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Effect of bleaching agents on enamel permeability
Renato Jonas Schiavoni1, Cecilia Pedroso Turssi, Antonio Luiz Rodrigues
1Department of Restorative Dentistry, School of Dentistry of Riberão Preto, University of São Paulo, Brazil.
External bleaching with carbamide peroxide (CP) and hydrogen peroxide (HP) agents can increase tooth enamel permeability. Specifically, 10% CP and 35% HP significantly raised enamel permeability compared to controls.
Area of Science:
- Dental materials science
- Enamel surface chemistry
- Biomaterials research
Background:
- Dental bleaching is a common cosmetic procedure.
- Understanding its effects on tooth structure is crucial.
- Enamel permeability is a key factor in its integrity.
Purpose of the Study:
- To assess how external bleaching agents affect human canine enamel permeability.
- To compare the effects of different concentrations of carbamide peroxide and hydrogen peroxide.
Main Methods:
- 75 human canine teeth were used, with a standardized area exposed.
- Teeth were treated with 10%, 16%, or 37% carbamide peroxide (CP), or 35% hydrogen peroxide (HP) for 21 days.
- Enamel permeability was measured using a histochemical copper sulfate method.
Main Results:
- Both 10% CP and 35% HP significantly increased enamel permeability compared to artificial saliva.
- No significant differences in permeability were observed between 10% CP, 16% CP, 37% CP, and 35% HP.
- The study indicates that certain bleaching protocols can alter enamel's permeability.
Conclusions:
- External bleaching procedures, particularly with 10% CP and 35% HP, can enhance enamel permeability.
- Further research is needed to understand the long-term clinical implications of increased enamel permeability post-bleaching.
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