Maryam Khoroushi1, Ali Ghazalgoo. 1. Dental Materials Research Center and Department of Operative Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Abstract
OBJECTIVE: Tooth sensitivity is common after vital tooth bleaching. The aim of this study is to evaluate the effect of a desensitizing agent on shear bond strength of composite resin to bleached enamel; and determine whether a delay of one or two weeks in bonding procedure is sufficient subsequent to bleaching/desensitizer regimen. MATERIALS AND METHODS: Buccal enamel surfaces of ninety-six human sound molars were prepared and divided into eight groups. The surfaces of specimens in Group 1 as negative control group were bonded by composite resin using the single bond adhesive. Specimens in Groups 2-4 were bleached with an at-home bleaching agent (Daywhite ACP). Relief ACP desensitizing gel alone was applied in Group 5. In Groups 6-8, specimens were bleached same as in Group 2 and relief ACP desensitizing gel was applied same as in Group 5 subsequent to each bleaching session. Composite cylinders were bonded after 24 h, 7 days and 14 days in Groups 2-4, respectively, and also in Groups 6-8, respectively. The shear bond strengths of the cylinders were tested and data was analyzed using two-way ANOVA and Tukey test (α = 0.05). RESULTS: The results showed that bleaching and bleaching/desensitizer regimens significantly reduced the bond strength of composite resin to enamel. However, desensitizer alone did not reduce bond strength. No statistically significant differences were found between bleaching and bleaching/desensitizer regarding bond strength. CONCLUSION: Bleaching or bleaching/desensitizer treatment significantly decreases bond strength of composite resin to enamel. In both regimens, adhesive bonding is recommended after two weeks.
OBJECTIVE: Tooth sensitivity is common after vital tooth bleaching. The aim of this study is to evaluate the effect of a desensitizing agent on shear bond strength of composite resin to bleached enamel; and determine whether a delay of one or two weeks in bonding procedure is sufficient subsequent to bleaching/desensitizer regimen. MATERIALS AND METHODS: Buccal enamel surfaces of ninety-six human sound molars were prepared and divided into eight groups. The surfaces of specimens in Group 1 as negative control group were bonded by composite resin using the single bond adhesive. Specimens in Groups 2-4 were bleached with an at-home bleaching agent (Daywhite ACP). Relief ACP desensitizing gel alone was applied in Group 5. In Groups 6-8, specimens were bleached same as in Group 2 and relief ACP desensitizing gel was applied same as in Group 5 subsequent to each bleaching session. Composite cylinders were bonded after 24 h, 7 days and 14 days in Groups 2-4, respectively, and also in Groups 6-8, respectively. The shear bond strengths of the cylinders were tested and data was analyzed using two-way ANOVA and Tukey test (α = 0.05). RESULTS: The results showed that bleaching and bleaching/desensitizer regimens significantly reduced the bond strength of composite resin to enamel. However, desensitizer alone did not reduce bond strength. No statistically significant differences were found between bleaching and bleaching/desensitizer regarding bond strength. CONCLUSION: Bleaching or bleaching/desensitizer treatment significantly decreases bond strength of composite resin to enamel. In both regimens, adhesive bonding is recommended after two weeks.