title: Effect of delaying toothbrushing during bleaching on enamel surface roughness: an in vitro study.
abstract: This study aimed to evaluate the effect of toothbrushing on enamel surface roughness at three different intervals after daily bleaching treatment. Eighty enamel slabs were initially evaluated for surface roughness and then randomly divided into four groups. The bleaching procedure was carried out for 21 days, six hours daily. In the control group (group 1), the specimens were not brushed after bleaching, but in groups 2-4, they were brushed with toothpaste immediately, one hour, or two hours after bleaching, respectively. Then the specimens were stored in artificial saliva. Enamel surface roughness was reevaluated at the end of the period. Kruskal-Wallis and Mann-Whitney U tests showed statistically significant differences in the means of surface roughness values between the immediately brushed group and the three other groups (p<0.001). Daily toothbrushing immediately after bleaching increased enamel surface roughness; however, postponing the procedure for one or two hours after daily bleaching and exposing the specimens to artificial saliva during the study period resulted in enamel surface roughness comparable to that of the control group.
authors.affiliation: Department of Operative Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran. elmiranavimi@yahoo.com
authors.forename: E J
authors.initials: EJ
authors.lastname: Navimipour
authors.forename: N
authors.initials: N
authors.lastname: Mohammadi
authors.forename: S
authors.initials: S
authors.lastname: Mostafazadeh
authors.forename: M
authors.initials: M
authors.lastname: Ghojazadeh
authors.forename: P A
authors.initials: PA
authors.lastname: Oskoee
mesh_terms: D000077463:Carbamide Peroxide; D003743:Dental Enamel / Q000648:ultrastructure*; D006801:Humans; D010545:Peroxides / Q000627:therapeutic use; D012464:Saliva, Artificial / Q000737:chemistry; D013314:Stress, Mechanical; D013997:Time Factors; D014073:Tooth Bleaching / Q000379:methods*; D058205:Tooth Bleaching Agents / Q000627:therapeutic use; D014099:Toothbrushing / Q000295:instrumentation / Q000379:methods*; D014100:Toothpastes / Q000627:therapeutic use; D014508:Urea / Q000031:analogs & derivatives / Q000627:therapeutic use
chemical_list: D010545:Peroxides; D012464:Saliva, Artificial; D058205:Tooth Bleaching Agents; D014100:Toothpastes; D000077463:Carbamide Peroxide; D014508:Urea