Effects of nano-hydroxyapatite paste on enamel microporosity after bleaching treatment

Nikmatus Sa'adah, G. Sari, Elyana S Asnar
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Abstract

Bleaching or teeth whitening is a popular dental conservative treatment to enhance aesthetics. Bleaching treatment in many cases has successfully improved aesthetics but still remains the side effects. It can cause some changes in enamel structure leading to demineralization characterized by the emergence of microporosity on the enamel surface. Nano-hydroxyapatite is potential to re-mineralize earlyenamel lesions. This study aims to identify the effect of nano-hydroxyapatite on enamel microporosity after bleaching treatment. Twelve rabbits were randomly divided into two groups. The control and treatment group administered a placebo and nano-hydroxyapatite paste respectively, for 7 days after bleaching treatment. Once the treatment was completed, the rabbit was sacrificed, the jaw was decapitated, upper and lower incisors of the rabbit were separated from the jaw. Subsequently, the sample preparation wasconducted for examination of enamel microporosity depth by using scanning electron microscope. The results showed the control group had more microporositycompared to the treatment group. The independent t-test result showed that enamel microporosityhad a significant value of 0.003 (p <0.05) meaning that enamel microporosity between both groups had a significant difference. The conclusion of this study was administration of nan-hydroxyapatite paste reduced enamel microporosityin the administration of nano-hydroxyapatite pastes compared to the placebo pastes after bleaching treatment.
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纳米羟基磷灰石糊剂对漂白后牙釉质微孔隙度的影响
漂白或牙齿美白是一种流行的牙齿保守治疗,以提高美观。漂白治疗在许多情况下成功地改善了美观,但仍然存在副作用。它可以引起牙釉质结构的一些变化,导致脱矿,其特征是牙釉质表面出现微孔。纳米羟基磷灰石有可能使早期牙釉质病变再矿化。本研究旨在研究纳米羟基磷灰石对牙釉质漂白后微孔隙度的影响。12只家兔随机分为两组。对照组和治疗组分别给予安慰剂和纳米羟基磷灰石糊剂,漂白治疗后7天。治疗完成后,处死兔,取下颚头颅,将兔上、下门牙与下颚分离。然后进行样品制备,用扫描电镜检查牙釉质微孔深度。结果显示,与治疗组相比,对照组有更多的微孔。独立t检验结果显示,牙釉质微孔隙率为0.003,差异有统计学意义(p <0.05),说明两组牙釉质微孔隙率差异有统计学意义。本研究的结论是,在漂白治疗后,纳米羟基磷灰石糊剂与安慰剂糊剂相比,纳米羟基磷灰石糊剂减少了牙釉质微孔隙。
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