Journal of Esthetic and Restorative Dentistry最新文献

{"title":"Adult Scissor Bite Case Treatment With Moving Teeth Through Maxillary Sinus.","authors":"Sang-Hoon Lee, Jae Hyun Park, Hee-Sun Huh, Jae-Hyung Yu, Dong-Hwa Chung","doi":"10.1111/jerd.13424","DOIUrl":"https://doi.org/10.1111/jerd.13424","url":null,"abstract":"<p><strong>Objective: </strong>This case report demonstrates the orthodontic treatment to correct a severe scissor bite and occlusal disharmony in a 26-year-old female patient, including the use of temporary anchorage devices (TADs) and fixed orthodontic appliances.</p><p><strong>Clinical considerations: </strong>Severe scissor bite is associated with vertical problems, such as molar extrusion. For orthodontic treatment, interradicular TADs were used to intrude the extruded molars, control the inclination of molars, correct dental midline, and improve dental relationships.</p><p><strong>Conclusions: </strong>This treatment not only achieved successful correction of the scissor bite but also provided adequate occlusion function and improved facial esthetics.</p><p><strong>Clinical significance: </strong>TADs provided an effective orthodontic force system to correct the scissor bite. In severe scissor bite cases, a significant amount of maxillary molar intrusion is required, which can increase the risk of moving teeth through the maxillary sinus. Using CBCT images could help in treatment planning for the three-dimensional movement of teeth during the orthodontic treatment.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interdisciplinary Approach to Retreatment of a Full-Mouth Rehabilitation: Horizontal Preparations, Vertical Dimension of Occlusion Increase, and Mucogingival Surgery in a Tetracycline-Stained Dentition.","authors":"Alfonso Gil, Belén Morón-Conejo, Mónica Bonfanti, Francisco Martínez-Rus, Guillermo Pradies","doi":"10.1111/jerd.13416","DOIUrl":"https://doi.org/10.1111/jerd.13416","url":null,"abstract":"<p><strong>Objective: </strong>This case report presents the interdisciplinary retreatment of a patient with a worn full-mouth rehabilitation using defect-oriented restorations, horizontal preparations, and vertical dimension of occlusion (VDO) increase.</p><p><strong>Clinical considerations: </strong>A 58-year-old woman with a previous full-mouth rehabilitation presented with worn dentition, loss of VDO, and reduced posterior support. Examination revealed signs of parafunctional habits, tetracycline-stained teeth, and compromised aesthetics with exposed discolored teeth and open embrasure spaces. Additionally, the veneers showed wear and ceramic chipping. The retreatment started with a diagnostic phase, including a wax-up and mock-up to guide the treatment plan. Mucogingival surgery was performed to correct gingival recession according to the restorative margins established by the mock-up. The full-mouth rehabilitation involved increasing the VDO through anterior crowns and veneers, posterior overlays, and dental implant restoration. Horizontal chamfer preparations ensured sufficient thickness for the ceramic material, allowing for durable adhesive restorations.</p><p><strong>Conclusions: </strong>The interdisciplinary approach, combining diagnostic, surgical, and prosthetic phases, enabled the successful retreatment of this complex case, restoring function and aesthetics. A 2-year follow-up confirmed the stability and positive outcomes of the rehabilitated dentition.</p><p><strong>Clinical significance: </strong>This interdisciplinary approach provides an effective strategy for managing complex full-mouth rehabilitations, integrating aesthetics, function, and periodontal health through defect-oriented preparation techniques.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Plaque Detectors on the Color Stability of Two Types of Restorative Materials.","authors":"Claudia Mazzitelli, Gaetano Paolone, Uros Josic, Edoardo Mancuso, Alessandro Vichi, Ginevra Pastremoli, Annalisa Mazzoni, Lorenzo Breschi, Tatjana Maravic","doi":"10.1111/jerd.13420","DOIUrl":"https://doi.org/10.1111/jerd.13420","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the color stability of a one-shade resin-based composite material (RC) and a glass-ionomer cement (GIC) after staining with plaque detectors (PDs) with different formulations and delivery forms.</p><p><strong>Materials and methods: </strong>Rectangular-shaped specimens (7 × 3 × 2 mm) were produced with RC (Venus Diamond One, Kulzer) and GIC (Fujy IX GP, GC) (n = 30). Further, the following PDs were used on the specimens: (1) tablets (T; Plaq-Search, TePe); (2) mouthwash (M; Plaque Agent, Miradent); and (3) light-curing liquid (L; Plaque test, Ivoclar). The PDs were removed with dedicated toothbrushes (T₁) and the specimens were repolished (T₂). The protocol was repeated after 1 week of storage in artificial saliva (staining-T₃ and repolishing-T₄). Color measurement were performed at baseline (T₀) and all testing times (T₁-T₄) using a recently introduced digital colorimeter (SmartColor, Smart Vision). Color changes (ΔE_ab) compared to T₀ were automatically recorded by the digital instrument. The data were statistically analyzed (p < 0.05).</p><p><strong>Results: </strong>The type of PD, the polishing procedure and their interactions influenced the color stability of both restorative materials (p < 0.05). Particularly, after the second PDs application, M and L produced the highest color changes (p < 0.05), with GIC showing higher color variability than RC. Although repolishing reduced the color changes of RC (p < 0.05), it could not reestablish the initial color of GIC, irrespective of the PD used (p < 0.05). Except for RC associated with T, all materials exhibited discoloration above the clinical perceptibility (1.77) and acceptability (2.66) thresholds.</p><p><strong>Conclusions: </strong>The influence of PDs on the color stability of RC and GIC was material-dependent. GIC showed higher color instability than RC. Repolishing could not reestablish the original color of GIC and only attenuated the color changes of the one-shade RC. The newly introduced digital colorimeter was an important tool to standardize and simplify color measurement evaluations.</p><p><strong>Clinical significance: </strong>PDs can pose a potential risk to the color stability of restorative materials. Dental practitioners should be careful when recommending the frequency of at-home application of PDs, taking into consideration the material properties and the position of the restorations of each patient.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimally Invasive Fixed Prosthodontics: A Narrative Review.","authors":"Mariam Margvelashvili-Malament, Van Thompson, Kenneth A Malament","doi":"10.1111/jerd.13422","DOIUrl":"https://doi.org/10.1111/jerd.13422","url":null,"abstract":"<p><strong>Objective: </strong>Minimally invasive dentistry is being widely practiced. The center stone is to be as conservative as possible to minimize unnecessary removal of healthy tooth structure. In prosthodontics the patients have generalized and combined nature of diseases. This narrative literature review analyzed available evidence on minimally invasive treatment protocols in fixed prosthodontics and raised awareness on the importance of longevity of treatments and secondary prevention.</p><p><strong>Overview: </strong>The long-term clinical survival of ceramic and resin composite materials was reviewed. Loss of tooth vitality after prosthodontic treatment was also explored. And finally, treatment options for patients with severe wear were examined. The search of the literature resulted in evidence of superior survival of ceramic restorations over resin composites. The literature is also clear that ceramic partial coverage inlay and onlay restorations have excellent long-term clinical performance in posterior dentition. Glass ceramic lithium disilicate showed to be an adequate material not only for anterior but also for posterior dentition, including the patients with severe wear.</p><p><strong>Conclusions: </strong>Minimally invasive dentistry as applied in fixed prosthodontics needs updates in its concepts to account for secondary prevention and longevity of chosen treatment techniques.</p><p><strong>Clinical significance: </strong>This narrative review article critically reviews available evidence on long-term clinical performance of minimally invasive and traditional treatment concepts and materials in fixed prosthodontics. Awareness is raised for secondary prevention and longevity of chosen treatments.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Twist on Injection Molding: Injecting Conventional Resin Composites","authors":"Marcos A. Vargas,&nbsp;Robert Margeas","doi":"10.1111/jerd.13410","DOIUrl":"10.1111/jerd.13410","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This article presents a different approach to injectable techniques. This technique uses conventional viscosity materials to achieve maximum strength and esthetics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Considerations</h3>\u0000 \u0000 <p>The use of high-viscosity material which has the strongest physical properties is desirable since failure of anterior resin composite has been described as fracture and recurrent decay. By incorporating changes to the conventional injection technique, heating and making bigger access wholes on the matrix allows the utilization of higher conventional viscosity materials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The use of higher viscosity materials while using injectable techniques is possible by heating and providing a bigger access entrance to composite resin compules.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":"37 1","pages":"7-13"},"PeriodicalIF":3.2,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jerd.13410","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143032958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Classification of Scanning Errors of Digital Scans Recorded by Using Intraoral Scanners.","authors":"Marta Revilla-León, Rocío Aragoneses, Eva María Arroyo Valverde, Miguel Gómez-Polo, John C Kois","doi":"10.1111/jerd.13419","DOIUrl":"https://doi.org/10.1111/jerd.13419","url":null,"abstract":"<p><strong>Objectives: </strong>The different scanning errors that can be caused by the operator handling an intraoral scanner (IOS) or the intraoral conditions of the patient being scanned have not been described. The purpose of this review was to describe and classify the scanning errors that can be identified in digital scans recorded by using IOSs.</p><p><strong>Overview: </strong>The identification of scanning errors in an intraoral scan and understanding the cause of these scanning errors are fundamental procedures for successfully handling an IOS and integrating these digital data acquisition technologies in dental practices. There are two main types of scanning errors: the ones created by the operator and the ones caused by the intraoral conditions of the patient. There are seven operator-related scanning errors: mesh hole, stitching, tissue, reliability, umbrella, implant scan body geometry, and scanning noise errors. Additionally, there are four patient-related scanning errors: humidity, bridge, fuzzy finish line, and scanability noise errors.</p><p><strong>Conclusions: </strong>The identification of scanning errors is fundamental for assessing the quality of an intraoral digital scan. The comprehensive reading of these scanning errors allows the dental professional to understand if the scanning error can be corrected or if it is related to hardware/software limitations of IOSs.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Cervical Margin Relocation With Different Injectable Restorative Materials on Fracture Resistance of Molars Received MOD CAD/CAM Onlay Restorations.","authors":"Basema N Roshdy, Radwa I Eltoukhy, Ashraf I Ali, Salah Hasab Mahmoud","doi":"10.1111/jerd.13414","DOIUrl":"https://doi.org/10.1111/jerd.13414","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effect of cervical margin relocation with four different injectable restorative materials on the fracture resistance of molars receiving mesio-occluso-distal CAD/CAM nanoceramic onlay restorations.</p><p><strong>Materials and methods: </strong>One hundred and five sound mandibular molars received a standardized mesio-occluso-distal onlay preparation, with cervical margins located 2 mm apical to the cemento-enamel junction. The molars were randomly allocated into five groups (n = 21) according to the cervical relocating materials used: Group I had no cervical margin relocation; Group II used a highly viscous glass ionomer; Group III used a highly-filled injectable resin composite; Group IV used a resin-modified glass ionomer; and Group V used a bioactive ionic resin. All groups received immediate dentin sealing before nanoceramic resin-based CAD/CAM onlay restorations. After the specimens were subjected to thermo-mechanical loading, they underwent fracture resistance testing and failure mode analysis.</p><p><strong>Results: </strong>No statistically significant difference in fracture resistance was observed among the tested groups. Regarding the mode of failure, irreparable failure was significantly dominant, with no significant difference among the groups.</p><p><strong>Conclusion: </strong>Employing injectable restorative materials for cervical margin relocation had no detrimental effect on the fracture resistance of molars receiving nanoceramic resin-based CAD/CAM onlay restorations.</p><p><strong>Clinical significance: </strong>CAD/CAM onlay restorations preceded by cervical margin relocation using injectable restorative materials could tolerate compressive loading comparably to those without cervical margin relocation.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Polyethylene Fiber and Flowable Resin Composite on Fracture Resistance in the Restoration of Large MOD Cavities.","authors":"Gökhan Karadağ, Betül Erdal","doi":"10.1111/jerd.13413","DOIUrl":"https://doi.org/10.1111/jerd.13413","url":null,"abstract":"<p><strong>Objective: </strong>This in vitro study aims to evaluate the effect of placing polyethylene fibers used in large Class II MOD (mesio-occlusion-distal) cavities into different flowable resin composites and in different positions on the fracture resistance of the restoration.</p><p><strong>Materials and methods: </strong>Ninety healthy human molars were used in the study. No treatment was performed on 10 of these teeth and they were used as the control group. The other 80 teeth were divided into 8 groups by opening large MOD cavities (n = 10). The groups were divided into 4 main groups according to the use of fiber strips; no fiber, placed in the buccolingual direction, placed in the mesiodistal direction, and placed in an \"O\" shape on all walls. Each main group was divided into two subgroups according to the use of the nanofill flowable composite or flowable short fiber resin composite (SFRC) as the base material. All teeth were aged with a thermal cycler and then fractured with a universal testing machine. Fracture types were recorded in terms of fracture strength and repairability. Kruskal-Wallis, one-way ANOVA, and Tukey post hoc tests were used to compare fracture strength values (p < 0.05).</p><p><strong>Results: </strong>The highest fracture resistance was observed in the control group (2888.67 ± 395.43 N). The control group was significantly higher than all groups except the 7th and 8th groups (p < 0.05). Among the restored groups, the highest mean fracture resistance values were observed in the 8th group (2463.92 ± 332.37 N). The 8th group was statistically significantly higher than the 1st and 2nd groups (p < 0.05). There was no statistically significant difference between any of the other restored groups (p > 0.05).</p><p><strong>Conclusions: </strong>The application of polyethylene fiber in the treatment of teeth with large MOD cavities in different positions did not result in a significant difference in fracture resistance.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of In Situ Acid Erosion on Structural and Optical Properties of Nanoparticulated Bisacrylic Resin With Different Surface Treatments.","authors":"Isabela Dornelas Neves Mendonça, João Pedro Justino de Oliveira Limirio, Thiago Scudeler Foltran, Marcio Campaner, Victor Alves Nascimento, Ana Beatriz de Souza Albergardi, Gabriel Nunes Sampaio, Aldieris Alves Pesqueira","doi":"10.1111/jerd.13411","DOIUrl":"https://doi.org/10.1111/jerd.13411","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the influence of in situ acid erosion on the structural and optical properties of nanoparticulate bisacrylic resin with different surface treatments, evaluating surface roughness (Ra), knoop microhardness (KHN), color change (ΔE, ΔL, ΔC, ΔH), contrast (CR) and translucency (TP).</p><p><strong>Methods: </strong>Eighty specimens were made (n = 10 per group) and the following surface treatments were applied: U_P-unpolished; A_p-polishing with Astropol rubber tips (Ivoclar); S_B-Biscover LV surface sealant (Bisco) and S_P-Palaseal surface sealant (kulzer). For the in situ experiment, 10 volunteers wore an intraoral appliance containing eight specimens (two specimens per experimental group), with only one specimen from each experimental group being subjected to the acid process. They were immersed in 150 mL of cola-based soda (pH = 2.3), 4 × 5 min/day for 14 consecutive days evaluating surface roughness (Ra), knoop microhardness (KHN), color change by CIEDE2000 (ΔE, ΔL, ΔC, ΔH), contrast (CR) and translucency (TP).</p><p><strong>Results: </strong>The S_B and S_P groups adopted the lowest Ra values, with a significant difference from the others. The S_B group had the highest values of KHN and NP the lowest, with a significant difference from the others. The S_P group had the highest values of ΔE00, being the only one with a significant difference from the others. In all analyses, there was no significant change between the groups without and with acid administration.</p><p><strong>Conclusion: </strong>The surface sealants were able to improve the surface roughness and microhardness of the bisacrylic resin, however, the Palaseal sealant generates unacceptable color change. The acid injection did not significantly influence the properties of the material, regardless of the surface treatment performed.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Analysis Between Strip and Gels Indicated for at Home Bleaching: Analysis of Color Alteration, Roughness and Microhardness of Dental Enamel.","authors":"K M S Aidar, L T A Cintra, M C B Ferreira, T C Fagundes, L M B Esteves, J Goto, A Catelan, A L F Briso","doi":"10.1111/jerd.13412","DOIUrl":"https://doi.org/10.1111/jerd.13412","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the color alteration, surface roughness and microhardness and cross-sectional microhardness of bovine enamel treated with at-home whitening strips and gels.</p><p><strong>Materials and methods: </strong>Sixty-six pigmented specimens (n = 11) were allocated to six groups: C-cotton wool moistened with distilled water for 1 h; SDS-sodium dithionite strip, for 1 h; HPS-6.5% hydrogen peroxide strip, for 1 h; CPS-20% carbamide peroxide strip, for 1 h; HPG-7.5% hydrogen peroxide gel, for 1 h; CPG-10% carbamide peroxide gel, for 4 h. The treatments lasted 10 days, calculating the ∆E, ∆E₀₀, and ∆W_ID at baseline, 5 and 10 days, and 14 days after completion. Additional 66 polished discs (n = 11) were used to analyze the surface roughness and microhardness of enamel before and after bleaching, cross-sectional microhardness and integrated mineral loss (ΔZ; %Vol × μm). Data were subjected to statistical analysis by two-way Anova RM and Tukey post-test (α = 0.05).</p><p><strong>Results: </strong>In ∆E and ∆W_ID analysis, greater values were obtained in CPG (p < 0.001), followed by HPG and HPS (p = 0.271). SDS and CPS (p < 0.001) exceeded only C (p < 0.001). In ∆E₀₀, at completion of treatments, the results were similar; however, HPG = HPS = CPS (p = 0.237). There was an increase in roughness and decrease in surface microhardness in all bleaching groups (p < 0.005). Concerning the cross-sectional microhardness, the treatments were equal to C at 150 μm, the last depth analyzed. For ΔZ, the values of SDS, CPS, HPG, and CPG groups showed similar mineral loss (p > 0.001), and the lowest value was exhibited in the Control group, followed by HPS group (p < 0.001).</p><p><strong>Conclusion: </strong>Although the strips were aesthetically effective, the CPG and HPG groups presented highest values in the ∆E₀₀ and ∆W_ID analysis. However, all treatments influenced the enamel surface, increasing roughness and decreasing surface and transverse microhardness.</p><p><strong>Clinical relevance: </strong>The whitening gels promoted greater chromatic changes, but all treatments affected the enamel surface, increasing roughness and decreasing surface and transverse microhardness.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}