Do Different Tooth Bleaching–Remineralizing Regimens Affect the Bleaching Effectiveness and Enamel Microhardness In Vitro?

Objective. Tooth bleaching may negatively affect the enamel surface properties, such as reduction in hardness values, and remineralizing agents can reverse these effects. This study evaluated the effect of remineralizing agents before, during, and after the bleaching process on enamel’s whitening ef...

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Main Authors: Hamideh Sadat Mohammadipour, Parnian Shokrollahi, Sima Gholami, Hosein Bagheri, Fatemeh Namdar, Salehe Sekandari
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2024/6893472
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author Hamideh Sadat Mohammadipour
Parnian Shokrollahi
Sima Gholami
Hosein Bagheri
Fatemeh Namdar
Salehe Sekandari
author_facet Hamideh Sadat Mohammadipour
Parnian Shokrollahi
Sima Gholami
Hosein Bagheri
Fatemeh Namdar
Salehe Sekandari
author_sort Hamideh Sadat Mohammadipour
collection DOAJ
description Objective. Tooth bleaching may negatively affect the enamel surface properties, such as reduction in hardness values, and remineralizing agents can reverse these effects. This study evaluated the effect of remineralizing agents before, during, and after the bleaching process on enamel’s whitening effectiveness and microhardness. Methods and Materials. The initial color of 104 bovine incisors after immersion in tea solution was recorded, and then, the teeth were randomly divided into eight groups (n = 13). Group 1 (NC) was considered the control with no treatment, and Group 2 (B) was bleached with 40% hydrogen peroxide gel. The 3% fluorohydroxyapatite (FHA) and 2% sodium fluoride (NaF) were applied before (FHA/B, NaF/B), during (FHA + B, NaF + B) and after (B/FHA, B/NaF) the bleaching process in other groups. The final color and microhardness in three depths of 20–30, 50–60, and 100–120 µm were measured. Data were analyzed using Shapiro–Wilk, one-way ANOVA, Tukey, Games Howell, repeated measurement, and LSD tests. Results. The FHA + B presented the lowest ΔE, significantly lower than other groups, except B/FHA. The ΔE in B/FHA was significantly lower than B/NaF. The bleaching significantly reduced the enamel hardness in three depths. The highest microhardness values were reported for B/NaF and NaF + B, which have no noticeable difference with NC, while FHA/B showed the lowest hardness in three depths, which was significantly lower than NC. Conclusion. The application of NaF before, during, and after the bleaching improved the microhardness of bleached enamel as the unbleached one with no adverse effect on whitening effectiveness.
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issn 1687-8736
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spelling doaj-art-bf064d569f8f451383daea37451032032025-02-03T07:23:43ZengWileyInternational Journal of Dentistry1687-87362024-01-01202410.1155/2024/6893472Do Different Tooth Bleaching–Remineralizing Regimens Affect the Bleaching Effectiveness and Enamel Microhardness In Vitro?Hamideh Sadat Mohammadipour0Parnian Shokrollahi1Sima Gholami2Hosein Bagheri3Fatemeh Namdar4Salehe Sekandari5Department of Restorative and Cosmetic DentistrySchool of DentistrySchool of DentistryDental Materials Research CenterSchool of DentistryDental Research CenterObjective. Tooth bleaching may negatively affect the enamel surface properties, such as reduction in hardness values, and remineralizing agents can reverse these effects. This study evaluated the effect of remineralizing agents before, during, and after the bleaching process on enamel’s whitening effectiveness and microhardness. Methods and Materials. The initial color of 104 bovine incisors after immersion in tea solution was recorded, and then, the teeth were randomly divided into eight groups (n = 13). Group 1 (NC) was considered the control with no treatment, and Group 2 (B) was bleached with 40% hydrogen peroxide gel. The 3% fluorohydroxyapatite (FHA) and 2% sodium fluoride (NaF) were applied before (FHA/B, NaF/B), during (FHA + B, NaF + B) and after (B/FHA, B/NaF) the bleaching process in other groups. The final color and microhardness in three depths of 20–30, 50–60, and 100–120 µm were measured. Data were analyzed using Shapiro–Wilk, one-way ANOVA, Tukey, Games Howell, repeated measurement, and LSD tests. Results. The FHA + B presented the lowest ΔE, significantly lower than other groups, except B/FHA. The ΔE in B/FHA was significantly lower than B/NaF. The bleaching significantly reduced the enamel hardness in three depths. The highest microhardness values were reported for B/NaF and NaF + B, which have no noticeable difference with NC, while FHA/B showed the lowest hardness in three depths, which was significantly lower than NC. Conclusion. The application of NaF before, during, and after the bleaching improved the microhardness of bleached enamel as the unbleached one with no adverse effect on whitening effectiveness.http://dx.doi.org/10.1155/2024/6893472
spellingShingle Hamideh Sadat Mohammadipour
Parnian Shokrollahi
Sima Gholami
Hosein Bagheri
Fatemeh Namdar
Salehe Sekandari
Do Different Tooth Bleaching–Remineralizing Regimens Affect the Bleaching Effectiveness and Enamel Microhardness In Vitro?
International Journal of Dentistry
title Do Different Tooth Bleaching–Remineralizing Regimens Affect the Bleaching Effectiveness and Enamel Microhardness In Vitro?
title_full Do Different Tooth Bleaching–Remineralizing Regimens Affect the Bleaching Effectiveness and Enamel Microhardness In Vitro?
title_fullStr Do Different Tooth Bleaching–Remineralizing Regimens Affect the Bleaching Effectiveness and Enamel Microhardness In Vitro?
title_full_unstemmed Do Different Tooth Bleaching–Remineralizing Regimens Affect the Bleaching Effectiveness and Enamel Microhardness In Vitro?
title_short Do Different Tooth Bleaching–Remineralizing Regimens Affect the Bleaching Effectiveness and Enamel Microhardness In Vitro?
title_sort do different tooth bleaching remineralizing regimens affect the bleaching effectiveness and enamel microhardness in vitro
url http://dx.doi.org/10.1155/2024/6893472
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