Clinical evaluation of 15% carbamide peroxide on the surface microhardness and shear bond strength of human enamel

Michael J. Metz, Michael A. Cochran, Bruce A. Matis, Carlos Gonzalez, Jeffrey Platt, Melvin R. Lund

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Abstract

Purpose: This clinical evaluation compared a neutral sodium fluoridated whitening product to a neutral non-fluoridated whitening product in terms their effects on human enamel surface microhardness (SMH) and human enamel/resin composite shear bond strength (SBS) following various treatment times. Materials and Methods: Subjects were evaluated for enamel SMH and enamel/resin SBS following 15% carbamide peroxide (CP) with and without potassium nitrate and fluoride (PF). Twenty subjects (80 first or second premolars), who were treatment-planned for premolar extraction due to orthodontic therapy, were allocated into two groups, A and B. Group A received 15% CP, while Group B received 15% CP with PF. Each patient had a control tooth, a 14-day treatment + 14-day recovery tooth, a 14-day treatment + no recovery tooth and a 4-day + no recovery tooth. Each tooth was further divided into two testing surfaces; the facial surface was used for SMH, while the lingual surface was used for SBS. Results: The results of this study determined that there was no statistically significant difference between the effects of the two products on SMH and enamel/resin SBS. Additionally, there was no statistically significant difference between the treatment specimens compared to the controls in terms of SMH. However, there was a significant difference between the treatment groups compared to the controls in terms of enamel/resin SBS. Conclusion: Within the limitations of this clinical study, 15% CP with and without PF does not seem to alter the SMH of human enamel. However, 15% CP with and without PF significantly reduced enamel/resin SBS immediately following tooth whitening therapy, up to 14 days post-treatment.

Original languageEnglish (US)
Pages (from-to)427-436
Number of pages10
JournalOperative Dentistry
Volume32
Issue number5
DOIs
StatePublished - Sep 2007

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Shear Strength
Dental Enamel
Tooth
Therapeutics
Bicuspid
Tooth Bleaching
carbamide peroxide
Composite Resins
Orthodontics
Tongue
Sodium

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Clinical evaluation of 15% carbamide peroxide on the surface microhardness and shear bond strength of human enamel. / Metz, Michael J.; Cochran, Michael A.; Matis, Bruce A.; Gonzalez, Carlos; Platt, Jeffrey; Lund, Melvin R.

In: Operative Dentistry, Vol. 32, No. 5, 09.2007, p. 427-436.

Research output: Contribution to journalArticle

Metz, Michael J. ; Cochran, Michael A. ; Matis, Bruce A. ; Gonzalez, Carlos ; Platt, Jeffrey ; Lund, Melvin R. / Clinical evaluation of 15% carbamide peroxide on the surface microhardness and shear bond strength of human enamel. In: Operative Dentistry. 2007 ; Vol. 32, No. 5. pp. 427-436.
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