Yogha-Padhma Asokan, Jayasenthil Athikesavan, Pandeeswaran Ramaraj
Postgraduate student, Department of conservative dentistry and endodontics, Adhiparasakthi dental college and hospital, Melmaruvathur.
MDS, Reader, Department of conservative dentistry and endodontics, Asan Memorial dental college and hospital, Chengalpattu.
J Clin Exp Dent. 2018 Nov 1;10(11):e1058-e1062. doi: 10.4317/jced.55195. eCollection 2018 Nov.
To assess the reversal of discolouration caused by Ledermix using various bleaching agents.
Twenty six extracted human mandibular premolars were taken and divided into four groups. Six teeth were divided into three each which are taken as positive and negative controls. The remaining twenty are divided into two groups (n=10). After conventional access preparation, the Ledermix paste was sealed in the pulp chamber for twelve weeks. The paste was removed by a rinse with sodium hypochlorite (NaOCl). Then the pulp chamber was sealed with a mixture of Sodium perborate and distilled water for group 1 and group 2 was sealed with Sodium tetraborate for 1 to 12 weeks. The shade was measured by a Spectrophotometer at four time periods baseline(T0), after 12 weeks of placement of Ledermix (T1), after 4 (T2), 12 (T3) weeks of Internal bleaching with Sodium perborate and Sodium tetraborate respectively. Data were collected based on CIE-76 (Lab*) system and analysed using t-test and ANOVA.
A significant decrease in the mean value of L*(lightness) was observed after treatment with Ledermix (T1, <0.05). Considerable increase in these values after bleaching with Sodium perborate and Sodium tetraborate (T2, T3) were found in both groups, to the same extent.
Ledermix discoloured the tooth structure but discolouration could be reversed when bleached with both Sodium perborate and Sodium tetraborate to the same extent. Bleaching, discoloration, ledermix, sodium perborate, sodium tetraborate.
评估使用各种漂白剂对因利德美混合剂(Ledermix)导致的牙齿变色进行逆转的情况。
选取26颗拔除的人类下颌前磨牙并分为四组。6颗牙齿每组3颗分别作为阳性和阴性对照。其余20颗分为两组(n = 10)。在进行常规开髓预备后,将利德美混合剂糊剂密封于髓腔中12周。通过用次氯酸钠(NaOCl)冲洗去除糊剂。然后,第1组用硼酸钠和蒸馏水的混合物密封髓腔,第2组用四硼酸钠密封1至12周。在四个时间段,即基线期(T0)、放置利德美混合剂12周后(T1)、分别用硼酸钠和四硼酸钠进行内漂白4周(T2)和12周(T3)后,用分光光度计测量牙齿色度。基于CIE - 76(Lab*)系统收集数据,并使用t检验和方差分析进行分析。
在用利德美混合剂处理后(T1),观察到L*(亮度)平均值显著降低(P < 0.05)。两组在用硼酸钠和四硼酸钠漂白后(T2,T3),这些值均有相当程度的增加,且增加程度相同。
利德美混合剂使牙齿结构变色,但用硼酸钠和四硼酸钠漂白时,变色可在相同程度上得到逆转。漂白、变色、利德美混合剂、硼酸钠、四硼酸钠。