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Clinical Research
The evaluation of clinical efficacy and longevity of home bleaching without combined application of In-office bleaching
Byunk-Gyu Shin, Sung-Eun Yang
J Korean Acad Conserv Dent 2010;35(5):387-394.   Published online September 30, 2010
DOI: https://doi.org/10.5395/JKACD.2010.35.5.387
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to evaluate the whitening efficacy and longevity of home bleaching.

Materials and Methods

A total of 28 patients were divided into either experimental group (Opalescence F; 15% carbamide peroxide) or control group randomly. The patients in experimental group were instructed to wear individual trays applied with bleaching gel for 2 hours a day for 4 weeks. Any treatments weren't applied to the patients in control group. The color measurements of central incisors, lateral incisors & canines of upper and lower arch were recorded at base line, immediately after the finishment of treatmemt (4 weeks), 8 weeks and 12 weeks using Colorimeter (Chroma Meter, 2600d Konica Minolta co.) and Vitapan classical shade guide (Vita Zahnfabrik).

Results

A significantly stronger color change was observed for overall teeth samples in experimental group immediately after treatment (at 4 weeks) compared to ones in control group (p < 0.05). There was also a significant difference between baseline and 8 weeks or 12 weeks separately though color rebouncing phenomenon occurred as time went by (p < 0.05).

Conclusions

The clinical effecacy and longevity of home bleaching without combined application of in-office bleaching was observed through this experiment.

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Basic Researchs
The effect of solvent evaporation of dentin adhesive on bonding efficacy
Min-Woo Cho, Ji-Yeon Kim, Duck-Su Kim, Kyoung-Kyu Choi
J Korean Acad Conserv Dent 2010;35(5):321-334.   Published online September 30, 2010
DOI: https://doi.org/10.5395/JKACD.2010.35.5.321
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study is to evaluate bonding efficacy by means of measuring the effect of remained solvent on Degree of conversion(DC) and µTBS and FE-SEM examination.

Materials and Methods

Two 2-step total etching adhesives and two single-step self etching adhesives were used in this study. First, volume weight loss of 4 dentin adhesives were measured using weighting machine in process of time in normal conditions and calculate degree of evaporation (DE). Reaction/reference intensity ratio were measured using micro-Raman spectroscopy and calculate DC according to DE. Then 2 experimental groups were prepared according to air-drying methods (under, over) and control group was prepared to manufacturer's instruction. Total 12 groups were evaluated by means of micro tensile bond strength and FE-SEM examination.

Results

Degree of evaporation (DE) was increased as time elapsed but different features were observed according to the kind of solvents. Acetone based adhesive showed higher DE than ethanol and butanol based adhesive. Degree of conversion (DC) was increased according to DE except for S3 bond. In µTBS evaluation, bond strength was increased by additional air-drying. Large gaps and droplets were observed in acetone based adhesives by FE-SEM pictures.

Conclusions

Additional air-drying is recommended for single-step self etching adhesive but careful consideration is required for 2-step total etching adhesive because of oxygen inhibition layer. Evaporation method is carefully chose and applied according to the solvent type.

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A clinical evaluation of efficacy of an office bleaching gel containing 30% hydrogen peroxide
Sin-Young Kim, Je-Uk Park, Chang-Hyen Kim, Sung-Eun Yang
J Korean Acad Conserv Dent 2010;35(1):40-50.   Published online January 31, 2010
DOI: https://doi.org/10.5395/JKACD.2010.35.1.040
AbstractAbstract PDFPubReaderePub

This study evaluated the efficacy of an office bleaching gel (RemeWhite, Remedent Inc., Deurle, Belgium) containing 30% hydrogen peroxide. 31 volunteers were recieved office bleaching with the RemeWhite for 3 times at one visit, total 2 visits. As control group, the same gel in which hydrogen peroxide was not included was applied to 31 volunteers with the same protocol. The shade change (ΔE*, color difference) of 12 anterior teeth was measured using Colorimerter and Vitapan classical shade guide. The shade change of overall teeth in the experimental group was significantly greater than that in the control group which was measured using Colorimeter. There was also a significant difference between baseline and 14 weeks or 26 weeks though color rebounding phenomenon occurred as time went by. Small shade change difference can be measured accurately using Colorimeter than using Vitapan classical shade guide.

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