Effect of bleaching agents on calcium loss from the enamel surface.
OBJECTIVE
To compare the Ca2+ loss of enamel treated with 38% hydrogen peroxide (HP), 35% HP with light, and 10% carbamide peroxide (CP).


METHODS
Ten extracted premolars were sectioned buccolingually and longitudinally so that 4 specimens were obtained from each tooth. The specimens were randomly assigned to 1 of 4 groups to receive the following bleaching agents: 38% HP, 35% HP with light, 10% CP, and no agent (control). The specimens were treated with an artificial caries solution (pH 4) for 16 days; the solution was replaced on days 4, 8, 12, and 16. Calcium concentration was determined by an atomic absorption spectrophotometer. Repeated measures ANOVA was performed on concentrations on days 4, 8, 12, and 16.


RESULTS
At the end of day 16, calcium ions released per square millimeter were calculated cumulatively as follows: 38% HP group: 27.52 +/- 5.22 microg/mL; 35% HP with light group: 25.15 +/- 4.99 microg/mL; 10% CP group: 19.53 +/- 4.03 microg/mL; control group: 18.35 +/- 4.00 microg/mL. The differences between the control group and the 35% HP with light group and between the control group and 38% HP group were statistically significant. Although demineralization differences were observed between the control group and the 10% CP group, this difference was not significant.


CONCLUSIONS
It can be concluded that 35% HP with light and 38% HP may cause significantly more loss of Ca2+ from the enamel surfaces than 10% CP. Also, 10% CP does not vary significantly from the control.
Tezel
Hüseyin
H
Associate Professor, Department of Restorative Dentistry and Endodontics, Ege University, Faculty of Dentistry, Bornova, Izmir, Turkey. huseyin.tezel@ege.edu.tr
Ertaş
Ozlem Sögüt
OS
Ozata
Ferit
F
Dalgar
Hande
H
Korkut
Ziya Onur
ZO
D000704:Analysis of Variance; D001641:Bicuspid; D002118:Calcium / Q000032:analysis; D000077463:Carbamide Peroxide; D003743:Dental Enamel / Q000737:chemistry / Q000187:drug effects*; D004305:Dose-Response Relationship, Drug; D004338:Drug Combinations; D006801:Humans; D006861:Hydrogen Peroxide / Q000008:administration & dosage / Q000009:adverse effects*; D008027:Light; D016877:Oxidants / Q000008:administration & dosage / Q000009:adverse effects*; D010545:Peroxides / Q000008:administration & dosage / Q000009:adverse effects*; D013054:Spectrophotometry, Atomic; D013499:Surface Properties / Q000187:drug effects; D014073:Tooth Bleaching / Q000009:adverse effects*; D017001:Tooth Demineralization / Q000139:chemically induced*; D014508:Urea / Q000008:administration & dosage / Q000009:adverse effects / Q000031:analogs & derivatives*
D004338:Drug Combinations; D016877:Oxidants; D010545:Peroxides; D000077463:Carbamide Peroxide; D014508:Urea; D006861:Hydrogen Peroxide; D002118:Calcium