Cortez Thiago Vinicius, Ziotti Isabella Rodrigues, Scatolin Renata Siqueira, Milori Corona Silmara Aparecida, Souza-Gabriel Aline Evangelista
Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
J Conserv Dent. 2018 Jan-Feb;21(1):26-31. doi: 10.4103/JCD.JCD_80_17.
Composite resin restorations are normally replaced after the internal bleaching of endodontically treated-teeth because the bleaching agent does not alter the color of the restorative material. This study evaluated the effect of 10% sodium ascorbate (SA) applied at different protocols on bleached dentin.
One-hundred slabs of intracoronary bovine dentin were divided into 5 groups: 2 controls-GI without bleaching (positive), GII bleached with 35% hydrogen peroxide (HP) (negative); and 3 experimentals - GIII. 35% HP + SA at protocol 1 (dripping, washing and drying the solution), GIV. 35% HP + SA at protocol 2 (dripping and aspirating the solution) and GV. 35% HP + SA at protocol 3 (dripping, rubbing and aspirating the solution). Sixty fragments were restored and subjected to shear bond strength test ( = 12). Forty fragments ( = 8) were prepared for chemical analysis (energy dispersive X-ray spectrometry) and surface morphology (scanning electron microscopy). Data were analyzed by ANOVA and Tukey test ( < 0.05).
GI (3.169 ± 1.510a) had the highest means values, similar to GIV (2.752 ± 0.961a) and GV (2.981 ± 1.185a) ( < 0.05). Inferior values were obtained in GII (1.472 ± 0.342b) and GIII (2.037 ± 0.742ab) had intermediate values ( > 0.05). Oxygen concentration was reduced in groups treated with SA, and the surface exhibited residual granules of the solution.
The 10% SA solution reestablishes the bond strength of restorative material to bleached dentin, especially if active protocols of application and aspiration were used.
根管治疗后的牙齿进行内漂白后,复合树脂修复体通常需要更换,因为漂白剂不会改变修复材料的颜色。本研究评估了不同应用方案下10%抗坏血酸钠(SA)对漂白牙本质的影响。
将100块冠状动脉内牛牙本质板分为5组:2个对照组——GI组未漂白(阳性),GII组用35%过氧化氢(HP)漂白(阴性);3个实验组——GIII组。按方案1使用35% HP + SA(滴加、冲洗并干燥溶液),GIV组。按方案2使用35% HP + SA(滴加并抽吸溶液),GV组。按方案3使用35% HP + SA(滴加、摩擦并抽吸溶液)。修复60个碎片并进行剪切粘结强度测试(n = 12)。制备40个碎片(n = 8)用于化学分析(能量色散X射线光谱法)和表面形态学分析(扫描电子显微镜)。数据采用方差分析和Tukey检验进行分析(P < 0.05)。
GI组(3.169 ± 1.510a)的均值最高,与GIV组(2.752 ± 0.961a)和GV组(2.981 ± 1.185a)相似(P < 0.05)。GII组(1.472 ± 0.342b)的值较低,GIII组(2.037 ± 0.742ab)的值处于中间水平(P > 0.05)。用SA处理的组中氧浓度降低,表面呈现溶液的残留颗粒。
10% SA溶液可恢复修复材料与漂白牙本质之间的粘结强度,特别是在使用了活性应用和抽吸方案的情况下。