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Effect of 15% Carbamide Peroxide Agents with and without Potassium Nitrate and Fluoride(PF) on the Tooth Color and Surface Microhardness of Human Enamel

15% 치아미백제의 potassium nitrate와 fluoride(PF) 함유 여부에 따른 치아색조와 미세경도 변화

  • 우희선 (경운대학교 치위생학과) ;
  • 심연수 (청주대학교 치위생학과)
  • Received : 2011.11.10
  • Accepted : 2011.12.26
  • Published : 2012.01.28

Abstract

The purpose of this study was to evaluate tooth color and microhardness after 15% carbamide peroxide(CP) bleaching treatments with/without potassium nitrate and fluoride(PF), which were used home bleaching. Thirty tooth specimens were obtained from thirty premolar and were randomly divided into three groups: 1, untreated controls(Distilled water): 2, treatment with 15% CP bleaching agent; 3, treatment with 15% CP bleaching agent (contained 3% potassium nitrate and 0.11% fluoride). All groups were treated 6h per day for 14 days then immersed in distilled water. Changes in enamel color were evaluated on Baseline and Day 14. Microhardness were evaluated on Baseline, Days 7 and 14. All the bleached enamel specimens revealed increased whiteness without control group. Groups 2 and 3 showed significantly decreased enamel microhardness compared to control group. On Day 7, Groups 2-3 showed significantly decreased enamel microhardness compared to control group and respective baseline data. The percentage microhardness loss(PML) look at Day 7 and 14 for Group 1, respectively, there was little difference between 1.7 and 0.8. However, Group 2 was 21.9 and 3.5, Group 3 was 16.7 and 1.4 as a baseline and Day 7 were significantly different (p<0.05). The PML of group 2 was significantly highest than that of group 3 on Day 7. As a result, the data indicate that the addition of PF did not influence the whitening efficacy of the bleaching agent negatively. PF-containing bleaching agent reduce the percentage microhardness loss. PF-containing tooth bleaching your teeth with a whitening effect can be reduced by decreasing the hardness of enamel.

본 연구에서는 현재 자가 미백용으로 많이 사용하고 있는 15% carbamide peroxide(CP)에 potassium nitrate와 fluoride(PF)가 함유된 제품과 미 함유된 제품을 사용하여 색과 표면미세경도를 측정하였다. 건전한 소구치 30개를 이용하여 30개의 시편을 제작하였고, 각 각 10개씩 3군으로 분류하였다. 1군은 대조군 (Distilled water), 2군은 15% CP, 3군은 15% CP(3% potassium nitrate and 0.11% fluoride 함유)이다. 치아미백은 14일 동안 하루에 6시간 미백하고 이후 시간은 증류수에 보관하였다. 색 측정은 미백 전과 14일에 측정하였고, 표면미세경도는 미백 전, 7일, 14일에 측정하여 다음과 같은 결과를 얻었다. 색변화를 본 결과 미백하지 않는 대조군 1군과 미백제가 함유된 2군과 3군에는 통계적으로 유의한 차이가 보였고(p<0.05), 2군과 3군 사이에는 통계적으로 유의한 차이를 나타내지 않았다(p>0.05). 표면미세경도 변화를 비교해보면 시간이 경과함에 따라 대조군을 제외하고 2군과 3군에서는 미백 전 경도 값에 비해서 미백 후 유의하게 경도의 감소를 보였고(p<0.05), 특히 미백 7일째 경도 값의 차이가 미백 후 14일보다 컸다. 미세경도 감소율을 보면 대조군인 1군은 7일과 14일에 각 각 1.7과 0.8로 차이가 거의 없으나 2군은 21.9,와 3.5이고, 3군은 16.7과 1.4로 미백 7일째에서 유의하게 감소했고(p<0.05), PF가 미 함유된 2군의 7일째 미세경도 감소율이 가장 컸다. 이상의 결과를 종합해 보면, PF는 치아미백에 부정적 영향을 주지 않으며, 미세경도 변화에서는 PF가 함유된 미백제에서 경도 감소율이 적었다. 따라서 PF가 함유된 치아미백제는 미백효과와 함께 치아법랑질의 경도 감소를 줄일 수 있다.

Keywords

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