Prevention and Correction of Tooth Discoloration due to Regenerative Endodontic Treatment
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Abstract
Tooth discoloration is a condition that may occur after regenerative endodontic treatment and has a negative impact on patients’ quality of life. The staining of dental structures can occur from the root canal disinfectant which is composed of minocycline and cervical barrier which contains bismuth oxide. This review article explores the prevention and correction of tooth discoloration caused by triple antibiotic paste (TAP) and mineral trioxide aggregate (MTA) in regenerative endodontic treatment. Studies show the prevention of TAP-induced staining can be achieved by reducing concentration, modifying compositions, occluding dentinal tubules, and using calcium hydroxide as root canal medication. MTA-induced staining can be prevented by using non-bismuth oxide-containing materials and improving bismuth oxide stability with stabilizers. Bleaching is a conservative option to correct tooth discoloration with an acceptable outcome. Side effects after bleaching such as cervical resorption could be prevented by proper sealing of dentinal tubules with cervical barrier or using non-peroxide bleaching material.
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น
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