This study evaluated the effect of enamel bleaching with a commercial
product on the sheer bond strength of a composite resin. A total of 45
human extracted permanent molars were used. A flat enamel surface was
obtained with 600-grit SiC paper. The teeth were then randomly distri
buted into three groups of 15 teeth each: Group 1: Enamel etching with
37% phosphoric acid gel (Coe) for 60 seconds, placement of an unfille
d resin (Coe) thinly applied with a brush and a composite resin (Occlu
sin); Group 2: Enamel bleaching (Rembrandt Lighten Bleaching Gel, Den-
Mat) for one hour, etching for 60 seconds and placement of unfilled an
d composite resins. Group 3: Enamel bleaching for 24 hours, etching fo
r 60 seconds, and placement of unfilled and composite resins. A nylon
ring over the etched enamel retained the composite resin. The teeth we
re thermocycled (X100) and sheared with a knife-edged blade in an Inst
ron machine running at a cross-head speed of 1 mm/min. The results in
MPa were: Group 1: 12.86 +/- 4.83, Group 2: 12.33 +/- 2.95, and Group
3: 7.67 +/- 1.98. An ANOVA revealed that Groups 1 and 2 were significa
ntly different from Group 3 (P < 0.001). Fracture within the enamel oc
curred in 53% in Group 1, 33% in Group 2, and 0% in Group 3. The study
reveals that the shear bond strength of composite resins is significa
ntly reduced after enamel bleaching for 24 hours.