title: Potential of desensitizing toothpastes to reduce the hydrogen peroxide diffusion in teeth with cervical lesions.
abstract: OBJECTIVE
  To evaluate the occlusive potential of four toothpastes by atomic force microscopy (AFM) before and after bleaching and quantify the hydrogen peroxide (HP) diffusion into the pulp chamber after application of desensitizing toothpastes in teeth with cervical lesions.
  
  
  METHODS
  In 52 human extracted premolars, 2-mm deep artificial cervical lesions (ACL) were prepared and rinsed with EDTA for 10 seconds. Then teeth were adapted in a brushing machine and brushed with one of the following toothpastes [Regular toothpaste with no occlusive compounds Colgate Cavity Protection (CP), Oral-B Pro Health (OB), Colgate ProRelief (PR) and Sensodyne Rapid Relief (RR)] under constant loading (250 g; 4.5 cycles/seconds; 3 minutes). In 13 teeth (control group), no artificial cervical lesion was prepared. After that, the teeth were bleached with 35% HP with three 15-minute applications. The HP diffusion was measured spectrophotometrically as a stable red product based on HP reaction with 4-aminoanthipyrine and phenol in presence of peroxidase, at a wavelength of 510 nm and the dentin surfaces of ACL were evaluated before and after bleaching by AFM. Data was statistically analyzed by one-way ANOVA and Tukey's test (alpha = 0.05).
  
  
  RESULTS
  In the AFM images, some modifications of the dentin surface were observed after application of OB and RR. However, only for RR the formation of a surface deposit was produced, which occluded the majority of the dentin tubules. Also, only for RR, this deposit was not modified/removed by bleaching. Despite this, all groups with ACL showed higher HP penetration than sound teeth, regardless of the toothpaste used (P < 0.001).
authors: Andrés
authors: A
authors: Dávila-Sánchez
authors: Andrés Fernando
authors: AF
authors: Montenegro
authors: Arana-Gordillo
authors: AG
authors: Alfonso
authors: Paulo Vitor
authors: PV
authors: Farago
authors: Alessandro D
authors: AD
authors: Loguercio
authors: Alessandra
authors: A
authors: Reis
mesh_terms: D057133:Dentin Desensitizing Agents / Q000627:therapeutic use*; D003807:Dentin Sensitivity / Q000517:prevention & control*; D004058:Diffusion; D006801:Humans; D006861:Hydrogen Peroxide / Q000737:chemistry*; D018625:Microscopy, Atomic Force; D019237:Tooth Cervix / Q000473:pathology*; D014100:Toothpastes
chemical_list: D057133:Dentin Desensitizing Agents; D014100:Toothpastes; D006861:Hydrogen Peroxide