Can discolored dental composites be bleached in depth?

Autor: Giachetti L; Department of Experimental and Clinical Medicine, Unit of Dentistry, University of Florence, Florence, Italy., Scaminaci Russo D; Department of Experimental and Clinical Medicine, Unit of Dentistry, University of Florence, Florence, Italy., Nieri M; Department of Experimental and Clinical Medicine, Unit of Dentistry, University of Florence, Florence, Italy., Cinelli F; Department of Experimental and Clinical Medicine, Unit of Dentistry, University of Florence, Florence, Italy.
Jazyk: angličtina
Zdroj: Restorative dentistry & endodontics [Restor Dent Endod] 2024 Jun 11; Vol. 49 (3), pp. e23. Date of Electronic Publication: 2024 Jun 11 (Print Publication: 2024).
DOI: 10.5395/rde.2024.49.e23
Abstrakt: Objectives: Previous in vitro studies determined the whitening effects of bleaching products on stained resin composite surfaces. This in vitro study aimed to verify the effectiveness of a whitening system on composite resin previously subjected to pigmentation, specifically examining the depth of whitening effectiveness within the material structure.
Materials and Methods: A commercially available nano-filled composite resin was used. Specimens were stained using a coffee-based solution and a 10% carbamide peroxide-based gel was employed as the whitening agent. The pigment's penetration and the effect of the bleaching gel were evaluated by measuring color (CieLab values) from the outer edge to the inner part of the specimens. Color measurements were taken at 14 points, starting from 0.1 mm from the external perimeter up to 3.0 mm.
Results: Analysis of variance tests showed a statistically significant difference between the Control Group (CG), Pigmentation Group, and Whitening Group. The whitening agent was effective up to 1.5 mm in depth, with Whiteness index (W) values not statistically different from those of CG up to 0.5 mm in depth.
Conclusions: Whitening agents on nano-filled resin composite previously pigmented appear effective in restoring the W to values similar to the original, particularly in the superficial layers of the sample.
Competing Interests: Conflict of Interest: No potential conflict of interest relevant to this article was reported.
(Copyright © 2024. The Korean Academy of Conservative Dentistry.)
Databáze: MEDLINE