Influence of intracoronal bleaching agents on the ultimate strength and ultrastructure morphology of dentine.
OBJECTIVE
To evaluate the effects of intracoronal bleaching on ultimate tensile strength (UTS) of sound and etched dentine and its ultrastructure morphology.


METHODS
Bovine dentine specimens with (e) or without previous etching with 37% phosphoric acid for 15 s were used for the intracoronal bleaching experiments. Teeth were randomly assigned to five treatments (n = 10): (C) control--no bleaching, (SP) sodium perborate, (CP) 35% carbamide peroxide, (25% HP) 25% hydrogen peroxide and (35% HP) 35% hydrogen peroxide. Bleaching was performed four times within a 72 h interval and afterwards, dentine pulp chamber blocks were obtained. The blocks were sectioned in 0.7 mm-thick slices and these were trimmed to reduce the inner dentine to a dumbbell shape with a cross-sectional area of 0.8 mm(2). Specimens were tested with the microtensile method (0.5 mm min(-1)) and data were analysed (two-way ANOVA-Tukey test, P < 0.05). Additional teeth were prepared for transmission electron microscopy (TEM) to evaluate dentine ultramorphology.


RESULTS
The mean values of the UTS (SD) in MPa for sound dentine were: C = 48.3(8.5)a, SP = 34.6 (8.2)b, CP = 32.9 (8.9)b, 25% HP = 28.0(4.6)b, 35% HP = 26.4(6.6)b, and pre-etched dentine: Ce = 38.9(13.8)a, SPe = 31.3 (9.3)ab, CPe = 28.4 (6.2)ab, 25% HPe = 30.0 (7.9)ab, 35% HPe = 19.9(4.6)b. Significant differences between the means are indicated by the letters. TEM observations exhibited demineralization areas for all bleaching treatments.


CONCLUSIONS
Bleaching decreased dentine UTS after treatment. Pre-etched not-bleached dentine (Ce) presented UTS similar to pre-etched bleached dentine, except for 35% HPe. The decrease of UTS of bleached dentine could be attributed to ultrastructural alterations such as loss of inorganic components.
Cavalli
V
V
Division of Operative Dentistry, Department of Dentistry, University of Taubaté, Taubaté, SP, Brazil.
Shinohara
M S
MS
Ambrose
W
W
Malafaia
F M
FM
Pereira
P N R
PN
Giannini
M
M
D000134:Acid Etching, Dental; D000818:Animals; D001031:Apatites / Q000032:analysis; D001881:Borates / Q000008:administration & dosage / Q000494:pharmacology; D000077463:Carbamide Peroxide; D002417:Cattle; D003094:Collagen / Q000187:drug effects / Q000648:ultrastructure; D003786:Dental Pulp Cavity / Q000187:drug effects* / Q000648:ultrastructure; D003804:Dentin / Q000187:drug effects* / Q000648:ultrastructure; D004338:Drug Combinations; D006861:Hydrogen Peroxide / Q000008:administration & dosage / Q000494:pharmacology; D046529:Microscopy, Electron, Transmission; D016877:Oxidants / Q000008:administration & dosage / Q000494:pharmacology*; D010545:Peroxides / Q000008:administration & dosage / Q000494:pharmacology; D010756:Phosphoric Acids / Q000008:administration & dosage; D011897:Random Allocation; D016369:Smear Layer; D013314:Stress, Mechanical; D013718:Tensile Strength; D013997:Time Factors; D014073:Tooth Bleaching / Q000379:methods*; D017001:Tooth Demineralization / Q000139:chemically induced / Q000473:pathology; D019553:Tooth, Nonvital / Q000473:pathology; D014508:Urea / Q000008:administration & dosage / Q000031:analogs & derivatives / Q000494:pharmacology
D001031:Apatites; D001881:Borates; D004338:Drug Combinations; D016877:Oxidants; D010545:Peroxides; D010756:Phosphoric Acids; D000077463:Carbamide Peroxide; D014508:Urea; D003094:Collagen; D006861:Hydrogen Peroxide; C030242:phosphoric acid; C027707:sodium perborate