Department of Conservative Dentistry and Endodontics, Tirumala Institute of Dental Sciences and Research Centre, Nizamabad, Telangana, India.
Department of Conservative Dentistry and Endodontics, Meghna Institute of Dental Sciences, Nizamabad, Telangana, India.
Indian J Dent Res. 2024 Apr 1;35(2):227-231. doi: 10.4103/ijdr.ijdr_893_23. Epub 2024 Aug 22.
To evaluate and compare the effect of various antioxidants on the shear bond strength of composite resin to bleached enamel.
Labial enamel surfaces of 90 extracted human maxillary central incisors were randomly divided into five groups based on the antioxidant used as follows: Group I ( n = 20): Bleaching with 40% hydrogen peroxide gel for 10 min, without the use of an antioxidant; Group II ( n = 20): Bleaching followed by the use of 10% sodium ascorbate solution; Group III ( n = 20): Bleaching followed by the use of 5% grape seed extract solution; Group IV ( n =20): Bleaching followed by the use of 5% pine bark extract solution; and Group V ( n =20): Control group in which no bleaching was done. Groups I-IV were further subdivided into two subgroups of 10 teeth each, whether the antioxidant application and composite build-up was done immediately (subgroup A) or after 2 weeks of postbleaching (subgroup B). Shear bond strength of the specimens was tested under a universal testing machine.
One-way analysis of variance followed by Mann-Tukey posthoc multiple comparison test was used to analyse the data. The level of significance was established at P < 0.05.
Within the limitations of this study, it was observed that the use of antioxidants effectively reversed the compromised bond strength of bleached enamel. Among the antioxidants, 5% pine bark extract application after bleaching showed better bond strength.
评估和比较各种抗氧化剂对漂白牙釉质复合树脂粘结强度的影响。
将 90 颗上颌中切牙的唇面釉质随机分为 5 组,根据所用抗氧化剂的不同进行分组:第 I 组(n=20):用 40%过氧化氢凝胶漂白 10 分钟,不使用抗氧化剂;第 II 组(n=20):漂白后使用 10%抗坏血酸钠溶液;第 III 组(n=20):漂白后使用 5%葡萄籽提取物溶液;第 IV 组(n=20):漂白后使用 5%松树皮提取物溶液;第 V 组(n=20):对照组,不进行漂白。第 I-IV 组进一步分为 2 个亚组,每组 10 颗牙,无论是否立即应用抗氧化剂和复合树脂(亚组 A)或在漂白后 2 周(亚组 B)进行。在万能试验机上测试标本的剪切粘结强度。
采用单因素方差分析和曼-惠特尼事后多重比较检验分析数据。以 P<0.05 为显著性水平。
在本研究的限制范围内,观察到使用抗氧化剂可有效逆转漂白牙釉质的粘结强度降低。在抗氧化剂中,漂白后使用 5%松树皮提取物显示出更好的粘结强度。