Analysis of tooth enamel after excessive bleaching: a study using scanning electron microscopy and energy dispersive x-ray spectroscopy.

ROA Souza, GHL Lombardo, S Pereira… - International …, 2010 - search.ebscohost.com
ROA Souza, GHL Lombardo, S Pereira, SC Zamboni, MC Valera, MAM Araújo, M Özcan
International Journal of Prosthodontics, 2010search.ebscohost.com
This study assessed alterations on bovine enamel after excessive bleaching. Coronal
portions of bovine teeth (n= 30) were sectioned and divided into three groups (n= 10 per
group). The coronal parts were further cut incisocervically into two halves. While one half
received no bleaching (control), the other half was subjected to either one (group 1), three
(group 2), or five bleaching sessions (group 3) with 35% hydrogen peroxide. The enamel
surfaces were then analyzed using scanning electron microscopy and energy dispersive x …
Abstract
This study assessed alterations on bovine enamel after excessive bleaching. Coronal portions of bovine teeth (n= 30) were sectioned and divided into three groups (n= 10 per group). The coronal parts were further cut incisocervically into two halves. While one half received no bleaching (control), the other half was subjected to either one (group 1), three (group 2), or five bleaching sessions (group 3) with 35% hydrogen peroxide. The enamel surfaces were then analyzed using scanning electron microscopy and energy dispersive x-ray spectroscopy (EDS). Excessive bleaching affected the surface morphology and chemistry of the bovine enamel. EDS analysis showed the highest decrease in calcium ion percentages in groups 2 and 3 when compared to their nonbleached halves. Oxygen and phosphorus percentages were comparable on both the control and bleached enamel, regardless of the number of bleaching sessions. Consecutive bleaching sessions with 35% hydrogen peroxide may lead to morphologic and specific elemental changes when performed in a short period of time. Calcium ion percentages may decrease when this bleaching agent is used for more than one session.
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