Color stability of white mineral trioxide aggregate in contact with hypochlorite solution

INTRODUCTION: One of the uses of white mineral trioxide aggregate (MTA) is as an apical barrier in immature teeth. Although this treatment has been reported to have high success rates, a number of cases of discoloration have been noted. The aim of this research was to investigate the color stability of white MTA in contact with various solutions used in endodontics.

METHODS: The change in color of white MTA after immersion in water, sodium hypochlorite, or hydrogen peroxide was assessed by viewing the color change on digital photographs and also by using a spectrophotometer. White MTA, white Portland cement, and bismuth oxide were assessed. The changes in the material after immersion in the different solutions were assessed by x-ray diffraction analysis and Fourier transform infrared spectroscopy.

RESULTS: Immersion of white MTA and bismuth oxide in sodium hypochlorite resulted in the formation of a dark brown discoloration. This change was not observed in Portland cement. X-ray diffraction analysis and Fourier transform infrared analysis displayed the reduction of sodium hypochlorite in contact with bismuth oxide and MTA to sodium chloride.

CONCLUSIONS: Contact of white MTA and other bismuth-containing materials with sodium hypochlorite solution should be avoided.