Department of Conservative Dentistry and Endodontics, SRM Dental College, Chennai, India.
Oper Dent. 2011 Jul-Aug;36(4):433-8. doi: 10.2341/10-228-L. Epub 2011 Aug 11.
This in vitro study assessed the neutralizing effect of grape seed extract (oligomeric proanthocyanidin complexes [OPCs]) on the bond strength of bleached enamel.
Labial enamel surfaces of 70 extracted human maxillary central incisors were randomly divided into four groups based on the antioxidant used as follows: Group I (n=20): bleaching with 38% hydrogen peroxide gel for 10 minutes, without the use of an antioxidant; Group II (n=20): bleaching followed by the use of 10% sodium ascorbate solution; Group III (n=20): bleaching followed by the use of 5% proanthocyanidin solution; and Group IV (n=10): control group in which no bleaching was done. Groups I, II, and III were further subdivided into two subgroups of 10 teeth each, based on whether composite build-up was done immediately (subgroup A) or after a delay of 2 weeks (subgroup B) post bleaching. Shear bond strength of the specimens was tested under a universal testing machine. The data were tabulated and statistically analyzed.
Significantly higher shear bond strength values were observed in teeth treated with 10% sodium ascorbate (Group II) and 5% proanthocyanidin (Group III) as compared with the control group (Group IV). Among the antioxidants used, teeth treated with proanthocyanidin showed significantly higher shear bond strength values than those treated with sodium ascorbate.
It can be concluded that the use of grape seed extract prior to bonding procedures on bleached enamel completely neutralizes the deleterious effects of bleaching and increases the bond strength significantly.
本体外研究评估了葡萄籽提取物(原花青素低聚物复合物[OPC])对漂白牙釉质粘结强度的中和作用。
70 颗上颌中切牙的唇面釉质表面根据抗氧化剂的使用情况随机分为四组,如下:I 组(n=20):用 38%过氧化氢凝胶漂白 10 分钟,不使用抗氧化剂;II 组(n=20):漂白后使用 10%抗坏血酸钠溶液;III 组(n=20):漂白后使用 5%原花青素溶液;IV 组(n=10):对照组,未进行漂白。I、II 和 III 组根据是否立即进行复合树脂堆积(A 组)或漂白后 2 周(B 组)进一步分为两个亚组,每组 10 个牙。在万能试验机上测试标本的剪切粘结强度。将数据列表并进行统计分析。
用 10%抗坏血酸钠(II 组)和 5%原花青素(III 组)处理的牙齿与对照组(IV 组)相比,剪切粘结强度值显著较高。在所使用的抗氧化剂中,用原花青素处理的牙齿的剪切粘结强度值明显高于用抗坏血酸钠处理的牙齿。
可以得出结论,在对漂白牙釉质进行粘结前,使用葡萄籽提取物可完全中和漂白的有害影响,并显著提高粘结强度。