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使用35%过氧化氢与四氟化钛(TiF)联合漂白对牙釉质表面性能的评估

Evaluation of Enamel Surface Properties Submitted to Bleaching With 35% Hydrogen Peroxide Associated With Titanium Tetrafluoride (TiF).

作者信息

Nascimento Caique Gosser, Carneiro Reginna Vyctória da Trindade Souza de Melo, Kury Matheus, de Moraes Juliana Pucci, Lins Rodrigo Barros Esteves, Cavalli Vanessa

机构信息

Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, São Paulo, Brazil.

Dental Research Division, School of Dentistry, Paulista University, São Paulo, São Paulo, Brazil.

出版信息

J Esthet Restor Dent. 2025 Feb;37(2):505-513. doi: 10.1111/jerd.13308. Epub 2024 Sep 18.

Abstract

OBJECTIVE

This study evaluated the color change, surface roughness, mineral content and morphology of enamel bleached with 35% hydrogen peroxide (HP) combined with an experimental gel containing 1% titanium tetrafluoride (TiF).

MATERIALS AND METHODS

Bovine enamel blocks were treated with (n = 12): (TiF) experimental gel containing 1% TiF, (HP) 35% HP, (HPT) 35% HP + 1% TiF and (CT) control. Bleaching with HP was performed in 3 sessions (3 × 15 min/applications). pH, colorimetric parameters, surface roughness, mineral content and enamel morphology were determined. The pH was evaluated for 45 min. The color parameters were determined before bleaching (T), and 14 days elapsed from the last bleaching session (T). Surface roughness was analyzed at T and immediately after last bleaching session (T). Enamel mineral content and morphology were verified at T. Data were statistically analyzed by one-way, two-way ANOVA and Kruskal-Wallis (α = 0.05).

RESULTS

TiF increased surface roughness, and no differences between HP and HPT in terms of color and - mineral content. Ti was detected only on TiF, and slight surface morphology changes were observed in bleached enamel.

CONCLUSIONS

The combination of TiF and 35% HP did not interfere with the enamel bleaching effect, controlled surface roughness, and kept mineral content but promoted a minor surface morphology alteration.

CLINICAL SIGNIFICANCE

Due to the adverse effects of bleaching, titanium tetrafluoride (TiF) has gained attention for its therapeutic properties, including the ability to reverse mineral loss and neutralize remineralization of mineral structures. Therefore, TiF's remineralizing capacity may be a good alternative for incorporation into hydrogen peroxide bleaching agents.

摘要

目的

本研究评估了用35%过氧化氢(HP)联合含1%四氟化钛(TiF)的实验性凝胶漂白牙釉质后的颜色变化、表面粗糙度、矿物质含量及形态。

材料与方法

牛牙釉质块分为四组(n = 12)进行处理:(TiF)含1% TiF的实验性凝胶组、(HP)35% HP组、(HPT)35% HP + 1% TiF组和(CT)对照组。用HP进行三次漂白(每次15分钟,共三次)。测定pH值、比色参数、表面粗糙度、矿物质含量和牙釉质形态。在45分钟内评估pH值。在漂白前(T0)以及最后一次漂白疗程结束14天后(T14)测定颜色参数。在T0和最后一次漂白疗程结束后立即(T14)分析表面粗糙度。在T0时验证牙釉质矿物质含量和形态。数据采用单因素、双因素方差分析和Kruskal-Wallis检验进行统计学分析(α = 0.05)。

结果

TiF增加了表面粗糙度,HP组和HPT组在颜色和矿物质含量方面无差异。仅在TiF组检测到Ti,漂白后的牙釉质观察到轻微的表面形态变化。

结论

TiF与35% HP联合使用不影响牙釉质漂白效果,可控制表面粗糙度并保持矿物质含量,但会引起轻微的表面形态改变。

临床意义

由于漂白的不良影响,四氟化钛(TiF)因其治疗特性受到关注,包括逆转矿物质流失和中和矿物质结构再矿化的能力。因此,TiF的再矿化能力可能是加入过氧化氢漂白剂的一个良好选择。

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