Effect of Opalescence® bleaching gels on the elution of dental composite components

Lena Schuster,Lena Rothmund,Xiuli He,Kirsten L Van Landuyt,Helmut Schweikl,Elmar Hellwig,Thomas Carell,Reinhard Hickel,Franz-Xaver Reichl,Christof Högg

doi:10.1016/j.dental.2015.03.016

Abstract

ObjectivesBleaching treatments can affect on the polymer network of dental composites. This study was performed to evaluate the influence of different bleaching treatments on the elution of composite components. MethodsThe composites Tetric EvoCeram®, CLEARFIL™ AP-X, Tetric EvoFlow®, Filtek™ Supreme XT, Ceram X® mono+, Admira and Filtek™ Silorane were treated with the bleaching gels Opalescence PF 15% (PF 15%) for 5h and PF 35% (PF 35%) for 30min and then stored in methanol and water for 24h and 7 d. The eluates were analyzed by gas chromatography/mass spectrometry (GC/MS). Unbleached specimens were used as control group. ResultsA total of 16 different elutable substances have been identified from the investigated composites after bleaching-treatment. Six of them were methacrylates: 1,10-decandioldimethacrylate (DDDMA), 1,12-dodekandioldimethacrylate (DODDMA), ethylenglycoldimethacrylate (EGDMA), 2-hydroxyethylmethacrylate (HEMA), triethylenglycoldimethacrylate (TEGDMA) and urethandimethacrylate (UDMA). Compared with the unbleached controls the composites Tetric EvoCeram®, CLEARFIL™ AP-X and Tetric EvoFlow® showed a reduced elution of UDMA, TEGDMA and HEMA after bleaching-treatment. Compared with the unbleached controls an increase elution of UDMA, DMABEE, BPA and TEGDMA for the composites Filtek™ Supreme XT, Ceram X® mono+, Admira and Filtek™ Silorane after bleaching-treatment has been detected. The highest concentration of UDMA was 0.01mmol/l (Tetric EvoCeram®, water, 24h, controls), the highest concentration of TEGDMA was 0.28mmol/l (CLEARFIL™ AP-X, water, 7 d, controls), the highest concentration of HEMA was 0.74mmol/l (Tetric EvoFlow®, methanol, 7 d, PF 35%), the highest concentration of DMABEE was 0.10mmol/l (Ceram X® mono+, water, 7 d, PF 35%) and the highest concentration of BPA was 0.01mmol/l (Admira, methanol, 7 d, controls). SignificanceBleaching treatments can lead to a reduced or an increased elution of substances from the dental composites.

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