Mor C, Steinberg D, Dogan H, Rotstein I
Department of Endodontics, Hebrew University-Hadassah Faculty of Dental Medicine, Jerusalem, Israel.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 Nov;86(5):582-6. doi: 10.1016/s1079-2104(98)90350-x.
The effect of bleaching agents on bacterial adherence to polished surfaces of composite resin restorations was assessed in vitro.
Samples of light-curing composite resins were treated with either 10% carbamide peroxide or 10% hydrogen peroxide for 1, 3, or 7 days. Bacterial adherence of Streptococcus mutans, Streptococcus sobrinus, and Actinomyces viscosus to the treated resin samples was analyzed and compared with adherence to nonbleached controls.
A 10% solution of carbamide peroxide caused a significant increase in surface adherence of Streptococcus mutans and Streptococcus sobrinus after 3 days (P < .01). A 10% solution of hydrogen peroxide caused a significant increase in surface adherence of Streptococcus mutans and Streptococcus sobrinus after 3 and 7 days (P < .01). A decrease in adherence of Actinomyces viscosus was found after treatment with 10% hydrogen peroxide for 7 days (P < .05).
It appears that bleaching agents may affect adherence of certain cariogenic microorganisms to the outer surfaces of composite resin restorations.