• Restorative Dentistry and Endodontics
• /
• 제47권1호
• /
• pp.7.1-7.14
• /
• 2022

Objectives: This study evaluated the bleaching efficacy of different in-office protocols associated with violet light emitting diode (V-LED), and measured the pulpal temperature rise caused by V-LED with or without gel application. Materials and Methods: Bovine incisors were distributed in 4 groups (n = 10): VL - V-LED; HP - 35% hydrogen peroxide (control); HYB - hybrid protocol, V-LED applied without gel for 10 irradiation cycles followed by V-LED applied with gel for another 10 irradiation cycles; and HPVL - gel and V-LED applied for 20 irradiation cycles. Three bleaching sessions were performed with 7-day intervals. Bleaching efficacy was evaluated with ΔE_ab^*, ΔE₀₀ and ΔWI_D. Data were recorded at baseline, 7, 14, 21 and 70 days. For pulpal temperature rise, thermocouples were placed inside the pulp chamber of human incisors. To determine intrapulpal temperature, the teeth were irradiated with V-LED with or without application of bleaching gel. Color difference data were analyzed by 2-way repeated measures ANOVA and Tukey's test. Pulpal temperature was analyzed by t-test (α = 5%). Results: VL exhibited lower color (ΔE_ab^* and ΔE₀₀) and whiteness changes (ΔWI_D) than the other groups. HPVL presented higher color change values than HYB. HYB and HPVL showed not different ΔWI_D values; and HP showed the highest whiteness changes at all times. There were significant differences comparing ΔT with gel (8.9℃) and without gel application (7.2℃). Conclusions: HPLV was more efficient than HYB. The 2 protocols with VL showed similar results to control. Gel application combined with VL promoted higher pulpal temperature than to the no gel group.

• 대한치과교정학회지
• /
• 제40권5호
• /
• pp.342-348
• /
• 2010

본 연구는 미백, 탈감작제 도포 후, 셀프 에칭 프라이머를 이용하여 브라켓 접착 시 법랑질에 대한 전단결합강도를 비교하기 위해 시행되었다. 48개의 소구치를 무작위로 12개씩 4개의 그룹으로 분류하였다. Group 1: 15% hydrogen-peroxide office bleaching agent (Illumine Office-IO), Group 2: IO + BisBlock Oxalate Dentin-Desensitizer, Group 3: Bis-Block Oxalate Dentin-Desensitizer, Group 4: 아무것도 하지 않음(대조군). 브라켓 접착 24시간 후 전단결합강도를 측정하였으며, 만능시험기의 속도를 5 mm/min로 하여 브라켓이 탈락할 때까지 시행하였다. Modified adhesive remnant index를 이용하여 탈락 양상을 분석하였다. 미백만 시행, 미백과 탈감작제 도포, 탈감작제만 도포한 경우 모두 브라켓의 전단결합강도를 현저히 감소시켰으며 ($p$ = 0.001), 이 세 실험군 간에는 통계적으로 유의성 있는 차이를 관찰할 수 없었다 (Group 1-Group 2, $p$ = 0.564; Group 1-Group 3, $p$ = 0.371; Group 2-Group 3, $p$ = 0.133). 세 실험군에서 브라켓의 탈락은 주로 법랑질-접착제 계면에서 발생하여 브라켓 베이스에 접착제의 100%가 남아있었다. 따라서 미백과 탈감작제 도포는 교정치료 후에 시행하는 것이 바람직하다.

• Restorative Dentistry and Endodontics
• /
• 제33권5호
• /
• pp.463-471
• /
• 2008

본 연구는 전문가 미백시 Sealed bleaching technique의 효율과 안정성을 평가하기 위해 split arch design의 randomized clinical trial을 시행하였다. 10명의 건전한 자연치를 가진 성인 환자의 상악 전치부를 좌우측으로 무작위로 나누어 전문가 미백 술식을 시행하였다. Brite powder (PacDent, Walnut, USA) 한 스푼에 10 방울의 3% 과산화수소수와 0.4ml의 carbamide peroxide gel (KoolWhite, PacDent, Walnut, USA)을 혼합하여 미백제로 사용하였다. 편측의 세 치아를 대조군으로 지정하여 통상적인 방법으로 전문가 미백을 시행하였고, 반대측의 세 치아는 실험군으로 미백제 위에 linear low density polyethylene (LLDPE) wrap을 적용후 BT Cool light을 1시간 동안 적용하여 광활성화 하였다. 치아의 색조는 shadeguide를 이용하여 평가하는 방법과 spectrophotometer를 이용하여 측정하는 두 가지 방법을 이용하였으며, 술전, 술후, 체크시의 색조 측정 결과를 paired-t test로 분석하여 다음의 결과를 얻을 수 있었다. Shade guide로 평가한 결과 실험군과 대조군 모두에서 술후와 체크시의 색조와 술전의 색조와는 유의한 차이가 있었다 (p<.05). 또한 술전에는 대조군과 실험관간의 색조의 유의차가 없었던 반면 술후와 체크 (p<.05)시 모두에서 두 군간의 차이가 있었다 (p<.05). Spectrophotometer로 측정한 ${\Delta}E$ 값의 경우, 술후에는 대조군에서 $4.35{\pm}1.38$, 실험군에서 $5.08{\pm}1.34$로 나타났으며, 체크시에는 대조군에서 $3.73{\pm}1.95$, 실험관에서는 $4.38{\pm}2.08$로 나타났다. ${\Delta}E$는 술전과 술후를 비교한 값, 그리고 술전과 체크시를 비교한 값 모두에서 실험군과 대조군 간의 유의차가 있었다 (p<05). 따라서 이 연구에서 사용된 미백 술식을 사용할 경우, sealed bleaching technique이 미백의 효율성을 높인다고 결론지을 수 있다.

• 한국콘텐츠학회논문지
• /
• 제10권11호
• /
• pp.235-242
• /
• 2010

이 연구는 전문가 미백(in-office bleaching)에 사용하는 35% 과산화수소(hydrogen peroxide, HP)를 제2인산칼슘(dicalcium phosphate dihydrate, DCPD)와 혼합하여 치아의 미백 효과와 미세경도를 평가하고자 하였다. 소구치로부터 30개의 치아시편을 제작하여 3군으로 분류하였다(n=10). 35%과산화수소에 DCPD를 0.1, 1wt% 첨가하여 실험군으로 하고 하루 60분간 치아미백을 실시하였다. 치아 미백제에 pH를 측정하였고, 미백 적용한 치아 표면에는 색과 미세경도를 측정하였다. pH는 DCPD 함유한 군에서 DCPD의 함유량이 증가할수록 함유되지 않은 군에 비해 pH 수치가 증가하였다. 색조변화량 (${\Delta}$E)을 비교한 결과, 미백 전에 비해 미백 후 색조 변화를 보였고(p<0.05), 결과적으로 색 변화에 있어 DCPD를 함유한 군과 함유되지 않은 군 사이에 통계적으로 유의한 차이는 없었다(p>0.05). 법랑질의 표면미세경도를 분석한 결과, 모든 군에서 미백 후 미세경도의 감소를 보였고(p<0.05), DCPD를 혼합한 군은 함유되지 않은 군에 비해 경도 감소의 폭이 훨씬 적게 나타났다. 이상의 결과로부터 DCPD를 함유한 35%과산화수소의 치아미백제는 치아미백 효과가 있고, pH를 상승시켜서 법랑질의 표면 경도를 덜 감소시키므로 치아미백제의 구성성분으로 실용할 수 있을 것으로 사료된다.

• Restorative Dentistry and Endodontics
• /
• 제26권5호
• /
• pp.399-408
• /
• 2001

Tooth bleaching has been prevailing recently for its ability to recover the color and shape of natural teeth without reduction of tooth material. However, it has been reported that bleaching procedure adversely affects the adhesive bond strength of composite resin to tooth. At the same time the bond strength was reported to be regained by application of some chemical agents. The purpose of this in vitro study was to investigate the effect of the removal of residual peroxide on the composite- enamel adhesion and also evaluated fracture mode between resin and enamel after bleaching. Sixty extracted human anterior and premolars teeth were divided into 5 groups and bleached by combined technique using of office bleaching with 35 % hydrogen peroxide and matrix bleaching with 10% carbamide peroxide for 4 weeks. After bleaching, the labial surfaces of each tooth were treated with catalase, 70% ethyl alcohol, distilled water and filled with composite resin. Shear bond strength was tested and the fractured surfaces were also examined with SEM. Analysis revealed significantly higher bond strength values. (p＜0.05) for catalase-treated specimens, but water-treated specimens showed reduction of bond strength, alcohol- treated specimens had medium value between the two groups(p＜0.05). The fracture mode was shown that the catalase group and the alcohol group had cohesive failure but the water sprayed group had adhesive failure. It was concluded that the peroxide residues in tooth after bleaching seems to be removed by gradual diffusion and the free radical oxygen from peroxide prevents polymerization by combining catalyst in the resin monomer. Therefore it may be possible to eliminate the adverse effect on the adhesion of composite resin to enamel after bleaching by using water displacement solution or dentin bonding agent including it for effective removal of residual peroxide.

• Restorative Dentistry and Endodontics
• /
• 제45권2호
• /
• pp.20.1-20.14
• /
• 2020

Objectives: To minimize the tooth sensitivity caused by in-office bleaching, many dentists use non-steroidal anti-inflammatory drugs and topical desensitizing gels containing potassium nitrate and sodium fluoride. This study aimed to evaluate the influence of these substances on inflammation and the expression of substance P and calcitonin gene-related peptide in pulp nerve fibers. Materials and Methods: Seventy-two rats were divided into 6 groups as follows: GI, control; GII, only dental bleaching; GIII, only ibuprofen; GIV, ibuprofen administered 30 minutes before and after the bleaching treatment and every 12 hours until the analysis; GV, only topical application of a desensitizing agent; and GVI, topical application of a desensitizing agent before dental bleaching. Placebo gel was applied to the upper left jaw and the bleaching agent was applied to the upper right jaw in all groups. Subsequently, the groups were divided into 3 subgroups based on the time of analysis: 0, 24, and 48 hours after bleaching (n = 8). The rats were euthanized and the maxillae were processed and evaluated by histopathological and immunohistochemical analyses. The data were analyzed using the Kruskal-Wallis test, followed by the Dunn test (p < 0.05). Results: In the bleaching groups, the inflammatory process and expression of neuropeptides decreased over time. The animals in which a desensitizing agent was applied showed better results within 24 hours. Conclusions: The use of a desensitizing agent had positive effects on inflammation and pain-related neuropeptide expression, minimizing the painful effects of dental bleaching treatment.

• 대한소아치과학회지
• /
• 제24권3호
• /
• pp.511-517
• /
• 1997

Tooth discoloration detracts from one's appearance and influences self-image and it is particularly true in children. Therefore, pediatric dentists are required to treat tooth discoloration manifested in children for the normal development of their psycosocial health. Three treatment modalities are currently availabler for the removal of a variety of intrinsic stains from vital teeth. These are enamel microabrasion technique using hydrochloric acid, office bleaching and home bleaching technique with carbamide. Microabrasion technique has several advantages over bleaching in that it is easy to accomplish and does not require multiple office visits or the expensive instruments and the color change seems to be permanent after treatment. The process relies on decalcification, a softening with HCl and then removal of the enamel containing the stain with rubbing. Due to the mechanism of stain removal, this method is indicated for the removal of superficial enamel stains or disc oloration only. We report four successfully treated cases by enamel microabrasion using 15% HCl and pumice. Entire clinical steps are described in detail with some discussions on the outcome.

• Restorative Dentistry and Endodontics
• /
• 제41권3호
• /
• pp.196-201
• /
• 2016

Objectives: The aim of this in vitro study was to evaluate the effect of incorporating three different nanobiomaterials into bleaching material on microhardness of bleached enamel. Materials and Methods: The crowns of 24 extracted sound human molars were sectioned. Sixty enamel specimens ($2{\times}3{\times}4 mm$) were selected and divided into five groups (n = 12): Group 1 received no bleaching procedure (control); Group 2 underwent bleaching with a 40% hydrogen peroxide (HP) gel; Groups 3, 4, and 5 were bleached with a 40% HP gel modified by incorporation of bioactive glass (BAG), amorphous calcium phosphate (ACP) and hydroxyapatite (HA), respectively. The enamel microhardness was evaluated. The differences in Knoop microhardness data of each group were analyzed by one-way ANOVA, followed by post hoc Tukey tests. Results: Significant differences were observed between the study groups. The enamel microhardness changes in Groups 1, 3, 4, and 5 were significantly lower than that of Group 2 (p < 0.001). Conclusions: Within the limitations of this study, it can be concluded that incorporation of each one of the three tested biomaterials as remineralizing agents might be effective in decreasing enamel microhardness changes subsequent to in-office bleaching.

• 펄프종이기술
• /
• 제34권3호
• /
• pp.46-52
• /
• 2002

To produce the raw material used for printing and writing paper or high quality tissue, MOWs that were consisted of white ledger, colored ledger and old newspaper were bleached with EoP and EoPY(FAS) method, the EoP bleaching process gave the improvement in brightness and a high color removal efficiency. Especially, MOW B(initial brightness: 59.1％ ISO) that contained much old newspaper showed the higher bleaching efficiency than those of MOW A(initial brightness: 68.3%). After EoPY(FAS) bleaching, MOW's brightness was increased from 68.3% ISO to 84.3∼84.0% ISO, and from 59.1% ISO to 78.7∼79.2% ISO, respectively. Also the tensile and burst index of bleached pulps decreased by 10∼30%. The tear index slightly decreased or halted at the same range as unbleached pulps.

• Restorative Dentistry and Endodontics
• /
• 제35권1호
• /
• pp.40-50
• /
• 2010

30% 과산화수소를 함유한 전문가 미백제인 레메화이트(Remewhite, Remedent Inc., Deurle, Belgium)를 시험군 피험자 31명, 시험용 미백제에서 과산화수소를 제외한 동일한 제재를 대조약으로 대조군 피험자 31명에게 1일 3회씩, 2차례에 걸쳐서 시행하였다. 미백의 임상적 효용성은 Colorimeter, Vitapan classical shade guide를 이용하여 전체 색변화량$({\Delta}E^*)$을 측정하였다. 14주 후와 26주 후의 색변화량을 측정하여 군 간 색변화량을 비교하였고, 각 군 내에서의 색변화량도 비교하여 다음과 같은 결론을 얻었다. 1. Colohmeter를 이용한 평가시에 시험군에서 전체 색변화량$({\Delta}E^*)$은 대조군에 비해 통계적으로 유의한 차이를 보였고, Vitapan classical shade guide를 이용한 평가시에는 통계적으로 유의한 차이를 나타내지 않았다(p < 0.05). 2. 시간이 지남에 따라 색 복원 현상이 나타남에도 불구하고 미백 시행 14주 후와 26주 후에도 미백의 효과가 유지된다고 할수 있다. 3. Colohmeter를 이용한 평가시에 Vitapan classical shade guide를 이용한 평가시보다 작은 색변화량을 더 정확하게 측정할 수 있다.