Effect of Adhesive Restoration and Bleaching Technique on the Concentration of Hydrogen Peroxide In the Pulp Chamber

2017 ◽  
Vol 42 (2) ◽  
pp. E44-E54 ◽  
Author(s):  
V Cavalli ◽  
BG Silva ◽  
SB Berger ◽  
G Abuna ◽  
FC Marson ◽  
...  

SUMMARY This study aimed to quantify the concentration of hydrogen peroxide into the pulp chamber in the presence or absence of adhesive enamel restorations and to analyze the resin-dentin interface of bleached groups. Bovine incisors (120) were randomly divided into three groups according to enamel treatment (n=40 each): (1) enamel without restoration (control); (2) enamel cavities (3 mm diameter × 1.5 mm depth) restored with a silorane-based (SB) system; or (3) enamel cavities (3 mm diameter × 1.5 mm depth) restored with a dimethacrylate-based (DB) system. Restorations were thermocycled, and all groups were submitted to one application of 35% hydrogen peroxide (HP) agent for 45 minutes and subjected to four light activation methods (n=10 each): without light, light-emitting diode (LED), LED/diode laser, or halogen light. Acetate buffer solution was placed into the pulp chamber before bleaching, and this solution was collected to spectrophotometrically determine the concentration of HP that reached the pulp chamber after bleaching. Rhodamine B was added to the HP agent and applied on additional enamel samples of each group for 24 hours. Samples were sectioned mesiodistally, and the bleaching agent was traced using confocal microscopy. According to two-way analysis of variance and Tukey test (α=0.05), the HP concentration in the pulp chamber of the control group was significantly lower than that of the SB group (p<0.05), regardless of light activation. No differences were observed between DB and SB groups and between control and DB groups, except for the DB halogen light activated group, which exhibited higher HP intrapulpal concentration (p<0.05). Confocal microscopy exhibited HP diffusion through the interface of the SB and DB restored groups as well as enamel prisms in the control group. The SB restorative system increased the HP diffusion into the pulp chamber, but HP was able to diffuse even in the absence of enamel restorations.

2015 ◽  
Vol 40 (2) ◽  
pp. E76-E82 ◽  
Author(s):  
AP Mena-Serrano ◽  
SO Parreiras ◽  
EMS do Nascimento ◽  
CPF Borges ◽  
SB Berger ◽  
...  

SUMMARY In tooth whitening, the hydrogen peroxide (HP) diffuses in the enamel and dentin, reaching the pulp. This in vitro study aimed to quantify the penetration of HP in the pulp chamber in teeth submitted to bleaching agents of different concentrations of HP without calcium (HP 20% [20CF], HP 35% [35CF]) and with calcium (HP 20% [20CC], HP 35% [35CC]). Method Fifty human premolars were sectioned 3 mm from the cemento-enamel junction and the pulp tissue was removed. The teeth were divided into five groups according to treatment and with a control group (n=10). An acetate buffer solution was placed in the pulp chamber of all teeth. The control group was exposed only to distilled water, while the other groups were treated with a bleaching procedure, according to the manufacturer's recommendations. After treatment, the acetate buffer solution was transferred to a glass tube in which leuco-crystal violet and peroxidase solutions were added, resulting in a blue solution. The optical density of this blue solution was determined spectrophotometrically and converted into micrograms equivalent to the HP. Data were analyzed using analysis of variance and Tukey tests (α=0.05). Results The HP concentration did not affect the HP inside the pulp chamber, but the presence of calcium significantly reduced it (p<0.0001). Conclusion The amount of HP that reaches the pulp chamber depends on the bleaching protocol and the product employed, and it seems to be less affected by HP concentration.


2012 ◽  
Vol 37 (6) ◽  
pp. 660-664 ◽  
Author(s):  
RM Palo ◽  
I Bonetti-Filho ◽  
MC Valera ◽  
CHR Camargo ◽  
SEA Camargo ◽  
...  

SUMMARY The aim of this study was to evaluate the amount of peroxide passage from the pulp chamber to the external enamel surface during the internal bleaching technique. Fifty bovine teeth were sectioned transversally 5 mm below the cemento-enamel junction (CEJ), and the remaining part of the root was sealed with a 2-mm layer of glass ionomer cement. The external surface of the samples was coated with nail varnish, with the exception of standardized circular areas (6-mm diameter) located on the enamel, exposed dentin, or cementum surface of the tooth. The teeth were divided into three experimental groups according to exposed areas close to the CEJ and into two control groups (n=10/group), as follows: GE, enamel exposure area; GC, cementum exposed area; GD, dentin exposed area; Negative control, no presence of internal bleaching agent and uncoated surface; and Positive control, pulp chamber filled with bleaching agent and external surface totally coated with nail varnish. The pulp chamber was filled with 35% hydrogen peroxide (Opalescence Endo, Ultradent). Each sample was placed inside of individual flasks with 1000 μL of acetate buffer solution, 2 M (pH 4.5). After seven days, the buffer solution was transferred to a glass tube, in which 100 μL of leuco-crystal violet and 50 μL of horseradish peroxidase were added, producing a blue solution. The optical density of the blue solution was determined by spectrophotometer and converted into microgram equivalents of hydrogen peroxide. Data were submitted to Kruskal-Wallis and Dunn-Bonferroni tests (α=0.05). All experimental groups presented passage of peroxide to the external surface that was statistically different from that observed in the control groups. It was verified that the passage of peroxide was higher in GD than in GE (p<0.01). The GC group presented a significantly lower peroxide passage than did GD and GE (p<0.01). It can be concluded that the hydrogen peroxide placed into the pulp chamber passed through the dental hard tissues, reaching the external surface and the periodontal tissue. The cementum surface was less permeable than were the dentin and enamel surfaces.


2020 ◽  
Vol 23 (2) ◽  
Author(s):  
Sibelli Olivieri Parreiras ◽  
Michael Willian Favoreto ◽  
Gustavo Pereira Cruz ◽  
Anderson Gomes ◽  
Christiane Philippini Ferreira Borges ◽  
...  

Objective: This study’s aim was to quantify the hydrogen peroxide (HP) penetration into the pulp chamber of teeth submitted to different protocols of bleaching. Material and Methods: Ninety premolars were randomly divided into nine groups according to the bleaching agent protocol (n = 10): control (no bleaching), carbamide peroxide 10% [10% CP], carbamide peroxide 16% [16% CP], carbamide peroxide 22% [22% CP], hydrogen peroxide 4% [4% HP], hydrogen peroxide 6% [6% HP], hydrogen peroxide 7.5% [7.5% HP], hydrogen peroxide 10% [10% HP] and hydrogen peroxide 35% [35% HP]. The penetration of HP was measured via spectrophotometric analysis of the acetate buffer solution from the pulp chamber. The absorbance of the resulting solution was determined in a spectrophotometer and converted into equivalent concentration of HP (μg/ mL). To analyze the concentration of HP, the titration of bleaching agents with potassium permanganate was used. Data were subjected to ANOVA and Tukey’s test for pairwise comparison (α = 0.05). Results: Higher concentration of HP in the pulp chamber was found in the HP 35% group (p < 0.0001). No significant difference between at-home protocols were observed (p = 0.64). Titration values showed that the concentration of the products was similar to that claimed by the manufacturer. Conclusion: It follows that the amount of HP that reaches the pulp chamber is not proportional to the concentration of whitening gels, but depends on the application time recommended by the manufacturers.KEYWORDSAt-home bleaching; Dental enamel permeability; Inoffice bleaching; Tooth bleaching. 


2014 ◽  
Vol 39 (2) ◽  
pp. 166-173 ◽  
Author(s):  
ALF Briso ◽  
APB Lima ◽  
RS Gonçalves ◽  
MO Gallinari ◽  
PH dos Santos

SUMMARY The present study evaluated transenamel and transdentinal penetration of hydrogen peroxide during tooth whitening recognized in altered enamel by the presence of cracks or microabrasion. We used 72 experimental units (n=20) obtained from bovine incisors: GI-sound enamel; GII-teeth showing visible enamel cracks (4 mm to 5.7 mm in length); and GIII-microabrasioned enamel. The 12 remaining specimens were used to analyze the enamel surface morphology using scanning electron microscopy. The specimens were cylindrical and 5.7 mm in diameter and 3.5 mm thick. A product based on 35% hydrogen peroxide was used for bleaching, following the manufacturer's recommendations for use. To quantify the H2O2 penetration, the specimens were placed in artificial pulp chambers containing an acetate buffer solution. After bleaching, the solution was collected and adequately proportioned with leucocrystal violet, peroxidase enzyme, and deionized water. The resulting solution was evaluated using ultraviolet visible reflectance spectrophotometer equipment. The data were analyzed by analysis of variance (ANOVA) and Fisher's PLSD at a significance level of 0.05, and significant differences in the penetration of peroxide in different substrate conditions were observed (p&lt;0.0001). The penetration of hydrogen peroxide was more intense in cracked teeth. The group in which the enamel was microabraded showed intermediate values when compared to the control group. Microabrasion and the presence of cracks in the enamel make this substrate more susceptible to penetration of hydrogen peroxide during in-office whitening.


2007 ◽  
Vol 18 (4) ◽  
pp. 305-308 ◽  
Author(s):  
Mário Alexandre Coelho Sinhoreti ◽  
Izabella Paola Manetta ◽  
Rubens Nisie Tango ◽  
Nelson Tetsu Iriyama ◽  
Rafael Leonardo Xediek Consani ◽  
...  

This study evaluated, using Knoop hardness test, the polymerization depth of Rely-X dual-cured resin cement activated by chemical reaction alone (control group) or by chemical/physical mode with light curing through a 1.5-mm-thick ceramic layer (HeraCeram). Bovine incisors had their buccal surface flattened and hybridized. On this surface, a rubber mould (5 mm diameter; 1 mm high) was bulk filled with cement. Either a polyester strip or a 1.5-mm-thick disc of the veneering material was seated over this set. Light curing was performed with either conventional halogen light (QTH; XL2500) for 40 s, light-emitting diode (LED; Ultrablue Is) for 40 s or xenon plasma arc (PAC; Apollo 95E) for 3 s. In a control group, cement setting occurred by chemical reaction alone. After storage dry in dark (24 h/37ºC), the specimens (n=5) were sectioned for hardness (KHN) measurements at three depths in a microhardness tester (50 gf load/15 s). Data were submitted to ANOVA and Tukey's test (a = 0.05). Rely-X cement presented higher Knoop hardness values when the QTH and LED LCUs were used, compared to the control group and PAC. Light curing with PAC resulted in lower hardness compared to the control group. Cement hardness was significantly lower in deeper regions.


Author(s):  
Bahri Aydın ◽  
Armagan Ozgur ◽  
Huseyin Baran Ozdemir ◽  
Pınar Uyar Gocun ◽  
Mehmet Arda Inan ◽  
...  

2009 ◽  
Vol 79 (1) ◽  
pp. 144-149 ◽  
Author(s):  
Mustafa Ulker ◽  
Tancan Uysal ◽  
Sabri Ilhan Ramoglu ◽  
Huseyin Ertas

Abstract Objective: To compare the microleakage of the enamel-adhesive-bracket complex at the occlusal and gingival margins of brackets bonded with high-intensity light curing lights and conventional halogen lights. Materials and Methods: Forty-five freshly extracted human maxillary premolar teeth were randomly separated into three groups of 15 teeth each. Stainless steel brackets were bonded in all groups according to the manufacturer's recommendations. Specimens (15 per group) were cured for 40 seconds with a conventional halogen light, 20 seconds with light-emitting diode (LED), and 6 seconds with plasma arc curing light (PAC). After curing, the specimens were further sealed with nail varnish, stained with 0.5% basic-fuchsine for 24 hours, sectioned and examined under a stereomicroscope, and scored for microleakage for the enamel-adhesive and bracket-adhesive interfaces from both the occlusal and gingival margins. Statistical analyses were performed using Kruskal-Wallis and Mann-Whitney U-tests with a Bonferroni correction. Results: The type of light curing unit did not significantly affect the amount of microleakage at the gingival or occlusal margins of investigated interfaces (P &gt;.05). The gingival sides in the LED and PAC groups exhibited higher microleakage scores compared with those observed on occlusal sides for the enamel-adhesive and adhesive-bracket interfaces. The halogen light source showed similar microleakage at the gingival and occlusal sides between both adhesive interfaces. Conclusions: High-intensity curing units did not cause more microleakage than conventional halogen lights. This supports the use of all these curing units in routine orthodontic practice.


Author(s):  
Anuradha Vitthal Wankhade ◽  
Sharad Basavraj Kamat ◽  
Santosh Irappa Hugar ◽  
Girish Shankar Nanjannawar ◽  
Sumit Balasaheb Vhate

Introduction: New generation composite resin materials have revolutionized the art of aesthetic dentistry. The clinical success is dependent on effective polymerisation and surface hardness which in turn are dependent on the performance of Light Curing Units (LCU). This study utilises surface hardness as a measure of degree of polymerisation of composite resins achieved by LCUs. Aim: To evaluate the difference in surface hardness of nanohybrid and microhybrid resin composites cured by light curing systems, Light Emitting Diode (LED) and Quartz Tungsten Halogen (QTH). Materials and Methods: In this invitro experimental study, two types of hybrid composites (Nanohybrid and Microhybrid) were tested for surface hardness by using two different light curing systems (LED and QTH). All the Nanohybrid and Microhybrid specimens were cured using LED and QTH LCUs, thus giving four combinations. A total of 60 specimens (6 mm diameter and 2 mm depth) were prepared using Teflon mould with 15 samples for each combination. Surface hardness was measured on upper and lower surface after 24 hours and hardness ratio was calculated. Data was analysed using independent t-test for intergroup comparison. Level of significance was kept at 5%. Results: Surface hardness of resin composites cured by LED LCU was greater than those cured by QTH LCU. Additionally, the hardness value was greater for the upper surface. Nanohybrids showed better surface hardness than Microhybrids for both the LCUs. Conclusion: Nanohybrid composite resins and LED system were found to be more effective in terms of surface hardness as compared to their counterparts.


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