Evaluating color change and hydrogen peroxide penetration in human and bovine teeth through in-office bleaching procedures

IF 3.2 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Michael Willian Favoreto DDS, MSc, PhD, Deisy Cristina Ferreira Cordeiro DDS, MSc, Gabrielle Gomes Centenaro DDS, MSc, Leonardo Dal Bosco DDS, Luis Alfonso Arana-Gordillo DDS, Ms, PhD, Alessandra Reis DDS, PhD, Alessandro D. Loguercio DDS, MSc, PhD
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Abstract

Objective

Assess color alteration and hydrogen peroxide (HP) penetration in human and bovine teeth using various in-office bleaching protocols with different application times.

Materials and Methods

Thirty healthy human premolars and 30 healthy bovine incisors were divided into five groups and subjected to different bleaching protocols: 2 × 15 min, 1 × 30 min, 2 × 20 min, or 1 × 40 min, with a control group for each tooth type. All teeth were treated with 35% HP gel. Color alteration was measured using digital spectrophotometry before and 1 week after bleaching. HP concentration within the pulp was determined via UV–Vis spectrophotometry. Statistical analysis included one-way ANOVA, Tukey's, and Dunnett's tests (α = 0.05).

Results

All groups exhibited significant color alteration, with no statistically differences among them (p > 0.05). However, significant differences were observed when compared with their respective control groups (p < 0.05). HP penetration into the pulp was evident in all bleached teeth compared to the control groups (p < 0.05), with the 2 × 20 group showing the highest HP levels within the pulp cavity, irrespective of tooth type (p < 0.05).

Conclusion

A simplified 1 × 30-min protocol can be recommended as it effectively maintains color alteration and HP penetration, irrespective of whether human or bovine teeth.

Clinical Significance

This study suggests that an in-office dental bleaching protocol using a 1 × 30-min session is recommended, as it ensures both effective color change and no increase in the amount of HP penetration.

通过诊室漂白程序评估人和牛牙齿的颜色变化和过氧化氢渗透。
目的:使用不同的诊所漂白方案和不同的应用时间,评估人和牛牙齿的颜色改变和过氧化氢(HP)渗透:采用不同的诊室漂白方案和不同的应用时间,评估人和牛牙齿的颜色改变和过氧化氢(HP)渗透:将 30 颗健康的人类前臼齿和 30 颗健康的牛门齿分为五组,分别采用不同的漂白方案:2 × 15 分钟、1 × 30 分钟、2 × 20 分钟或 1 × 40 分钟,每种牙齿类型各设一个对照组。所有牙齿均使用 35% HP 凝胶进行处理。在漂白前和漂白后一周,使用数字分光光度法测量颜色变化。牙髓中的 HP 浓度通过紫外可见分光光度法测定。统计分析包括单因素方差分析、Tukey's 和 Dunnett's 检验(α = 0.05):结果:所有组别都表现出明显的颜色变化,组间无统计学差异(P > 0.05)。然而,与各自的对照组相比,观察到了明显的差异(p 结论:这是一种简化的 1 × 30 分钟染色法:不管是人牙还是牛牙,1 × 30 分钟的简化方案都能有效保持颜色改变和 HP 渗透,因此值得推荐:本研究表明,推荐使用 1 × 30 分钟的诊室牙齿漂白方案,因为它既能确保有效的颜色改变,又不会增加 HP 的渗透量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Esthetic and Restorative Dentistry
Journal of Esthetic and Restorative Dentistry 医学-牙科与口腔外科
CiteScore
6.30
自引率
6.20%
发文量
124
审稿时长
>12 weeks
期刊介绍: The Journal of Esthetic and Restorative Dentistry (JERD) is the longest standing peer-reviewed journal devoted solely to advancing the knowledge and practice of esthetic dentistry. Its goal is to provide the very latest evidence-based information in the realm of contemporary interdisciplinary esthetic dentistry through high quality clinical papers, sound research reports and educational features. The range of topics covered in the journal includes: - Interdisciplinary esthetic concepts - Implants - Conservative adhesive restorations - Tooth Whitening - Prosthodontic materials and techniques - Dental materials - Orthodontic, periodontal and endodontic esthetics - Esthetics related research - Innovations in esthetics
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