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Clin Cosmet Investig Dent. 2018 Dec 12;10:281-286. doi: 10.2147/CCIDE.S184683. eCollection 2018.

Physicochemical changes in enamel submitted to pH cycling and bleaching treatment.

Clinical, cosmetic and investigational dentistry

Evania Eskelsen, Anderson Catelan, Natália Maria Aparecida Pinto Hernades, Luís Eduardo Silva Soares, Andrea Nóbrega Cavalcanti, Flávio Henrique Baggio Aguiar, Priscila Christiane Suzy Liporoni

Affiliations

  1. Department of Dentistry, University of Taubaté, Taubaté, São Paulo, Brazil, [email protected].
  2. Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, São Paulo, Brazil, [email protected].
  3. Laboratory of Biomedical Vibrational Spectroscopy, Research and Development Institute, University of Vale do Paraíba, São José dos Campos, São Paulo, Brazil.
  4. Department of Restorative Dentistry, School of Medicine and Public Health of Bahia and Federal University of Bahia, Salvador, Bahia, Brazil.

PMID: 30588123 PMCID: PMC6296191 DOI: 10.2147/CCIDE.S184683

Abstract

OBJECTIVE: The purpose of this study was to assess the hardness, mineral content, surface roughness, and micromorphology of sound and slightly demineralized enamels, before and after bleaching procedure using 10% carbamide peroxide.

METHODS: Sixty bovine dental blocks were randomly divided into the following two groups: 30 slabs were submitted to three cycles of pH and 30 slabs were noncycled. Hardness (n=10) was measured using the microhardness tester with Knoop indenter under a 50 g load for 5 seconds. The calcium/phosphate (Ca/P) ratio (n=10) was obtained using a micro-energy-dispersive X-ray fluorescence (μ-EDXRF) spectrometer. The measurement of roughness average (n=10) was performed using a surface roughness tester. Specimens were bleached 6 hours/day during 21 days, and then, physicochemical properties were re-evaluated. Two additional specimens were carried out to evaluate surface micromorphology using the scanning electron microscopy. Data were statistically analyzed by ANOVA and Tukey's test (α=0.05).

RESULTS: Sound and slightly demineralized enamels showed no difference in Ca/P ratio after dental bleaching according to the μ-EDXRF analysis, but the Ca/P ratio decreased after bleaching for slightly demineralized enamel. Bleaching treatment decreased the hardness and increased the surface roughness, causing micromorphology alterations.

CONCLUSION: Therefore, bleaching procedure promoted change in bovine enamel surface and increased the demineralization of slightly demineralized enamel but not affected the mineral content of sound enamel.

Keywords: chemical properties; dental enamel; microhardness; pH cycling; roughness; tooth bleaching

Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

References

  1. J Oral Rehabil. 2002 Sep;29(9):799-804 - PubMed
  2. Caries Res. 2003 Sep-Oct;37(5):339-44 - PubMed
  3. J Am Dent Assoc. 2003 Oct;134(10):1335-42 - PubMed
  4. Dent Mater. 2004 Oct;20(8):733-9 - PubMed
  5. J Dent Res. 1992 Apr;71 Spec No:920-3 - PubMed
  6. Oper Dent. 2005 Sep-Oct;30(5):608-16 - PubMed
  7. J Esthet Restor Dent. 2006;18(4):206-12; discussion 212-3 - PubMed
  8. J Clin Dent. 2006;17(3):72-8 - PubMed
  9. Caries Res. 2006;40(6):530-5 - PubMed
  10. Arch Oral Biol. 2007 Jun;52(6):591-7 - PubMed
  11. Am J Dent. 2007 Feb;20(1):31-4 - PubMed
  12. Am J Dent. 2007 Apr;20(2):97-102 - PubMed
  13. Braz Oral Res. 2007 Apr-Jun;21(2):170-5 - PubMed
  14. J Dent. 2007 Sep;35(9):755-9 - PubMed
  15. J Dent. 2008 Jan;36(1):2-7 - PubMed
  16. Oper Dent. 2007 Nov-Dec;32(6):610-5 - PubMed
  17. Dent Traumatol. 2008 Apr;24(2):220-3 - PubMed
  18. Oper Dent. 2008 Mar-Apr;33(2):127-34 - PubMed
  19. J Dent. 2009 Apr;37(4):307-14 - PubMed
  20. Gen Dent. 2008 May;56(3):274-7 - PubMed
  21. Braz Dent J. 2009;20(1):48-53 - PubMed
  22. J Appl Oral Sci. 2009 Nov-Dec;17(6):611-6 - PubMed
  23. J Dent. 2012 Jul;40 Suppl 1:e26-34 - PubMed
  24. Clin Cosmet Investig Dent. 2011 Jul 18;3:45-52 - PubMed
  25. Clin Cosmet Investig Dent. 2014 Feb 21;6:15-9 - PubMed
  26. Oper Dent. 2014 Sep-Oct;39(5):E225-30 - PubMed
  27. Oper Dent. 2015 Jul-Aug;40(4):E132-41 - PubMed
  28. Photomed Laser Surg. 2015 Jul;33(7):378-83 - PubMed
  29. Microsc Res Tech. 2015 Nov;78(11):975-81 - PubMed
  30. Am J Dent. 2015 Oct;28(5):261-7 - PubMed
  31. J Microsc. 2016 Jun;262(3):232-44 - PubMed
  32. J Esthet Restor Dent. 2017 Apr;29(2):128-136 - PubMed
  33. Oper Dent. 2017 May/Jun;42(3):308-318 - PubMed
  34. Arch Oral Biol. 2018 Mar;87:157-162 - PubMed
  35. Oper Dent. 2018 Mar/Apr;43(2):190-200 - PubMed

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