Enamel Solubility and Depth of Demineralization with Laser Bleaching and the Impact of CPP-ACP: An Optico-chemical Analysis

JOURNAL TITLE: International Journal of Laser Dentistry

Author
1. Sonali Agarwal
2. N Basappa
ISSN
2249-5614
DOI
10.5005/jp-journals-10022-1059
Volume
4
Issue
3
Publishing Year
2014
Pages
7
Author Affiliations
    1. Department of Pedodontics and Preventive Dentistry Bapuji Dental College and Hospital, Davangere, Karnataka, India
    1. Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital, Davangere, Karnataka, India
  • Article keywords

    Abstract

    Aim: To determine the enamel solubility and depth of demineralization with laser bleaching and impact of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) when applied prior to and after laser bleaching. Materials and methods: The 40 specimens obtained from 10 human premolars were treated in accordance with manufacturer protocols; laser bleaching was performed using Opalescence Boost Gel (40% hydrogen peroxide) followed by laser activation using 36 mW/660 nm diode laser applied for 4 minutes at an energy fluence of 8.6 J/cm2. The study consisted of four experimental groups are as follows: • Group 1: Control (laser bleaching only) • Group 2: Pretreatment with CPP-ACP and laser bleaching • Group 3: Laser bleaching and post-treatment CPP-ACP • Group 4: Laser bleaching and post-treatment CPP-ACP and short burst of laser. Specimens were, thereafter, subjected to cariogenic challenge and further evaluated for enamel solubility by measuring the loss of Ca2+ ions and the depth of demineralization using polarized light microscopy. Results: Group 4 exhibited least enamel solubility and depth of demineralization (p < 0.0001) followed by groups 3, 2 and maximum by group 1. Conclusion: Post-laser bleaching application of CPP-ACP followed by a short burst of laser can provide exceptional resistance to enamel solubility (demineralization).

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