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. 2016 Sep-Oct;19(5):428-33.
doi: 10.4103/0972-0707.190004.

Effect of bleaching agents having a neutral pH on the surface of mineral trioxide aggregate using electron microscopy and energy dispersive X-ray microanalysis

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Effect of bleaching agents having a neutral pH on the surface of mineral trioxide aggregate using electron microscopy and energy dispersive X-ray microanalysis

Nooh Kazia et al. J Conserv Dent. 2016 Sep-Oct.

Abstract

Aim: To investigate the effect of bleaching agents having a neutral pH on the surface of mineral trioxide aggregate (MTA) used as a coronal seal material for nonvital bleaching, beneath the bleaching agent, with the help of energy dispersive X-ray microanalysis and scanning electron microscopy (SEM).

Materials and methods: Six samples of plastic tubes filled with white MTA (Angelus white) were kept in 100% humidity for 21 days. Each sample was divided into 2 and made into 12 samples. These were then divided into three groups. Group A was exposed to Opalescence Boost 40% hydrogen peroxide (HP) (Ultradent). Group B to Opalescence 10% carbamide peroxide (Ultradent) and Group C (control group) not exposed to any bleaching agent. After recommended period of exposure to bleaching agents according to manufacturers' instructions, the samples were observed under SEM with an energy dispersive X-ray microanalysis system (JSM-6380 LA).

Results: There were no relevant changes in color and no statistically significant surface structure changes of the MTA in both the experimental groups.

Conclusion: The present findings suggest that even high concentration HP containing bleaching agents with neutral pH can be used on the surface of MTA without causing structural changes. The superior sealing ability of MTA and the high alkalinity would prevent cervical resorption postbleaching.

Keywords: Carbamide peroxide; energy-dispersive X-ray; mineral trioxide aggregate; opalescence boost; scanning electron microscopy.

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Figures

Figure 1
Figure 1
(a-c) Plate-like and globular structures in all the 3 groups under scanning electron microscopy
Graph 1
Graph 1
EDX analysis showing the elemental distribution within the MTA samples

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