Brushing Effect of Abrasive Dentifrices during At-home Bleaching with 10% Carbamide Peroxide on Enamel Surface Roughness

2006 ◽  
Vol 7 (1) ◽  
pp. 25-34 ◽  
Author(s):  
Luís Roberto Marcondes Martins ◽  
Claudia Cia Worschech ◽  
José Augusto Rodrigues ◽  
Gláucia Maria Bovi Ambrosano
Keyword(s):  
Surface Roughness ◽  
Artificial Saliva ◽  
Enamel Surface ◽  
Tooth Bleaching ◽  
Carbamide Peroxide ◽  
Peroxide Bleaching ◽  
Human Enamel ◽  
Over Time ◽  
At Home

Abstract During tooth bleaching abrasive dentifrices might change the outer superficial enamel. The aim of this in vitro study was to evaluate the roughness of human enamel exposed to a 10% carbamide peroxide bleaching agent at different times and submitted to different superficial cleaning treatments. The study consisted of 60 sound human enamel slabs, randomly assigned to different treatment groups: G1 - not brushed; G2 - brushed with a fluoride abrasive dentifrice; G3 - brushed with a non-fluoride abrasive dentifrice; and G4 - brushed without a dentifrice. There were 15 enamel slabs per group. Slabs of molar teeth were obtained and sequentially polished with sandpaper and abrasive pastes. A perfilometer was used to obtain the mean of Ra value on the surface of each specimen to initial and experimental times. Bleaching was performed on the enamel surface for six hours daily. After that, each slab received a cleaning surface treatment and was stored in artificial saliva. Analysis of variance (ANOVA) and Tukey's HSD hoc analysis (α =0.05) revealed significant differences in roughness values over time for enamel bleached and treated with different superficial cleaning methods. G1 and G4 showed no significant differences in roughness over time, G2 and G3 showed a significant increase in the surface roughness values. This in vitro investigation showed the sole use of 10% carbamide peroxide did not alter the enamel surface roughness, but the cleaning treatments that employed the use of brushing with abrasive dentifrices resulted in a significant increase of enamel surface roughness. Citation Worschech CC, Rodrigues JA, Martins LRM, Ambrosano GMB. Brushing Effect of Abrasive Dentifrices during At-home Bleaching with 10% Carbamide Peroxide on Enamel Surface Roughness. J Contemp Dent Pract 2006 February;(7)1:025-034.

scholarly journals Effect of a carbamide peroxide bleaching gel containing calcium or fluoride on human enamel surface microhardness

2005 ◽  
Vol 16 (2) ◽  
pp. 103-106 ◽  
Author(s):  
Rogério de Oliveira ◽  
Adriana Franco Paes Leme ◽  
Marcelo Giannini
Keyword(s):  
Artificial Saliva ◽  
In Vitro Study ◽  
Enamel Surface ◽  
Control Group ◽  
Carbamide Peroxide ◽  
Surface Microhardness ◽  
Treatment Groups ◽  
Peroxide Bleaching ◽  
Human Enamel

This in vitro study evaluated the surface microhardness of human enamel submitted to bleaching with 10% carbamide peroxide (CP) containing calcium or fluoride. Ninety-eight dental blocks (5 x 5 mm²) with polished enamel surfaces were randomly assigned to 7 treatment groups (n=14), as follows: without bleaching and storage in artificial saliva (control); 10% CP; 10% CP + 0.05% calcium; 10% CP + 0.1% calcium; 10% CP + 0.2% calcium; 10% CP + 0.2% fluoride; and 10% CP + 0.5% fluoride. During 14 days, enamel surfaces were daily exposed to a 6-h bleaching regimen followed by storage in artificial saliva. Surface microhardness was measured before (baseline), during (7th day), immediately after bleaching (14th day) and 1 week post bleaching. Data were analyzed by two-way ANOVA and Tukey's test (p<0.05). All treatments reduced SM significantly during the bleaching cycle (7th day), immediately after bleaching (14th day) and 1 week post bleaching, compared to baseline and to the unbleached control group. In conclusion, in spite of the addition of calcium and fluoride, all bleaching treatments affected the enamel surface microhardness.

scholarly journals Peroxide bleaching agent effects on enamel surface microhardness, roughness and morphology

2004 ◽  
Vol 18 (4) ◽  
pp. 306-311 ◽  
Author(s):  
Cristiane Franco Pinto ◽  
Rogério de Oliveira ◽  
Vanessa Cavalli ◽  
Marcelo Giannini
Keyword(s):  
Surface Roughness ◽  
Artificial Saliva ◽  
Dental Enamel ◽  
Enamel Surface ◽  
Control Group ◽  
Third Molars ◽  
Carbamide Peroxide ◽  
Peroxide Bleaching ◽  
Human Enamel ◽  
Microhardness Testing

The aim of this study was to evaluate the surface roughness, microhardness and morphology of human enamel exposed to six bleaching agents (at baseline and post-treatment). Human dental enamel samples were obtained from human third molars and randomly divided into seven groups (n = 11): control, Whiteness Perfect - 10% carbamide peroxide (10% CP), Colgate Platinum - 10% CP, Day White 2Z - 7.5% hydrogen peroxide (7.5% HP), Whiteness Super - 37% CP, Opalescence Quick - 35% CP and Whiteness HP - 35% HP. Bleaching agents were applied according to manufacturers' instructions. The control group remained not treated and stored in artificial saliva. Microhardness testing was performed with a Knoop indentor and surface roughness was analyzed with a profilometer. Morphologic observations were carried out with scanning electron microscopy (SEM). Results were statistically analyzed by two-way analysis of variance and Tukey's test (5%), and revealed a significant decrease in microhardness values and a significant increase in surface roughness post-bleaching. Changes in enamel morphology after bleaching were observed under SEM. It was concluded that bleaching agents can alter the microhardness, roughness and morphology of dental enamel surface.

scholarly journals Effects of Toothbrushing with Fluoride Abrasive and Whitening Dentifrices on Both Unbleached and Bleached Human Enamel Surface in Terms of Roughness and Hardness: An in vitro Study

2012 ◽  
Vol 13 (5) ◽  
pp. 584-589 ◽  
Author(s):  
Sukran Bolay ◽  
Filiz Yalcin Cakir ◽  
Sevil Gurgan
Keyword(s):  
Surface Roughness ◽  
In Vitro Study ◽  
Vitro Study ◽  
Enamel Surface ◽  
Carbamide Peroxide ◽  
Hardness Tester ◽  
Human Enamel ◽  
Machine Surface Roughness ◽  
Hardness Values

ABSTRACT Aim The aim of this in vitro study was to evaluate the surface roughness and hardness of both unbleached and bleached (opalescence; 10% carbamide peroxide) human enamel brushed with water (without dentifrice), fluoride abrasive dentifrice (Colgate Total) and whitening dentifrice (Natural White). Materials and methods Human enamel samples were obtained from third molars and randomly divided into five groups (n = 8): G1—Control (brushed with water without dentifrice), G2—Colgate Total (fluoride abrasive dentifrice), G3—Natural White (whitening dentifrice), G4—Opalescence (10% carbamide peroxide) and then brushed with Colgate Total, G5— Opalescence (10% carbamide peroxide) and then brushed with Natural White. Bleaching regimen was applied according to manufacturers’ instructions. The brushing process was performed with a modified Nyffenegger's brushing machine. Surface roughness was analyzed with a profilometer. Microhardness testing was performed with a Brinell hardness tester. Results Results were statistically analyzed by Kruskal-Wallis, one-way ANOVA analysis and Mann-Whitney U, Wilcoxon matched-pairs signed-ranks tests. There were significant differences in surface roughness values for all groups, which showed an increase in roughness (p < 0.05). When the bleaching treatment combined with brushing with whitening dentifrice was performed (G5), there was a significant decrease in hardness values (p < 0.05). The other groups (G1, G2, G3, G4) showed no significant hardness differences (p > 0.05). Conclusion It was concluded that toothbrushing procedures increased the enamel surface roughness, and that bleaching regimen performed with cleaning treatment, through brushing with whitening dentifrice decreased hardness values. Clinical significance When applied together, bleaching and cleaning treatments may alter the enamel surface roughness and hardness values. How to cite this article Bolay S, Cakir FY, Gurgan S. Effects of Toothbrushing with Fluoride Abrasive and Whitening Dentifrices on Both Unbleached and Bleached Human Enamel Surface in Terms of Roughness and Hardness: An in vitro Study. J Contemp Dent Pract 2012;13(5):584-589.

scholarly journals In vitro evaluation of human dental enamel surface roughness bleached with 35% carbamide peroxide and submitted to abrasive dentifrice brushing

2003 ◽  
Vol 17 (4) ◽  
pp. 342-348 ◽  
Author(s):  
Claudia Cia Worschech ◽  
José Augusto Rodrigues ◽  
Luis Roberto Marcondes Martins ◽  
Gláucia Maria Bovi Ambrosano
Keyword(s):  
Surface Roughness ◽  
Artificial Saliva ◽  
Dental Enamel ◽  
In Vitro Study ◽  
Surface Cleaning ◽  
Enamel Surface ◽  
Initial Surface ◽  
Carbamide Peroxide ◽  
Molar Teeth

The aim of this in vitro study was to evaluate the surface roughness of human enamel bleached with 35% carbamide peroxide at different times and submitted to different superficial cleaning treatments: G1 - not brushed; G2 - brushed with fluoride abrasive dentifrice; G3 - brushed with a non-fluoride abrasive dentifrice; G4 - brushed without dentifrice. Sixty fragments of human molar teeth with 4 x 4 mm were obtained using a diamond disc. The specimens were polished with sandpaper and abrasive pastes. A perfilometer was used to measure roughness average (Ra) values of the initial surface roughness and at each 7-day-interval after the beginning of treatment. The bleaching was performed on the surface of the fragments for 1 hour a week, and the surface cleaning treatment for 3 minutes daily. The samples were stored in individual receptacles with artificial saliva. Analysis of variance and the Tukey test revealed significant differences in surface roughness values for G2 and G3, which showed an increase in roughness over time; G1 and G4 showed no significant roughness differences. The bleaching with 35% carbamide peroxide did not alter the enamel surface roughness, but when the bleaching treatment was performed combined with brushing with abrasive dentifrices, there was a significant increase in roughness values.

Efficacy of a Novel At-home Bleaching Technique With Carbamide Peroxides Modified by CPP-ACP and Its Effect on the Microhardness of Bleached Enamel

2011 ◽  
Vol 36 (5) ◽  
pp. 521-528 ◽  
Author(s):  
BCD Borges ◽  
JS Borges ◽  
CD de Melo ◽  
IVA Pinheiro ◽  
AJS dos Santos ◽  
...  
Keyword(s):  
Vickers Microhardness ◽  
Color Change ◽  
Artificial Saliva ◽  
Carbamide Peroxide ◽  
Peroxide Bleaching ◽  
Significant Difference ◽  
Casein Phosphopeptide ◽  
Shade Guide ◽  
At Home

SUMMARY This study was designed to evaluate in vitro the efficacy of a novel at-home bleaching technique using 10% or 16% carbamide peroxide modified by casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and its influence on the microhardness of bleached enamel. A total of 40 bovine incisors were divided into four groups (n=10) according to the bleaching agent used: 10% carbamide peroxide only; a blend of 10% carbamide peroxide and a CPP-ACP paste; 16% carbamide peroxide only; and a blend of 16% carbamide peroxide and a CPP-ACP paste. During the 14-day bleaching regimen, the samples were stored in artificial saliva. The Vickers microhardness and color of the teeth were assessed at baseline (T0) and immediately after the bleaching regimen (T14) using a microhardness tester and a spectrophotometer, respectively. The degree of color change was determined by the Commission Internationale de l'Eclariage (CIE) L*a*b* system (ΔE, ΔL*, Δa*, and Δb*) and Vita shade guide parameters. The data were analyzed by analysis of variance and the Tukey test (p&lt;0.05). The teeth that were bleached with a blend of peroxide (10% or 16%) and the CPP-ACP paste presented increased microhardness values at T14 compared with T0, whereas the samples that were bleached with peroxide only did not show any differences in their microhardness values. All of the bleaching agents were effective at whitening the teeth and did not show a statistically significant difference using the CIEL*a*b* system (ΔE, ΔL*, Δa*, and Δb*) or the Vita shade guide parameters. The use of a CPP-ACP paste with carbamide peroxide bleaching agents increased the bleached enamel's microhardness and did not have an influence on whitening efficacy.

scholarly journals Effect of thickener agents on dental enamel microhardness submitted to at-home bleaching

2007 ◽  
Vol 21 (2) ◽  
pp. 170-175 ◽  
Author(s):  
José Augusto Rodrigues ◽  
Glauco Paulo Felício Oliveira ◽  
Cristiane Mariote Amaral
Keyword(s):  
Oxidation Reaction ◽  
Artificial Saliva ◽  
Dental Enamel ◽  
Experimental Treatment ◽  
The Other ◽  
Carbamide Peroxide ◽  
Dental Bleaching ◽  
Mineral Loss ◽  
At Home

Dental bleaching occurs due to an oxidation reaction between the bleaching agents and the macromolecules of pigments in the teeth. This reaction is unspecific and the peroxides can also affect the dental matrix causing mineral loss. On the other hand, recent studies have suggested that the thickener agent carbopol can also cause mineral loss. Thus, the objective of this study was to evaluate in vitro the effect of at-home dental bleaching on dental enamel microhardness after the use of bleaching agents with and without carbopol as a thickener agent. Bovine dental slabs with 3 x 3 x 3 mm were obtained, sequentially polished, and randomly divided into 4 groups according to the experimental treatment: G1: 2% carbopol; G2: 10% carbamide peroxide with carbopol; G3: carbowax; G4: 10% carbamide peroxide with poloxamer. Bleaching was performed daily for 4 weeks, immersed in artificial saliva. Enamel microhardness values were obtained before the treatment (T0) and 7 (T1), 14 (T2), 21 (T3), 28 (T4), and 42 (T5) days after the beginning of the treatment. ANOVA and Tukey's test revealed statistically significant differences only for the factor Time (F = 5.48; p < 0.01). All bleaching and thickener agents caused no alterations on the enamel microhardness.

scholarly journals Enamel Surface Changes After Exposure to Bleaching Gels Containing Carbamide Peroxide or Hydrogen Peroxide

2016 ◽  
Vol 41 (1) ◽  
pp. E39-E47 ◽  
Author(s):  
B Cvikl ◽  
A Lussi ◽  
A Moritz ◽  
S Flury
Keyword(s):  
Hydrogen Peroxide ◽  
Surface Roughness ◽  
Elastic Modulus ◽  
Color Change ◽  
Surface Hardness ◽  
Enamel Surface ◽  
Carbamide Peroxide ◽  
Peroxide Bleaching ◽  
Bleaching Gels ◽  
Bleaching Treatment

SUMMARY Objective This study evaluated the differences in enamel color change, surface hardness, elastic modulus, and surface roughness between treatments with four bleaching gels containing carbamide peroxide (two at 10% and one each at 35%, and 45%) and two bleaching gels containing hydrogen peroxide (two at 40%). Methods Enamel specimens were bleached and color changes were measured. Color change was calculated using either ΔE or the Bleaching Index (BI). Then, surface hardness, elastic modulus, and surface roughness of the enamel specimens were evaluated. All measurements were performed at baseline and directly after the first bleaching treatment for all carbamide peroxide– and hydrogen peroxide–containing bleaching gels. In addition, final measurements were made 24 hours after each of a total of 10 bleaching treatments for carbamide peroxide bleaching gels, and 1 week after each of a total of three bleaching treatments for hydrogen peroxide bleaching gels. Results After the last bleaching treatment, respective ΔE scores were 17.6 and 8.2 for the two 10% carbamide peroxide gels, 12.9 and 5.6 for the 45% and 35% carbamide peroxide gels, and 9.6 and 13.9 for the two 40% hydrogen peroxide gels. The respective BI scores were −2.0 and −2.0 for the two 10% carbamide peroxide gels, −3.5 and −1.5 for the 45% and 35% carbamide peroxide gels, and −2.0 and −3.0 for the two 40% hydrogen peroxide gels. Each bleaching gel treatment resulted in significant whitening; however, no significant difference was found among the gels after the last bleaching. Whitening occurred within the first bleaching treatments and did not increase significantly during the remaining treatments. Surface hardness significantly decreased after the last bleaching treatment, when 10% carbamide peroxide was used. Furthermore, significant changes in the elastic modulus or surface roughness occurred only after treatment with 10% carbamide peroxide. Conclusion All six bleaching gels effectively bleached the enamel specimens independent of their concentration of peroxide. Gels with low peroxide concentration and longer contact time negatively affected the enamel surface.

scholarly journals Differences in surface roughness of enamel after whey-extract application and CPP-ACP in post extracoronal-tooth bleaching

2018 ◽  
Vol 4 (1) ◽  
pp. 15
Author(s):  
Afiatul Mukarromah ◽  
Irfan Dwiandhono ◽  
Dian Noviyanti Agus Imam
Keyword(s):  
Surface Roughness ◽  
Artificial Saliva ◽  
Enamel Surface ◽  
Tooth Bleaching ◽  
Control Group ◽  
Group Iii ◽  
Group I ◽  
Significant Difference ◽  
Group Ii ◽  
Bleaching Treatment

Demineralization is a process of partial or full tooth mineral loss which caused by acidic environment, for example the side effect of extracoronal bleaching treatment. Demineralization increases enamel surface roughness which leads plaque accumulation. Whey extract and calcium phosphopeptide-amorphous calcium phophate (CPP-ACP) contain calcium and phosphate that can stop the demineralization through remineralization process. This study aimed to determine the differences of enamel surface roughness after whey extract and CPP-ACP application post- extracoronal bleaching. Experimental laboratory with pre- and post-test control group design was performed on 24 first maxillary premolars which devided into 3 groups. On group I, specimens were immersed in artificial saliva. Specimens in group II were immersed in whey extract meanwhile specimens were immersed in CPP-ACP on group III. Whey extract and CPP-ACP immersions were conducted 10 minutes every 12 hours for 15 days. The enamel surface roughness test was performed twice, after extracoronal bleaching treatment and after 15 days remineralization agent application. This study result indicated significant differences between group I and group II and between group I and group III (p<0.05), but there was no significant difference between group II and group III (p>0.05). This study showed whey extract decreased more enamel surface roughness than CPP-ACP but the difference was not significant statistically. So, whey extract and CPP-ACP showed similar remineralization potential.

scholarly journals Effect of Short- and Long-term Use of Home and In-Office Bleaching with Carbamide Peroxide and Hydrogen Peroxide on Bleaching with Carbamide Peroxide and Hydrogen Peroxide on Enamel Microhardness Enamel Microhardness

2020 ◽  
Vol 27 (2) ◽  
Author(s):  
Nazila Ameli ◽  
◽  
Niloofar Kianvash Rad ◽  
Farzane Nikpour ◽  
Raheb Ghorbani ◽  
...  
Keyword(s):  
Hydrogen Peroxide ◽  
Dental Treatment ◽  
Artificial Saliva ◽  
Tooth Bleaching ◽  
Control Group ◽  
Bleaching Agent ◽  
Carbamide Peroxide ◽  
Dental Procedures ◽  
Before And After ◽  
At Home

Bleaching is a well-known esthetic dental treatment performed to lighten the tooth shade. Among different cosmetic dental procedures, including direct and indirect tooth-colored restorations, bleaching is likely the most conservative approach. Bleaching has been accepted well by patients and proven as a safe and effective approach. Objective: Tooth bleaching can be conducted at home or in offices. This study was performed to compare the enamel microhardness before bleaching and one and eight weeks after the application of different bleaching agents. Methods: Forty human premolars were randomly divided into four groups, and their buccal surface underwent a Vickers microhardness test before and after bleaching. Bleaching was performed with 40% hydrogen peroxide (HP) in-office bleaching agent (n = 10), 15% HP at-home bleaching agent (n = 10), and 15% carbamide peroxide (CP) at-home bleaching agent (n = 10) for two weeks. Ten samples were stored in artificial saliva and set as the control group. The microhardness of the samples was measured again one and eight weeks after bleaching. Results: The microhardness significantly decreased in the four groups one week after bleaching. Conclusion: The enamel microhardness was temporarily decreased by in-office bleaching. However, the microhardness increased with time and returned to the baseline value. Although the enamel microhardness initially reduced, it increased eight weeks after 15% CP at-home bleaching agent was applied.

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