Pg. Miles et al., THE EFFECT OF CARBAMIDE PEROXIDE BLEACH ON THE TENSILE BOND STRENGTH OF CERAMIC BRACKETS - AN IN-VITRO STUDY, American journal of orthodontics and dentofacial orthopedics, 106(4), 1994, pp. 371-375
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 th
e 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 a
nd bonded in the usual manner. Group 2 was immersed in a carbamide per
oxide home bleaching agent for 72 hours before pumicing and bonding. G
roup 3 was also bleached for 72 hours but was immersed in distilled wa
ter for 1 week before bonding. The results indicated that recently ble
ached teeth have significantly reduced bond strength values when compa
red 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.