Materials used in regenerative endodontic procedures and their impact on tooth discoloration

J Oral Sci. 2019 Aug 28;61(3):379-385. doi: 10.2334/josnusd.18-0467. Epub 2019 Aug 3.

Abstract

There is some evidence of tooth discoloration after regenerative endodontic procedures. The aim of this review is to determine which materials used in regenerative procedures induce tooth discoloration. The authors searched six digital databases in February 2018: PubMed, Google Scholar, the Cochrane Library, Scopus, Web of Science, and Lilacs. As a result, 353 studies were found. Eleven studies that met the established criteria were selected. Analysis of the selected studies showed that most materials used in regenerative endodontic procedures have the potential to stain tooth tissues. To decrease tooth discoloration, sealing dentin with a dentin-bonding agent before the placement of a disinfectant paste and barrier materials should be considered. Only a small number of in vitro studies have been performed; therefore, further studies on this topic are warranted.

Keywords: calcium silicate-based cements; discoloration; regenerative endodontic procedures; revitalization.

Publication types

  • Review

MeSH terms

  • Calcium Compounds
  • Humans
  • Regenerative Endodontics
  • Root Canal Filling Materials*
  • Silicates
  • Tooth Discoloration*

Substances

  • Calcium Compounds
  • Root Canal Filling Materials
  • Silicates