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牙漂白剂应用后脱矿牙本质硬度的变化。

Changes in the stiffness of demineralized dentin following application of tooth whitening agents.

机构信息

Department of Restorative Dentistry, School of Dentistry, University of North Parana, Londrina, PR, Brazil.

出版信息

Acta Odontol Scand. 2012 Jan;70(1):56-60. doi: 10.3109/00016357.2011.575176. Epub 2011 Apr 15.

DOI:10.3109/00016357.2011.575176
PMID:21492064
Abstract

OBJECTIVE

The purpose of this study was to evaluate the effect of the bleaching agents on the elastic modulus of bovine demineralized dentin matrix (EMDM).

MATERIALS AND METHODS

Eighty-five slices were obtained from 17 bovine teeth. The slices were divided randomly into five experimental groups (n = 17): unbleached control group (CG), 4% hydrogen peroxide (HP4), 4% hydrogen peroxide + 0.05% Ca (HP4 + Ca), 7.5% hydrogen peroxide + ACP (HP7.5) and 10% carbamide peroxide (CP10). The HP4, HP4 + Ca and CP10 groups were treated with the bleaching agents for 8 h/day (14 days), while the samples of HP7.5 group were exposed to bleaching agent for 30 min twice a day (14 days). The CG was kept in 100% humidity. After bleaching treatments, the enamel of the samples was removed and 85 dentin beams (0.5 × 1.7 × 7.0 mm) were prepared. Afterwards, the beams were immersed in 10% phosphoric acid solution (5 h) and rinsed with water (10 min). The beams were tested after 24 h, 7 and 14 days of storage in distilled water, using three-point bend method. Data were statistically analyzed using ANOVA and Fisher's test.

RESULTS

All bleaching treatments reduced the EMDM. After 14 days post-bleaching, the EMDM increased for HP4 and HP4+Ca groups.

CONCLUSIONS

The use of bleaching agents promoted a decrease in EMDM, which indicates that the bleaching treatment interacts with the dentin organic matrix. The EMDM measurement for the specimens of the 7.5% hydrogen peroxide group that were immersed in water at 14 days post-bleaching did not recover the EMDM values when compared to the control group.

摘要

目的

本研究旨在评估漂白剂对牛脱矿牙本质基质弹性模量(EMDM)的影响。

材料与方法

从 17 颗牛牙中获得 85 个切片。将这些切片随机分为 5 个实验组(n=17):未漂白对照组(CG)、4%过氧化氢(HP4)、4%过氧化氢+0.05%Ca(HP4+Ca)、7.5%过氧化氢+ACP(HP7.5)和 10%尿素过氧化物(CP10)。HP4、HP4+Ca 和 CP10 组每天处理漂白剂 8 小时(14 天),而 HP7.5 组的样本每天暴露于漂白剂 30 分钟(14 天),两次。CG 保持 100%湿度。漂白处理后,去除样本的釉质,制备 85 个牙本质梁(0.5×1.7×7.0mm)。随后,将梁浸泡在 10%磷酸溶液中(5 小时),并用去离子水冲洗(10 分钟)。梁在蒸馏水中储存 24 小时、7 天和 14 天后进行测试,采用三点弯曲法。使用方差分析和 Fisher 检验对数据进行统计分析。

结果

所有漂白处理均降低了 EMDM。漂白后 14 天,HP4 和 HP4+Ca 组的 EMDM 增加。

结论

漂白剂的使用导致 EMDM 降低,表明漂白处理与牙本质有机基质相互作用。与对照组相比,在漂白后 14 天浸入水中的 7.5%过氧化氢组样本的 EMDM 测量值并未恢复 EMDM 值。

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