Comparative Assessment of Tooth Discoloration Following Premixed Calcium Silicate Cement Application with Various Surface Treatments: An In Vitro Study

Abstract

In this in vitro study, we compare the discoloration potential of three premixed calcium silicate cements, specifically EndoCem MTA Premixed, Bio-C Repair, and NeoPUTTY, when applied with or without two surface pretreatments (Nd-YAG laser irradiation or dentin-bonding agents). One hundred extracted human maxillary incisors were allocated into ten groups (n = 10), including the untreated control group. A standard access cavity was prepared in all teeth except the control group. Groups were formed according to the type of premixed calcium silicate cement used and the surface pretreatment applied to the internal surfaces of the cavities. Color measurements were taken with a VITA Easyshade Advance 5.0 spectrophotometer and converted to ΔE values using the CIEDE2000 formula at baseline (T0) and 7 (T1), 30 (T2), 90 (T3), and 180 (T4) days. Data were analyzed using the Shapiro–Wilk test to assess normality, followed by the Friedman and Kruskal–Wallis tests for within- and between-group comparisons, respectively (α = 0.05). No statistically or clinically significant differences in (Formula presented.) were detected among materials, surface treatments, or timepoints (p > 0.05). All mean (Formula presented.) values remained below the perceptibility threshold (3.5). Within the limitations of this 180-day in vitro model, the tested materials showed favorable short-term color stability, and neither the Nd-YAG laser nor the dentin-bonding agents altered the outcomes. Long-term in vivo studies are required to recommend their clinical use in aesthetically critical areas.