AI Article Synopsis

  • The study aimed to evaluate how bleaching using 38% hydrogen peroxide and LED-laser affects the fracture resistance of endodontically treated maxillary incisors.
  • Fifty teeth were treated and divided into five groups based on the number of bleaching sessions, ranging from no treatment to four sessions.
  • Results indicated that while no major strength difference was observed between the control and one session groups, teeth treated with two or more bleaching sessions showed significantly lower fracture resistance.

Article Abstract

Objectives: The aim of this study was to assess the fracture resistance of endodontically treated teeth submitted to bleaching with 38% hydrogen peroxide activated by light-emitting diode (LED)-laser system.

Methods: Fifty maxillary incisors were endodontically treated, received a zinc phosphate barrier and were embedded in acrylic resin until cemento-enamel junction. The specimens were distributed into five groups (n=10) according to the number of bleaching sessions: GI, no treatment (control); GII, one session; GIII, two sessions; GIV, three sessions and GV, four sessions. The whitening gel was applied to the buccal surface of the tooth and inside the pulp chamber for three times in each session, followed by LED-laser activation. Specimens were submitted to the fracture resistance test (kN) and data were submitted to the Tukey-Kramer multiple comparisons test.

Results: No significant difference (p>0.05) was found between GI (0.71+/-0.30) and GII (0.65+/-0.13), which presented the highest strength values to fracture. Groups III (0.35+/-0.17), IV (0.23+/-0.13) and V (0.38+/-0.15) showed lower resistance to fracture (p<0.01) when compared to GI and GII.

Conclusions: The fracture resistance of endodontically treated teeth decreased after two sessions of bleaching with 38% hydrogen peroxide activated by LED-laser system.

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Source
http://dx.doi.org/10.1016/j.jdent.2008.07.007DOI Listing

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