Effect of Antioxidant and Buffering Agent Mixture on Dentin Shear Bond Strengths of Laminate Veneer and pH Change of External Medium After Intracoronal Bleaching

Abstract

Aim: To investigate the effect of sodium ascorbate (SA), an antioxidant and calcium hydroxide (Ca(OH)2), a buffering agent mixture, on the shear bond strength of a luting resin to dentin, and pH changes of the extraradicular medium solution after intracoronal bleaching with hydrogen peroxide. Materials and Methods: In this in vitro study, 60 human maxillary central incisors were randomly assigned into six groups (n: 10): Group 1: restored, no bleach; group 2: bleached, bonded immediately; group 3: bleached, treated with 10% SA applications before bonding; group 4: bleached, treated with calcium hydroxide applications before bonding; group 5: bleached, treated with CaOH2 and SA mixture applications before bonding; group 6: delay bonding by seven days. For bleach treatment in groups 2 to 6, intracoronal bleaching was performed with 35% hydrogen peroxide for four days. SA or CaOH2 or mixture of SA and CaOH2 were left in the access cavity for four days. Hybrid blocks, 4 mm × 4 mm wide × 2–mm thick, were luted with resin cements on dentin surface and then the specimens were subjected to shear bond strength testing. Analysis of variance and Tukey post hoc multiple comparison tests were applied (P < .05). Results: G2 and G4 showed significantly low bond strength values and they were lower than the other groups (P < .05). There were no significant differences between G1, G3, and G6 (P > .05). The pH values had risen markedly in the groups containing calcium hydroxide (G4 and G5) after four days (P < .05). Conclusion: The application of 10% SA or 10% SA and CaOH2 mixture were effective at reversing bleaching effects on bond strength. CaOH2 or CaOH2 and 10% SA mixture increased the external medium pH and were effective for alkalinization after intracoronal bleaching.