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Effect of different peroxide bleaching regimens and subsequent remineralization on the hardness of human enamel

Author: 
Dr. Kavita Sharma and Dr. Shahjad Pathak
Subject Area: 
Health Sciences
Abstract: 

Aim: The purpose of this study was to evaluate the effect of different peroxide bleaching regimens and subsequent remineralization on the hardness of human enamel. Materials and Methods: One hundred fifty extracted human teeth were taken and divided into four groups i.e. group I- control and group II, III and IV- experimental groups bleached with 10% carbamide peroxide, 30% carbamide peroxide and 30% hydrogen peroxide respectively. After bleaching experimental groups were further divided into three subgroups, based on remineralization: subgroup A-stored in artificial saliva, subgroup B-application of CPP-ACP (Tooth mousse) and subgroup C-Reminpro respectively. The effects of each product were evaluated by calculating the change in average microhardness (AMH) of these groups after their application. Statistical analysis: It was performed by using paired t-test for intragroup comparisons and ANOVA for intergroup comparisons followed by Post-hoc Tukey’s test and Bonferroni for groupwise comparisons. The significance level was taken at p value 0.05.Results: When comparing the effects of bleaching agents on enamel, all of the three regimens showed statistically highly significant decrease of mean AMH with statistically significant higher difference for in office bleaching regimens as compared to at home regimens. On comparing the effects of remineralizing agents on post-bleached enamel, CPP-ACP and Reminpro revealed statistically significant recovery of baseline values of mean AMH in all three experimental groups. No statistically significant differences were found between CPP-ACP and Reminpro. Conclusions: Demineralization produced by bleaching agent is dependent on concentration of peroxide and use of remineralizing product after bleaching is an imperative step.

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