Uso de microtomografia computadorizada, espectroscopia dispersiva de energia, microscopia eletrônica de varredura e microscopia de força atômica para monitorar os efeitos de adição de cálcio à géis clareadores.

Abstract

Objectives: The aim of this study was to evaluate the loss of mineral content, expressed by calcium (Ca) and phosphate (P), in dental enamel exposed to bleaching agents using micro-computed tomography (micro-CT), scanning electron microscopy (SEM), energy dispersive spectroscopy (EDS), and atomic force microscopy (AFM). Methods: Sixty bovine dental enamel specimens were randomly divided into three groups (n=20): HP35ca (bleached with 35% hydrogen peroxide with Ca); HP35wca (bleached with 35% hydrogen peroxide without Ca); and control (without bleaching). Five specimens from each group were used for SEM and EDS analyses, 10 specimens were used for AFM analysis, and the remaining five specimens were used for micro-CT analysis. The pH of the gels was measured using a pH meter. The EDS and micro-CT data were analyzed using one-way ANOVA and Pearson’s correlation test. The AFM data were analyzed using one-way ANOVA (α=0.05). Results: The weight percentages of Ca and P obtained using EDS were similar between the bleached and control groups. Small superficial changes were observed by SEM in the HP35wca group. The HP35ca group showed similar patterns to the control group. AFM results showed no significant changes in the enamel roughness in any of the tested groups. No significant difference in the volume or depth of structural enamel loss was found between gels with and without Ca. No mineral loss was observed in the dentin substrate. The EDS and micro-CT analysis data exhibited a high correlation (P < 0.001). Conclusion: The addition of Ca to the bleaching gel had no beneficial effect on the bleached tooth enamel in terms of composition, mineral loss, and surface roughness. Micro-CT results exhibited a high correlation with the EDS results.