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Jéssica Dias Theobaldo,1 Flávio Henrique Baggio Aguiar,1 Núbia Inocencya Pavesi Pini,2 Débora Alves Nunes Leite Lima,1 Priscila Christiane Suzy Liporoni,3 Anderson Catelan3 1Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, 2Ingá University Center, Maringá, 3Departament of Dentistry, University of Taubaté, Taubaté, Brazil Objective: The aim of this study is to evaluate the effect of composite preheating and polymerization mode on degree of conversion (DC), microhardness (KHN), plasticization (P), and depth of polymerization (DP) of a bulk fill composite.Methods: Forty disc-shaped samples (n = 5) of a bulk fill composite were prepared (5 × 4 mm thick) and randomly divided into 4 groups according to light-curing unit (quartz–tungsten–halogen [QTH] or light-emitting diode [LED]) and preheating temperature (23 or 54 °C). A control group was prepared with a flowable composite at room temperature. DC was determined using a Fourier transform infrared spectrometer, KHN was measured with a Knoop indenter, P was evaluated by percentage reduction of hardness after 24 h of ethanol storage, and DP was obtained by bottom/top ratio. Data were statistically analyzed by analysis of variance and Tukey’s test (α = 0.05).Results: Regardless of light-curing, the highest preheating temperature increased DC compared to room temperature on bottom surface. LED showed a higher DC compared to QTH. Overall, DC was higher on top surface than bottom. KHN, P, and DP were not affected by curing mode and temperature, and flowable composite showed similar KHN, and lower DC and P, compared to bulk fill.Conclusion: Composite preheating increased the polymerization degree of 4-mm-increment bulk fill, but it led to a higher plasticization compared to the conventional flowable composite evaluated. Keywords: composite resins, physicochemical phenomena, polymerization, hardness, heating

Bruna Scarcello Strini,1 Joyce Figueiredo de Lima Marques,1 Renata Pereira,1 Danielle Ferreira Sobral-Souza,2 Vanessa Gallego Arias Pecorari,3 Priscila Christiane Suzy Liporoni,4 Flávio Henrique Baggio Aguiar1 1Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil; 2Dental School, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil; 3Department of Biostatistics, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil; 4Department of Restorative Dentistry, University of Taubate, Taubaté, SP, BrazilCorrespondence: Joyce Figueiredo de Lima Marques, Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Av. Limeira, 901, Piracicaba, SP, 13414-903, Brazil, Tel +55 19 2106-5337 ; +55 84 99966-8539, Fax +55 19 3421-0144, Email jcinhafml@hotmail.comPurpose: Bulk-fill composite resins were developed to reduce time and facilitate the restorative procedure. However, considering their recent introduction on the market and the new formulations, their performance still requires evaluation. This study aimed to evaluate Knoop microhardness (KHN), diametral tensile strength (DTS) and degree of conversion (DC) of three Bulk-Fill composite resins and a conventional one.Materials and Methods: Sixty samples (n = 15; 8 mm ø x 4 mm height) were confectioned using a mold. Filtek Bulk-Fill (FBF), Tetric N-Ceram Bulk-Fill (TNC) and SonicFill 2 (SF2) were placed in 4 mm increments, and Filtek Z350 (FZ350) was placed in 2 mm increments. The KHN of top and bottom surfaces were tested using Knoop Hardness tester at 10 gf/10s. The DTS was tested under compressive load at 1.0 mm/min. The DC was measured by Fourier Transform Infrared (FTIR) spectroscopy. Differences in DTS and DC were analyzed by ANOVA and Tukey post hoc test. For KHN, Kruskal–Wallis and Wilcoxon tests were performed at α = 0.05.Results: Top surfaces of all composite resins had higher KHN than bottom surfaces. At top and bottom surfaces, FZ350 showed higher KHN than TNC and SF2. The highest DTS was obtained by FBF, followed by FZ350 and SF2. The highest DC was obtained by SF2, the lowest one was obtained by FBF.Conclusion: From Bulk-Fill composite resins, FBF presented the best KHN and DTS results. The SF2 showed the best DC. Further studies are required to ensure whether these differences can negatively influence the behavior of in vivo restorations.Keywords: composite resins, Bulk-Fill, FTIR, hardness, tensile strength

Priscila Christiane Suzy Liporoni,1,2 Wan Zaripah Wan Bakar,3 Rayssa Ferreira Zanatta,1 Glaucia Maria Ambrosano,4 Flávio Henrique Baggio Aguiar,5 Bennett T Amaechi2 1Department of Restorative Dentistry, University of Taubaté, Taubaté, SP, Brazil; 2Department of Comprehensive Dentistry, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA; 3School of Dental Sciences, Universiti Sains Malaysia Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia; 4Department of Community Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil; 5Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, SP, BrazilCorrespondence: Flávio Henrique Baggio AguiarUniversity of Campinas - Piracicaba Dental School, Av. Limeira, 901, bairro Areao Piracicaba, SP, BrazilEmail baguiar@unicamp.brPurpose: The aim of this study was to evaluate the effect of erosive/abrasive cycles and two different levels of abrasiveness of dentifrices over enamel and dentin subjected to bleaching.Methods: Enamel and dentin bovine specimens were prepared and submitted to an at-home bleaching treatment using 9.5% hydrogen peroxide gel, which was applied daily (30 min/14 days). Concomitant with bleaching, an erosive cycle was performed using citric acid (0.3%, pH 3.8, 5 mins, 3×/day), followed by immersions in artificial saliva for remineralization (30 mins). Abrasion was done with two (high and low abrasiveness) dentifrices (2×/day, 120 seconds) after the first and third erosive immersion each day. Enamel and dentin softening were assessed by microhardness and erosive tooth wear by optical profilometry. Data were submitted to repeated measures ANOVA, followed by the Tukey’s test with a significance level of 5%.Results: For the enamel and considering the erosive-abrasive cycle, significant differences were found between the groups tested, the bleaching, and the abrasiveness of the dentifrice tested; however, the final microhardness values were significantly lower than the initial ones. For dentin, differences were found between the eroded/abrasion and the non-eroded/abrasion groups, with the former presenting lower microhardness values compared with the latter. In addition, bleaching decreased the microhardness values only for the highly abrasive dentifrice, and the final values were lower than for the initial ones for all tested groups.Conclusion: The use of high and low abrasiveness dentifrices during bleaching and concomitant with erosion/abrasion cycles is more harmful to dentin than to enamel.Clinical Relevance: Although bleaching is considered a conservative treatment, it can cause deleterious effects to dental hard tissue. The association of an at-home bleaching technique with erosion and high- or low- abrasive dentifrices harms dentin more than enamel.Keywords: bleaching, enamel, dentin, erosion, wear

This study compared the bond strength of a composite repair made with a bulk fill composite and a conventional one using different surface treatments. Specimens were prepared as truncated cones (bases: 4 mm × 2 mm, height: 4 mm) using a bulk fill (OBFa: Filtek One) or a conventional resin (FTKa: Filtek Z250) ( n  = 66). They were artificially aged (10,000 cycles, 5°C-55°C, 30 sec) and subdivided according to surface treatments: NT-no treatment (control), Abr-abrasion with a diamond tip, and sand-sandblasting with aluminum oxide (50  μ m). Treatments were performed over the smaller diameter surface, followed by adhesive (Scothbond Universal) application. A new specimen with similar dimensions was constructed over it using either the OBF or the FTK, totaling 12 groups ( n  = 11). Bond strength was assessed by tensile test. The data were submitted to two-way ANOVA separately for OBFa and FTKa, followed by Tukey's test ( p < 0.05). For the aged OBFa groups, there was significant differences for composite type and surface treatment, with higher values of bond strength when repaired with the same material (OBFa/OBF > OBFa/FTK), and sandblasting and bur abrasion presented higher values compared to the control group (NT). For the aged FTKa groups, there were no differences for the composite or surface treatment. Therefore, the bulk fill resin composite tested present better repair performance when the same composite was used, while the conventional resin composite was less influenced by the material and the surface treatment performed., Competing Interests: The authors declare no conflicts of interest., (Copyright © 2021 Janaina Galvão Benzi et al.)

Background: Different materials have been incorporated into the polymethylmethacrylate matrix to improve its performance. The aim of this study was to evaluate the degree of conversion (DC), the flexural strength (FS), the elasticity modulus (EM), and the effect of exposure to food-simulating liquids prior to brushing simulation on the gloss loss (GL) of experimental acrylic resins modified by nanoparticles., Material and Methods: Three different types of nanoparticles; silicon oxide (SiO2), cerium oxide (CeO2) and titanium oxide (TiO2) were added to a poly (methylmethacrylate) matrix, in proportions of 0.5wt%, 1wt% and 3wt% each, forming nine experimental groups. The acrylic resin was also tested as a control group. DC was investigated using Fourier transform infrared spectroscopy (FTIR). A three-point bending test was used for FS and EM. GL after chemical degradation and simulated brushing was evaluated using a glossmeter. Data were submitted to one and two-way ANOVA followed by Duncan's post hoc test (α=0.05)., Results: All nanoparticle-modified groups showed higher values of DC. Ce1% showed higher values of FS and EM. All other groups showed similar or lower physical-mechanical properties (FS, EM, GL). Regarding type and wt%, CeO2 and TiO2 groups had better performances and were similar to each other., Conclusions: Incorporating metal nanoparticles, especially CeO2, could improve the physical properties of the dental materials. Key words: Polymethylmetacrylate, degree of conversion, flexural strength, elasticity modulus, gloss loss., Competing Interests: Conflicts of interest None declared., (Copyright: © 2020 Medicina Oral S.L.)

Background: In this study was assessed the degree of conversion (DC) of amine-free resin cements light cured through lithium disilicate-reinforced ceramics at different thicknesses and translucency., Material and Methods: Specimens were divided into 21 groups (n = 5) according to luting agent used: Variolink Esthetic LC (Light shade), RelyX Ultimate (A1 shade), and Filtek Z350 XT Flow (A1 shade); the ceramic translucency: low (LT) and high (HT); and the ceramic thickness: no ceramic (control), 0.5 mm, 1 mm, and 2 mm. A Teflon mold with (5 x 5 x 0.5 mm) was used to standardize the cement and over it the ceramic block from each group was placed. Set was cured using a polywave LED light (1200 mW/cm2 - Bluephase G2) for 40 s. FTIR spectra of uncured and cured materials was obtained and DC calculated from the height of the peaks 1610 and 1640 cm-1. Data were submitted to ANOVA followed by Tukey's test (α = 0.05)., Results: There was a significant difference for luting agents ( p < 0.0001) and translucency ( p = 0.025), but not for thickness ( p = 0.73). Dual amine-free RelyX Ultimate showed the lowest DC values and higher translucency promoted higher DC., Conclusions: Dual amine-free cement showed the lowest monomer conversion and higher translucency ceramics promoted a higher DC. Key words: Ceramic, degree of conversion, resin cement, thickness, translucency., Competing Interests: Conflicts of interest The authors declare any conflicts of interest., (Copyright: © 2020 Medicina Oral S.L.)

Background: In this study was evaluated the effect of carbamide peroxide (CP) and hydrogen peroxide (HP) in different concentrations on hardness, roughness, and color parameters (color change - ΔE, lightness - ΔL, and yellow-blue axis - Δb) of bovine teeth., Material and Methods: Fifty square dental blocks (7 x 7 x 2 mm) were submitted to initial readings of Knoop hardness, surface roughness (Ra), and color parameters. Specimens were divided into 5 groups (n = 10): control group was kept in artificial saliva during the experimental period; CP 20% was bleached for 2 h daily for 14 days, HP 9.5% was bleached for 30 min daily for 14 days, HP 38% the bleaching gel was applied for 15 min, gel was removed and it was reapplied for two more times, the bleaching session was repeated for another 2 times every 7 days, totaling three sessions, and in CP 45% three sessions of 30 min each were performed of 7 in 7 days. All groups after the bleaching procedures had the bleaching gel removed, washed, and kept in artificial saliva. At the end of bleaching treatment, the hardness, roughness, and color parameters (ΔE, ΔL, and Δb) were re-evaluated. Data were analyzed by ANOVA, Tukey, and Dunnett tests (α = 0.05)., Results: Bleaching promoted a reduction in hardness, the CP 45% showed the lowest hardness and the CP 20% the highest, the HP 9.5% and HP 38% showed intermediate values of hardness. Bleaching agents did not affect the roughness. CP 20% and HP 38% promoted the highest values of ΔE and higher reduction of yellowish tone of tooth. Lightness increase after bleaching treatment for all groups., Conclusions: All the bleaching agents tested showed effectiveness, but with reduced hardness. Key words: Carbamide peroxide, hydrogen peroxide, tooth whitening, hardness, roughness., Competing Interests: Conflicts of interest The authors declare any conflicts of interest., (Copyright: © 2020 Medicina Oral S.L.)

Objective: Dentin remineralization is of considerable clinical interest for dentin hypersensitivity and developing biomimetic analogs that can regulate hydroxyapatite (HAp) nucleation and growth remains a challenge. This study aimed to evaluate in vitro the potential for dentin remineralization using the following biomimetic in situ prepared poly(catechols): poly(dopamine), poly(DOPA), poly(caffeic acid) and a synthesized DOPA-peptide possessing collagen and calcium-binding domains (DOPA-Ahx-(Gly) 3 -(Glu) 5 )., Methods: Dentin samples were immersed in a freshly prepared phosphate-buffered saline (PBS) containing the respective catechol and laccase. After the reaction, they were immersed in calcium and phosphate remineralization solution, which was changed every day for 10 days. Samples of intact and demineralized dentin were used as control groups and kept in deionized water under the same experimental conditions. The remineralized dentin was characterized by scanning electron microscopy (SEM), Micro-energy dispersion X-ray fluorescence spectroscopy (μEDX) and X-ray diffraction (XRD)., Results: The application of different poly(catechols) and DOPA-peptide promoted crystal nucleation and the formation of HAp, which partially covered both the dentin surface and dentinal tubules walls., Significance: By mimicking the role of charged non-collagenous proteins in vivo, polymers consisting of catechol groups showed the ability to modify demineralized dentin surface properties, promoting mineral formation. The use of poly(catechols) may be encouraged for the development of a therapeutic technique for dentin hypersensitivity., (Copyright © 2020 The Academy of Dental Materials. Published by Elsevier Inc. All rights reserved.)

Background: In this study was assessed the surface roughness and chemical composition of tooth enamel and composite resin after bleaching treatment, immersion in acidic beverages, and simulated toothbrushing., Material and Methods: One hundred and twenty dental blocks (10 x 10 x 3 mm) were randomly assigned (n = 10) according to surface treatment [none (N), bleaching (B), toothbrushing (T), and B+T] and storage medium [saliva (S), whiskey (W), and orange juice (O)]: experimental groups - N+S, N+W, N+O, B+S, B+W, B+O, S+T, W+T, O+T, B+S+T, B+W+T, and B+O+T. Two bleaching sessions were conducted using 38% hydrogen peroxide (3 applications). Surface roughness was measured using a roughness tester and composition was determined by micro energy-dispersive X-ray fluorescence spectrometry (µ-EDXRF) before and after treatments. Calcium/phosphorus (Ca/P) ratio in enamel and silica (Si) content in composite were evaluated. Data were statistically analyzed by ANOVA and Tukey's test (α = 0.05)., Results: Overall, increased values of surface roughness for enamel and composite were observed mainly after immersion in orange juice and bleaching/toothbrushing association. Moreover, this association and immersion in whiskey resulted in lower Ca/P ratio and after aging methods, bleached and bleached/toothbrushed groups showed decreased in Ca/P ratio compared to initial values. All groups showed Si content decrease at the end, except the group without surface treatment and immersed in saliva, and bleaching followed by immersion in orange juice and toothbrushing caused the highest Si reduction., Conclusions: Bleaching and toothbrushing combination strengthened the effects caused by acidic drinks on roughness and chemical composition of enamel and composite. Key words: Tooth bleaching, toothbrushing, physical properties, chemical properties., Competing Interests: Conflict of interest statement:The authors declare any conflicts of interest., (Copyright: © 2019 Medicina Oral S.L.)

This study evaluated enamel mineral content and surface microhardness before and after bleaching treatment using 10% carbamide peroxide (CP) containing calcium (Ca) or amorphous calcium phosphate (ACP). Thirtysix bovine slabs were randomly allocated into 3 groups (n = 12) according to bleaching treatment: G1 Opalescence PF 10% (CP), G2 NiteWhite ACP (CP+ACP), and G3 Opalescence PF (10%) with calcium (CP+CA). The bleaching agent was applied on enamel surface for 6 h/day over a period of 21 days. Enamel surface was evaluated by Knoop microhardness (KNH) and micro energydispersive Xray fluorescence spectrometry (μEDXRF) at baseline and at after bleaching treatment. Data were statistically analyzed by repeated measures ANOVA and Tukey's test (α = 0.05). There was a significant decrease in microhardness after bleaching treatments for all study groups, but no difference between bleaching gels. There was no difference in the Ca/P ratio measured by μEDXRF for all groups at the study times, but the mean value was lower in group CP+CA than in group CP+ACP. Group CP was similar to both CP+ACP and CP+CA. It can be concluded that enamel microhardness decreased after the bleaching process, regardless of the presence of calcium or ACP, but there was no significant change in the Ca/P ratio of enamel after bleaching for each tested gel. This indicates that the bleaching gels have erosive potential, causing softening of enamel without promoting surface loss, regardless of the presence of calcium of ACP ions.

Streptococcus mutans is an important cariogenic microorganism, and alternative methods for its elimination are required. Different concentrations of Baccharis dracunculifolia essential oil (EO) were tested to determine its minimal inhibitory concentration (MIC) in planktonic cultures, and this concentration was used in S. mutans biofilms. Additionally, we assessed the effect of a 0.12% chlorhexidine (CHX) and saline solution in S. mutans biofilms. The biofilms were grown in discs of composite resin for 48h and exposed to B. dracunculifolia, CHX or saline solution for 5min. The viability of the biofilms was determined by counting the colony-forming units per milliliter (CFU/ml) in agar, which was statistically significant (P<0.05). The MIC of the B. dracunculifolia EO to planktonic growth of S. mutans was 6%. In biofilms of S. mutans clinical isolates, B. dracunculifolia EO (6%) and CHX resulted in reductions of 53.3-91.1% and 79.1-96.6%, respectively. For the biofilm formed by the S. mutans reference strain, the reductions achieved with B. dracunculifolia EO and CHX were, respectively, 39.3% and 88.1%. It was concluded that B. dracunculifolia EO showed antibacterial activity and was able to control this oral microorganism, which otherwise causes dental caries., (Copyright © 2015 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.)

Objective: The purpose of this study was to evaluate surface roughness and changes in the composition of enamel submitted to different bleaching protocols and toothbrushing with regular and whitening toothpastes., Background Data: Bleaching treatment could promote morphological and chemical changes in enamel surface., Methods: Enamel blocks were randomized into nine groups (n=10) according to the bleaching treatment (no bleaching, control group; 6% hydrogen peroxide, HP; or 10% carbamide peroxide, CP) and toothpaste used (placebo, PL; regular, R; or whitening dentifrice, W). Bleaching was performed according to manufacturers' instructions and all groups were submitted to 30,000 cycles of simulated toothbrushing with toothpaste (PL, R, or W). Mineral content evaluation and enamel roughness were evaluated initially (T1), after bleaching (T2), and after toothbrushing (T3), using an energy-dispersive micro X-ray fluorescence spectrometer and profilometry, respectively. Data were statistically analyzed with two way ANOVA, Tukey, and Dunnett tests (5%)., Results: Enamel surface roughness was influenced by bleaching and toothbrushing. Surface roughness increased for the groups that brushed with the placebo dentifrice (CP+PL, HP+PL, C+PL) and for the control group that brushed with whitening dentifrice (C+W). Enamel Ca/P ratio decreased after bleaching, but toothbrushing, regardless of the dentifrice used, did not reduce the enamel mineral content., Conclusions: The bleaching treatment resulted in a decrease of enamel mineral content, but the studied dentifrices did not contribute to surface mineral loss.

Objective: The aim of this study was to evaluate the alteration of human enamel bleached with high concentrations of hydrogen peroxide associated with different activators., Materials and Methods: Fifty enamel/dentin blocks (4 × 4 mm) were obtained from human third molars and randomized divided according to the bleaching procedure (n = 10): G1 = 35% hydrogen peroxide (HP - Whiteness HP Maxx); G2 = HP + Halogen lamp (HL); G3 = HP + 7% sodium bicarbonate (SB); G4 = HP + 20% sodium hydroxide (SH); and G5 = 38% hydrogen peroxide (OXB - Opalescence Xtra Boost). The bleaching treatments were performed in three sessions with a 7-day interval between them. The enamel content, before (baseline) and after bleaching, was determined using an FT-Raman spectrometer and was based on the concentration of phosphate, carbonate, and organic matrix. Statistical analysis was performed using two-way ANOVA for repeated measures and Tukey's test., Results: The results showed no significant differences between time of analysis (p = 0.5175) for most treatments and peak areas analyzed; and among bleaching treatments (p = 0.4184). The comparisons during and after bleaching revealed a significant difference in the HP group for the peak areas of carbonate and organic matrix, and for the organic matrix in OXB and HP+SH groups. Tukey's analysis determined that the difference, peak areas, and the interaction among treatment, time and peak was statistically significant (p < 0.05)., Conclusion: The association of activators with hydrogen peroxide was effective in the alteration of enamel, mainly with regards to the organic matrix.

Objective: The aim of this study was to evaluate the influence of coffee and red wine staining on tooth color during and after bleaching., Materials and Methods: Blocks obtained from human molars were divided into 11 groups (n = 5) in accordance with the bleaching treatment-peroxide carbamide 10%, 15% or 20%-and in accordance with the stain therapy-coffee, wine or without staining (control). Color change analysis was performed by photo-reflectance using a spectrophotometer, during (3-times/week) and after (7, 15 and 30 days) the bleaching treatment. During the experiment, the samples were stored in artificial saliva. The results were submitted to statistical analysis with the Dunnet and Tukey tests (p < 0.05)., Results: The concentrations of carbamide peroxide (10%, 15% and 20%) did not differ significantly from the control group during bleaching (up to the 22nd day), with (Tukey, p > 0.05) or without storage in pigment solution. After the bleaching, there were statistically significant differences between the groups treated with coffee (30th day) and wine (7th and 30th days) relative to the control, which was treated with whitening agents., Conclusion: During bleaching, remineralization of the enamel with artificial saliva and the subsequent bleaching session were effective in preventing enamel staining. After the whitening procedures, both stain therapies-coffee and wine-caused enamel color changes; however, the wine led to greater staining than did coffee.

Objectives: This study measured the degree of conversion (DC), sorption, solubility and microhardness of methacrylate (Filtek Z250 and Filtek Z350XT) and silorane-based composites (Filtek P90)., Methods: DC was measured using near infrared spectroscopy immediately and 24h after the photoactivation. Sorption and solubility measurements were performed after 24h, 4 weeks and 12 weeks of storage in water. Knoop microhardness was measured after 24h and after thermal cycling. The data were statistically analyzed using ANOVA followed by Tukey's, Tamhane or paired t-tests (α=0.05)., Results: The DC for P90 (37.22±1.46) was significantly lower than the Z250 (71.44±1.66) and Z350 (71.76±2.84). Water sorption was highest in the Z250 and lowest in the P90. All the tested composites exhibited similar values after 24h of immersion, and no significant differences were observed. No significant differences were observed between the solubilities of the P90 composite (12 weeks) and the Z250 or Z350 composites (4 weeks). KHN values were less elevated for the P90 composite and similar for the Z250 and Z350 composites. An effect of thermal cycling on KHN values was observed for all the composites (p<0.001)., Conclusions: Silorane produced the lowest DC and KHN values and exhibited lower water sorption and solubility compared to methacrylate-based composites. These differences suggest that silorane composites exhibit better hydrolytic stability after 3 months of water immersion compared to conventional methacrylate-based composites., Clinical Significance: Silorane had higher hydrolytic stability after 3 months of water immersion than the methacrylate-based resins, despite the lower values of DC and KHN recorded., (Copyright © 2013 Elsevier Ltd. All rights reserved.)

This study evaluated the influence of fluoride-containing carbamide peroxide (CP) bleaching agents and adhesive systems on bonded enamel interfaces that are part of the dynamic pH cycling and thermal cycling models. The buccal surfaces of 60 bovine incisors were restored with a composite resin and bonded with three- and two-step, etch-and-rinse, fluoride-containing adhesives, Optibond FL (FL) and Optibond Solo Plus (SP), respectively. Restored teeth were subjected to thermal cycling to age the interface. Both SP and FL adhesive-restored teeth were bleached (n = 10) with 10% CP (CP) and 10% CP + fluoride (CPF) or were left unbleached (control). Bleaching was performed for 14 days simultaneously with pH cycling, which comprised of 14 h of remineralization, 2 h of demineralization and 8 h of bleaching. The control groups (FL and SP) were stored in remineralizing solution during their bleaching periods and were also subjected to carious lesion formation. Parallelepiped-shaped samples were obtained from the bonded interface for microtensile bond strength (μTBS) testing. The enamel μTBS of the FL and SP groups (control, not bleached) were higher (p < 0.05) than those of the bleached interfaces (FL > FL + CPF = FL + CP and SP > SP + CPF = SP + CP). The groups subjected to treatment with the fluoride-containing bleaching agents exhibited similar μTBS compared to regular bleaching agents. Bleaching agents, regardless of whether they contained fluoride, decreased enamel bond strength.

Objective: The purpose of this study was to evaluate the degree of conversion (DC) using FT-Raman spectroscopy and the Knoop hardness (KHN) of composites cured by second and third-generation LED light curing-units (LCU), Radii Cal and Ultralume 5., Methods: Three composites (Filtek Supreme XT, Filtek Z350, and Esthet X) were selected for this study. KHN testing (n=10) was performed with 10 indentations for the top (T) and bottom (B) surfaces. For DC (n=10), both the T and B surfaces were analyzed., Results: For KHN, the three composites differed in hardens. There was a "LCU-surface" interaction, in which Radii Cal showed significantly greater hardens in the B surface. For DC, there was a "composite-surface-LCU" interaction. For the "composite" factor, there was no significant difference between the groups, except for Supreme XT-Radii Cal (T or B surfaces). For the "LCU" factor there was a significant difference for Supreme XT T surface, Ultralume 5 obtained a higher DC. For the Z350 T surface, a significant difference in the DC in which Radii Cal obtained better results. For the "surface" factor, all groups presented T surfaces with a higher DC than the B surfaces, the sole exceptions involved Esthet X-Radii Cal and Z350-Ultralume 5., Conclusion: Knowledge regarding composite composition and the characteristics of LCUs are important for effective polymerization.

Objectives: The aim of the present study was to evaluate hybrid layer thickness of primary molars sectioned with diamond, carbide and ultrasonic CVD burs., Study Design: The occlusal enamel surfaces often molars were removed and superficial dentin was exposed. Three standardized cavities were prepared at mesial, central and distal exposed dentin with diamond, carbide and ultrasonic CVD burs, respectively. A self-etching adhesive system (Adhese, Ivoclar/Vivadent) was applied to prepared cavities and composite resin Z100 (3M/ESPE) was inserted according to manufacturers'instructions to hybridized dentin. Samples were light-cured and the crown was sectioned mesio-distally dividing the restored cavities in two halves which were observed under scanning electron microscopy (SEM), in order to quantitatively evaluate hybrid layer thickness (microm). Three repeated measures were performed at mesial, central and distal sites and mean values obtained were submitted to one-way analysis of variance (ANOVA)., Results: Data (mean +/- sd) obtained were (microm): 2.69 (0.44), 3.38 (1.23) and 2.72 (1.18)for diamond, carbide and CVD burs, respectively. No differences were observed among groups (p > 0.05). The adhesive systems promoted mechanical retention, uniform and continuous hybrid layer and resin tags formation at all dentin sites for all instruments tested., Conclusion: The results suggest that the minimally invasive cavities prepared with diamond, carbide and CVD for ultrasound, promoted hybrid layer formation with a similar thickness regardless the bur used.

Purpose: To evaluate the initial caries development at adhesive/enamel interface after 10% carbamide peroxide bleaching (CP) with or without fluoride (F) under dynamic pH-cycling., Methods: Standard cavities were prepared on the bucal surface of 60 bovine incisors, which were restored with two fluoride-containing adhesives: Optibond FL (FL) and Optibond Solo Plus (SP). The restored teeth were submitted to thermal cycling process in order to age the adhesive/enamel interface. Both SP and FL adhesive-restored teeth were divided into groups (n= 10) and bleached with 10% CP (CP) and 10% CP + F (CPF) or remained unbleached (Control). Bleaching was performed for 14 days simultaneously with pH-cycling. The specimens were prepared for cross-section microhardness evaluation and polarized light microscopy analysis to evaluate caries lesions at different depths around the bonded interface., Results: Group FL (not bleached) presented the lowest mineral loss rate among groups, but secondary caries formation was observed for all groups around the bonded interface. An inhibition zone was observed for all groups, with caries lesion detected at 5 microm from the cavity wall.

Objectives: The aim of this in vitro study was to evaluate the bleaching efficacy of high concentration bleaching agents activated by chemical or physical catalysts., Materials and Methods: This study was divided into two parts. Part 1 evaluated the efficacy of tooth whitening after treatment with 35% hydrogen peroxide (Whiteness HP Maxx) that was activated by different light-curing units: halogen lamp (conventional and bleach mode) (Optilux 501C, Demetron/Kerr), LED first generation (Ultrablue IV, DMC), LED/diode laser (Ultrablue IV, DMC), LED second generation (Bluephase 16i, Ivoclar Vivadent), and no light source (control group). Part 2 provided an analysis of the effect of chemical and physical catalysts on high concentration bleaching agents: 35% hydrogen peroxide (Whiteness HP Maxx) + 20% sodium hydroxide; 35% hydrogen peroxide + 7% sodium bicarbonate; 38% hydrogen peroxide (Opalescence Xtra Boost); 35% hydrogen peroxide + halogen lamp; 35% hydrogen peroxide + 20% sodium hydroxide + halogen lamp; 35% hydrogen peroxide + 7% sodium bicarbonate + halogen lamp; 38% hydrogen peroxide + halogen lamp; and 35% hydrogen peroxide. Blocks obtained from human molars were randomly divided into groups (n = 5) in accordance with bleaching treatments. The efficacy of bleaching was measured using a spectrophotometer. Three bleaching sessions were performed. The results were submitted to ANOVA followed by the Tukey test (5%)., Results: For both parts of the study, activated vs. non-activated bleaching did not differ significantly for all sessions tested., Conclusion: Activating systems did not improve the whitening effectiveness of high concentration bleaching agents.

This study evaluated Streptococcus mutans biofilm adhesion on the surface of three composite resins (nanofilled, Filtek Z350, 3M ESPE, Salt Lake City, UT, USA; nanohybrid, Vit-1-escence, Ultradent Products, South Jordan, UT, USA; and microhybrid, Esthet X, Dentsply, Milford, DE, USA) following different finishing and polishing techniques. Sixty standardized samples (6 × 3 mm) of each composite were produced and randomly divided into three finishing and polishing treatments (n=20): 1) control group: composite resin surface in contact with Mylar matrix strips with no finishing or polishing performed, 2) Sof-Lex aluminum oxide disc technique (3M ESPE, and 3) carbide bur finishing and Astrobrush polishing technique (Ultradent). Half the samples of each group were incubated in human saliva for 1 hour, and all the samples were subjected to S mutans (ATCC 35688) biofilm development. The mean log of CFU/mL present in the S mutans biofilm was calculated, and data were statistically analyzed by three-way analysis of variance and the Tukey test (p<0.05). Human saliva incubation promoted a significant increase of bacterial adherence on all three of the composites' surfaces, regardless of the polishing treatment performed (p<0.05). Of the three, the nanofilled composite (Filtek Z350) had the lowest bacterial adherence with each of the finishing and polishing techniques despite the presence or absence of human saliva (p<0.05). Mylar matrix strips (control group) promoted the lowest bacterial adhesion on the surface of the microhybrid and nanofilled composites in the absence of human saliva.

Aim: This study evaluated the surface roughness patterns of two resin-based composite restorative materials, a microhybrid (Filtek Z250, 3M ESPE) and a nanofilled (Filtek Supreme, 3M ESPE), subjected to a regimen that simulated dynamic pH-cycling and toothbrushing., Methods and Materials: Twelve standardized cylindrical specimens of each resin-based composite material were prepared, finished, and mechanically polished. The experimental units were submitted to a pH-cycling regimen followed by 50,000 toothbrushing cycles, after which the surface roughness was measured using an atomic force microscope (AFM). AFM surface roughness was evaluated at three intervals: (1) immediately after specimen preparation (baseline), (2) after pH-cycling, and (3) after simulated toothbrushing. The results were then analyzed using a split-plot design and followed by linear regression and a Tukey's test at a significance level of p<0.05., Results: The results obtained indicated that simulated toothbrushing provoked a remarkable increase in surface roughness for both types of composite resins tested (p=0.0031). However, pH-cycling did not alter the surface of the composite under the conditions of this experiment., Conclusion: Based on the results obtained, it was concluded that simulated toothbrushing was capable of increasing the surface roughness of the microhybrid (Filtek Z250) and the nanofilled (Filtek Supreme) composites tested., Clinical Significance: Surface roughness of nanofilled and microhybrid composites is significantly increased after toothbrushing, although pH-cycling, as tested in this study, does not appear to affect the morphology of either composite material.

The aim of this study was to observe the influence of two light polymerization units (LED or halogen light) on the degree of conversion (DC) of three dental composites with lighter shades and a different photoinitiator system. The top (T) and bottom (B) surfaces of 60 discs of composite resin (Filtek™ Supreme, Filtek™ Z250, Tetric™ Ceram Bleach) cured either by LED or by halogen lamp (HL) were studied using an FT-Raman spectrometer. The degree of conversion (DC) was evaluated by following the changes in the intensity of the methacrylate C=C stretching mode at 1640 cm⁻¹. The calculated DC ranged from 54.2% (B) to 73.4% (T) and from 60.2% (B) to 76.6% (T) for the LED and HL, respectively. LED and halogen devices were able to produce an adequate DC for all the resins tested.

Objective: This study aimed to investigate bleached enamel susceptibility to coffee and red-wine staining at different time periods after bleaching., Background Data: Although hydrogen peroxide is effective for dental bleaching, little is known regarding color stability immediately after bleaching., Materials and Methods: Fifty-four standardized bovine enamel slabs were obtained and assigned to the following treatments (n = 9): (CO) control: sound enamel surface submitted only to bleaching with 35% hydrogen peroxide (HP); (C30') enamel submitted to HP and coffee immersion at 30 min after bleaching; (C150') enamel submitted to HP and coffee immersion at 150 min after bleaching; (W30') enamel submitted to HP and red-wine immersion at 30 min after bleaching; and (W150') enamel submitted to HP and red-wine immersion at 150 min after bleaching. The color of treated enamel was determined by means of photoreflectance spectroscopy at baseline (T(0)) and after the described treatments (T(f)), and data were statistically analyzed with ANOVA and Tukey tests (p < 0.05)., Results: No differences were observed between the exposure times of 30 and 150 min after bleaching for both beverages (p > 0.05). Although coffee did not stain the surface, red wine significantly darkened previously bleached enamel (p < 0.05)., Conclusion: Bleached enamel was susceptible to red-wine staining at both 30 and 150 min after bleaching procedures, whereas coffee did not interfere with the bleaching process.

Introduction: Our objective was to evaluate the influence of saliva contamination on the shear bond strength of orthodontic brackets bonded with self-etching primers., Methods: One hundred thirty-five bovine incisors were randomly divided into 3 groups, and exposed enamel surfaces were bonded with Transbond Plus Self Etching Primer (TB) (3M Unitek, Monrovia, Calif), Adhese Single Bottle (AD) (Ivoclar, Vivadent, Schaan, Liechtenstein), and Self Etch Bond (SE) (Vigodent, Rio de Janeiro, Brazil). Each group was subdivided into 3 treatments (n = 15): saliva contamination (S), saliva contamination and deionized water rinsing (SW), and no salivary contamination (C). Resin composite (Z-100, 3M/ESPE, Salt Lake City, Utah) was applied to all samples to bond the orthodontic brackets. Shear bond strength testing was carried out in a universal testing machine operating at 1.0 mm per minute., Results: The results were statistically analyzed with 2-way analysis of variance (ANOVA) and Tukey tests (P <0.05). Saliva contamination caused a significant decrease of enamel strength in the groups bonded with TB and SE compared with the SW and C groups. Enamel bond strengths of the C and SW groups were higher than those of the TB group, followed by the AD and SE groups. Enamel bond strength after S was higher than AD, followed by TB and SE., Conclusions: The shear bond strengths of orthodontic brackets to enamel and the performance of the adhesive systems were influenced by contamination with saliva., (Copyright (c) 2010 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.)

Objective: This study aimed to investigate the effects on enamel surface treated with hydrogen peroxide bleaching and acidic soft drink immersion and/or brushing with whitening dentifrices., Materials and Methods: Fifty-six standardized enamel slabs obtained from labial surfaces of bovine incisors were used. Enamel slabs were ground flat, polished, and randomly assigned to one of seven treatment groups: (1) control, in which no treatment was performed, (2) soft drink immersion, (3) 38% hydrogen peroxide bleaching, (4) simulated toothbrushing with whitening dentifrice, (5) soft drink immersion and bleaching, (6) soft drink immersion, bleaching, and toothbrushing, and (7) bleaching and toothbrushing. The mineral concentration of enamel surfaces was determined before and after treatments by means of Fourier transform (FT)-Raman spectroscopy and energy dispersive x-ray fluorescence spectrometry (EDXRF). Data were statistically analyzed by ANOVA and Tukey test (p < 0.05)., Results: Raman spectroscopy results indicated that enamel mineral content decreased after all treatments except in group 1, whereas EDXRF results exhibited mineral decrease in groups 3, 4, 5, and 7., Conclusion: Bleaching alone or in combination with soft drink immersion and brushing decreases enamel mineral content.

Objective: To evaluate the effects of 35% hydrogen peroxide bleaching on bovine teeth using reflectance and Fourier transform (FT)-Raman spectroscopy., Background Data: Previous investigations have shown that hydrogen peroxide can modify dental components, but more studies are necessary to comprehend its effects., Materials and Methods: Forty bovine enamel fragments (4.0x4.0x4.0 mm) were divided into four experimental groups according to the hydrogen peroxide gel manufacturer's application: G1-Whiteness HP Maxx, G2-Whiteness HP, G3-Whiteform- Perox Red Form, G4-Opalescence Xtra. All groups were activated using a light-emitting diode-laser system. The bleaching treatments were performed in two sessions with a 72-h interval between sessions. The reflectance and Raman analyses of the enamel samples were performed before and after bleaching. The analyses before treatments were used as control., Results: Enamel reflectance was significantly greater after the bleaching in group G3 than in groups G1, G2, and G4 (p<0.01). FT-Raman spectroscopy data showed no significant chemical changes in the inorganic components for the tested groups (p>0.05). Hydrogen peroxide gel caused significant reduction of the dental organics associated with type I collagen vibration only in group G3 (p<0.05)., Conclusion: Under the conditions of this study, 35% hydrogen peroxide Whiteform-Perox Red Form gel, exhibited great bleaching potential. This highly concentrated hydrogen peroxide gel significantly changed the reflectance of enamel and dental organics without significant chemical changes in enamel phosphate and carbonate content.

Purpose: To quantify the change in color of human and bovine teeth exposed to a coffee solution during a 16% carbamide peroxide (16% CP) home application bleaching treatment using photoreflectance analysis., Methods: 40 enamel slabs (4 x 4 x 2 mm) were obtained from seven unerupted third human molars and seven bovine incisors, which were allocated into four groups: G1: human control group whitened and not exposed to a coffee solution; G2: bovine control group whitened and not exposed to a coffee solution; G3: human teeth whitened and exposed to a coffee solution; G4: bovine teeth whitened and exposed to a coffee solution. The home bleaching procedure was performed using 16% CP gel applied in a 1 mm-thick layer on the tooth surface over a period of 6 hours per day, for 28 days. Tooth color was evaluated using photoreflectance analysis throughout the bleaching procedure at intervals of 7, 14, 21 and 28 days, and posttreatment at 7, 15 and 30 days. Results were statistically analyzed using ANOVA and Tukey-Kramer tests., Results: After 28 days of bleaching treatment, no significant difference was detected between photoreflectance analysis of specimens exposed to coffee solution and specimens not exposed to coffee solution (P < 0.05). However, when the teeth were exposed to a coffee solution during home bleaching treatment, the whitening effect was observed to be less stable (P < 0.05). Bovine and human enamel substrates behaved similarly in terms of staining and bleaching effects, although they presented inherent differences in color (P < 0.05).

Purpose: This study evaluated the efficacy of tooth whitening and color stability at different time periods after treatment., Materials and Methods: Blocks obtained from human molars were divided into 15 groups (n = 5) by bleaching agents: 35% hydrogen peroxide (Whiteness HP and Opalescence Xtra) and 37% carbamide peroxide (Whiteness Super); and light sources: halogen lamp and plasma arc lamp (bleach mode), LED/diode laser, argon laser, and no light source. The efficacy of bleaching was measured using a spectrophotometer. Six bleaching sessions were performed (times 1 to 6). The specimens were submitted to another reading 7, 15, and 30 days after the end of bleaching (times 7, 8, and 9). The results were submitted to ANOVA followed by Tukey test and polynomial regression (p < 0.05)., Results: Carbamide peroxide significantly differed from hydrogen peroxide, presenting low reflectance values. Activated versus non-activated bleaching did not differ significantly for any gel tested, except for Whiteness HP activated by argon laser, which presented the lowest mean reflectance values. The results obtained with hydrogen peroxide revealed a decrease in reflectance values one month after the end of treatment. For carbamide peroxide, this decrease was not observed., Conclusion: The halogen lamp presented the same or higher efficacy than non-activated bleaching, which had a longer gel contact period. When hydrogen peroxide was used, a decrease in reflectance values was observed 30 days after the end of bleaching.

Purpose: Symmetry is one of the factors that contributes to facial harmony, and in oral rehabilitation it determines the success of esthetic treatment. Therefore, the aim of the present study was to analyze the axial symmetry between the bipupillar midline and maxillary central incisors midline of 102 dental students (both genders) distributed across five Brazilian dental schools., Materials and Methods: Students with no teeth missing and who had never been subjected to any dental treatment were selected. Photographs were taken with a Dental Eye III camera with a 100-mm macro objective and ratio of 1:10 from natural size, recorded on an Ektachrome ASA/ISO 100 film. The images were developed and applied to Microsoft Office Power Point 2007 software. The results were analyzed by analysis of variance and Student's t-test (alpha = 0.05)., Results: There was no significant correlation between bipupillar midline and the maxillary dental midline, irrespective of gender., Conclusion: No significant coincidence was observed between the interpupillary and dental midline. However, the interpupillar distance and its relationship with other anatomic structures may be used as a reference in treatment, but measurements must be assessed individually., Clinical Significance: Anatomic measurements and facial proportions can be helpful during the planning of esthetic oral rehabilitation.

This study sought to evaluate the microhardness of enamel submitted to 10% carbamide peroxide treatment and different methods of remineralization involving sodium fluoride (NaF). Non-erupted third molars were used and 75 enamel blocks with standardized dimensions (4.0 x 4.0 x 2.0 mm) were obtained. Enamel blocks were randomly divided into five groups (n = 15): one control (no bleaching and no fluoride treatment), one receiving a 10% carbamide peroxide treatment, one receiving 10% carbamide peroxide plus acidulated phosphate fluoride, one receiving 10% carbamide peroxide with 0.2% NaF, and one receiving 10% carbamide peroxide and 0.05% NaF. There were no differences among four of the groups (p > 0.05); the group receiving 10% carbamide peroxide only was different from all other groups (p < 0.05). Based on these results, NaF therapies are recommended during carbamide peroxide bleaching treatments.

This in vitro study evaluated the effectiveness of whitening dentifrices for the removal of extrinsic tooth stains. Twenty dental blocks (4 x 4 mm), including enamel and dentine, removed from freshly extracted bovine incisors, were randomly divided into 4 groups: G1--distilled water, G2--Colgate, G3--Crest Extra Whitening and G4--Rapid White. In all specimens, the dentin was covered with colorless nail polish, and the enamel was left exposed. Next, the specimens were immersed in a solution of black tea, which was changed every 24 h, for a period of 6 days. After this period, a photo-reflectance reading was taken (Time 1) with a spectrometer. The stained specimens were then submitted to linear brushing movements (5,000 cycles) using brushes (Oral B-Soft) coupled to an automatic toothbrushing machine, under a static axial load of 200 g and with a speed of 4 movements/second, at 37 degrees C, with the dentifrice or water being injected every 60 s. When toothbrushing ended, a second photo-reflectance reading was taken (Time 2). The results were submitted to two-criteria analysis of variance (ANOVA) and to the Tukey test ( = 0.05). When the two times for a same group were compared, Time 2 presented the highest reflectance values with statistical difference only for G3 and G4. Among the dentifrices tested, only the Rapid White group differed from the control group, presenting the highest reflectance values. Only the whitening dentifrice Rapid White was effective for the removal of extrinsic stains.

Purpose: To assess the influence of the light-curing unit type and whether or not it was worth using surface sealant protection on resin composite restorative materials stained by coffee. Another objective was to propose the monitoring of coffee staining by FT-Raman spectroscopy using carbon-hydrogen (C-H) bonds as reference to the composite matrix degradation., Methods: Sixty cylindrical specimens of resin composite were prepared and divided into six groups: HC (control)--cured with a halogen light; LC (control) cured with a LED; HF--cured with a halogen light + Fortify Plus; LF--cured with a LED + Fortify Plus; HP--cured with a halogen light + PermaSeal; LP--cured with a LED + PermaSeal. After storage for 24 hours at 37% and 100% of relative humidity, the top surface was protected, and the other surfaces isolated. Polishing with paper discs was performed after 24 hours of curing and prior to FT-Raman spectroscopy and reflectance measurements. All specimens were submitted to coffee staining for 14 days and evaluated by both systems. Results were statistically analyzed by ANOVA and Tukey tests., Results: FT-Raman spectrum only showed significant changes in groups LC and LP (P< 0.05). Reflectance demonstrated that staining was present in all specimens protected by sealants. Sealant staining was larger in the HF (P < 0.001) group.

Treatment of darkened teeth in children is of great importance from an esthetic-functional point of view and for the psychoemotional development of the child. The objective of the present study was to determine the in vitro efficacy of three bleaching agents for whitening of artificially stained primary teeth. Fifty anterior primary teeth were artificially stained and then divided into three experimental groups (n = 15) submitted to bleaching treatment with 35% hydrogen peroxide gel, 35% carbamide peroxide gel, and 35% carbamide peroxide gel mixed with sodium perborate powder. The control group (n = 5) was not submitted to any bleaching treatment. Color changes were evaluated with a reflectance spectrophotometer and possible alterations in the enamel surface after bleaching were measured by Vickers microhardness testing. The data were assessed using the Student's t test. The results confirmed the bleaching action of the three agents tested. No significant difference in mean microhardness was observed between the three bleaching agents when compared to the control group.

Fourier-Transform (FT)--Raman spectroscopy was used to evaluate in vitro the degree of conversion (DC) of Charisma dental composite cured by three different light curing units (LCUs) using soft-start and normal protocols. Eighty circular blocks of resin (7 mm in diameter x 2.5 mm thick) were prepared and cured using the following sources: halogen light (Degulux soft-start, n = 20, G1-G2), low power light emitting diode (LED) with transparent polymer tip (LD13, n = 20, G3-G4) and fiber optic tip (LD13, n = 20, G5-G6) and, finally, high power LED (Radii, n = 20, G7-G8). The top and bottom surfaces of the blocks were analyzed by FT-Raman spectroscopy. The respective DCs were estimated calculating the peak height ratio of the aliphatic C=C (1640 cm(-1)) and aromatic C=C (1610 cm(-1)) Raman modes. The DC at the surfaces ranged between 50% and 60% for the top and 46% and 58% for the bottom. The halogen light and high power LED LCUs with the soft-start and normal protocols produced the highest DC values of dental composite at both surfaces (p < 0.001). Curing by low power LED in the soft-start protocol did not produce adequate DC at the depth of 2.5 mm. The type of LCU light guide tip did not present a significant statistical difference in the final DC of the dental composite (p > 0.05).

Purpose: To evaluate the in vitro effects of two bleaching products developed to be used with halogen or argon laser lights., Methods: 20 human embedded third molars were cut into four parts resulting in 75 useful specimens. The specimens were divided at random into five groups and submitted to the traditional power bleaching procedure for enamel. Group C was separated as a control group. Group 37L was exposed to a 37% carbamide peroxide bleaching solution and exposed to 488 nm argon laser radiation. The same solution was used in Group 37H but the bleaching was exposed to a halogen lamp-based unit. The 35% carbamide peroxide was used in Groups 35L and 35H. One was treated as in Group 37L and the other as in Group 37H. The samples were analyzed for Vickers hardness and also by photoreflectance., Results: Group 37L presented more white spectra than Group 37H. However, Groups 35L and 35H showed similar results. Comparing both bleaching products, the 35% carbamide peroxide was more effective as a bleaching agent than the 37% formulation. No significant difference in Vickers hardness was noted between the two bleaching products.