Pobbe Priscila de Oliveira da Silva, Viapiana Raqueli, Souza-Gabriel Aline Evangelista, Marchesan Melissa Andréia, Sousa-Neto Manoel Damião, Silva-Sousa Yara Teresinha Correa, Silva Ricardo Gariba
University of Ribeirão Preto, School of Dentistry, Av. Costabile Romano 2200, Ribeirão Preto 14096-900, SP, Brazil.
J Dent. 2008 Nov;36(11):935-9. doi: 10.1016/j.jdent.2008.07.007. Epub 2008 Sep 3.
The aim of this study was to assess the fracture resistance of endodontically treated teeth submitted to bleaching with 38% hydrogen peroxide activated by light-emitting diode (LED)-laser system.
Fifty maxillary incisors were endodontically treated, received a zinc phosphate barrier and were embedded in acrylic resin until cemento-enamel junction. The specimens were distributed into five groups (n=10) according to the number of bleaching sessions: GI, no treatment (control); GII, one session; GIII, two sessions; GIV, three sessions and GV, four sessions. The whitening gel was applied to the buccal surface of the tooth and inside the pulp chamber for three times in each session, followed by LED-laser activation. Specimens were submitted to the fracture resistance test (kN) and data were submitted to the Tukey-Kramer multiple comparisons test.
No significant difference (p>0.05) was found between GI (0.71+/-0.30) and GII (0.65+/-0.13), which presented the highest strength values to fracture. Groups III (0.35+/-0.17), IV (0.23+/-0.13) and V (0.38+/-0.15) showed lower resistance to fracture (p<0.01) when compared to GI and GII.
The fracture resistance of endodontically treated teeth decreased after two sessions of bleaching with 38% hydrogen peroxide activated by LED-laser system.
本研究旨在评估经根管治疗的牙齿在使用发光二极管(LED)激光系统激活的38%过氧化氢进行漂白后的抗折性能。
选取50颗上颌切牙进行根管治疗,设置磷酸锌屏障,将其嵌入丙烯酸树脂直至牙骨质-釉质界。根据漂白疗程数将标本分为五组(n = 10):GI组,未治疗(对照组);GII组,1个疗程;GIII组,2个疗程;GIV组,3个疗程;GV组,4个疗程。每次疗程中,将美白凝胶涂于牙齿颊面和髓腔内三次,随后进行LED激光激活。对标本进行抗折性能测试(kN),数据采用Tukey-Kramer多重比较检验。
GI组(0.71±0.30)和GII组(0.65±0.13)之间未发现显著差异(p>0.05),这两组的抗折强度值最高。与GI组和GII组相比,GIII组(0.35±0.17)、GIV组(0.23±0.13)和GV组(0.38±0.15)的抗折性能较低(p<0.01)。
使用LED激光系统激活的38%过氧化氢进行两个疗程的漂白后,经根管治疗的牙齿抗折性能下降。