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  1. Yaacob HB, Mahfuz Ali MA, Abd Hamid J
    Med J Malaysia, 1983 Sep;38(3):197-9.
    PMID: 6672561
    Eighty-eight (1.96%) out of 4,500 patients had teeth stained by tetracycline. The majority had yellowish-brown stains (59.1%), whilst 37.5% had greyish-brown and 3.4% had black stains. A large number of teeth (79.6%) were stained up to two-thirds of their crowns. The deciduous teeth, permanent incisors and first molars were most commonly affected (73.9%). Teeth are only stained by tetracycline if this drug is administered during their calcification periods. For aesthetic reason, the drug should not be prescribed from the fourth month of pregnancy till the seventh year of life. The social embarrasment due to such discolouration may be overcome by tooth bleaching and construction of tooth facings and crowns.
    Matched MeSH terms: Tooth Discoloration/chemically induced*; Tooth Discoloration/epidemiology
  2. Jhajharia K, Shah HH, Paliwal A, Parikh V, Patel S
    J Clin Diagn Res, 2015 Jun;9(6):ZD28-30.
    PMID: 26266231 DOI: 10.7860/JCDR/2015/12542.6108
    Tooth discolouration is a common problem and affects people of all ages. Apart from the conventional treatment modalities for the same, newer options are available today with better techniques and materials. The present case report describes a 17-year-old girl who had stained and pitted teeth, attributable to dental fluorosis and she desired aesthetic treatment for the same. The pros and cons of all treatment options were carefully weighed and a multistep treatment process involving ceramic veneers and direct bonding were planned. The execution of the planned treatment yielded a good aesthetic and functional outcome.
    Matched MeSH terms: Tooth Discoloration
  3. Yahya, N.A., Lim, K.H.D.
    Ann Dent, 2008;15(2):89-93.
    MyJurnal
    Direct composite veneers can be used to mask tooth discolorations and/or to correct unaesthetic tooth forms and/or positions. However, these type of restorations are often regarded as one of the most challenging in aesthetic dentistry presumably due to the extent of natural tooth structure that must be recreated. This paper discusses easy application techniques and tips for Ceram.X Duo™, a nano ceramic composite restorative material. Its natural shading system allows the restoration of tooth with both dentine and enamel shade and transforms it into a final direct veneer restoration that mimics a natural tooth.
    Matched MeSH terms: Tooth Discoloration
  4. Ahmed HM, Abbott PV
    Int Endod J, 2012 Oct;45(10):883-97.
    PMID: 22621247 DOI: 10.1111/j.1365-2591.2012.02071.x
    Advances in endodontic materials and techniques are at the forefront of endodontic research. Despite continuous improvements, tooth discolouration, especially in anterior teeth, is considered an undesirable consequence following endodontic treatment as it creates a range of aesthetic problems. This article aims to discuss the intrinsic and internalized tooth discolouration caused by endodontic procedures, and to address the discolouration potential of materials used during root canal treatment, including root canal irrigants, intra-canal medicaments, endodontic and post-endodontic filling materials. In addition, the discolouration patterns caused by combined endodontic and nonendodontic aetiological factors are discussed. The recommended guidelines that should be followed by dental practitioners to prevent and manage tooth discolouration are also outlined.
    Matched MeSH terms: Tooth Discoloration/chemically induced; Tooth Discoloration/etiology*
  5. Toh CG
    Asian J Aesthet Dent, 1993 Jul;1(2):65-70.
    PMID: 7921798
    Bleaching has been accepted as one of the methods of treating discoloured teeth. The object of this study was to assess the effectiveness of treating discoloured teeth with a dual activated bleaching system (Hi Lite) that utilises both light and chemical activation of hydrogen peroxide. The results achieved with a 19% hydrogen peroxide solution were compared with those using 35% hydrogen peroxide solution provided in a standard kit. Twenty-three university students with various complaints of discoloured teeth were treated with the bleaching system utilising both concentrations of hydrogen peroxide. Colour change was monitored by using Vita Shade Guide and a camera. The teeth were observed to be 1/2 to 2 shades lighter after each treatment session. It required one to three treatment sessions to achieve the desired results except for severe tetracycline stained teeth. There was no visible difference between the results achieved by the different concentrations of hydrogen peroxide although it took 3 to 5 minutes longer for the 19% hydrogen peroxide to effect a change in colour.
    Matched MeSH terms: Tooth Discoloration/drug therapy*
  6. Rahmat RA, Humphries MA, Austin JJ, Linacre AMT, Self P
    Int J Legal Med, 2021 Sep;135(5):2045-2053.
    PMID: 33655354 DOI: 10.1007/s00414-021-02538-7
    This study presents a novel tool to predict temperature-exposure of incinerated pig teeth as a proxy for understanding impacts of fire on human teeth. Previous studies on the estimation of temperature-exposure of skeletal elements have been limited to that of heat-exposed bone. This predictive tool was developed using a multinomial regression model of colourimetric and hydroxyapatite crystal size variables using data obtained from unheated pig teeth and teeth incinerated at 300 °C, 600 °C, 800 °C and 1000 °C. An additional variable based on the observed appearance of the tooth was included in the tool. This enables the tooth to be classified as definitely burnt (600 °C-1000 °C) or uncertain (27 °C/300 °C). As a result, the model predicting the temperature-exposure of the incinerated teeth had an accuracy of 95%. This tool is a holistic, robust and reliable approach to estimate temperature of heat-exposed pig teeth, with high accuracy, and may act as a valuable proxy to estimate heat exposure for human teeth in forensic casework.
    Matched MeSH terms: Tooth Discoloration/physiopathology*
  7. Asghar M, Omar RA, Yahya R, Yap AU, Shaikh MS
    J Esthet Restor Dent, 2023 Mar;35(2):322-332.
    PMID: 36628650 DOI: 10.1111/jerd.13013
    OBJECTIVE: To the effectiveness of different strategies to overcome silver diamine fluoride (SDF)-mediated tooth staining.

    MATERIALS AND METHODS: Four online databases (PubMed, ScienceDirect, Scopus, and Web of Science) were searched using different MeSH terms and Boolean Operators to retrieve the articles (until June 2021), followed by a hand-search of the reference list of the included articles. All full-text, original studies in English that evaluated SDF staining and at least one SDF modification/alternative were included.

    RESULTS: Among the assessed studies, nine studies explored the stain-minimization effect of potassium iodide (KI) post-application following SDF treatment. Among these, eight concluded that KI application after SDF treatment significantly reduced tooth staining, while one showed marginal staining following glass ionomer restoration of the SDF-treated dentine. Additionally, one study applied potassium fluoride (KF) and silver nitrate (AgNO3 ) concurrently to mitigate SDF-mediated staining. One study compared SDF staining with polyethylene glycol (PEG)-coated nanoparticles containing sodium fluoride (NaF), and another used nanosilver fluoride (NSF) for staining comparison with SDF.

    CONCLUSIONS: Within the limitations of this study, the addition of different materials to SDF has proven to be a beneficial strategy for overcoming tooth staining associated with SDF. Future studies are warranted, particularly clinical trials, to validate these findings.

    CLINICAL SIGNIFICANCE: SDF-mediated tooth staining is a serious concern that limits its clinical use. A review of various strategies to overcome this problem will help clinicians enhance its clinical use and patient acceptance.

    Matched MeSH terms: Tooth Discoloration*
  8. Siti Mariam Ab Ghani, Ahmad Syahir Ahmad Zu Saifudin, Muhammad Aliff Ikram Noor Zari, Teh Adilla Mustaza
    Compendium of Oral Science, 2015;2(1):47-51.
    MyJurnal
    Dental fluorosis incidence had been reported to be affecting children widely, especially in water-fluoridated ar-ea. As these children grow into young adults, perceived aesthetic problems arise mainly due to their concern with generalized mottled and stained teeth appearance. Fixed prosthodontics treatment involving single anterior tooth in patients with generalized fluorosis condition had been found challenging due to aesthetic restorability to blend with fluorosis condition. Clinical considerations: A simplified procedural direct chair-side technique of mimicking fluorosis condition onto anterior all-ceramic crowns are discussed in this paper. The mimicked fluoro-sis is reversible and has the opportunity to be adjusted according to the patient’s fluorosis condition thus hinder-ing the need to redo the crown in the future. Conclusions: The appearance of anterior all-ceramic crowns with direct chair-side staining technique provided blended and harmonized well with the dental fluorosis condition in both patients thus, giving natural looking smile.
    Matched MeSH terms: Tooth Discoloration
  9. Khim TP, Sanggar V, Shan TW, Peng KC, Western JS, Dicksit DD
    J Conserv Dent, 2018 10 9;21(5):562-568.
    PMID: 30294122 DOI: 10.4103/JCD.JCD_115_18
    Introduction: Among the various causes of tooth discoloration after root canal treatment, percolation of sealer remnants into the dentinal tubules of the pulp chamber is the most common cause.

    Objectives: The aim of this study is to evaluate the efficacy of dentin bonding agent (DBA) in preventing coronal discoloration caused by four different root canal sealers- MTA Fillapex, Sealapex, Zical and Z. O. B seal at different time intervals by measuring chromatic alterations using digital images analysis method.

    Methodology: Ninety mandibular premolars were collected and sectioned at 1 mm below the cementoenamel junction. Standard access cavity preparations of dimensions (depth-3 mm, width-0.8 mm, and length-3 mm) were prepared with a No. 245 bur through the cervical access. Following the standard irrigation protocol, specimens were then randomly divided into nine groups (four groups without DBA [1-4] +4 groups with DBA [5-8] +1 negative control [9]). In Groups 1-4, four different root canal sealers (MTA Fillapex, Sealapex, Zical, and Z.O.B seal) were applied to the walls of the pulp chamber. For Groups 5-8, the samples were etched with 37% phosphoric acid and DBA application was done before the respective root canal sealer application. The cervical access in all specimens was sealed using glass ionomer cement. Digital photographs were taken under standard lighting and environmental conditions at different time intervals: preprocedural, postprocedural, and after 1, 2, 3, and 4 months. These images were analyzed using Adobe Photoshop CS6 from which laboratory values and subsequently Delta E values were obtained.

    Results: Statistical analysis performed using repeated measures ANOVA and post hoc Tukey's tests show that the groups with DBA application had significantly lower mean Delta E values (P < 0.05) compared to the groups without DBA application.

    Conclusion: DBAs applied to the dentinal walls of the pulp chamber before obturation can effectively reduce the sealer-induced coronal discoloration.

    Matched MeSH terms: Tooth Discoloration
  10. Ariffin Z, Ngo H, McIntyre J
    Aust Dent J, 2006 Dec;51(4):328-32.
    PMID: 17256308
    BACKGROUND: This study investigated the extent to which a coating of 10% silver fluoride (AgF) on discs of glass jonomer cements (GIGs) would enhance the release of fluoride ion into eluting solutions at varying pH.

    MATERIALS AND METHODS: Forty discs each of Fuji LX, Fuji VII and of Vitrebond were prepared in a plastic mould. Twenty discs of each material were coated for 30 seconds with a 10% solution of AgF. Five discs each of coated and uncoated material were placed individually in 4m1 of differing eluant solutions. The eluant solutions comprised deionized distilled water (DDW) and three separate acetate buffered solutions at pH 7, pH 5 and pH 3. After 30 minutes the discs were removed and placed in five vials containing 4m1 of the various solutions for a further 30 minutes. This was repeated for further intervals of time up to 216 hours, and all eluant solutions were stored. Fluoride concentrations in the eluant solutions were estimated using a fluoride specific electrode, with TISAB IV as a metal ion complexing and ionic concentration adjustment agent. Cumulative fluoride release patterns were determined from the incremental data.

    RESULTS: The coating of AgF greatly enhanced the level of fluoride ion release from all materials tested. Of the uncoated samples, Vitrehond released the greater concentrations of fluoride ion, followed by Fuji VII. However, cumulative levels of fluoride released from coated samples of the GICs almost matched those from coated Vitrebond.

    CONCLUSIONS: It was concluded that a coating of 10% AgF on GICs and a resin modified GIC greatly enhanced the concentration of fluoride released from these materials. This finding might be applied to improving protection against recurrent caries, particularly in high caries risk patients, and in the atraumatic restorative technique (ART) of restoration placement.

    Matched MeSH terms: Tooth Discoloration
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