Effect of bleaching agents on enamel permeability. 2006

Renato Jonas Schiavoni, and Cecilia Pedroso Turssi, and Antonio Luiz Rodrigues, and Monica Campos Serra, and Jesus Djalma Pécora, and Izabel Cristina Fröner
Department of Restorative Dentistry, School of Dentistry of Riberão Preto, University of São Paulo, Brazil.

OBJECTIVE To evaluate enamel permeability after external bleaching procedures. METHODS The coronal portion of 75 human canines were covered with an acid resistant varnish, except for a 7.1 mm2 circular area on the labial surface and, according to a randomized complete block design, specimens were allocated to bleaching treatments using carbamide peroxide-containing agents (CP): 10%, 16% or 37%; or a 35% hydrogen peroxide product (HP). The control group was exposed to artificial saliva. The bleaching agents were applied following the manufacturer's recommendations over 21 days. In between bleaching exposures, specimens were stored in artificial saliva. Samples were then prepared according to a histochemical coloring method based on copper sulfate and dithiooxamide solutions. Digital images captured in an optical microscope were used to measure the percentage of copper ion penetration over the total enamel thickness on three sections taken from the exposed area. RESULTS Analysis of Deviance showed a significant difference for the permeability values among groups (P = 0.046). Likelihood ratio test revealed that the use of the CP10% and HP35% agents caused significantly greater enamel permeability than did the control treatment. No significant differences in percentage of copper ion penetration were found among CP10%, CP16%, CP37% and HP35%. This in vitro study demonstrated that depending on the external bleaching procedure, enamel permeability may be increased.

UI MeSH Term Description Entries
D010545 Peroxides A group of compounds that contain a bivalent O-O group, i.e., the oxygen atoms are univalent. They can either be inorganic or organic in nature. Such compounds release atomic (nascent) oxygen readily. Thus they are strong oxidizing agents and fire hazards when in contact with combustible materials, especially under high-temperature conditions. The chief industrial uses of peroxides are as oxidizing agents, bleaching agents, and initiators of polymerization. (From Hawley's Condensed Chemical Dictionary, 11th ed) Peroxide
D003481 Cuspid The third tooth to the left and to the right of the midline of either jaw, situated between the second INCISOR and the premolar teeth (BICUSPID). (Jablonski, Dictionary of Dentistry, 1992, p817) Canine Tooth,Canine Teeth,Cuspids,Teeth, Canine,Tooth, Canine
D003745 Dental Enamel Permeability The property of dental enamel to permit passage of light, heat, gases, liquids, metabolites, mineral ions and other substances. It does not include the penetration of the dental enamel by microorganisms. Enamel Permeability, Dental,Permeability, Dental Enamel
D004338 Drug Combinations Single preparations containing two or more active agents, for the purpose of their concurrent administration as a fixed dose mixture. Drug Combination,Combination, Drug,Combinations, Drug
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006861 Hydrogen Peroxide A strong oxidizing agent used in aqueous solution as a ripening agent, bleach, and topical anti-infective. It is relatively unstable and solutions deteriorate over time unless stabilized by the addition of acetanilide or similar organic materials. Hydrogen Peroxide (H2O2),Hydroperoxide,Oxydol,Perhydrol,Superoxol,Peroxide, Hydrogen
D000077463 Carbamide Peroxide A urea peroxide compound that is commonly used in tooth whitening agents; topical anti-infective agents, and earwax remover. Perhydrol Urea,Urea Hydrogen Peroxide,Urea Peroxide,Hydrogen Peroxide, Urea
D000704 Analysis of Variance A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable. ANOVA,Analysis, Variance,Variance Analysis,Analyses, Variance,Variance Analyses
D014073 Tooth Bleaching The use of a chemical oxidizing agent to whiten TEETH. In some procedures the oxidation process is activated by the use of heat or light. Teeth Bleaching,Teeth Whitening,Tooth Whitening,Bleaching, Teeth,Bleaching, Tooth,Whitening, Teeth,Whitening, Tooth
D014508 Urea A compound formed in the liver from ammonia produced by the deamination of amino acids. It is the principal end product of protein catabolism and constitutes about one half of the total urinary solids. Basodexan,Carbamide,Carmol

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