The effect of carbamide peroxide bleach on the tensile bond strength of ceramic brackets: an in vitro study

Am J Orthod Dentofacial Orthop. 1994 Oct;106(4):371-5. doi: 10.1016/S0889-5406(94)70058-3.

Abstract

Recent advances in cosmetic dentistry have led to the development of a variety of new products and techniques including vital bleaching and ceramic brackets. Therefore this study was conducted to see whether the use of an at-home carbamide peroxide bleaching agent before bonding affected the tensile bond strength of a precoated ceramic orthodontic bracket. Sixty extracted human premolar teeth were randomly separated into three groups of 20. Group 1 was a control group that was etched and bonded in the usual manner. Group 2 was immersed in a carbamide peroxide home bleaching agent for 72 hours before pumicing and bonding. Group 3 was also bleached for 72 hours but was immersed in distilled water for 1 week before bonding. The results indicated that recently bleached teeth have significantly reduced bond strength values when compared with both groups 1 and 3. We suggest that if a patient is using a tooth whitening product, that they discontinue its use at least 1 week before the bonding of orthodontic attachments.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Acid Etching, Dental
  • Carbamide Peroxide
  • Ceramics / chemistry*
  • Dental Bonding*
  • Dental Debonding / instrumentation
  • Dental Enamel / drug effects
  • Dental Enamel / ultrastructure
  • Drug Combinations
  • Equipment Failure
  • Humans
  • Materials Testing
  • Orthodontic Brackets*
  • Peroxides / chemistry*
  • Peroxides / pharmacology
  • Phosphoric Acids / chemistry
  • Resins, Synthetic / chemistry
  • Surface Properties
  • Tensile Strength
  • Tooth Bleaching*
  • Urea / analogs & derivatives*
  • Urea / chemistry
  • Urea / pharmacology

Substances

  • Drug Combinations
  • Peroxides
  • Phosphoric Acids
  • Resins, Synthetic
  • Carbamide Peroxide
  • Urea