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Effects of Direct and Indirect Bleach on Dentin Fracture Toughness
L.E. Tam* and
A. Noroozi
Restorative Dentistry, Faculty of Dentistry, University of Toronto, 124 Edward Street, Toronto, ON, Canada M5G 1G6

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Figure 1. Direct application mode results (mean ± standard deviation). Fracture toughness (K1C) (MPa*m1/2) of human dentin for 16% carbamide peroxide, 10% carbamide peroxide, and 3% hydrogen peroxide groups, compared with their respective control groups, after two- and eight-week direct treatment (n = 10, ANOVA and Fishers LSD, p < 0.05). There were no significant differences in mean fracture toughness among the direct control groups. The mean fracture toughness was significantly lower for all bleach groups than for control groups after both two- and eight-week direct treatment. The mean fracture toughness for 16% carbamide peroxide was significantly lower than that for 10% carbamide peroxide after two-week direct treatment. With a 61–68% reduction in mean fracture toughness, the eight–week bleached groups showed the lowest direct fracture toughness significant results.
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Figure 2. Indirect application mode results (mean ± standard deviation). Fracture toughness (K1C) (MPa*m1/2) of human dentin for 16% carbamide peroxide, 10% carbamide peroxide, and 3% hydrogen peroxide groups, compared with their respective control groups, after two- and eight-week indirect treatment (n = 10, ANOVA and Fishers LSD, p < 0.05). There were no significant differences in mean fracture toughness among the indirect control groups. Compared with their control groups, there were significant decreases in mean fracture toughness for 16% carbamide peroxide after both two- and eight-week indirect treatment, and for 10% carbamide peroxide after eight-week indirect treatment. With a 37% reduction in mean fracture toughness, the eight-week 16% carbamide peroxide group showed the lowest indirect fracture toughness significant result.
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Figure 3. Scanning electron microscopy (SEM) photomicrograph of dentin fracture surface after eight-week direct treatments. (A) Dentin fracture surface after eight-week direct control treatment. (B) Dentin fracture surface after eight-week direct bleach treatment (16% carbamide peroxide). In general, the surface morphology of the dentin fracture surfaces of the bleach and control dentin groups appeared quite similar. SEM examination revealed localized evidence of demineralization, particularly in the tubule walls, of bleached specimens. T = Dentin tubule lumen. P = Peritubular dentin. I = Intertubular dentin.
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Journal of Dental Research, Vol. 86, No. 12,
1193-1197 (2007)
DOI: 10.1177/154405910708601210

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