Gurgan Sevil, Yalcin Filiz
Department of Restorative Dentistry, Hacettepe University, School of Dentistry, Ankara, Turkey.
Quintessence Int. 2007 Feb;38(2):e83-7.
The purpose of this in vitro study was to evaluate the effects of 10% carbamide peroxide (Vivastyle/Vivadent) and 6.5% hydrogen peroxide strip bands (Crest Professional Whitestrips) on the surface roughness and hardness of the 3 different tooth-colored restoratives: an ormocer (Definite), a packable composite (Filtek P60), and a flowable composite (Filtek Flow).
A total of 48 specimens (10 mm in diameter and 2 mm thick) of each material were fabricated against a mylar surface. After being polished with Sof-Lex discs, they were randomly divided into 3 groups of 16 and treated as follows: group I was stored in distilled water at 37 degrees C for 2 weeks (control), group II was treated with Vivastyle for 2 hours per day for 2 weeks, and group III was treated with Whitestrips for 30 minutes twice a day for 2 weeks. For groups II and III, the specimens were stored in distilled water at 37 degrees C during the hiatus period. At the end of the test period, the specimens were first subjected to surface roughness and then to microhardness tests. The data were analyzed by Kruskal-Wallis and Mann-Whitney U tests.
Both bleaching regimens increased the surface roughness of the materials (P <.05), but Whitestrips significantly increased the roughness of materials more than did Vivastyle (P <.05). Both bleaching regimens decreased significantly the hardness of tested materials except Filtek P60 (P <.05).
Bleaching agents may affect the surface of existing restorations; therefore, they should not be used indiscriminately when tooth-colored restorations are present.
本体外研究的目的是评估10%过氧化脲(Vivastyle/Vivadent)和6.5%过氧化氢牙贴(佳洁士专业美白牙贴)对3种不同颜色的牙齿修复材料表面粗糙度和硬度的影响:一种有机陶瓷(Definite)、一种可压实复合树脂(Filtek P60)和一种流动复合树脂(Filtek Flow)。
每种材料共制作48个样本(直径10毫米,厚2毫米),制作在聚酯薄膜表面。用Sof-Lex盘片抛光后,随机分为3组,每组16个,处理如下:第一组在37℃蒸馏水中储存2周(对照组),第二组每天用Vivastyle处理2小时,共2周,第三组每天用美白牙贴处理2次,每次30分钟,共2周。对于第二组和第三组,样本在间隔期存于37℃蒸馏水中。在试验期结束时,先对样本进行表面粗糙度测试,然后进行显微硬度测试。数据采用Kruskal-Wallis和Mann-Whitney U检验进行分析。
两种漂白方案均增加了材料的表面粗糙度(P <.05),但美白牙贴比Vivastyle更显著地增加了材料的粗糙度(P <.05)。除Filtek P60外,两种漂白方案均显著降低了测试材料的硬度(P <.05)。
漂白剂可能会影响现有修复体的表面;因此,当存在牙齿颜色修复体时,不应随意使用。