Effects of in-office bleaching products on surface finish of tooth-colored restorations

Abstract

A number of "high power" in-office bleaching products have recently been re-introduced into the market. The use of such strong oxidizing agents has raised questions as to possible adverse effects on tooth structure and restorative materials. This study evaluated the effects of 35% carbamide peroxide (Opalescence Quick) and 35% hydrogen peroxide (Opalescence Xtra) on the surface finish of four tooth-colored restorative materials (Spectrum TPH, Dyract AP, Reactmer and Fuji II LC). Twenty-seven matrix-finished specimens of each material were fabricated, stored in distilled water at 37 degrees C for seven days and randomly divided into three groups. Specimens in Group 1 were stored in distilled water at 37 degrees C (control). Specimens in Groups 2 and 3 were treated with 35% carbamide peroxide and 35% hydrogen peroxide, respectively. A total of three 30-minute bleaching sessions were conducted at one-week intervals. Storage medium during the hiatus period was distilled water at 37 degrees C. Surface roughness measurements were carried out using profilometry after each bleaching session. Data was analyzed using ANOVA/Scheffe's test at a 0.05 significance level. No significant difference in surface roughness was observed between the bleached and the control groups for all materials. In-office bleaching products are not detrimental to the surface finish of composites, compomers, giomers and resin-modified glass ionomer cements.