Effect of a 37% carbamide peroxide bleaching agent activated by halogen light or light emiting diodes (LEDs) on enamel surface roughness microhardness
Efeito de um agente clareador de peróxido de carbamida a 37% ativado por luz halógena ou diodos emissores de luz (LEDs) na rugosidade e microdureza de superfície do esmalte
Bacci, A.C.L.; Flório, F.M.; Basting, R.T.
Rev. odontol. UNESP, vol.36, n4, p.351-355, 2007
Abstract
The purpose of this in vitro study was to evaluate the surface roughness and microhardness of human enamel treated with an in-office dental bleaching agent containing 37% carbamide peroxide – Magic Bleaching/ Vigodent - (CP) activated by either a halogen light (HL) or light emitting diodes (LED). Sixty enamel fragments were randomly divided into 5 groups were treated accordingly: 1) CP; 2) CP+HL; 3) CP+LED; 4) placebo agent (PLA) which contained carbopol and glycerin; 5) saliva (CON). During and after 4 weekly applications, enamel fragments were washed and kept in artificial saliva at 37°C. Surface roughness was determined before and after treatments with a profilometer and cut-off set to 0.08 and microhardness was determined with a Knoop indenter with 25 g. Analysis of variance and Tukey test (p < 0.05) showed significant increase in surface roughness for all groups. There were no statistical significant changes in enamel microhardness after treatment with CP associated or not with light curing units. PLA group had higher roughness and lower microhardness. Irrespective of the treatment, enamel surface roughness was altered and enamel microhardness was unaffected by the experimental treatments. Halogen light curing units or light emitting diodes may be used in combination with in-office dental bleaching without significantly altering the enamel surface roughness and microhardness when compared to a control.
Keywords
Tooth bleaching, dental enamel, hydrogen peroxide
Resumo
O objetivo deste estudo foi avaliar in vitro a rugosidade e a microdureza do esmalte dental humano submetido a um agente clareador de consultório contendo peróxido de carbamida a 37% - Magic Bleaching/ Vigodent (MB) - ativado por luz halógena (LH) ou por diodos emissores de luz (LED). Sessenta fragmentos de esmalte foram divididos aleatoriamente em 5 grupos que receberam diferentes tratamentos: 1) MB; 2) MB + LH; 3) MB + LED; 4) agente placebo (PLA) composto por carbopol + glicerina; e 5) saliva (CON). Durante e após 4 aplicações semanais, os corpos de prova foram lavados, imersos em saliva artificial e mantidos a 37 °C. A rugosidade foi mensurada antes e ao final dos tratamentos com um perfilômetro e cut-off de 0,08 e os testes de microdureza foram realizados com penetrador Knoop e carga de 25 g. A análise de variância e o teste de Tukey (p < 0,05) mostraram aumento significativo na rugosidade superficial para todos os grupos. O grupo que recebeu a aplicação de PLA apresentou maior valor de rugosidade e menor valor de microdureza. Independentemente do método de fotoativação, a rugosidade superficial do esmalte é alterada e a propriedade de microdureza apresenta as mesmas características após a utilização de um agente clareador de consultório contendo peróxido de carbamida a 37%.
Palavras-chave
Clareamento de dente, esmalte dentário, peróxido de hidrogênio
References
1. Haywood VB, Heymann HO. Nightguard vital bleaching. Quintessence Int. 1989;20:173-6.
2. Leonard RH, Sharma A, Haywood VB. Use of different concentrations of carbamide peroxide for bleaching teeth: an in vitro study. Quintessence Int. 1998;29:503-7.
3. Baratieri LN. Clareamento dental. São Paulo: Santos, 1995.
4. Conceição EN, et al. Dentística: saúde e estética. São Paulo: Artmed; 2000.
5. Ben-Amar A, Liberman R, Gorfil C, Bernstein Y. Effect of mouthguard bleaching on enamael surface. Am J Dent. 1996;8:29-32.
6. Bitter NC, Sanders JL. The effect of four bleaching agents on enamel surface: a scanning electron microscopic study. Quintessence Int. 1993;24:817-24.
7. Bitter NC. A scanning electron microscope study of the long-term effect of bleaching agents on the enamel surface in vivo. Gen Dent. 1998;46:84-8.
8. Ernst C, Marroquin BB, Willershausen-Zönnchen B. Effects of hydrogen peroxide-containing bleaching agents on the morphology of human enamel. Quintessence Int. 1996;27:53-6.
9. Lopes GC, Bonissoni L, Baratieri LN, Vieira LCC, Monteiro S. Effect of bleaching agents on the hardness and morphology of enamel. J Esthet Restor Dent. 2002;14:24-30.
10. McGuckin RS, Babin JF, Meyer BJ. Alterations in human enamel surface morphology following vital bleaching. J Prosthet Dent. 1992;68:754-60.
11. Zalkind M, Arwaz JR, Goldman A, Rotstein I. Surface morphology changes in human enamel, dentin and cementum following bleaching: a scanning electron microscopy study. Endod Dent Traumatol. 1996;12:82-8.
12. Oltu Ü, Gürgan S. Effects of three concentrations of carbamide peroxide on structure of enamel. J Oral Rehabil. 2000;27:332-40.
13. Baik JK, Rueggeberg F, Liewehr FR, Effect of light-enhanced bleaching on in vitro surface and intrapulpal temperature rise. J Esthet Restor Dent. 2001;13:370-8.
14. Goldstein GR. In-office bleaching: where we came from, where we are today. J Am Dent Assoc. 1997;128:11S‑15S.
15. Goodis RE, White JM, Andrews J, Watanabe CG. Measurement of temperature generated by visible-light-cure lamps in an in vitro model. Dent Mater. 1989;5:230-4.
16. Dunn WJ, Bush AC. A comparison of polymerization by light-emitting diode and halogen-based light-curing units. J Am Dent Assoc. 2002;133:335-41.
17. Jandt KD, Mills Rw, Blackwell GB, Ashworth SH. Depth of cure and compressive strength of dental composites cured with blue light emitting diodes (LEDs). Dent Mater. 2000;16:41-7.
18. Kurachi C. Hardness evaluation of a dental composite polymerized with experimental LED-based devices. Dent Mater. 2001;17:309-15.
19. Mills RW. Blue light emitting diodes – an alternative method of light curing? Br Dent J. 1995;178:169.
20. Featherstone JDB, O’Really MM, Shariati M, et al. Enhancement of remineralization in vitro and in vivo. In: Leach SA. Factors relating to demineralization and remineralization of the teeth. Oxford: IRL; 1986. p. 23‑34.
21. Serra MC, Cury JA. The in vitro effect of glass-ionomer cement restoration on enamel subjected to a demineralization and remineralization model. Quintessence Int. 1992;23:143-7.
22. Smidt A, Weller D, Roman I, Gedalia I. Effect of bleaching agents on microhardness and surface morphology of tooth enamel. Am J Dent. 1998;11:83-5.
23. Gürgan S, Bolay S, Alacam R. In vitro adherence of bacteria to bleached or unbleached enamel surfaces. J Oral Rehabil. 1997;24:624-7.
24. Junqueira JC, Colombo CED, Martins CAP, Tavares PG, Araújo MAM, Valera MC. Efeito da técnica de clareamento, utilizando peróxido de carbamida a 35%, sobre o esmalte dental-avaliação por microscopia eletrônica de varredura. JBC: J Bras Clin Estet Odontol. 2000;4(24):61-5.
25. Basting RT, Rodrigues Junior AL, Serra MC. The effect of 10% carbamide peroxide, carbopol and/or glycerin on enamel and dentin microhardness. Oper Dent. 2005;30:608-16.
26. Van der Reijden WA, Buijs MJ, Damen JJM, Veerman ECI, Ten Cate JM, Nieuw Amerongen AV. Influence of polymers for use in saliva substitutes on de- and remineralization of enamel in vitro. Caries Res. 1997;31:216‑23.
27. Basting RT, Rodrigues Junior AL, Serra MC. The effect of 10% carbamide peroxide bleaching material on microhardness of sound and demineralized enamel and dentin in situ. Oper Dent. 2001;26:531-9.
28. Haywood VB. Consideration and variations of dentist-prescribed, home applied vital tooth-bleaching techniques. Compend Contin Educ Dent. 1994;17(Suppl):S616-21.
29. Rotstein I, Danker E, Goldman A, Heling I, Stabholz A, Zalkind M. Histochemical analysis of dental hard tissues following bleaching. J Endod. 1996;22:23-6.
30. Blankenau R, Goldstein RE, Haywood VB. The current status of vital tooth whitening techniques. Compend Contin Educ Dent. 1999;20:781-94.