Alencar Cristiane de Melo, Pedrinha Victor Feliz, Araújo Jesuína Lamartine Nogueira, Esteves Renata Antunes, Silva da Silveira Ana Daniela, Silva Cecy Martins
Faculty of Dentistry, Federal University of Pará, Pará, Brazil.
Open Dent J. 2017 Aug 31;11:476-484. doi: 10.2174/1874210601711010476. eCollection 2017.
Dental whitening has been increasingly sought out to improve dental aesthetics, but may cause chemical and morphological changes in dental enamel surfaces.
This study evaluated the effect of 10% strontium chloride and 5% potassium nitrate with fluoride on bovine enamel, through tristimulus colorimetry, Knoop microhardness (KHN), and roughness after bleaching with 35% hydrogen peroxide (HP).
The specimens were divided into three groups (n=15): GControl received bleaching treatment with 35% HP; GNitrate received bleaching with 35% HP followed by the application of 5% potassium nitrate with 2% sodium fluoride; and GStrontium received bleaching with 35% HP followed by the application of 10% strontium chloride on the enamel. Next, five specimens of each experimental group were subjected to KHN and tristimulus colorimetry tests, and 10 specimens were subjected to surface roughness (SR) tests. The values obtained for the different groups were compared through analysis of variance (ANOVA) followed by a post-hoc Tukey-Kramer test in addition to Student's T-test for paired data.
In the intergroup comparison, KHN final differed statistically (<0.05). The mean SR final of the experimental groups differed statistically from the GControl group (<0.05). In addition, the groups did not differ in color variation (>0.05).
10% strontium chloride and 5% potassium nitrate combined with 2% fluoride downplayed morphological changes to the enamel, without interfering with the effectiveness of the bleaching process.
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。
本研究通过三刺激值比色法、努氏显微硬度(KHN)和用35%过氧化氢(HP)漂白后的粗糙度,评估10%氯化锶和5%硝酸钾与氟化物对牛牙釉质的影响。
将标本分为三组(n = 15):GControl组接受35% HP的漂白处理;GNitrate组先用35% HP漂白,然后应用含2%氟化钠的5%硝酸钾;GStrontium组先用35% HP漂白,然后在牙釉质上应用10%氯化锶。接下来,对每个实验组的五个标本进行KHN和三刺激值比色法测试,对10个标本进行表面粗糙度(SR)测试。通过方差分析(ANOVA),然后进行事后Tukey-Kramer检验以及配对数据的Student's T检验,比较不同组获得的值。
在组间比较中,最终的KHN有统计学差异(<0.05)。实验组的最终平均SR与GControl组有统计学差异(<0.05)。此外,各组在颜色变化方面没有差异(>0.05)。
10%氯化锶和5%硝酸钾与2%氟化物联合使用可减轻牙釉质的形态变化,且不影响漂白过程的有效性。