Evaluation of Novel Microabrasion Paste as a Dental Bleaching Material and Effects on Enamel Surface

2014 ◽  
Vol 27 (5) ◽  
pp. 258-266
Author(s):  
Serdar Bağlar ◽  
Hakan Çolak ◽  
Mehmet Mustafa Hamidi
2021 ◽  
Author(s):  
CC Pavani ◽  
LR Vieira ◽  
TC Schott ◽  
D Sundfeld ◽  
NIP Pini ◽  
...  

SUMMARY Adequate removal of residual bonded materials from the enamel surface after orthodontic bracket debonding is critical, since any remaining composite may compromise enamel surface morphology and esthetics. The following clinical case reports present the association of at-home dental bleaching using 10% carbamide peroxide and the removal of residual bonded material using a super fine, tapered diamond bur followed by the use of an enamel microabrasion product after orthodontic bracket debonding. The proposed treatment considerably improved the esthetics and successfully removed the grooves created during the removal of the bonding composite, resulting in a smooth enamel surface.


2016 ◽  
Vol 10 (1) ◽  
pp. 69-78 ◽  
Author(s):  
Horieh Moosavi ◽  
Fatemeh Darvishzadeh

Objectives: This study investigated the effects of post bleaching treatments to prevent restaining and the change of enamel surface microhardness after dental bleaching in vitro. Methods: Sixty intact human incisor teeth were stained in tea solution and randomly assigned into four groups (n=15). Then samples were bleached for two weeks (8 hours daily) by 15% carbamide peroxide. Tooth color was determined both with a spectrophotometer and visually before bleaching (T1) and immediately after bleaching (T2). Next, it was applied in group 1 fluoride (Naf 2%) gel for 2 minutes, and in group 2 a fractional CO2 laser (10 mJ, 200 Hz, 10 s), and in group 3, nanohydroxyapatite gel for 2 minutes. The bleached teeth in group 4 remained untreated (control group). Then teeth placed in tea solution again. Color examinations were repeated after various post bleaching treatments (T3) and restaining with tea (T4) and color change values recorded. The microhardness was measured at the enamel surface of samples. Data was analyzed using ANOVA, Tukey HSD test and Dunnett T3 (α = 0.05). Results: Directly after bleaching (ΔE T3-T2), the treatment with nanohydroxyapatite showed significantly the least color lapse in colorimetric evaluation. In experimental groups, the color change between T3 and T4 stages (ΔE T4-T3) was significantly lower than control group (P < 0.05). Different methods of enamel treatment caused a significant increase in surface microhardness compared to control group (P < 0.05). Significance: Application of fluoride, fractional CO2 laser and nanohydroxyapatite as post bleaching treatments are suggested for prevention of stain absorption and increasing the hardening of bleached enamel.


2016 ◽  
Vol 3 (5) ◽  
pp. 782
Author(s):  
Lúcia Coelho Garcia Pereira ◽  
Fernando Accorsi Orosco ◽  
Paulo Eduardo Coura ◽  
Silvio Santana de Oliveira ◽  
Luiz Carlos Coura

A literature review on the existing information about bonding of orthodontic brackets on altered enamel surfaces, the influence of such surfaces on adhesion, and the most favorable conditions for achieving better bond strength is presented. Studies on bracket adhesion have identified the conditions that lead to morphological changes in enamel as dental fluorosis and dental bleaching. In this review, each of these conditions that alter the enamel surface and pose a major challenge to clinical orthodontists performing bracket bonding, will be analyzed. The literature provides a range of approaches for overcoming the challenges of bonding on altered enamel surfaces and will be discussed, taking into account, where possible, the type of adhesive selected. Adhesion on enamel that is fluorosed depends on the degree of severity and the bond strength on a bleached enamel surface depends largely on the concentration of the bleaching agent.


2016 ◽  
Vol 41 (1) ◽  
pp. 8-14 ◽  
Author(s):  
RH Sundfeld ◽  
LM Franco ◽  
LS Machado ◽  
NIP Pini ◽  
FM Salomao ◽  
...  

SUMMARY After bracket debonding, residual bonded material may be observed on the enamel surface. When not properly removed, this residual material can interfere with the surface smoothness of the enamel, potentially resulting in staining at the resin/enamel interface and contributing to biofilm accumulation. Clinical case reports demonstrate clinical procedures to remove residual bonded material after bracket debonding. A water-cooled fine tapered 3195 FF diamond bur was used to remove the residual bonded material. Subsequently, the enamel surface was treated with Opalustre microabrasive compound. After one week, overnight dental bleaching was initiated using 10% carbamide peroxide in custom-formed trays for four weeks. The enamel microabrasion technique was found to be effective for polishing the enamel surface and for reestablishing the dental esthetics associated with dental bleaching. Longitudinal clinical controls of other clinical cases are presented.


2019 ◽  
Vol 44 (6) ◽  
pp. 595-608 ◽  
Author(s):  
NR Carlos ◽  
AVD Pinto ◽  
FLB do Amaral ◽  
FMG França ◽  
CP Turssi ◽  
...  

SUMMARY The purpose of this in situ study was to evaluate the influence of staining solutions (coffee and cola) on the color change, microhardness, roughness, and micromorphology of the enamel surface during at-home and in-office dental bleaching. One hundred and thirty-five enamel bovine blocks were prepared to perform the evaluations. Fifteen volunteers used an intraoral appliance with nine enamel blocks for 15 days. The enamel blocks were randomly assigned among the different groups according to the three treatments: in-office bleaching with high hydrogen peroxide concentration (Opalescence Boost PF 40%, Ultradent) for 40 minutes in three sessions (first, eighth, and 15th days of treatment), at-home bleaching with low carbamide peroxide concentration (Opalescence PF 10%, Ultradent) for 60 minutes daily for 15 days, and a control group (no bleaching agent applied). The enamel blocks were immersed daily in different staining solutions (coffee or cola) for 30 minutes for 15 days or were not submitted to staining (control) to obtain a factorial scheme (3×3) of the dental bleaching treatment and staining solution (n=15). The microhardness analyses (Knoop), roughness evaluations (Ra), surface micromorphological observations, and color measurements (using the CIELAB system and the VITA Classical scale) were made before and after the bleaching treatments to assess immersion in staining solutions. Mixed model tests showed that there was a decrease in enamel microhardness after exposure to cola compared with coffee and the control group (p&lt;0.0001) for both bleaching techniques. Roughness was higher for the cola groups (p&lt;0.0001), and there was no significant difference between the coffee and the control groups. Generalized linear models showed that when no staining solution was applied, lighter color scores were found for the VITA Classical scale (p&lt;0.0001). Without the staining solutions, there was an increase in luminosity (ΔL) (p=0.0444) for in-office bleaching. Lower values of Δa (p=0.0010) were observed when the staining solutions were not used. The Δb (p=0.3929) did not vary significantly between the bleaching agents, but when cola was applied, the values were significantly higher than for the control (p=0.0293). Higher values of ΔE (p=0.0089) were observed for in-office bleaching without staining solutions, while lower values of ΔE were observed for the in-office associated with coffee immersion. Regardless of whether being submitted to bleaching, the enamel stained with cola showed a decrease in microhardness, an increase in roughness, and changes in the micromorphology. The efficacy of the bleaching agents was greater when no staining solution (cola or coffee) was used, and in-office bleaching showed greater color change than the at-home bleaching technique.


2011 ◽  
Vol 10 (2) ◽  
pp. 105
Author(s):  
Roedy Budirahardjo

Dental bleaching is a process making teeth look whiter. Bleaching may be performed in two methods; by usingbleaching products or non-bleaching products. Bleaching products contain peroxide assisting to remove intrinsicand extrinsic stain, resulting in the changing of original color of teeth. Non-bleaching products contain materialsthat may work to remove extrinsic stain only, through both physical and chemical actions. The use of bleachingproducts is not always safe, therefore, they should be assumed that their benefits are over their recognizedbiological risk. The choice of bleaching method for children depends on type and depth of the stain, and discoloring.Stain on the enamel surface can be removed by microabration, deeper stain is removed by bleaching. Besides usingapproved by ADA/ISO, a dental practitioner should have knowledge about dental bleaching and its use at clinic andat home, including its contraindication as well as side effect in order to provide an effective and satisfying dentalbleaching care.


2018 ◽  
Vol 69 (7) ◽  
pp. 1714-1717
Author(s):  
Roxana Ionela Vasluianu ◽  
Norina Consuela Forna ◽  
Elena Raluca Baciu ◽  
Mirela Zaltariov ◽  
Lavinia Vasiliu ◽  
...  

The anti-erosion effect of fluoride on the enamel surface was investigated by ATR-FTIR, SEM and EDX techniques. Four extracted teeth (two incisors and two premolars) were initially bleached with carabamide peroxide and etched with ortho-phosphoric acid then fluoride treatment was applied. Significant differences in enamel composition and morphology were observed providing the effect of fluoride application in remineralization of teeth. Infrared spectroscopy was employed to probe the changes in enamel structure. Scanning electron microscopy/energy dispersive X-ray spectroscopy analysis revealed higher content in F of teeth enamel. Morphology changes revealed a re-mineralization of enamel surface after the treatment with fluoride gel.


2020 ◽  
Vol 02 ◽  
Author(s):  
RM Garcia ◽  
WF Vieira-Junior ◽  
JD Theobaldo ◽  
NIP Pini ◽  
GM Ambrosano ◽  
...  

Objective: To evaluate color and roughness of bovine enamel exposed to dentifrices, dental bleaching with 35% hydrogen peroxide (HP), and erosion/staining by red wine. Methods: Bovine enamel blocks were exposed to: artificial saliva (control), Oral-B Pro-Health (stannous fluoride with sodium fluoride, SF), Sensodyne Repair & Protect (bioactive glass, BG), Colgate Pro-Relief (arginine and calcium carbonate, AR), or Chitodent (chitosan, CHI). After toothpaste exposure, half (n=12) of the samples were bleached (35% HP), and the other half were not (n=12). The color (CIE L*a* b*, ΔE), surface roughness (Ra), and scanning electron microscopy were evaluated. Color and roughness were assessed at baseline, post-dentifrice and/or -dental bleaching, and after red wine. The data were subjected to analysis of variance (ANOVA) (ΔE) for repeated measures (Ra), followed by Tukey ́s test. The L*, a*, and b* values were analyzed by generalized linear models (a=0.05). Results: The HP promoted an increase in Ra values; however, the SF, BG, and AR did not enable this alteration. After red wine, all groups apart from SF (unbleached) showed increases in Ra values; SF and AR promoted decreases in L* values; AR demonstrated higher ΔE values, differing from the control; and CHI decreased the L* variation in the unbleached group. Conclusion: Dentifrices did not interfere with bleaching efficacy of 35% HP. However, dentifrices acted as a preventive agent against surface alteration from dental bleaching (BG, SF, and AR) or red wine (SF). Dentifrices can decrease (CHI) or increase (AR and SF) staining by red wine.


2020 ◽  
Vol 38 (3) ◽  
pp. 160-166 ◽  
Author(s):  
Thomas Knaup ◽  
Heike Korbmacher-Steiner ◽  
Andreas Braun ◽  
Johannes-Simon Wenzler ◽  
Isabel Knaup ◽  
...  

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