Abstract
Aim: Since the introduction of bleaching treatments in the office, different lights have been suggested to accelerate the bleaching reaction. This study aimed to evaluate the microhardness of tooth enamel after office bleaching using different materials.
Materials and methods: Thirty-three sound human upper premolars were randomly divided into 3 groups as follows (n=11): Group 1: Whitesmile HP40% gel with R&B LED light source with 3 W power output; Group 2: HP 35% Dr Smile gel with a 980 nm diode laser, 2 W power and continuous wavelength; Group 3: HP 40% Ultra boost gel according to factory instructions. Enamel surface microhardness was measured before and after the bleaching procedure in each group using the Vickers microhardness test. One-way ANOVA and Tukey post hoc tests were used for statistical analysis. We used a SEM microscope to examine the surface of one sample from each group and one sample as a negative control.
Results: In group 1, enamel microhardness increased remarkably (p=0.013) whereas in group 2 and group 3 enamel microhardness decreased. Enamel microhardness decreased in group 3 significantly (p=0.00) but its reduction in group 2 was not significant (p=0.833). SEM examination of the enamel surfaces after bleaching revealed erosion and surface porosities in group 1, enamel structure melting, and shallow porosities in group 2, and enamel prism exposure and etching in group 3.
Conclusions: Due to the limitations of the present study, power bleaching with HP40% Whitesmile gel with LED Monitex increases microhardness, so it can have better results for treatment in the clinic. Additionally, using Dr Smile gel with a 980 nm diode laser does not reduce surface microhardness.
Funder
Tehran University of Medical Sciences and Health Services
Reference36 articles.
1. 1. Joiner A. The bleaching of teeth: a review of the literature. J Dent 2006; 34(7):412–9.
2. 2. Jiang T, Guo YR, Feng XW, et al. Hydrogen peroxide might bleach natural dentin by oxidizing phosphoprotein. J Dent Res 2018; 97(12):1339–45.
3. 3. Mirhashemi AH, Sharifi N, Emadian E, et al. Effect of enamel surface pretreatment with different laser types and antioxidizing agents office-bleaching on the shear bond strength of orthodontic brackets. Laser Phys 2020; 30(6):065603.
4. 4. Sulieman M, MacDonald E, Rees JS, et al. Comparison of three in-office bleaching systems based on 35% hydrogen peroxide with different light activators. Am J Dent 2005; 18(3):194–7.
5. 5. Berger SB, Cavalli V, Martin AA, et al. Effects of combined use of light irradiation and 35% hydrogen peroxide for dental bleaching on human enamel mineral content. Photomed Laser Surg 2010; 28(4):533–8.
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