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含透明质酸、NF_TiO纳米颗粒并经紫光LED灯照射的低浓度漂白凝胶对牙釉质的表征及影响

Characterization and effects on enamel of low-concentration bleaching gels containing hyaluronic acid, NF_TiO nanoparticles and irradiated with violet LED light.

作者信息

Benati Marcos Roberto Lima, Kury Matheus, de Melo Priscila Borges Gobbo, Matos Iago César Ribeiro Teles, Basting Roberta Tarkany, Basting Rosanna Tarkany, Florez Fernando Luis Esteban, Cavalli Vanessa

机构信息

Department of Restorative Dentistry, University of Campinas- Piracicaba Dental School (FOP- UNICAMP), Piracicaba, SP, Brazil.

Graduate Program in Dentistry, Paulista University (UNIP), São Paulo, SP, Brazil.

出版信息

Clin Oral Investig. 2025 Apr 30;29(5):279. doi: 10.1007/s00784-025-06354-w.

Abstract

OBJECTIVE

To characterize and evaluate experimental in-office bleaching gels containing hyaluronic acid (HA) or carbomer 940 (CAR), enriched with NF_TiO₂ nanoparticles and irradiated with a violet LED, assessing their effects on the physicochemical properties of enamel.

MATERIALS AND METHODS

Bovine enamel-dentin discs were treated according to the parameters: thickener (HA or CAR), HP concentration (1.5% or 6%), and irradiation (with or without LED), resulting in 9 experimental groups (n = 10/group). An additional control group (35%HP-commercial) was adopted, and three sessions were conducted (30 min each, with a 7-day interval). Gels were evaluated for pH, particle size, polydispersity index, zeta potential and rheological behavior. Samples were assessed for color change (ΔE), whiteness index (ΔWI), Ca/P ratio (EDS), surface microhardness (KHN), roughness (ΔRa), and surface morphology (SEM). Data were analyzed using ANOVA three-way and Tukey/Bonferroni (α = 5%).

RESULTS

pH remained stable above 6.0. Hyaluronic-based gels exhibited higher particle size and polydispersity, but lower zeta potential and less viscous rheological behavior compared to the carbomer-based ones (p < 0.05). LED light significantly increased ΔE and ΔWI for all gels, with HA-1.5%HP and HA-6%HP + LED achieving comparable ΔWI to 35%HP-commercial (p > 0.05). Hyaluronic-based gels groups irradiated with LED increased Knoop microhardness (p < 0.05). No significant changes were found in ΔRa, Ca/P ratio, or enamel morphology (p > 0.05).

CONCLUSION

Experimental hyaluronic or carbomer bleaching gels incorporated with NF_TiO nanoparticles and irradiated with violet LED showed minimal variations in physicochemical properties, effective bleaching even at low HP concentrations, and no enamel damage.

CLINICAL RELEVANCE

Innovative bleaching gel formulations incorporating hyaluronic acid, NF_TiO₂ nanoparticles, and violet LED light irradiation exhibit high efficacy even at low hydrogen peroxide concentrations, thereby minimizing enamel damage and potentially mitigating post-operative sensitivity.

摘要

目的

对含有透明质酸(HA)或卡波姆940(CAR)、富含NF_TiO₂纳米颗粒并经紫光发光二极管照射的实验性诊室漂白凝胶进行表征和评估,以评估其对牙釉质物理化学性质的影响。

材料与方法

牛牙釉质-牙本质盘按照以下参数进行处理:增稠剂(HA或CAR)、过氧化氢(HP)浓度(1.5%或6%)以及照射(有或无发光二极管),共形成9个实验组(每组n = 10)。另外采用一个对照组(35%HP - 市售产品),并进行三个疗程(每个疗程30分钟,间隔7天)。对凝胶的pH值、粒径、多分散指数、zeta电位和流变行为进行评估。对样本进行颜色变化(ΔE)、白度指数(ΔWI)、钙/磷比(能谱分析)、表面显微硬度(努氏硬度)、粗糙度(ΔRa)和表面形态(扫描电子显微镜)评估。使用三因素方差分析和Tukey/Bonferroni检验(α = 5%)对数据进行分析。

结果

pH值在6.0以上保持稳定。与基于卡波姆的凝胶相比,基于透明质酸的凝胶表现出更高的粒径和多分散性,但zeta电位更低且流变行为粘性更小(p < 0.05)。发光二极管光照显著增加了所有凝胶的ΔE和ΔWI,其中HA - 1.5%HP和HA - 6%HP + 发光二极管组的ΔWI与35%HP - 市售产品相当(p > 0.05)。接受发光二极管照射的基于透明质酸的凝胶组努氏显微硬度增加(p < 0.05)。在ΔRa、钙/磷比或牙釉质形态方面未发现显著变化(p > 0.05)。

结论

含有NF_TiO纳米颗粒并经紫光发光二极管照射的实验性透明质酸或卡波姆漂白凝胶在物理化学性质上变化最小,即使在低HP浓度下也能有效漂白,且不会对牙釉质造成损害。

临床意义

包含透明质酸、NF_TiO₂纳米颗粒和紫光发光二极管照射的创新型漂白凝胶配方即使在低过氧化氢浓度下也具有高效性,从而将牙釉质损害降至最低,并可能减轻术后敏感性。

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