Doctoral Studies of the Faculty of Dentistry, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Department of Dental Surgery, Pomeranian Medical University in Szczecin, Szczecin, Poland.
J Endod. 2017 Oct;43(10):1593-1601. doi: 10.1016/j.joen.2017.04.002. Epub 2017 Aug 30.
On the basis of many clinical observations, some calcium silicate-based cements have a high potential for staining tooth tissue. This feature greatly limits the use of those cements, particularly for anterior teeth. This review aimed to provide a systematic evaluation of published in vitro studies to determine the effect of different calcium silicate-based cements on dental tissue discoloration.
This literature review was developed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. The literature search was based on all publications without a year limit. The last search was performed on October 22, 2016. An electronic search was performed on MEDLINE (PubMed), Cochrane, and Scopus. The articles were selected to address the following research question: Which materials based on calcium silicate-based cements have hard tissue staining potential? The necessary information was extracted by 2 authors independently using a standardized form.
The search resulted in 390 titles from all databases. Twenty-three studies met the inclusion criteria. Most of the studies exhibited a moderate risk of bias. The results indicated that some materials showed a strong potential for staining, including gray and white MTA Angelus (Londrina, PR, Brazil), gray and white ProRoot MTA (Dentsply, Tulsa, OK), and Ortho MTA (BioMTA, Seoul, Korea). Individual study results showed that Biodentine (Septodont, Saint Maur des Fosses, France), Retro MTA (BioMTA), Portland cement, EndoSequence Root Repair Material (Brasseler USA, Savannah, GA), Odontocem (Australian Dental Manufacturing, Brisbane, Australia), MM-MTA (Micro Mega, Besancon Cedex, France), and MTA Ledermix (Riemser Pharma GmbH, Greiswald-Insel Riems, Germany) were materials with the smallest staining potential.
This review clearly showed that some calcium silicate-based cements have a high potential for staining hard tissue. On the other hand, some showed only a small change in color, which was nearly invisible to the human eye (ΔE <3.3). However, more long-term clinical studies are needed.
基于许多临床观察，一些基于硅酸钙的水泥对牙组织具有高染色潜力。这一特性极大地限制了这些水泥的使用，特别是在前牙。本综述旨在系统评价已发表的体外研究，以确定不同基于硅酸钙的水泥对牙本质变色的影响。
本文献综述根据系统评价和荟萃分析的首选报告项目进行。文献检索不设年限限制。最后一次检索是在 2016 年 10 月 22 日进行的。电子检索在 MEDLINE（PubMed）、Cochrane 和 Scopus 进行。选择的文章旨在解决以下研究问题：哪些基于硅酸钙的水泥材料具有硬组织染色潜力？两位作者使用标准化表格独立提取必要信息。
从所有数据库中搜索到 390 个标题。23 项研究符合纳入标准。大多数研究存在中度偏倚风险。结果表明，一些材料显示出很强的染色潜力，包括灰色和白色的 MTA Angelus（巴西伦德里纳）、灰色和白色的 ProRoot MTA（登士柏，塔尔萨，俄克拉荷马州）和 Ortho MTA（Biomta，首尔，韩国）。个别研究结果表明，Biodentine（塞普顿，圣莫里斯德福斯，法国）、Retro MTA（Biomta）、波特兰水泥、EndoSequence 根修复材料（美国 Brasseler，萨凡纳，佐治亚州）、Odontocem（澳大利亚牙科制造，布里斯班，澳大利亚）、MM-MTA（Micro Mega，Besancon Cedex，法国）和 MTA Ledermix（里默斯制药有限公司，格雷斯沃尔德岛赖姆斯，德国）是染色潜力最小的材料。
本综述清楚地表明，一些基于硅酸钙的水泥对牙本质具有高染色潜力。另一方面，一些材料仅显示颜色略有变化，肉眼几乎不可见（ΔE<3.3）。然而，需要更多的长期临床研究。
