FARKLI BEYAZLATMA YÖNTEMLERİ UYGULANMIŞ DİŞLERİN RENKLENMESİNDE KIRMIZI ŞARABIN ETKİSİ

Yıl 2017, Cilt: 27 Sayı: 2, 73 - 78, 14.06.2017

Muhammet Karadaş Sezer Demirbuğa Nazire Nurdan Çakır

https://doi.org/10.17567/ataunidfd.321435

Öz

Amaç: Bu in vitro çalışmanın amacı, farklı yöntemlerle
beyazlatma yapılmış dişlerin renklenmeleri üzerine kırmızı şarabın etkisini
değerlendirmektir.

Gereç ve Yöntem: Sığır keser dişlerinden mine-dentin
örnekleri elde edildi. Örnekler, beyazlatma yöntemlerine göre rastgele dört
gruba ayrıldı: (1) Ofis tipi beyazlatma, (2) Ev tipi beyazlatma, (3) Beyazlatma
stripleri, (4) Kontrol grubu (n=10). Beyazlatma ajanları üretici firmaların
belirlediği sürelerde örneklere uygulandı. Beyazlatma işleminden sonra örnekler
iki alt gruba ayrıldı. Birinci alt gruptaki örnekler beyazlatma işlemlerinden
hemen sonra, ikinci alt gruptaki örnekler 48 saat sonra 4 saat boyunca kırmızı
şarap içinde bekletildi. Renklendirme işleminden sonra örneklere polisaj
yapıldı. Renk ölçümü spektrofotometre ile beyazlatma işleminden önce,
beyazlatma işleminden sonra, kırmızı şarapta bekletme işleminden sonra, polisaj
işleminden sonra gerçekleştirildi. Veriler CIELAB (L*a*b*) sistemine göre
kaydedildi. Elde edilen veriler istatistiksel olarak tek yönlü ANOVA ve Tukey
testi ile analiz edildi (p<0.05).

Bulgular: Ev ve ofis tipi yöntemin beyazlatma
etkinliği beyazlatma striplerinden önemli ölçüde daha fazlaydı (p<0.05).
Beyazlatma sonrası bekleme süresine bakılmaksızın ofis tipi beyazlatma ajanı ve
beyazlatma stripleri uygulanan örnekler kontrol grubundaki örneklerden önemli
derecede daha fazla renklendi (p<0.05). Ev tipi beyazlatma ve kontrol grubu
arasında dişlerin renklenmesi açısından önemli bir farklılık bulunamadı
(p>0.05). Polisaj işlemi beyazlatılmış örneklerin renklenme derecesini
önemli derecede azalttı. Polisaj işleminden sonra gruplar arasında önemli bir
farklılık bulunamadı (p>0.05).  

Sonuçlar: Beyazlatma tedavilerinden sonra bekleme
zamanı dişlerin renklenme derecesini etkilemedi. Farklı beyazlatma metotları ve beyazlatmadan sonra yapılan polisaj
işlemi dişlerin renklenme derecesini etkileyebilir. 

Anahtar kelimeler: Ev tipi beyazlatma, ofis tipi beyazlatma,
beyazlatıcı strip, diş renklenmesi

 

THE
EFFECT OF RED WINE ON DISCOLORATION OF TEETH BLEACHED USING DIFFERENT BLEACHING
METHODS

ABSTRACT

Aim:
To evaluate the influence of red wine
on discoloration of teeth bleached using different bleaching methods.

Material
and Method: The enamel‒dentin samples were
obtained from bovine incisors. Then teeth were randomly divided into four
groups: (1) In-office bleaching, (2) Home-bleaching, (3) Whitestrips, and (4)
Control group (unbleached, n=10). Whitening agents were applied to the samples
in the time that their manufacturers specify. After bleaching treatments, the
samples in each group were divided into two subgroups. The samples in first
subgroup were immersed in red wine for 4 h immediately after bleaching. The
samples in second subgroup were immersed in red wine for 4 h 48 h after
bleaching. After staining, the samples were polished. The color was measured
using spectropho- tometer before and after bleaching, after staining, and after
polishing the stained samples. Data were recorded based on the CIELAB (L*a*b*)
system. Data were analyzed by One-Way ANOVA, followed by Tukey’s test (p<0.05).

Results: The
whitening effect of the home bleaching and in-office bleaching was
significantly greater than that of the whitestrips (p<0.05). The level of staining
of the samples bleached by in-office bleaching and whitestrips was
significantly higher than that of the unbleached group (p<0.05) regardless
of the waiting time after bleaching. No significant difference in tooth
discoloration was found between the home-bleaching and control group (p>0.05). The polishing process reduced
significantly the degree of staining on the bleached samples. After polishing, there were no
significant differences in staining among all the groups (p>0.05).

Conclusions: After bleaching treatments, the waiting time did not affect the degree
of staining of teeth. The different bleaching methods and post-bleaching
cleaning procedures can affect the degree of tooth discoloration. 

Keywords: Home-bleaching,
in-office-bleaching, whitestrip,  tooth
discoloration

Anahtar Kelimeler

Ev tipi beyazlatma, ofis tipi beyazlatma, beyazlatıcı strip

Kaynakça

• 1. Kwon SR, Oyoyo U, Li Y. Effect of light activation on tooth whitening efficacy and hydrogen peroxide penetration: an in vitro study. J Dent 2013;41 Suppl 3:e39-45.
• 2. Mielczarek A, Klukowska M, Ganowicz M, Kwiatkowska A, Kwasny M. The effect of strip, tray and office peroxide bleaching systems on enamel surfaces in vitro. Dent Mater 2008;24:1495-500.
• 3. Haywood VB. Considerations and variations of dentist-prescribed, home-applied vital tooth-bleaching techniques. Compend Suppl 1994:S616-21.
• 4. Joiner A. The bleaching of teeth: a review of the literature. J Dent 2006;34:412-9.
• 5. Joiner A. Review of the effects of peroxide on enamel and dentine properties. J Dent 2007;35:889-96.
• 6. Karadaş M, Nilgün S. Vital dişlerde beyazlatma. Atatürk Üniv. Diş Hek Fak. Derg 2014; supplement 9:126-35.
• 7. Pinto CF, Oliveira R, Cavalli V, Giannini M. Peroxide bleaching agent effects on enamel surface microhardness, roughness and morphology. Braz Oral Res 2004;18:306-11.
• 8. Oltu U, Gurgan S. Effects of three concentrations of carbamide peroxide on the structure of enamel. J Oral Rehabil 2000;27:332-40.
• 9. Perdigao J, Francci C, Swift EJ, Jr., Ambrose WW, Lopes M. Ultra-morphological study of the interaction of dental adhesives with carbamide peroxide-bleached enamel. Am J Dent 1998;11:291-301.
• 10. Dietschi D, Rossier S, Krejci I. In vitro colorimetric evaluation of the efficacy of various bleaching methods and products. Quintessence Int 2006;37:515-26.
• 11. Watts A, Addy M. Tooth discolouration and staining: a review of the literature. Br Dent J 2001;190:309-16. 12. Azer SS, Hague AL, Johnston WM. Effect of pH on tooth discoloration from food colorant in vitro. J Dent 2010;38 Suppl 2:e106-9. 13. Pirolo R, Mondelli RF, Correr GM, Gonzaga CC, Furuse AY. Effect of coffee and a cola-based soft drink on the color stability of bleached bovine incisors considering the time elapsed after bleaching. J Appl Oral Sci 2014;22:534-40.
• 14. Spalding M, Taveira LA, de Assis GF. Scanning electron microscopy study of dental enamel surface exposed to 35% hydrogen peroxide: alone, with saliva, and with 10% carbamide peroxide. J Esthet Restor Dent 2003;15:154-64.
• 15. Borges AB, Yui KC, D'Avila TC, Takahashi CL, Torres CR, Borges AL. Influence of remineralizing gels on bleached enamel microhardness in different time intervals. Oper Dent 2010;35:180-6.
• 16. Heymann HO. Tooth whitening: facts and fallacies. Br Dent J 2005; 198: 514.
• 17. Matis BA, Cochran MA, Franco M, Al-Ammar W, Eckert GJ, Stropes M. Eight in-office tooth whitening systems evaluated in vivo: a pilot study. Oper Dent 2007;32:322-7.
• 18. Sulieman M, MacDonald E, Rees JS, Addy M. Comparison of three in-office bleaching systems based on 35% hydrogen peroxide with different light activators. Am J Dent 2005;18(3):194-7.
• 19. Bitter NC, Sanders JL. The effect of four bleaching agents on the enamel surface: a scanning electron microscopic study. Quintessence Int 1993; 24: 817-24.
• 20. Flaitz CM, Hicks MJ. Effects of carbamide peroxide whitening agents on enamel surfaces and caries-like lesion formation: an SEM and polarized light microscopic in vitro study. ASDC J Dent Child 1996;63:249-56.
• 21. Tezel H, Korkut ZO, Dalgar H, Özata F. %38’lik hidrojen peroksit içeren beyazlatma ajanının mine yüzeyinden kalsiyum iyonu çözülmesine etkisi. EÜ Dişhek Fak Derg 2004; 25: 145-9.
• 22. Hegedus C, Bistey T, Flora-Nagy E, Keszthelyi G, Jenei A. An atomic force microscopy study on the effect of bleaching agents on enamel surface. J Dent 1999;27:509-15.
• 23. Dahl JE, Pallesen U. Tooth bleaching--a critical review of the biological aspects. Crit Rev Oral Biol Med 2003;14:292-304.
• 24. Berger SB, Coelho AS, Oliveira VA, Cavalli V, Giannini M. Enamel susceptibility to red wine staining after 35% hydrogen peroxide bleaching. J Appl Oral Sci 2008;16:201-4.
• 25. Cortes G, Pini NP, Lima DA, Liporoni PC, Munin E, Ambrosano GM, Aguiar FH, Lovadino JR. Influence of coffee and red wine on tooth color during and after bleaching. Acta Odontol Scand 2013;71:1475-80.
• 26. Shannon H, Spencer P, Gross K, Tira D. Characterization of enamel exposed to 10% carbamide peroxide bleaching agents. Quintessence Int 1993;24:39-44.
• 27. Hosoya N, Honda K, Iino F, Arai T. Changes in enamel surface roughness and adhesion of Streptococcus mutans to enamel after vital bleaching. J Dent 2003;31:543-8.
• 28. Hannig M, Balz M. Influence of in vivo formed salivary pellicle on enamel erosion. Caries Res 1999;33:372-9.
• 29. Attia ML, Aguiar FH, Mathias P , Ambrosano GM, Fontes CM, Liporoni PC. The effect of coffee solution on tooth color during home bleaching applications. Am J Dent 2009;22(3):175-9.
• 30. Ren YF, Amin A, Malmstrom H. Effects of tooth whitening and orange juice on surface properties of dental enamel. J Dent 2009;37:424-31.
• 31. Joiner A. Review of the extrinsic stain removal and enamel/dentine abrasion by a calcium carbonate and perlite containing whitening toothpaste. Int Dent J 2006;56:175-80.
• 32. Azer SS, Hague AL, Johnston WM. Effect of bleaching on tooth discolouration from food colourant in vitro. J Dent 2011;39 Suppl 3:e52-6.
• 33.Braun A, Jepsen S, Krause F. Spectrophotometric and visual evaluation of vital tooth bleaching employing different carbamide peroxide concentrations. Dent Mater 2007;23:165-9.