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Is It Necessary to Prepare the Enamel before Dental Bleaching?

机译:在漂白牙齿之前是否需要准备牙釉质?

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摘要

The aim of this in vitro study was to assess the influence of distinct surface treatments on the microhardness and color of enamel that will be bleached. Surface treatments are tested, accordingly: G1, no treatment; G2, 2% sodium fluoride; G3, casein phosphopeptide paste; G4, 2% fluoride+Nd:YAG laser. Forty blocks from bovine teeth composed the sample that were tested in Knoop microhardness (n = 10) and in color change (n = 10). After 24 h, bleaching with 35% hydrogen peroxide was performed for 45 min. Microhardness and color changes (using parameters ΔE, ΔL, Δa, and Δb) were assessed before and after bleaching. The data were analyzed by two-way ANOVA and Tukey's test (p < 0.05). Despite all surface treatments, a reduction of enamel microhardness occurred immediately after bleaching in all groups, being greater in G1. Enamel color changed in all groups. Immediately after bleaching, there was a decrease on enamel microhardness. However, after 7 days, some of those specimens previously treated before bleaching significantly recovered their initial microhardness without influencing the esthetic results of bleaching.
机译:这项体外研究的目的是评估不同表面处理对将被漂白的瓷釉的显微硬度和颜色的影响。相应地,对表面处理进行了测试:G1,未处理; G2,2%氟化钠; G3,酪蛋白磷酸肽糊; G4,2%氟化物+ Nd:YAG激光。来自牛牙的四十个方块组成了样品,并以努氏显微硬度(n = 10)和颜色变化(n = 10)进行了测试。 24小时后,用35%的过氧化氢漂白45分钟。在漂白之前和之后评估显微硬度和颜色变化(使用参数ΔE,ΔL,Δa和Δb)。通过双向方差分析和Tukey检验分析数据(p <0.05)。尽管进行了所有表面处理,所有组漂白后牙釉质显微硬度均立即降低,G1值更高。搪瓷颜色在所有组中均发生了变化。漂白后,牙釉质的显微硬度立即降低。但是,经过7天后,某些先前在漂白之前进行处理的标本可显着恢复其初始显微硬度,而不会影响漂白的美学效果。

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