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Effect of whitening toothpaste on enamel properties during bleaching with 10% carbamide peroxide
Carolina M Barbosa1, Marcos Roberto de Lima Benati1, Waldemir Francisco Vieira Junior1
1Piracicaba Dental School, University of Campinas, Piracicaba, São Paulo, Brazil.
Purpose:
To evaluate the effects of different whitening toothpastes on bovine tooth enamel during at-home bleaching with 10% carbamide peroxide.
Methods:
Enamel-dentin specimens were randomly assigned to five groups based on the toothpaste used: distilled water (DW), regular toothpaste (RT), whitening toothpaste with abrasive agents (WT), whitening toothpaste with abrasive and chemical agents (PT), and whitening toothpaste with abrasive, chemical, and bleaching agents (HP). All specimens underwent brushing and bleaching procedures for 14 days. Surface microhardness (SMH), surface roughness (Ra), and color parameters (ΔL*, Δa*, Δb*, ΔE*ab, and ΔE*₀₀) were analyzed. Data were statistically evaluated using two-way ANOVA followed by Tukey's post-hoc test (α= 0.05).
Results:
All groups showed a significant reduction in SMH and an increase in Ra between the initial and final timepoints (P< 0.05). At the final evaluation, PT showed intermediate values, while HP presented the highest SMH, differing significantly from all other groups. For surface roughness, the WT group exhibited the highest Ra, while RT had the lowest values among the toothpaste groups. No significant differences were observed for ΔE*ab and ΔE*₀₀ between groups (P> 0.05). Whitening toothpastes used concomitantly with at-home dental bleaching do not enhance the whitening effectiveness; however, they may cause changes to the enamel surface.
Clinical Significance:
Whitening toothpastes used concomitantly with at-home bleaching do not enhance whitening effectiveness but may negatively affect enamel surface properties by increasing roughness and reducing microhardness.
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