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Published on: March 29, 2018
Effect of sodium ascorbate on tag formation in bleached enamel
André Luiz Fraga Briso1, Roberta Mariano Toseto, Vanessa Rahal
1Department of Restorative Dentistry, UNESP, São Paulo State University, Araçatuba, São Paulo, Brazil. alfbriso@foa.unesp.br
Tooth bleaching with carbamide peroxide (CP) or hydrogen peroxide (HP) reduces resin tag formation. Adding sodium ascorbate (SA) to bleaching agents significantly increases resin tag length in bleached enamel.
Area of Science:
- Dental Materials Science
- Biomaterials
- Restorative Dentistry
Background:
- Dental bleaching agents like carbamide peroxide (CP) and hydrogen peroxide (HP) are widely used for aesthetic improvement.
- The interaction between bleached tooth structure and restorative materials, particularly concerning adhesion, is a critical clinical concern.
- Resin tag formation is a key indicator of micromechanical retention in adhesive dentistry.
Purpose of the Study:
- To investigate the effect of 10% sodium ascorbate (SA) on resin tag formation in enamel after bleaching.
- To compare the influence of different bleaching agents (CP and HP) with and without SA on tag development.
Main Methods:
- Five experimental groups were established: control, bleaching with CP, CP + SA, bleaching with HP, and HP + SA, followed by restoration.
- Teeth were sectioned and decalcified to expose resin tags.
- Resin tag lengths were quantitatively analyzed using optical light microscopy at 400X magnification.
Main Results:
- Control group (G1) showed the longest resin tag length (36.1 µm).
- Bleaching with CP (G2) and HP (G4) significantly reduced tag lengths to 5.8 µm and 1.7 µm, respectively.
- The addition of SA to CP (G3) and HP (G5) increased tag lengths to 14.4 µm and 6.5 µm, respectively, with statistically significant differences observed between groups.
Conclusions:
- Dental bleaching procedures using CP or HP negatively impact resin tag formation, suggesting compromised adhesion.
- Incorporation of sodium ascorbate during the bleaching process can mitigate the adverse effects of bleaching agents on resin tag development.
- SA may serve as a protective agent, enhancing the potential for micromechanical retention in bleached enamel restorations.
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