In this work we present the analysis of dental enamel treated with an over-the-counter whitening product, bought in e-commerce at a very low cost, used without medical supervision in an abusive manner, in order to evaluate its demineralization action. Moreover, we studied the influence of renewal or non-renewal of saliva solution in which the specimens were stored throughout the study. The Degree of Demineralization was determined through the evaluation of the PO symmetric stretching band (~959cm) in Raman spectra of the specimens in different days during the course of the study. Results showed that a maximum of demineralization occurred between days 27 and 34 of application. Titration of the whitening product revealed a content of hydrogen peroxide 170-fold higher than what is allowed in Europe, according with legislation. Despite this extreme concentration of hydrogen peroxide, the demineralization was not as great as could be expected suggesting an important role of the pH of the solution in this demineralization mechanism.
The purpose of this in vitro study was to assess whether the mineralization degree and elemental content in tooth enamel are altered when bleaching the teeth with two different over-the-counter bleaching gels, exceeding the recommendations of the manufacturer. In order to perform this evaluation, 12 healthy teeth were used, six samples were treated with Teeth Whitening Home Kit, and the other six samples were treated with WHITE! (Bingo-UK) bought in online shopping sites, for the period of 39 days. The pH of each product and the elemental content of each sample, before and after, were obtained by energy dispersive X-ray spectrometry and phosphate (PO 4 3-) profile was evaluated with Raman spectroscopy. Data was analyzed accordingly to a preestablished plan with a mixed-model ANOVA for repeated measures, significance was set at 5%. Both products were markedly acidic and below enamel critical level of 5.5. Moreover, seven days after treatment, demineralization was significant, wherein at the end of the study the degree of demineralization seems to be permanent.
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