title: The effect of a 10% carbamide peroxide bleaching agent on the microhardness of four types of direct resin-based restorative materials.
abstract: OBJECTIVE
  This in vitro study was undertaken to evaluate the effect of a 10% carbamide peroxide bleaching agent on the microhardness of four types of direct resin-based restorative materials.
  
  
  METHODS
  Thirty disk-shaped specimens (10.0 mm diameter × 2.0 mm depth) of each material, including a microhybrid resin composite (Z250), a nanofilled resin composite (Z350), a silorane-based low-shrink resin composite (P90), and a hybrid resin composite (Valux Plus), were fabricated and then polished with medium, fine, and superfine polishing discs. After being polished, specimens were cleaned with distilled water for 2 min in an ultrasonic bath to remove any surface debris and then stored in distilled water at 37°C for 24 hours. Specimens from each material were divided into three groups (n=10). One group was selected as a control group (nontreated with bleaching agent). The other two groups were treated with bleaching agent for 14 days (group A) and for 14 days followed by immersion in artificial saliva for 14 days (group B). The top surfaces of the specimens in the different groups were also subjected to the Vickers hardness test with a load of 300 g and 15-second dwell time. Data were analyzed with a one-way analysis of variance and Tukey's HSD test (α = 0.05).
  
  
  RESULTS
  There was a general reduction of Vickers hardness numbers (VHN) values of treated groups compared with the control group for each material used, but this reduction was minimal, with no significant difference between groups in Z250, whereas the other three materials (Z350, P90, and Valux Plus) showed a significant reduction of VHN of treated groups compared with the control group. Conversely, the findings showed no significant difference between treated groups A and B in all materials used except P90.
  
  
  CONCLUSIONS
  A 10% carbamide peroxide bleaching agent had an adverse effect on the microhardness of nanofilled, silorane-based low-shrink, and hybrid types of resin-based composite materials compared with the microhybrid type.
authors.affiliation: Operative Dentistry Division, Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia. malqathani@ksu.edu.sa
authors.forename: M Q
authors.initials: MQ
authors.lastname: AlQahtani
mesh_terms: D000077463:Carbamide Peroxide; D003188:Composite Resins / Q000737:chemistry*; D003764:Dental Materials / Q000737:chemistry*; D003775:Dental Polishing / Q000379:methods; D006244:Hardness; D006801:Humans; D008422:Materials Testing; D053761:Nanocomposites / Q000737:chemistry; D010545:Peroxides / Q000737:chemistry*; D012464:Saliva, Artificial / Q000737:chemistry; D062047:Silorane Resins / Q000737:chemistry; D013499:Surface Properties; D013696:Temperature; D013997:Time Factors; D058205:Tooth Bleaching Agents / Q000737:chemistry*; D014508:Urea / Q000031:analogs & derivatives* / Q000737:chemistry; D014867:Water / Q000737:chemistry
chemical_list: D003188:Composite Resins; D003764:Dental Materials; C444701:Filtek Z250; D010545:Peroxides; D012464:Saliva, Artificial; D062047:Silorane Resins; D058205:Tooth Bleaching Agents; C544925:filtek P90; C533204:filtek Z350; C112192:valux plus; D014867:Water; D000077463:Carbamide Peroxide; D014508:Urea