Alkhuzaie Ali Ihsan, Elawsya Mohamed Elshirbeny, Elkholany Naglaa Rizk
Postgraduate MSc student, Department of Conservative Dentistry, Faculty of Dentistry, Mansoura University, Mansoura, Egypt.
Lecturer, Department of Conservative Dentistry, Faculty of Dentistry, Mansoura University, Mansoura, Egypt.
J Clin Exp Dent. 2025 Apr 1;17(4):e422-e431. doi: 10.4317/jced.62614. eCollection 2025 Apr.
The current study assessed the impacts of various in-office bleaching materials (light-activated and chemically-activated) on surface roughness, microhardness, and tooth-restoration interface of two composites restorative systems (ormocer-based and methacrylate-based).
Sixty specimens were prepared for surface roughness and microhardness (2-mm-thickness, 10-mm-diameter) and classified according to restorative materials (n=30 for each group): group A (ormocer-based group) (Admira fusion, Voco, Cuxhaven, Germany) and group B (methacrylate-based group) (Tetric-N-Ceram, Ivoclar Vivadent, Schaan, Liechtenstein). Each group were subdivided into three subgroups (n=10) according to bleaching agent: subgroup 1 (control group, no bleaching), subgroup 2 (bleached with chemically-activated bleaching agent) (Opalescence Boost, Ultradent, USA), and subgroup 3 (bleached with light-activated bleaching agent) (Philips Zoom, Discus, USA). Eighteen maxillary central incisors teeth were subjected to a tooth-restoration interface evaluation (n=9 for each group) and (n=3 for each subgroup). All specimens were finished, polished, and bleached according to manufacturer's instruction. A three-dimensional optical profilometer (Wyko, Model NT 1100, Veeco, Tucson, USA) was used to measure surface roughness. The microhardness was assessed using Vickers tester (Model HVS-50, Laizhou Huayin Testing Instrument Co., Ltd. China) and a scanning electron microscope (SEM) (JEOL.JSM.6510LV, Japan) was used to evaluate tooth-restoration interface. The level of statistical significance was determined at <0.05.
For both bleaching agents. There was statistically significant increase of surface roughness for both composite materials after bleaching, and vice versa for microhardness (<0.05), and there was no significant difference between bleaching agents (>0.05). A gap was formed after exposure to bleaching agents compared to control group for both restorative systems.
Both bleaching techniques have bad effects on surface roughness, microhardness, and tooth-restoration interface for both ormocer-based and methacrylate-based restorative systems. Surface roughness, Microhardness, Tooth-restoration interface, In-office vital bleaching, Ormocer-based composite, Methacarylate-based composite.
本研究评估了各种诊室美白材料(光激活和化学激活)对两种复合树脂修复系统(基于玻璃陶瓷和基于甲基丙烯酸酯)的表面粗糙度、显微硬度和牙齿修复界面的影响。
制备60个用于表面粗糙度和显微硬度测试的样本(厚度2毫米,直径10毫米),并根据修复材料进行分类(每组n = 30):A组(基于玻璃陶瓷组)(Admira fusion,Voco,德国库克斯港)和B组(基于甲基丙烯酸酯组)(Tetric-N-Ceram,Ivoclar Vivadent,列支敦士登沙恩)。每组根据漂白剂再细分为三个亚组(n = 10):亚组1(对照组,未漂白),亚组2(用化学激活漂白剂漂白)(Opalescence Boost,Ultradent,美国),亚组3(用光激活漂白剂漂白)(飞利浦Zoom,Discus,美国)。对18颗上颌中切牙进行牙齿修复界面评估(每组n = 9)(每个亚组n = 3)。所有样本均按照制造商的说明进行修整、抛光和漂白。使用三维光学轮廓仪(Wyko,NT 1100型号,Veeco,美国图森)测量表面粗糙度。使用维氏硬度计(HVS-50型号,莱州华银试验仪器有限公司,中国)评估显微硬度,并使用扫描电子显微镜(SEM)(JEOL.JSM.6510LV,日本)评估牙齿修复界面。统计学显著性水平设定为<0.05。
对于两种漂白剂,两种复合材料漂白后表面粗糙度均有统计学显著增加,显微硬度则相反(<0.05),且漂白剂之间无显著差异(>0.05)。与对照组相比,两种修复系统在接触漂白剂后均形成了间隙。
对于基于玻璃陶瓷和基于甲基丙烯酸酯的修复系统,两种漂白技术对表面粗糙度、显微硬度和牙齿修复界面均有不良影响。表面粗糙度、显微硬度、牙齿修复界面、诊室活髓漂白、基于玻璃陶瓷的复合材料、基于甲基丙烯酸酯的复合材料。