Mondelli Rafael Francisco Lia, Azevedo Juliana Felippi David E Góes De, Francisconi Paulo Afonso Silveira, Ishikiriama Sérgio Kiyoshi, Mondelli José
Department of Operative Dentistry, Endodontics and Dental Materials, Bauru Dental School, University of São Paulo, Bauru, São Paulo, Brazil.
Eur J Esthet Dent. 2009 Winter;4(4):396-403.
The present study evaluated surface roughness and wear of bovine enamel following three different bleaching techniques and simulated brushing. Initial surface roughness (Ra) was evaluated and teeth were randomly divided into 4 groups (n = 10): Group 1, control; Group 2, 35% hydrogen peroxide (HP) activated by a hybrid light; Group 3, 35% HP activated by a halogen light; and Group 4, 16% carbamide peroxide. After bleaching, surface roughness was measured and teeth were subjected to 100,000 cycles of simulated brushing. After brushing, the final roughness and wear was determined. Data were statistically analyzed by ANOVA and Tukey test (P < 0.05). There were no significant differences among groups comparing initial and postbleaching roughness. After brushing, significant differences were found between the control and experimental groups. Group 4 showed a significant increase in roughness values compared with Group 2. The control group showed significantly less wear than other groups. Bleaching techniques promoted increased roughness and wear of bovine enamel, when submitted to simulated brushing. Tooth enamel after bleaching can present a larger alteration in the amount of roughness due to brushing.
本研究评估了三种不同漂白技术及模拟刷牙后牛牙釉质的表面粗糙度和磨损情况。评估了初始表面粗糙度(Ra),并将牙齿随机分为4组(n = 10):第1组为对照组;第2组,用混合光激活的35%过氧化氢(HP);第3组,用卤素光激活的35% HP;第4组,16%过氧化脲。漂白后,测量表面粗糙度,并对牙齿进行100,000次模拟刷牙循环。刷牙后,测定最终粗糙度和磨损情况。数据采用方差分析和Tukey检验进行统计学分析(P < 0.05)。比较初始和漂白后粗糙度时,各组之间无显著差异。刷牙后,对照组和实验组之间发现显著差异。与第2组相比,第4组的粗糙度值显著增加。对照组的磨损明显少于其他组。当进行模拟刷牙时,漂白技术会促使牛牙釉质的粗糙度和磨损增加。漂白后的牙釉质在刷牙后粗糙度的变化量可能更大。