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  • Title: The effect of tooth bleaching on the enamel surface and the tensile force to debond orthodontic brackets.
    Author: Mishima FD, Valentim RG, Araújo MT, Ruellas AC, Sant'Anna EF.
    Journal: J Orthod; 2009 Dec; 36(4):236-42. PubMed ID: 19934241.
    Abstract:
    OBJECTIVE: The aim of this study was to evaluate the influence of successive tooth bleaching on the tensile force to debond orthodontic brackets and dental enamel. DESIGN: In vitro study. SETTINGS: Department of Orthodontics, Faculty of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil. MATERIALS AND METHODS: Seventy-two human premolars were divided into three groups: Group 1 was not submitted to bleaching, Group 2 was subjected to one tooth bleaching (35% hydrogen peroxide enabled by LEDs) and Group 3 was subjected to two tooth bleachings interspersed by aging. Twenty teeth from each group were subjected to tensile test, failure pattern after debonding and evaluation of resin/enamel interface. Four teeth from each group were not submitted to tensile bond testing and had their external surfaces and internal structure analyzed by SEM and polarized light microscopy. RESULTS: The strength of the brackets decreased in Groups 2 and 3, but was not significant (P=0.635). In general, the failure pattern appeared at the resin/bracket interface or within the resin. The experimental groups showed an increase in slots and erosions on the surface of the enamel and were more pronounced in Group 3. There were no changes to the internal structure of the enamel. CONCLUSIONS: The use of a 35% hydrogen peroxide in-office bleaching system, in vitro, seven days before bonding, does not significantly reduce the tensile force to debond orthodontic brackets, even after a second bleaching procedure. In most cases, debonding occurred at the adhesive/bracket interface or within the adhesive. Bleaching alters the enamel surface and the resin/enamel interface, but it does not influence bond strength.
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