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Influence of 7.5% hydrogen peroxide containing calcium, ACP, fluoride and hydroxyapatite on microhardness, surface roughness, color change and micromorphology of human enamel

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Author(s):
Robson Tetsuo Sasaki
Total Authors: 1
Document type: Master's Dissertation
Press: Piracicaba, SP.
Institution: Universidade Estadual de Campinas (UNICAMP). Faculdade de Odontologia de Piracicaba
Defense date:
Examining board members:
Flavio Henrique Baggio Aguiar; Fabiana Mantovani Gomes França; José Roberto Lovadino
Advisor: Flavio Henrique Baggio Aguiar
Abstract

The aim of this in vitro study was to determine the microhardness, surface roughness, micromorphology and color change analysis of enamel submitted to with home-use bleaching treatment 7.5% hydrogen peroxide (HP) added with calcium, amorphous calcium phosphate (ACP), fluoride and/or hydroxyapatite (HA). Three commercial treatment agents: (Pola Day 7.5% (PD), Day White ACP 7.5% (DW), White Class 7.5% Calcium (WC)), three experimental bleaching agents (7.5% HP + NaF (PHF), HP + 7.5% HA (PHH) and PH + 7.5% NaF + HA (PHFH)), a negative control (Gel without 7.5% hydrogen peroxide - NC) and a positive control (Gel with 7.5% hydrogen peroxide - PC) groups were evaluated (n=10). The treatment agents were applied according to the manufacturer's recommendation and experimental agents were applied for 1,5 hour daily. Then all the specimens were immersed in artificial saliva for the rest of the day, in a total of 21 days of treatment. After the treatment phase, the specimens were stored in artificial saliva for 14 days. Microhardness tests, surface roughness, micromorphology of the enamel and color change analysis were performed at baseline, 7, 14, 21 days of treatment, 7 and 14 days post-treatment. For the statistical analysis, means were compared using the Tukey-Kramer test at a significance level of 5%. As results, the surface roughness test (Ra) presented increase in all experimental groups (PHF, PHH and PHFH) and commercial groups DW and WC in function of time. The microhardness test (KHN) showed a significant increase for the group PHH and a significant reduction on DW group, while the other groups did not show statistical difference in function of timespan study. For the color change analysis test, all the groups presented bleaching effectiveness, except the group NC, and the PHH group was the only one that showed similar values compared to the commercial bleaching agents at all times of study. In the morphological analysis, changes were observed as the presence of porosities in most groups, except on NC group, and deposition of hydroxyapatite crystals on groups PHH and PHFH. It was concluded that the bleaching treatment containing hydroxyapatite provided color changes similar to commercial bleaching agents, was able to increase the microhardness values, and that when this component is formulated with or without fluoride, it can lead to an increase in surface roughness due to deposition of hydroxyapatite crystals over the enamel surface, as observed by analysis of scanning electron microscopy (AU)

FAPESP's process: 09/03354-2 - Microhardness, superficial rugosity, morphologic and color analysis of enamel submitted to bleaching treatments, using bleaching agents containing Calcium, ACP, Fluoride and/or Hydroxyapatite
Grantee:Robson Tetsuo Sasaki
Support Opportunities: Scholarships in Brazil - Master