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Preliminary Surface Analysis of Etched, Bleached, and Normal Bovine Enamel

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X-ray photoelectron spectroscopic (XPS) and secondary ion-mass spectroscopic (SIMS) analyses were performed on unground un-pumiced, unground pumiced, and ground labial enamel surfaces of young bovine incisors exposed to four different treatments: (1) immersion in 35% H 2 O 2 for 60 min; (2) immersion in 37% H 3 PO 4 for 60 s; (3) immersion in 35% H 2 O 2 for 60 min, in distilled water for two min, and in 37% H 3 PO 4 for 60 s; (4) immersion in 37% H 3 PO 4 for 60 s, in distilled water for two min, and in 35% H 2 O 2 for 60 min. Untreated unground un-pumiced, unground pumiced, and ground enamel surfaces, as well as synthetic hydroxyapatite surfaces, served as controls for intra-tooth evaluations of the effects of different treatments. The analyses indicated that exposure to 35% H 2 O 2 alone, besides increasing the nitrogen content, produced no other significant change in the elemental composition of any of the enamel surfaces investigated. Exposure to 37% H 3 PO 4 , however, produced a marked decrease in calcium (Ca) and phosphorus (P) concentrations and an increase in carbon (C) and nitrogen (N) concentrations in unground un-pumiced specimens only, and a decrease in C concentration in ground specimens. These results suggest that the reported decrease in the adhesive bond strength of resin to 35% H 2 O 2 -treated enamel is not caused by a change in the elemental composition of treated enamel surfaces. They also suggest that an organic-rich layer, unaffected by acid-etching, may be present on the unground un-pumiced surface of young bovine incisors. This layer can be removed by thorough pumicing or by grinding. An awareness of its presence is important when young bovine teeth are used in a model system for evaluation of resin adhesiveness.
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Journal of Dental Research
http://jdr.sagepub.com/content/69/9/1610
The online version of this article can be found at:
DOI: 10.1177/00220345900690091501
1990 69: 1610J DENT RES
N.D. Ruse, D.C. Smith, C.D. Torneck and K.C. Titley
Preliminary Surface Analysis of Etched, Bleached, and Normal Bovine Enamel
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Preliminary
Surface
Analysis
of
Etched,
Bleached,
and
Normal
Bovine
Enamel
N.D.
RUSE,
D.C.
SMITH,
C.D.
TORNECK1,
and
K.C.
TITLEY2
Center
for
Biomaterials,
1Department
of
Endodontics,
and
2Department
of
Pediatric
Dentistry,
Faculty
of
Dentistry,
University
of
Toronto,
124
Edward
Street,
Toronto,
Ontario,
Canada
M5G
1G6
X-ray
photoelectron
spectroscopic
(XPS)
and
secondary
ion-
mass
spectroscopic
(SIMS)
analyses
were
performed
on
un-
ground
un-pumiced,
unground
pumiced,
and
ground
labial
enamel
surfaces
of
young
bovine
incisors
exposed
to
four
dif-
ferent
treatments:
(1)
immersion
in
35%
H202
for
60
min;
(2)
immersion
in
37%
H3PO4
for
60
s;
(3)
immersion
in
35%
H202
for
60
min,
in
distilled
water
for
two
mmin
and
in
37%
H3PO4
for
60
s;
(4)
immersion
in
37%
H3PO4
for
60
s,
in
distilled
water
for
two
min,
and
in
35%
H202
for
60
min.
Untreated
unground
un-pumiced,
unground
pumiced,
and
ground
enamel
surfaces,
as
well
as
synthetic
hydroxyapatite
surfaces,
served
as
controls
for
intra-tooth
evaluations
of
the
effects
of
different
treatments.
The
analyses
indicated
that
exposure
to
35%
H202
alone,
besides
increasing
the
nitrogen
content,
produced
no
other
significant
change
in
the
elemental
composition
of
any
of
the
enamel
surfaces
investigated.
Exposure
to
37%
H3PO4,
however,
produced
a
marked
decrease
in
calcium
(Ca)
and
phosphorus
(P)
concentrations
and
an
increase
in
carbon
(C)
and
nitrogen
(N)
concentrations
in
unground
un-pumiced
specimens
only,
and
a
decrease
in
C
concentration
in
ground
specimens.
These
results
suggest
that
the
reported
decrease
in
the
adhesive
bond
strength
of
resin
to
35%
H202-treated
enamel
is
not
caused
by
a
change
in
the
elemental
composition
of
treated
enamel
surfaces.
They
also
suggest
that
an
organic-
rich
layer,
unaffected
by
acid-etching,
may
be
present
on
the
unground
u-n-pumiced
surface
of
young
bovine
incisors.
This
layer
can
be
removed
by
thorough
pumicing
or
by
grinding.
An
awareness
of
its
presence
is
important
when
young
bovine
teeth
are
used
in
a
model
system
for
evaluation
of
resin
adhesiveness.
J
Dent
Res
69(9):1610-1613,
September,
1990
Introduction.
Bleaching
of
enamel
with
a
35%
solution
of
hydrogen
peroxide
(H202)
has
been
recommended
as
a
clinical
procedure
for
cor-
rection
of
tooth
discolorations
or
preparation of
the
enamel
for
acid-etch
veneer
bonding
restorations
(Feinman
et
al.,
1987).
These
recommendations
have
been
made
without
a
compre-
hensive
understanding
of
the
effect
of
the
bleaching
procedure
on
the
structure
and
chemical
composition
of
the
enamel
sur-
face
and
of
its
influence
on
the
adhesive
bond
strength
of
the
applied
resin.
Shear
and
tensile
bond
strength
determinations
have
shown
that
resin
adhesiveness
to
enamel
is
dramatically
reduced
as
a
result
of
prolonged
treatment
of
the
enamel
with
concentrated
H202
(Titley
et
al.,
1988).
This
study
was
undertaken
to
determine
whether
the
re-
ported
loss
in
resin
adhesiveness
to
enamel
could
be
related
to
possible
changes
in
the
elemental
composition
of
the
enamel
surfaces
induced
by
the
H202
treatment.
Materials
and
methods.
Tooth
material.
-Incisors
were
obtained
from
young
cattle
at
a
local
abattoir.
Only
animals
having
more
than
four
erupted
permanent
incisors
that
exhibited
little
or
no
wear
were
in-
cluded.
The
teeth
were
transported
to
the
laboratory
in
cold
tap
water.
In
the
laboratory,
they
were
decoronated
on
a
band
saw,
and
the
coronal
pulp
was
removed
with
a
dental
explorer.
The
crowns
were
washed
and
stored
in
tap
water
in
a
tightly
sealed
container
at
40C
until
required,
a
period
not
exceeding
eight
weeks.
For
the
experiment,
the
crowns
of
seven
teeth
were
sec-
tioned
mesio-distally,
and
all
but
a
very
thin
layer
of
the
dentin
underlying
the
labial
enamel
was
ground
away
on
a
water-
irrigated
grinding
wheel
with
use
of
600-grit
silicon-carbide
(SiC)
paper.
Each
enamel
slab
was
then
further
cut
into
four
sections,
as
shown
in
Fig.
1,
with
a
diamond
separating
disc
under
running
water.
Sections
obtained
from
individual
teeth
were
identified
accordingly.
Enamel
preparation.
-The
enamel
sections
from
two
of
the
teeth
were
thoroughly
pumiced
for
two
min,
rinsed
for
two
min
in
distilled
water,
and
dried
with
clean,
dry,
compressed
air.
The
enamel
sections
from
two
of
the
teeth
were
only
rinsed
in
distilled
water
for
two
min
and
dried
with
clean,
dry,
com-
pressed
air.
The
labial
surfaces
of
the
enamel
sections
from
the
remain-
ing
three
teeth
were
ground
on
a
slowly
rotating
water-irrigated
grinding
wheel
with
use
of
600-grit
SiC
paper,
rinsed
in
dis-
tilled
water
for
two
min,
and
dried
with
clean,
dry,
compressed
air.
So
that
the
inherent
variation
between
tooth
enamel
com-
positions
would
be
overcome,
one
randomly
selected
enamel
section
from
each
tooth
was
used
as
control,
while
the
other
three
enamel
sections
from
the
same
tooth
were
randomly
se-
lected
and
treated
according
to
the
treatment
plan
in
Table
1.
In
this
way,
intra-
(rather
than
inter-)
tooth
comparisons
of
the
effects
of
different
treatments
were
made
possible.
After
treat-
ment,
each
enamel
section
was
rinsed
for
two
min
in
distilled
water,
dried
with
a
gentle
flow
of
compressed
air,
and
mounted
with
double-sided
adhesive
tape
on
the
bottom
of
a
covered
plastic
petri
dish
with
its
labial
surface
upward.
Specimens
were
dried
in
an
oven
at
370C
and
stored
in
a
vacuum
desic-
cator
over
phosphorus
pentoxide.
X-ray
photoelectron
spectroscopic
(XPS)
analysis
of
the
specimens
(obtained
from
teeth
1,
2,
3,
5,
and
6)
was
carried
out
by
use
of
a
Surface
Science
SSX-100
spectrometer
(Uni-
versity
of
Western
Ontario).
Monochromatic
Mg
Ka.
(1253.6
eV)
x-rays
were
used
under
the
following
operating
conditions:
spot
size
of
1000
Wrm,
flood
gun
level
of
1,
resolution
4,
and
a
vacuum
reading
of
10-6
-
10
-7
Pa
(10-
8
-
10-9
Torr).
Surface
elemental
compositions
were
calculated
from
peak
heights
with
use
of
the
instrumental
computer
programs.
Sec-
ondary
ion-mass
spectroscopic
(SIMS)
analysis
of
enamel
sec-
tions
(obtained
from
teeth
4
and
7)
was
performed
with
a
1610
Received
for
publication
February
2,
1989
Accepted
for
publication
March
30,
1990
This
investigation
was
supported
in
part
by
a
MRC
grant
and
the
Dean's
Fund
for
Research,
Faculty
of
Dentistry,
University
of
To-
ronto.
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SURFACE
ANALYSIS
OF
BOVINE
ENAMEL
Cameca
11f
instrument
(University
of
Western
Ontario).
A
sputtering
rate
of
approximately
1
ALm/100
s
was
used
for
depth
profile
analyses.
Results.
The
results
of
the
semi-quantitative
surface
elemental
com-
position
analyses
for
the
unground
enamel
samples
are
sum-
marized
in
Table
2,
while
Table
3
summarizes
the
results
obtained
for
the
ground
enamel
samples.
The
XPS
spectra
for
the
control
and
acid-etched
unground
un-pumiced
enamel
specimens
are
shown
in
Figs.
2
and
3.
Corresponding
spectra
for
ground
surfaces
are
shown
in
Figs.
4
and
5.
A
comparison
of
the
three
unground
control
specimens
(two
un-pumiced
and
one
pumiced)
and
of
the
two
ground
control
specimens
revealed,
as
expected,
significant
differences
in
their
surface
elemental
compositions
(Table
2 and
Table
3).
Exposure
of
the
unground
un-pumiced
enamel
surface
to
35%
H202
for
60
min
resulted
in
a
slight
but
insignificant
(considering
the
10-20%
relative
error
of
the
measurement)
increase
in
the
concentration
of
phosphorus
and
a
significant
increase
in
the
concentration
of
nitrogen
(Table
2,
tooth
1).
The
unground
pumiced
enamel
surface
and
the
ground
enamel
surfaces
showed
a
similar
significant
increase
in
surface
nitro-
gen
content
and
insignificant
changes
in
the
concentrations
of
the
other
elements
after
exposure
to
the
same
treatment
(Table
2,
tooth
3,
and
Table
3,
tooth
6,
respectively).
An
organic-rich,
demineralized
layer,
characterized
by
a
high
C
content
and
a
dramatic
drop
in
Ca
and
P,
was
detected
on
the
surfaces
of
the
unground
un-pumiced
enamel
specimens
after
treatment
with
either
37%
H3PO4
for
60
s
or
37%
H3PO4
for
60
s,
followed
by
35%
H202
for
60
min
(Table
2,
teeth
1
and
2).
On
the
other
hand,
when
applied
to
the
unground
pumiced
enamel
surface,
the
two
abovementioned
treatments
resulted
in
a
significant
decrease
in
C
and
a
significant
increase
in
0,
Ca,
and
P
(Table
2,
tooth
3).
Similar
effects
were
ob-
served
with
ground
enamel
surfaces
(Table
3,
teeth
5
and
6).
Treatment
of
ground
enamel
with
35%
H202
for
60
min
followed
by
treatment
with
37%
H3PO4
for
60
s
resulted
in
a
surface
elemental
composition
similar
to
the
one
obtained
by
treatment
with
37%
H3PO4
for
60
s
alone
(Table
3,
tooth
5).
The
SIMS
depth
profile
analysis
of
the
unground
un-pum-
iced
37%-H3PO4-treated
enamel
surface
confirmed
the
pres-
ence
of
an
organic-rich
demineralized
layer
that
extended
to
a
depth
of
12
am
(when
the
concentration
of
the
analyzed
ele-
ments
reached
a
plateau
similar
to
that
obtained
for
ground
enamel
samples)
and
which
exhibited
the
lowest
concentrations
of
Ca
and
P
in
the
first
2
,um
(Fig.
6).
SIMS
depth
profile
analyses
of
four
unground
pumiced
enamel
sections
(tooth
4)
and
four
ground
enamel
sections
(tooth
7)
showed
little
or
no
change
at
all
in
the
concentration
of
the
investigated
elements
in
the
upper 20-25
jLrm
of
surface
layer.
Comparative
data,
published
by
us
elsewhere
(Smith
et
al.,
1987),
were
also
obtained,
under
the
same
conditions,
for
ground
and
unground
surfaces
of
synthetic
hydroxyapatite
(Durapatite
-
Sterling-Winthrop
Laboratories,
NY)
and
provided
a
base-
line
for
the
present
spectra.
Discussion.
During
the
XPS
analysis
of
a
sample,
its
surface
is
exposed
to
monochromatic
x-rays,
which
results
in
the
emission,
by
surface
atoms,
of
photoelectrons
having
kinetic
energies
char-
acteristic
for
each
emitting
atom
and
its
respective
binding
state.
By
analysis
of
these
photoelectrons
according
to
their
kinetic
energy,
(semi)quantitative
and
structural
information
can
be
derived
regarding
the
analyzed
surface.
With
the
ex-
ception
of
hydrogen,
all
elements
are
identifiable
during
XPS
analysis,
the
detection
limit
of
the
technique
being
approxi-
mately
0.1%,
with
a
relative
standard
error
of
10%
for
stan-
dardized
quantitative
determinations
and
20-30%
for
standardless
semi-quantitative
ones.
During
SIMS
analysis,
irradiation
of
the
sample
surface
by
low-energy
ions
(helium,
oxygen,
argon,
etc.)
results
in
the
displacement
of
ions
characteristic
of
the
composition
of
the
outer
few
atomic
layers,
i.e.,
to
about
2
nm
depth.
Both
positive
and
negative
emitted
ions
can
be
collected
and
ana-
lyzed
according
to
their
respective
mass/charge
ratio.
This
process
leads
to
sputter
erosion
of
the
surface,
such
that
successive
spectral
scans
can
provide
depth-profiling
infor-
mation.
The
XPS
spectra
for
the
unground
un-pumiced
enamel
sur-
faces
(Fig.
2)
show
peaks
indicating
the
presence
of
C,
0,
Ca,
P.
N.
and
F.
There
was
a
difference
in
the
semi-quantitative
elemental
composition
of
the
two
surfaces,
with
the
second
sample
showing
a
higher
content
of
C
to
the
detriment
of
the
other
elements,
a
fact
that
may
be
due
to
either
different
levels
of
mineralization
or
to
the
presence
of
adventitious
organic
contamination
(Table
2,
teeth
1
and
2).
The
unground
pumiced
TABLE
1
TREATMENT
AND
ANALYSIS
PROTOCOL
FOR
THE
BOVINE
LABIAL
ENAMEL
SECTIONS
Tooth
No.
Surface*
HP**
E***
HP
+
E
E
+
HP
Analysis
Fig.
1-Diagram
of
sectioning
of
labial
surface
of
bovine
tooth
to
pro-
vide
sections
for
different
conditioning
treatments.
1
ug,
u-p
X
X
X
XPS
2
ug,
u-p
X
X
XPS
3
ug,
p
X
X
X
XPS
4
ug,
p
X
X
X
SIMS
5
g
X
X
X
XPS
6
g
X
X X
XPS
7
g
X
X
X
SIMS
*ug
=
unground;
u-p
=
un-pumiced;
g
=
ground;
p
=
pumiced.
**HP=35%
H1202,
one
h.
***E=37%
H3PO4,
60
s.
---
-
-
---
.
Vol.
69
No.
9
1611
by guest on July 10, 2011 For personal use only. No other uses without permission.jdr.sagepub.comDownloaded from
J
Dent
Res
September
1990
TABLE
2
ATOMIC
PERCENT
SURFACE
COMPOSITIONS
OF
UNGROUND
BOVINE
ENAMEL
Tooth
No.
Cleaning
Treatment
C
0
Ca
P
N
F
Ca/P
1
none
none
18.8
46.5
15.2
10.4
1.8
1.0
1.5
1
none
35%
H202,
1
h
20.0
47.9
14.4
12.4
4.1
-
1.2
1
none
37%
H3PO4,
60
s
66.5
18.5
0.7
0.5
14.4
-
1.3
1
none
37%
H3PO4,
60
s
65.1 18.6
0.4
0.5
15.5
-
0.9
+
35%
H202,
1
h
2
none
none
46.2
29.4
9.1
7.8
4.4
2.1
1.2
2
none
37%
H3PO4,
60
s
80.6
11.7
-
-
6.2
0.2
2
none
37%
H3PO4,
60
s
77.3
13.0
-
-
6.5
0.3
-
+
35%H202,
1
h
3
pumice
none
36.9
37.8
11.8
7.9
2.6
1.9
1.5
3
pumice
35%
H202,
1
h
28.3
44.3
14.0
11.6
4.0
0.5
1.2
3
pumice
37%
H3PO4,
60
s
11.6
52.2
20.0
15.2
-
0.8
1.3
3
pumice
37%
H3PO4,
60
s
13.5
50.5
18.6 15.9
1.0
0.3
1.2
+
35%
H202,
1
h
TABLE
3
ATOMIC
PERCENT
SURFACE
COMPOSITIONS
OF
GROUND
BOVINE
ENAMEL
Tooth
No.
Treatment
C
0
Ca
P
N
Ca/P
5
none
33.4
40.0
12.9
8.6
1.1
1.5
5
37%
H3PO4,
60
s
24.1
46.4
14.8
12.6
1.1
1.2
5
35%
H202,
1
h
25.7
44.8
15.8
12.0
0.6
1.3
+
37%
H3PO4,
60
s
5
37%
H3PO4,
60
s
26.3
44.3
14.9
11.8
1.3
1.3
+
35%
H202,
1
h
6
none
25.2
45.3
15.6 11.2
2.3
1.4
6
35%
H202,
1
h
23.1
46.0
13.7
11.6
5.3
1.2
6
37%
H3PO4,
60
s
15.9
50.6
18.4
14.2
-
1.3
6
37%
H3PO4,
60
s
14.7
50.4
18.7
15.8
1.0
1.2
+
35%
H202,
1
h
sample
showed
a
similar
elemental
composition
slightly
dif-
ferent
semi-quantitatively
(Table
2,
t6oth
3).
Treatment
of
the
unground
un-pumiced
sample
with
35%
H202
for
60
min
resulted
in
a
slight,
insignificant
increase
in
P
concentration
and
a
significant
increase
in
N
concentration
that
may
indicate
an
overall
increase
in
the
exposure
of
surface
organic
components
(Table
2,
tooth
1).
The
same
treatment,
when
applied
to
the
unground
pumiced
enamel
surface,
re-
sulted,
again,
in
a
significant
increase
in
N
concentration
ac-
companied
by
other
slight
and
insignificant
modifications
that
could,
however,
be
correlated
with
a
cleansing
effect,
i.e.,
removal
of
organic
contamination
and
exposure
of
more
min-
eral
hydroxyapatite
(Table
2,
tooth
3).
The
unground un-pumiced
enamel
surfaces
treated
with
37%
H3PO4
for
60
s
revealed
the
formation
of
an
organic-rich
layer
with
little
or
no
mineral
content
at
all
(Table
2,
teeth
1
and
2).
The
XPS
spectrum
(Fig.
3)
still
showed
small
concentra-
tions
of
F.
enhanced
levels
of
C
and
N.
and
a
small
peak
for
silicon
(Si).
The
latter
probably
arises
from
the
etching
agent
(Smith
and
Ruse,
1987).
There
were
small
(Table
1,
tooth
1)
or
no
peaks
at
all
(Table
1,
tooth
2)
present
for
Ca
and
P,
indicating
an
almost
complete
demineralization
of
the
surface.
The
absence
of
a
similar
change
in
Ca
and
P
in
the
ground
specimens
(Table
3,
teeth
5
and
6)
suggests
that
the
enamel
below
the
surface
is
more
densely
and
more
uniformly
min-
eralized
than
the
enamel
on
the
surface
(Peterson
et
al.,
1978).
The
additional
treatment
of
acid-etched
surfaces
with
35%
H202
for
60
min
did
not
produce
any
further
significant
mod-
ifications
in
the
surface
elemental
compositions.
The
organic-
rich
layer,
in
these
cases,
could
be
attributed
to
the
presence
50000
W
I'.
1000.
0
BindIng
Energy
(mV)
0.
Fig.
2-XPS
spectrum
of
unground
un-pumiced
untreated
bovine
labial
enamel
surface.
1000.
a
Binding
Energy
(eV)
0.0
Fig.
3-XPS
spectrum
of
unground
un-pumiced
bovine
labial
enamel
surface
treated
with
37%
H3PO4
for
60
s.
I
1612
RUSE
et
al.
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SURFACE
ANALYSIS
OF
BOVINE
ENAMEL
on
the
surface
of
unground
un-pumiced
enamel
of
an
organic-
rich
pellicle
and/or
an
organic-rich
coronal
cementum
(Glimcher
et
al.,
1964).
The
presence
of
an
organic-rich
"film"
was
evident
on
the
surface
of
the
enamel
sample
analyzed
by
SIMS.
During
SIMS
sputtering,
a
charring
effect
accompanied
by
the
exfoliation
of
the
organic-rich
pellicle
took
place
and
was
later
characterized
by
the
viewing
of
the
sample
under
a
light
mi-
croscope
(Fig.
7).
SIMS
depth-profile
analysis
of
the
unground
un-pumiced
acid-
etched
enamel
sample
(Fig.
6)
confirmed
the
presence
(on
the
surface)
of
an
organic-rich
layer
that
was
approximately
12
pAm
thick.
However,
the
depth
of
this
layer
and,
indeed,
its
very
presence
are
probably
dependent
on
both
the
degree
of
tooth
maturation
and
surface
cleaning
proceduress.
It
is
probable
that
it
may
be
reduced
in
teeth
that
are
aged
or
worn,
or
in
teeth
that
are
thoroughly
cleaned,
as
demonstrated
by
the
surface
compo-
sition
of
the
unground
pumiced
enamel
sample
(see
Table
2,
tooth
3).
If
the
organic-rich
layer
is
enamel
cuticle,
it
is
greater
in
depth
than
that
of
human
teeth
(Eisenmann,
1985).
One
aspect
of
the
organic-rich
layer
lies
in
the
significance
of
its
presence
in
studies
that
utilize
young
bovine
incisors
for
investigation
of
the
adhesive
properties
of
restorative
mate-
rials.
In
such
instances,
the
tooth
surface
should
be
ground
so
that
more
mature
and
uniformly
mineralized
enamel
may
be
exposed.
This
also
confirms
that
a
uniform
etching
of
the
labial
surface
of
both
human
and
bovine
teeth
is
more
likely
to
be
obtained
after
maturation
of
the
enamel
has
occurred
and/or
after
the
enamel
surface
has
been
mildly
abraded.
Since
in
our
previous
study
(Titley
et
al.,
1988)
we
ground
the
enamel
surfaces
of
the
bovine
teeth
used
to
evaluate
resin
adhesion
to
bleached
enamel,
it
appears
that
the
marked
re-
duction
in
the
bond
strength
caused
by
the
bleaching
was
not
related
to
a
peroxide-induced
change
in
the
elemental
com-
position
of
the
enamel
surface.
However,
the
absence
of
such
change
does
not
necessarily
imply
that
no
change
in
surface
chemistry
occurred,
and
further
investigation
into
this
possi-
bility
is
currently
being
undertaken.
REFERENCES
EISENMANN,
D.R.
(1985):
Enamel
Structure.
In:
Oral
Histology,
Development,
Struc-
ture
and
Function,
A.R.
Ten
Cate,
Ed.,
St.
Louis:
Mosby,
pp.
198-215.
FEINMAN,
R.A.;
GOLDSTEIN,
R.E.;
and
GARBER,
D.A.
(1987):
Bleaching
Teeth,
Chicago:
Quintessence
Pub.
Co.
GLIMCHER,
M.J.;
FRIBERG,
U.A.;
and
LEVINE,
P.T.
(1964):
The
Identification
and
Characterization
of
a
Calcified
Layer
of
Coronal
Cementum
in
Erupted
Bovine
Teeth,
J
Ultrastr
Res
10:76-88.
PETERSSON,
L.G.;
LODDING,
A.;
and
KOCH,
G.
(1978):
Elemental
Microanalysis
of
Enamel
and
Dentin
by
Secondary
Ion
Mass
Spectrometry
(SIMS),
Swed
Dent
J
2:41-
54.
SMITH,
D.C.;
MURRAY,
D.G.;
ZUCCOLIN,
J.D.;
and
RUSE,
N.D.
(1987):
Surface
Characteristics
of
Hydroxyapatite
and
Adhesive
Bonding.
1.
Surface
Characterization,
J
Adhesion
22:291-312.
SMITH,
D.C.
and
RUSE,
N.D.
(1987):
Adhesion
to
Dentin.
Characterization
of
the
Sub-
strate,
Trans
Soc
Biomater,
Abst.
No.
153.
TITLEY,
K.C.;
TORNECK,
C.D.;
SMITH,
D.C.;
and
ADIBFAR,
A.
(1988):
Adhesion
of
Composite
Resin
to
Bleached
and
Unbleached
Bovine
Enamel,
J
Dent
Res
67:1523-
1528.
(A
c
0
I-
c
z
z
0
5
10
15
20
DEPTH
(Pjm)
Fig.
6-SIMS
depth-profile
analysis
(for
relevant
elements)
of
the
un-
ground,
un-pumiced
bovine
labial
enamel
surface
treated
with
37%
H3PO4
for
60
s.
The
curves
are
separated
for
clarity.
One-thousand-second
sput-
tering
time
is
equivalent
to
approximately
10
,um
of
depth.
Increased
C
and
decreased
0,
P,
and
Ca
concentrations
are
evident
in
the
outer
12
pum.
tos0.
0
Binding
Energy
CeV)
0.11
Fig.
4-XPS
spectrum
of
600-grit
SiC
wet,
ground,
bovine
labial
enamel
surface.
1000.0
B
i
nd
I
rg
Energy
(V)
0.0
Fig.
5-XPS
spectrum
of
600-grit
SiC
wet,
ground,
bovine
labial
enamel
surface
treated
with
37%
H3PO4
for
60
s,
followed
by
35%
H202
for
60
min.
Fig.
7-Light
micrograph
of
the
unground
un-pumiced
bovine
labial
enamel
surface
treated
with
37%
H3PO4
for
60
s
after
SIMS
analysis.
The
charred,
exfoliating,
organic-rich
film
is
evident.
10E5-
legend
'-..~---
C
10E3t
d
10
1
.
...I
.,..I
2,.
1613
Vol.
69
No.
9
by guest on July 10, 2011 For personal use only. No other uses without permission.jdr.sagepub.comDownloaded from
... Current research is focused on the compositional impacts of materials based on peroxide on enamel as well as the bond strengths of enamel. [15][16][17] The rapid bond strength of resins to enamel is negatively impacted by whitening methods based on HP and CP, according to numerous research. 15,16,[18][19][20] Bond strengths to dentin exposed to 37% phosphoric acid for 60 seconds, followed by 60 minutes of HP treatment, were reported to be 0.0 MPa. ...
... 25 The proximal layer of enamel that has undergone peroxide bleaching does not become oxidized, according to surface examination techniques. 17,25 As a result, the bond-strength loss brought on by bleaching using peroxide-based bleaching solutions is not linked to the oxygen buildup inside the enamel matrix inhibiting polymerizing of resin. The decrease in enamel bond strengths, particularly for gels with low pH, may be caused by the reduction in enamel microhardness following two weeks of bleaching with 10% CP. ...
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Carbamide and hydrogen peroxide are the most frequently utilized compounds for various whitening techniques, that differ as per peroxide level, method of administration, and exposure period, when it comes to the active solutions accessible for important tooth whitening. The 10±1% carbamide peroxide dosage was the only level to date to acquire the American Dental Association's stamp of approval, ensuring its safety and effectiveness for at-home tooth whitening with customized trays. There has been a noticeable growth in the range of in-office tooth whitening compounds commercially available, which typically use elevated carbamide peroxide levels (30 to 37%) with or without an additional illumination. Even though tooth sensitivity appears to be the most frequent side effect of carbamide peroxide bleaching, discomfort goes away when the plan of care is finished. Sensitivity is typically linked to a background of sensitive teeth, greater administration rate, or use of greater carbamide peroxide levels. Additionally, studies have showed that using 10% carbamide peroxide at home to lighten teeth had comparable effectiveness to other methods (over the counter or in-office whitening). Patients generally prefer home vital bleaching with 10% carbamide peroxide to office procedures with 35% hydrogen peroxide. When comparing the safety utilizing 16% carbamide peroxide for nightguard vital bleaching to a placebo or 10% carbamide peroxide, patients receiving 16% reported higher gingival soreness than those administered a 10% carbamide peroxide or a placebo.
... Moreover, for in vitro studies of adhesive strength, bovine incisors have been used as a substitute for human teeth because they are morphologically similar and present similar values in bond strength tests applicable to the evaluation of the influence of various treatments to dental enamel (Ruse, Smith, Torneck & Titley, 1990). Due to its rough surface, planning was performed in this study to standardize the initial smoothness (Ruse, Smith, Torneck & Titley, 1990). ...
... Moreover, for in vitro studies of adhesive strength, bovine incisors have been used as a substitute for human teeth because they are morphologically similar and present similar values in bond strength tests applicable to the evaluation of the influence of various treatments to dental enamel (Ruse, Smith, Torneck & Titley, 1990). Due to its rough surface, planning was performed in this study to standardize the initial smoothness (Ruse, Smith, Torneck & Titley, 1990). ...
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To evaluate the action of photoinitiators on the microtensile resistance of adhesive systems and resins composed in bovine enamel. Forty dental fragments, with flat and smooth enamel surfaces, obtained from the coronary buccal face of healthy bovine incisors, were randomly assigned to 4 experimental groups (n = 10) according to the different adhesive systems and composite resins used: Group 1- Ambar APS + Vittra APS; Group 2- Ambar APS + Opallis; Group 3- Ambar + Vittra APS; Group 4- Ambar + Opallis. After composite restoration, the samples were sectioned to obtain toothpicks that were subjected to the microtensile test (1.0 mm/min). The data obtained were subjected to statistical analysis. The Kruskal-Wallis test revealed no significant differences between groups (p <0.05). Values in MPa were: G1- 18.58 MPaa; G2 - 19.83 MPaa; G3- 19.87 MPaa; G4- 20.99 MPaa. The result of the Mann-Whitney test showed no significant differences due to the adhesive (Ambar Universal- 19.58 MPaa, Ambar APS Universal- 19.87 MPaa) and the composite resin used (Vittra APS- 19.52 MPAa, Opallis - 20.56 MPAa). The use of different photoinitiators in the composition of adhesive systems and restorative composites did not influence their adhesive resistance values due to the standardization of the factors that influence their cure pattern.
... Химичният състав на емайла и дентина може да се определя чрез Раман-спектроскопия (35,19), чрез ESCA (електронна спектроскопия за химичен анализ) (39,41,42), инфрачервен анализ и рентгенова дифракция (34). С микрораманова спектроскопия също не се установява разлика в спектъра на дентина на избелвани и контролни зъбни спесимени (13). ...
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... Beyazlatma sonrasında minede meydana gelen değişikliklerin rezin kompozitin adezyonunu olumsuz olarak etkilediği bilinmektedir. 20,21 Bu nedenle beyazlatma tedavisinden sonra pulpa odasına yerleştirilen kalsiyum hidroksit patı, asidik pH'nın tamponlanmasını sağlayarak bir komplikasyon olarak karşımıza çıkabilecek servikal kök rezorpsiyonunu engelleyebilir. 15,22 Bu yüzden olgumuzda beyazlatma uygulaması tamamlandıktan sonra kalsiyum hidroksit patı 10 gün süre boyunca pulpa odasında bekletilmiştir. ...
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Dişlerdeki renk değişimleri, lokalizasyona (eksternal ve internal faktörler gibi) ve etiyololojiye dayanan çok faktörlü olgulardır. Hangi tip beyazlatma tedavisine ihtiyacımız olduğuna karar vermek en önemli durumdur. Kök kanal tedavisi uygulanmış dişlerdeki renk değişikliklerinin nedenleri arasında pulpa dokusu artıkları, kanal dolgu patları, irrigasyon ve pansuman materyalleri yer almaktadır. İntrakoronal beyazlatma tedavisi, devital dişlerin beyazlatılmasında etkili ve minimal invaziv bir yaklaşımdır. Bu vaka raporunun amacı renklenmiş kök kanal tedavili sol maksiller santral kesici dişin beyazlatılması ve hastaya estetik restorasyonların sunulmasıdır.
... While more rapid bleaching of teeth is available with dental practitioners, with 25-40% concentrations of peroxide or carbamide, lower concentrations of 3-25% are available for use at home [2,12]. However, previous studies have shown that when a 35% concentration of hydrogen peroxide is used, it may alter enamel composition and structure [13,14]. ...
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The increase in aesthetic demands has increased the use of ceramic dental restorations in dentistry. Ceramic restorations are bonded to the tooth structure using adhesives. There is a lack of standard guidelines in terms of post-bleaching time intervals and bond strengths of ceramic restorations. Bleaching products have also been stated to affect the morphology of enamel. Therefore, the purpose of this systematic review is to evaluate the bond strength between ceramic and enamel and the changes in the surface roughness of enamel post teeth bleaching. An electronic search was performed in the databases PubMed, OVID MEDLINE, Scopus, and Web of Science with MESH terms: “adhesion OR bonding”, “ceramic OR ceramics OR dental porcelain”, “tooth bleaching OR teeth bleaching OR tooth whitening OR teeth whitening” and “enamel OR dental enamel OR enamels OR dental enamels”. The articles were screened, and the final selection of articles was obtained by using the inclusion and exclusion criteria. Of the 170 studies identified from the search, only 12 studies met the inclusion criteria and were selected for full-text review. A further search by hand was performed, and additional 48 studies were selected. From the 60 full-text studies, 18 studies met the inclusion criteria and were included for data extraction. The results were based on a descriptive analysis of the effect on bond strength of ceramic to enamel after a bleaching protocol and the changes in the surface roughness of enamel post bleaching protocol. In conclusion, bleaching protocols alter the surface roughness of enamel and, thus, the shear bond strength between ceramic and enamel. Bleaching treatments with a higher concentration of hydrogen peroxide reduce the bond strength between ceramic and enamel. Delaying bonding after bleaching for up to 7 days increases the bond strength between ceramic and enamel.
... This is because remnants of peroxide and free oxygen have been shown to inhibit polymerization (Dishman et al., 1994;Torneck et al., 1990). It is not likely that change in the enamel structure interferes with composite adhesion (Ruse et al., 1990;Torneck et al., 1990). However, the appearance of composite tags in the hybrid layer in bleached enamel is less regular and distinct than in unbleached enamel (Titley et al., 1991). ...
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Managing tooth discolouration involves a range of different protocols for clinicians and patient’s in order to achieve an aesthetic result. There is an increasing public awareness in the appearance of their teeth and management of tooth discolouration may be inter‐disciplinary and involve both vital and non‐vital teeth. Vital teeth can be easily treated with low concentration hydrogen peroxide products safely and effectively using an external approach and trays. For endodontically treated teeth, the walking bleach technique with hydrogen releasing peroxide products is popular. However, there is an association with external cervical root resorption with higher concentrations of hydrogen peroxide of 30‐35%. There are also regulatory considerations for the use of hydrogen peroxide in certain jurisdictions internationally. Prosthodontic treatments are more invasive and involve loss of tooth structure as well as a life cycle of further treatment in the future. This narrative review is based on searches on PubMed and the Cochrane library. Bleaching endodontically treated teeth can be considered a safe and effective protocol in the management of discoloured teeth. However, the association between bleaching and resorption remains unclear although there is likely to be a relation to prior trauma. It is prudent to avoid thermocatalytic approaches and to use a base/sealer to cover the root filling. An awareness expectations of patients and multidisciplinary treatment considerations is important in achieving the aesthetic result for the patient. It is likely that there will be an increasing demand for aesthetic whitening treatments. Bleaching of teeth has also become increasingly regulated although there are international differences in the use and concentration of bleaching agents.
... Raman spectroscopy analyses have demonstrated no changes in the enamel micro-chemical composition [12]. On the other hand, a decrease in enamel 2 of 10 and dentin micro-hardness [2,13,14] and changes in enamel surface morphology [2,15] and structure [16] are also reported. ...
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Tooth bleaching is a common treatment for the amelioration of the aesthetic of discoloured teeth. In this context, there are two common approaches that employ concentrated solutions (30–40 wt.%) of either hydrogen peroxide or carbamide peroxide as bleaching agents. However, there is an ongoing debate on the possible adverse effects of these different treatments on tooth health, such as variation of the enamel structure, surface morphology, and chemistry, which also affect tooth sensitivity. In the present work, a study on the effect of the two bleaching agents, a 35 wt.% solution of hydrogen peroxide and a 30 wt.% solution of carbamide peroxide, on the permeability and surface morphology of enamel is reported. The investigation was carried out on replicas of incisors obtained after different treatment times and for several patients, employing scanning electron microscopy to study the morphological features of the treated teeth. The significance of the analytical study was corroborated by a statistical analysis of the results. The collected data suggest that hydrogen peroxide treatment increases the enamel permeability, and this could be related with tooth sensitivity, whereas the carbamide peroxide solution increases the formation of precipitates on the tooth enamel.
... Many studies reported that bleaching agents especially hydrogen peroxide will change enamel surface properties and will decrease bond strength to enamel [23][24][25]. ...
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Intracoronal bleaching is a minimally invasive procedure that was introduced into dentistry in the 19th century. The role of that procedure in enhancing the colour of teeth subjected to internal discolouration while being conservative made it extremely popular amongst dental professionals. Different materials and techniques have been utilized over the years attempting to obtain predictable long‐term results while minimizing any associated risks. Contemporarily, bleaching agents are mainly based on peroxide‐releasing compounds in different formulations and delivery systems. Different theories have been formulated on the bleaching mechanism of such agents, but the exact mechanism is yet to be proven. The effect of hydrogen peroxide‐based bleaching agents on the organic structure of enamel and dentine has been extensively investigated to address the effects of bonding of resin‐based restorative materials to hard tooth structure. Multiple case reports raised a concern about the contribution of intracoronal bleaching in developing invasive root resorption. Modification of intracoronal bleaching techniques was thus necessary to address such concerns. This review will provide a summary of the important aspects of intracoronal bleaching, focusing on how it applies to the contemporary clinical setting. © 2023 Australian Dental Association.
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Objectives: The aim of this study was to determine the shear bond strength of composite resin and lithium disilicate porcelain to bleached enamel 1 day or 2 weeks later using different adhesive resin luting cement. Materials and Method: 84 flat enamel surfaces were prepared from freshly extracted non-carious human maxillary permanent incisors using low speed diamond saw. Specimens were randomly assigned to a control group (Group I) and two experimental bleaching groups accoding to the 1st day (Group II) or 2 weeks (Group III) after bleaching treatment with %30 carbamide peroxide (Zaris White&Brite, %30). Each group were divided into four subgroups (n=7); Group A: Specimens were luted to lithium disilicate blocks with light cure resin cement. Group B: Specimens were luted to composite resin blocks with light cure resin cement. Group C:Specimens were luted to lithium disilicate blocks with dual cure resin cement, Group D:Specimens were luted to composite resin blocks with dual cure resin cement. Surface preparations of the specimens and cementation procedure was done due to manufacturer's recommendations. Specimens were thermocycled 1000 times and shear bond strengths were determined using a universal testing machine. The data was evaluated using 3 way ANOVA and Tukey’s HSD tests. Results Control group (Group I) demonstrated significantly higher shear bond strength than bleaching groups (Group II & Group III) (p˂0.05). In all subgroups. Group II shows the lowest scores. There were no statistically significant difference found among composite and ceramic material results. But as a luting agent; dual cure resin cement showed statistically significant lower shear bond strength values than light cure resin cement (p˂0.05) . Conclusion: Bleaching significantly decreased bond strength. Bonding after 2 weeks demonstrated higher bond strengths than after 1 day. There was no statistically significant difference among luting agents in composite groups. Light cured resin cement showed better results than dual cured in ceramic groups. Key Words: Bleaching, carbamide peroxide, shear bond strength, enamel, resin cements.
Article
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Cylinders of microfil and small-particle light-cured composite resin were bonded to the flattened labial enamel surface of young bovine incisor teeth which had previously been subjected to four different treatments: (1) teeth immersed in 35% hydrogen peroxide (HP) for 60 min and etched (E) with 37% phosphoric acid gel for 60 sec; (2) teeth immersed in saline (S) for 60 min and E for 60 sec; (3) teeth E for 60 sec and immersed in HP for 60 min; and (4) teeth E for 60 sec, immersed in S for 60 min. Specimens were stored in water at 37 degrees for one and seven days prior to tension- and shear-testing. A total of 256 teeth was tested--eight teeth in each group for each day, for each resin, and for each test. Statistical analysis of the results indicated that there was a highly significant reduction in adhesive bond strength of the resins when the enamel was exposed to HP as compared with S. SEM examination of randomly selected fractured test specimens indicated that this reduction in adhesive bond strength occurred primarily at the bonding resin-enamel interface. Less significant differences in bond strength were noted in the control specimens, with regard to resin type, time of storage, and the etching order.
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Chemical analyses of the outer one-third of the enamel from erupted bovine teeth showed a very much higher content of hydroxyproline than samples obtained from the middle third of the enamel. The source of this hydroxyproline was found to be a layer of calcified collagen, external to and covering the enamel, and continuous with the cementum covering the roots. A review of the literature revealed that early histologists had described an external layer of coronal cementum not only in Ungulata, but in human teeth as well. The coronal cementum may account for the high hydroxyproline content of enamel prepared from erupted human teeth.
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Adhesion to hydroxyapatite (HA), the mineral phase of calcified tissues, is important in cellular attachment and bonding of synthetic adhesive materials. The surface preparation of HA was found to affect the adhesion greatly. A pure synthetic HA was studied to examine the effect of commonly-used preparative techniques on surface morphology and activity. Surface grinding and polishing and organic acid etching gave rough surfaces that were hydrophobic. Etching with HC1 or HN03 and firing at 800°C gave hydrophilic surfaces. ISS, SIMS and ESCA studies showed various degrees of organic and inorganic contamination. Plasma cleaning removed hydrophobic contaminants but inorganic contamination from the plasma vessel increased as time of exposure was increased. It was evident that current preparative procedures give highly variable surfaces that would be expected to influence adhesion of both monomer-polymer adhesive systems and cells.
Article
Chemical analyses of the outer one-third of the enamel from erupted bovine teeth showed a very much higher content of hydroxyproline than samples obtained from the middle third of the enamel. The source of this hydroxyproline was found to be a layer of calcified collagen, external to and covering the enamel, and continuous with the cementum covering the roots. A review of the literature revealed that early histologists had described an external layer of coronal cementum not only in Ungulata, but in human teeth as well. The coronal cementum may account for the high hydroxyproline content of enamel prepared from erupted human teeth.
Adhesion to Dentin. Characterization of the Substrate
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Enamel Structure, In: Oral Histology, Development, Structure and Function
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