Color stabilities of calcium silicate-based materials in contact with different irrigation solutions

Abstract

Introduction: Mineral trioxide aggregate (MTA) has been reported to cause tooth discoloration when applied in the esthetic zone. A previous study has shown discoloration of MTA in contact with root canal irrigation solutions. Moreover, there are limited data on color stability of novel calcium silicate-based materials. This study aimed to evaluate color changes of 4 calcium silicate-based materials in contact with different irrigation solutions.

Methods: ProRoot white MTA (Dentsply Tulsa Dental, Johnson City, TN), white MTA Angelus (Angelus Solucoes Odontologicas, Londrina, Brazil), Biodentine (Septodont, Saint Maur des Fosses, France), and BioAggregate (Innovative Bioceramix, Vancouver, BC, Canada) samples were assessed. Materials were mixed according to the manufacturers' instructions. Cylindric samples (10-mm diameter and 2-mm height) were obtained by curing in molds for each material's setting time at 100% humidity and 37°C. Each specimen was immersed in 5% sodium hypochlorite, 2% chlorhexidine gluconate, or distilled water for 24 hours. Color changes were measured with a spectrophotometer. Data were analyzed by using 2-way analysis of variance and post hoc Bonferroni tests.

Results: All materials exhibited clinically perceptible discoloration when immersed in sodium hypochlorite and chlorhexidine gluconate. ProRoot white MTA showed a statistically significant difference from Bioaggregate, Biodentine, and white MTA Angelus. Distilled water did not cause clinically perceptible discoloration of any material.

Conclusions: In esthetically critical regions, compounds free of bismuth oxide, Biodentine, and BioAggregate can be considered as alternatives to MTA. However, all calcium silicate-based materials exhibited clinically perceptible color changes.

Keywords: BioAggregate; Biodentine; bismuth oxide; spectrophotometric analysis; white mineral trioxide aggregate.