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商用和实验性基于蛋白酶的美白牙膏对牙釉质美白和表面粗糙度的体外功效。

In vitro efficacy of commercial and experimental proteolytic enzyme-based whitening dentifrices on enamel whitening and superficial roughness.

机构信息

Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.

Dental Materials Laboratory, Academic Area of Dentistry, Autonomous University of Hidalgo Sate, Pachuca, Hgo, Mexico.

出版信息

J Esthet Restor Dent. 2021 Sep;33(6):849-855. doi: 10.1111/jerd.12690. Epub 2020 Dec 5.

Abstract

OBJECTIVE

To evaluate the whiteness index (W ) and surface roughness (Ra) of bovine enamel after simulated tooth brushing with different commercial and experimental whitening dentifrices.

MATERIALS AND METHODS

Cylindrical enamel bovine specimens were acid etched, stained, and divided in nine groups (n = 8): Colgate® Optic White®, Crest® Baking Soda and Peroxide, Arm and Hammer® Advanced White™ Extreme Whitening, Rembrandt® Deeply White® + Peroxide, Close up® White Attraction Natural Glow, Hinode Prowhite, and experimental dentifrice containing papain (PP), bromelain (PB), or papain and bromelain (PPB). Ra and W were obtained initially and after 600, 1200, and 3,600 cycles of simulated tooth brushing. Data were analyzed using two-way analysis of variance test (α = 0.05).

RESULTS

Ra was significantly influenced by both dentifrice (p = 0.043) and period of tooth-brushing simulation (p < 0.001). Except for PP and PPB, all groups showed a statistically significant increase in Ra after simulated tooth brushing. After staining and brushing, none of the materials tested increased the initial W .

CONCLUSIONS

The effect of commercial whitening dentifrices may be related to their high abrasiveness. Experimental formulations tested provided a similar effect without undesired wear of enamel. Whitening dentifrices only act through an abrasive effect rather than bleaching the tooth structures. When used, special care must be taken for avoid undesired wear of enamel. Experimental dentifrices provided similar removal of extrinsic stains without undesired abrasiveness; however, this effect may be due to the use of less aggressive abrasives in their formulations.

摘要

目的

评价不同商业和实验性美白牙膏模拟刷牙后牛牙釉质的白度指数(W)和表面粗糙度(Ra)。

材料和方法

将圆柱形牛牙釉质标本酸蚀、染色,然后分为 9 组(n=8):高露洁®Optic White®、佳洁士®小苏打和过氧化物、Arm and Hammer®Advanced White™ Extreme Whitening、Rembrandt®Deeply White®+过氧化物、Close up®White Attraction Natural Glow、日兴 ProWhite 和含有木瓜蛋白酶(PP)、菠萝蛋白酶(PB)或木瓜蛋白酶和菠萝蛋白酶(PPB)的实验性牙膏。分别在初始时和模拟刷牙 600、1200 和 3600 次后测量 Ra 和 W。使用双向方差分析检验(α=0.05)对数据进行分析。

结果

牙膏(p=0.043)和模拟刷牙周期(p<0.001)都显著影响 Ra。除了 PP 和 PPB,所有组在模拟刷牙后 Ra 都有统计学意义的增加。经过染色和刷牙后,测试的材料均未增加初始 W。

结论

商业美白牙膏的效果可能与其高磨损性有关。所测试的实验性配方在不增加牙釉质磨损的情况下提供了相似的效果。美白牙膏仅通过磨蚀作用起作用,而不会使牙结构变白。使用时,必须特别注意避免牙釉质的不必要磨损。实验性牙膏在不增加不必要磨损的情况下提供了类似的外源性污渍去除效果;然而,这种效果可能是由于其配方中使用了更具侵略性的磨料。

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