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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

Publication:
February 2010
Volume 41 , Issue 2

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Influence Of White And Gray Endodontic Posts On Color Changes Of Tooth Roots, Composite Cores, And All-Ceramic Crowns

Irena Sailer, Dr Med Dent/Andrea Thoma, Dr Med Dent/Ameen Khraisat, DDS/Ronald E. Jung, PD Dr Med Dent/Christoph H. F. Hämmerle, Prof Dr Med Dent

Pages: 135–144
PMID: 20165745

Objective: To evaluate whether post materials affect the color of roots, composite cores, and all-ceramic crowns. Method and Materials: Forty extracted human incisors were divided into four groups. White posts made of zirconia (Zi) or glass fiber (Gf) and gray posts made of titanium (Ti) or carbon fiber (Cf) were randomly assigned to the roots. Composite cores and glass-ceramic crowns were made. The color of the roots, cores, and crowns was captured (Spectroshade). The mean color difference (mDE) among the groups was calculated for the following comparisons: A—root: empty root versus post and core; B—root: post and core with and without cement; C—core: white versus gray posts and cores; D—lower third of crown versus original ceramic ingot; E—center of crown versus ingot. Statistical analysis was performed by ANOVA, Kruskal-Wallis, and Sheffé tests. Results: White, as well as gray posts, induced little changes of the root color (A, B). Gray posts led to a significant discoloration of the cores (C: mDEZi 2.0 ± 0.7, mDEGf 1.5 ± 0.6, mDETi 12.9 ± 5.9, mDECf 11.2 ± 5.3; P < .0001, Kruskal-Wallis) resulting in a grayish discoloration of the crowns’ lower thirds (D: mDEZi 5.7 ± 0.8, mDEGf 6.0 ± 1.2, mDETi 3.5 ± 1.1, mDECf 3.9 ± 0.9; P < .0001, Kruskal-Wallis). In the center of the crowns, all posts and cores induced a similar color difference (E). Conclusion: A grayish gingival shadowing cannot be reduced with white posts. In combination with glass-ceramic crowns, white posts and cores are esthetically beneficial. (Quintessence Int 2010;41:135–144)

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