Camargo Samira Esteves Afonso, Cardoso Paula Elaine, Valera Marcia Carneiro, de Araújo Maria Amélia Máximo, Kojima Alberto Noriyuki
School of Dentistry, Department of Oral Pathology São Paulo State University - UNESP, São José dos Campos, São Paulo, Brazil.
Eur J Esthet Dent. 2009 Spring;4(1):82-8.
This aim of the present study was to evaluate the pulp chamber penetration of 35% hydrogen peroxide activated by LED (light-emitting diode) or Nd:YAG laser in bovine teeth, after an in-office bleaching technique. Forty-eight bovine lateral incisors were divided into four groups, acetate buffer was placed into the pulp chamber and bleaching agent was applied as follows: for group A (n = 12), activation was performed by LED; for group B (n = 12), activation was performed by Nd:YAG laser (60 mJ, 20 Hz); group C (n = 12) received no light or laser activation; and the control group (n = 12) received no bleaching gel application or light or laser activation. The acetate buffer solution was transferred to a glass tube and Leuco Crystal Violet and horseradish peroxidase were added, producing a blue solution. The optical density of this solution was determined spectrophotometrically and converted into microgram equivalents of hydrogen peroxide. The results were analysed using ANOVA and Tukey's test (5%). It was verified that the effect of activation was significant, as groups activated by LED or laser presented greater hydrogen peroxide penetration into the pulp chamber (0.499 +/- 0.622 microg) compared with groups that were not (0.198 +/- 0.218 microg). There was no statistically significant difference in the penetration of hydrogen peroxide into the pulp chamber between the two types of activation (LED or laser). The results suggest that activation by laser or LED caused an increase in hydrogen peroxide penetration into the pulp chamber.
本研究的目的是评估在诊室漂白技术后,发光二极管(LED)或钕钇铝石榴石(Nd:YAG)激光激活的35%过氧化氢在牛牙中的髓腔渗透情况。将48颗牛侧切牙分为四组,在髓腔内放置醋酸缓冲液,并按以下方式应用漂白剂:A组(n = 12),通过LED激活;B组(n = 12),通过Nd:YAG激光(60 mJ,20 Hz)激活;C组(n = 12)未进行光或激光激活;对照组(n = 12)未应用漂白凝胶,也未进行光或激光激活。将醋酸缓冲溶液转移至玻璃管中,加入无色结晶紫和辣根过氧化物酶,产生蓝色溶液。用分光光度法测定该溶液的光密度,并将其转换为过氧化氢的微克当量。结果采用方差分析和Tukey检验(5%)进行分析。结果证实激活的效果显著,因为与未激活的组(0.198±0.218微克)相比,LED或激光激活的组过氧化氢向髓腔的渗透量更大(0.499±0.622微克)。两种激活方式(LED或激光)之间,过氧化氢向髓腔的渗透量无统计学显著差异。结果表明,激光或LED激活导致过氧化氢向髓腔的渗透增加。