In vitro microleakage of composite restorations after nonvital bleaching.
OBJECTIVE
After bleaching treatment, esthetic restorations often need to be replaced due to color changes. Some papers have shown alterations in the bond of adhesive restorations to bleached teeth. The purpose of this study was to evaluate tooth and resin composite adhesion when submitted to nonvital dental bleaching.


METHODS
One hundred and twenty bovine teeth were assigned to 3 groups (n = 40); paste of sodium perborate and water; 37% carbamide peroxide gel; and no bleaching (control). After 3 weeks of continuous bleaching treatment, standardized Class V cavities were prepared at the cementoenamel junction and restored with Single Bond adhesive system and Z100 resin composite. The samples were thermocycled 1,500 times (5 +/- 1/55 +/- 1 degrees C) with a 1-minute dwell time. Then, they were immersed in a 2% methylene blue solution (pH 7) for 4 hours, sectioned, and analyzed by stereomicroscopy. Microleakage analyses were done, using scores from 0 to 4, considering leakage on the incisal wall (enamel) and the cervical wall (dentin). Data were analyzed by Kruskal-Wallis and Mann-Whitney tests (alpha = 0.05).


RESULTS
The results showed that sodium perborate and carbamide peroxide gel significantly increase the microleakage in Class V resin composite restorations to dentin but not to enamel margins.


CONCLUSIONS
The risk of microleakage in dentin margins is increased soon after bleaching treatment.
Shinohara
M S
MS
School of Dentistry of Piracicaba, University of Campinas, Piracicaba, São Paulo, Brazil.
Rodrigues
J A
JA
Pimenta
L A
LA
D000818:Animals; D001881:Borates / Q000009:adverse effects; D000077463:Carbamide Peroxide; D002417:Cattle; D016009:Chi-Square Distribution; D003188:Composite Resins; D001840:Dental Bonding; D003763:Dental Leakage / Q000209:etiology*; D003793:Dental Restoration, Permanent; D004338:Drug Combinations; D010545:Peroxides / Q000009:adverse effects; D011897:Random Allocation; D012822:Silicon Dioxide; D018709:Statistics, Nonparametric; D014073:Tooth Bleaching / Q000009:adverse effects* / Q000379:methods; D019553:Tooth, Nonvital; D014508:Urea / Q000009:adverse effects / Q000031:analogs & derivatives; D015040:Zirconium
D001881:Borates; D003188:Composite Resins; D004338:Drug Combinations; D010545:Peroxides; C083568:Z100 composite resin; D000077463:Carbamide Peroxide; D012822:Silicon Dioxide; D014508:Urea; D015040:Zirconium; C027707:sodium perborate