Tooth whitening effects on bracket bond strength in vivo

Effect of Different Desensitizer Treatments on the Shear Bond Strength of Orthodontic Metal Brackets Following In-Office Bleaching: An In Vitro Study

OBJECTIVE

 One of the adverse effects of in-office bleaching is tooth hypersensitivity, which could be neutralized with a desensitizing agent. In-office bleaching and the application of desensitizing agents will affect the morphology of the enamel surface. These morphological changes have potential effects on the shear bond strength (SBS) and bonding of orthodontic brackets. This study analyzed the effects of fluoride and nonfluoride desensitizing agents after in-office bleaching on the SBS of metal brackets with resin composite cementation.

MATERIALS AND METHODS

 Twenty-seven postextraction premolars (n = 27) were bleached with 37% hydrogen peroxide and then divided into three groups: control group (group 1), fluoride-based desensitizing agent (group 2), and nonfluoride-based desensitizing agent (group 3). After treatment, the brackets were bonded using Transbond, and then the SBS test was performed using a universal testing machine. The adhesive remnant index (ARI) was analyzed after the SBS test, whereas enamel morphological changes were observed under a scanning electron microscope. After this assessment, energy-dispersive X-ray spectroscopy was conducted to determine calcium and phosphorus elements in the enamel surface after treatments. SBS data were analyzed using the one-way analysis of variance, followed by the Tukey test, whereas ARI scores were subjected to the Kruskal-Wallis test and the Mann-Whitney test with a significance level of 5%.

RESULTS

 The SBS increased significantly in group 2 compared with groups 1 and 3 (p < 0.05). In group 2, an ARI of 2 (55.56%) was frequent, whereas in group 3, an ARI of 3 (55.56%) appeared most frequently.

CONCLUSION

 The application of the desensitizing agent fluoride after in-office bleaching increased the SBS and more adhesive remains on the tooth surface compared with that when nonfluoride desensitizing agents were applied on metal brackets with composite resin cementation.

One-Step Surface-Treatment Reagent (35% 3-O-Ethyl-l-ascorbic Acid Plus 50% Citric Acid Solution) Restores the Shear Bond Strength of Metal Brackets Bonded to Bleached Human Enamel: An In Vitro Study

This study investigates how a new substance, composed of ethyl ascorbic acid and citric acid, affects the shear bond strength (SBS) of metal brackets when bonded to bleached teeth. Forty maxillary premolar teeth were used and randomly placed into four groups (n = 10): the control group did not undergo bleaching; the remaining groups underwent bleached using 35% hydrogen peroxide. In group A, 37% phosphoric acid was applied after bleaching. In group B, 10% sodium ascorbate was used for ten minutes before 37% phosphoric acid. In group C, 35%3-O-ethyl-l-ascorbic acid plus 50% citric acid solution (35EA/50CA) was applied for 5 min. The subgroups were bonded immediately after bleaching. The SBS was determined with a universal testing machine and analyzed using one-way ANOVA and then Tukey's HSD tests. Adhesive remnant index (ARI) scores were determined with a stereomicroscope and analyzed with a chi-squared test. The significance level was 0.05. Group C demonstrated significantly higher SBS values than group A (p < 0.001), but was not significantly different than the control group or group C (p > 0.05). The ARI scores were significantly different among the groups (p < 0.001). In conclusion, enamel surface treatment using 35EA/50CA improved the reduced SBS to an acceptable clinical level and reduced the clinical chair time.

Effect of over-the-counter whitening strips and toothpaste on shear bond strength of orthodontic brackets

Background

To investigate: 1) the effects of over-the-counter white strip enamel bleaching and 2-Step whitening toothpaste application on the shear bond strength of orthodontic brackets at 24-hours and 7-days post-bleaching latent period; and 2) the correlation between amount of bleaching and shear bond strength.

Material and Methods

Sixty human premolar teeth were randomly assigned into two bleaching groups, white strip group treated with Crest® 3D WHITE™ LUXE Professional Effects Whitestrips (Proctor & Gamble, Greensboro, NC), and whitening toothpaste group, treated with Crest® 3D WHITE™ BRILLIANCE 2-Step Toothpaste (Proctor & Gamble, Greensboro, NC). The groups were further divided into 4 subgroups A, B, C, D (n=15 per group). Subgroups A and C were bonded 7 days after bleaching while subgoups B and D were bonded 24 hours after bleaching. Differences in shear bond strength between the subgroups and an unbleached control group (n=15) were compared using the Kruskal-Wallis test. Spectrophotometric color changes were recorded pre- and post-bleaching.

Results

The mean shear bond strength for the white strip groups were 10.35±3.6 MPa and 11.69±4.33 MPa for the 7-day and 24-hour delayed bonding periods, respectively. Means for the whitening toothpaste groups were 11.01±4.31 MPa and 10.83±3.79 MPa for the 7-day and 24-hour delayed bonding periods. The mean for the control group was 9.59±3.32 MPa. There were no significant differences in shear bond strength between the groups at 7-days and 24-hour (P=0.650). There was a significant difference between teeth bleached with white strips as compared to those bleached with toothpaste and controls. The correlations between color change and shear bond strength were not significant (P=0.448).

Conclusions

There is a significant difference in the amount of whitening achieved by over-the-counter white strips compared to toothpaste; however, no significant effects on shear bond strength occurred after bleaching with white strips and toothpaste at 24-hours and 7-days.

Key words:Bleaching, shear bond strength, orthodontics, over-the-counter.

Effect of Adhesive Boosters on Bond Strength of Bleached Teeth in Orthodontic Bonding

Objectives:

To evaluate and compare the effect of adhesion boosters on shear bond strength (SBS) of orthodontic brackets on bleached teeth.

Materials and Methods:

A sample of 90 extracted maxillary premolars was equally divided into 2 groups of bleached and non-bleached teeth. Twenty-two percent carbamide peroxide gel was used as an agent for bleaching. Each group was further divided equally into 3 subgroups depending on the type of adhesive booster used (Enhance LC, All-bond 2, and no adhesive booster [control]) and maxillary premolars brackets were bonded. Debonding was done with a universal testing machine, and the SBS was recorded.

Results:

The SBS of non-bleached teeth was highest for All-bond 2 (14.78 ± 2.47 MPa) followed by Enhance LC (13.15 ± 3.49 MPa) and control (10.30 ± 1.06 MPa). The SBS of bleached teeth was highest for All bond 2 (12.23 ± 1.41 MPa) followed by Enhance LC (11.76 ± 1.71 MPa) and control (9.63 ± 1.06 MPa). All subgroups showed a significant difference in SBS (P = .000) on bleached and non-bleached teeth. The SBS showed a significant difference between the bleached and non-bleached teeth in All-bond 2 group (P = .019).

Conclusion:

Adhesive boosters increased the SBS of both bleached and non-bleached teeth significantly. Among the two adhesive boosters used, All-bond 2 showed more SBS values.

Influence of delay between dental bleaching with 35% hydrogen peroxide and orthodontic brackets on the bond strength at the enamel/adhesive interface

Background

The aim of this study was to evaluate the influence of waiting time between the bleaching with 35% hydrogen peroxide and orthodontic brackets bonding on shear bond strength (SBS) in enamel.

Material and Methods

Eighty bovine teeth were randomly divided into four groups (G): G1(negative control) and G2, G3 and G4 (experimental groups). The experimental groups were submitted to bleaching. Prior to orthodontic brackets bonding to enamel the procedure was adopted different waiting times, as follows: G2 (1 day); G3 (7 days) and G4 (14 days). It was performed enamel etching (30s), washing water (30s), application of adhesive system followed by photoactivation (20s). A thin layer of composite resin was placed between the adhesive and the brackets. The applied pressure was measured by tensiometer (300N/40s). The composite resin was light-cured (40s). After 24 hours the shear test was held (0.5mm/min). To compare the SBS it was used ANOVA one-way followed by Tukey test (α = 0.05). The Adhesive Remaining Index (ARI) was analyzed using the Kruskal-Wallis test.

Results

The SBS values were significantly lower in G2 (15.51 MPa) and G3 (17.77 MPa) compared to G1 (30.14 MPa) and G4 (28.50 MPa) (p<0.05). The ARI revealed significant difference between the G3 and the other groups (p<0.05).

Conclusions

It was concluded that the bond strength in enamel in the interfaces/adhesive system/composite resin/orthodontic brackets was more effective 14 days after the bleaching with 35% hydrogen peroxide. Key words:Dental materials, teeth bleaching, orthodontic brackets.

Effect of mangosteen peel extract as an antioxidant agent on the shear bond strength of orthodontic brackets bonded to bleached teeth

Introduction:

The number of patients who seek orthodontic treatment that may have a history of tooth bleaching is increasing over the time. Bleaching may influence the decrease of the bond strength of orthodontic brackets.

Objective:

To determine and prove the effect of mangosteen peel (MP) extract to reverse the reduced shear bond strength (SBS) of orthodontic brackets after bleaching.

Methods:

A total of 150 maxillary first premolar teeth were randomly divided into 6 experimental groups as follow (n=25): negative-control (N: no bleaching), positive-control (P: bleaching + no treatment), and the treatment groups (bleaching + 10% sodium ascorbate (SA), 10% (MP-10), 20% (MP-20) and 40% (MP-40) MP extract gel). After treatment, the brackets were bonded with the resin-modified glass ionomer cement, SBS testing was performed using universal testing machine, and the adhesive remnant index (ARI) was examined using stereoscopic microscope after debonding. The SBS data were analyzed by analysis of variance (Anova) and the Tukey test. For the ARI, the Kruskal-Wallis test was performed.

Result:

There was significant SBS difference (p< 0.001) between various groups. The group without bleaching showed significantly higher SBS (8.19 ± 2.26 MPa) compared to others, while SBS in the group treated with 40% MP gel was significantly higher (7.93 ± 1.92 MPa) than other groups treated with antioxidants. The failure of orthodontic brackets bonded after bleaching and treatment using MP extract occurred at the enamel-adhesive interface.

Conclusion:

The application of MP extract as an antioxidant after bleaching was effective in reversing the reduced shear bond strength of orthodontic brackets after bleaching.

The Effect of Different Bleaching Treatments and Thermal-Mechanical Cycling on the Shear Bond Strength of Orthodontic Brackets

Objective

The aim of the present study was to compare the shear bond strength (SBS) of orthodontic brackets bonded to the enamel after at-home and in-office bleaching treatments.

Methods

Sixty bovine incisors were subjected to initial color readings and then classified into three groups: CP (16% carbamide peroxide), HP (35% hydrogen peroxide), and C (control). After treatments, new color readout was obtained, and orthodontic brackets were bonded to the bleached area. Half of the samples of each group (n=10) were subjected to thermal-mechanical cycling (TMC) testing (1,200,000 cycles; 44.2 N; 2 Hz/s), whereas the other half were stored in distilled water at 37 °C for 24 h. Samples were subjected to the SBS test at a speed of 0.5 mm/min. The mean SBS was analyzed (two-way ANOVA, Bonferroni test, p<0.05), and the fracture patterns were classified as adhesive, cohesive, and mixed types.

Results

There was no difference (p>0.05) in SBS values between the samples subjected to TMC and the cycled samples in any group. Samples subjected to carbamide peroxide presented lower SBS (p<0.05) than the non-cycled ones. Enamel adhesive fractures were higher in the bleached groups than in the control group, which presented mixed fractures prevalence, regardless of whether it was subjected to TMC or not.

Conclusion

Thermal-mechanical cycling was not significant for SBS of orthodontic brackets, but tooth bleaching was a factor.

Effect of low-concentration bleaching products on enamel bond strength at different elapsed times after bleaching treatment

This study evaluated the effects of several low-concentration bleaching products on microtensile bond strength (µTBS) to enamel at different elapsed times after the bleaching treatment. One hundred and fifty bovine incisors were divided into five groups: No treatment, 10% carbamide peroxide (Opalescence), 10% hydrogen peroxide (Opalescence Treswhite Supreme), 3% carbamide peroxide plus lactoperoxidase (WhiteKin), or 3% carbamide peroxide plus 2.7% carbamide peroxide (Clysiden Kit Express). All treatments lasted 4 weeks. After bleaching treatment or non-treatment, teeth were restored immediately, at 1, 3, 7, or 14 days after bleaching and submitted to µTBS test. Data were analyzed by ANOVA and Tukey's test (p<0.05). For WhiteKin and Clysiden, µTBS to enamel was significantly reduced immediately, at 1, 3 and 7 days after bleaching. At 14 days after bleaching, similar µTBS values were obtained regardless of bleaching product. Therefore, while over-the-counter (OTC) products might affect bond strength to enamel, this effect was no longer observed after 14 days.

Shear bond strength of an orthodontic self-etching adhesive after intracoronary bleaching

OBJECTIVES

To evaluate the effects of intracoronary bleaching on the bond strength of orthodontic brackets using self-etching and total-etch adhesive systems.

MATERIAL AND METHODS

In 60 bovine incisors, a coronal lingual access was made to clean the pulp chamber and standardise the thickness of the dentine. The sample was randomly divided into four groups (each n = 15): (CT), control group, without bleaching and bonded with the total-etch system (Transbond(™) XT-3M); (CTSE), without bleaching treatment and bonded with the self-etching system (Transbond(™) Plus Self-Etching Primer-3M); (BT), treated with 35% hydrogen peroxide for internal bleaching and bonded with the total-etch adhesive system; and (BTSE), treated with 35% hydrogen peroxide and bonded with the self-etching adhesive system. Shear bond strength was measured using a universal testing machine (EMIC). The adhesive remnant index (ARI) score was verified. The data were analysed using a two-way anova and Tukey test (p < 0.05).

RESULTS

Significant differences were found, and the self-etching adhesive groups presented the highest bond strength values (CTSE=11.55 ± 2.85 MPa; BTSE=14.14 ± 2.23 MPa). The ARI scores revealed significant differences among the groups; the greater amount of remaining adhesive was observed in the CTSE group, and the lowest scores were observed in the BT group.

CONCLUSIONS

The use of the self-etching adhesive system, even after intracoronal bleaching, presented satisfactory adhesive strength for the bonding of brackets.

Evaluation of shear bond strength of orthodontic brackets bonded on the tooth surface after internal bleaching

Introduction: There is great demand for esthetic treatment by patients who have discolored teeth, because currently aesthetic standards have become stricter and many patients have tooth bleaching procedures performed before or during orthodontic treatment. Objective: To evaluate the bonding of orthodontic brackets to human molars after internal tooth bleaching. Material and method: Forty molars were divided into four groups according to the bleaching agent used: PS) sodium perborate + water; PC) carbamide peroxide; PC + PS) carbamide peroxide + sodium perborate; Cont) water (control group). Bleaching agents placed inside the pulp chambers were replaced every 7 days for 2 weeks, and the brackets were bonded 30 days after the end of bleaching. The shear strength test was performed in a universal testing machine (Emic). Result: ANOVA with a significance level of 5% (p > 0.05), showed no statistically significant difference between groups (p = 0.1214). Conclusion: It was concluded that the different bleaching agents studied did not interfere with the bond strength of brackets to enamel and bonding the brackets 30 days after internal bleaching is a safe procedure.

Does the time interval after bleaching influence the adhesion of orthodontic brackets?

Objective

To test the null hypothesis that no difference exists between the effects of at-home bleaching and in-office bleaching on shear bond strength (SBS) with bracket bonding at 4 different time intervals after dental bleaching.

Methods

Ninety extracted human premolars were randomly divided into 9 groups (n = 10) according to the bleaching methods used (at-home bleaching and in-office bleaching) and the storage time in artificial saliva (30 min, 1 day, 2 weeks, and 3 weeks before bonding). The control group was stored in artificial saliva for 7 days. Brackets were bonded with the Transbond XT adhesive system, and SBS testing was performed. The adhesive remnant index (ARI) was used to assess the amount of resin remaining on the enamel surfaces after debonding. The SBS data were analyzed by analysis of variance (ANOVA) and the Tukey test. For the ARI, the Kruskal-Wallis test was performed. Significance for all statistical tests was predetermined to be p < 0.05.

Results

The SBS of the unbleached group was significantly higher (p < 0.05) than that of the bleached groups (except for the group bonded 30 min after at-home bleaching).

Conclusions

The null hypothesis was not totally rejected. All bleaching groups tested had decreased SBS of the brackets to the enamel, except for the group bonded 30 min after at-home bleaching. The SBS returned to values close to those of the unbleached enamel within 3 weeks following bleaching.

Orthodontic bonding to acid- or laser-etched prebleached enamel

OBJECTIVE

Bonding forces of brackets to enamel surfaces may be affected by the procedures used for bleaching and enamel etching. The aim of this study was to investigate the bonding strength of orthodontic brackets to laser-etched surfaces of bleached teeth.

METHODS

In a nonbleached control group, acid etching (group A) or Er:YAG laser application (group B) was performed prior to bracket bonding (n = 13 in each group). Similar surface treatments were performed at 1 day (groups C and D; n = 13 in each subgroup) or at 3 weeks (groups E and F; n = 13 in each subgroup) after 38% hydrogen peroxide bleaching in another set of teeth. The specimens were debonded after thermocycling.

RESULTS

Laser etching of bleached teeth resulted in clinically unacceptable low bonding strength. In the case of acid-etched teeth, waiting for 3 weeks before attachment of brackets to the bleached surfaces resulted in similar, but not identical, bond strength values as those obtained with nonbleached surfaces. However, in the laser-etched groups, the bonding strength after 3 weeks was the same as that for the nonbleached group.

CONCLUSIONS

When teeth bleached with 38% hydrogen peroxide are meant to be bonded immediately, acid etching is preferable.

Influence of microhybrid resin and etching times on bleached enamel for the bonding of ceramic brackets

The aim of this study was to evaluate the shear bond strength (SBS) of polycrystalline ceramic brackets (PCB) bonded after bleaching treatment using different composite resins and enamel etching times. A total of 144 bovine incisors were randomly divided into two study groups (n = 72, each) as follows: G1, enamel bleached with 35% hydrogen peroxide, and G2 (control group), enamel unbleached. After the bleaching treatment, the samples were stored in artificial saliva for 14 days. These groups were further divided into two subgroups (n = 36, each) as follows: GA, brackets bonded with Transbond XT (3M) and GB, brackets bonded with Filtek Z250 (3M). For each resin used, three different etching times with 37% phosphoric acid (15, 30 and 60 seconds) were tested. SBS tests were performed using a universal testing machine (EMIC), and the adhesive remnant index (ARI) score was verified. Significant differences among the three experimental conditions and interactions between the groups were observed. The type of composite resin accounted for 24% of the influence on the bond strength, whereas the etching time and bleaching treatment accounted for 14.5% and 10% of the influence on bond strength, respectively. The ARI revealed that the most common area of adhesion failure was at the composite resin-bracket interface. The type of composite resin, etching time and external bleaching significantly influenced the SBS of PCB on enamel, even after 14 days of saliva storage.

Influence of four systems for dental bleaching on the bond strength of orthodontic brackets

OBJECTIVE

To compare the influence of four systems for dental bleaching on the shear bond strength (SBS) of orthodontic brackets.

MATERIALS AND METHODS

One-hundred and fifty freshly extracted bovine teeth were randomly divided into five groups. In group I the teeth were untreated (control). In the remaining groups the teeth were bleached, as follows: group II: 38% hydrogen peroxide; group III: 10% carbamide peroxide; group IV: resin-based coating material (RBCM), Beauty Coat; and group V: RBCM, White Coat. In all groups the enamel was conditioned with a self-etching primer and brackets were bonded with composite resin. Samples were stored (37°C, 24 hours), tested, and statistically analyzed, with significance predetermined at P ≤ .05. The adhesive remnant index (ARI) was also evaluated and analyzed.

RESULTS

The SBS of group V (22.49 ± 5.34 MPa) was significantly higher than that of all other groups (I: 17.1 ± 5.11 MPa; II: 14.72 ± 5.42 MPa; III: 12.04 ± 5.29 MPa; and IV: 18.23 ± 5.58 MPa). In contrast, the SBS of group III was significantly lower than that of all groups (except group II). Significant differences in the ARI scores were present between groups.

CONCLUSIONS

The use of RBCM for dental bleaching before bonding orthodontic brackets did not reduce the SBS. In contrast, hydrogen and carbamide peroxides negatively affected the SBS. The SBS yielded after bleaching with carbamide peroxide was significantly lower.

Effects of tooth bleaching on shear bond strength of brackets rebonded with a self-etching adhesive system

The purpose of this study was to ascertain the effects of tooth bleaching on the shear bond strength of orthodontic brackets rebonded with a self-etching adhesive system. A total of 39 premolars were collected and divided into three equal groups: in group 1 bracket bonding was performed without bleaching treatment; specimens in group 2 were bonded immediately after bleaching; and group 3 teeth were bleached, then immersed in artificial saliva and left for 7 days before bonding. The shear bond strength was measured, with the bonding/debonding procedures repeated once after the first debonding, and the bracket/adhesive failure modes were evaluated by the adhesive remnant index after each debonding. Excepting the mean shear bond strength for group 2 after the first debonding, the overall mean values reached the minimum clinical requirement of 6 MPa. The mean values at the first and second debondings were significantly higher in groups 1 and 3 than in group 2. Between groups 1 and 3, significant differences were noted at the first debonding, but not at the second debonding. Group 2 showed significant differences in mean shear bond strength between the first and second debondings. Bond failure at the enamel-adhesive interface occurred more frequently in group 2 than in groups 1 or 3 after the first debonding. The bracket-rebonding procedure can recover the reduced shear bond strength caused by immediate bonding after bleaching to a clinically acceptable level, but not to the prebleaching level.