Does the application of whitening dentifrices during at-home bleaching affect the bond strength of resin composite to dentin?

BMC Oral Health. 2022 Dec 26;22(1):644. doi: 10.1186/s12903-022-02680-7.

Abstract

Aim: This study aimed to evaluate the effect of using whitening dentifrices during at-home bleaching on the shear bond strength (SBS) of resin composite to dentin, and investigate whether the increased polymerization time would improve SBS.

Methods: Ninety-six bovine incisors were divided into 4 groups of 24, according to the whitening treatment applied as follows: group 1, at-home bleaching + brushing with a regular dentifrice; group 2, at-home bleaching + brushing with a whitening dentifrice containing ozone; group 3, at-home bleaching + brushing with a commercial whitening dentifrice; and group 4 (control), no whitening/brushing treatment. Each group was divided into two subgroups (n = 12) to assess the effect of curing time (20 versus 80 s) on SBS. A self-etch adhesive was bonded to dentin, and after 2-day water storage, SBS was determined.

Results: SBS was significantly affected by the whitening treatment (P = 0.03), but increasing the curing time had no significant effect on SBS (P = 0.137). Bond strength in group 1 was comparable to the control group (P > 0.05). The specimens in group 3 displayed significantly lower SBS than either group 4 or group 1 (P > 0.05). No significant difference was observed between the SBS of group 2 compared to any other group (P > 0.05). There was no significant association between the treatment group and failure type (P > 0.05).

Conclusion: The bonding interface was not negatively influenced by the at-home bleaching procedure. However, using a commercial whitening dentifrice during at-home bleaching produced a significant detrimental effect on SBS. Extending the curing time would have no beneficial effect on adhesion to a whitened dental substrate.

Keywords: Bleaching; Bleaching agents; Bond strength; Composite resins; Curing light; Dental bonding; Ozone; Polymerization; Toothpaste; Whitening dentifrice.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cattle
  • Composite Resins / chemistry
  • Composite Resins / therapeutic use
  • Dental Bonding*
  • Dental Cements
  • Dental Stress Analysis
  • Dentifrices* / therapeutic use
  • Dentin
  • Humans
  • Materials Testing
  • Resin Cements / therapeutic use
  • Shear Strength

Substances

  • Dentifrices
  • Dental Cements
  • Composite Resins
  • Resin Cements