Journal of Dental Medicine

Background and Aims: The aim of this study was to investigate the tooth discoloration caused by cold ceramic compared to MTA Angelus in contact with the washing solutions such as sodium hypochlorite (NaOCl) and normal saline.
Materials and Methods: 50 samples of extracted human maxillary anterior teeth were selected. After preparing the access cavity, they were divided into 4 experimental groups and 1 control group (10 in each group). The access cavities of teeth in groups 2 and 4 were rinsed with 5.25% sodium hypochlorite and those in groups 1 and 3 were rinsed with normal saline. Then, after drying, 3 mm thickness of cold ceramic (groups 1 and 2) and MTA Angelus (groups 3 and 4) were placed in the access cavities of the teeth. After setting of the materials, all specimens were restored with a resin modified glass ionomer. Based on the CIE Lab system, each sample’s total color change (∆E) was obtained before, one, and 90 days after application. Data were statistically analyzed using the Wilcoxon test.
Results: According to the results, there was no statistically significant difference in the average tooth discoloration between the groups filled with cold ceramic and in different time periods (P>0.05). While, in the groups filled with MTA Angelus, the difference in the average tooth discoloration in 90 days after application was significantly higher than one day (P<0.05).
Conclusion: The results of this study showed that compared to MTA Angelus, cold ceramic causes less tooth discoloration over time and therefore, it can be suggested as a more suitable alternative endodontic cement than MTA Angelus.

Background and Aims: Achieving reliable tools for accurate shade matching of ceramic samples is of great importance in restorative and aesthetic dentistry. This study aimed to evaluate the accuracy of the Trios5 intraoral scanner in determining the shade of ceramic samples using the Vita Classical Shade Guide (VC).
Materials and Methods: This in-vitro study involved scanning each ceramic sample 15 times by two independent observers using the Trios5 intraoral scanner. The detected shade of each sample was compared with the reference shades of the Vita Classical Shade Guide (VC) and the compatibility of the scanner’s results with the reference shades was assessed. The data were analyzed using SPSS24 software and Pearson correlation and paired t-tests and kappa coefficient at a significance level of 0.05.
Results: The highest accuracy of shade detection in both observers was found for shades A2, A3, A3.5, A4, B1, and C4, each with 100% accuracy. The lowest accuracy for both observers was noted for shade A1, with 0% accuracy. The mean overall accuracy for the first and second observers was 64.99% and 63.75%, respectively, with a total overall accuracy of 64.37%. A statistically significant interobserver agreement was observed (P≤0.005).for all shades except B2 (P=0.299).
Conclusion: The Trios5 intraoral scanner can be considered a useful adjunct tool for ceramic shade determination. However, for clinical applications, it is recommended to use it in conjunction with reference tools and complementary methods such as spectrophotometry or visual assessment by experienced clinicians.