CC BY-NC-ND 4.0 · Eur J Dent 2014; 08(03): 320-325
DOI: 10.4103/1305-7456.137634
Original Article
Dental Investigation Society

Effects of a bleaching agent with calcium on bovine enamel

Larissa Alexandrino
1   Department of Restorative Dentistry, Federal University of Pará, Belem, Para, Brazil
,
Yasmin Gomes
1   Department of Restorative Dentistry, Federal University of Pará, Belem, Para, Brazil
,
Eliane Alves
1   Department of Restorative Dentistry, Federal University of Pará, Belem, Para, Brazil
,
Hilton Costi
2   Laboratory of Electron Microscopy, Museum Emilio Goeldi, Belem, Para, Brazil
,
Hervé Rogez
3   Department of Food Engineering, Federal University of Pará, and Centre for Agro-food Valorization of Amazonian Bioactive Compounds, Belem, Para, Brazil
,
Cecy Silva
1   Department of Restorative Dentistry, Federal University of Pará, Belem, Para, Brazil
› Author Affiliations
Further Information

Publication History

Publication Date:
25 September 2019 (online)

ABSTRACT

Objective: This in vitro study analyzed the effects of a bleaching treatment containing 35% hydrogen peroxide (HP) with or without calcium on bovine enamel, using the Knoop hardness number (KHN), tristimulus colorimetry (TC), and scanning electron microscopy. Materials and Methods: Forty-five specimens were randomly divided into groups (n = 5), which included artificial saliva (negative control [NC]), 35% HP (positive control [PC]), and 35% HP Blue Calcium (HP Blue). The specimens were subjected to three bleaching sessions. During the sessions, the specimens were immersed in artificial saliva at 37°C. Before and after bleaching, KHN tests were conducted using a force of 25 gf for 5 s. TC was performed using the CIE-L*a*b* system and readouts were obtained at the following 4 time points: Before the bleaching treatment; after the first session, the second session, and the third session. The specimens were dehydrated and coated with gold, and the photomicrographs were analyzed in a double-blind manner with a LEO microscope. Results: Using one-way analysis of variance and Tukey's test (P < 0.05), a statistically significant difference was identified between the initial and final mean KHNs of the NC and PC groups, while the initial and final mean KHNs were not significantly different in the HP Blue group. The final mean values of ⋄E, ⋄L, and ⋄b of the PC and HP Blue groups were significantly higher than the initial values (P < 0.01 for both). The photomicrographs revealed no differences among the groups. Conclusions: Therefore, treatment with HP Blue prevented changes in the KHN without reducing the efficacy of bleaching.

 
  • REFERENCES

  • 1 Dietschi D, Benbachir N, Krejci I. In vitro colorimetric evaluation of the efficacy of home bleaching and over-the-counter bleaching products. Quintessence Int 2010; 41: 505-16
  • 2 Kim YS, Kwon HK, Kim BI. Effect of nano-carbonate apatite to prevent re-stain after dental bleaching in vitro . J Dent 2011; 39: 636-42
  • 3 Moghadam FV, Majidinia S, Chasteen J, Havamnasiri M. The degree of color change, rebound effect and sensitivity of bleached teeth associated with at-home and power bleaching techniques: A randomized clinical trial. Eur J Dent 2013; 7: 405-11
  • 4 Joiner A. The bleaching of teeth: A review of the literature. J Dent 2006; 34: 412-9
  • 5 Francci C, Marson FC, Briso AL, Gomes MN. Clareamento dental – Técnicas e conceitos atuais (Dental bleaching – Current concepts and techniques). Rev Assoc Paul Cir Dent 2010; 1: 78-89
  • 6 Hannig C, Lindner D, Attin T. Efficacy and tolerability of two home bleaching systems having different peroxide delivery. Clin Oral Investig 2007; 11: 321-9
  • 7 Tredwin CJ, Naik S, Lewis NJ, Scully C. Hydrogen peroxide tooth-whitening (bleaching) products: Review of adverse effects and safety issues. Br Dent J 2006; 200: 371-6
  • 8 Giannini M, Silva AP, Cavalli V, Leme AF. Effect of carbamide peroxide-based bleaching agents containing fluoride or calcium on tensile strength of human enamel. J Appl Oral Sci 2006; 14: 82-7
  • 9 Borges AB, Yui KC, D'Avila TC, Takahashi CL, Torres CR, Borges AL. Influence of remineralizing gels on bleached enamel microhardness in different time intervals. Oper Dent 2010; 35: 180-6
  • 10 Fu B, Hoth-Hannig W, Hannig M. Effects of dental bleaching on micro-and nano-morphological alterations of the enamel surface. Am J Dent 2007; 20: 35-40
  • 11 Bistey T, Nagy IP, Simó A, Hegedus C. In vitro FT-IR study of the effects of hydrogen peroxide on superficial tooth enamel. J Dent 2007; 35: 325-30
  • 12 Ma X, Li R, Sa Y, Liang S, Sun L, Jiang T. et al. Separate contribution of enamel and dentine to overall tooth colour change in tooth bleaching. J Dent 2011; 39: 739-45
  • 13 Sa Y, Chen D, Liu Y, Wen W, Xu M, Jiang T. et al. Effects of two in-office bleaching agents with different pH values on enamel surface structure and color: An in situ vs. in vitro study. J Dent 2012; 40 (Suppl. 01) e26-34
  • 14 Nakashima S, Yoshie M, Sano H, Bahar A. Effect of a test dentifrice containing nano-sized calcium carbonate on remineralization of enamel lesions in vitro . J Oral Sci 2009; 51: 69-77
  • 15 Leandro GA, Attia ML, Cavalli V, do Rego MA, Liporoni PC. Effects of 10% carbamide peroxide treatment and sodium fluoride therapies on human enamel surface microhardness. Gen Dent 2008; 56: 274-7
  • 16 Zanet CG, Fava M, Alves LA. In vitro evaluation of the microhardness of bovine enamel exposed to acid solutions after bleaching. Braz Oral Res 2011; 25: 562-7
  • 17 Borges BC, de Vasconselos AA, Cunha AG, Pinheiro FH, Machado CT, dos Santos AJ. Preliminary clinical reports of a novel night-guard tooth bleaching technique modified by casein phosphopeptide-amorphous calcium phosphate (CCP-ACP). Eur J Esthet Dent 2011; 6: 446-53
  • 18 de Vasconcelos AA, Cunha AG, Borges BC, Vitoriano Jde O, Alves-Júnior C, Machado CT. et al. Enamel properties after tooth bleaching with hydrogen/carbamide peroxides in association with a CPP-ACP paste. Acta Odontol Scand 2012; 70: 337-43
  • 19 Gladwell J, Simmons D, Wright JT. Remineralization potential of a fluoridated carbamide peroxide whitening gel. J Esthet Restor Dent 2006; 18: 206-12
  • 20 Lee KH, Kim HI, Kim KH, Kwon YH. Mineral loss from bovine enamel by a 30% hydrogen peroxide solution. J Oral Rehabil 2006; 33: 229-33
  • 21 Al-Salehi SK, Wood DJ, Hatton PV. The effect of 24h non-stop hydrogen peroxide concentration on bovine enamel and dentine mineral content and microhardness. J Dent 2007; 35: 845-50
  • 22 Borges AB, Samezima LY, Fonseca LP, Yui KC, Borges AL, Torres CR. Influence of potentially remineralizing agents on bleached enamel microhardness. Oper Dent 2009; 34: 593-7
  • 23 Borges BC, Pinheiro MH, Feitosa DA, Correia TC, Braz R, Montes MA. et al. Preliminary study of a novel in-office bleaching therapy modified with a casein phosphopeptide-amorphous calcium phosphate. Microsc Res Tech 2012; 75: 1571-5
  • 24 Sun L, Liang S, Sa Y, Wang Z, Ma X, Jiang T. et al. Surface alteration of human tooth enamel subjected to acidic and neutral 30% hydrogen peroxide. J Dent 2011; 39: 686-92
  • 25 Cavalli V, Giannini M, Carvalho RM. Effect of carbamide peroxide bleaching agents on tensile strength of human enamel. Dent Mater 2004; 20: 733-9
  • 26 Gomes MN, Francci C, Medeiros IS, De Godoy Froes Salgado NR, Riehl H, Marasca JM. et al. Effect of light irradiation on tooth whitening: Enamel microhardness and color change. J Esthet Restor Dent 2009; 21: 387-94
  • 27 Westland S. Review of the CIE system of colorimetry and its use in dentistry. J Esthet Restor Dent 2003; 15 (Suppl. 01) S5-12
  • 28 Meireles SS, Fontes ST, Coimbra LA, Della Bona Á, Demarco FF. Effectiveness of different carbamide peroxide concentrations used for tooth bleaching: An in vitro study. J Appl Oral Sci 2012; 20: 186-91
  • 29 DE Abreu DR, Sasaki RT, Amaral FL, Flório FM, Basting RT. Effect of home-use and in-office bleaching agents containing hydrogen peroxide associated with amorphous calcium phosphate on enamel microhardness and surface roughness. J Esthet Restor Dent 2011; 23: 158-68
  • 30 Tam LE, Bahrami P, Oguienko O, Limeback H. Effect of 10% and 15% carbamide peroxide on fracture toughness of human dentin in situ . Oper Dent 2013; 38: 142-50