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七种过氧化脲漂白剂处理后牙釉质的剪切粘结强度。

Shear bond strength of enamel treated with seven carbamide peroxide bleaching agents.

作者信息

Basting Roberta Tarkany, Rodrigues José Augusto, Serra Monica Campos, Pimenta Luiz André Freire

机构信息

Dentistry Research Center São Leopoldo Mandic, Campinas, Brazil.

出版信息

J Esthet Restor Dent. 2004;16(4):250-9; discussion 259-60. doi: 10.1111/j.1708-8240.2004.tb00046.x.

Abstract

PURPOSE

Lower average values of bond strength of adhesive systems to enamel bleached with 10% carbamide peroxide agents have been reported, but the effects of higher concentrations of carbamide peroxide bleaching agents are still unknown. The aim of this in vitro study was to evaluate the shear bond strength of enamel treated with different concentrations of carbamide peroxide to an adhesive system after a postbleaching period of storage in artificial saliva for 15 days.

MATERIALS AND METHODS

Seven carbamide peroxide bleaching agents with concentrations varying from 10 to 22% were analyzed. A placebo agent was used as a control group. The agents were applied on the enamel fragments for 8 h/d for 42 days. During the remaining time, the specimens were stored in artificial saliva. After that time, the fragments were stored individually in artificial saliva for 15 days. An adhesive system was used to bond resin-based composite cylinders on the enamel surface. Shear bond strength tests were performed and the fractured surfaces of the specimens were visually examined with a stereomicroscope at x 30.

RESULTS

The analysis of variance did not show differences in shear bond strength among the treatment agents. The fractures for all treatment agents were predominantly adhesive.

CONCLUSION

After 15 days storage in artificial saliva, different concentrations of carbamide peroxide bleaching agents and a placebo agent had the same enamel shear bond strength values.

CLINICAL SIGNIFICANCE

Concentrations varying from 10 to 22% carbamide peroxide agents cause no differences in shear bond strength of enamel to an adhesive system after 15 days of storage in artificial saliva.

摘要

目的

有报道称,用10%过氧化脲制剂漂白后的牙釉质与粘结系统的粘结强度平均值较低,但更高浓度的过氧化脲漂白剂的影响仍不清楚。本体外研究的目的是评估在人工唾液中储存15天的漂白后阶段,用不同浓度的过氧化脲处理的牙釉质与粘结系统之间的剪切粘结强度。

材料与方法

分析了七种浓度从10%到22%不等的过氧化脲漂白剂。使用一种安慰剂制剂作为对照组。将这些制剂每天8小时涂抹在牙釉质碎片上,持续42天。在其余时间里,将标本储存在人工唾液中。之后,将碎片单独在人工唾液中储存15天。使用一种粘结系统将树脂基复合圆柱体粘结在牙釉质表面。进行剪切粘结强度测试,并用体视显微镜在30倍放大倍数下目视检查标本的断裂表面。

结果

方差分析未显示各处理剂之间的剪切粘结强度有差异。所有处理剂的断裂主要为粘结性断裂。

结论

在人工唾液中储存15天后,不同浓度的过氧化脲漂白剂和一种安慰剂制剂的牙釉质剪切粘结强度值相同。

临床意义

在人工唾液中储存15天后,浓度从10%到22%的过氧化脲制剂对牙釉质与粘结系统的剪切粘结强度没有差异。

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