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家用和诊室漂白治疗联合实验性脱敏剂对牙釉质和牙本质的影响。

The effect of home-use and in-office bleaching treatments combined with experimental desensitizing agents on enamel and dentin.

作者信息

Pintado-Palomino Karen, Tirapelli Camila

机构信息

Department of Dental Materials and Prosthodontics, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.

出版信息

Eur J Dent. 2015 Jan-Mar;9(1):66-73. doi: 10.4103/1305-7456.149645.

Abstract

OBJECTIVE

This study aimed to evaluate in vitro the effect of formulations containing Biosilicate to treat enamel and dentin bovine samples exposed to dental bleaching agents.

MATERIALS AND METHODS

On enamel and dentin bleached with commercial gels containing 16% carbamide peroxide (CP) (14 days/4 h) or 35% hydrogen peroxide (single session/45 min), desensitizing dentifrices (Sensodyne(®); experimental dentifrice of Biosilicate(®); Odontis RX(®); Sorriso(®)) were applied along 14 days and desensitizing pastes (Biosilicate(®)/water 1:1; Dessensebilize NanoP(®); Bioglass type 45S5/water 1:1) were applied on days 1, 3, 7, 10 and 14. Distilled water was the control. Microhardness (MH) and roughness measurements were the variables measured on the samples before and after the treatments. Student's t-test analyzed differences before and after the treatments. Two-way analysis of variance and post-hoc Tukey test analyzed differences among the factors desensitizing, bleaching agents and substrate.

RESULTS

Tukey test showed no differences in roughness for both bleaching treatments and among the desensitizing agents (P > 0.05). Differences in MH appeared on enamel treated with in-home bleaching when control group (lower values) was compared with Sensodyne, Biosilicate dentifrice, Biosilicate paste, and Bioglass paste (higher values). Comparisons between desensitizing agents on dentin treated with both bleaching gels showed no statistical differences.

CONCLUSIONS

The effect of formulations containing Biosilicate (Biosilicate dentifrice and paste) was significant in the MH of enamel bleached with 16% CP.

摘要

目的

本研究旨在体外评估含生物活性玻璃制剂对暴露于牙齿漂白剂的牛牙釉质和牙本质样本的治疗效果。

材料与方法

用含16%过氧化脲(CP)的商业凝胶(14天/每天4小时)或35%过氧化氢(单次使用/45分钟)对牙釉质和牙本质进行漂白,然后分别使用脱敏牙膏(舒适达(®);含生物活性玻璃的实验性牙膏(®);奥齿泰RX(®);索里索(®))持续14天,并在第1、3、7、10和14天使用脱敏糊剂(生物活性玻璃(®)/水1:1;脱敏纳米P(®);45S5型生物活性玻璃/水1:1)。蒸馏水作为对照。在处理前后对样本进行显微硬度(MH)和粗糙度测量,作为测量变量。采用学生t检验分析处理前后的差异。双向方差分析和事后Tukey检验分析脱敏剂、漂白剂和底物各因素之间的差异。

结果

Tukey检验显示,两种漂白处理以及脱敏剂之间的粗糙度均无差异(P>0.05)。与对照组(较低值)相比,在家用漂白处理的牙釉质上,当与舒适达、含生物活性玻璃的牙膏、生物活性玻璃糊剂和生物活性玻璃糊剂(较高值)比较时,MH出现差异。两种漂白凝胶处理的牙本质上,脱敏剂之间的比较无统计学差异。

结论

含生物活性玻璃的制剂(含生物活性玻璃的牙膏和糊剂)对用16%CP漂白的牙釉质的显微硬度有显著影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b476/4319303/f0fdd2340085/EJD-9-66-g002.jpg

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