Petta Thais de Mendonça, do Socorro Batista de Lima Gomes Yasmin, Antunes Esteves Renata, do Carmo Freitas Faial Kelson, Souza D Almeida Couto Roberta, Martins Silva Cecy
Faculty of Dentistry, Federal University of Para, Para, Brazil.
Public Health, Evandro Chagas Institute, Para, Brazil.
Open Dent J. 2017 Jan 31;11:34-40. doi: 10.2174/1874210601711010034. eCollection 2017.
Dental whitening has been increasingly sought out to improve dental aesthetics, but may cause chemical and morphological changes in dental enamel surfaces.
Assess the effects of high-concentration hydrogen peroxide with and without fluoride on human dental enamel using the ion chromatography test (IC) and the Knoop hardness test (KHN).
Nineteen enamel specimens were prepared using third human molars. These specimens were fixed on molars of volunteers and were divided into groups: OP38-Opalescence Boost PF38%, PO37-Pola Office 37.5% and CO-Control group. For chemical analysis (n= 3), the dentin layer was removed, keeping only the enamel, which was subjected to acidic digestion by microwave radiation. It was necessary to perform sample dilutions for the elements fluorine (F), calcium (Ca) and phosphorus (P) for quantification using the IC test. The KHN (n= 5) was performed before and after the treatments. Five indentations were made, separated by 100 µm, for each specimen using a load of 25 gf for 5 seconds in the microdurometer. The data were analyzed using ANOVA with a 5% significance level.
The OP38 group had the largest concentrations of F, Ca and P ions. The PO37 group showed the lowest concentrations of F and Ca ions. The average KHN was not significantly different between the OP38 and PO37 groups.
Enamel whitened with hydrogen peroxide containing fluoride had greater concentrations of F, Ca and P ions. The presence of fluoride in the whitening agent did not influence the enamel microhardness.
牙齿美白越来越受到人们的青睐,以改善牙齿美观,但可能会导致牙釉质表面发生化学和形态变化。
使用离子色谱测试(IC)和努氏硬度测试(KHN)评估含氟和不含氟的高浓度过氧化氢对人牙釉质的影响。
使用第三恒磨牙制备19个牙釉质标本。这些标本固定在志愿者的磨牙上,并分为几组:OP38-皓齿美白PF38%、PO37-波拉牙齿美白37.5%和CO-对照组。对于化学分析(n = 3),去除牙本质层,仅保留牙釉质,通过微波辐射对其进行酸性消化。使用IC测试对氟(F)、钙(Ca)和磷(P)元素进行定量时,有必要进行样品稀释。在处理前后进行KHN测试(n = 5)。在显微硬度计中,对每个标本施加25 gf的载荷5秒,每隔100 µm进行五次压痕。使用显著性水平为5%的方差分析对数据进行分析。
OP38组的F、Ca和P离子浓度最高。PO37组的F和Ca离子浓度最低。OP38组和PO37组的平均KHN没有显著差异。
用含氟过氧化氢美白的牙釉质中F、Ca和P离子浓度更高。美白剂中氟的存在不影响牙釉质的显微硬度。