The effect of bleaching treatments containing added calcium and combined with neutral or acidic fluoride gels on tooth enamel was investigated in vitro through Knoop microhardness (KHN) and surface roughness (SR) measurements. A total of 60 bovine incisors were tested, including 30 for SR measurements and 30 for KHN measurements. The specimens were divided into 12 groups and subjected to a bleaching agent with hydrogen peroxide 35% (Whiteness HP 35% Maxx, FGM) or hydrogen peroxide 35% with calcium (Whiteness HP 35% Blue Calcium, FGM) and a fluoride treatment flugel acidulated phosphate fluoride (APF) or flugel neutral fluoride (NF). Control specimens were submitted to bleaching treatments without fluoride. Microhardness tests were performed using a Knoop indentor. Roughness measurements were obtained using a roughness analyzer. Measurements were obtained before and after treatment. The specimens were stored in distilled water at 37 °C between treatments. The results were analyzed using descriptive and inferential statistics. Treatments using APF combined with 35% HP caused a decrease in microhardness, while NF combined with HP 35% Ca increased the enamel hardness. Fluoride gels did not alter the SR of the bleached enamel.

Objective:This in vitro study analyzed the effects of a bleaching treatment containing 35% hydrogen peroxide (HP) with or without calcium on bovine enamel, using the Knoop hardness number (KHN), tristimulus colorimetry (TC), and scanning electron microscopy.Materials and Methods:Forty-five specimens were randomly divided into groups (n = 5), which included artificial saliva (negative control [NC]), 35% HP (positive control [PC]), and 35% HP Blue Calcium (HP Blue). The specimens were subjected to three bleaching sessions. During the sessions, the specimens were immersed in artificial saliva at 37°C. Before and after bleaching, KHN tests were conducted using a force of 25 gf for 5 s. TC was performed using the CIE-L*a*b* system and readouts were obtained at the following 4 time points: Before the bleaching treatment; after the first session, the second session, and the third session. The specimens were dehydrated and coated with gold, and the photomicrographs were analyzed in a double-blind manner with a LEO microscope.Results:Using one-way analysis of variance and Tukey's test (P < 0.05), a statistically significant difference was identified between the initial and final mean KHNs of the NC and PC groups, while the initial and final mean KHNs were not significantly different in the HP Blue group. The final mean values of ΔE, ΔL, and Δb of the PC and HP Blue groups were significantly higher than the initial values (P < 0.01 for both). The photomicrographs revealed no differences among the groups.Conclusions:Therefore, treatment with HP Blue prevented changes in the KHN without reducing the efficacy of bleaching.

In-office bleaching with high-concentration HP and 2% NaF at neutral pH promoted the least changes in enamel hardness, SR, and morphology compared to other treatments.

Background:Dental whitening has been increasingly sought out to improve dental aesthetics, but may cause chemical and morphological changes in dental enamel surfaces.Objective:Assess in situ the effects of high-concentration hydrogen peroxide with and without fluoride on human dental enamel using the ion chromatography test (IC) and the Knoop hardness test (KHN).Material and Methods:Nineteen enamel specimens were prepared using third human molars. These specimens were fixed on molars of volunteers and were divided into groups: OP38-Opalescence Boost PF38%, PO37-Pola Office 37.5% and CO-Control group. For chemical analysis (n= 3), the dentin layer was removed, keeping only the enamel, which was subjected to acidic digestion by microwave radiation. It was necessary to perform sample dilutions for the elements fluorine (F), calcium (Ca) and phosphorus (P) for quantification using the IC test. The KHN (n= 5) was performed before and after the treatments. Five indentations were made, separated by 100 µm, for each specimen using a load of 25 gf for 5 seconds in the microdurometer. The data were analyzed using ANOVA with a 5% significance level.Results:The OP38 group had the largest concentrations of F, Ca and P ions. The PO37 group showed the lowest concentrations of F and Ca ions. The average KHN was not significantly different between the OP38 and PO37 groups.Conclusion:Enamel whitened with hydrogen peroxide containing fluoride had greater concentrations of F, Ca and P ions. The presence of fluoride in the whitening agent did not influence the enamel microhardness.

Efeito in situ de agentes bioativos no esmalteIn situ effect of bioactive agents on enamel