syani
S
Martínez
Department of Restorative Dentistry and Endodontics, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain. Electronic address: mmercade@uic.es.
Montserrat
M
Mercadé
D017607:Aluminum Compounds / Q000009:adverse effects*; D017610:Calcium Compounds / Q000009:adverse effects*; D003116:Color; D004338:Drug Combinations; D006801:Humans; D010087:Oxides / Q000009:adverse effects*; D012387:Root Canal Filling Materials / Q000009:adverse effects*; D017640:Silicates / Q000009:adverse effects*; D013997:Time Factors; D014070:Tooth / Q000187:drug effects; D014075:Tooth Discoloration / Q000139:chemically induced*
D017607:Aluminum Compounds; D017610:Calcium Compounds; D004338:Drug Combinations; D010087:Oxides; D012387:Root Canal Filling Materials; D017640:Silicates; C086631:mineral trioxide aggregate; C506393:tricalcium silicate
Biodentine; bismuth oxide; color stability; white mineral trioxide aggregate