Does resin removal with different burs after orthodontic debonding influence hydrogen peroxide diffusion, bleaching efficacy, and enamel alterations during tooth bleaching? An in-vitro study - 26/09/25

Summary |
Objectives |
To evaluate the influence of different burs for residual resin removal after orthodontic debonding on hydrogen peroxide (H 2 O 2 ) concentration into the pulp chamber, bleaching efficacy and physical changes on the enamel surface following in-office tooth bleaching.
Material and methods |
Sixty premolars subjected to bracket installation and debonding were randomized into five groups ( n = 12): no bleaching (control), only bleaching, Carbide bur + bleaching (CB), Diamond FF bur + bleaching (DB) and Zirconia bur + bleaching (ZB). All groups, except the control, received bleaching (H 2 O 2 35%). The H 2 O 2 concentration (μg/mL) in the pulp chamber was measured using a UV-Vis spectrophotometer. Bleaching efficacy was assessed by a digital spectrophotometer (ΔE ab , ΔE 00 , and WI D ) before and after 7 days of bleaching. Enamel surface alterations were analysed by FE-SEM. All data were submitted to statistical analysis (α = 0.05).
Results |
The groups submitted to resin removal with CB and ZB post-orthodontic debonding showed a lower H 2 O 2 concentration when compared to the Only Bleaching group after bleaching procedure ( P < 0.02). No significant differences were observed in bleaching efficacy between groups submitted to different burs when compared to the Only bleaching group ( P > 0.05) across evaluated parameters.
Conclusions |
The use of CB and ZB burs to remove residual resin post-orthodontic debonding results in lower H 2 O 2 concentration. However, bleaching efficacy was unaffected by bur type. Notably, ZB burs provided superior enamel surface preservation.
Le texte complet de cet article est disponible en PDF.Keywords : Bur wear, Orthodontic debonding, Hydrogen peroxide, Dental enamel permeability
Plan
Vol 24 - N° 1
Article 101060- mars 2026 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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