Effect of herbal antioxidants on the shear bond strength of composite resin to bleached enamel at different time intervals

S. Kamat, N. H. Malgundkar, Divya Gupta, M. Kamat
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Abstract

Anterior tooth discolorations can be treated conservatively and noninvasively through bleaching to achieve the desired esthetic outcomes. However, bleaching along with composite resin is advisable for certain clinical cases for optimum results. However, shear bond strength (SBS) of composite resin to the bleached tooth gets significantly lowered. Before placing the composite restoration, the bleached enamel needs to be treated with antioxidant agents to increase its SBS. The study aims to evaluate and compare the effect of herbal antioxidants on SBS of composite resin to bleached enamel at different time intervals. Sixty extracted single-rooted maxillary incisors postdecoronation, keeping their labial surfaces up were mounted in cold-cure acrylic resin. The samples were randomly divided into: Group I – unbleached; Group II – 10% pine bark extract for 10 min postbleaching; Group III – 10% pine bark extract for 20 min postbleaching; Group IV – application of 10% rosemary extract for 10 min postbleaching, Group V – application of 10% rosemary extract for 20 min postbleaching; Group VI – no application of antioxidant. 35% hydrogen peroxide was used for bleaching all the samples except those which served as negative control. Later composite cylinder 4 mm in diameter and length were built on prepared enamel. The maximum load at failure was recorded using the universal testing machine. Data were analyzed using the analysis of variance and Tukey’s t-test with significance level of P < 0.05. Highest load was exhibited by Group I. Group V showed satisfactory shear strength followed by Groups IV, III, II, and VI. Both 10% rosemary and 10% pine bark extracts showed better results when applied for 20 min as compared to 10 min application. Increased duration of antioxidant application increases the SBS.
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中草药抗氧化剂对不同时间间隔复合树脂与漂白珐琅质剪切粘接强度的影响
前牙变色可以通过漂白进行保守、无创的治疗,以达到理想的美学效果。不过,在某些临床病例中,为了达到最佳效果,建议在漂白的同时使用复合树脂。但是,复合树脂与漂白牙齿的剪切粘接强度(SBS)会明显降低。在放置复合树脂修复体之前,需要用抗氧化剂处理漂白过的珐琅质,以提高其 SBS。本研究旨在评估和比较不同时间间隔内中草药抗氧化剂对复合树脂与漂白珐琅质的 SBS 的影响。 研究人员将 60 颗拔出的单根上颌门牙装入冷固化丙烯酸树脂中,并保持其唇面向上。样品被随机分为第一组--未漂白;第二组--漂白后 10 分钟使用 10%松树皮提取物;第三组--漂白后 20 分钟使用 10%松树皮提取物;第四组--漂白后 10 分钟使用 10%迷迭香提取物;第五组--漂白后 20 分钟使用 10%迷迭香提取物;第六组--未使用抗氧化剂。除作为阴性对照的样品外,所有样品均使用 35% 过氧化氢进行漂白。之后在制备好的珐琅质上制作直径和长度均为 4 毫米的复合圆柱体。使用万能试验机记录破坏时的最大载荷。 数据分析采用方差分析和 Tukey's t 检验,显著性水平为 P <0.05。 第五组显示出令人满意的剪切强度,其次是第四、三、二和六组。 与使用 10 分钟相比,使用 20 分钟的 10%迷迭香和 10%松树皮提取物效果更好。抗氧化剂使用时间的延长会增加 SBS。
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