Lewinstein I, Hirschfeld Z, Stabholz A, Rotstein I
Department of Restorative Dentistry, Hebrew University-Hadassah, School of Dental Medicine, Jerusalem, Israel.
J Endod. 1994 Feb;20(2):61-3. doi: 10.1016/S0099-2399(06)81181-7.
The effect of 30% hydrogen peroxide and a paste of sodium perborate mixed with hydrogen peroxide at different temperatures and time intervals on the microhardness of human enamel and dentin was examined. Intact extracted human teeth were sectioned, embedded in acrylic resin, polished, and divided into four test groups related to surface treatment. The groups were 30% hydrogen peroxide at 37 degrees C, 30% hydrogen peroxide at 50 degrees C in an illuminated chamber, a paste of sodium perborate mixed with hydrogen peroxide at 37 degrees C, and a paste of sodium perborate mixed with hydrogen peroxide at 50 degrees C in an illuminated chamber. Teeth treated with distilled water at either 37 degrees C or 50 degrees C served as controls. The results indicated that treatment with 30% hydrogen peroxide reduced the microhardness of both enamel and dentin. This reduction was statistically significant after 5-min treatment for the dentin and after 15-min treatment for the enamel (p < 0.05). Treatment with sodium perborate mixed with hydrogen peroxide did not alter the microhardness of either the enamel or dentin at the tested temperatures and time intervals. It is therefore suggested that the use of high concentrations of hydrogen peroxide for bleaching purposes should be limited. Sodium perborate appears to be a less damaging bleaching agent.
研究了30%过氧化氢以及过硼酸钠与过氧化氢的糊剂在不同温度和时间间隔下对人牙釉质和牙本质显微硬度的影响。将完整拔除的人牙切片,嵌入丙烯酸树脂中,进行抛光,并根据表面处理分为四个测试组。这些组分别是37℃的30%过氧化氢、在光照箱中50℃的30%过氧化氢、37℃的过硼酸钠与过氧化氢的糊剂以及在光照箱中50℃的过硼酸钠与过氧化氢的糊剂。在37℃或50℃用蒸馏水处理的牙齿作为对照。结果表明,用30%过氧化氢处理会降低牙釉质和牙本质的显微硬度。对于牙本质,5分钟处理后这种降低具有统计学意义;对于牙釉质,15分钟处理后具有统计学意义(p < 0.05)。在测试的温度和时间间隔下,用过硼酸钠与过氧化氢混合处理不会改变牙釉质或牙本质的显微硬度。因此,建议限制使用高浓度过氧化氢进行漂白。过硼酸钠似乎是一种危害较小的漂白剂。