Yago Ryotaro, Kawamoto Chiharu, Islam Rafiqul, Kaneko Hirofumi, Yamauti Monica, Otsuki Masayuki, Sano Hidehiko, Tomokiyo Atsushi
Department of Restorative Dentistry, Graduate School of Dental Medicine, Hokkaido University, Kita 13 Nishi 7, Kita-ku, Sapporo 060-8586, Japan.
Department of Restorative Dentistry, Faculty of Dental Medicine, Hokkaido University, Kita 13 Nishi 7, Kita-ku, Sapporo 060-8586, Japan.
J Funct Biomater. 2025 Jul 3;16(7):245. doi: 10.3390/jfb16070245.
Tooth bleaching is a widely used esthetic treatment; however, bleaching agents can temporarily alter the surface morphology of enamel, increasing surface roughness and porosity, which may lead to increased susceptibility to discoloration. This in vitro study investigated the effectiveness of fluoride varnish in preventing immediate discoloration of bovine incisors after bleaching. Specimens were bleached with 35% hydrogen peroxide and treated with either Clinpro White Varnish (CW) or Enamelast Fluoride Varnish (EN), whereas control specimens received no treatment after bleaching. The samples were immersed in coffee for 24 h, and the color difference (Δ) was calculated using the CIEDE2000 formula. The surface morphology of enamel was examined using SEM. The fluoride varnish groups showed significantly lower color difference values than the control group ( < 0.05), with Δ reduced by approximately two-thirds in both the CW and EN groups. SEM observations showed that the enamel surfaces in the varnish-treated groups exhibited reduced surface irregularities compared to the untreated group, suggesting remineralization. These results suggest that the immediate application of fluoride varnish after bleaching can effectively reduce short-term discoloration by providing physical protection and promoting remineralization. Fluoride varnish may serve as a simple and effective strategy to maintain whitening outcomes and minimize early discoloration.
牙齿美白是一种广泛应用的美容治疗方法;然而,美白剂会暂时改变牙釉质的表面形态,增加表面粗糙度和孔隙率,这可能会导致牙齿变色的易感性增加。这项体外研究调查了含氟涂料在预防牛切牙漂白后立即变色方面的有效性。标本用35%的过氧化氢漂白,并用Clinpro White Varnish(CW)或Enamelast Fluoride Varnish(EN)处理,而对照标本在漂白后不进行处理。将样本浸泡在咖啡中24小时,并使用CIEDE2000公式计算色差(Δ)。使用扫描电子显微镜(SEM)检查牙釉质的表面形态。含氟涂料组的色差值明显低于对照组(<0.05),CW组和EN组的Δ均降低了约三分之二。SEM观察表明,与未处理组相比,涂料处理组的牙釉质表面不规则性降低,表明有再矿化现象。这些结果表明,漂白后立即应用含氟涂料可以通过提供物理保护和促进再矿化来有效减少短期变色。含氟涂料可能是一种简单有效的策略,以维持美白效果并最大限度地减少早期变色。