In vitro Assessment of Influence of Various Bleaching Protocols on the Strength of Ceramic Orthodontic Brackets bonded to Bleached Tooth Surface: A Comparative Study

Objective This study aimed to evaluate in vitro the effects of whitening dentifrices on enamel color, the shear bond strength of orthodontic brackets and adhesive remnant index (ARI). Materials and Methods Eighty bovine teeth with brackets were randomly divided into four groups (n = 20): control group (GC)–water, test group 1 (GT1)–Colgate Total 12, test group 2 (GT2)–Curaprox Black Is White, and group test 3 (GT3)–Luminous White. All groups were submitted to brushing, simulating 12 months. The specimens were exposed to spectrophotometer color evaluation and to a shear strength test in a universal test machine using a 300 kN load with a crosshead speed of 0.5 mm/min. The ARI was evaluated with a stereoscopic magnifying glass. Statistical Analysis Nonparametric Kruskal–Wallis and Dunn’s tests were used for the color analysis, and Friedman and Nemenyi tests were used to compare the times in the variable. To compare the shear force between the groups, the data were evaluated by one-way analysis of variance and Tukey’s test, and ARI was analyzed using Fisher’s exact test, always with a significance level of 5%. Results In the color analysis, GT3 presented the greatest progression in whitening effect. GT1 had greater shear strength than GT3 did (p ≤ 0.05). For ARI, the score 1 was predominant in the GC and GT1. The GT2 and GT3 groups had scores of 3. Conclusion The whitening dentifrices promoted significant color change over the 12-month brushing time and may have interfered in the resistance to shear bond strength and ARI.

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Whitening Dentifrices Effect on Enamel with Orthodontic Braces after Simulated Brushing

Torres

Lima

Valdrighi

et al. 2020

Eur J Dent

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Effect of bleaching treatments on the adhesion of orthodontic brackets: a systematic review

Boccuzzi,

Nota,

Cosola

et al. 2023

BMC Oral Health

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Background Nowadays bleaching procedures have gained popularity in orthodontic patients. Peroxide and Carbamide acids are the common agents which are used in in-office and at home bleaching techniques. Consequently, the Bonding adhesion to the enamel can be influenced by the orthodontic phase and the residual peroxide might interfere with the polymerization and the adhesion of the brackets. Frequent debonding of the brackets from teeth after the bleaching procedure could cause the lengthening of the therapy and promote irregularities on enamel surface derived from an additional bonding phase of the brackets. The aim of this systematic review is to appraise the influence regarding the effect of the bleaching procedure on the bond strength of orthodontic brackets. Methods An electronic database search was performed. Search terms included: bleaching, brackets, adhesion; data were extracted and summarized. Risk of bias was assessed using the Chocrane risk of bias tool, adapted for in vitro studies. Results A total of 8689 articles were screened and 11 studies met the inclusion criteria of this systematic review. 1000 teeth of human and bovine origin were analyzed for the shear bond strength (SBS) of stainless and ceramic brackets after the bleaching treatments. All the authors divided the groups in different subgroups with different bleaching agents and in different concentration. The SBS value allowed to demonstrate the necessity to delay the bonding of the brackets for two weeks after a bleaching treatment and its improvement when tooth mousse or antioxidants agents are used. Conclusions The SBS values and the delay of the bonding procedure must be considered in dental practice and clinical strategies are necessary in order to avoid drawbacks which could cause the debonding of the brackets after bleaching due to the alterations of the dental substrate, thus interfering with the orthodontic treatments.

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The Effect of 10% Sodium Ascorbate and Er: YAG Laser on the Microtensile Bond Strength of Composite Resin to Bleached Enamel

Zakavi,

Gholizade,

Etemadi

2023

TODENTJ

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Background: There are various methods proposed to prevent the reduction of substrate micro tensile bond strength to bleached enamel. Therefore, this study aims to evaluate and compare the effectiveness of two common methods, namely 10% sodium ascorbate and Er:YAG laser irradiation, in increasing the microtensile bond strength of composite resins to bleached enamel. Methods: In this in vitro study, 72 maxillary premolar teeth were divided into four equal groups: bleached control group, unbleached control group, treated with 10% sodium ascorbate, and Er:YAG laser-treated group (60 mJ, frequency = 10 Hz, and power of 0.6 W with a 400-µm diameter tip). The samples were cut by a CNC cutting machine for a microtensile bond strength test. Results: The Er:YAG laser group showed the highest mean bond strength (27.3 MPa), while the bleached control group had the lowest (15.06 Mpa). There was a significant difference between the bleached and unbleached control groups (P<0.001). Samples prepared with 10% sodium ascorbate and the Er:YAG group had higher tensile bond strength than the bleached control group (P<0.0001). Tensile bond strengths were not significantly different between the 10% sodium ascorbate and the Er:YAG laser preparation groups (P=0.361). Conclusion: The findings of this study indicate that the microtensile bond strength of composite resins to bleached enamel can be increased by 10% sodium ascorbate and Er:YAG laser irradiation.

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In vitro Assessment of Influence of Various Bleaching Protocols on the Strength of Ceramic Orthodontic Brackets bonded to Bleached Tooth Surface: A Comparative Study

Cited by 3 publications

References 15 publications

Whitening Dentifrices Effect on Enamel with Orthodontic Braces after Simulated Brushing

Whitening Dentifrices Effect on Enamel with Orthodontic Braces after Simulated Brushing

Effect of bleaching treatments on the adhesion of orthodontic brackets: a systematic review

The Effect of 10% Sodium Ascorbate and Er: YAG Laser on the Microtensile Bond Strength of Composite Resin to Bleached Enamel

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