Do different bleaching protocols affect the enamel microhardness?

Abstract

Objective:Tooth bleaching tends to increase enamel roughness and porosity, in addition to reducing surface microhardness. The aim of this in vitro study was to evaluate the effects of bleaching treatments using different hydrogen peroxide (HP) concentrations, with and without light activation on bovine enamel microhardness.Materials and Methods:The buccal surfaces of sixty bovine incisors were flattened and polished and the enamel specimens were divided into six groups: G1 : c0 ontrol, exposed to artificial saliva; G2: 35% HP applied in two sessions (45’ each); G3: 35% HP applied in two sessions (3 × 15’ each); G4: 35% HP applied in one session (3 × 7’30”) plus hybrid light (HL); G5: 25% HP applied in one session (3 × 7’30”) plus HL; and G6: 15% HP applied in one session (3 × 7’30”) plus HL. After the treatment, the enamel specimens were stored in artificial saliva. The surface microhardness (Knoop) was measured at the baseline, 24 h and 7 days after bleaching. The data was analyzed using the ANOVA test, followed by the Tukey–Krummer test (P < 0.05).Results:All bleaching procedures lead to a decrease in surface microhardness when compared with the control group after 24 h. The lowest change in surface microhardness was found in the specimens treated with 15% HP plus HL. However, 35% HP plus HL induced the highest decrease in surface microhardness. After 7 days of remineralization, the surface microhardness returned to normal levels for all bleached specimens.Conclusion:Therefore, it can be concluded that the bleaching protocols caused a slight enamel surface alteration. However, the remineralization process minimized these effects.