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Type: Artigo de periódico
Title: Effective Tooth-bleaching Protocols Capable Of Reducing H2o 2 Diffusion Through Enamel And Dentine
Author: Soares D.G.
Basso F.G.
Pontes E.C.V.
Garcia L.D.F.R.
Hebling J.
De Souza Costa C.A.
Abstract: Objectives: To evaluate the effects of experimental protocols on bleaching effectiveness and hydrogen peroxide (HP) diffusion through enamel and dentine. Methods: Enamel/dentine discs were subjected to six bleaching sessions, consisting of 1 or 3 applications of 17.5% or 35%-HP gel for 5/15 min, or 37% carbamide peroxide (CP) gel for 10/20 min. Discs undergoing the regular protocol (35%-HP; 3 × 15 min) constituted the positive control group. Colour change (ΔE) was assessed (CIE L*a*b* system) after each session. HP diffusion was quantified (sessions 1, 3, and 6) in enamel/dentine discs adapted to artificial pulp chambers. Data were analysed by Pillai's Trace and Bonferroni test, or by one-way ANOVA and SNK/Tamhane's test (α = 5%). Results: All tooth-bleaching protocols significantly increased the ΔE values. A reduction in HP diffusion and no significant difference in ΔE compared with the positive control were observed for the following bleaching protocols: 17.5%-HP 3 × 15 min, at the 4th session; and 35%-HP 1 × 15 and 3 × 5 min, at the 5th session. HP diffusion in the 37%-CP 3 × 20 min bleaching protocol was statistically similar to that in the positive control. The other experimental bleaching protocols significantly decreased HP diffusion through enamel/dentine discs, but the ΔE values were statistically lower than those observed in the positive control, in all sessions. Conclusion: Shortening the contact time of a 35%-HP gel or reducing its concentration produces gradual tooth colour change and reduced HP diffusion through enamel and dentine. Clinical significance A reduction in HP concentration, from 35% to 17.5%, in a bleaching gel or shortening its application time on enamel provides a significant tooth-bleaching improvement associated with decreased HP diffusion across hard dental tissues. Therefore, these protocols may be an interesting alternative to be tested in the clinical situation. © 2013 Elsevier Ltd. All rights reserved.
Rights: fechado
Identifier DOI: 10.1016/j.jdent.2013.09.001
Date Issue: 2014
Appears in Collections:Unicamp - Artigos e Outros Documentos

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