Post-obturation tooth discoloration: a scoping review of endodontic sealer choices for aesthetic success
Background: Post obturation discoloration, is an undesirable outcome of endodontic treatment and is particularly burdensome on clinicians managing anterior teeth. Objectives: This review examines the discoloration potential of a plethora of historical and currently used endodontic sealers with the...
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| Format: | Article |
| Language: | English |
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College of Dentistry/ University of Baghdad
2025-06-01
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| Series: | Journal of Baghdad College of Dentistry |
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| Online Access: | https://www.jbcd.uobaghdad.edu.iq/index.php/jbcd/article/view/3969 |
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| author | Raghad A Alhashimi George C Gafita Dinesh Martin |
| author_facet | Raghad A Alhashimi George C Gafita Dinesh Martin |
| author_sort | Raghad A Alhashimi |
| collection | DOAJ |
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Background: Post obturation discoloration, is an undesirable outcome of endodontic treatment and is particularly burdensome on clinicians managing anterior teeth. Objectives: This review examines the discoloration potential of a plethora of historical and currently used endodontic sealers with the aim of providing clinicians with a guide on material selection, with the most minimal esthetic impact. Method: A PICO framework was employed to identify relevant data, focusing on discoloration associated with different sealers. A literature search was conducted across PubMed, ScienceDirect, and Google Scholar. Relevant studies published between January 2000 and January 2024 were selected based on pre-defined inclusion and exclusion criteria. The findings revealed that most of the included studies were ex vivo and in vitro, with limited in vivo evidence available. Insufficient long-term follow-up was noted and direct comparisons between the various sealer brands was limited. Conclusion: Zinc oxide-based sealers should be avoided by the clinician in areas of high esthetic concern. The strict confinement of the sealers to the canal space, is the best strategy to minimize discoloration. There is a need for improved materials, and more robust long-term studies to generate evidence-based guidelines as it relates to sealers.
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| format | Article |
| id | doaj-art-183c993d2f9241dc98300d89ff8a5511 |
| institution | Kabale University |
| issn | 1817-1869 2311-5270 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | College of Dentistry/ University of Baghdad |
| record_format | Article |
| series | Journal of Baghdad College of Dentistry |
| spelling | doaj-art-183c993d2f9241dc98300d89ff8a55112025-08-20T03:46:49ZengCollege of Dentistry/ University of BaghdadJournal of Baghdad College of Dentistry1817-18692311-52702025-06-0137210.26477/jbcd.v37i2.3969Post-obturation tooth discoloration: a scoping review of endodontic sealer choices for aesthetic successRaghad A Alhashimi0https://orcid.org/0000-0002-8752-9139George C Gafita1Dinesh Martin2https://orcid.org/0000-0002-4281-8922College of Dentistry University of Baghdad, Baghdad, Iraq Glendair Dental Practice, Limes Avenue, Alfreton, DE55 7DW, United KingdomSmiles By Martin, GF2 Emerald Plaza, 11 EMR St Augustine, Trinidad and Tobago Background: Post obturation discoloration, is an undesirable outcome of endodontic treatment and is particularly burdensome on clinicians managing anterior teeth. Objectives: This review examines the discoloration potential of a plethora of historical and currently used endodontic sealers with the aim of providing clinicians with a guide on material selection, with the most minimal esthetic impact. Method: A PICO framework was employed to identify relevant data, focusing on discoloration associated with different sealers. A literature search was conducted across PubMed, ScienceDirect, and Google Scholar. Relevant studies published between January 2000 and January 2024 were selected based on pre-defined inclusion and exclusion criteria. The findings revealed that most of the included studies were ex vivo and in vitro, with limited in vivo evidence available. Insufficient long-term follow-up was noted and direct comparisons between the various sealer brands was limited. Conclusion: Zinc oxide-based sealers should be avoided by the clinician in areas of high esthetic concern. The strict confinement of the sealers to the canal space, is the best strategy to minimize discoloration. There is a need for improved materials, and more robust long-term studies to generate evidence-based guidelines as it relates to sealers. https://www.jbcd.uobaghdad.edu.iq/index.php/jbcd/article/view/3969Endodontic sealerTooth discolorationEndodontic treatmentpost-obturation discoloration |
| spellingShingle | Raghad A Alhashimi George C Gafita Dinesh Martin Post-obturation tooth discoloration: a scoping review of endodontic sealer choices for aesthetic success Journal of Baghdad College of Dentistry Endodontic sealer Tooth discoloration Endodontic treatment post-obturation discoloration |
| title | Post-obturation tooth discoloration: a scoping review of endodontic sealer choices for aesthetic success |
| title_full | Post-obturation tooth discoloration: a scoping review of endodontic sealer choices for aesthetic success |
| title_fullStr | Post-obturation tooth discoloration: a scoping review of endodontic sealer choices for aesthetic success |
| title_full_unstemmed | Post-obturation tooth discoloration: a scoping review of endodontic sealer choices for aesthetic success |
| title_short | Post-obturation tooth discoloration: a scoping review of endodontic sealer choices for aesthetic success |
| title_sort | post obturation tooth discoloration a scoping review of endodontic sealer choices for aesthetic success |
| topic | Endodontic sealer Tooth discoloration Endodontic treatment post-obturation discoloration |
| url | https://www.jbcd.uobaghdad.edu.iq/index.php/jbcd/article/view/3969 |
| work_keys_str_mv | AT raghadaalhashimi postobturationtoothdiscolorationascopingreviewofendodonticsealerchoicesforaestheticsuccess AT georgecgafita postobturationtoothdiscolorationascopingreviewofendodonticsealerchoicesforaestheticsuccess AT dineshmartin postobturationtoothdiscolorationascopingreviewofendodonticsealerchoicesforaestheticsuccess |