Objective: To investigate the effect of permeable resin on the surface structure, microhardness and color of tooth enamel after bleaching. Methods: Premolars extracted for orthodontic needs were selected (provided by the Department of Oral and Maxillofacial surgery of the first affiliated Hospital of Zhengzhou University) and randomly divided into A, B and C 3 groups. Each group was randomly divided into control subgroup, resin subgroup, bleaching subgroup and combined subgroup. Samples in the control subgroup did not receive any treatment. Those in the bleaching subgroup and combined subgroup were treated with cold light whitening. Those in the resin group and combined group were treated with permeable resin. Samples in the group A were observed by scanning electron microscope immediately after treatment and 2 weeks after treatment, and the microhardness of samples in the group B was measured before treatment, immediately after treatment and 2 weeks after treatment (the sample size of each time point was 8 in each subgroup). In group C, chromaticity was measured and chromatic aberration (ΔE value) was calculated before treatment, immediately after treatment and 1 and 2 weeks after treatment (10 samples in each subgroup). Results: Scanning electron microscope showed that the enamel surface of the resin subgroup and the combined group was smooth immediately after treatment, which was basically the same as that of the control subgroup, but covered with resin, and microporous defects and mineral deposits could be seen on the surface of the bleaching subgroup. Two weeks after treatment, the enamel surface of each subgroup was smooth, there was no obvious difference. Immediately after treatment, the microhardness of the control subgroup, resin subgroup, bleaching subgroup and combined subgroup were (354±33), (364±21), (411±30) and (350±17) HV, respectively (F=9.39,P<0.05). The microhardness of the bleaching subgroup was significantly higher than that of the other subgroups (P<0.05). There was no significant difference in microhardness among the four subgroups before treatment and 2 weeks after treatment (F=0.34, 2.75, P>0.05). Immediately after treatment, the ΔE values of the control subgroup, resin subgroup, bleaching subgroup and combined subgroup were 0.00±0.00, 2.29±1.86, 7.20±1.94 and 8.00±0.88, respectively (F=74.21,P<0.05); except that there was no significant difference between bleaching subgroup and combined subgroup (P>0.05), there were significant differences among the other subgroups (P<0.05). There was no significant difference in ΔE value among control subgroup, resin subgroup and bleaching subgroup at each time point (F=1.66, 0.30, 0.96, P>0.05). The difference in the combined subgroup immediately after treatment was significantly higher than that at 1 and 2 weeks after treatment (t=4.73, 4.23,P<0.05), but there was no significant difference between 1 and 2 weeks after treatment (t=0.75, P>0.05), and the color tended to be stable. Conclusions: When whitening healthy enamel, simple cold light whitening or cold light whitening combined with permeation resin can achieve whitening effect.
Color ; Dental Enamel ; Hardness ; Humans ; Hydrogen Peroxide/pharmacology* ; Tooth Bleaching/adverse effects* ; Tooth Bleaching Agents/pharmacology*

OBJECTIVETo evaluate the effect of carbamide peroxide (CP) bleaching agents at different concentrations and with different carriers on the micro-leakage of composite resin interface.

METHODSClass V cavity (2 mm in diameter and 2 mm in depth) preparations were made at the enamelo-cemental junction on the buccal and lingual surfaces of 35 extracted human premolars. The cavities were filled with hybrid composite resin. The teeth were stored for 24 h in distilled water at 37 degrees celsius; before thermocyling for 500 times between 5 and 55 degrees celsius;. The teeth were then randomly assigned into 7 groups, and in groups 1-6, the bleaching gels containing 10% or 20% of CP were applied on the buccal and lingual surface of the teeth for two weeks (6-8 h/day, 37 degrees celsius;, 100% relative humidity) using Carbopol, PVP or Poloxamer as the thickening carriers, respectively. The seventh group served as the control without bleaching treatment. Nail polish was applied to the surface of the tooth, and all the teeth were immersed in ammoniacal silver nitrate solution followed by developing solution. The teeth were finally sectioned through the midline of the restoration and observed under stereomicroscope. SEM micrographs were also made to observe the interface.

RESULTSWith the same bleaching agent, the micro-leakage in the gingival wall was slightly greater than in the occlusive wall, but the difference was not significant. Only 20% CP with Poloxamer as the thickening agent significantly increased the leakage of dentine-resin composite interface, and 10% and 20% CP with Carbopol or PVP as the thickening agents and 10% CP with Poloxamer produced minimal effects on filling the micro-leakage.

CONCLUSIONThickening carriers and the concentration of CP (20% or below) have no significant effect on micro-leakage of composite resin.

Bicuspid ; Bleaching Agents ; chemistry ; Composite Resins ; chemistry ; Dental Caries ; therapy ; Dental Leakage ; chemically induced ; Dental Restoration, Permanent ; methods ; Humans ; Peroxides ; chemistry ; Tooth Bleaching ; adverse effects ; Urea ; analogs & derivatives ; chemistry