Efeito da tecnica de aplicação de agentes clareadores em consultório na penetração de peróxido de hidrogênio na câmara pulpar de dentes humanos

Abstract

This in vitro study aimed to assess the amount of hydrogen peroxide (H2O2) from different bleaching agents in the pulp chamber when subjected to different bleaching systems. Seventy-two human premolars were used and randomly divided into 12 groupsaccording to the combination of factors: bleaching agents (Opalescence Boost 38% [B] Whiteness HP Maxx 35% [WM] Total Blanc Office 35% [TBO] Whitenesse HP Blue 35% [WB] Lase Peroxide Sensy 35% [LPS] application modes (3 times 15 minutes and 1 time 45 minutes). An additional group of teeth not bleached (control) was added to the study.To assess the amount of hydrogen peroxide in the pulp chamber, all teeth were cut 3mm from the cement enamel junction, the pulp tissue removed and acetate buffer was placed in the pulp chamber. After the application of bleaching agents in accordance with the mode of application to be tested, H2O2 diffusion was measured for UV-visible spectroscopy of H2O2 by reaction with 4-amino-2,3-dimethyl-1-phenyl-3 pirazolin- 5 -one with a wavelength of 510 nm. The optical density of solution was determined and converted to micrograms of H2O2. Average data and standard deviation of the amount of H2O2 detected within the pulp chamber of the factors was significant (p < 0,0001).Overall, there was no difference between the groups when the bleaching gels tested were applied in technique 3 x 15 min (p > 0,05). However, there was significant difference when the gels were applied in technique 1 x 45 min (p < 0,05), and bleaching treatments Opalescence Boost PF 38% Whiteness HP Blue and 35% those who had the lowest values of hydrogen peroxide into the pulp. Based on the study results it is possible to conclude that the application technique for three times 15 minutes there was no difference between the tested bleaching agents, however, when applied the technique once 45 minutes, bleaching agents containing desensitizing agents are alkaline and had the lowest percentages of hydrogen peroxide within the pulp chamber.