PubMed · 6420121
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E Guetta, G Levy. 1983-12-01. [Irrigation in endodontics].. https://pubmed.ncbi.nlm.nih.gov/6420121/
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PURPOSE: To evaluate in vitro the effect of 10% carbamide peroxide in a mouthguard on the shear bond strength of resin composite to bleached enamel surfaces and morphological changes in these surfaces. MATERIALS AND METHODS: Thirty anterior extracted were divided into a control and a test group. Plastic trays were made for each tooth and the test group treated with Opalescence bleaching gel and incubated at 37 degrees C humid environment for 8 hours. The bleaching agent was washed and the trays replaced with water-soaked cotton wool for another 16 hours in the incubator. This procedure was repeated every day for 21 days. The control group was just treated with the water-soaked cotton wool. Selected teeth from both groups were evaluated with the SEM and 72 hours after the bleaching treatment, Scotchbond 2/Silux Plus rings were bonded to the enamel surfaces in both groups and sher bond strength testing performed. RESULTS: Bleaching created some enamel porosity and significant reduction in the resin composite shear bond strength.
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The purpose of this study was to evaluate in vivo changes in the pH of plaque and of a 10% carbamide peroxide solution occurring within the bleaching guard during a 2-hour nightguard vital bleaching procedure. Baseline pH values for plaque and the carbamide peroxide solution were established. A small hole was placed in the anterior interproximal region of the guard to allow placement of the pH electrode. The pH of the carbamide peroxide solution was measured at 5-minute intervals. After 2 hours, the guard was removed and pH of the plaque was remeasured. The procedure was repeated three times on each of four subjects. The mean baseline pH reading for plaque was 6.31 and mean final pH reading was 6.86. The difference was statistically significant. At initial placement of the carbamide peroxide-filled guard, the mean intraguard pH was 4.50 (range of 2.80 to 7.80). The mean peak intraguard pH of 8.06 (range of 7.30 to 8.43), which was significantly different from baseline, was obtained within 31 minutes. The pH of plaque, saliva, and a 10% carbamide peroxide bleaching solution within the guard increased significantly during bleaching and remained significantly elevated for the duration of the study (2 hours).