alexa Effect of carbamide peroxide bleaching on the shear bond strength of composite to dental bonding agent enhanced enamel.



Author(s): Sung EC, Chan SM, Mito R, Caputo AA

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Abstract STATEMENT OF PROBLEM: Carbamide peroxide bleaching has been implicated in adversely affecting the bond strength of composite to enamel. PURPOSE: This in vitro study evaluated the effect of 3 dental bonding agents (OptiBond, All-Bond 2, One-Step) on the shear bond strength of a hybrid composite to enamel which was treated by a 10\% carbamide peroxide bleaching system. MATERIAL AND METHODS: Cylinders of composite were bonded to carbamide peroxide-treated enamel on extracted human teeth using 3 dental bonding agents. After thermocycling, shear bond strengths were determined with a universal testing machine. RESULTS: OptiBond aided bond strengths were 23.7 +/- 5.6 MPa to bleached and 19.6 +/- 2.9 MPa to unbleached enamel. For All-Bond 2, bleached enamel exhibited bond strengths of 14.9 +/- 4.0 MPa and unbleached enamel exhibited a bond strength value of 20. 4 +/- 2.3 MPa. The composite bond strength for One-Step was 13.6 +/- 5.9 MPa to bleached and 23.0 +/- 3.9 MPa to unbleached enamel. There was no statistical difference between OptiBond (alcohol base) aided bond strengths for bleached and unbleached enamel; however, the bond strength of composite to bleached enamel with All-Bond 2 or One-Step (acetone base) was significantly lower than unbleached controls. CONCLUSION: The effect of bonding agent usage on composite bond strength to enamel bleached with a particular carbamide peroxide was dependent on the bonding agent used.
This article was published in J Prosthet Dent and referenced in Dentistry

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