Impact of Antioxidants on Bond Strength between Resin Composites and Bleached Enamel: An <i>In Vitro</i> Comparative Evaluation

Aims and background: The purpose of the study was to assess and compare the impact of different antioxidants, namely <i>Camellia sinensis</i> (Green tea), <i>Aloe Barbadensis Miller</i> (Aloe vera), Ascorbic acid, and <i>Phyllanthus emblica</i> (Amla), on the bond...

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Main Authors: Divyanshu Choudhary, Sandhya K Punia, Yogender Kumar, Shilpi Kushwaha, Shreya Agarwal
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2024-08-01
Series:Dental Journal of Advance Studies
Subjects:
Online Access:https://www.djas.org/doi/DJAS/pdf/10.5005/djas-11014-0055
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author Divyanshu Choudhary
Sandhya K Punia
Yogender Kumar
Shilpi Kushwaha
Shreya Agarwal
author_facet Divyanshu Choudhary
Sandhya K Punia
Yogender Kumar
Shilpi Kushwaha
Shreya Agarwal
author_sort Divyanshu Choudhary
collection DOAJ
description Aims and background: The purpose of the study was to assess and compare the impact of different antioxidants, namely <i>Camellia sinensis</i> (Green tea), <i>Aloe Barbadensis Miller</i> (Aloe vera), Ascorbic acid, and <i>Phyllanthus emblica</i> (Amla), on the bond strength of resin composites to bleached enamel <i>in vitro</i>. Methods: A total of 60 intact permanent incisors were collected and mounted in self-cure acrylic resin. The facial surface was flattened using sandpaper. Teeth were divided into two groups on the basis of the bleaching agent used. Group A: no bleaching, Group B: 35% hydrogen peroxide. After bleaching following the manufacturer's instructions the teeth were washed and dried. Group B was further subdivided based on the antioxidants used. B0/C0– No antioxidant, B1/C1 – 10% Green tea, B2/C2 – 10% Aloe vera, B3/C3 – 10% Sodium Ascorbate, B4/C4 – 10% Amla. The flattened and treated enamel surface was bonded to composite resin using plastic molds. Samples were subjected to shear bond strength (SBS) evaluation. The results were analyzed using one-way ANOVA and <i>Post Hoc</i> Tukey's Test to evaluate the differences in the SBS. Results: The highest SBS was presented by unbleached group A (51.520) followed by group B (34.288). 10% sodium ascorbate showed the most potent antioxidant action in reducing bleach effect while 10% Amla gave the worst results. Conclusion: Ascorbic acid enhanced the SBS to enamel bleached with hydrogen peroxide, outperforming Green tea, Aloe vera, and Amla. Clinical significance: Bleaching sometimes fails to completely resolve discoloration, necessitating composite restorations. In these cases, antioxidants can restore the weakened bond strength between bleached enamel and resin composite, which is essential for clinical practice.
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spelling doaj-art-5c97e84969ef48c2bf585da0d43d78e42025-08-20T03:05:45ZengJaypee Brothers Medical PublisherDental Journal of Advance Studies2321-14822349-98692024-08-0112210611010.5005/djas-11014-00557Impact of Antioxidants on Bond Strength between Resin Composites and Bleached Enamel: An <i>In Vitro</i> Comparative EvaluationDivyanshu Choudhary0https://orcid.org/0009-0000-9713-8724Sandhya K Punia1https://orcid.org/0009-0004-1765-8412Yogender Kumar2https://orcid.org/0009-0002-4699-3792Shilpi Kushwaha3https://orcid.org/0009-0002-9034-7261Shreya Agarwal4https://orcid.org/0009-0005-2558-799XDepartment of Conservative Dentistry and Endodontics, Darshan Dental College & Hospital, Udaipur, Rajasthan, IndiaSandhya K Punia, Department of Conservative Dentistry and Endodontics, Darshan Dental College & Hospital, Udaipur, Rajasthan, India, Phone: +91 9660987078Department of Conservative Dentistry and Endodontics, Darshan Dental College & Hospital, Udaipur, Rajasthan, IndiaDepartment of Conservative Dentistry and Endodontics, Darshan Dental College & Hospital, Udaipur, Rajasthan, IndiaDepartment of Conservative Dentistry and Endodontics, Darshan Dental College & Hospital, Udaipur, Rajasthan, IndiaAims and background: The purpose of the study was to assess and compare the impact of different antioxidants, namely <i>Camellia sinensis</i> (Green tea), <i>Aloe Barbadensis Miller</i> (Aloe vera), Ascorbic acid, and <i>Phyllanthus emblica</i> (Amla), on the bond strength of resin composites to bleached enamel <i>in vitro</i>. Methods: A total of 60 intact permanent incisors were collected and mounted in self-cure acrylic resin. The facial surface was flattened using sandpaper. Teeth were divided into two groups on the basis of the bleaching agent used. Group A: no bleaching, Group B: 35% hydrogen peroxide. After bleaching following the manufacturer's instructions the teeth were washed and dried. Group B was further subdivided based on the antioxidants used. B0/C0– No antioxidant, B1/C1 – 10% Green tea, B2/C2 – 10% Aloe vera, B3/C3 – 10% Sodium Ascorbate, B4/C4 – 10% Amla. The flattened and treated enamel surface was bonded to composite resin using plastic molds. Samples were subjected to shear bond strength (SBS) evaluation. The results were analyzed using one-way ANOVA and <i>Post Hoc</i> Tukey's Test to evaluate the differences in the SBS. Results: The highest SBS was presented by unbleached group A (51.520) followed by group B (34.288). 10% sodium ascorbate showed the most potent antioxidant action in reducing bleach effect while 10% Amla gave the worst results. Conclusion: Ascorbic acid enhanced the SBS to enamel bleached with hydrogen peroxide, outperforming Green tea, Aloe vera, and Amla. Clinical significance: Bleaching sometimes fails to completely resolve discoloration, necessitating composite restorations. In these cases, antioxidants can restore the weakened bond strength between bleached enamel and resin composite, which is essential for clinical practice.https://www.djas.org/doi/DJAS/pdf/10.5005/djas-11014-005535% hydrogen peroxidealoe veraascorbic acidgreen teashear bond strength
spellingShingle Divyanshu Choudhary
Sandhya K Punia
Yogender Kumar
Shilpi Kushwaha
Shreya Agarwal
Impact of Antioxidants on Bond Strength between Resin Composites and Bleached Enamel: An <i>In Vitro</i> Comparative Evaluation
Dental Journal of Advance Studies
35% hydrogen peroxide
aloe vera
ascorbic acid
green tea
shear bond strength
title Impact of Antioxidants on Bond Strength between Resin Composites and Bleached Enamel: An <i>In Vitro</i> Comparative Evaluation
title_full Impact of Antioxidants on Bond Strength between Resin Composites and Bleached Enamel: An <i>In Vitro</i> Comparative Evaluation
title_fullStr Impact of Antioxidants on Bond Strength between Resin Composites and Bleached Enamel: An <i>In Vitro</i> Comparative Evaluation
title_full_unstemmed Impact of Antioxidants on Bond Strength between Resin Composites and Bleached Enamel: An <i>In Vitro</i> Comparative Evaluation
title_short Impact of Antioxidants on Bond Strength between Resin Composites and Bleached Enamel: An <i>In Vitro</i> Comparative Evaluation
title_sort impact of antioxidants on bond strength between resin composites and bleached enamel an i in vitro i comparative evaluation
topic 35% hydrogen peroxide
aloe vera
ascorbic acid
green tea
shear bond strength
url https://www.djas.org/doi/DJAS/pdf/10.5005/djas-11014-0055
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AT sandhyakpunia impactofantioxidantsonbondstrengthbetweenresincompositesandbleachedenamelaniinvitroicomparativeevaluation
AT yogenderkumar impactofantioxidantsonbondstrengthbetweenresincompositesandbleachedenamelaniinvitroicomparativeevaluation
AT shilpikushwaha impactofantioxidantsonbondstrengthbetweenresincompositesandbleachedenamelaniinvitroicomparativeevaluation
AT shreyaagarwal impactofantioxidantsonbondstrengthbetweenresincompositesandbleachedenamelaniinvitroicomparativeevaluation