Larissa Barroso Junquera, undergraduate student, Faculdade São Leopoldo Mandic, Campinas, São Paulo, Brazil.
Natália Russo Carlos, DDS, MSc, PhD student, Faculdade São Leopoldo Mandic, Campinas, São Paulo, Brazil.
Oper Dent. 2024 Sep 1;49(5):564-573. doi: 10.2341/23-141-L.
This study evaluated the mechanical properties of demineralized dentin matrix submitted to different bleaching treatments, as well as the changes in mass and collagen biodegradation brought about by endogenous protease. Dentin collagen matrices were prepared to receive the following treatments (n=12): no bleaching treatment (C-control), 10% carbamide peroxide (CP-Opalescence PF, Ultradent, South Jordan, UT, USA) 10%/8 hours/ day/14 days, and 40% hydrogen peroxide (HP-Opalescence Boost, Ultradent), 40 minutes per session/3 sessions. The dentin matrices were evaluated for elastic modulus and mass before and after treatments and ultimate tensile strength after treatments. The solution collected during storage was evaluated for hydroxyproline release. There was no statistically significant difference between CP and C in terms of the elastic modulus (p=0.3697) or mass variation (p=0.1333). Dentin beams treated with HP and C presented significant mass loss after the first session (p=0.0003). HP treatment led to complete degradation of collagen matrices after the second bleaching session. After the second session, CP showed higher hydroxyproline concentration than C (p<0.0001). Ultimate tensile strength was lower for CP than C (p=0.0097). CP did not affect the elastic modulus or the dentin collagen matrix mass but did promote hydroxyproline release by endogenous protease and reduce the ultimate tensile strength. HP significantly affected the mechanical properties of dentin and promoted complete degradation of the demineralized dentin collagen matrix.
本研究评估了经不同漂白处理的脱矿牙本质基质的机械性能,以及内源性蛋白酶引起的质量变化和胶原生物降解。制备牙本质胶原基质以接受以下处理(n=12):无漂白处理(C-对照)、10%过氧化脲(CP-Opalescence PF,Ultradent,南约旦,犹他州,美国)10%/8 小时/天/14 天和 40%过氧化氢(HP-Opalescence Boost,Ultradent),每次 40 分钟/3 次。在处理前后评估牙本质基质的弹性模量和质量以及处理后的极限拉伸强度。评估储存过程中收集的溶液中羟脯氨酸的释放情况。CP 和 C 在弹性模量(p=0.3697)或质量变化(p=0.1333)方面无统计学差异。经 HP 和 C 处理的牙本质梁在第一次处理后出现明显的质量损失(p=0.0003)。HP 处理在第二次漂白后导致胶原基质完全降解。第二次处理后,CP 组的羟脯氨酸浓度高于 C 组(p<0.0001)。CP 的极限拉伸强度低于 C 组(p=0.0097)。CP 不影响弹性模量或牙本质胶原基质的质量,但通过内源性蛋白酶促进羟脯氨酸释放并降低极限拉伸强度。HP 显著影响牙本质的机械性能,并促进脱矿牙本质胶原基质的完全降解。