Abstract

BackgroundThe aim of this study was to evaluate the effect of diode laser irradiation and bleaching materials on the dentinal tubule diameter after laser bleaching.Material and MethodsThe dentin discs of 40 extracted third molar were used in this experiment. Each disc surface was divided into two halves by grooving. Half of samples were laser bleached at different wavelengths with two different concentrations of hydrogen peroxide. Other half of each disc with no laser bleaching remained as a negative control. Dentin discs were assigned randomly into four groups (n=10) with following hydrogen peroxide and diode laser wavelength specifications; Group 1 (30% - 810 nm), group 2 (30% - 980 nm), group 3 (46% - 810 nm) and group 4 (46% - 980 nm). All specimens were sent for scanning electron microscopic (SEM) analysis in order to measure tubular diameter in laser treated and control halves. Data were analyzed by ANOVA and Tukey test (p<0.05).ResultsA significant reduction in dentin tubule diameter was observed in groups 1, 2 and 4. There was no significant difference between groups 1 and 2 and between groups 3 and 4 after bleaching.ConclusionsThe SEM results showed that diode laser was able to reduce dentin tubule diameter and its effect on dentin was dependent on chemical action of bleaching material. Key words:Laser, diode, dentin, tubule, diameter.

Highlights

  • The origin of intrinsic discoloration of teeth is in the pulp chamber and arises from hemorrhage, necrosis, calcification and iatrogenic discoloration due to dental treatment [1]

  • The mean values of the dentinal tubule diameters for each group before and after laser bleaching are presented in table 1 and figure 1

  • Paired sample test revealed that reduction of tubular diameter after bleaching in all groups were significant with the exception of the third group (p=0.137)

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Summary

Introduction

The origin of intrinsic discoloration of teeth is in the pulp chamber and arises from hemorrhage, necrosis, calcification and iatrogenic discoloration due to dental treatment [1]. Internal bleaching is a conservative method for improving the shade of discolored non-vital teeth. In this method bleaching agents are placed in access cavity, in direct contact with dentin [2]. The aim of this study was to evaluate the effect of diode laser irradiation and bleaching materials on the dentinal tubule diameter after laser bleaching. Dentin discs were assigned randomly into four groups (n=10) with following hydrogen peroxide and diode laser wavelength specifications; Group 1 (30% - 810 nm), group 2 (30% - 980 nm), group 3 (46% - 810 nm) and group 4 (46% - 980 nm). Conclusions: The SEM results showed that diode laser was able to reduce dentin tubule diameter and its effect on dentin was dependent on chemical action of bleaching material

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