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漂白剂在体外向髓腔的渗透。

In vitro penetration of bleaching agents into the pulp chamber.

作者信息

Benetti A R, Valera M C, Mancini M N G, Miranda C B, Balducci I

机构信息

Department of Restorative Dentistry, Physiological Sciences and Social Science and Pediatric Dentistry, São José dos Campos School of Dentistry UNESP, São Paulo, Brazil.

出版信息

Int Endod J. 2004 Feb;37(2):120-4. doi: 10.1111/j.0143-2885.2004.00761.x.

Abstract

AIM

To investigate pulp chamber penetration of bleaching agents in teeth following restorative procedures.

METHODOLOGY

Bovine lateral incisors were sectioned 3 mm apical to the cemento-enamel junction and the coronal pulpal tissue was removed. Teeth were divided into six groups (n = 10): G1, G2 and G3 were not submitted to any restorative procedure, while G4, G5 and G6 were submitted to Class V preparations and restored with composite resin. Acetate buffer was placed in the pulp chamber and treatment agents were applied for 60 min at 37 degrees C as follows: G1 and G4, immersion into distilled water; G2 and G5, 10% carbamide peroxide (CP) exposure; G3 and G6, 35% CP bleaching. The buffer solution was removed and transferred to a glass tube where leuco crystal violet and horseradish peroxidase were added, producing a blue solution. The optical density of the blue solution was determined spectrophotometrically at 596 nm. A standard curve made with known amounts of hydrogen peroxide was used to convert the optical density values of the coloured samples into microgram equivalents of hydrogen peroxide. Data were submitted to anova and Tukey's test (5%).

RESULTS

Amounts of hydrogen peroxide found in the pulp chamber of G2 and G5 specimens (0.1833 +/- 0.2003 micro g) were significantly lower (P = 0.001) when compared to G3 and G6 specimens (0.4604 +/- 0.3981 micro g). Restored teeth held significantly higher (P = 0.001) hydrogen peroxide concentrations in the pulp chamber than intact teeth.

CONCLUSION

Higher concentrations of the bleaching agent produced higher levels of hydrogen peroxide in the pulp chamber, especially in restored teeth.

摘要

目的

研究修复治疗后牙齿中漂白剂对髓腔的渗透情况。

方法

将牛侧切牙在牙骨质 - 釉质界根尖3毫米处截断,去除冠部牙髓组织。牙齿分为六组(n = 10):G1、G2和G3未进行任何修复治疗,而G4、G5和G6进行V类洞预备并用复合树脂修复。在髓腔中放置醋酸缓冲液,并在37℃下施加处理剂60分钟,具体如下:G1和G4,浸入蒸馏水中;G2和G5,暴露于10%过氧化脲(CP);G3和G6,用35% CP漂白。去除缓冲溶液并转移至玻璃管中,加入无色结晶紫和辣根过氧化物酶,产生蓝色溶液。在596nm处用分光光度法测定蓝色溶液的光密度。用已知量的过氧化氢制作标准曲线,将有色样品的光密度值转换为过氧化氢的微克当量。数据进行方差分析和Tukey检验(5%)。

结果

与G3和G6标本(0.4604 +/- 0.3981微克)相比,G2和G5标本髓腔中发现的过氧化氢量(0.183**********微克)显著更低(P = 0.001)。修复后的牙齿髓腔中的过氧化氢浓度显著高于完整牙齿(P = 0.001)。

结论

较高浓度的漂白剂在髓腔中产生较高水平的过氧化氢,尤其是在修复后的牙齿中。

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