de Freitas Patricia Moreira, Turssi Cecilia Pedroso, Hara Anderson Takeo, Serra Mônica Campos
Department of Restorative Dentistry, School of Dentistry of Piracicaba, State University of Campinas, Brazil.
Am J Dent. 2004 Oct;17(5):342-6.
To evaluate the effect of six bleaching agents: Nite White [NW] 10% and 22% Excel 2Z (Discus Dental), Rembrandt (REM) 10% and 22% (DenMat), Opalescence (OPA) 10% and 20% (Ultradent) and a placebo agent on demineralized dentin microhardness at different time intervals.
105 human dentin slabs (3 x 3 mm) were embedded, planed and submitted to cariogenic challenges, composed of de- and remineralization cycles. For 42 days, specimens were exposed to bleaching agents, consisting of applying them daily for 8 hours, removing and storing the specimens in artificial saliva for 16 hours. At the end of the bleaching treatment, specimens were kept in artificial saliva for 14 days. Knoop Microhardness tests were performed on specimens' surface before (baseline), during (8 hours, 7, 14, 21, 28, 35 and 42 days) and after bleaching procedures (7 and 14 days).
The ANOVA for split-plot showed significant effect on the interaction between bleaching agent and time (alpha =0.05). Tukey's test revealed no significant differences on demineralized dentin microhardness exposed to bleaching agents until Day 7. Regression analyses demonstrated that NW 10% and 22% and OPA 10% and 20% increased dentin microhardness in different magnitudes, whereas REM 10% and 22% induced mineral loss during bleaching agent application, followed by microhardness recovery in the post-treatment period.
评估六种漂白剂:10%和22%的Nite White [NW]、Excel 2Z(Discus Dental公司)、10%和22%的Rembrandt(REM,DenMat公司)、10%和20%的Opalescence(OPA,Ultradent公司)以及一种安慰剂对脱矿牙本质在不同时间间隔下显微硬度的影响。
将105块人牙本质片(3×3毫米)包埋、刨平并进行致龋挑战,包括脱矿和再矿化循环。在42天内,将标本暴露于漂白剂中,每天涂抹8小时,然后取出并在人工唾液中保存16小时。漂白处理结束后,将标本在人工唾液中保存14天。在漂白程序之前(基线)、期间(8小时、7天、14天、21天、28天、35天和42天)以及之后(7天和14天)对标本表面进行努氏显微硬度测试。
裂区方差分析显示漂白剂与时间之间的相互作用具有显著影响(α = 0.05)。Tukey检验显示,直到第7天,暴露于漂白剂的脱矿牙本质显微硬度没有显著差异。回归分析表明,10%和22%的NW以及10%和20%的OPA在不同程度上增加了牙本质显微硬度,而10%和22%的REM在应用漂白剂期间导致矿物质流失,随后在治疗后阶段显微硬度恢复。