Comparative Effects of Three Bleaching Techniques on Tooth Discoloration Caused by Tea

Objectives: This study aimed to investigate the impact of three different bleaching protocols on tooth discoloration caused by tea. Materials and Methods: Forty extracted sound premolars were cleaned, disinfected, and their initial color parameters were measured (T1). The teeth were then immersed in boiled tea solution for 24 hours, and their color was measured again (T2). The samples were divided into four groups of 10 teeth each. Group A was treated with an in-office bleaching gel followed by 30 seconds of light curing. Groups B, C, and D were respectively treated with 0.24M oxalic acid followed by bleaching gel, 5.25% sodium hypochlorite followed by bleaching gel, and a combination of 0.24M oxalic acid, 5.25% sodium hypochlorite, and bleaching gel. The color was measured once more after the interventions (T3). Data were analyzed using two-way repeated measures ANOVA, paired sample t-test, and Tukey's test. Results: The mean color change (∆E2) between T2 and T3 was significantly higher in group D compared to group A (P<0.05). However, there was no significant difference in color change between groups A, B, and C. Additionally, there was no significant difference in color change between groups B, C, and D. The groups also showed significant differences in ∆L (P=0.007), with the only significant difference found between groups B and C (P=0.001). Conclusion: The combined use of sodium hypochlorite and oxalic acid followed by in-office bleaching gel is more effective than bleaching alone in correcting tooth discoloration caused by tea. This protocol can further reduce yellow coloration.

Comparative of flexural strength, hardness, and fluoride release of two bioactive restorative materials with RMGI and composite resin

Aim: This study was fulfilled to evaluate the flexural strength, micro-hardness, and release of two fluoride ions of bioactive restorative materials (Cention N and Activa Bioactive), a resin modified glass ionomer (Fuji II LC), and a resin composite (Filtek z250). Methods: Forty samples from four restorative materials (Activa Bioactive, Fuji II LC, Cention N, and Filtek Z250) were provided according to the current standards of ISO 4049/2000 guide lines. Subsequently, the samples were stored for 24 hours and 6 months in artificial saliva, and successively, flexural strength and micro-hardness of the samples were measured. For each studied groups the pH was decreased from 6.8 to 4 in storage solution. The rate of changes in fluoride ion release was measured after three different storage periods of 24 hours, 48 hours, and 6 months in distilled water, according to the previous studies’ method. Two-way ANOVA, One-way ANOVA, Tukey HSD Pair wise comparisons, and independent t-tests were used to analyze data (α= 0.05). Results: The highest flexural strength and surface micro-hardness after 24 hours and also after 6 month were observed for Cention N(p<0.001).Flexural strength of all samples stored for 6 months was significantly lower than the samples stored for 24 hours(p<0.001). The accumulative amount of the released fluoride ion in RMGI, after six-month storage period in distilled water was considerably higher (p<0.001) than 24 hours and 48 hours storage. The amount of fluoride ion release with increasing acidity of the environment (from pH 6.8 to 4) in Fuji II LC glass ionomer was higher than the bioactive materials (p<0.05). Conclusion: The flexural strength of RMGI was increased after storage against the Activa Bioactive,Cention N and Z250 composite. Storage of restorative materials in artificial saliva leads to a significant reduction in micro hardness. The behavior and amount of released fluoride ions in these restorative materials, which are stored in an acidic environment, were dependent on the type of restorative material.

Effect of 0.12% chlorhexidine and zinc nanoparticles on the microshear bond strength of dentin with a fifth-generation adhesive

Objective:

In this study, we compared the effects of 0.12% chlorhexidine (CHX) and nano zinc oxide (NZO) on the microshear bond strength of dentin with a fifth-generation adhesive after acid etching.

Materials and Methods:

Forty molar teeth were randomly divided into four main groups based on dentin surface treatment technique (a) control (single bond 2); (b) NZO; (c) CHX; and (d) NZO + CHX. In each group, half of the samples underwent thermocycling, with no thermocycling in the other half. Then, failure mode was evaluated under a stereomicroscope. Statistical analysis was performed using t-test, two-way ANOVA, and Chi-squared test.

Results:

The mean microshear bond strength of the groups without thermocycling was more than that of the groups with thermocycling, but there were no statistically significant differences between the groups with and without thermocycling in pair-wise comparisons.

Conclusion:

Pretreatment with NZO and CHX separately and simultaneously had no effect on the microshear bond strength of a fifth-generation adhesive.