Storing Tooth Segments for Optimal Esthetics


JOURNAL OF CLINICAL PEDIATRIC DENTISTRY, vol.40, no.2, pp.113-117, 2016 (SCI-Expanded) identifier identifier identifier


Objective: A fractured whole crown segment can be reattached to its remnant; crowns from extracted teeth may be used as pontics in splinting techniques. We aimed to evaluate the effect of different storage solutions on tooth segment optical properties after different durations. Study design: Sixty central incisor crowns were divided into 6 groups (n = 10); Group 1 was kept dry; Groups 2, 3, 4, 5, and 6 were placed in an isotonic solution, water, milk, saliva, and casein-phosphopeptide amorphous-calcium-phosphate (CPP-ACP), respectively, for 30 min, 12 h, 1 day, 1 week, and 3 weeks. Color values were measured using a colorimeter. Data were analyzed with Kruskal Wallis tests, Mann-Whitney U-tests, and Friedman Wilcoxon tests with Bonferroni stepwise corrections (p < 0.05). Results: Delta E* values varied from 0.3 to 15.3 over the 3 week period. Group 1 demonstrated the greatest color changes over all durations; Group 6 exhibited the least. L* a*, b*, and Delta E* values varied between time periods in all groups; the differences were significant (p < 0.01), except for L* and Delta E* values in Group 2 and a* values in Group 6 (p > 0.01). Comparing Delta E* values, Group 6 was signcantly different from the other groups for all durations (p < 0.01), except Group 4. Conclusions: A CPP-ACP complex solution seems a good choice for tooth fragment storage. Milk and saliva solutions may cause perceptible color changes if tooth fragments are stored for 3 weeks before use.