No abstract

Natrosol and Aristoflex® AVC polymers are widely applied in the cosmetic industry and have recently been applied as a thickener option in the composition of dental bleaching gels, with the purpose to reduce the adverse effects on enamel mineral components. The aim of this study was to evaluate the color variation (ΔE* ab, ΔE00, ∆WID), surface roughness (Ra), and mineral content quantification (Raman Spectroscopy) of dental enamel after bleaching treatment with experimental gel-based on 10% carbamide peroxide (CP), containing Carbopol, Natrosol, and Aristoflex® AVC. Sixty bovine teeth were randomly divided into 6 groups (n=10): Negative Control (NC) - no treatment; Positive Control (PC) - Whiteness Perfect 10% - FGM; CP with Carbopol (CPc); CP with Natrosol (CPn); CP with Aristoflex® AVC (CPa); NCP - no thickener. Data were analyzed, and generalized linear models (∆WID -T0 x T1) were used for repeated measurements in time for Ra and with a study factor for ΔE* ab and ΔE00. For the evaluation of the mineral content, data were submitted to one-way ANOVA and Tukey tests. For enamel topographic surface analysis the Scanning Electron Microscope (SEM) was performed. A significance level of 5% was considered. ΔE* ab and ΔE00 were significantly higher for CPc, CPn, CPa, and NCP groups. (∆WID) showed a significantly lower mean than the other groups for NC in T1. After bleaching (4-hour daily application for 14 days), Ra was higher in the CPc, CPn, and PC groups. For CPa, Ra was not altered. No significant difference was found in the quantification of mineral content. CPa preserved the surface smoothness more effectively. Aristoflex® AVC is a viable option for application as a thickener in dental bleaching gels, presenting satisfactory performance, and maintaining the whitening efficacy of the gel, with the advantage of preserving the surface roughness of tooth enamel without significant loss of mineral content.

The aim of this study was to evaluate the effect of using dentifrices containing tricalcium phosphate (β-TCP) on microhardness, enamel color, and topography before bleaching treatment with 35% hydrogen peroxide (HP).  Fifty bovine incisor enamel/dentin blocks (4 × 4 × 2 mm) were randomized into five groups (n=10): (C) negative control (no treatment), positive control (35% HP), Colgate Total 12 then 35% HP (CT 12 + 35% HP), Elmex Sensitive then 35% HP (ES + 35% HP), and Bianco Pro Clinical then 35% HP (BPC + 35% HP). Knoop microhardness (KHN) and scanning electron microscopy (SEM) were performed. The color was evaluated using CIELAB (∆Eab*) and CIEDE 2000 (∆E00) in 3 times: initial time (T0), 24 hours after exposure to dentifrice (T1), and 24 hours after bleaching treatment (T2). Data for microhardness, ∆Eab*, and ∆E00 data were analyzed using generalized linear models, considering the model’s group effect. The ∆L, ∆a, and ∆b data were analyzed using Kruskal–Wallis and Dunn’s nonparametric tests. A significance of 5% was used. KHN was significantly higher in the BPC + 35% HP and ES + 35% HP groups than in the C and 35% HP groups (p=0.0295). ∆L was greater in the groups that received 35% HP than in the C group 24 hours after bleaching (p=0.0001). There was no significant difference between groups in ∆Eab* (p=0.0679) and ∆E00 (p=0.1463) 24 hours after bleaching. Using dentifrices containing β-TCP before bleaching treatment with 35% HP increases enamel microhardness but does not significantly alter tooth color. Clinical Significance: Dentifrices containing β-TCP in their formulation increase enamel microhardness without interfering with substrate color when used with previous in-office tooth bleaching.

Objetives: To evaluate the effect of using dentifrices containing tricalcium phosphate (β-TCP) on microhardness, enamel color, and topography before bleaching treatment with 35% hydrogen peroxide (HP). Material and Methods: Fifty bovine incisor enamel/dentin blocks (4 × 4 × 2 mm) were randomized into five groups (n=10): negative control (no treatment; C), positive control (35% HP), Colgate Total 12 then 35% HP (CT 12 + 35% HP), Elmex Sensitive then 35% HP (ES + 35% HP), and Bianco Pro Clinical then 35% HP (BPC + 35% HP). Knoop microhardness (KHN) and scanning electron microscopy (SEM) were performed. The color was evaluated using CIELAB and CIEDE 2000. A significance of 5% was used. Results: KHN was significantly higher in the BPC + 35% HP and ES + 35% HP groups than in the C and 35% HP groups (p=0.0295). ∆L was greater in the groups that received 35% HP than in the C group 24 hours after bleaching (p=0.0001). There was no significant difference between groups in ∆Eab* (p=0.0679) and ∆E00 (p=0.1463) 24 hours after bleaching. Conclusion: Using dentifrices containing β-TCP before bleaching treatment with 35% HP increases enamel microhardness but does not significantly alter tooth color. Clinical Relevance: Dentifrices containing β-TCP in their formulation increase enamel microhardness without interfering with substrate color when used with previous in-office tooth bleaching.

Background: Different treatment protocols for teeth affected by fluorosis have been applied. Among them, microabrasion associated with tooth bleaching has presented satisfactory results in the treatment of intrinsic and/or extrinsic staining. Case Presentation: A 22-year-old female patient attended at the Dental Clinic of FOP/UNICAMP, reporting dissatisfaction with her smile due to the presence of white striations contrasting with the yellowish hue of the other teeth. Initially, the adequacy of the oral environment was performed by supragingival scraping and prophylaxis. Due to the characteristics of the staining, fluorosis TF3, the treatment plan consisted of teeth whitening with 35% hydrogen peroxide (Whiteness HP, FGM) and microabrasion (Whiteness RM, FGM). Conclusion: The association of tooth bleaching and microabrasion techniques provided the harmonization of the smile and resolution of the clinical case of the main complaint.