Eman H Ismail1, Evren Kilinc2, Patrick C Hardigan3, James K Rothrock4, Jeffrey Y Thompson5, Cristina Garcia-Godoy6. 1. Oral Sciences Program, College of Dentistry, University of Iowa Iowa City, IA, USA; Restorative Dentistry Division, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh Kingdom of Saudi Arabia, 801 Newton Road (N411), Iowa City, IA 52242, Phone: +13193357611, e-mail: eman-ismail@uiowa.edu. 2. Department of Cariology and Restorative Dentistry, College of Dental Medicine, Nova Southeastern University, Fort Lauderdale, FL, USA. 3. Department of Public Health, College of Osteopathic Medicine Nova Southeastern University, Fort Lauderdale, FL, USA. 4. Bioscience Research Center, College of Dental Medicine, Nova Southeastern University, Fort Lauderdale, FL, USA. 5. Department of Prosthodontics, College of Dental Medicine Nova Southeastern University, Fort Lauderdale, FL, USA. 6. Restorative Department; Director of Clinical Research, College of Dental Medicine, Nova Southeastern University, Fort Lauderdale FL, USA.
Abstract
AIM: The aim of this study is to assess the effect of 35% sodium ascorbate on microtensile bond strength of dentin immediately after bleaching with 35% hydrogen peroxide. MATERIALS AND METHODS:A total of 25 sound human 3rd molars were collected. Teeth were randomly divided into five groups for different treatments: Group I [bleaching + immediate bonding (i.e., restoration)], group II (bleaching + delayed bonding), group III (bleaching + sodium ascorbate + immediate bonding), group IV (bleaching + sodium ascorbate + delayed bonding), and group V (bonding only). After bleaching, but before bonding, groups II and IV were stored for 1 week in deionized water at 37°C. All samples were bonded using OptiBoned FL (Kerr) and Filtek Supreme (3M/ESPE). Teeth were sectioned into 1 × 1 mm 2 bars, and microtensile bond strength was tested with a universal testing machine (Instron 8841) at a cross-head speed of 0.5 mm/minute. RESULTS:Microtensile bond strength differed significantly across the five groups, with a significant reduction in microtensile bond strength observed for samples in group I relative to samples in any of the other treatment groups (p < 0.05). CONCLUSION: The application of a high concentration of sodium ascorbate for a shorter time reversed the negative effect of 35% hydrogen peroxide bleaching on composite bonding strength to dentin. CLINICAL SIGNIFICANCE: The negative effects of bleaching on composite bonding can be neutralized by the application of the reversing agent sodium ascorbate thus, increasing the efficiency of clinic chair time. This is clinically relevant for those patients requiring restorative treatment immediately after in-office bleaching.
RCT Entities:
AIM: The aim of this study is to assess the effect of 35% sodium ascorbate on microtensile bond strength of dentin immediately after bleaching with 35% hydrogen peroxide. MATERIALS AND METHODS: A total of 25 sound human 3rd molars were collected. Teeth were randomly divided into five groups for different treatments: Group I [bleaching + immediate bonding (i.e., restoration)], group II (bleaching + delayed bonding), group III (bleaching + sodium ascorbate + immediate bonding), group IV (bleaching + sodium ascorbate + delayed bonding), and group V (bonding only). After bleaching, but before bonding, groups II and IV were stored for 1 week in deionized water at 37°C. All samples were bonded using OptiBoned FL (Kerr) and Filtek Supreme (3M/ESPE). Teeth were sectioned into 1 × 1 mm 2 bars, and microtensile bond strength was tested with a universal testing machine (Instron 8841) at a cross-head speed of 0.5 mm/minute. RESULTS: Microtensile bond strength differed significantly across the five groups, with a significant reduction in microtensile bond strength observed for samples in group I relative to samples in any of the other treatment groups (p < 0.05). CONCLUSION: The application of a high concentration of sodium ascorbate for a shorter time reversed the negative effect of 35% hydrogen peroxide bleaching on composite bonding strength to dentin. CLINICAL SIGNIFICANCE: The negative effects of bleaching on composite bonding can be neutralized by the application of the reversing agent sodium ascorbate thus, increasing the efficiency of clinic chair time. This is clinically relevant for those patients requiring restorative treatment immediately after in-office bleaching.