In-vivo evaluation of the effects of short-term dehydration and rehydration on the color differences of immature permanent incisor teeth


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Buldur M., Misilli T., Sezer B.

JOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, vol.36, no.7, pp.1010-1019, 2024 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 36 Issue: 7
  • Publication Date: 2024
  • Doi Number: 10.1111/jerd.13213
  • Journal Name: JOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CINAHL, MEDLINE
  • Page Numbers: pp.1010-1019
  • Keywords: color change, immature teeth, open apex, operative dentistry, teeth dehydration, teeth rehydration
  • Çanakkale Onsekiz Mart University Affiliated: Yes

Abstract

Objective: It is aimed to evaluate the color changes of upper central incisor teeth with different root maturation levels after 15 min of dehydration and rehydration. Materials and Methods: Using the Cvek classification, 60 participants were divided into five groups. A spectrophotometer, equipped with a specially designed jig, was utilized for color measurements. Following isolation, color measurements were conducted at the dehydration process intervals of baseline, 1st, 2nd, 3rd, 5th, 7th, 10th, and 15th minutes. After mouth rinsing, measurements were repeated at the same time intervals during the rehydration process. CIEDE2000 (Delta E-00) values and the Whiteness Index (WID) were obtained to compare the color changes between the initial readings and each interval. Friedman and Repeated Measures ANOVA were applied to compare classes by time during the dehydration and rehydration periods, as well as ANOVA and Kruskal-Wallis tests to compare by classes for each time (p < 0.05). Results: Significant differences emerged in the mean Delta E-00 values during dehydration and rehydration periods across all Cvek Classes (p < 0.05). While no statistically significant differences were observed among Classes at different minutes during the rehydration period (p > 0.05), it was particularly noted that the mean Delta E-00 values of Classes 2, 3, and 5 at the 2nd minute of dehydration were statistically significantly higher than the mean of Class 1 (p < 0.05). However, when evaluating the starting and ending measurements of both dehydration and rehydration processes, and the overall change in Delta E-00 and Delta WID, no significant variations were detected across the Classes (p > 0.05). Conclusions: In teeth that have just erupted and are still undergoing root development, dehydration in the initial minutes results in noticeable color changes. However, the change in Delta E-00 and Delta WID of the teeth was found to be similar after the dehydration and rehydration processes.