Effect of different pH levels of in-office bleaching gels on teeth with orthodontic brackets bonded using two adhesive strategies: An in vitro comparative study - 06/06/26
, Fabiana Suelen Figuerêdo de Siqueira 1, Andres Felipe Millan Cardenas 1Summary |
Objectives |
This in vitro study assessed the effects of in-office bleaching gels with different pH values (neutral vs. acidic) and bracket conditions (without brackets or brackets) bonded using self-etch or etch-and-rinse adhesive strategies on hydrogen peroxide (HP) penetration into the pulp chamber and colour change.
Material and methods |
Seventy premolars were randomly allocated into seven groups ( n = 10) according to bleaching gel (Whiteness HP Automixx 35% [acidic pH]; Whiteness HP Automixx Plus 35% [neutral/alkaline pH]), bracket conditions and adhesive strategies. Ultrapurified water was used as the negative control. Gel pH was measured with a digital pH meter. Colour was assessed spectrophotometrically at baseline and one week after bleaching (ΔE ab , ΔE 00 , ΔWI D ). HP penetration into the pulp chamber was quantified using UV–Vis spectrophotometry. Data were analysed using repeated-measures, one-way, and two-way ANOVA followed by Tukey's and Dunnett's tests (α = 0.05).
Results |
Bleaching gels showed different pH values at all evaluated time points ( P = 0.001). All experimental groups showed higher HP penetration than the control group (95% CI: –0.001 to 0.001 μg/mL; P < 0.000001), with greater values observed for the acidic gel (95% CI: 0.029–0.057 μg/mL; P = 0.0001). Adhesive strategy also influenced HP penetration, with higher values observed for the etch-and-rinse approach when the acidic gel was used (95% CI: –0.020 to 0.108 μg/mL; P = 0.0001). Colour change did not differ significantly between bleaching gels ( P > 0.24). However, teeth without brackets showed greater colour change than those with brackets bonded using the etch-and-rinse strategy ( P < 0.001), with ΔE ab ranging from 5.33–9.70 versus 3.25–6.80, ΔE 00 from 3.61–6.63 versus 2.37–4.74, and ΔWI D from 4.50–8.67 versus 2.97–5.70 (95% CI), respectively.
Conclusions |
Neutral/alkaline stable-pH bleaching gels combined with self-etch bonding strategies were associated with reduced HP penetration and favourable bleaching outcomes, despite slight attenuation of colour change in the presence of brackets. These findings require further clinical validation.
Le texte complet de cet article est disponible en PDF.Keywords : Tooth bleaching, Hydrogen peroxide, Pulp chamber, Orthodontic bracket
Plan
Vol 24 - N° 3S
Article 101194- septembre 2026 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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