Indiana University-Purdue University Indianapolis (IUPUI) / This study was conducted in order to determine if there is any change in the active ingredient of tooth-whitening agents when the products are received from the manufacturer (Baseline), two months, four months, and six months after they are received, under two different storage conditions. Thirty-six products were received from multiple manufacturers: eight with hydrogen peroxide and 28 carbamide with peroxide products. All the bleaching syringes for a specific product were from the same lot. Once the products were received, one sample of each product was stored at room temperature and the other sample was stored in a refrigerator. Assays to determine the baseline concentration were performed within the first two weeks of their arrival and again 2 months, 4 months, and 6 months after receiving the products. All samples were analyzed for peroxide content by using the United States Pharmacopeia recommended method. The results obtained from this study show the following: 1. Bleaching products have different concentrations than what are indicated on the label. 2. Storage of bleaching products for an extended time at room temperature can cause bleaching products to lose some of their potency. 3. The preferable storage condition verified in this study is under refrigeration.

Thesis (M.S.)--University of Michigan, 1982.

Thesis (M.S.)--University of Michigan, 1982.

Orientadores: Marcelo Giannini, Cinthia Pereira Machado Tabchoury / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba / Made available in DSpace on 2018-08-16T09:10:08Z (GMT). No. of bitstreams: 1 Berger_SandrineBittencourt_D.pdf: 2055436 bytes, checksum: 7fb4b7b2c3d494b9ad94c29793baf2d4 (MD5) Previous issue date: 2010 / Resumo: O objetivo geral deste estudo foi avaliar o efeito de géis clareadores contendo cálcio ou fosfato de cálcio amorfo (ACP) no módulo de elasticidade da dentina bovina desmineralizada e desmineralização do esmalte hígido ou com lesão inicial de cárie artificial. Capítulo 1: Este estudo avaliou o efeito de agentes clareadores no módulo de elasticidade (ME) da matriz orgânica da dentina bovina. Oitenta e cinco fatias foram obtidas de dentes bovinos e separadas em 5 grupos: grupo controle - sem tratamento (GC), peróxido de hidrogênio 4% (PH4), PH4+0,05% Ca (HP4/Ca), PH 7,5% + ACP (PH7,5) e peróxido de carbamida 10% (PC10). Os grupos PH4, PH4/Ca e PC10 foram tratados com os géis clareadores por 8 horas / dia durante 14 dias, enquanto as amostras do grupo PH7,5 foi submetida ao clareador por 30 minutos, 2 vezes ao dia, durante 14 dias. O esmalte das amostras foi removido e foram preparados 17 espécimes (0,5 x 1,7 x 7,0 mm) por grupo. Em seguida, estas foram desmineralizados em solução de ácido fosfórico 10% por 5 horas e o ME foi mensurado: 24 horas, 7 e 14 dias após o clareamento, utilizando o teste de micro-flexão de 3 pontos. Os dados foram submetidos a ANOVA e teste de Fisher (p<0,05). As amostras clareadas após 24 horas e 7 dias mostram menor ME que o GC. Os grupos clareados foram similares ao GC após 14 dias, exceto o grupo PH7,5. O uso de peróxidos pode promover diminuição do módulo de elasticidade da matriz orgânica da dentina bovina. Capítulo 2: O propósito nesta parte da tese foi avaliar o efeito de um clareador experimental e um comercial no esmalte sadio (ES) ou esmalte com lesão inicial de cárie artificial (LC), utilizando microscópio confocal laser de varredura (CLSM). Oitenta blocos (4 x 5 x 5 mm) de esmalte bovino foram usados, sendo que quarenta destes foram desmineralizados com ciclagem de pH para induzir a lesão inicial de cárie artificial. Oito grupos experimentais foram formados a partir dos produtos clareadores e a condição do esmalte dental (ES ou LC), com n=10: Grupos ES: G1 - sem tratamento (controle); G2 - peróxido de hidrogênio 4% (PH4); G3: PH4 contendo 0,05%Ca (Ca); G4 - peróxido de hidrogênio 7,5% (PH7,5) contendo fosfato de cálcio amorfo (ACP). Grupos LC: G5 - não clareado; G6 - PH4; G7 - PH4 contendo Ca; G8 - PH7,5 contendo ACP. Os grupos G2, G3, G6 e G7 foram tratados com o gel clareador por 8 horas/dia durante 14 dias, enquanto as amostras dos grupos G4 e G8 foram submetidas ao clareador por 30 minutos/duas vezes ao dia, durante 14 dias. Os blocos de esmalte foram corados com solução de rodamina e área fluorescente de desmineralização foi quantificada utilizando CLSM. Os dados foram submetidos a ANOVA e teste de Fisher (p<0,05). Para ES, os tratamentos clareadores aumentaram significativamente a área de desmineralização quanto comparado com os grupos não clareados, entretanto, para LC não foi observado diferença estatística significante entre os grupos. A adição de ACP e Ca na composição dos géis clareadores não resultou em redução da desmineralização promovida pelos tratamentos clareadores / Abstract: The aim of this study was to evaluate the effect of bleaching agents containing calcium or amorphous calcium phosphate (ACP) on the elastic modulus of demineralized bovine dentin and demineralization in sound enamel or early artificial caries lesion. Chapter 1: This study evaluated the effect of tooth whitening agents on the elastic modulus (EM) of bovine dentin organic matrix. Eighty?five slices were obtained from bovine teeth and divided into five groups: unbleached control group (CG), 4% hydrogen peroxide (4HP), 4HP+0.05% Ca (4HP/Ca), 7.5% HP (7.5HP) and 10% carbamide peroxide (10CP). The 4HP, 4HP/Ca and 10CP groups were treated with the whitening agents for 8 hours/day during 14 days, while the samples of 7.5HP group were exposed to peroxides for 30 minutes twice a day during 14 days. The enamel of the samples was removed and 17 dentin specimens (0.5 x 1.7 x 7.0 mm) were prepared per group. The specimens were demineralized in 10% phosphoric acid solution for 5 hours and E was assessed using a micro-flexural three-point bend method at 24 hours, 7 and 14 days post-bleaching. The mean values of EM for each group were statistically analyzed using ANOVA and Fisher's test (p<0.05). Bleached specimens tested after 24 hours and 7 days showed lower EM than CG. The bleached groups were similar to CG after 14 days, except for the 7.5HP group. The use of peroxides can promoted decrease of EM of bovine dentin organic matrix. Whitening agents can significantly affect of the dentin organic matrix and irreversible damage is observed for selected agents. Chapter 2: The purpose of this study was evaluated to effect of experimental and one commercial bleaching agents on the sound enamel (SE) and with early artificial caries lesions (CL) enamel using confocal laser scanning microscopy (CLSM). Eighty blocks (4 mm thickness x 5 wide x 5 length) of bovine enamel were used and half of them were demineralized with a pH cycling to induce artificial caries lesions. Eight experimental groups were investigated following the bleaching treatments or not and SE or CL (n=10): SE groups: G1 - unbleached (control); G2 - 4% hydrogen peroxide (4HP); G3 - 4HP containing 0.05% Ca (Ca); G4 - 7.5% hydrogen peroxide (7.5HP) containing amorphous calcium phosphate (ACP). CL groups: G5 - unbleached; G6 - 4HP; G7 ? 4HP containing Ca; G8 ? 7.5HP containing ACP. The G2, G3, G6, G7 groups were treated with the bleaching agents for 8 hours/day during 14 days, while the samples of G4 and G8 groups were exposed to bleaching agent for 30 minutes twice a day during 14 days. The enamel blocks were stained with rhodamine solution and the quantification of fluorescence demineralization areas of the samples were evaluated using a CLSM. Data were analyzed using ANOVA and Fisher's tests (p<0.05). For the SE, the bleaching treatments significantly increased the demineralization area when compared to unbleached group, however, in CL no statistically significant difference was observed among the groups. The addition of ACP or Ca in the composition of the whitening products did not result in the decreasing of the enamel demineralization promoted by bleaching treatments / Doutorado / Materiais Dentarios / Doutor em Materiais Dentários

Indiana University-Purdue University Indianapolis (IUPUI) / This study evaluated the effectiveness of bleaching tetracycline-stained teeth by measuring the loss of fluorescent intensity from teeth that were bleached. Nineteen male New Zealand white rabbits, with 58 incisors stained with oxytetracycline and 16 incisors as unstained controls, were used. Three rabbits were sacrificed to determine whether the tetracycline stain was comparable between incisors in the same jaw. Of the remaining 16 animals, 6 were bleached once and 10 were bleached twice. One maxillary and one mandibular incisor were bleached in each jaw with 30 percent hydrogen peroxide and heat for ten minutes per tooth; the other incisors were protected with a rubber dam. The animals were sacrificed 24 hours after the last bleach. The fluorescent intensity of 374 select ground sections 100 ± 5 microns thick from the incisal, middle and gingival thirds of the teeth were measured with an ultraviolet light microscope coupled to a television electronic measurement system. These measurements were statistically analyzed by t-test, and observations correlated. The dentin of tetracycline-stained maxillary incisors which were bleached twice and the dentin in the incisal one-third of the mandibular incisors which were bleached twice had a significantly (P ≤ 0.001, P ≤ 0.005) lower tetracycline fluorescent intensity than the dentin of unbleached tetracycline-stained teeth. The greatest loss of fluorescent intensity of tetracycline occurred in dentin closest to the dentino-enamel junction and varied from about 150 to 350 microns from the outer enamel surface. Clinical Kodachromes indicate that the loss of tetracycline pigment is associated with the loss of tetracycline fluorescence; The ground sections showed that the tetracycline fluorescence was never totally removed by two bleaches.

<p>The aim of this laboratory based study is to assess the efficiency of a tooth bleaching agent by measuring the degree of color change with a spectrophotometer (Konica Minolta, CM 2600d) and not by the usual subjective visual guide methods. Objectives of the study are: To determine tooth shade with a spectrophotometer prior to staining the tooth (baseline). To determine which insult causes the most discoloration numerically. To measure the efficiency of the bleaching agent used in the study with periodic color change pectrophotometer readings.&nbsp / To assess if the baseline tooth shade can be regained by the bleaching agent.</p>

<p>The aim of this laboratory based study is to assess the efficiency of a tooth bleaching agent by measuring the degree of color change with a spectrophotometer (Konica Minolta, CM 2600d) and not by the usual subjective visual guide methods. Objectives of the study are: To determine tooth shade with a spectrophotometer prior to staining the tooth (baseline). To determine which insult causes the most discoloration numerically. To measure the efficiency of the bleaching agent used in the study with periodic color change pectrophotometer readings.&nbsp / To assess if the baseline tooth shade can be regained by the bleaching agent.</p>

Objective: To evaluate the effect of an in-office plus at-home bleaching protocol on shear bond strength of orthodontic buttons when using a fluoride-releasing sealant. Methods and Materials: One hundred and sixty extracted human molars were randomly divided into bleached (N=80) and unbleached groups (N=80). The bleached group was treated with 45% carbamide peroxide for half an hour, followed with five applications of 20% carbamide peroxide at 24 hour intervals. After two weeks, lingual buttons were bonded on the teeth in both groups using either Transbond XT primer or Pro Seal sealant. The teeth were then stored in artificial saliva and subjected to shear testings at 24 hours and 3 months using a Zwick Universal Test Machine. Results: The ANOVA analysis of the 24-hour results indicated a significant difference between the four subgroups (p<.0011). Further simple t-tests indicated that the differences were significant only between bleached and unbleached subgroups (p<.0011). The 3-month results showed the mean shear bond strengths of the unbleached group using Pro Seal sealant was statistically significantly lower than the others although still greater than clinically minimal suggested bond strengths. Interestingly, 15% of the bleached teeth exhibited enamel fracture at the 3-month testing. Conclusion: At 24 hours, both Pro Seal sealant and Transbond XT primer appear to be a reliable choice on both bleached and unbleached teeth. However, at the 3-month period, Pro Seal sealant yielded significantly lower shear bond strength on unbleached teeth, nevertheless well within the range of values considered to be "clinically acceptable".

Objective: To evaluate the effect of an in-office plus at-home bleaching protocol on shear bond strength of orthodontic buttons when using a fluoride-releasing sealant. Methods and Materials: One hundred and sixty extracted human molars were randomly divided into bleached (N=80) and unbleached groups (N=80). The bleached group was treated with 45% carbamide peroxide for half an hour, followed with five applications of 20% carbamide peroxide at 24 hour intervals. After two weeks, lingual buttons were bonded on the teeth in both groups using either Transbond XT primer or Pro Seal sealant. The teeth were then stored in artificial saliva and subjected to shear testings at 24 hours and 3 months using a Zwick Universal Test Machine. Results: The ANOVA analysis of the 24-hour results indicated a significant difference between the four subgroups (p<.0011). Further simple t-tests indicated that the differences were significant only between bleached and unbleached subgroups (p<.0011). The 3-month results showed the mean shear bond strengths of the unbleached group using Pro Seal sealant was statistically significantly lower than the others although still greater than clinically minimal suggested bond strengths. Interestingly, 15% of the bleached teeth exhibited enamel fracture at the 3-month testing. Conclusion: At 24 hours, both Pro Seal sealant and Transbond XT primer appear to be a reliable choice on both bleached and unbleached teeth. However, at the 3-month period, Pro Seal sealant yielded significantly lower shear bond strength on unbleached teeth, nevertheless well within the range of values considered to be "clinically acceptable".

Magister Scientiae Dentium - MSc(Dent) / Summary: Aim: The aim of this laboratory study is to assess the efficacy of a tooth bleaching agent by evaluating the degree of color change with the use of a spectrophotometer and not by the usual subjective, visual methods. Methodology: Twenty specimens of human teeth will be collected, polished and divided into two groups. A baseline color measurement by the CIE L* a* b* with a spectrophotometer against a white background will be taken before one group is immersed in coffee and the other in red wine for two weeks. Bleaching of the specimens will be done according to manufacturer’s instructions for two weeks. Color readings will be taken before bleaching, weekly during bleaching and 1 and 2 weeks after the bleaching treatment. Color change (ΔE) will be calculated mathematically as Δ E = [ (Δ L*)2 + (Δ a*)2 + (Δ b*)2 ]1/2. An observation of whether the baseline color reading will be regained by the bleaching process will be made. Results: Data collected will be recorded on an Excel spreadsheet. Advice from a qualified statistician will be sought to analyze the data. Results will be discussed in comparison with the existing literature on this subject. / South Africa