Barbosa Cinthia Maria, Sasaki Robson Tetsuo, Flório Flávia Martão, Basting Roberta Tarkany
Faculty of Dentistry and Dental Research Center São Leopoldo Mandic, Department of Restorative Dentistry - Operative, Rua José Rocha Junqueira, 13 Bairro Swift, Campinas, SP, CEP: 13045-755, Brazil.
Am J Dent. 2009 Dec;22(6):387-92.
To evaluate in situ the influence of time after treatment with a 16% carbamide peroxide home-use bleaching agent on the shear bond strength of resin-based composite to human enamel and dentin.
80 enamel slabs (E) and 80 dentin slabs (D) were obtained, embedded, flattened, sterilized and randomly fixed on the buccal surface of teeth in 20 volunteers. These specimens were submitted to treatment with a 16% carbamide peroxide bleaching agent (Pola Night) for 2 hours a day, for 3 weeks. The control group (C) consisted of slabs that were fixed on buccal tooth faces that did not receive any bleaching treatment. For the experimental groups, three slabs of E and three slabs of D were fixed to teeth of the same volunteers, and after bleaching treatment, the slabs were removed at different times: EI--immediate removal; E7--removal 7 days after treatment ended; E14--removal 14 days after treatment ended. After removal, the slabs were again embedded and microhybrid composite resin cylinders (Filtek Z250) were constructed and bonded using a one-bottle adhesive system (Single Bond) for shear bond strength tests. These tests were performed in a universal testing machine, with a speed of 0.5 mm/minute, with the data returned in MPa. The results were submitted to the ANOVA test.
There were no significant differences with regards to the timespan for the E and D groups (P > 0.05). For the fracture mode analysis, there was a predominance of adhesive failures for Groups C, EI and E14 in enamel, with the same adhesive failures occurred for all groups in dentin. It was concluded that restorative procedures may be performed immediately after the end of the bleaching treatment.
原位评估使用16%过氧化脲家用漂白剂治疗后时间对树脂基复合材料与人类牙釉质和牙本质剪切粘结强度的影响。
获取80块牙釉质片(E)和80块牙本质片(D),进行包埋、打磨、消毒,并随机固定在20名志愿者牙齿的颊面。这些标本每天用16%过氧化脲漂白剂(Pola Night)处理2小时,持续3周。对照组(C)由固定在未接受任何漂白处理的牙齿颊面的薄片组成。对于实验组,将三块E薄片和三块D薄片固定在同一志愿者的牙齿上,漂白处理后,在不同时间取下薄片:EI——立即取下;E7——治疗结束后7天取下;E14——治疗结束后14天取下。取下后,将薄片再次包埋,构建微混合复合树脂圆柱体(Filtek Z250),并使用单瓶粘结系统(Single Bond)进行粘结,以进行剪切粘结强度测试。这些测试在万能试验机上进行,速度为0.5毫米/分钟,数据以兆帕为单位返回。结果进行方差分析。
E组和D组在时间跨度方面无显著差异(P>0.05)。对于断裂模式分析,C组、EI组和E14组在牙釉质中主要为粘结失败,在牙本质中所有组均出现相同的粘结失败情况。得出的结论是,漂白治疗结束后可立即进行修复程序。